CBPR with Tribal Colleges-Universities: Alcohol Problems-Solutions

尽管有证据表明，在美国印第安人和阿拉斯加原住民中， 酒精，药物滥用和精神障碍的流行率，从来没有一个问题饮酒的研究， 药物使用或精神疾病在任何34个美国部落学院或大学（TCU）;和现有的数据是不是 可比性学生特点，招生，资金，教师和工作人员的组成，和经济背景 在部落学院与非部落机构有很大的不同;研究的外部有效性很小 在其他大学人群中进行。 这项研究的长期目标是减少酒精、毒品和精神障碍（ADM）相关的健康问题。 美国印第安人和阿拉斯加原住民（AIAN）的差异，并提高中学后的学术成就。 这个项目，以社区为基础的前瞻性研究（CBPR）与部落学院和大学：酒精， 药物和精神障碍问题和解决方案研究（CBPR-TCU ADM PSS）将使用CBPR方法， 在TCU进行酒精，药物和精神障碍（ADM）的第一次调查，这是一个初步的步骤， 在TCU制定文化上适当和可持续的干预措施的途径。目标是： 总结关于AIAN大学生酒精和药物消费模式的流行病学文献 心理障碍问题及干预措施; 2.对34个国家进行需求和能力评估调查 TCU记录已知的ADM患病率和易感性; B.风险、保护因素和 ADM的结果，包括学术成果;c.临床水平问题的程度，如酒精和药物 滥用和依赖、常见精神障碍和合并症; d.最佳做法、有希望的做法和现行做法 ADM预防、筛查、治疗和转诊服务;以及e.TCU组织能力， ADM干预和学术课程; 3.组织焦点小组，确定综合ADM干预的核心要素菜单， 文化上适当的、可持续的和有证据支持的; B.开展外联和筛查的有效途径 为ADM服务;和4.广泛传播研究结果。 相关性（参见说明）：

Although there is some evidence that there is a large dispartity in American Indians and Alaska Natives alcohol, drug abuse and mental disorder prevalence rates, there has never been a study of problem drinking, drug use or mental disosrders at any ofthe 34 US Tribal colleges or universities (TCU); and existing data is not comparable. Student characteristics, enrollment, funding, faculty and staff composition, and economic context are drastically different in tribal colleges from non-tribal institutions; there is little external validity for studies conducted among other college populations. The long-term vision of this research is to reduce alcohol, drug and mental disorder (ADM) related-health disparities for American Indian and Alaska Natives (AIAN), and to increase postsecondary academic success. This project, Community-Based Participatory Research (CBPR) with Tribal Colleges and Universities: Alcohol, Drug and Mental Disorder Problems and Solutions Study (CBPR-TCU ADM PSS) will use CBPR methods to conduct the first investigation of Alcohol, Drug and Mental Disorders (ADM) at TCU and is a preliminary step on a path toward developing culturally appropriate and sustainable interventions at TCU. Aims are to:l.Compile and summarize the epidemiologic literature regarding AIAN college student alcohol and drug consumption patterns and mental disorder problems and interventions; 2. Conduct a needs and capacity assessment survey with 34 TCU to document what is known about ADM prevalence and susceptibility; b.Risk, protective factors and outcomes of ADM including academic outcomes;c.The extent of clinical level problems such as alcohol and drug abuse and dependence, common mental disorders and comorbidity; d. Best, promising and current practices for ADM prevention, screening, treatment and referral services; and e.TCU organizational capacity for student ADM interventions and academic programs; 3. Conduct focus groups to identify a menu of core elements of a comprehensive ADM intervention that is culturally appropriate, sustainable and evidence-supported; b.Effective ways to conduct outreach and screening for ADM services; and 4. Disseminate study findings broadly. RELEVANCE (See instructions):