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American Indians and Alaska Natives are historically more likely than individuals of other racial and ethnic groups to need treatment for drug and alcohol abuse and addiction. Reversely, American Indians and Alaska Natives are also more prone to seek treatment on their own will more than other racial/ethnic groups. Almost 50% of American Indian and Alaska Native substance abuse treatment admissions arrive to rehab as criminal justice clients, which means they have very likely accepted a court ordered diversion program to go to treatment in lieu of jail times for their charges. So therefore, there is a definite need for a variety of service types to provide services for all of the various requirements of American Indian or Alaska Natives, including substance abuse treatment programs in native languages.
One of the challenges that American Indian and Alaska Natives in Effie face is access to comprehensive and effective services, especially those who live in secluded areas. Facilities providing addiction rehabilitation services in rural areas often are not set up to provide support intended for the needs of this unique group of people including addiction treatment services in their native language. American Indian and Alaska Native clients can work with elders and stakeholders involved in mental health services for their region or tribe to determine which services are an option for them through which rehab facilities, and which ones will work best for their particular situation. There have been numerous grants sanctioned in recent years to cover these types of treatment services for American and Alaska Native clients, which have very effective programs which offer evidence based treatment that also integrates culturally sensitive treatment services delivered in their language which are performed by bi-lingual treatment staff, medical staff, etc.
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