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Holistic system of care: evidence of effectiveness

TitleHolistic system of care: evidence of effectiveness
Publication TypeJournal Article
Year of Publication2011
AuthorsWright, S, Nebelkopf, E, King, J, Maas, M, Patel, C, Samuel, S
JournalSubst Use MisuseSubst Use Misuse
Volume46
Pagination1420-30
ISBN Number1532-2491 (Electronic)<br/>1082-6084 (Linking)
Accession Number21810076
KeywordsAdult, Female, Holistic Health, Humans, Indians, North American, Male, Mental Health Services, Substance-Related Disorders/ therapy, Treatment Outcome
AbstractThe Native American Health Center provides substance use and mental health services for urban American Indians and Alaska Natives (AIs/ANs) utilizing a culturally based holistic system of care (HSOC). Substance use prevention, treatment, and recovery services emphasize traditional AI/AN healing practices alongside evidence-based practices. This article describes the HSOC approach and provides preliminary findings from an outcome evaluation. Participants in outpatient and residential treatment were interviewed at baseline and 6-month follow-up with a standardized assessment tool (n = 490). The sample we composed of 86% AI/AN, 70% females, 30% males, and was entirely urban. Decreases in substance use and its related consequences were evident in both modalities but were most pronounced in residential treatment. Study's limitations and implications are included.
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