| Focus Area - Prevalence |
| Tell me about trends in substance use you are seeing: |
Among your American Indian clients? Among your clients in general?
What 3 substances are you seeing the most problem with right now? What substances are significantly increasing in use? What other drugs are you seeing clients use problematically? How would you compare the use of Meth to the other drugs that you treat? How would you explain the trends that you see in Meth and other drug use?
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| Focus Area - Access to Care |
Tell me about barriers faced by American Indians in accessing treatment for substance abuse problems?
How do American Indian clients access treatment at this center? How do you ensure continuity of care for American Indian clients? What do you think could be done to increase access to treatment for American Indian clients?
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| Focus Area - Treatment Effectiveness |
What are some of the challenges you experience with regard to treating American Indian clients?
What changes in treatment do you believe would be most appropriate in impacting your American Indian clients for the better? For your clients in general? What are some mechanisms that you believe, if put in place, would ensure better care for your American Indian clients? For your clients in general?
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| Focus Area - Consultation and Referral |
How often do you work in tandem with American Indian tribal treatment centers?
(If work in tandem) What circumstances call for that collaboration? How does that influence the treatment of American Indian clients? (If not working in tandem) Do you believe it would make a difference if you did? Do you believe it is important for American Indian tribal treatment centers to work hand-in-hand with urban treatment centers? What effect would that have?
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| Focus Area - Culturally Specific Issues |
What role do you believe cultural issues play in the treatment you provide for American Indian clients?
What role do you believe traditional ceremonies and healing practices play in treating American Indians with substance abuse problems? Tell me about the role of spirituality for your American Indian clients?
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