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Abstract

Urban Native Americans are experiencing a perpetual cycle of substance use in relation to historical trauma (HT). Currently, alcohol and drug use has become a leading health risk factor among urban Native American youth. Cultural Safety is a means to foster insight and autonomy that is beneficial to promoting health and wellbeing among Native American and Indigenous people. The primary objective of this paper examined implementation of the Urban Talking Circle Intervention and cultural safety for the prevention of alcohol and drug use among urban Native American youth. This study employed a 2-condition quasi experimental design and utilized convenience and snowball sampling methods to recruit 100 urban Native American youth from two urban Native American community programs that were randomized by program site. Integration of Native-Reliance Theory, a community-based program approach, and the Urban Talking Circle Intervention, culturally tailored from the evidenced based Talking Circle Intervention guided the study. Evidence from the results of this study emphasized that alcohol and drug use prevention programs that are culturally centered and guided by cultural values, beliefs, and perspectives promotes an environment for cultural safety research to be conducted.Culturally safe interventions for urban Native American youth build their resiliency against avoiding alcohol and drug use interests and choices that result in high-risk behaviors and harmful health outcomes.

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