Assessing Cultures of Recovery in Tribal Communities

项目摘要/摘要：总体 七国医治小屋(HL)是一家美国原住民青少年住宅成瘾治疗中心。 来HL的年轻人来自部落社区，包括但不限于，Coeur d‘Alene部落，Kotenai 部落，内兹珀斯部落，科尔维尔保留地的邦联部落，印第安人的卡利斯佩尔部落， 印第安人的斯波坎部落和乌马提拉保留地的邦联部落。认识到缺乏 关于支持部落国家内青少年康复的最佳做法的方案研究 与哈佛大学剑桥健康联盟成瘾部建立了研究伙伴关系 医学院教学医院。这一合作伙伴关系是土著研究、合作、 学习、卓越(圆圈)。作为Circle NARCH VIII计划的一部分，促进恢复文化 在部落社区，我们与这七个部落国家合作，并向他们学习社区如何寻求 支持他们的青少年从药物使用障碍中康复。因此，Circle的NARCH X计划， 在部落社区建立恢复文化是这项工作的合乎逻辑的延伸。我们用了一个部落 参与式项目开发方法，以建立立足于 当地的价值观、优势和需求被称为xaʔtus(发音为hah-toos;，即First Face)，用于心理健康。 现在，Circle提出的NARCH XII计划，评估部落社区的恢复文化，寻求 支持一个行政核心、研究核心、能力建设核心和两个试点项目 支持对精神健康xaʔtus的高级开发和洞察，以及对部落的独特理解 复苏中的青年。更具体地说，在研究核心，我们将完成社区调查和大型 精神卫生xaʔ的多波随机等待名单评估。能力建设核心将使用 基于项目的教育经验，帮助AI/AN学生获得研究经验，并帮助HL发展自己 研究和培训单位，同时还为HL的精神健康培训和评估提供xaʔTus。飞行员 项目将使用调查研究方法，从部落青年和成年人那里获得有关理想的基本信息 青少年康复期的干预点和使用xaʔtus的心理健康的感知障碍。除了……之外 由于研究性学习获得了许多科学知识，拟议的一套活动将立即产生 公共卫生影响，通过培训数百名部落社区成员的心理健康知识 和情境感知。

PROJECT SUMMARY/ABSTRACT: OVERALL The Healing Lodge of the Seven Nations (HL) is a Native American youth residential addiction treatment center. Youth come to HL from tribal communities including, but not limited to, the Coeur d’Alene Tribe, the Kootenai Tribe, the Nez Perce Tribe, the Confederated Tribes of the Colville Reservation, the Kalispel Tribe of Indians, the Spokane Tribe of Indians, and the Confederated Tribes of the Umatilla Reservation. Recognizing the lack of programmatic research regarding best practices for supporting adolescents’ recovery within tribal nations, HL has developed a research partnership with the Division on Addiction, Cambridge Health Alliance, a Harvard Medical School teaching hospital. This partnership is the Center for Indigenous Research, Collaboration, Learning, and Excellence (CIRCLE). As part of CIRCLE’s NARCH VIII program, Promoting Cultures of Recovery in Tribal Communities, we worked with and learned from these seven tribal nations about how communities seek to support their youth in recovery from substance use disorders. Accordingly, CIRCLE’s NARCH X program, Building Cultures of Recovery in Tribal Communities, was a logical extension of this work. We used a Tribal Participatory Program Development approach to build a mental health first response system grounded in indigenous values, strengths, and needs called, xaʔtus (pronounced hah-toos; i.e., First Face) for Mental Health. Now, CIRCLE’s proposed NARCH XII program, Assessing Cultures of Recovery in Tribal Communities, seeks support for an Administration Core, Research Core, Capacity Building Core, and two Pilot Projects that will support advanced development and insight into xaʔtus for Mental Health, and unique understandings of tribal youth in recovery. More specifically, in the Research Core, we will complete community surveys and a large multi-wave randomized waitlist assessment of xaʔtus for Mental Health. The Capacity Building Core will use project-based educational experiences to help AI/AN students gain research experience and HL develop its own research and training unit, while also providing xaʔtus for Mental Health training and evaluation at HL. The Pilot Projects will use survey research methods to obtain essential information from tribal youth and adults about ideal intervention points for youth in recovery and perceived barriers to using xaʔtus for Mental Health. In addition to the many scientific knowledge gains of the research studies, the proposed set of activities will have an immediate public health impact, through the training of hundreds of tribal community members in mental health knowledge and situational awareness.