Caring for Native American Elders: Grasslands

虐待老人是美国原住民社区关注的一个问题。该应用程序是一个更大的、积极的研究项目的一部分，该项目旨在为面临虐待风险的美洲原住民老年人开发、实施和评估家庭会议模式。这个大型项目的一个重要目标是开发一种可以被美国其他部落社区采用的模式。到目前为止，我们只与蒙大拿州的一个部落社区进行了广泛的合作。在将这种干预扩展到我们不熟悉的其他部落之前，我们需要进行社区进入并获得初步数据，以确定草原（GL）社会结构的各个方面，包括看门人，正式和非正式的结构和网络，以及社区成员是否认为虐待老人是一个问题。该项目的目的是开展前期工作，以便能够将照顾美洲原住民长者项目全面扩展到草原保护区。具体目标是：1。收集背景和上下文信息：a.确定关键的社区领导人、结构、网络和优势。规划和实施FCC模式的要点。b.描述关于虐待老人的程度、形式和当前部落管理策略的看法。2. 实施和评估多达三种FCC干预措施，以：a.确定并解决实施FCC干预措施对草原老年人所必需的后勤和可行性问题。b.确定建立部落间FCC促进者支持小组的可行性。内容和过程数据将从多个来源收集，包括指导访谈（个人和团体）、观察（直接和参与者）以及可以在公共领域或项目生成中找到的文档。定性内容分析和形成性和总结性评价将被执行。最终，FCC的干预将通过R01机制在保留地进行全面、多地点的测试。

Elder abuse is a problem of concern among Native American communities. This application is part of a larger, active program of research to develop, implement, and evaluate models for family conferences for Native American elders at risk of mistreatment. An important goal of the larger project is to develop a model that may be adapted by other tribal communities across the US. To date, we have worked extensively with only one Tribal community in Montana. Before extending this intervention to other tribes unfamiliar to us, we need to conduct community entry and obtain preliminary data identifying aspects of the Grasslands (GL) social structure, including gatekeepers, formal and informal structures and networks,, and whether elder abuse is perceived by community members as a problem. The purpose of this project is to conduct the preliminary work to be able to extend the Caring for Native American Elders project full-scale to the Grasslands Reservation. The specific aims are to: 1. Gather background and contextual information to: a. Identify key community leaders, structures, networks, and strengths .salient for planning and implementing the FCC model. b. Describe the perceptions of elder abuse with regard to magnitude, forms, and current tribal management strategies. 2. Implement and evaluate up to three FCC interventions to: a. Identify and address logistical and feasibility issues necessary for implementing the FCC intervention for Grasslands elders. b. Determine the feasibility of establishing an intertribal FCC facilitator support group. Content and process data will be collected from multiple sources including guided interviews (individual and group), observation (direct and participant), and documents that can be found either in the public domain or that are project generated. Qualitative content analysis and formative and summative evaluations will be performed. Ultimately, a full-scale, multi-site test of the FCC intervention will be conducted on reservations through the R01 mechanism.