Abstract
This chapter provides an overview of the effectiveness of measures designed to prevent psychoactive substance misuse in indigenous minority populations in Australia, New Zealand, Canada and the United States of America. In addition to interventions aimed at general populations, a wide range of interventions specifically targeting indigenous peoples have been introduced by both government and indigenous community organisations. As this review highlights, there have been relatively few evaluations of such interventions and there is clearly a need for more research in this area. However, the limited evidence indicates that interventions targeting communities, families and individuals can be effective provided they are developed in response to local needsand circumstances. The study describes the web of social factors that determine the higher levels of substance misuse and related harm reported among indigenous populations and the need for interventions that address these determinants at all levels. (Summary, edited.)
Published Version
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