The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services - PowerPoint PPT Presentation

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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services

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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Our Native Methamphetamine Crisis ATNI Winter Conference – PowerPoint PPT presentation

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Title: The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services


1
The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
Our Native Methamphetamine Crisis ATNI Winter
Conference
Dale Walker, MD Patricia Silk Walker, PhD
Michelle Singer Methamphetamine Conference
Portland,
Oregon. February 13, 2007
2
Native Communities
Advisory Council / Steering Committee
One Sky Center
3
One Sky Center Partners
Tribal Colleges and Universities
Cook Inlet Tribal Council
Alaska Native Tribal Health Consortium
Prairielands ATTC
Red Road
Northwest Portland Area Indian Health Board
One Sky Center
Harvard Native Health Program
United American Indian Involvement
Jack Brown Adolescent Treatment Center
National Indian Youth Leadership Project
Tri-Ethnic Center for Prevention Research
Na'nizhoozhi Center
4
One Sky Center Outreach
5
Methamphetamine Epidemiology
6
Oregon Methamphetamine Admissions
7
OHSU Substance Abuse Clinic Enrollees
1998-2000 2002-2004
N 108 percent N 172 percent
Alcohol 25 23 22 13
Marijuana mixed 8 7 5 3
Marijuana only 23 21 38 22
Methadone/heroin 30 28 47 27
Methamphetamine 34 31 84 49
Narcotics 5 4 6 3
Benzodiazepines 2 2 6 3
Hallucinogens 3 3 1 1
8
National Methamphetamine Initiative Survey
Mark Evans Tactical Intelligence Supervisor New
Mexico Investigative Support Center 4-12-2006
9
IHS-Wide Outpatient Encounters for Amphetamine
Related Visit by Calendar Year
10
Why is Methamphetamine so Devastating?
  • Cheap, readily available
  • Stimulates, gives intense pleasure
  • Damages the users brain
  • Paranoid, delusional thoughts
  • Depression when stop using
  • Craving overwhelmingly powerful
  • Brain healing takes up to 2 years
  • We are not familiar with treating it

11
Methamphetamine, Why Now?
  • The Internet
  • Diffused local production, less reliance on
    imports
  • Multi-drug use no one uses only crystal
  • National outbreak
  • Varied sub-populations
  • More smoking
  • Strong association with HIV, hepatitis C
  • Community level responses to AIDS deaths, 9/11,
    war
  • National discussion

12
Prevention Programs Should . . . .
Target all Forms of Drug Use
. . .and be Culturally Sensitive
13
Treatment Outcomes
  • Myth
  • Clients addicted to Methamphetamine
  • have poorer treatment outcomes
  • Reality
  • Data show that methamphetamine treatment
    outcomes are not very different than those for
    other addictive drugs

14
Contact us at 503-494-3703 E-mail Dale Walker,
MD onesky_at_ohsu.edu Or visit our
website www.oneskycenter.org
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