Substance Use & Mental Health Collaborative for Rural American Indian Adolescents

描述（由申请人提供）：Al人群在行为和心理健康方面继续遭受显著的健康差异，在整个生命周期中具有强烈的持久性。在这 在申请中，华盛顿州立大学（WSU）和斯波坎印第安部落寻求支持，以应用基于社区的参与性研究方法，为美国农村印第安青少年建立物质使用和心理健康合作组织。我们的合作将致力于消除国家研究和Al政府确定的健康差距。我们的目标是通过科学应用CBPR原则，制定文化相关的干预策略，直接促进改善美国印第安人农村社区的心理健康和减少药物滥用。我们的项目将通过利用几个组织良好的大型现有努力和先前的伙伴关系活动，进行尊重人的研究，增强能力和建设能力。这将通过以下方式实现：1）建立一个社区行动委员会，由部落成员、教育代表、附近社区的药物滥用治疗专业人员和在药物滥用和精神健康、社区健康、文化适应和建立循证干预措施方面具有专门知识的学者组成; 2）进行社区评估，以确定需求，优势，优先事项和社区对变革的准备程度; 3）实施和评估将针对前两个目标制定的试点干预措施。这项工作对于建设合作伙伴之间的能力至关重要，同时与我们的社区建立了深厚而有意义的联系，旨在改善农村Al社区的生活质量。我们的研究人员，无论是学者，社区成员，教育工作者还是卫生服务提供者，都充分投入到他们工作的社区中，他们的承诺对确保参与研究的各方之间的互惠和尊重大有帮助。本申请中描述的努力预计将加强Al社区的CPBR方法，并提供针对Al青少年药物滥用和心理健康的干预措施，这些干预措施可以在其他Al社区进行调整和复制。 相关性（参见说明）：该申请寻求支持，以建立一个基于社区的参与性研究伙伴关系，以帮助缩小美国印第安人（Al）社区存在的健康差距的差距。具体而言，这一专业间伙伴关系将开展研究，以解决Al青少年在心理健康和药物使用障碍方面存在的健康差距。

DESCRIPTION (provided by applicant): Al populations continue to suffer significant health disparities in behavioral and mental health with vigorous persistence across the life span. In this application, Washington State University (WSU) and the Spokane Tribe of Indians seek support to apply a community based participatory research approach to form a Substance Use and Mental Health Collaborative for Rural American Indian Adolescents. Our Collaborative will work towards eliminating health disparity gaps identified by national studies and Al governments. Our goal is to directly contribute to improved mental health and reduced substance abuse in rural American Indian (Al) communities through scientific application of CBPR principles to develop culturally relevant intervention strategies. Our project will pursue respectful research that will empower and build capacity by capitalizing on several large, well-organized, existing efforts and prior partnership activities. This will be accomplished by 1) Establishing a community action board (CAB) consisting of tribal members, educational representatives, substance abuse treatment professionals from nearby communities and academics with expertise in substance abuse and mental health, community health, and cultural adaptation and creation of evidence based interventions; 2) Conducting community assessments to identify needs, strengths, priorities, and community readiness to change and 3) Implementing and evaluating a pilot intervention(s) which will be developed in response to the first two aims. This work is essential in building capacity between partners while having deep and meaningful ties to our communities aimed at improving quality of life for rural Al communities. Our investigators, be they academics, community members, educators, or health service providers, are fully invested in the communities with which they work, and their commitment goes a long way to ensuring reciprocity and respect among all parties involved in the research. Efforts described in this application are anticipated to enhance the CPBR approach in Al communities, as well as to provide an intervention targeting substance abuse and mental health in Al adolescents that can be adapted and replicated for other Al communities. RELEVANCE (See instructions): This application seeks support to establish a community based participatory research partnership to help close the gap in health disparities that exist in American Indian (Al) communities. Specifically, this inter-professional partnership will conduct research to address existing health disparities in the areas of mental health and substance use disorders among Al adolescents.