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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.


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  • Medicaid has announced a two-year pilot program which covers traditional Native American healing practices in four states. The author explores the program through the lens of one Native American who recovered from addiction in a Native-led treatment house.
    October 2024
    Illness/Disease/Injury/Wellbeing, Substance Use and Misuse, Medicaid
  • Substance use disorder (SUD) is a treatable and “complex condition that involves a problematic pattern of substance use”. Recovery services are important to treating substance use disorders and for positive behavior change. These services can include detoxification, cognitive or behavioral therapy, and medication-assisted therapy in an inpatient, outpatient, or long-term sober living community…
    August 2024
    Substance Use and Misuse
  • Substance use and mental illness have significant impacts on people, families, communities, and societies. Previous National Survey on Drug Use and Health (NSDUH) reports have cited differences in substance use, mental illness, and the receipt of substance use and mental health treatment among people in different racial or ethnic groups.1,2 As part of the Strategic Plan: Fiscal Year 2023-2026 of…
    July 2024
    Substance Use and Misuse
  • A CDC Vital Signs report, using drug overdose data from the State Unintentional Drug Overdose Reporting System (SUDORS), found concerning trends and widening disparities between different population groups. From 2019 to 2020, overdose deaths increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. In addition, the percentage receiving treatment was lowest for…
    May 2024
    Substance Use and Misuse
  • Research has found that sexual and gender minorities, including lesbian, gay, bisexual, transgender, queer, and intersex people (LGBTQI+), have higher rates of substance misuse and substance use disorders than people who identify as heterosexual. People from these groups are also more likely to enter treatment with more severe disorders. People in LGBTQI+ communities can face stressful situations…
    May 2024
    Substance Use and Misuse
  • American Indian and Alaska Native (AIAN)* communities have successfully relied on long-held traditional ceremonial practices (TCPs) to survive and recover from historical traumas for generations. Interventions that incorporate TCPs to prevent or treat problem substance use are increasingly replacing the more deficit-based clinical approaches employed by Western science. Beyond merely introducing…
    June 2023
    Substance Use and Misuse
  • In the United States, recreational drugs continue to play a prominent role in drug use disorders and fatalities. Included in this category are psychostimulant drugs such as cocaine, which is well-known for its euphoric effects and abuse potential. Cocaine produces euphoria by blocking the reuptake of neurotransmitters, that is, dopamine, norepinephrine, and serotonin. Although cocaine produces…
    May 2023
    Substance Use and Misuse
  • Drug overdose data show troubling trends and widening disparities between different population groups. In just one year, overdose death rates (number of drug overdose deaths per 100,000 people) increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. Most people who died by overdose had no evidence of substance use treatment before their deaths. In fact, a…
    July 2022
    Substance Use and Misuse
  • American Indian/Alaska Native (AI/AN) populations have proven particularly susceptible to the opioid crisis in the USA, but the White House’s 2019 national opioid policy roadmap is not structured to address AI/AN vulnerabilities. The concept of resilience, usually considered a positive system attribute, can be applied to complex systems to understand the larger compensatory interactions that…
    April 2021
    Substance Use and Misuse, Social/Structural Determinants
  • Many people with mental health and substance use conditions lose access to housing because of poverty and disruption of personal relationships related to their disability, and between 20 and 33% of homeless people have serious mental illnesses.[i] In addition, according to the Office of National Drug Control Policy, approximately 67% of people experiencing chronic homelessness have a primary…
    September 2018
    Substance Use and Misuse, Housing Discrimination
  • This study investigates how racial and ethnic disparities in treatment episode completion vary across different problem substances in an urban sample of 416,224 outpatient treatment discharges drawn from the 2011 U.S. Treatment Episode Dataset-Discharge (TEDS-D) data set. Fixed effects logistic regression is employed to test for the association of race and ethnicity with treatment episode…
    April 2016
    Substance Use and Misuse

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