Fostering Community Connections Through Native Hawaiian Cultural Values to Strengthen Youth Resilience, Health, and Well-Being

通过夏威夷原住民文化价值观促进社区联系，增强青少年的适应能力、健康和福祉

• 批准号: 10781716
• 负责人: May Michiko Okihiro
• 金额: $ 112.5万
• 依托单位: WAIANAE COAST COMPREHENSIVE HEALTH CTR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2028-09-24
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781716
• 关键词: Address; Adult; COVID-19 pandemic; Caring; Chronic; Clinic; Cognitive Therapy; Collaborations; Communication; Communities; Complex; Consensus; Diabetes Mellitus; Disparity; Ecosystem; Education; Educational Curriculum; Educational Models; Equilibrium; Ethnic Population; Family; Fostering; Hawaii; Hawaiian; Health; Health Services Accessibility; Health education; Healthcare; Healthcare Systems; Imprisonment; Indigenous; Information Dissemination; Interruption; Intervention; Island; Knowledge; Laws; Learning; Life; Life Expectancy; Mental Health; Mental Health Services; Mentorship; Methods; Modeling; Modernization; Movement; Multicultural Education; Native Hawaiian; Native Hawaiian or Other Pacific Islander; Neighborhood Health Center; Nutrition management; Obesity; Outcome; Pacific Islander; Parents; Personal Satisfaction; Persons; Policies; Policy Maker; Population; Poverty; Prevalence; Prevention; Process; Public Health; Qualifying; Renaissance; Research; Resources; Risk; Schools; Sea; Services; Spirituality; Students; Support System; System; Testing; Trauma; Work; Youth; care systems; community organizations; cultural values; data dissemination; data sharing; economic outcome; empowerment; evidence base; graduate school; healing; health disparity; high school; improved; innovation; insurance plan; intergenerational; local economy; member; pilot test; racial population; resilience; structural determinants; young adult

ABSTRACT Similar to other indigenous people, Native Hawaiian (NH) view health and well-being holistically. These concepts are centered on lōkahi (balance) among relationships with family and community, akua (spiritual), and ʻāina (land, sea). NH communities were once thriving, sustainable ecosystems. However, westernization of local economies, displacement of people from their ʻāina, and the illegal overthrow of the Hawaiian monarchy brought about rapid changes. Today, historical trauma persists as intergenerational cycles of disparities. The health of NH youth has worsened. Eurocentric approaches to address health disparities have done little to interrupt these cycles, especially in under-resourced communities. The project will address historical trauma and barriers to effective care by moving beyond clinic walls to create a system of support that embraces NH cultural values and practices, empowers youth, and promotes lōkahi, resilience, health, and a stronger community. Two well-established NH-serving federally-qualified community health centers will partner with schools and place- based community organizations. Together they will increase access to care by identifying and cross-referring challenged youth for wellness promotion and targeted care/management across organizations, especially for mental health concerns. Partners will apply NH values, promote traditional NH concepts in the context of modern methods, and use trauma-informed approaches. Partners will also collaborate around community-identified outcomes of value through data sharing and dissemination of results to community members, funders, and policymakers. This important project will expand knowledge about strategies needed to implement and sustain a NH youth-centered system of care and the value of such a system to support youth through young adulthood.

摘要 与其他土著人民类似，夏威夷原住民(NH)从整体上看待健康和幸福。 这些观念主要集中在L与家庭和家庭之间的平衡(ōKahi) 社区、AKUA(精神)和ʻāINA(陆地、海洋)。NH社区曾经繁荣兴旺， 可持续的生态系统。然而，当地经济的西方化，人们的流离失所 从他们的ʻāina，非法推翻夏威夷君主制带来了迅速 改变。今天，历史创伤作为代际差异的循环仍然存在。健康 青年的健康状况恶化了。以欧洲为中心的解决健康差距的方法已经奏效 几乎没有什么可以中断这些循环，特别是在资源不足的社区。 该项目将超越临床，解决历史创伤和有效护理的障碍。 围墙，以创建一个支持系统，拥抱NH的文化价值观和做法，赋予权力 青春，倡导LōKahi，韧性，健康，更强大的社会。两家久负盛名 NH-服务于联邦合格的社区卫生中心将与学校和地方合作- 以社区组织为基础。他们将共同努力，通过确定和 交叉引用健康促进和有针对性的护理/管理方面的挑战青年 组织，特别是关注精神健康的组织。合作伙伴将应用NH值，促进 传统的NH概念在现代方法的背景下，并使用创伤知情 接近了。合作伙伴还将围绕社区确定的价值成果展开合作 通过数据共享和将结果传播给社区成员、资助者和 政策制定者。这个重要的项目将扩大关于以下战略的知识 实施和维持以NH青年为中心的护理制度，并认识到这种制度的价值 支持青年通过青壮年。