American Indian and Alaska Native Substance Abuse: Comorbidity and Cultural Issues

About the Course:

The devastating impact of substance abuse on Amercan Indians and Alaska Natives is reviewed with an emphasis on psychologcial and physical effects. Comorbidity of substance, trans-generational trauma, Post-Traumatic Stress Disorder, and depression among American Indians and Alaska Natives is also discussed since each condition may cause, impact, and/or exacerbate the others. The Medicine Wheel, one respected and accepted treatment approach developed by American Indian and Alaska Native communities, is described in detail since it helps address all of the comorbid issues discussed. NOTE: (pg. 67-85)


American Indian and Alaska Native Mental Health Research (journal)

Publication Date:



Norma Gray, Ph.D., & Patricia Nye, M.D., CSAC

Assistant Professor of Public Health University of Arizona College of Public Health

Recommended For:

This course is recommended for health care professionals, especially addiction counselors, psychologists, mental health counselors, social workers, and nurses who seek knowledge about substance abuse on Amercan Indians and Alaska Natives. It is appropriate for intermediate to advanced levels of participants’ knowledge.

Course Objectives:

  1. describe the potential for comorbidity of substance abuse, transgenerational trauma, PTSD, and depression among American Indians and Alaska Natives and the psychological/physiological effects of such comorbidity.

  2. describe the Medicine Wheel and some of its potential uses in addressing the comorbid conditions.

Course Material

Alternate Link for Course Material

If the link above does not work correctly, you may view the article via Google Docs “quick view” cache via this link.

Exam Questions

All exam questions for the course are visible on this page for members of Addiction Counselor CE.

Membership is free, and you can sign up today! You'll only pay when you're ready to purchase a course.

If you're already a member, please login to see the exam questions for this and all other courses.

Categorized in:

Accepted By:

Login to automatically show approvals relevant to your state and discipline!
Use our CE Approvals tool to look up your state requirements and how Addiction Counselor CE can help you meet them.

Course Number: 100687
Total Credit Hours: 1cr
Exam Fee: $6.97
No Exam Fee with a Plus or Unlimited membership package! » More Info
Format: Online Article
4.2 out of 5
Popularity: 240 members have taken this course