Aligning three substance use disorder interventions among a tribe in the Southwest United States: Pilot feasibility for cultural re-centering, dissemination, and implementation

Abstract

In this article we describe cultural re-centering, dissemination, and implementation activities in partnership between an American Indian reservation community and a university in the Southwest United States. We offer examples of cultural adaptation and implementation of evidence-based treatments (e.g., Motivational Interviewing, Community Reinforcement Approach and the Community Reinforcement and Family Training) using the Interactive Systems Framework. Facilitators and barriers are described within each study including recruitment strategies, training, and sustainability of counselors in the community. Through this Tribal-university partnership, we offer insight on the cultural adaptation and implementation process that will be translatable and clinically meaningful to other rural and reservation communities.

Keywords:

• Community Reinforcement and Family Training
• American Indian adults
• dissemination and implementation
• twelve step facilitation
• substance use disorder treatment
• family treatment engagement
• motivational interviewing
• community reinforcement approach

Acknowledgments

A big thank you to the community partners for their continued support and collaboration.

Conflict of interest

Kamilla Venner currently has a conflict of interest management plan at the University of New Mexico.

Additional information

Funding

Funding was provided by grants from the National Institute of Drug Abuse (R34 DA040064-03 & R01 DA021672; PI: Venner) and the National Institute on Alcohol Abuse and Alcoholism (T32 AA018108, PI: McCrady; K01 AA028831-01, PI: Hirchak ).