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 paper proceeds as follows: the first section describes the scope of the fentanyl crisis among AI/AN communities and the critical inadequacy of existing data. The second section highlights regional variations in fentanyl/drug poisonings in AI/AN populations and explores…
Abstract: Reservation-based Native American youth are at disproportionate risk for high-risk substance use. The culture-as-treatment hypothesis suggests aspects of tribal culture can support prevention and healing in this context; however, the protective role of communal mastery and tribal identity…
Abstract Purpose: Morbidity and mortality due to nonprescription use of opioids has been well documented following the significant increase in the availability of prescription opioids in the early 2000s. The aim of this paper is to explore…
Abstract: This is the first clinical practice guideline (CPG) from the American Academy of Pediatrics outlining evidence-based approaches to safely prescribing opioids for acute pain in outpatient settings. The central goal is to aid clinicians in understanding when opioids…
Objectives: Assess associations between social networks and urban American Indian/Alaska Native emerging adults’ alcohol, cannabis, and opioid use and intentions. Method: American Indian/Alaska Native participants ages 18–25 (N = 150; 86% female) were recruited across the United States from…
Abstract Introduction: Fragility fractures (low-energy, minimal-trauma fractures) are common in the aging population and can lead to decreased function, increased mortality, and long-lasting pain. Although opioids are helpful in reducing acute postoperative pain, they present risks that may lead…
Key Points Question Are there racial and ethnic differences in receipt of physical therapy (PT) or chiropractic care for chronic low back pain (CLBP) among people with opioid use disorder (OUD)? Findings In this cohort study of…
Abstract: This evaluation explored the benefits of Complementary Alternative Medicine (CAM) within a reservation-based, State-certified outpatient treatment provider. The three CAM strategies provided were massage, acupuncture, and chiropractic therapies. The evaluation team worked with a peer recovery support specialist…
Introduction. Opioid administration is extremely common in the inpatient setting, yet we do not know how the administration of opioids varies across different medical conditions and patient characteristics on internal medicine services. Our goal was to assess racial, ethnic,…
Background: Racial, ethnic, and gender disparities in effective pain management have been well-documented across healthcare settings. However, discrepancies in the treatment of patients in prehospital pain management settings have not been well researched. The objective of this study was…
Abstract: The purpose of this study is to compare opioid prescribing and high-risk prescribing by race and ethnicity in a national cohort of U.S. veterans. Methods: A cross-sectional analysis of veteran characteristics and healthcare use was performed…
Abstract: Racial disparities in healthcare are a prominent issue that needs to be addressed to improve the quality of care for all patients. There are several disparities and biases related to the perceived pain tolerance people of color (POC)…
Abstract: 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.
Link to Article While prior research has identified racial disparities in prehospital analgesia for traumatic pain, little is known about non-traumatic pain. Using a national prehospital dataset, we sought to evaluate for racial and ethnic disparities in…
The United Katehnuaka Longhouse is a Native-led, North Carolina-based nonprofit providing Indigenous harm reduction services in North Carolina and South Carolina through their Good Mind Initiative. This report describes their approach to Indigenous harm reduction, their program…
(1) Background: This study aimed to examine adult participants perceptions of the Thiwáhe Gluwáš’akapi (TG) program. We recruited 13 of 85 (15.3%) adult participants from various previous cohorts of the TG program, separated into lower and higher participation groups.
Summary: This article investigates the influence of female caretaker substance use on early-onset youth drinking among Native American families in the Northern Midwest. Data include 603 Native American families, with reports from female caretakers and youths aged 10-13 years.
This study investigated internalizing and externalizing symptoms as potential mediators of the relationship between perceived discrimination and early substance use among 195 American Indian 5th through 8th graders from three reservations that share a common culture (e.g., language, spiritual…
This article proposes a new stress-coping model for American Indians and Alaska Natives (AIs) that reflects a paradigmatic shift in the conceptualization of Native health. It reviews sociodemographic information on AIs, rates of substance abuse and related health outcomes,…
This guidance on implementation of the 2022 CDC Clinical Practice Guideline is intended to support health care providers at all levels of care who address pain management among adult AI/AN patients. 7D_PrescriptionGuidelines_080825_WebDownload…
ABSTRACT: Substance use among American Indians (AIs) is a critical health issue and accounts for many health problems such as chronic liver disease, cirrhosis, behavioral health conditions, homicide, suicide, and motor vehicle accidents. In 2013, the highest rates of…
This paper presents findings from the Native Transformations Project, an exploratory community-based participatory research study that aims to identify sources of strength and protection against substance use disorder in three tribal communities in the coastal Pacific Northwest. Preliminary results…
The study focuses on the rising concerns regarding opioid use and opioid-related disorders among American Indian/Alaska Native (AI/AN) emerging adults living in urban areas. These individuals face a higher risk of opioid misuse compared to those living in rural…
The study looked at how social media, specifically Twitter, can help in detecting and responding to substance use disorder (SUD)-related issues, such as overdoses, within American Indian and Alaska Native (AI/AN) communities. Researchers analyzed over 146,000 tweets that…
The opioid use disorder (OUD) epidemic has significantly affected American Indian communities in Minnesota. A public health framework called the Cascade of Care helps measure OUD risk, treatment engagement, retention, and recovery outcomes. However, no studies have measured this…
In this study, researchers explored how members of the Abenaki Indigenous communities in Vermont access mental health and substance abuse services. They conducted two focus groups in the spring of 2020 with community members and tribal leaders from…
The study focused on American Indian and Alaska Native (AI/AN) high-school students in New Mexico to understand the impact of social support (SS) on the relationship between opioid misuse and suicide attempt. Data from the NM Youth Resiliency…
This template is designed to assist sites and committees with evaluation of current opioid prescribing practices and facilitate discussion surrounding opportunities for improvement. The interactive tool is designed to guide team discussions as users consider core elements of opioid…
This virtual toolkit was imagined and created by Arlene Brown, member of the Bishop Paiute Tribe, with support from NHRC staff, including Jessica Smith. It has been informed by Tribal and Urban Native people from across California and brings…
Seven Directions, with the support of the Centers for Disease Control & Prevention and the National Network of Public Health Institutes, has produced an Indigenous Evaluation Toolkit. This Toolkit provides step-by-step guidance, worksheets and concrete examples to support communities…
