An ecological assessment of drug-related problem situations for american indian adolescents of the southwest

This study examined difficult situations related to drug and alcohol use as identified by American Indian youth in the Southwest. Sixty-two contextually based items were developed from focus group data, and were administered to 71 American Indian youth. The items measured the frequency in which youth experienced specific drug- related situations, as well as the perceived difficulty in resisting drug use offers in those situations. The results indicated that the most frequent and difficult drug and alcohol situations occurred primarily with friends or cousins at their homes or after school. Implications for culturally specific assessment, prevention, and treatment are discussed.