Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System

摘要/摘要 总括 在中南基金会(SCF)提议的中心赠款中，题为“以人口为基础的干预措施 改善部落医疗系统中的行为健康“，建立在与大学现有关系的基础上 并在五年内与亨利福特医疗系统(HFHS)建立新的合作伙伴关系 三个研究项目(RP)和两个核心的独立但相关的努力。鉴于这口井- 阿拉斯加原住民和美国印第安人(Anai)之间有记录的行为健康差异 有限的医疗资源，RPS将检查行为健康干预的有效性 具有大规模的承诺，潜在的覆盖面和有限的资源需求。“预测算法” 以确定阿拉斯加本土卫生组织的自杀风险“(RP1)将开发一项预测 使用现成的健康记录信息建立自杀前的临床因素模型，然后确定最佳 接触被确定为有潜在自杀风险的个人的做法。“文化创新” 社区学习环境中的康复“(RP2)将进行一项务实的临床试验 一个在线学习社区，有酒精使用障碍的ANAIS可以与每个人进行交流 其他医生和临床医生，以及获取教育和自我管理材料。“基因 维生素D的贡献者，影响阿拉斯加原住民的行为健康“(RP3)将测试 维生素D缺乏与抑郁症的关系及维生素D的潜在益处 抑郁症治疗中的补充剂。RPS将由两个核心来支持，即“管理 “核心”和“学院发展核心”，将建立在SCF研究部门的基础设施上， 支持发展新的调查人员，并加强研究人员和工作人员的技能 部门。这些核心能力建设努力对于使拟议的区域方案和方案取得成功至关重要 未来在部落医疗保健环境中的应用研究。 这个拟议的中心是创新的，因为它将在现有的ANAI拥有和 运作的研究部，以解决Anai发现的健康差距，并更好地定位部落 医疗保健组织和ANAIS参与领导未来的研究工作，以改善ANAI 健康和医疗保健服务。

Summary/Abstract Overall In the Southcentral Foundation (SCF) proposed center grant entitled “Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare System”, builds on existing relationships with University of Washington (UW) and new partnerships with the Henry Ford Health System (HFHS) in five independent yet related efforts across three research projects (RPs) and 2 cores. Given the well- documented behavioral health disparities among Alaska Native and American Indian (ANAI) people yet limited healthcare resources, the RPs will examine the effectiveness of behavioral health interventions with large scale promise given potential reach and limited resource requirements. “Predictive Algorithms for Identifying Risk for Suicide in an Alaska Native Health Organization ”(RP1) will develop a prediction model of clinical factors prior to suicide using readily available health record information, then identify best practices for outreach to individuals identified to have potential suicide risk. “Cultural Innovations for Recovery in Community-Based Learning Environments” (RP2) will conduct a pragmatic clinical trial of an online learning community in which ANAIs with alcohol use disorders can communicate with each other and clinicians, as well as access educational and self-management materials. “Genetic contributors to Vitamin D, Impact on Behavioral Health in Alaska Native People” (RP3) will test for an association between vitamin D deficiency and depression and explore the potential benefit of vitamin D supplementation in depression management. The RPs will be supported by two cores, an “Administrative Core” and “Faculty Development Core” which will build upon SCF Research Departmental infrastructure, support development of new investigators, and strengthen skills sets of researchers and staff within the department. These core capacity building efforts are critical to optimize success of the proposed RPs and future applied research within a tribal healthcare setting. This proposed Center is innovative in that it will expand capacity within an established ANAI owned and operated Research Department to address ANAI identified health disparities and better position the tribal healthcare organization and ANAIs involved to lead future research efforts in the betterment of ANAI health and healthcare provision.