Healing From Within: Identifying and Understanding the Intersecting Barriers to Help-seeking After Experiences of Violence for Wisconsin American Indian Women Through Survivor-led Research

从内部治愈：通过幸存者主导的研究，识别和理解威斯康星州美国印第安妇女遭受暴力经历后寻求帮助的交叉障碍

• 批准号: 10438024
• 负责人: Jeneile Marie Luebke
• 金额: $ 10.42万
• 依托单位: GREAT LAKES INTER-TRIBAL COUNCIL, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10438024
• 关键词: Address; Advisory Committees; American Indians; Area; Cessation of life; Clinic; Communities; Complex; County; Data; Elderly; Ensure; Environment; Foundations; Future; Gender; Health; Home; Indigenous; Individual; Inequality; Institution; Interview; Investigation; Knowledge; Life; Mainstreaming; Mental Health; Mental disorders; Methodology; Methods; Midwestern United States; Motivation; Murder; Native American Research Center for Health; Native-Born; Outcome; Pattern; Personal Satisfaction; Pilot Projects; Policies; Potawatomi; Prevalence; Provider; Recommendation; Reduce health disparities; Reporting; Research; Research Personnel; Resources; Risk; Rivers; Rural; Safety; Services; Shapes; Shelter facility; Substance Use Disorder; Surveys; Survivors; Tribes; Trust; Universities; Violence; Wisconsin; Woman; barrier to care; base; career; community based participatory research; community partnership; experience; forest; gender-based violence; healing; health care availability; health disparity; health equity promotion; help-seeking behavior; improved; indigenous community; meetings; racism; recruit; relationship abuse; research study; reservation-based; resilience; response; rural area; severe injury; social stigma; substance misuse; substance use; tribal Nation; tribal community; tribal health; urban area

ABSTRACT Indigenous women experience gender-based violence (GBV) at disproportionately high rates, contributing to devastating impacts to health and wellbeing including substance misuse and mental health disorders. Our understanding of the complex, intersecting health needs of Indigenous women who experience co-occurring substance misuse, mental health,and GBV on reservation-based and urban areas in the Midwest is limited. Additionally, the services available toaddress these issues are siloed and ineffective in meeting the needs of Indigenous women. To address this urgent gap, we propose a pilot study that uses a mixed-methods and community engaged approach to identify and understand barriers to help-seeking among Indigenous women with co-occurring mental health and/or substance use disorders after experiences of gender-based violence, and to understand how resiliency and cultural identity may help to motivate help-seeking among Indigenous women survivors of GBV in the localcontext of Wisconsin. This proposed pilot study is the first of its kind in Wisconsin by being Indigenous led, andthrough the formation of academic community partnerships between universities, 3 of Wisconsin’s 11 federally recognized tribes, Indigenous-led organizations, and tribal community leaders across the State. First, a community advisory team comprised of GBV survivors, providers, elders, and other stakeholders will be assembled and meet to ensure that all aspects of the study are culturally safe and meets the needs of the collaborating communities. We will conduct a survey and individual interviews with 90-100 Indigenous women to better understand their experiences, barriers to help-seeking, and resiliency factors that motivate help-seeking after experiences with GBV. Women will be recruited from community-based partner agencies, tribal health clinics, Indigenous led organizations, and tribal community leaders in order to capture women seeking help as well as women who have not sought help. Our proposed community engaged study is in line with the priorities of the Native American Research Center for Health (NARCH) initiative because it aims to address the health disparities related to GBV while promoting wellness in Indigenous populations by allowing communities to select, control and prioritize health-related research and research career enhancement opportunities, and establishes trust between academic institutions and tribal communities. Our pilot study data will generate baseline data andknowledge to advance our understanding of the complex needs of Indigenous women after experiences of GBV and reduce barriers to needed services and allow for the meaningful dissemination of findings in a way that reduces health disparities and promotes health equity. This pilot study proposal also helps to build a foundationupon which to carry out larger community based participatory studies that can be used to generate actionable recommendations to improve identification and comprehensive treatment of substance misuse, GBV, and otherhealthcare and safety concerns among Indigenous women.

摘要 土著妇女遭受基于性别的暴力的比例过高， 对健康和福祉的破坏性影响，包括药物滥用和精神健康障碍。我们 了解土著妇女复杂、交叉的健康需求， 物质滥用、精神健康和基于性别的暴力对中西部保留地和城市地区的影响有限。 此外，可用于解决这些问题的服务是孤立的，在满足 土著妇女。为了解决这一紧迫的差距，我们提出了一个试点研究，使用混合方法， 社区参与的方法，以确定和了解土著妇女寻求帮助的障碍 在经历基于性别的暴力后同时出现精神健康和/或药物使用障碍，以及 了解复原力和文化特性如何有助于激励土著妇女寻求帮助 在威斯康星州的地方环境中的性别暴力幸存者。这项拟议中的试点研究是威斯康星州同类研究中的第一项 由土著人领导，并通过大学之间形成学术界伙伴关系， 威斯康星州的11个联邦承认的部落，土著领导的组织，和部落社区领导人跨越 该州首先，由基于性别的暴力幸存者、提供者、老年人和其他 将召集利益相关者开会，以确保研究的各个方面在文化上是安全的， 合作社区的需求。我们将对90-100名 土著妇女更好地了解自己的经历、寻求帮助的障碍和复原力因素， 在经历基于性别的暴力后鼓励寻求帮助。将从社区伙伴中征聘妇女 机构、部落卫生诊所、土著领导的组织和部落社区领导人， 寻求帮助的妇女和没有寻求帮助的妇女。我们建议的社区参与研究是 符合美国土著人健康研究中心（NATIONAL）倡议的优先事项，因为它的目标是 解决与性别暴力有关的健康差距，同时促进土著人口的健康， 社区选择、控制和优先考虑与健康有关的研究和研究职业发展 机会，并建立学术机构和部落社区之间的信任。我们的试点研究数据 将产生基线数据和知识，以促进我们对土著人民复杂需求的理解， 减少获得所需服务的障碍， 以减少健康差距和促进健康公平的方式传播调查结果。这项初步研究 该提案还有助于为开展更大规模的基于社区的参与性研究奠定基础 可用于生成可操作的建议，以改善识别和全面 治疗药物滥用、性别暴力和其他土著妇女的保健和安全问题。