Date of Conferral







Susana Verdinelli


Alaska Native populations have experienced significant struggles with addictions to alcohol and other substances. The Alaska Native population's access to treatment services is riddled with problems. This quantitative study served the purpose of identifying factors that lead to the prediction of successful treatment discharges among Alaska Native clients who received treatment for substance abuse at a treatment center in Alaska. Based on the theoretical framework of Marlatt's relapse prevention theory, using archival data, as well as a cross-sectional, quantitative research design, predictive variables of the efficacy of substance use treatment among outpatient clients (N = 278) were examined. Multiple regression analysis was used to assess whether adverse experiences, depression levels, social support, substance abuse, and sociocultural variables such as ethnicity, age, gender, mandatory/voluntary treatment enrollment predicted successful discharge in outpatient treatment. Results indicated that only gender was significantly connected to treatment outcomes. Women were more likely than men to successfully complete the treatment program. Several limitations could explain these results including the use of instruments that were not empirically validated, the use of self-report measures, and the quality of the assessment process. Results of this study could be used to focus on understanding and developing specific treatment modalities for men with substance abuse problems. Future studies should use empirically validated measures and a precise program of research.