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。
基本信息
- 批准号:10441963
- 负责人:
- 金额:$ 10万
- 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
- 起止时间:2021-09-15 至 2022-01-31
- 项目状态:已结题
- 来源:
- 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
项目摘要
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.
项目总结
项目成果
期刊论文数量(0)
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会议论文数量(0)
专利数量(0)
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Julie Ann Baldwin其他文献
Julie Ann Baldwin的其他文献
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{{ truncateString('Julie Ann Baldwin', 18)}}的其他基金
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10376796 - 财政年份:2021
- 资助金额:
$ 10万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10571814 - 财政年份:2021
- 资助金额:
$ 10万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10238380 - 财政年份:2021
- 资助金额:
$ 10万 - 项目类别:
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