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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 2024Illness/Disease/Injury/Wellbeing, Substance Use and Misuse, Medicaid
- 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 2024Substance 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 2024Substance 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 2023Substance Use and Misuse
- Introduction: States' approaches to addressing prenatal substance use are widely heterogeneous, ranging from supportive policies that enhance access to substance use disorder (SUD) treatment to punitive policies that criminalize prenatal substance use. We studied the effect of these prenatal substance use policies (PSUPs) on medications for opioid use disorder (OUD) treatment, including…September 2022Maternal/Child Health, 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 2022Substance Use and Misuse
- Historical and contemporary trauma among Native Americans is linked to disparate health outcomes across the lifespan including the very recent coronavirus 2019 (COVID-19) outbreak. Early and prolonged exposure to positive family-child engagement activities and the natural environment (greenspace) act as protective factors against a range of maladaptive development across the lifespan. Yet, little…May 2021COVID-19/Coronavirus, 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 2021Substance Use and Misuse, Social/Structural Determinants
- ObjectiveRacial/ethnic disparities in the use of substance abuse treatment services have been documented. The objective of this study was to re-examine if racial/ethnic disparities in the use of treatment still exist using current data collected post-implementation of the Affordable Care Act.MethodsData were pooled from the National Survey on Drug Use and Health survey years 2015, 2016, and 2017…September 2019Substance Use and Misuse
- This study focused on: 1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside; and 2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly-funded outpatient treatment in…October 2018Substance Use and Misuse
- 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 2016Substance Use and Misuse
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