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American Indians and Alaska Natives are historically more likely than individuals of other racial and ethnic groups to require rehabilitation for drug and alcohol abuse and addiction. Conversely, American Indians and Alaska Natives are more likely to feel the need to seek treatment than other racial/ethnic groups. Roughly 50% of American Indian and Alaska Native drug and alcohol treatment admissions show up to treatment as criminal justice clients, which means they have very likely agreed to a court ordered diversion program to go to rehab in lieu of jail times for their charges. So therefore, there is definitely a need for a variety of service types to cover all of the various needs of American Indian or Alaska Natives, including substance abuse treatment services in native languages.
One of the problems that American Indian and Alaska Natives in Duke face is access to comprehensive services, particularly those who live in secluded areas. Facilities offering addiction rehab services in rural areas often are not able to offer support intended for the needs of this unique group of people including addiction rehabilitation services in their native language. American Indian and Alaska Native individuals can work with elders and stakeholders working in mental health services for their region or tribe to figure out which treatment services are an option for them through which treatment facilities, and which ones will best suit their needs. There have been many grants offered in recent years to cover these types of treatment services for American and Alaska Native clients, which have very effectively established programs which offer evidence based treatment that also encompasses culturally sensitive recovery services including those in their language which are performed by bi-lingual staff members.
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