Table 1.

Client Focus Group Areas of Focus and Question Pool

Focus Area - Use Pattern

Tell me a little about your history of using drugs and alcohol? How long have you been using Meth/other substances? Did you usually use 1 drug at a time or in combination? Under what circumstances did you use? What is your preferred drug of choice? Any special reasons? Without mentioning names, please tell me how you got access to substances? Did you commonly use on or off the reservation?

Focus Area - Treatment Entry

What are some of the reasons that made you seek this most recent treatment? How long had you been seeking treatment before coming to this program? What difficulties did you face in obtaining treatment? Did you seek help through the tribal treatment centers before coming to this program? Have you been a [Clinic] client before? What made you choose this program over the other? Or both?

Focus Area - Treatment Satisfaction

Tell me your opinion of this treatment program so far? What are some of the problems or issues you have with the kind of treatment you are receiving at [Clinic]? What do you like about [Clinic]? Tell me about the impact of any cultural differences on your treatment at [Clinic]? What are some suggestions for what could be done differently to make your treatment experience better? Have you ever been in treatment at a tribal treatment center?  (If yes) What are the major differences between the tribal treatment center and [Clinic]?  (If no) How do you think your treatment program would have been different at a tribal treatment center?

Focus Area - Tribal Identification

Are there any cultural practices you believe would enhance or increase your recovery? Where are you most likely to seek support to prevent relapse? What role do your spiritual practices play in your recovery? How do you address your spiritual needs at this point in your recovery?