Authors: Eunice Park-Lee, Rachel N. Lipari, Jonaki Bose, Kirk Greenway, Arthur Hughes, Cristie Glasheen, Mindy Herman-Stahl, Michael Penne, Michael Pemberton, Jamie Cajka

Publication Year: 2018

Last Updated: 2019-09-30

Journal: SAMHSA Publication

Keywords: mental health, depression, alcohol, marijuana, cocaine/crack, and heroin among Ai/AN; on /off reservation differences in mental health, substance use, and treatment receipt

Abstract:

This study examined the differences in behavioral health outcomes by tribal land residential status for the nation based on a large nationally representative sample.

Combined 2005 to 2014 National Survey on Drug Use and Health (NSDUH) data included about 31,900 self-identified U.S.-born AI/AN adolescents and adults aged 12 or older residing on (n = 5,400) or off (n = 26,500) tribal lands.

For many of the behavioral health topics analyzed, U.S.-born AI/AN adults and adolescents residing on tribal lands were equally or less likely than U.S.-born AI/AN adults and adolescents residing off tribal lands to experience the behavioral health challenges. Among U.S.-born AI/AN adolescents, past year major depressive episode was less likely among those residing on tribal lands compared with those living off tribal lands. Despite a higher need for substance use treatment, U.S.-born AI/AN adults residing on tribal lands were less likely than those residing off tribal lands to receive substance use treatment at a specialty facility.

Source: Link to Original Article

Source: https://www.samhsa.gov/data/sites/default/files/cbhsq-reports/DRAIANTribalAreas2018/DRAIANTribalAreas2018.pdf