OBJECTIVE:To advance theory and clinical practice concerning substance abuse among a Native American adolescent population within the context of a school-based early intervention outcome study. PRIMARY AIM:To evaluate the impact of a culturally appropriate early intervention model approach for teen substance abuse and related outcomes. DESIGN,POPULATION,SAMPLE,SETTING:The Teen Intervention Project-Cherokee (TIP-C) is implementing the Student Assistance Program (SAP) and Cherokee self-reliance enhancement activities at schools at the Cherokee Nation. Participants are Cherokee adolescents who are evaluated for early substance use. The participants are assessed before and after the intervention and at 1 and 3 month and 1 year follow-up points. The intervention includes 10-week group sessions with groups of 10 to 12 participants. CONCEPTS: Cherokee self-reliance is a composite of three categories that include: being responsible, being disciplined, and being confident. An instrument is being piloted to measure Cherokee self-reliance. RESULTS: Preliminary results indicate as Cherokee self-reliance increases, substance abuse decreases among Cherokee adolescents.
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