This project will enhance and expand comprehensive treatment, early intervention and recovery support services for Alaska Native adolescents (ages 12-16), transitional aged youth (ages 16-25) and their families/primary caregivers with substance use disorders and/or co-occurring substance use and mental disorders in the Anchorage/Mat-Su and Aleutian Pribilof Regions. The Alaska Native Tribal Health Consortium (ANTHC) and the Aleutian Pribilof Islands Association (APIA) will partner in order to provide a comprehensive, family-centered, trauma-informed integrated outpatient system of care, including early intervention and recovery support services for the focus population.
Three evidence-based interventions methods will be implemented to provide these services to the target populations. First, the Community Reinforcement Approach and Family Training (CRAFT) intervention will be used to help educate family members and/or primary caregivers about positive reinforcement and motivational enhancement strategies to assist in recovery. Next, the Matrix Model is a 12-week intensive outpatient program designed to address early recovery skills, relapse prevention, and many of the emotional disruptions that cause clients to relapse. Transitional aged youth with substance use disorders and/or co-occurring substance use and mental disorders will be enrolled in this Matrix Model program. Finally, the Attachment, Regulation and Competency Framework (ARC) will be used to treat adolescents who have experienced complex trauma as a result of a substance using family member.
The Alaska Native culture is a family and community-centered culture. Each of these three evidence-based practices focus on creating positive relationships and taking healthy steps toward recovery. ANTHC and APIA believe these practices are appropriate for the focus populations, and will incorporate essential cultural aspects into this recovery and treatment program.