title: Mental health, health, and substance abuse service needs for the Native American Rehabilitation Association Northwest (NARA NW) in the Portland, Oregon metropolitan area.
abstract: Consistent with results of previous needs assessments for urban American Indian and Alaska Native populations, a needs assessment in the Portland,Oregon metropolitan area for the Native American Rehabilitation Association Northwest revealed high levels of co-occurring conditions for American Indian and Alaska Native clients, often combining chronic health problems, substance abuse histories, and mental health diagnoses. Focus group results suggest the need for crisis care as well as specific needs of children and families, veterans, elders, and adults.
authors.affiliation: Eastern Washington University, School of Social Work 121 Senior Hall Cheney, WA 99007, USA. tcrofoot@mail.ewu.edu
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Crofoot
authors.forename: Naomi
authors.initials: N
authors.lastname: Harris
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Plumb
authors.forename: Keri Slingerland
authors.initials: KS
authors.lastname: Smith
authors.forename: Jaime
authors.initials: J
authors.lastname: Gault
authors.forename: Gloria
authors.initials: G
authors.lastname: Brooks
authors.forename: Lisa
authors.initials: L
authors.lastname: Hungry
authors.forename: Artice
authors.initials: A
authors.lastname: Geary
authors.forename: Irene
authors.initials: I
authors.lastname: Holland
mesh_terms: D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D002648:Child; D015897:Comorbidity; D003419:Crisis Intervention / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D001523:Mental Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D020380:Needs Assessment / Q000706:statistics & numerical data; D009922:Oregon; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D014481:United States; D014504:Urban Health / Q000706:statistics & numerical data*; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data