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ADDRESSING SUBSTANCE-USE PROBLEMS IN TRIBAL HOME VISITING.

Douglas K Novins1, Cathy Ferron2, Lisa Abramson3

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Summary

Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) programs actively identify and address substance use in American Indian/Alaska Native families. These programs provide preventive services, screenings, and direct support beyond standard models.

Keywords:
American Indian and Alaska NativesHausbesucheIndianer und Ureinwohner AlaskasSubstanzkonsumproblemeamérindiens et autochtones d'Alaskahome visitingindígena norteamericano y nativos de Alaskaproblemas de uso de sustanciasproblèmes d'abus de substancesubstance-use problemsvisitas a casavisite à domicileالزيارات المنزلية ، الهنود الأمريكيين والسكان الأصليين في آلاسكا ، مشاكل تعاطي المواد المخدرةアメリカインディアンとアラスカ原住民吸毒問題家庭訪問物質使用問題。美國印第安人和阿拉斯加原住民

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Area of Science:

  • Public Health
  • Indigenous Health
  • Maternal and Child Health

Background:

  • High rates of substance use impact women and men of childbearing age.
  • Perinatal and early childhood home-visiting programs in tribal communities face challenges addressing substance use.
  • The Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV) supports these initiatives.

Purpose of the Study:

  • To explore how nine Tribal MIECHV-funded home-visiting programs identify and address family-based substance-use problems.
  • To understand the specific approaches and services implemented by these programs.

Main Methods:

  • Qualitative exploration of approaches used by nine home-visiting programs serving American Indian/Alaska Native (AI/AN) communities.
  • Focus on programs funded by the Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV).

Main Results:

  • Programs demonstrated high awareness of substance-use issues.
  • All nine programs provided substance-use preventive services and screening.
  • Six programs integrated direct substance-use services provided by home visitors, alongside referrals.

Conclusions:

  • Tribal MIECHV-funded home-visiting programs are proactively addressing substance use in AI/AN communities.
  • These programs go beyond standard models, offering education, assessment, and direct services.
  • The need for substance-use support is driving innovation in home-visiting services for low-income families globally.