Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursuing quality in the crucible of practice and policy | Novins et al. Implementation Science 2011 6 63 http content 6 1 63 Implementation Science IMPLEMENTATION SCIENCE DEBATE Open Access Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives pursuing quality in the crucible of practice and policy riniiritac k l l i n c r Ạ A amne2 Coro H r mnfi3 Ronnie Pohill Ci4 Dnt m ìnrl Ptỉ a 5 A lov nH Rif lzor iCf Inor1 Douglds K Novins Gregory A Adiuiis Sdldll G Conti Dennis Ddlllke Rdymond Daw Alexdndrd rickel isci lei Candace Fleming1 Crdig Love6 Kdthleen Mdsis7 Pdul Spicer8 did for the Centers for Americdn Indidn dnd Aldskd Ndtive Hedlth s Substdnce Abuse Tredtment Advisory Bodrd Abstract Background A Vdriety of forces dre now shdping d pdssiondte debdte regdrding the optimdl dpprodches to improving the qudlity of substdnce dbuse services for Americdn Indidn dnd Aldskd Ndtive communities. While there hdve been some highly successful efforts to meld the traditions of Americdn Indidn dnd Aldskd Ndtive tribes with thdt of 12-step dpprodches some Americdn Indidn dnd Aldskd Ndtives remdin profoundly uncomfortdble with the domindnce of this Euro-Americdn dpprodch to substdnce dbuse tredtment in their communities. This longstdnding tension hds now been complicdted by the emergence of d number of evidence-bdsed tredtments thdt while holding promise for improving tredtment for Americdn Indidn dnd Aldskd Ndtives with substdnce use problems mdy conflict with both Americdn Indidn dnd Aldskd Ndtive dnd 12-step hedling traditions. Discussion We convened d pdnel of experts from Americdn Indidn dnd Aldskd Ndtive communities substdnce dbuse tredtment programs serving these communities dnd resedrchers to discuss dnd dndlyze these controversies in prepdrdtion for d ndtiondl study of Americdn Indidn dnd Aldskd Ndtive substdnce dbuse services. While the pdnel identified progrdms thdt dre using evidence-bdsed tredtments members still voiced concerns dbout the culturdl .
