Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention

Objective: To identify the key components of an Aboriginal model for alcohol (and other drug) harm prevention and intervention. Method: Part of a wider, two-year, Aboriginal-initiated study into the context and Indigenous perceptions of Aboriginal alcohol use and intervention, using a descriptive, g...

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Main Author: Nichols, Fiona
Format: Journal Article
Published: Aboriginal and Islander Health Worker Journal 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/35006
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author Nichols, Fiona
author_facet Nichols, Fiona
author_sort Nichols, Fiona
building Curtin Institutional Repository
collection Online Access
description Objective: To identify the key components of an Aboriginal model for alcohol (and other drug) harm prevention and intervention. Method: Part of a wider, two-year, Aboriginal-initiated study into the context and Indigenous perceptions of Aboriginal alcohol use and intervention, using a descriptive, grounded theory, participatory action study design. A demographically comprehensive sample of 170 Aboriginal people participated in qualitative, semi-structured interviews within three types of participant groups: the "model planning group" progressively distilling all participants' proposals into the intervention model described here. Results: The model proposes a remotely located, multi-component, youth and family-focused residential Bush College program with integral "cultural", vocational/life skills and followup support components. The program would be staffed by a network of permanent on-site Aboriginal staff, language group elders in residence for "cultural teaching" components, and visiting accredited vocational trainers. Family and peer co-residence would be encouraged. Detailed operational guidelines include staff selection criteria, assessment procedures, program content and operation, rules, follow-up, management, budget, evaluation (discussed in a separate paper), and local agency support. Core program components are presented, with further details available via weblink.Conclusions and implications: Among the study's remote area Aboriginal participants, recommendations for substance misuse prevention and intervention differ markedly from options generally available to them. In contrast with the substance use symptom-focus of most programs, participants detail instead a cause focused approach addressing issues of identity, economic and daily-life opportunity, and a sense of hope for the future. These findings have relevance for understandings of cultural appropriateness, Aboriginal-perceived social determinants and the design of culturally meaningful substance misuse prevention and intervention strategies.
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spelling curtin-20.500.11937-350062017-01-30T13:47:01Z Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention Nichols, Fiona Aboriginal model support intervention substance use prevention vocational training participatory action research social determinants capacity building culture Objective: To identify the key components of an Aboriginal model for alcohol (and other drug) harm prevention and intervention. Method: Part of a wider, two-year, Aboriginal-initiated study into the context and Indigenous perceptions of Aboriginal alcohol use and intervention, using a descriptive, grounded theory, participatory action study design. A demographically comprehensive sample of 170 Aboriginal people participated in qualitative, semi-structured interviews within three types of participant groups: the "model planning group" progressively distilling all participants' proposals into the intervention model described here. Results: The model proposes a remotely located, multi-component, youth and family-focused residential Bush College program with integral "cultural", vocational/life skills and followup support components. The program would be staffed by a network of permanent on-site Aboriginal staff, language group elders in residence for "cultural teaching" components, and visiting accredited vocational trainers. Family and peer co-residence would be encouraged. Detailed operational guidelines include staff selection criteria, assessment procedures, program content and operation, rules, follow-up, management, budget, evaluation (discussed in a separate paper), and local agency support. Core program components are presented, with further details available via weblink.Conclusions and implications: Among the study's remote area Aboriginal participants, recommendations for substance misuse prevention and intervention differ markedly from options generally available to them. In contrast with the substance use symptom-focus of most programs, participants detail instead a cause focused approach addressing issues of identity, economic and daily-life opportunity, and a sense of hope for the future. These findings have relevance for understandings of cultural appropriateness, Aboriginal-perceived social determinants and the design of culturally meaningful substance misuse prevention and intervention strategies. 2010 Journal Article http://hdl.handle.net/20.500.11937/35006 Aboriginal and Islander Health Worker Journal fulltext
spellingShingle Aboriginal model
support
intervention
substance use
prevention
vocational training
participatory action research
social determinants
capacity building
culture
Nichols, Fiona
Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title_full Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title_fullStr Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title_full_unstemmed Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title_short Take the Best from Both Cultures: An Aboriginal Model for Substance Use Prevention and Intervention
title_sort take the best from both cultures: an aboriginal model for substance use prevention and intervention
topic Aboriginal model
support
intervention
substance use
prevention
vocational training
participatory action research
social determinants
capacity building
culture
url http://hdl.handle.net/20.500.11937/35006