Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Beals, J. Search for Related Content PubMed Citation Articles by Beals, J. Alcohol Other Addictive Disorders Anxiety Disorders (General) Depression Panic Disorder Posttraumatic Stress Disorder Diagnostic Criteria Interviews

Prevalence of Mental Disorders and Utilization of Mental Health Services in Two American Indian Reservation Populations: Mental Health Disparities in a National Context

American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project Team

OBJECTIVE: The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) provided estimates of the prevalence of DSM-III-R disorders and utilization of services for help with those disorders in American Indian populations. Completed between 1997 and 1999, the AI-SUPERPFP was designed to allow comparison of findings with the results of the baseline National Comorbidity Survey (NCS), conducted in 1990–1992, which reflected the general United States population. METHOD: A total of 3,084 tribal members (1,446 in a Southwest tribe and 1,638 in a Northern Plains tribe) age 15–54 years living on or near their home reservations were interviewed with an adaptation of the University of Michigan Composite International Diagnostic Interview. The lifetime and 12-month prevalences of nine DSM-III-R disorders were estimated, and patterns of help-seeking for symptoms of mental disorders were examined. RESULTS: The most common lifetime diagnoses in the American Indian populations were alcohol dependence, posttraumatic stress disorder (PTSD), and major depressive episode. Compared with NCS results, lifetime PTSD rates were higher in all American Indian samples, lifetime alcohol dependence rates were higher for all but Southwest women, and lifetime major depressive episode rates were lower for Northern Plains men and women. Fewer disparities for 12-month rates emerged. After differences in demographic variables were accounted for, both American Indian samples were at heightened risk for PTSD and alcohol dependence but at lower risk for major depressive episode, compared with the NCS sample. American Indian men were more likely than those in NCS to seek help for substance use problems from specialty providers; American Indian women were less likely to talk to nonspecialty providers about emotional problems. Help-seeking from traditional healers was common in both American Indian populations and was especially common in the Southwest. CONCLUSIONS: The results suggest that these American Indian populations had comparable, and in some cases greater, mental health service needs, compared with the general population of the United States.

This article has been cited by other articles:

				D. S. Hasin, F. S. Stinson, E. Ogburn, and B. F. Grant Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions Arch Gen Psychiatry, July 1, 2007; 64(7): 830 - 842. [Abstract] [Full Text] [PDF]

				N. R. Whitesell, J. Beals, C. M. Mitchell, D. K. Novins, P. Spicer, J. O'Connell, and S. M. Manson Marijuana Initiation in 2 American Indian Reservation Communities: Comparison With a National Sample Am J Public Health, July 1, 2007; 97(7): 1311 - 1318. [Abstract] [Full Text] [PDF]

				W. M. Compton, Y. F. Thomas, F. S. Stinson, and B. F. Grant Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Drug Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions Arch Gen Psychiatry, May 1, 2007; 64(5): 566 - 576. [Abstract] [Full Text] [PDF]

				J. Sareen, B. J. Cox, M. B. Stein, T. O. Afifi, C. Fleet, and G. J. G. Asmundson Physical and Mental Comorbidity, Disability, and Suicidal Behavior Associated With Posttraumatic Stress Disorder in a Large Community Sample Psychosom Med, April 1, 2007; 69(3): 242 - 248. [Abstract] [Full Text] [PDF]

				J. Beals, D. K. Novins, P. Spicer, N. R. Whitesell, C. M. Mitchell, S. M. Manson, and the American Indian Service Utilization, Psychiatr Help Seeking for Substance Use Problems in Two American Indian Reservation Populations Psychiatr Serv, April 1, 2006; 57(4): 512 - 520. [Abstract] [Full Text] [PDF]

				J. Arehart-Treichel Depression Risk Lower Among Native Americans Psychiatr News, October 7, 2005; 40(19): 29 - 29. [Full Text]

				J. Beals, S. M. Manson, N. R. Whitesell, C. M. Mitchell, D. K. Novins, S. Simpson, P. Spicer, and American Indian Service Utilization, Psychiatric E Prevalence of Major Depressive Episode in Two American Indian Reservation Populations: Unexpected Findings With a Structured Interview Am J Psychiatry, September 1, 2005; 162(9): 1713 - 1722. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2005 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us