Pathways to Mental Health Services Among Native Women

描述(由申请者提供)：对于美洲原住民，精神 疾病的患病率、分布和随后寻求治疗的情况不太好 为人所知。来自已发表的少数研究和研究的证据 然而，现在正在进行的研究表明，精神障碍的患病率存在严重差异 与美国普通人群相比，这一人群的精神障碍 精神卫生服务利用率低。 研究计划：提出两项互补性研究。第一个是小的 疾病体验及相关环境因素的定性调查 美国土著妇女目前和终身寻求治疗的情况 心理病理学。二是定量的二次分析 土著妇女获得心理健康治疗和寻求护理的途径。两者都有 研究旨在通过以下方式提供关于利用的描述性和分析性信息 障碍的类型和治疗系统，并确定对护理的其他影响 网络剧集模型理论所建议的寻找。这项研究将 关于进入护理的途径的测试模型，考虑到社会、社区 和系统变量作为获得治疗和提供 将结果与背景联系起来的叙述。一个数据集用于 二次分析来自最大的精神病学流行病学风险 以及在美洲原住民中进行的保护因素研究( SUPERPFP研究N=3200)。另一组数据来自候选人自己的研究 从初级保健环境中的土著妇女(心理)中得出的相同变量 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 专家主导的培训计划的背景。建议的五年制课程 包括高级定量研究设计和统计方面的指导 方法、多层次和混合方法、精神病学病因学和 精神卫生保健研究路径中理论的可操作性。这个 修订后的职业发展奖的最终目标是让候选人 有技能、知识和经验来教授和进行严谨的、 为美洲原住民和美国人提供有文化能力的心理健康服务研究 其他文化上截然不同的群体。

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.