Native American Health Center, Oakland, California 94601, USA.
Subst Use Misuse. 2011;46(11):1420-30. doi: 10.3109/10826084.2011.592438.
The Native American Health Center provides substance use and mental health services for urban American Indians and Alaska Natives (AIs/ANs) utilizing a culturally based holistic system of care (HSOC). Substance use prevention, treatment, and recovery services emphasize traditional AI/AN healing practices alongside evidence-based practices. This article describes the HSOC approach and provides preliminary findings from an outcome evaluation. Participants in outpatient and residential treatment were interviewed at baseline and 6-month follow-up with a standardized assessment tool (n = 490). The sample we composed of 86% AI/AN, 70% females, 30% males, and was entirely urban. Decreases in substance use and its related consequences were evident in both modalities but were most pronounced in residential treatment. Study's limitations and implications are included.
美国原住民健康中心为城市美洲印第安人和阿拉斯加原住民（AI/AN）提供物质使用和心理健康服务，采用基于文化的整体护理系统（HSOC）。物质使用预防、治疗和康复服务强调传统的 AI/AN 治疗实践以及基于证据的实践。本文描述了 HSOC 方法，并提供了来自结果评估的初步结果。在门诊和住院治疗的参与者在基线和 6 个月随访时使用标准化评估工具进行了访谈（n=490）。我们的样本由 86%的 AI/AN、70%的女性、30%的男性组成，全部来自城市地区。两种模式都明显减少了物质使用及其相关后果，但在住院治疗中更为显著。研究的局限性和意义包括在内。
