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Native populations and the opioid crisis: forging a path to recovery

Author

Listed:
  • Martina Whelshula

    (NARCH X)

  • Margo Hill

    (Eastern Washington University)

  • S. E. Galaitsi

    (US Army Corps of Engineers)

  • Benjamin Trump

    (US Army Corps of Engineers)

  • Emerson Mahoney

    (US Army Corps of Engineers)

  • Avi Mersky

    (US Army Corps of Engineers
    Now Working At One Lomb Memorial Drive)

  • Kelsey Poinsatte-Jones

    (US Army Corps of Engineers)

  • Igor Linkov

    (US Army Corps of Engineers)

Abstract

American Indian/Alaska Native (AI/AN) populations have proven particularly susceptible to the opioid crisis in the USA, but the White House’s 2019 national opioid policy roadmap is not structured to address AI/AN vulnerabilities. The concept of resilience, usually considered a positive system attribute, can be applied to complex systems to understand the larger compensatory interactions that restore systems to previous structures despite disruptions or interventions. The opioid crisis is a case of detrimental resilience because even effective interventions have not succeeded in eradicating opioid abuses. Resilience-based systemic interventions are needed to disrupt various aspects of systems while enhancing the social and cognitive abilities of affected populations to withstand the threat. This paper examines community characteristics, healthcare, and law enforcement within the context of AI/AN populations to emphasize the mechanisms that promote undesirable resilience for the opioid crisis. A research agenda bringing together systems science and management is needed to coordinate sectoral interventions and establish strategies to disrupt the resilient cycle of opioid addiction.

Suggested Citation

  • Martina Whelshula & Margo Hill & S. E. Galaitsi & Benjamin Trump & Emerson Mahoney & Avi Mersky & Kelsey Poinsatte-Jones & Igor Linkov, 2021. "Native populations and the opioid crisis: forging a path to recovery," Environment Systems and Decisions, Springer, vol. 41(3), pages 334-340, September.
    • Handle: RePEc:spr:envsyd:v:41:y:2021:i:3:d:10.1007_s10669-021-09813-3
    DOI: 10.1007/s10669-021-09813-3
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    References listed on IDEAS

    as
    1. Dasgupta, N. & Beletsky, L. & Ciccarone, D., 2018. "Opioid Crisis: No Easy Fix to Its Social and Economic Determinants," American Journal of Public Health, American Public Health Association, vol. 108(2), pages 182-186.
    2. Meldrum, M.L., 2016. "The ongoing opioid prescription epidemic: Historical context," American Journal of Public Health, American Public Health Association, vol. 106(8), pages 1365-1366.
    3. James R. Brown & J. Anthony Cookson & Rawley Z. Heimer, 2017. "Courting Economic Development," The World Bank Economic Review, World Bank, vol. 30(Supplemen), pages 176-187.
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    Cited by:

    1. Zachary A. Collier & James H. Lambert & Igor Linkov, 2021. "Integrating data from physical and social science to address emerging societal challenges," Environment Systems and Decisions, Springer, vol. 41(3), pages 331-333, September.

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