ArticleAddiction science & clinical practice2026
Addressing substance use and mental illness among Quinault Indian Nation adolescents and young adults: community perspectives on community and cultural connection.
Article in Addiction science & clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAmerican Indian/Alaska Native (AI/AN) communities persist and thrive through intergenerational strength and resilience; they also continue to face disproportionate impacts from harms related to substance use and mental illness. There is an urgent need for evidence-based, culturally responsive approaches to increase protective factors against substance use and mental illness in AI/AN communities. Positive reinforcement of community and cultural connection may be protective against substance use and mental illness in adolescents and young adults (AYA). We partnered with the Quinault Indian Nation (QIN) to explore perspectives on community and cultural connection and how best to provide positive reinforcement that rewards engagement in cultural activities in order to build resilience, decrease substance use, and improve overall mental health.
methodsThis study was guided by community-based participatory principles, approved by the QIN business council, and supported by a community advisory board of QIN members. We conducted semi-structured, 30–60-minute interviews with 15 QIN community members (both AYA and adults/elders). Interviews asked about community connection as well as community needs and preferences to address substance use and mental illness among QIN AYA. Interview transcripts were double-coded by three qualitative researchers and analyzed using a combination of Rapid Assessment Process and thematic analysis.
resultsOur sample included 6 AYA and 9 adults/elders from the QIN community. Five themes emerged: (1) community connection involves reflecting community values in daily life, (2) QIN AYA have few formal and informal pathways to learn cultural practices and traditions, (3) QIN AYA frequently face logistical and/or structural barriers when trying to access cultural activities, (4) shyness, low confidence, isolation, and competing interests may also hinder QIN AYA engagement in cultural activities, and (5) new approaches to fostering cultural connection are needed to promote wellbeing and prevent harms related to substance use and mental illness.
conclusionsBoth AYA and adult QIN community members described substantial barriers that hinder AYA engagement in cultural activities which build cultural connection and may support substance use and mental illness prevention. Community members emphasized focusing on upstream factors to encourage community and cultural connection and prevent substance use and mental health problems in the future rather than focusing on providing positive reinforcement for engagement in specific activities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.