This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Novins, D. K. Articles by Manson, S. M. Search for Related Content PubMed PubMed Citation Articles by Novins, D. K. Articles by Manson, S. M. Social Bookmarking                         What's this?

Commentary: Quality of Alcohol, Drug, and Mental Health Services for American Indian Children and Adolescents

National Center for American Indian and Alaska Native Mental Health Research, Division of American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colo. douglas.novins{at}uchsc.edu

Candace M. Fleming, PhD

National Center for American Indian and Alaska Native Mental Health Research, Division of American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colo.

Janette Beals, PhD

National Center for American Indian and Alaska Native Mental Health Research, Division of American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colo.

Spero M. Manson, PhD

National Center for American Indian and Alaska Native Mental Health Research, Division of American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado Health Sciences Center, Denver, Colo.

American Indian children and adolescents suffer from a high prevalence of alcohol, drug, and mental (ADM) disorders. Unfortunately, the systems of services for these children and youth have never been able to address adequately their mental health needs. Thus, the revolutionary changes now taking place within these service systems, in particular the marked increase in the direct provision of services by Indian tribes and organizations, provides a unique opportunity to address these historical shortcomings. In this paper, we describe our existing knowledge concerning the quality of ADM services for American Indian children and adolescents and their critical sociodemographic, sociocultural, and epidemiologic contexts. We then consider the implications of these studies for improving the quality of care as well as its measurement and monitoring.

Key Words: Adolescence • childhood • North American Indians • quality of health care • United States substance abuse and mental health services

American Journal of Medical Quality, Vol. 15, No. 4, 148-156 (2000)
DOI: 10.1177/106286060001500405


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				A. Jiwa, L. Kelly, and N. Pierre-Hansen Healing the community to heal the individual: Literature review of aboriginal community-based alcohol and substance abuse programs Can Fam Physician, July 1, 2008; 54(7): 1000 - 1000.e7. [Abstract] [Full Text] [PDF]

				B. H. McFarland, R. M. Gabriel, D. A. Bigelow, and R. D. Walker Organization and Financing of Alcohol and Substance Abuse Programs for American Indians and Alaska Natives Am J Public Health, August 1, 2006; 96(8): 1469 - 1477. [Abstract] [Full Text] [PDF]