on and referral, detoxification, intensive inpatient treatment, intermediate rehabilitation, outpatient treatment, outpatient follow-up, and criminal justice outreach (Kelley, 1992).
By definition in this program, alcoholism is a social disease (Kelley, 1992). Medical assistance and referral are facilitated by means of close ties with the Seattle Indian Health Board. The SIAP employs culturally-sensitive service providers who work solely with a Native-American clientele, and they further devote great attention to the social, cultural, familial, and ecological influences which figure prominently in the problem of Native-American alcoholism. It is essential that nurses and other health professionals operating in the program understand the cult
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