ADDRESSING SUBSTANCE‐USE PROBLEMS IN TRIBAL HOME VISITING. Issue 3 (3rd May 2018)

• Record Type: Journal Article
• Authors: Novins, Douglas K.; Ferron, Cathy; Abramson, Lisa; Barlow, Allison
• Other Names: Meyer Aleta guestEditor.; Novins Douglas K. guestEditor.
• Is Part Of: Infant mental health journal. Volume 39:Issue 3(2018)
• Page Start: 287
• Page End: 294
• Publication Date: 2018-05-03
• Subjects: home visiting -- American Indian and Alaska Natives -- substance‐use problems -- visitas a casa -- indígena norteamericano y nativos de Alaska -- problemas de uso de sustancias -- visite à domicile -- amérindiens et autochtones d'Alaska -- problèmes d'abus de substance -- Hausbesuche -- Indianer und Ureinwohner Alaskas -- Substanzkonsumprobleme -- 家庭訪問 -- アメリカインディアンとアラスカ原住民 -- 物質使用問題。 -- 家庭訪問 -- 美國印第安人和阿拉斯加原住民 -- 吸毒問題 -- الزيارات المنزلية ، الهنود الأمريكيين والسكان الأصليين في آلاسكا ، مشاكل تعاطي المواد المخدرة; Infant psychiatry -- Periodicals; Infant psychology -- Periodicals; 618.9289
• DOI: 10.1002/imhj.21706
• Languages: English
• ISSNs: 0163-9641

Abstract

ABSTRACT: Given the high rates for substance use among women and men of childbearing age, perinatal and early childhood home‐visiting programs serving tribal communities must consider how they will address substance‐use problems among the families they support. In this study, we explored the approaches to identifying and addressing family‐based substance‐use problems that were implemented by nine home‐visiting programs serving American Indian/Alaska Native (AI/AN) communities that are funded through the federal Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV). These programs demonstrated a high awareness of substance‐use problems and took concrete action to address them above and beyond that included in the home‐visiting model they used. All nine programs reported that they provided substance‐use preventive services and screened for substance‐use problems. While all programs referred to substance‐use treatment programs when needed, in six programs the home visitor provided substance‐use services. Through Tribal MIECHV, the intense need for substance‐use education, assessment, service delivery, and referral in many AI/AN communities is pushing the home‐visiting field forward to address this increasingly critical issue for low‐income families across the United States and the world.