Creating Partnerships in Identifying Health Needs of Foster Care Indian Youth

建立伙伴关系以确定寄养印度青年的健康需求

• 批准号: 7691257
• 负责人: Bonnie L Halpern-Felsher
• 金额: $ 3.27万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-25 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7691257
• 关键词: Address; Advocacy; Aging; American Indians; California; Caring; Collaborations; Communities; Community Services; County; Data Collection; Development; Family; Focus Groups; Fostering; Fright; Goals; Health; Healthcare; Lead; Methods; Native Americans; Policies; Provider; Psyche structure; Public Health; Research; Resistance; Services; Social Work; Tribes; United States Public Health Service; Work; Youth; care systems; experience; foster care; foster child; physical conditioning; programs

DESCRIPTION (provided by applicant): A major concern in Native American (Indian) communities is the lack of access to appropriate mental and physical health and other transitional support programs and services for Native American youth who are "aging out" of the foster care setting. This gap is due in part to a) leaders in the Indian communities having suspicion and fear of public health and scientific efforts, thereby often avoiding participating in research or accessing needed public health services; and b) non-Indian social service agencies' resistance to acknowledging and understanding the cultural differences and unique services needed for Indian youth and their families. The ultimate goal of this project is to gather and disseminate information that will encourage the Indian and non-Indian communities and service agencies to work together to develop strategies to reduce the mental and physical health burden often experienced by Indian youth transitioning out of foster care. Through focus group data collection methods with Native American community leaders, healthcare and service providers, and foster care youth, the specific aims of this project include the following: 1) to collect information about the few programs in California that have responded programmatically to the concern about Native American youth aging out of the foster care system, and to identify barriers to care that have not been addressed by current or previous programmatic efforts; 2) to increase the visibility of and urgency concerning the needs of foster youth among the Indian community and non-Indian social services agencies community; 3) to convene tribes and other organizations that can make a difference to discuss the associated problems and "best practices" and gaps that have been identified through this project. These efforts will serve to enhance relations between the Native American community and both Indian and non-Indian healthcare and service providers, as well as provide key evidence that should support and encourage further scientific explorations among the Native American community. Further, it is expected that the findings from this formative research and the collaborations and relations resulting from this project will lead to the development and implementation of culturally appropriate services, programs and policy advocacy strategies at the county and state levels that will address the needs of native American foster children.

描述（由申请人提供）：美国原住民（印第安人）社区的一个主要问题是缺乏适当的心理和身体健康以及其他过渡支持计划和服务，这些计划和服务针对的是那些从寄养环境中“老去”的美国原住民青年。造成这一差距的部分原因是：a)印度社区的领导人对公共卫生和科学工作抱有怀疑和恐惧，因此往往避免参与研究或获得所需的公共卫生服务；b)非印度社会服务机构拒绝承认和理解文化差异以及为印度青年及其家庭提供的独特服务。这个项目的最终目标是收集和传播信息，鼓励印第安人和非印第安人社区及服务机构共同努力，制定战略，减轻从寄养过渡的印第安青年经常经历的精神和身体健康负担。通过与美国原住民社区领袖、医疗保健和服务提供者以及寄养青年的焦点小组数据收集方法，本项目的具体目标包括以下几点：1)收集有关加利福尼亚州少数几个项目的信息，这些项目对寄养系统外的美国原住民青年老龄化问题做出了程序化的回应，并确定目前或以前的程序化努力尚未解决的护理障碍；2)提高印度社区和非印度社会服务机构社区对寄养青年需求的可见度和紧迫性；3)召集部落和其他可以发挥作用的组织，讨论相关问题、“最佳实践”和通过该项目确定的差距。这些努力将有助于加强美洲土著社区与印第安人和非印第安人保健和服务提供者之间的关系，并提供关键证据，支持和鼓励美洲土著社区进一步进行科学探索。此外，这项形成性研究的结果以及由此项目产生的合作和关系，预计将导致在县和州一级发展和实施适合文化的服务、计划和政策倡导战略，以解决美国土著寄养儿童的需求。