naa a22 4500 510781926 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20130701xx s 000 0 eng 10.1007/s11414-013-9324-4 doi (NATIONALLICENCE)springer-10.1007/s11414-013-9324-4 Determinants of Successful Treatment Outcomes Among a Sample of Urban American Indians/Alaska Natives: the Role of Social Environments [Elektronische Daten] [Suzanne Spear, Desiree Crevecoeur-MacPhail, Loretta Denering, Daniel Dickerson, Mary-Lynn Brecht] Very few studies have analyzed the role of social environments on substance abuse treatment outcomes among urban American Indians/Alaska Natives (AI/ANs). This study examined a measure of positive treatment response—abstinence from substance use at treatment discharge—among urban AI/ANs in Los Angeles County. The sample included all AI/ANs in outpatient drug-free (e.g., no methadone) treatment and residential treatment from 2004 to 2008 (N = 811). Predictors of abstinence at discharge were (a) having recovery-oriented social support and (b) not having a difficult living situation (i.e., experiencing family conflict and/or living with someone who uses alcohol and/or drugs). Higher levels of recovery-oriented social support in the past 30days predicted abstinence during outpatient treatment. In residential treatment, retention of 90days or more, high recovery-oriented social support, and not experiencing difficult living situations predicted abstinence. Suggestions for optimizing treatment outcomes among AI/ANs and areas of further research are provided. National Council for Community Behavioral Healthcare, 2013 Spear Suzanne School of Social Work, University of Southern California, 1149 S. Hill Street, Suite 320, 90015-2245, Los Angeles, CA, USA aut Crevecoeur-MacPhail Desiree Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut Denering Loretta Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut Dickerson Daniel Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut Brecht Mary-Lynn Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/3(2013-07-01), 330-341 1094-3412 40:3<330 2013 40 11414 https://doi.org/10.1007/s11414-013-9324-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9324-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spear Suzanne School of Social Work, University of Southern California, 1149 S. Hill Street, Suite 320, 90015-2245, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Crevecoeur-MacPhail Desiree Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Denering Loretta Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Dickerson Daniel Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Brecht Mary-Lynn Integrated Substance Abuse Programs, University of California Los Angeles, Los Angeles, CA, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/3(2013-07-01), 330-341 1094-3412 40:3<330 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer