overdose Archives - Native Overdose Resource Hub

20 July 2026

Kase Cragg

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Categories: Resource

United Southern and Eastern Tribes (USET): Naloxone Resource Guide

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 naloxone either through a nonprofit organization or through the county public health department. The states with listed naloxone information are: Alabama, Connecticut, Florida, Louisiana, Maine, Massachusetts, Mississippi, New York, North Carolina, Rhode Island, South Carolina, Tennessee, Texas.

Check Out the Guide Here

USET has also developed guidelines for creating one’s own supply kit to reduce the likelihood of accidental injury or death due to substance use. From their website: “In addition to providing resources on how to recreate the kit, USET has also created a training video that explains how to use the items in the kit. The training video can be shared with internal staff, community members, and anyone who has access to the Harm Reduction Kits. For collaboration opportunities, please contact Caro Caballero at [email protected] and Deviyani Bajpai at [email protected].“

2 July 2026

Kase Cragg

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Categories: Resource

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

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 concern for many Indigenous communities. Indigenous groups experienced the highest drug overdose death rates in 2015, the largest percentage increase in the number of deaths over time from 1999 to 2015 compared to any other racial group. However, few Indigenous individuals report participating in treatment for alcohol or drug use, which may reflect the limited engagement that Indigenous groups have with treatment options that are accessible, effective and culturally integrative. Design/methodology/approach– Electronic searches were conducted from 2000 to April 21, 2021, using PsycINFO, Cumulative Index to Nursing and Allied Health Literature, MEDLINE and PubMed. Two reviewers classified abstracts for study inclusion, resulting in 18 studies. Findings– Most studies were conducted in the USA (89%). Interventions were largely implemented in Tribal/rural settings (61%), with a minority implemented in both Tribal and urban contexts (11%). Study samples ranged from 4 to 742 clients. Interventions were most often conducted in residential treatment settings (39%). Only one (6%) intervention focused on opioid use among Indigenous people. Most interventions addressed the use of both drugs and alcohol (72%), with only three (17%) interventions specifically intended to reduce alcohol use. Originality/value– The results of this research lend insight into the characteristics of culturally integrative treatment options for Indigenous groups and highlight the need for increased investment in research related to culturally tailored treatment across the diverse landscape of Indigenous populations.

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Community members and students may request access to this article by completing the form here.

23 June 2026

Emily Taylor

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Categories: Resource

Exploring substance use disorder discussions in Native American communities: a retrospective Twitter infodemiology study

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 from AI/AN communities may enhance public health response time to substance use disorder (SUD)-related overdose and augment Tribal public health surveillance systems, but these concepts have yet to be adequately explored. The goal of this exploratory analysis was to identify primary and secondary accounts of overdose and characterize relevant contextual factors in the AI/AN population on social media. Methods The Twitter application programming interface was queried for all Tweets containing geocoded data between March 2014 and June 2020 and filtered for the keyword [‘overdose’]. This sample of Tweets (n = 146,236) was then restricted to those geolocated from US Tribal lands (n = 619). Tweets were manually annotated for primary or secondary accounts of overdose as well as suicidal ideation, substance(s) used, stigma of drug use, and community-wide incidents. Results We collected a total of 146,235 tweets that were geocoded and contained the word ‘overdose,’ of which 9.5% were posted on Tribal lands (n = 619). 9.4% of these tweets (n = 58) met our study inclusion criteria and were mainly posted from Oklahoma (n = 26, 45%) and North Carolina (n = 13, 22.4%). Most Tweets (n = 41, 71%) described a primary account of an overdose and were mostly posted from 2014 to 2015. Less than half of the Tweets (n = 27, 46.5%) referenced a specific substance. Those substances mentioned included alcohol, marijuana, methamphetamine, heroin, laundry softener, cocaine, K2-Spice (synthetic cannabinoid), codeine, morphine, Nyquil, and Xanax. Discussion Though exploratory, our study identified SUD-related content self-reported by AI/AN communities on Twitter, especially in Oklahoma and North Carolina. These results may assist in the future design and detection of infodemiology trends and early warning signs that can better facilitate intervention specific to the ongoing Tribal opioid epidemic. While all data were collected from the public domain, additional care should be given to individual and community privacy.

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25 July 2024

Kase Cragg

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Categories: Resource

Exploring substance use disorder discussions in Native American communities: a retrospective Twitter infodemiology study

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 mentioned ‘overdose,’ focusing on those geolocated from US Tribal lands. They found that 9.4% of these tweets met the study criteria, with most coming from Oklahoma and North Carolina. The majority of the tweets described firsthand accounts of overdose, and some mentioned specific substances like alcohol, marijuana, and heroin. While these findings are preliminary, they could help in identifying trends and warning signs related to the opioid epidemic among AI/AN populations. It is crucial to protect the privacy of individuals and communities when using such data for public health purposes.

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25 July 2024

Kase Cragg

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Categories: Resource

The mediation and moderation effect of social support on the relationship between opioid misuse and suicide attempts among native American youth in New Mexico: 2009-2019 Youth Risk Resiliency Survey (NM-YRRS).

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 and Risk Survey (2009-2019) were analyzed using statistical methods to explore this association. The results showed that 12.0% of AI/AN students reported opioid misuse, while 14.0% reported suicide attempts. High social support was associated with lower odds of suicide attempts among students who misused opioids. This effect was stronger for males than females. Social support was found to be protective in various community settings, including off-reservation, rural, and both rural and off-reservation communities. The study found that social support played a significant role in mediating and moderating the relationship between opioid misuse and suicide attempts among AI/AN students. The mediation effect was lowest for rural, on-reservation schools. The findings suggest the importance of allocating more resources to enhance social support in these settings to promote health and reduce the risk of suicide attempts associated with opioid misuse.

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overdose

United Southern and Eastern Tribes (USET): Naloxone Resource Guide

Culturally tailored substance use interventions for Indigenous people of North America: a systematic review

Exploring substance use disorder discussions in Native American communities: a retrospective Twitter infodemiology study

Overdose Prevention Hub for Tribes and Native Communities

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