Project 1: Mescalero

项目1：梅斯卡莱罗

• 批准号: 8102384
• 负责人: ROBERT L WILLIAMS
• 金额: $ 20.32万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8102384
• 关键词: Address; Adolescent; Advisory Committees; Alcohol or Other Drugs use; American Indian and Alaska Native; Apache Indians; Boat; Calibration; Childhood; Clinical assessments; Communities; Data Collection; Decision Making; Depression and Suicide; Development; Education; Effectiveness; Elements; Emotional; Enrollment; Ensure; Environment; Evaluation; Evidence based practice; Exposure to; Goals; Group Therapy; Health; Health Policy; Health Services; Impairment; Indian reservation; Institute of Medicine (U.S.); Intervention; Life; Measures; Mental Depression; Mental Health; Modeling; National Institute of Mental Health; National Research Council; Native Americans; New Mexico; Outcome; Population; Post-Traumatic Stress Disorders; Prevalence; Prevention; Prevention program; Preventive Intervention; Problem behavior; Process; Psyche structure; Psychotic Disorders; Public Health; Quality of life; Research; Research Project Grants; Research Support; Reservations; Rural Community; Schools; Science; Screening procedure; Social Environment; Students; Substance abuse problem; Suicide prevention; Symptoms; Target Populations; Testing; Time; Trauma; Universities; Youth; base; behavioral health; community based participatory research; community based practice; evidence base; experience; group intervention; health disparity; improved; intervention program; native youth; outreach; programs; satisfaction; social; suicidal risk; tool

Behavioral health disparities among American Indian and Alaska Native youth are dramatic, particularly in terms of depression, suicide and post-traumatic stress disorder. The goal of this proposed community based participatory research (CBPR) project is to develop and pilot test elements of a public health prevention intervention model that is tailored to be culturally and socially appropriate for adolescents on the Mescalero Apache Tribal Reservation in New Mexico. We propose to partner with a Mescalero Mental Health Prevention and Intervention Task Force to (1) identify what serious MEB problems most need to be addressed (including, provisionally, depression, suicide risk, post-traumatic stress disorder, early symptoms of psychosis and coexisting substance abuse problems ; (2) broaden the focus of existing Mescalero prevention programs to focus on a larger array of serious MEB's; (3) review and adapt screening scales for depression, suicide risk, PTSD, and early symptoms of psychosis to insure their cultural and social appropriateness for youth on the Mescalero reservation; (4) similarly review and adapt measures of symptoms resulting from contemporary and historical trauma and of desirable life function outcomes; (5) review and adapt a multifamily group (MFG) prevention treatment model to ensure its cultural and social appropriateness for youth on the Mescalero reservation; (6) conduct a one-year pilot of the feasibility of the resulting public health model (outreach, identification, referral, screening and intervention) in the Mescalero Apache School Based Health Center (SBHC); and (6) conduct a three year evaluation of the model including; a process evaluation of its ability to reach, enroll and treat the target population, obtain acceptability in the community, maintain fidelity over time to the program model, its potential for sustainability and export; and, most importantly examine outcomes in terms of student satisfaction with treatment, MEB symptom levels, quality of life impairment and clinical assessment of improvement to develop some sense of the model's potential for reducing disparities in behavioral health.

美国印第安人和阿拉斯加土著青年之间的行为健康差异是巨大的，特别是在抑郁症，自杀和创伤后应激障碍方面。这一拟议的基于社区的参与性研究（CBPR）项目的目标是开发和试点测试的公共卫生预防干预模式，是量身定制的文化和社会适合青少年的梅斯卡莱罗阿帕奇部落保留地在新墨西哥州的元素。我们建议与梅斯卡莱罗心理健康预防和干预工作队合作，以（1）确定最需要解决的严重MEB问题（暂时包括抑郁症，自杀风险，创伤后应激障碍，精神病的早期症状和共存 药物滥用问题;（2）扩大现有的梅斯卡莱罗预防计划的重点，把重点放在更大范围的严重MEB上;（3）审查和调整抑郁症、自杀风险、创伤后应激障碍和精神病早期症状的筛查量表，以确保它们在文化和社会上适合梅斯卡莱罗保留地的年轻人;（4）同样地审查和调整当代和历史创伤引起的症状和理想的生活功能结果的措施;（5）审查和调整多家庭群体预防治疗模式，以确保其在文化和社会上适合梅斯卡莱罗保留地的青年;（6）对由此产生的公共卫生模式的可行性进行为期一年的试点（外展、识别、转诊、筛查和干预）在梅斯卡莱罗阿帕奇学校健康中心（SBHC）;以及（6）对该模式进行三年评估，包括;一个过程评估其接触、招募和治疗目标人群的能力，获得社区的接受度，随着时间的推移保持对计划模式的忠诚度，其可持续性和出口的潜力;最重要的是检查结果 在学生对治疗的满意度，MEB症状水平，生活质量损害和临床评估的改善，以发展某种意义上的模型的潜力，减少行为健康的差距。