Pathways to Mental Health Services Among Native Women

描述（由申请人提供）：对于美洲原住民人口，精神 疾病的患病率、分布和随后的治疗寻求情况不佳 知道的已经发表的少数研究和研究的证据表明， 然而，目前正在进行的研究表明， 与一般美国人群相比， 心理健康服务利用率低。 研究计划：提出两项互补研究。首先是一个小 疾病经历及其相关背景因素的质性研究 寻求治疗的美国土著妇女与当前和终身 心理病理学二是定量的二次分析， 土著妇女寻求心理健康治疗和护理的途径。两 研究的目的是提供关于利用情况的描述性和分析性信息， 疾病类型和治疗系统，并确定对护理的其他影响 网络-情节模型理论所建议的寻求。这项研究将 测试模式，关于照顾的途径，考虑社会，社区， 和系统变量作为获得治疗和提供 叙述以将结果置于背景中。一个数据集将用于 次要分析来自最大的精神病学流行病学，风险 和保护因素的研究进行了美洲原住民（ SUPERPFP研究N=3200）。另一组数据来自候选人自己的研究， 同样的变量来自土著妇女在初级保健环境（精神 初级保健中土著妇女的健康和虐待情况（N=234） 职业发展计划：这项研究将在更广泛的范围内进行 一个由专家领导的培训项目。拟议的五年制课程 包括先进的定量研究设计和统计教学 方法，多层次和混合方法的方法，精神疾病分类学，和 在精神卫生保健研究途径的理论操作化。的 修订后的职业发展奖的最终目标是让候选人 有技能，知识和经验，教和进行严格， 为美洲原住民提供文化上胜任的心理健康服务研究， 其他文化差异群体。

DESCRIPTION (provided by applicant): For Native American populations, mental disorder prevalence, distribution and subsequent treatment seeking is not well known. Evidence from the few studies that have been published and research underway now, however, suggests a serious disparity in the prevalence of mental disorders for this population compared to the general US population and a very low utilization of mental health services. Research Plan: Two complementary studies are proposed. The first is a small qualitative investigation of illness experience and contextual factors related to treatment seeking among Native American women with current and lifetime psychological pathology. The second is a quantitative secondary analysis of pathways to mental health treatment and care seeking among Native women. Both studies aim to provide descriptive and analytic information on utilization by type of disorder and treatment system and identify other influences on care seeking as suggested by the Network-Episode Model theory. The research will test models regarding the pathways into care that consider social, community and system variables as determinants of access to treatment and provide narratives to contextualize the results. One data set to be used for the secondary analysis is drawn from the largest psychiatric epidemiologic, risk and protective factors study ever conducted among Native Americans (the SUPERPFP study N=3200). The other data set is from the candidates own study of the same variables drawn from Native women in a primary care setting (Mental Health and Abuse Among Native Women in Primary Care N=234) Career Development Program: This study will be conducted within the broader context of an expert-led training program. The proposed 5-year course of study includes instruction in advanced quantitative research design and statistical methods, multi-level and mixed method approaches, psychiatric nosology, and the operationalization of theory in pathways to mental health care research. The ultimate goal of this revised Career Development Award is for the candidate to have the skills, knowledge, and experience to teach and conduct rigorous, culturally competent mental health services research for Native Americans and other culturally distinct groups.