Demonstrating the process of community innovation: the Indian Country Methamphetamine Initiative
R Dale Walker1, Douglas A Bigelow, Jessica Hope LePak
1One Sky Center, Oregon Health & Science University, Gaines Hall 155, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Journal of Psychoactive Drugs
|March 10, 2012
Summary
The Indian Country Methamphetamine Initiative (ICMI) supported community-driven, culture-based methamphetamine prevention and treatment. While valuable activities occurred, disseminating these innovations broadly proved challenging.
Area of Science:
- Public Health
- Health Services Research
- Indigenous Health
Background:
- The federal government launched the Indian Country Methamphetamine Initiative (ICMI) in 2007.
- The initiative aimed to develop and share community-driven, culturally-based methamphetamine prevention and treatment strategies in Native American communities.
- Ten tribes and five national organizations participated, forming tribal coalitions.
Purpose of the Study:
- To create and disseminate community-driven, culture-based best practices for methamphetamine prevention and treatment in Indian Country.
- To evaluate the extent to which innovations were developed and suitable for broader dissemination.
Main Methods:
- Tribal coalitions were established, comprising community government, non-government agencies, and civic society.
- Comprehensive assessments and plans were developed, followed by implementation of various intervention strategies.
- Interventions included treatment programs, public education, law enforcement strategies, and community mobilization, guided by logic models.
Main Results:
- Worthwhile activities were conducted under the ICMI sponsorship.
- The specific goal of demonstrating community-driven, culture-based innovations suitable for dissemination was achieved only to a limited extent.
- Key intervention areas included logic modeling, coalition building, capacity development, law enforcement, treatment, public awareness, community mobilization, and cultural renaissance.
Conclusions:
- The ICMI facilitated valuable activities but had limited success in creating broadly disseminable, community-driven innovations.
- Recommendations for future initiatives are suggested based on the outcomes and experiences of the ICMI.
- Future efforts should consider strategies to enhance the scalability and dissemination of culturally-based public health interventions.
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