title: Client and provider views on access to care for substance-using American Indians: perspectives from a Northern Plains urban clinic.
abstract: In addition to disparities in rates of substance use problems, American Indians (AIs) report multiple barriers to receiving treatment services. The present study utilized intake questionnaire data and focus groups to gain perspectives from 152 clients (65% male, 35% female; mean age 30 years) and 6 female providers on access to treatment for Northern Plains AIs in an urban, non-Native program. AI clients acknowledged the need for treatment more often than did substance users in general, but faced greater resource barriers. Both clients and providers offered specific recommendations for improving access to substance use treatment for AI populations in the Northern Plains.
authors.forename: Frankie
authors.initials: F
authors.lastname: Kropp
authors.forename: Maurine
authors.initials: M
authors.lastname: Lilleskov
authors.forename: Jennifer
authors.initials: J
authors.lastname: Richards
authors.forename: Eugene
authors.initials: E
authors.lastname: Somoza
mesh_terms: D000328:Adult; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D007198:Indians, North American / Q000208:ethnology*; D008297:Male; D013023:South Dakota; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000628:therapy*; D014505:Urban Population
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