American Indian children and adolescents suffer from a high prevalence of alcohol, drug, and mental (ADM) disorders. Unfortunately, the systems of services for these children and youth have never been able to address adequately their mental health needs. Thus, the revolutionary changes now taking place within these service systems, in particular the marked increase in the direct provision of services by Indian tribes and organizations, provides a unique opportunity to address these historical shortcomings. In this paper, we describe our existing knowledge concerning the quality of ADM services for American Indian children and adolescents and their critical sociodemographic, sociocultural, and epidemiologic contexts. We then consider the implications of these studies for improving the quality of care as well as its measurement and monitoring.
Dixon M, Bush JK, Iron PE. Factors affecting tribal choice of health care organizations. In: A Forum on the Implications of Changes in the Health Care Environment for Native American Health Care. Menlo Park, Calif: Henry J. Kaiser Foundation;1997:53-88.
2.
Nelson SH, Manson SM. Mental health and medical disorders. In: The Health of American Indians and Alaska Natives. Baltimore, Md: Johns Hopkins University Press. In press.
3.
US Congress Office of Technology Assessment. Indian Adolescent Mental Health. Washington, DC: US Government Printing Office;1990.
4.
Nelson S, McCoy GF, Stetter M, et al.An overview of mental health services for American Indian and Alaska Natives in the 1990s. Hosp Community Psychiatry. 1992;43:257-261.
5.
Beals J, Piasecki J, Manson SM, et al.Psychiatric disorder in a sample of American Indian adolescents: prevalence in Northern Plains youth. J Am Acad Child Adolesc Psychiatry. 1997;36: 1252-1259.
6.
Costello EJ, Farmer EM, Angold A, et al.Psychiatric disorders among American Indian and white youth in Appalachia: the Great Smoky Mountains Study.Am J Public Health. 1997;87: 827-832.
7.
US Department of Commerce. A 1990 Census Profile of American Indian, Eskimo, or Aleut Population. Washington, DC: Bureau of Census;1991.
8.
US Department of Health and Human Services. Trends in Indian Health. Rockville, Md: Department of Health and Human Services;1997.
9.
Fleming C. American Indians and Alaska Natives. Changing societies past and present. In: Orlandi M, ed. Cultural Competence for Evaluators: A Guide for Alcohol and Other Drug Abuse Prevention Practitioners Working with Ethnic/Racial Communities. Vol 1. Rockville, Md: Alcohol, Drugs, and Mental Health Administration, Office for Substance Abuse Prevention;1992:147-172.
10.
American Psychiatric Association. Diagnostic And Statistical Manual Of Mental Disorders, Third Edition, Revised (DSM-IIIR). Washington, DC: American Psychiatric Association;1987.
11.
Beauvais F. Trends in drug use among American Indian students and dropouts, 1975 to 1994. Am J Public Health. 1996;86: 1594-1599.
12.
Novins DK, Mitchell CM. Factors associated with marijuana use among American Indian adolescents. Addiction. 1998;93:1693-1702.
13.
Beauvais F. Comparison of drug use rates for reservation Indian, non-reservation Indian and Anglo youth. Am Indian Alaska Native Ment Health Res. 1992;5:13-31.
14.
Novins DK, Plunkett M, Beals J. Stages of drug use among American Indian adolescents. In: Harris LS, ed. Problems of Drug Dependence, 1997: Proceedings of the 59th Annual Meeting, The College on Problems of Drug Dependence, Inc.Rockville, Md: US Department of Health and Human Services; 1997:249.
15.
May PA, Van Winkle NW. Indian adolescent suicide: the epidemiologic picture in New Mexico. In: Duclos CW, Manson SM, eds. Calling from the Rim: Suicidal Behavior Among American Indian and Alaska Native Adolescents. Boulder, Colo: University of Colorado Press;1994:2-23
16.
Novins DK, Beals J., Robertset al.Factors associated with suicide among American Indian adolescents: does culture matter?Suicide Life-Threatening Behavior. 1999;29:332-346.
17.
Beauvais F. Trends in Indian adolescent drug and alcohol useAm Indian Alaska Native Ment Health Res. 1992;5:1-12.
18.
May PA. Substance abuse and American Indians: prevalence and susceptibility. Int J Addict. 1982;17:1185-1209.
19.
Johnson R, Stewart C. Outcome of youth drug and alcohol treatment in the Portland area. In: Program and Abstracts of the Fourth Annual Research Conference of the Indian Health Service;May, 1990; Phoenix, Ariz.
20.
Husted J, Johnson T, Redwing L. Multi-dimensional adolescent treatment with American Indians. Am Indian Alaska Native Ment Health Res. 1995;6:23-30.
21.
Novins DK, Beals J, Shore JH, et al.Substance abuse treatment of American Indian adolescents: comorbid symptomatology, gender differences, and treatment patterns. J Am Acad Child Adolesc Psychiatry. 1996;35:1593-1601.
22.
Duclos C, Beals J, Novins D, et al.Prevalence of common psychiatric disorders among American Indian adolescent detainees. J Am Acad Child Adolesc Psychiatry. 1998;37:866-873.
23.
Riggs PD. Clinical approach to treatment of ADHD in adolescents with substance use disorders and conduct disorder. J Am Acad Child Adolesc Psychiatry. 1998;37:331-332.
24.
American Academy of Child and Adolescent Psychiatry: Practice parameters for the assessment and treatment of children and adolescents with substance use disorders. J Am Acad Child Adolesc Psychiatry. 1997;36:140S-156S.
25.
Weinberg N, Rahdert E, Colliver J, et al.Adolescent substance abuse: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 1998;37:252-261.
26.
Kaminer Y, Tarter RE, Bukstein OG, et al.Comparison between treatment completers and noncompleters among dually diagnosed substance abusing adolescents. J Am Acad Child Adolesc Psychiatry. 1992;31:1046-1049.
27.
Horton AM, Bryant K. Comorbidity in drug user populations: research review/commentary. In: Problems of Drug Dependence 1995. Rockville, Md: US Department of Health and Human Services;1996:186.
28.
Rounsaville BJ, Dolinsky ZS, Babor TF, et al.Psychopathology as a predictor of outcome in alcoholics. Arch Gen Psychiatry. 1987;44:505-513.
29.
Shuckit M. The clinical implications of primary diagnostic groups among alcoholics. Arch Gen Psychiatry. 1985;42:1043-1049.
30.
Gray N. Addressing trauma in substance abuse treatment with American Indian adolescents. J Subst Abuse Treat. 1998;15:393-399.
31.
Sternberg S. Summary of forum proceedings, In: A Forum on the Implications of Changes in the Health Care Environment for Native American Health Care. Menlo Park, Calif: Henry J. Kaiser Foundation;1997:1-22.
32.
Kauffman JA, Johnson E, Jacobs J. Overview: current and evolving realities of health care to reservation and urban American Indians. In: A Forum on the Implications of Changes in the Health Care Environment for Native American Health Care. Menlo Park, Calif: Henry J. Kaiser Foundation;1997:25-52.
33.
Wellever A, Hill G, Casey M, et al.State Health Care and Medicaid Reform Issues Affecting the Indian Health Care System. Minneapolis, Minn: Rural Health Research Center, Institute for Health Services Research, School of Public Health, University of Minnesota;1996.
34.
Hartley D. American Indian Health Services and State Health Reform. Minneapolis, Minn: Rural Health Research Center, Institute for Health Services Research, School of Public Health, University of Minnesota;1994
35.
Kaye N, Rawlings-Sekunda J. The Kaiser/HCFA State Symposia Series: Transitioning to Managed Care, Medicaid Managed Care and Native Americans. Portland, Me: National Academy for State Health Policy;1998.
36.
Novins DK, Duclos CW, Martin C, et al.Health service utilization among American Indian adolescent detainees. J Am Acad Child Adolesc Psychiatry. 1999;38:1102-1108.
37.
Barlow A, Walkup JT. Developing mental health services for Native American children. Child Adolesc Psychiatr Clin North Am. 1998;7:555-577.
38.
Pita DD. Addictions Counseling. New York: Crossroad;1994
39.
SAMHSA. Circles of Care: Planning, Designing, and Assessing Mental Health Service System Models for Native American Indian and Alaska Native Children and Their Families. Rockville, Md: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration;1998.
40.
O'Nell TD. PTSD among American Indian Vietnam veterans: cultural consideration in epidemiological research. Paper presented at: Eighth Annual Meeting of the International Society for Traumatic Stress Studies; October, 1992; Los Angeles, Calif.
41.
Pope-Davis DB, Ottavi TM. Examining the association between self-reported multicultural counseling competencies and demographic and educational variables among counselors. J Counseling Dev. 1994;72:651-654.
42.
Sue DW, Sue D. Counseling the Culturally Different: Theory and Practice. New York: John Wiley;1990.
43.
American Psychological Association. Guidelines for providers of psychological services to ethnic, linguistic, and culturally diverse populations. Am Psychol. 1993;48:45-48.
44.
D'Andrea M, Daniels J, Heck R. Evaluating the impact of multicultural counseling training. J Counseling Dev. 1991;70:143-150.
45.
Sodowsky GR, Taffe RC, Gutkin TB, et al.Development of the Multicultural Counseling Inventory: a self-report measure of multicultural competencies. J Counseling Psychol. 1994;41:137-148.
46.
Ponterotto JG, Rieger BP, Barrett A, et al.Assessing multicultural counseling competence: a review of instrumentation. J Counseling Dev. 1994;72:316-322.
47.
Ponterotto JG, Sanchez CM, Magids DM. Initial development and validation of the Multicultural Counseling Awareness Scale. Paper presented at: Annual Convention of the American Psychological Association; 1991; San Francisco, Calif.
48.
Hernandez AG, LaFromboise TD. The development of the Cross Cultural Counseling Inventory. Paper presented at: Annual Convention of the American Psychological Association; 1985; Los Angeles, Calif.
49.
LaFromboise TD, Coleman HLK, Hernandez A. Development and factor structure of the Cross Cultural Counseling Inventory. Prof Psychol Res Pract. 1991; 22:380-388.
50.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Washington, DC: American Psychiatric Association;1994.
51.
Novins DK, Bechtold DW, Sack WHet al.The DSM-IV Outline for Cultural Formulation: a critical demonstration with American Indian children. J Am Acad Child Adolesc Psychiatry. 1997; 36:1244-1251.
52.
Western Interstate Commission for Higher Education (WICHE) Mental Health Program. Cultural Competence Standards in Managed Mental Health Care for Four Underserved/Underrepresented Racial/Ethnic Groups. Boulder, Colo: WICHE;1997.
