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A culturally responsive, family-enhanced intervention model.

Alison J Boyd-Ball1

  • 1Child and Family Center, University of Oregon, Eugene, Oregon 97401-3408, USA. aball@uoregon.edu

Alcoholism, Clinical and Experimental Research
|September 11, 2003
PubMed
Summary

Culturally adapted interventions show promise for American Indian youth in substance abuse treatment. Incorporating traditional stories positively impacted child behavior and abstinence rates.

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Area of Science:

  • Addiction research
  • Cultural psychiatry
  • Adolescent psychology

Background:

  • Adolescent substance use is a significant public health concern.
  • Culturally sensitive interventions are crucial for diverse populations.
  • The Shadow Project addressed the need for tailored approaches for American Indian youth.

Purpose of the Study:

  • To pilot a culturally adapted family-based intervention for American Indian adolescents undergoing substance abuse treatment.
  • To assess the feasibility and preliminary effectiveness of the intervention.
  • To adapt assessment tools and intervention methods for cultural relevance.

Main Methods:

  • A 3-year pilot study involving 60 American Indian families.
  • Comparison of a brief family-enhanced intervention with treatment as usual.

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  • Integration of cultural elements, including traditional stories, into family observation tasks.

    • Main Results:

    • Preliminary findings indicate a link between culturally adapted stories and improved child prosocial behavior.
    • The intervention showed a positive association with the percentage of days abstinent from drug use.
    • Culturally responsive instruments and tasks were successfully adapted for this population.

    Conclusions:

    • Culturally adapted family interventions can be a viable approach for American Indian adolescents with substance use disorders.
    • The use of traditional stories shows potential for enhancing treatment outcomes.
    • Further research is warranted to confirm long-term effectiveness.