Relationship Building for a Healthy Future: Indigenous Youth Pathways for Resiliency and Recovery
Keywords:
Native Hawaiian, Native American, American Indian, substance abuse, reasons for quitting, recovery, adolescents, young adults, mixed methods, resiliencyAbstract
This study investigated why Indigenous youth (Native Hawaiians, Pacific Islanders, Native Americans, American Indians, First Nations, and Alaska Natives) decided to abstain from substance abuse behaviors. The authors used both qualitative methods (grounded theory) and quantitative methods (exploratory factor analysis) to develop a story line of the rationale participants used to abstain from substance abuse behaviors and to provide a voice from participants to enhance future Indigenous-relevant curriculum and social work related intervention development. This project was based on the guiding principles set forth by a tribally relevant research code. Aggregate data from Global Appraisal of Individual Needs (GAIN) intakes were used. Results included the importance of maintaining relationships as a driving factor in the quit process. Youths also stated that maintaining a healthy lifestyle and having strong self-will not being an addict were resiliency factors in the path to recovery. Finally, Indigenous youth used their perceptions of future planning (school and career) and past experiences with the legal system as a means of support. The developing theory, grounded in the perceptions and experiences of the Indigenous youth involved, was given the name relationship building for a healthy future and better life control.
References
American Indian Law Center. (1999). Model tribal research code. Retrieved from www.ihs.gov/MedicalPrograms/Research/pdf_files/mdl-code.pdf
Assembly of First Nations (2006). Royal Commission on Aboriginal people at 10 years: A report card. Ottawa: Assembly of First Nations.
Coyhis, D. L., & White, W. L. (2006). Alcohol problems in Native America. The untold story of resistance and recovery-“The truth about the lie”. Colorado Springs, CO: White Bison, Inc.
Chandler, M. J., & Lalonde, C. (1998). Cultural continuity as a hedge against suicide in Canada’s First Nations. Transcultural Psychiatry, 35(2), 191-219. Retrieved from http://web.uvic.ca/~lalonde/manuscripts/1998TransCultural.pdf
Dennis, M. L. (1998). Global Appraisal of Individual Needs (GAIN). Bloomington, IL: Chestnut Health Systems.
Dennis, M. L., Scott, C. K., Godley, M. D., & Funk, R. R. (1999). Comparisons of adolescents and adults by ASAM profile using GAIN data from the Drug Outcome Monitoring Study (DOMS): Preliminary data tables. Bloomington, IL:
Chestnut Health Systems. Retrieved from http://www.chestnut.org/li/posters/asamprof.pdf
Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory analysis in psychological research. Psychological Methods, 4, 272-299.
Freeman, B. (2004). Resiliency of a people: A Haudenosaunee concept of helping. (Unpublished master’s thesis). McMaster University, Hamilton, Ontario.
Glaser, B. G. (1978). Theoretical sensitivity. Mill Valley, CA: Sociology Press.
Government of Canada. (1996). Report of the Royal Commission on Aboriginal People (RCAP). Ottawa: Government of Canada.
Griffin, J. A., Gilland, S. S., Perez, G., Helitzer, D., & Carter, J. S. (1999). Participant satisfaction with a culturally appropriate diabetes education program: The Native American Diabetes Project. Diabetes Educator, 3, 351-363.
Haring, R. C. (2010). Bridging research to practice: Native American stories of becoming smoke-free. Journal of Indigenous Voices in Social Work, 1(1).
Haring, R. C. (2007). Describing the process of meaningful change: Seneca stories of becoming smoke free. Retrieved from http://gradworks.umi.com/ 32/61/3261960.html
Hawkins, H. H., Cummins, L. H., & Marlatt, G. A. (2004). Preventing substance abuse in American Indian and Alaska Native youth: Promising strategies for healthy communities. Psychological Bulletin, 130(2), 304-323.
Health Canada. (2003). Statistical profile on the health of First Nations in Canada in year 2000. Ottawa: Government of Canada.
Klecan, D. A. (n.d.) Tobacco cessation project for Native American youth. [Abstract]. Retrieved from http://cancercontrol.cancer.gov/grants/abstract. asp?ApplID=6175239
Kohler, C. L., Fish, L., & Davies, S. L. (2004). Transtheoretical model of change among hospitalized African American smokers. American Journal of Behavior, 28, 145-150.
Liehr, P., & Smith, M. J. (1999). Middle range theory: Spinning research and practice to create knowledge for the new millennium. Advances in Nursing Science, 21(4), 81-91.
MacMillan, H. L., MacMillan, A. B., Offord, D. R., & Dingle, J. L. (1996). Aboriginal Health. Canadian Medical Association Journal, 155(11), 1569-1578.
National Congress of American Indians. (2006). Methamphetamines in Indian country: An American problem uniquely affecting Indian country. Retrieved from http://www.ncai.org/ncai/Meth/Meth_in_Indian_Country_Fact_Sheet.pdf
Office of Applied Studies, Substance Abuse and Mental Health Services Administration. (2005). Methamphetamine use, abuse, and dependence: 2002, 2003, and 2004. The National Survey on Drug Use and Health Report (NSDUH).
Olson, L. M., & Wahab, S. (2006). American Indians and suicide: A neglected area of research. Trauma, Violence & Abuse, 7(1), 19-33.
Petraitis, H., Flay, B. R., & Miller, T. Q. (1995). Reviewing theories of adolescent substance use: Organizing pieces in the puzzle. Psychological Bulletin, 117, 67-86.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102-1114.
Quintero, G. (2000). “The lizard in the green bottle”: “Aging out” of problem drinking among Navajo men. Social Science & Medicine, 51, 1031-1045.
SAMHSA. (2007). Substance Use among American Indian or Alaska Natives. The National Survey on Drug Use and Health Report. Retrieved from http://www.drugabusestatistics.samhsa.gov/2k3/AmIndians/AmIndians.pdf
Schinke, S. P., Moncher, M. S., & Singer, B. R. (1994). Native American youth and cancer risk reduction: Effects of software intervention. Journal of Adolescent Health, 15, 105-110.
Schinke, S. P., Singer, B., Cole, K., & Contento, I. R. (1996). Reducing cancer risk among Native American adolescents. Preventive Medicine, 25, 146-155.
Shewell, H. (2004). ‘Enough to keep them alive’ Indian welfare in Canada, 1873-1965. Toronto, Canada: University of Toronto Press.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research (2nd ed.). Thousand Oaks, CA: Sage.
Strickland, C. J., Walsh, E., & Cooper, M. (2006). Healing fractured families: Parents’ and elders’ perspectives on the impact of colonization and youth suicide prevention in a Pacific Northwest American Indian tribe. Journal of Transcultural Nursing, 17(1), 5-12.
Turner, F. J. (1996). Social work treatment. New York, NY: The Free Press.
White Bear, J. (2003). National Aboriginal youth participation and evaluation report. Ottawa, Canada: National Aboriginal Health Organization.
