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I work primarily with Latino youth.
Can you help me identify some key resources that exist for prevention
practitioners working in Latino communities?
The following is a selected list of resources that may be helpful
for prevention practitioners working in Latino communities. This is not
meant to be an exhaustive list. If you would like to recommend an addition
to or modification of this list, please e-mail:
sfuxman@edc.org. Also, some of these resources will lead you
to other sources of interest.
Needs Assessment
Hispanic Health Needs Assessment: A Community Guide for Documenting Health
Status and Establishing Priorities. (2001). The National Alliance for
Hispanic Health http://www.hispanichealth.org.
This tool is aimed at helping health practitioners to identify the
health issues of greatest concern to Latinos in their community. It
provides a framework to use for assessing data, as well as questions
to ask for determining what resources exist. The tool features six steps:
Assembling the needs assessment, gathering data, reporting findings,
making recommendations, planning programs, and contacting the National
Alliance for Hispanic Health. A section of this document deals specifically
with substance abuse.
Training
Hispanic Latino Leadership Institute (HLI). (2001). Center for Substance
Abuse Prevention (CSAP). http://p2001.health.org/Cti07/cti07ttl.htm.
CSAP presents a four-day training for Latino prevention practitioners
interested in playing an effective role in substance abuse prevention
at the local, State, and national levels. The institute attempts to
increase substance abuse prevention capacity among Latino providers
by strengthening the pride of Latinos, improving the participation of
local Latinos in the community partnerships prevention efforts,
enhancing local and national Hispanic Latino leadership, and increasing
Latino knowledge of ATOD abuse problem prevention.
Information on Substance Abuse in Spanish
Juventud Latina; Hable con Sus Hijos Sobre las Drogas y Sus Peligros.
(2001). National Institute on Drug Abuse (NIDA).
This Spanish brochure provides parents with information regarding
the different kinds of drugs to which their children may be exposed.
The brochure discusses marijuana, cocaine, methamphetamine, and heroines.
The brochure also includes general information about the risks of drugs,
information about inhalants, and suggestions for how to speak to ones
child about drugs.
¡Soy Unica! ¡Soy Latina! Center for Substance Abuse Prevention
(CSAP)/Substance Abuse and Mental Health Services Administration (SAMHSA).
¡Soy Unica! ¡Soy Latina! is a website developed and maintained
by CSAP/SAMHSA for young Latinas ages 9-14, their parents and other
caregivers. The site engages the user in positive activities and encourages
dialogue that promotes healthy, drug-free lifestyles. The site also
helps build and enhance self-esteem, mental health, decision-making
skills and assertiveness, and discourages the abuse of alcohol, tobacco
and illicit drugs.
Nuestro Orgullo Latino (Poster). (1999). Center for Substance Abuse
Prevention (CSAP). (To order visit: http://store.health.org/catalog/productDetails.aspx?ProductID=15561
The poster depicts Latino pride with the aim of building self-esteem
among the Latino population. The poster is meant to remind Latinos of
their strength, their ability to overcome obstacles, and their intelligence
as a way to prevent substance abuse.
Tools for Practitioners/Community Groups
A Primer for Cultural Proficiency: Towards Quality Health Services for
Hispanics. (2001). The National Alliance for Hispanic Health. http://www.hispanichealth.org/pdf/primer.pdf.
This primer is a tool for health practitioners who work with Latino
communities. The document consists of eight chapters discussing the
experience of working in diverse cultures, information about Latino
history and health data, and implementation of health programs.
A Toolkit for Hispanic/Latino Community Groups: Organizing the Hispanic/Latin
Community for the Prevention of Alcohol, Tobacco and other Drugs. (1999).
Center for Substance Abuse Prevention (CSAP). (To order visit: http://www.health.org/initiatives/hisplatino/community/toolkiteng.aspx)
This guidebook provides facts about alcohol/drug use among Latino
youth, outlines basic steps in community organizing, and explains factors
that either prevent or contribute to substance use.
Making Prevention Work: Action for Hispanics/Latinos. (1995). Center
for Substance Abuse Prevention (CSAP). http://www.health.org/govpubs/mpw004.
This one-page fact sheet lists nine specific steps for Hispanics/Latinos
to prevent substance abuse in their community. Suggestions include helping
new immigrants adjust to new life in the United States to prevent immigration-related
stress, planning and promoting alcohol and drug-free activities for
youth, and discussing the consequences of distorted "machismo"
such as abusing alcohol and other drugs.
Marketing/Communication Resources
Technical Assistance Bulletin: Developing Effective Messages and Materials
for Hispanic/Latino Audiences. (1997). The National ClearingHouse for
Alcohol and Drug Information, SAMHSA http://www.urc-chs.com/pdf/hispanic-latino.pdf.
This technical assistance bulletin provides helpful information for
planning and implementing a media campaign aimed at reaching Latino
audiences. In addition to providing specific steps and helpful tips,
the bulletin also points to four successful existing communication programs
and lessons learned from national programs.
Getting the Facts: How to Document Tobacco Advertising to Youth. (2000).
A Nuestras Voces (Our Voices) Hispanic Youth Tobacco Policy and Leadership
Initiative Tool Kit. http://www.hispanichealth.org/pdf/tk.pdf
The Nuestras Voces (Our Voices) Hispanic Youth Tobacco Policy and
Leadership Initiative has developed this tobacco control action kit
to document tobacco advertising in Hispanic communities, compliance
with newly enacted bans on advertisement, and advertising placement
in stores in Hispanic communities. The tobacco kit includes a description
of the project, surveys to document tobacco advertising, and sample
communication letters to get the medias attention.
Hablemos en Confianza. Center for Substance Abuse Prevention (CSAP)
http://www.health.org/initiatives/hisplatino/commenu.htm.
Hablemos en Confianza is part of CSAPs Latino initiatives, and
consists of 12 different communication materials aimed at encouraging
Latino parents to talk to their children about the dangers and risks
of substance use. The materials include three photonovelas depicting
different Latino families and how they handle substance abuse issues,
five flyers/booklets geared toward increasing communication between
parents and their children, and a two-sided poster that educates parents
about drugs and encourages them to listen to their children.
Data on Latino Substance Abuse
Hispanics in Substance Abuse Treatment: 1999. The DASIS Report, September
20, 2002. Office of Applied Studies (OAS) in the Substance Abuse and Mental
Health Services Administration (SAMHSA) http://www.oas.samhsa.gov/2k2/HispanicTX/HispanicTx.htm.
This brief report presents data on Hispanics rates of hospital
admission for substance-abuse problems. Some of the poignant results
are that alcohol, opiates and marijuana are the most used substances,
77 percent of those admitted were male, and 42 percent were Mexicans
compared to 35 percent Puerto Rican, 2 percent Cuban, and 21 percent
other Hispanics.
Hispanics and Tobacco. (1998). Centers for Disease Control and Prevention
(CDC) http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_1998/sgr-min-hsp.htm.
This short fact sheet provides general statistics on tobacco use among
Hispanics/Latinos. The fact sheets include information on cigarette
smoking prevalence of other forms of tobacco use and the influence of
the tobacco industry.
News Release: Substance Abuse: A Real Situation that Place the Hispanic
Community at Risk for HIV Infection and other Diseases. (1998). National
Council of La Raza (NCLR) http://www.cdc.gov/tobacco/sgr/sgr_1998/sgr-min-fs-hsp.htm.
This news release posted by the NCLR discusses the link between substance
abuse and the risk of HIV/AIDS among the Latino community, providing
statistics from CDC. The news release also suggests steps to address
this problem.
Research Articles
Ramirez, A. G., Gallion, K. J., Espinoza, R., and Chalela, P. (1997).
Developing a media- and school-based program for substance abuse prevention
among Hispanic youth: a case study of Mirame!/Look at Me! Nicotine Tobacco
Resources. Health Education and Behavior, 24(5).
This article exposes the development of Mirame!/Look at Me!, an 18-session
televised, substance abuse prevention curriculum for low-income Mexican-Americans
aged 9-13 years. The curriculum features social models that demonstrate
cognitive-behavioral skills and display responsible behavior regarding
substance abuse. Each session consists of a five-minute video followed
by discussion lead by a facilitator.
Johnson, P. B., and Johnson, H. L. (1999). Cultural and familial influences
that maintain the negative meaning of alcohol. Journal of Studies on Alcohol,
13, 79-83.
The authors of this study looked at cultural and familiar factors
that protect children and youth from initiating alcohol use by looking
at a series of studies on black and Hispanic alcohol use. Some of the
factors that the study found helpful for alcohol abuse prevention were
black and Hispanic family structure, parent-child interaction patterns,
and value orientations, all of which promote negative beliefs towards
alcohol. The authors conclude by suggesting that these factors should
be studied and promoted to prevent early experimentation with alcohol.
Delgado, M. (1995). Hispanics/Latinos. In Philleo, J., Brisbane, F.L.,
and Epstein, L.G. (Eds). Cultural competence for social workers: A guide
for alcohol and other drug abuse prevention professionals working with
ethnic-racial communities (Center for Substance Abuse Prevention (CSAP),
Cultural Competence Series No. 4, pp. 43-69). Rockville, MD: U.S. Department
of Health and Human Services.
The author begins by examining alcohol and drug abuse historically,
as well as the extent of Latino substance abuse. Then, the chapter presents
cultural considerations for substance abuse prevention and treatment
when working with this population. The author cites commitment to culturally
specific programs, awareness of how cultural differences influence relationships
in the intervention process, and the importance of using natural support
systems in the community as some of these considerations.
Kurtines, W. M. and Szapocznik, J. (1995). Cultural Competence in Assessing
Hispanic Youths and Families: Challenges in the Assessment of Treatment
Needs and Treatment Evaluation for Hispanic Drug-Abusing Adolescents.
National Institute on Drug Abuse Research Monograph Series, 156, 172-189
The authors discuss critical issues and problems that exist when developing
measures and assessment methodologies for working with culturally diverse
populations. The authors draw from their experiences developing therapeutic
interventions for drug-abusing Hispanic youth and their families. The
interventions are based on structural family therapy.
Resource References
Substance Abuse Resource Guide: Hispanic/Latino Americans. (1996). Center
for Substance Abuse Prevention http://www.health.org/govpubs/MS441.
This resource guide was prepared by CSAP to help prevention specialists,
educators, and community leaders who work with the Latino community.
It is divided into four sections: prevention materials; studies, articles,
and reports; groups, organizations, and programs; and internet access
sites.
Cultural Competence in Substance Abuse Treatment, Policy Planning, and
Program Development; An Annotated Bibliography. (1997). The New England
Addiction Technology Transfer Center Network (ATTC) http://www.attc-ne.org/pubs/ccsat.pdf.
This annotated bibliography provides mostly articles from academic
journals and chapters from books on various issues relating to cultural
competence. The bibliography covers topics such as culturally competent
treatment, culturally competent program development and administration,
and culturally competent policy. The seventh chapter of the bibliography
provides references of articles on culturally competent treatment for
Latino people.
The National Clearinghouse for Alcohol and Drug Information (NCADI):
Publications about Hispanic/Latino. Substance Abuse and Mental Health
Services Administration (SAMHSA) http://store.health.org/catalog/results.aspx?topic=27&h=.
This section of the NCADI website lists various resources for the
Latino community and practitioners working in the community, as well
as general materials on substance abuse in Spanish. The site provides
links to websites and publications published by agencies such as the
Center for Substance Abuse Prevention (CSAP), The National Institute
on Drug Abuse (NIDA), and the National Institute on Alcohol Abuse and
Alcoholism (NIAAA).
Please contact the CSAP's Northeast CAPT at capt@edc.org
for more information.
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