Title: The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services
1The 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
2Native Communities
Advisory Council / Steering Committee
One Sky Center
3One 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
4One Sky Center Outreach
5Methamphetamine Epidemiology
6Oregon Methamphetamine Admissions
7OHSU 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
8National Methamphetamine Initiative Survey
Mark Evans Tactical Intelligence Supervisor New
Mexico Investigative Support Center 4-12-2006
9IHS-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
11Methamphetamine, 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
12Prevention Programs Should . . . .
Target all Forms of Drug Use
. . .and be Culturally Sensitive
13Treatment 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
14Contact us at 503-494-3703 E-mail Dale Walker,
MD onesky_at_ohsu.edu Or visit our
website www.oneskycenter.org