The Hastiin Bidziil (Strong man) Intervention study is part of a larger project called, Community-Driven Indigenous Research, Cultural Strengths & Leadership to Advance Equity in Substance Use Outcomes (CIRCLE) Center of Excellence. CIRCLE aims to address drug use related health problems in collaboration with diverse Indigenous communities. This study is a randomized controlled trial study to measure the effectiveness of a secondary prevention program, called Hastiin Bidziil (Strong Man), aimed at reducing substance use among Native American Indian (AI) men ages 18 years and older

Inclusion Criteria:

• Self-identify as American Indian
• Self-identify as a man
• Age 18 years or older at time of enrollment
• Screen positive for lifetime use of alcohol and/or drugs, except for tobacco use only
• Reside within ~60 miles of a study community (Fort Defiance, AZ; Chinle, AZ)

Exclusion Criteria:

• Any condition that would affect successful participation (e.g., planned move)
• Profound disability that limits the ability to participate in assessments or interventions
• Participated in the preliminary phase of this study to adapt CETA for this project

This is a program for people who self-identify as men

The co-Leads (project Investigators) are blinded to randomization status of participants.