Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States
Abstract Background and Aims The Opioid Use Disorder (OUD) Cascade of Care is a public health model that has been used to measure population‐level OUD risk, treatment engagement, retention, service and outcome indicators. However, no studies have examined its relevance for American Indian and Alaska...
Published in: | Addiction |
---|---|
Main Authors: | , , , , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wiley
2023
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1111/add.16184 https://onlinelibrary.wiley.com/doi/pdf/10.1111/add.16184 |
id |
crwiley:10.1111/add.16184 |
---|---|
record_format |
openpolar |
spelling |
crwiley:10.1111/add.16184 2024-06-02T07:55:14+00:00 Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States Johnson, Frank RedCloud, Amy Mootz, Jennifer Hallgren, Kevin A. Elliott, Kaisa Alexander, Clinton Greenfield, Brenna L. National Institute on Drug Abuse 2023 http://dx.doi.org/10.1111/add.16184 https://onlinelibrary.wiley.com/doi/pdf/10.1111/add.16184 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ Addiction volume 118, issue 8, page 1540-1548 ISSN 0965-2140 1360-0443 journal-article 2023 crwiley https://doi.org/10.1111/add.16184 2024-05-03T11:56:05Z Abstract Background and Aims The Opioid Use Disorder (OUD) Cascade of Care is a public health model that has been used to measure population‐level OUD risk, treatment engagement, retention, service and outcome indicators. However, no studies have examined its relevance for American Indian and Alaska Native (AI/AN) communities. Thus, we aimed to understand (1) the utility of existing stages and (2) the relative ‘fit’ of the OUD Cascade of Care from a tribal perspective. Design, Setting, Participants and Measurements Qualitative analysis of in‐depth interviews with 20 individuals who were knowledgeable regarding the treatment of OUD in an Anishinaabe tribal setting in Minnesota, USA. Community member roles included clinicians, peer support specialists and cultural practitioners, among others. Thematic analysis was used to analyze the data. Findings Participants identified the key transition points of prevention, assessment, inpatient/outpatient pathways and recovery as relevant to their community. They re‐imagined an Aanji'bide (Changing our Paths) model of opioid recovery and change that was non‐linear; included developmental stage and individual pathways; and demonstrated resilience through connection to culture/spirituality, community and others. Conclusions Community members living/working in a rural tribal nation in Minnesota, USA identified non‐linearity and cultural connection as key elements to include in an Anishinaabe‐centered model of opioid recovery and change. Article in Journal/Newspaper anishina* Alaska Wiley Online Library Indian Addiction 118 8 1540 1548 |
institution |
Open Polar |
collection |
Wiley Online Library |
op_collection_id |
crwiley |
language |
English |
description |
Abstract Background and Aims The Opioid Use Disorder (OUD) Cascade of Care is a public health model that has been used to measure population‐level OUD risk, treatment engagement, retention, service and outcome indicators. However, no studies have examined its relevance for American Indian and Alaska Native (AI/AN) communities. Thus, we aimed to understand (1) the utility of existing stages and (2) the relative ‘fit’ of the OUD Cascade of Care from a tribal perspective. Design, Setting, Participants and Measurements Qualitative analysis of in‐depth interviews with 20 individuals who were knowledgeable regarding the treatment of OUD in an Anishinaabe tribal setting in Minnesota, USA. Community member roles included clinicians, peer support specialists and cultural practitioners, among others. Thematic analysis was used to analyze the data. Findings Participants identified the key transition points of prevention, assessment, inpatient/outpatient pathways and recovery as relevant to their community. They re‐imagined an Aanji'bide (Changing our Paths) model of opioid recovery and change that was non‐linear; included developmental stage and individual pathways; and demonstrated resilience through connection to culture/spirituality, community and others. Conclusions Community members living/working in a rural tribal nation in Minnesota, USA identified non‐linearity and cultural connection as key elements to include in an Anishinaabe‐centered model of opioid recovery and change. |
author2 |
National Institute on Drug Abuse |
format |
Article in Journal/Newspaper |
author |
Johnson, Frank RedCloud, Amy Mootz, Jennifer Hallgren, Kevin A. Elliott, Kaisa Alexander, Clinton Greenfield, Brenna L. |
spellingShingle |
Johnson, Frank RedCloud, Amy Mootz, Jennifer Hallgren, Kevin A. Elliott, Kaisa Alexander, Clinton Greenfield, Brenna L. Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
author_facet |
Johnson, Frank RedCloud, Amy Mootz, Jennifer Hallgren, Kevin A. Elliott, Kaisa Alexander, Clinton Greenfield, Brenna L. |
author_sort |
Johnson, Frank |
title |
Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
title_short |
Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
title_full |
Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
title_fullStr |
Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
title_full_unstemmed |
Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States |
title_sort |
community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the united states |
publisher |
Wiley |
publishDate |
2023 |
url |
http://dx.doi.org/10.1111/add.16184 https://onlinelibrary.wiley.com/doi/pdf/10.1111/add.16184 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
anishina* Alaska |
genre_facet |
anishina* Alaska |
op_source |
Addiction volume 118, issue 8, page 1540-1548 ISSN 0965-2140 1360-0443 |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1111/add.16184 |
container_title |
Addiction |
container_volume |
118 |
container_issue |
8 |
container_start_page |
1540 |
op_container_end_page |
1548 |
_version_ |
1800747183881846784 |