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Welcome to the National Indian Country Meth Initiative

The Indian Country Methamphetamine Initiative (ICMI) is a collaborative working group representing twenty different entities, including tribal governments, federal agencies, and non-profit organizations. The working group, established in 2006, meets monthly to discuss relevant changes in federal drug policy, programmatic updates, new outreach methods, common obstacles and goals, and other pressing questions facing Indian Country.

The ICMI partnership developed after tribal leaders identified methamphetamine distribution and abuse as one of the most pressing concerns their governments were facing. The growing trend of methamphetamines in Indian Country was recorded and confirmed in several research publications. In 2007 the Bureau of Indian Affairs Office of Justice Services survey found that 74% of tribal and BIA police forces listed methamphetamines as the number one drug threatening their communities. Subsequent data from Substance and Mental Health Services Administration concluded that American Indians and Alaska Natives are more likely to have higher “past year” use than other ethnicities, and at a rate of about two times higher than whites. Additional research later discovered a link between meth and other substance use as well as increased risk for becoming HIV positive. This research was used to broaden the scope of some tribal programs and increased ICMI’s awareness of other behavioral issues in Indian Communities.

Association of American Indian Physicians (AAIP) and the National Congress of American Indians partnered with the ICMI, and the U.S. Department of Health and Human Services (HHS) to assist efforts to fight methamphetamine production, sales, and use in Indian Country. This website is the result of four years work. It includes the METH toolkit developed in partnership between ICMI partners and the Tribal Meth Education Training and the Help Center of Montana State University Extension. Here you also have access to all of the ICMI Ad Campaign Materials, web resources, best practices, and an Indian-specific community intervention model developed by NCAI.


There are lots of cool things about being native. Meth isn't one of them.