REDUCING THE FETAL ALCOHOL SYNDROME RATE

44). Each set of objectives raise priorities for reducing behavioral risks associated with the development of FAS (Sugarman, Warren, Oge, & Helgerson, 1992, p. 450).

The IHS funds political programs designed to solve toward the attainment of the objective of reducing the incidence of FAS among Native-American populations (Masis & May, 1991, pp. 484-489). One of the programs so funded is the Seattle Indian intoxicant Program (SIAP). The SIAP provides the focus in this perspicacity of reality-Law 100-713.

All Native-Americans who are members of recognized Indian tribes in the united States are eligible to participate in the programs funded by the IHS to a lower place the provisions of Public Law 100-713. The SIAP serves a metropolitan empyrean with the seventh largest urban Native-American population concentration in the united States (Sugarman & Grossman, 1996, pp. 321-327).

The SIAP is unique in that Native-Americans designed and implemented the program ground on their own perceptions of needs (Kelley, 1992, p. 27). SIAP is a model inter-disciplinary program that draws as much on anthropology as on the scientific discipline of medicine.

One problem area is the requirement that participants in the SIAP be members of recognized Indian tribes. At times, individuals who are part Native-American mother difficulty in documenting membership status in a recognized Indian tribe. This situation tends to affect women more so than men.

Office of the Assistant repository for Health, Office of Disease Prevention and Health Promotion, United States Public Health Service. (1990). Healthy people 2000: national health promotion and disease prevention objectives. DHHS Publication No. (PHS) 91-50212. Washington: U.S. giving medication Printing Office.

Kahn, M. W., Hunter, E., Heather, N., & Tebbutt, J. (1991). Australian Aborigines and alcohol: A review." Drug & Alcohol Review, 10, 351-366.

Alcoholism among heavy(predicate) aboriginal women is rare in traditionalistic Aborigines settlements, as alcohol had been banned in such communities by the people who live in them, and harsh penalties are oblige on any person introducing it into the homelands (Ostberg, 1990, p. 1440). Alcohol abuse among pregnant aboriginal women residing in Australia's urban areas, however, is prevalent. Australia, thus, faced problems similar to those in the United States in relation to the alcoholism problems of native women residing in urban areas.

Normative patterns mold the key factors that influence motherlike risk of and prevalence of FAS (May, 1991, p. 242). These factors dictate how much, how often, when, and under what circumstances inebriety can occur. Definitions of appropriate and inappropriate behavior regarding drinking are vital considerations in the prevention of FAS in all gentleman's gentleman groups. How male and female roles are defined in a community, especially regarding drinking-specific behavior, will to a great degree go through the rate of FAS. Further, how the individual is attached to or integrated to these norms is great (May, 1991, p. 242).

Policy Provisions and Modes of Service Delivery

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