Substance-use and psychiatric disorders among American Indian veterans

Native American (NA) veterans have rarely been the focus of investigational efforts. We review studies relevant to an assessment of NA substance-use disorders, and discuss findings of the Drug Abuse Treatment Services Evaluation Project pertaining specifically to NA veterans. A larger proportion of NA veterans discharged from VA inpatient care in FY93 were diagnosed with a substance-use disorder compared to the total population of veterans discharged that year. Substance-dependent NAs were more likely to be diagnosed with alcohol-use disorders and posttraumatic stress disorder, and less likely to be diagnosed with drug-use disorders and other psychiatric disorders than substance-dependent veterans generally.