This page contains resources to support public health teams and communities in preventing overdose among Native people. All journal articles are open source unless otherwise indicated. Please contact us with recommendations for new resources to include.
This is an online resource by United and Southern and Eastern Tribes that details how to use and where to locate naloxone (otherwise known as NARCAN®). This site lists National organizations that provide naloxone and select states that provide…
ABSTRACTBackground: The Confederated Tribes of the Grand Ronde Community of Oregon began a Mobile Medication Unit (MMU) as part of their Great Circle Recovery Opioid Treatment Program (OTP) to address elevated rates of opioid use disorder (OUD) among American…
Key Points: In this brief, we highlight the experiences and practices of substance use treatment providersand their human services partners when serving people of color. We selected providers whofocused on serving people of color, and this study was not…
Abstract Introduction: American Indians and Alaska Native (AIAN) populations are disproportionately affected by opioid misuse. Medication for opioid use disorder (MOUD) is essential to decrease overdose events and overdose deaths. AIAN communities can benefit from MOUD programs that are housed…
Abstract Background: Despite national and state policies aimed at increasing naloxone access via pharmacies, opioid overdose death rates rose during the COVID-19 pandemic, particularly among Blacks and American Indians (AIs) in rural areas. Caregivers, or third parties who can administer…
Abstract: Pharmacological treatments for opioid use disorders (OUDs) may have mixed efficacy across diverse groups, i.e., sex/gender, race/ethnicity, and socioeconomic status (SES). The present systematic review aims to examine how diverse groups have been included in U.S. randomized clinical…
Introduction: This study examined disparities in years of potential life lost (YPLL) related to opioid use among racial and ethnic groups adjusting for individual- and neighborhood-level characteristics. Methods: The study obtained data on 5265 geocoded death records associated with…
Background and objectives: A “revolving door” of repeated admissions to detoxification treatment facilities has long plagued alcohol and drug use patients, yet few studies examine factors associated with readmission. This study examined risk factors for readmission to alcohol and…
This is a slide deck from the National Harm Reduction Coalition, addressing stigma of substance use and accessing harm reduction services among Native people. Click here to access online Dismantling Stigma – Slide…
This website’s page provides resources specific to overdose prevention in urban settings, including a map of Narcan resources near Urban Indian Organizations (UIOs). Learn More Here Click here to learn more about technical assistance…
The FH Healing Model and Community Defined Evidence Practice (CDEP) Study 2022 – 2025 utilizes a non-experimental study design, measuring variables as they naturally occur through Friendship House programs and services and studied through the lens of tribal and…
Purpose– The purpose of the current study is to conduct a systematic review of peer-reviewed work on culturally tailored interventions for alcohol and drug use in Indigenous adults in North America. Substance use has been reported as a health…
AbstractBackground: Public health vending machines (PHVMs) have been shown to improve access to numerous health promoting supplies. However, they are understudied in the United States and no study of which we are aware hasexamined their implementation on American Indian…
Highlights American Indians and Alaska Natives were under-represented in clinical trials dealing with Opioid Use Disorder. Black Americans were enrolled in clinical trials for opioid use disorder at levels that exceeded those expected. White people were enrolled in clinical trials…
Summary Background The United States’ opioid crisis is worsening, with the number of deaths reaching 81,806 in 2022 after more than tripling over the past decade. This study aimed to comprehensively characterize changes in burden of opioid overdose mortality in…
Abstract Background and Aims Medication is the gold standard to support a healthy pregnancy for pregnant people with opioid use disorder (OUD). This study measured inequities and differences in OUD medication treatment among pregnant people in Oregon, USA. Design,…
Abstract Substance use disorders (SUDs) disproportionately affects Native Hawaiians, yet conventional treatments often overlook the cultural, spiritual, and relational foundations of well-being for Native Hawaiians. This gap represents a human services problem, as it perpetuates health disparities, limits recovery,…
Background Few studies have examined the implementation of syringe services programs (SSPs) that serve Indigenous people who inject drugs in the United States (US). There are 574 Federally-recognized tribes in the US, each characterized by unique traditions, values, and…
Abstract Introduction: American Indian/Alaska Native (AI/AN) communities are more likely to suffer negative consequences related to substance misuse. The COVID-19 pandemic exacerbated the opioid poisoning crisis, in combination with ongoing treatment barriers resulting from settler-colonialism, systemic oppression and…
Abstract: American Indian and Alaska Natives (AIAN) are a rapidly growing and diverse population: There are 9.7 million AIANs in the United States (including 5.9 million people who identify as AIAN and one or more racial groups), constituting 2.9%of…
From the National Indian Health Board, the Tribal Opioid Response Resource Toolkit “provides an array of materials, tools, resources and links to support Tribes as they are working to combat the epidemic within their communities.” Click…
Introduction More Americans died in 2021 from drug overdose than from vehicle accidents and firearms combined. Unlike earlier phases, the current epidemic is marked by its disproportionate impact on communities of color. This report investigates regional and substance-specific variations in …
Abstract Background: American Indian and Alaska Native (AI/AN) youth face stark inequities in opioid misuse, social support, and suicide attempt. This study examined trends in these behavioral measures among AI/AN students in New Mexico (NM). Methods: Using the NM oversampled…
Abstract Background: American Indian (AI) youth have disproportionately high rates of both heroin and other opioid misuse and recently have seen a large increase in negative outcomes due to opioid misuse. To address the dearth of research on within-group…
Objectives. To present data for opioid misuse among US reservation-based American Indian (AI) adolescents and to compare these data with national rates from Monitoring the Future (MTF). Methods. Data were from a national sample of 33 schools participating in a substance…
Purpose of review: This review aims to summarize risks and disparities associated with the prevalence and treatment of opioid use disorder in the perioperative and long-term setting, as well as evidence-based treatment and prevention targeted toward specific vulnerable populations.
Highlights • Mental health care is important to sustainable OUD management in rural AI/AN communities. • Prevention should be a priority managing Opioid Use Disorder (OUD) in rural AI/AN communities. • AI/AN rural communities…
Abstract: The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We…
ABSTRACTBackground: The United States (US) declared drug overdose a public health emergency in 2017. Despite this, two million people reported having an opioid use disorder (OUD) in 2018. However, following the beginning of COVID-19 there was a 53% increase…
Abstract Background The opioid epidemic has had a devastating impact on youth from American Indian and Alaska Native (AI/AN) Tribes and Villages, which also experience disparate suicide rates. The use of publicly available social media data originating…
