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. Reversely, American Indians and Alaska Natives are also more prone to seek treatment on their own will more than other racial/ethnic groups. Roughly 50% of American Indian and Alaska Native substance abuse treatment admissions show up to rehab as criminal justice clients, which means they have most likely accepted a court ordered diversion program to receive treatment in lieu of jail time. So as one can see, there is an absolute need for different types of treatment programs to provide services for all of the various requirements of American Indian or Alaska Natives, including substance abuse treatment services in native languages.
One of the barriers that American Indian and Alaska Natives in Gilman face is access to comprehensive treatment facilities, particularly those who live in rural areas. Facilities offering substance abuse rehab services in rural areas often are not able to offer support intended for the needs of this special group of people including substance abuse treatment services in their native language. American Indian and Alaska Native people can consult with stakeholders and elders working in mental health services for their region or tribe to determine which types of treatment services are an option for them through which facilities, and which ones will be most effective for their scenario. There have been numerous grants offered in recent years to help pay for these types of services for American and Alaska Native clients, which have very effective treatment programs which offer evidence based treatment that also incorporates culturally sensitive recovery services including those in their language which are performed by bi-lingual staff members.
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