The development of a culture-based substance abuse treatment program in the Kuskokwim Delta, Alaska

This paper describes the development of a substance abuse program for three remote Western Alaska villages with strong traditional cultures. Although the impact of substance abuse is known to be substantial in the Kuskokwim Delta, intervention and treatment services have not been universally accepted by the traditional Yup'ik and Cup'ik communities. The reason may be that services do not accommodate the cultural values of the people they are intended to serve. The Chemical Misuse Treatment and Recovery Services (CMTRS) program was designed to address this issue. The paper will describe the demographics and cultural characteristics of the people of the three villages participating in the program, describe how traditional Yup'ik and Cup'ik values were incorporated into the program, and discuss some of the early data on the acceptance and use of the program services.