Historique
Article de Périodique
Organization and financing of alcohol and substance abuse programs for American Indians and Alaska Natives (2006)
(Organisation et financement des programmes de prise en charge de l'alcool et des substances illicites pour les Indiens d'Amérique et ceux qui sont nés en Alaska)
Auteur(s) :
McFARLAND, B. H. ;
GABRIEL, R. M. ;
BIGELOW, D. A. ;
WALKER, R. D.
Année
2006
Page(s) :
1469-1477
Langue(s) :
Anglais
Refs biblio. :
101
Domaine :
Plusieurs produits / Several products
Thésaurus géographique
AMERIQUE DU NORD
Thésaurus mots-clés
ALCOOL
;
IMMIGRE
;
PROGRAMME
;
PRODUIT ILLICITE
;
PRISE EN CHARGE
;
FINANCEMENT
;
ENQUETE
Note générale :
American Journal of Public Health, 2006, 96, (8), 1469-1477
Note de contenu :
tabl.
Résumé :
ENGLISH :
OBJECTIVES: Although American Indians and Alaska Natives have high rates of substance abuse, few data about treatment services for this population are available. We used national data from 1997-2002 to describe recent trends in organizational and financial arrangements. METHODS: Using data from the Indian Health Service (IHS), the Substance Abuse and Mental Health Services Administration, the National Institute on Alcohol Abuse and Alcoholism, the Henry J. Kaiser Family Foundation, and the Census Bureau, we estimated the number of American Indians served by substance abuse treatment programs that apparently are unaffiliated with either the IHS or tribal governments. We compared expected and observed IHS expenditures. RESULTS: Half of the American Indians and Alaska Natives treated for substance abuse were served by programs (chiefly in urban areas) apparently unaffiliated with the IHS or tribal governments. IHS substance abuse expenditures were roughly what we expected. Medicaid participation by tribal programs was not universal. CONCLUSIONS: Many Native people with substance abuse problems are served by programs unaffiliated with the IHS. Medicaid may be key to expanding needed resources. (Author' s abstract)
Affiliation :
One Sky Center (the American Indian/Alaska Native National Resource Center for Substance Abuse), Oregon Health and Science University, Portland 97239, USA. mcfarlab@ohsu.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
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