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Factors and Training Approaches that Enhance the Integration of American Indian Culture into Tele-Behavioral Substance Use/Substance Use Disorders Treatment.

Factors and Training Approaches that Enhance the Integration of American Indian Culture into Tele-Behavioral Substance Use/Substance Use Disorders Treatment.
促进美洲印第安人文化融入远程行为药物使用/药物使用障碍治疗的因素和培训方法。
批准号:
10441963
负责人:
Julie Ann Baldwin
金额:
$10.0万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
已结题
起止时间:
2021-09-15 至 2022-01-31
关键词:
AddressAdherenceAdvocateAgeAlaska NativeAlcoholsAmerican IndiansApplications GrantsAreaArizonaBehavioralBudgetsCOVID-19COVID-19 pandemicCaringCertificationClientClinical PsychologyCommunitiesCommunity ActionsComprehensive Health CareConsultationsCounselingCriminal JusticeDataDiagnosisDomestic abuseEducationEnrollmentEthnic groupEvidence based practiceFamilyGenderGeneral PopulationGoalsGrantHealthHealth InsuranceHealth OccupationsHealth PromotionHealth ServicesHealth Services AccessibilityHealthcareHomelessnessHumanHuman ResourcesImprisonmentIndigenousIndividualInfrastructureLinkLungMental disordersMissionNIH Program AnnouncementsNational Institute of Drug AbuseNative AmericansNative-BornOccupational TherapyOccupationsOutcomeParentsParticipantPerformancePharmaceutical PreparationsPhysical therapyPrevention programPreventiveProblem-Based LearningProviderRaceResearchResearch DesignResearch MethodologyResearch PersonnelResearch Project GrantsResearch TrainingReservationsRiskRuralRural CommunityRural PopulationSchoolsServicesSiteSouthwestern United StatesStructureStudentsSubstance Use DisorderSubstance abuse problemSuicideSystemTestingTimeTobaccoTrainingTraining ActivityTraining ProgramsUnderserved PopulationUnemploymentUnited States Indian Health ServiceUniversitiesViolenceWorkaddictionbasebehavioral healthcertificate programcohortcommunity based researchcomorbiditydesigndiabetes prevention programdisorder preventiondisparity reductiondoctoral studentevidence baseexperiencefallshealth care availabilityhealth disparityhealth equity promotionhigh riskinnovationinterdisciplinary collaborationmental health counselingpost-traumatic stresspreventprevention serviceprogramsracial and ethnicracial health disparityrecruitresearch studyresiliencerespiratoryrural arearural patientsscale upservice deliveryservice programsskillssubstance misusesubstance usesubstance use treatmentsuicide mortalitytelehealthtreatment centertreatment servicestribal communityunderserved communityurban Native Americanurban area

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英文摘要
PROJECT SUMMARY In comparison to other groups, there are clear disparities in the higher rates of substance abuse, post- traumatic stress, violence, and suicide in American Indian/Alaska Natives (AI/AN). High rates of substance misuse in AI/AN communities is associated with unemployment, low academic performance, high-risk occupations, violence, domestic abuse, delinquency, lack of health insurance, mental illness, and mortality from suicide, alcohol, or other substance abuse. Substance use disorders (SUD) disproportionately impact AI/ANs in Arizona due to the lack of infrastructure and personnel on reservations needed to deliver evidence- based comprehensive treatment and prevention services. In addition, the lack of culturally-centered treatment is a barrier to AI/AN individuals living in both rural and urban areas. The COVID-19 pandemic has exposed well-established racial disparities in health care access and health outcomes in underserved communities. COVID-19 has particularly had devastating impacts on tribal communities in Arizona. People with SUD may be particularly at-risk for COVID-19 complications due to the effect of many drugs on respiratory and pulmonary health, and higher likelihood of homelessness, incarceration, and co-morbid health conditions than the general population. Given existing barriers to telehealth in providing comprehensive care for AI/AN and rural communities, the COVID-19 pandemic may have placed those with behavioral health issues and SUDs at even higher risk. Training a workforce to research the delivery of culturally-centered behavioral health and addiction care with telehealth as a viable option has the potential to reduce the lasting impact of COVID-19 in underserved populations and prevent disruption of substance use treatment. The overall goal of the parent R25, Culturally-Centered Addictions Research Training (C-CART) (1R25DA053805), is to educate clinicians, providers, and doctoral students in health professions (occupational therapy [OT], physical therapy [PT], counseling, school, & clinical psychology, and interdisciplinary health) in research skills that include culturally- centered practices, related to SU/SUDs applied in interprofessional practice and diverse settings.This proposed Supplement to our R25 will look at Native culture and traditional practices within tele-behavioral SU/SUD treatment at one of our community partner agencies – Native Americans for Community Action (NACA) - and determine the impact on behavioral health outcomes for clients during the first year of the COVID-19 pandemic. The specific aims of this project are: Aim 1: To understand the integration of Native culture and traditional practices within tele-behavioral SU/SUD treatment at NACA and explore its impact on behavioral health outcomes during the COVID-19 pandemic employing a mixed methods research design; and Aim 2: To incorporate the findings from Aim 1 into a tele-behavioral SU/SUD treatment training module that will be pilot tested with NACA SU/SUD providers and shared with the Indian Health Service (IHS) Western Region.
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C-CART: Culturally Centered Addictions Research Training
  • 批准号:
    10376796
  • 项目类别:
  • 资助金额:
    $27.62万
  • 财政年份:
    2021
  • 负责人:
    Julie Ann Baldwin
  • 依托单位:
Southwest Health Equity Research Collaborative
  • 批准号:
    10457777
  • 项目类别:
  • 资助金额:
    $74.98万
  • 财政年份:
    2021
  • 负责人:
    Julie Ann Baldwin
  • 依托单位:
C-CART: Culturally Centered Addictions Research Training
  • 批准号:
    10571814
  • 项目类别:
  • 资助金额:
    $27.61万
  • 财政年份:
    2021
  • 负责人:
    Julie Ann Baldwin
  • 依托单位:
C-CART: Culturally Centered Addictions Research Training
  • 批准号:
    10238380
  • 项目类别:
  • 资助金额:
    $28.04万
  • 财政年份:
    2021
  • 负责人:
    Julie Ann Baldwin
  • 依托单位:
海外基金