1. 1 The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Our Native Methamphetamine Crisis ATNI Winter Conference Dale Walker, MD Patricia Silk Walker, PhD Michelle Singer Methamphetamine Conference Portland, Oregon. February 13, 2007

2. 2 One Sky Center

3. 3 Jack Brown Adolescent Treatment Center Alaska Native Tribal Health Consortium United American Indian Involvement Northwest Portland Area Indian Health Board Na'nizhoozhi Center Tribal Colleges and Universities One Sky Center National Indian Youth Leadership Project Cook Inlet Tribal Council Tri-Ethnic Center for Prevention Research Red Road Prairielands ATTC Harvard Native Health Program One Sky Center Partners

4. 4 One Sky Center Outreach

5. 5 Methamphetamine: Epidemiology

6. 6 Oregon Methamphetamine Admissions

7. 7 OHSU Substance Abuse Clinic Enrollees 1998- 2000 2002- 2004 N= 108percentN= 172percent Alcohol2523%2213% Marijuana mixed 8 7% 5 3% Marijuana only2321%3822% Methadone/heroin3028%4727% Methamphetamine3431% 8449% Narcotics 5 4% 6 3% Benzodiazepines 2 2% 6 3% Hallucinogens 3 3% 1 1%

8. 8 National Methamphetamine Initiative Survey Mark Evans Tactical Intelligence Supervisor New Mexico Investigative Support Center 4-12-2006

9. 9 IHS-Wide Outpatient Encounters for Amphetamine Related Visit by Calendar Year

10. 10 Why is Methamphetamine so Devastating? Cheap, readily available Stimulates, gives intense pleasure Damages the user’s brain Paranoid, delusional thoughts Depression when stop using Craving overwhelmingly powerful Brain healing takes up to 2 years We are not familiar with treating it

11. 11 Methamphetamine, Why Now? The Internet Diffused local production, less reliance on imports Multi-drug use – no one uses only crystal National outbreak Varied sub-populations More smoking Strong association with HIV, hepatitis C Community level responses to AIDS deaths, 9/11, war National discussion

12. 12 Target all Forms of Drug Use...and be Culturally Sensitive Prevention Programs Should....

13. 13 Treatment Outcomes Myth Clients addicted to Methamphetamine have poorer treatment outcomes Reality Data show that methamphetamine treatment outcomes are not very different than those for other addictive drugs

14. 14 Contact us at 503-494-3703 E-mail Dale Walker, MD onesky@ohsu.edu Or visit our website: www.oneskycenter.org