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.
批准号:
10441963
负责人:
Julie Ann Baldwin
金额:
$10.0万
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
中文摘要
项目总结
与其他群体相比,在较高的药物滥用比率方面存在明显的差异,
美国印第安人/阿拉斯加原住民的创伤应激、暴力和自杀(AI/AN)。物质的高比率
人工智能/人工智能社区的滥用与失业、低学习成绩、高风险有关
职业、暴力、家庭暴力、犯罪、缺乏医疗保险、精神疾病和死亡率
自杀、酗酒或其他物质滥用。物质使用障碍(SUD)的影响不成比例
亚利桑那州的人工智能/人工智能由于缺乏提供证据所需的基础设施和保留地人员-
以综合治疗和预防服务为主。此外,缺乏以文化为中心的治疗
是生活在农村和城市地区的人工智能/人工智能个人的障碍。新冠肺炎大流行暴露出
在服务不足的社区中,在保健机会和健康结果方面存在着广泛的种族差异。
新冠肺炎尤其对亚利桑那州的部落社区产生了毁灭性的影响。患有自闭症的人可能是
由于多种药物对呼吸系统和肺部的影响,新冠肺炎并发症的风险尤其高
健康,以及无家可归、监禁和合并健康状况的可能性比一般情况下更高
人口。鉴于在为AI/AN和农村地区提供全面护理方面存在远程保健方面的现有障碍
在社区中,新冠肺炎大流行可能会让那些有行为健康问题和肥皂水的人甚至
风险更高。培训员工以研究以文化为中心的行为健康和成瘾的交付
将远程医疗作为一种可行的选择的护理有可能减少新冠肺炎在
服务不足的人群,并防止药物使用治疗中断。母公司的总体目标
R25,以文化为中心的成瘾研究培训(C-CART)(1R25DA053805),是为了教育临床医生,
卫生专业的提供者和博士生(职业治疗[OT]、物理治疗[PT]、
咨询、学校和临床心理学,以及跨学科健康)的研究技能,包括文化-
以实践为中心,涉及SU/SODS在跨专业实践和多样化环境中的应用。
我们建议的R25附录将考察远程行为中的土著文化和传统做法
SU/SUD治疗在我们的社区伙伴机构之一-社区行动美洲原住民组织
(NACA)-并确定在第一年对客户行为健康结果的影响
新冠肺炎大流行。该项目的具体目标是:目标1:了解土著人民的融合
NACA远程行为SU/SUD治疗中的文化和传统做法,并探讨其对
采用混合方法研究设计的新冠肺炎大流行期间的行为健康结果;以及
目标2:将目标1的发现纳入远程行为SU/SUD治疗培训模块,该模块将
与NACA SU/SUD提供商进行试点测试,并与印度卫生服务(IHS)西部地区共享。
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.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
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:
Great Beginnings for Healthy Native Smiles
-
批准号:10192705
-
项目类别:
-
资助金额:$65.83万
-
财政年份:2019
-
负责人:Julie Ann Baldwin
-
依托单位:
Great Beginnings for Healthy Native Smiles
-
批准号:9924504
-
项目类别:
-
资助金额:$65.48万
-
财政年份:2019
-
负责人:Julie Ann Baldwin
-
依托单位:
Great Beginnings for Healthy Native Smiles
-
批准号:10408126
-
项目类别:
-
资助金额:$65.02万
-
财政年份:2019
-
负责人:Julie Ann Baldwin
-
依托单位:
Southwest Health Equity Research Collaborative
-
批准号:10216873
-
项目类别:
-
资助金额:$29.31万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10207299
-
项目类别:
-
资助金额:$143.31万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10447557
-
项目类别:
-
资助金额:$10.73万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Southwest Health Equity Research Collaborative
-
批准号:10263440
-
项目类别:
-
资助金额:$37.0万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Southwest Health Equity Research Collaborative
-
批准号:10408222
-
项目类别:
-
资助金额:$10.73万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10669392
-
项目类别:
-
资助金额:$39.38万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10240292
-
项目类别:
-
资助金额:$13.7万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10267304
-
项目类别:
-
资助金额:$20.0万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Recruitment Core
-
批准号:10207303
-
项目类别:
-
资助金额:$16.76万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Southwest Health Equity Research Collaborative
-
批准号:10198142
-
项目类别:
-
资助金额:$11.95万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Recruitment Core
-
批准号:10555418
-
项目类别:
-
资助金额:$7.43万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Administrative Core
-
批准号:10555411
-
项目类别:
-
资助金额:$106.36万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
Recruitment Core
-
批准号:10707523
-
项目类别:
-
资助金额:$7.21万
-
财政年份:2017
-
负责人:Julie Ann Baldwin
-
依托单位:
海外基金