Alcohol and Drug Use in the Federated States of Micronesia

Hezel, Francis X. (December 1999). Alcohol and Drug Use in the Federated States of Micronesia (Report). Washington DC: Micronesian Seminar. pp. 355–360.

• Has attachment: File:XEMRC4CF.pdf

Abstract: “Alcohol and Drug Use in the Federated States of Micronesia” explores the unique sociocultural context of alcohol and drug use within the Federated States of Micronesia (FSM) and suggests that traditional US treatment methods may not be directly applicable due to cultural differences. The study aims to create a detailed assessment of alcohol and drug abuse prevalence across different demographics within the four states of FSM, using qualitative methods to incorporate cultural understanding. The paper reviews local treatment methods and recommends potential modifications for more effective treatment strategies suited to island society. A key aspect of the research design is the use of key informants in the community rather than conventional survey methods to obtain data, acknowledging that while this approach may present challenges in data reliability, it provides a broader view of community trends.

Additionally, the paper discusses the effects of alcohol consumption, particularly among young men, who often engage in binge drinking, leading to widespread social issues such as violence and absenteeism. The concept of “cultural time out” is introduced to explain how temporary cultural leniencies affect alcohol consumption without entirely removing social constraints.

The paper also assesses the role of government agencies in managing the alcohol and drug problem, suggesting better collaboration with private groups for community outreach and a strategic shift towards prevention over direct treatment. Recommendations include restructuring governmental roles, enhancing public education targeted at adults, and improving coordination of treatment and prevention programs. The article emphasizes culturally sensitive approaches and strategic restructuring in addressing substance abuse in FSM, proposing a combination of support services, public education, and community involvement to combat these issues effectively.