- Substance Abuse Treatment and Outcomes
- Community Health and Development
- Prenatal Substance Exposure Effects
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Alcohol Consumption and Health Effects
- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Child and Adolescent Psychosocial and Emotional Development
- Indigenous Health, Education, and Rights
- Religion, Spirituality, and Psychology
- Social Capital and Networks
- Mental Health Treatment and Access
- Cultural Differences and Values
- Behavioral Health and Interventions
- Smoking Behavior and Cessation
- Health Policy Implementation Science
- Food Security and Health in Diverse Populations
- Social and Cultural Dynamics
- Mental Health Research Topics
- Critical Race Theory in Education
- Participatory Visual Research Methods
- Intimate Partner and Family Violence
- Gender, Security, and Conflict
- Cannabis and Cannabinoid Research
University of Minnesota, Duluth
2015-2024
University of Minnesota
2017-2020
University of New Mexico
2012-2015
Council on Alcoholism and Drug Abuse
2013
University of Colorado Boulder
2012
Harvard University
2012
Massachusetts General Hospital
2012
Hazelden Betty Ford Graduate School of Addiction Studies
2012
Albert Einstein College of Medicine
1985
Countries in which people believe that “most can be trusted” and where citizens belong to a larger number of different voluntary associations are more individualistic, emphasizing the importance independence freedom choose one's own goals. The present study examines relationship between social capital individualism/collectivism using measure distinguishes familism institutional collectivism. Familism correlated negatively with capital, whereas collectivism practices exhibited positive...
Although American Indians/Alaska Natives (AI/ANs) have exhibited high rates of alcohol and drug use disorders, there is a paucity substance disorder treatment outcome research. In addition, exists controversy about whether evidence-based treatments (EBTs) are culturally appropriate given that they were derived mainly by for non-Hispanic White populations do not explicitly include aspects AI/AN culture worldview. this pilot study, we collaboratively adapted two EBTs, Motivational Interviewing...
Spirituality is central to many Native Americans (NAs) and has been associated with recovery from substance use disorders (SUDs). However, no published questionnaire uniquely taps tribal-specific spiritual beliefs practices. This hinders efforts integrate traditional NA spirituality into SUD treatment track outcomes. As part of a randomized controlled trial examining for NAs, we adapted the Daily Spiritual Experience Scale (DSES) in collaboration members Southwest tribe create American...
Working the 12 steps is widely prescribed for Alcoholics Anonymous (AA) members although relative merits of different methods measuring step work have received minimal attention and even less known about how predicts later substance use. The current study (1) compared endorsements on an face-valid or direct measure, Inventory (AAI), with indirect measure work, General Tools Recovery (GAATOR); (2) evaluated underlying factor structure GAATOR changes in over time; (3) examined endorsement (4)...
ABSTRACT Background and Aims Many evidence‐based treatments (EBTs) for substance use disorder (SUD) exist, yet few are tailored to Indigenous patients. This trial tested the efficacy of a culturally EBT that combined Motivational Interviewing Community Reinforcement Approach (MICRA) versus treatment as usual (TAU). Design A mixed efficacy/effectiveness randomized controlled MICRA ( n = 38) TAU 41) using parallel design with follow‐up assessments at 4‐, 8‐, 12‐ months post baseline. Setting...
A large proportion of emerging adults treated for substance use disorder (SUD) present with symptoms negative affect and major depressive (MDD).However, little is known regarding how these comorbidities influence important mechanisms treatment response, such as increases in abstinence self-efficacy (ASE).This study tested the degree to which MDD and/or interacted during-treatment changes ASE examined variables' relation outcome at 3-months post-treatment.Participants (N = 302; 74% male)...
The majority of people with alcohol use disorders do not seek formal treatment. Research on barriers to help-seeking have only recently focused ethnic minority populations. present study investigated the extent which an adult American Indian (AI) sample experienced similar and/or unique as been reported in literature. Using both qualitative and quantitative methods, 56 (54% male) AIs lifetime dependence completed a semistructured face-to-face interview self-administered written survey....
Members of American Indian (AI) communities face many barriers to receiving both mental and physical healthcare. These can have a negative effect on overall health. Barriers are compounded for AIs who also experiencing homelessness, AI make up disproportionate percentage the homeless population nationwide. In-depth semi-structured interviews were conducted with 12 service providers 16 participants in mid-size Midwestern city identify care participants. Key identified this study were:...
Behavioral economic theories of drinking posit that the reinforcing value engaging in activities with versus without alcohol influences behavior. Measures reinforcement drugs and have been used previous research, but little work has examined psychometric properties these measures.The present study aims to evaluate factor structure, test-retest reliability, concurrent validity an alcohol-only version Adolescent Reinforcement Survey Schedule (ARSS-AUV).A sample 157 college student drinkers...
New Mexico has consistently high rates of drug-induced deaths, and opioid-related treatment admissions have been increasing over the last two decades. Youth in are at particular risk: they report higher nonmedical prescription opioid use than those age 25, more likely their national counterparts to tried heroin, represent an proportion heroin overdoses.Commissioned by City Albuquerque, semistructured interviews were conducted from April June 2011 with 24 substance agencies eight key...
Objective: Strong opinions have been voiced about the "fit" between 12-step treatment, community-based practices, and American Indian beliefs values. Little is known, however, relative benefit of programs for urban Indians, although they are most widely accessed type treatment by Indians. This study investigated rates attendance, attrition, substance use outcomes Indians 9 months to non-Hispanic White participants. Method: compared (n = 63) 133) over months. The sample was formed merging...
As global mental health research and programming proliferate, that prioritizes women’s voices examines marginalized outcomes in relation to exposure violence at community relational levels of the socioecological model is needed. In a mixed methods, transnational study, we examined armed conflict exposure, intimate partner (IPV), depressive symptoms among 605 women Northeastern Uganda. We used analysis variance test between groups who had experienced no IPV or conflict, only, both; linear...
Abstract Background Racial discrimination, including microaggressions, contributes to health inequities, yet research on discrimination and microaggressions has focused single measures without adequate psychometric evaluation. To address this gap, we examined the performance of three discrimination/microaggression among American Indian Alaska Native (AI/AN) college students in a large Southwestern city. Methods Students ( N = 347; 65% female; ages 18–65) completed revised-Everyday...
Abstract Understanding culture as a means of preventing or treating health concerns is growing in popularity among social behavioral scientists. Language one component and therefore may be to improve Indigenous populations. This study explores language unique aspect through its relationship other demographic cultural variables. Participants (n = 218) were adults who self-identified American Indian, had type 2 diabetes diagnosis, drawn from two Ojibwe communities using clinic records. We used...
Alcohol use in college students is associated with a number of negative consequences, and specific characteristics students' social networks have been linked to hazardous or harmful alcohol use. College represents time when are changing significantly, both terms composition relative influence network members. However, the reliability validity one most common measures for assessing alcohol-specific support, Important People Instrument (IPI; P. R. Clifford & Longabaugh, 1991), not established...