Assessing Cultures of Recovery in Tribal Communities

评估部落社区的恢复文化

• 批准号: 10706986
• 负责人: DEBI A LAPLANTE
• 金额: $ 107.09万
• 依托单位: HEALING LODGE OF THE SEVEN NATIONS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10706986
• 关键词: Adolescent; Adolescent Behavior; Adult; Advanced Development; Aftercare; Anxiety; Award; Awareness; Back; Behavior; Belief; Coeur D' Alene; Collaborations; Communities; Community Surveys; Competence; Development; Education; Ensure; Evaluation; Face; Funding; Goals; Health; Health Alliance; Healthcare; Indigenous; Intervention; Kalispel; Knowledge; Kootenai; Learning; Manuals; Mental Depression; Mental Health; Names; Native American Research Center for Health; Native Americans; Nature; Needs Assessment; Persons; Pilot Projects; Productivity; Program Development; Program Effectiveness; Public Health; Randomized; Recording of previous events; Recovery; Recovery Support; Relapse; Research; Research Methodology; Research Project Grants; Reservations; Resources; Safety; Science; Self Care; Self-Injurious Behavior; Students; Substance Use Disorder; Support System; Surveys; System; Teaching Hospitals; Testing; Trainers Training; Training; Training Support; Trauma; Tribes; Umatilla; Violence; Waiting Lists; Work; Youth; addiction; adolescent substance use; care providers; evidence base; experience; healing; health knowledge; health training; insight; intergenerational; learning outcome; long term recovery; medical schools; member; programs; project-based learning; public health intervention; research and development; research study; response; skills; social stigma; social structure; training opportunity; treatment center; tribal Nation; tribal community; uptake

PROJECT SUMMARY/ABSTRACT: OVERALL The Healing Lodge of the Seven Nations (HL) is a Native American youth residential addiction treatment center. Youth come to HL from tribal communities including, but not limited to, the Coeur d’Alene Tribe, the Kootenai Tribe, the Nez Perce Tribe, the Confederated Tribes of the Colville Reservation, the Kalispel Tribe of Indians, the Spokane Tribe of Indians, and the Confederated Tribes of the Umatilla Reservation. Recognizing the lack of programmatic research regarding best practices for supporting adolescents’ recovery within tribal nations, HL has developed a research partnership with the Division on Addiction, Cambridge Health Alliance, a Harvard Medical School teaching hospital. This partnership is the Center for Indigenous Research, Collaboration, Learning, and Excellence (CIRCLE). As part of CIRCLE’s NARCH VIII program, Promoting Cultures of Recovery in Tribal Communities, we worked with and learned from these seven tribal nations about how communities seek to support their youth in recovery from substance use disorders. Accordingly, CIRCLE’s NARCH X program, Building Cultures of Recovery in Tribal Communities, was a logical extension of this work. We used a Tribal Participatory Program Development approach to build a mental health first response system grounded in indigenous values, strengths, and needs called, xaʔtus (pronounced hah-toos; i.e., First Face) for Mental Health. Now, CIRCLE’s proposed NARCH XII program, Assessing Cultures of Recovery in Tribal Communities, seeks support for an Administration Core, Research Core, Capacity Building Core, and two Pilot Projects that will support advanced development and insight into xaʔtus for Mental Health, and unique understandings of tribal youth in recovery. More specifically, in the Research Core, we will complete community surveys and a large multi-wave randomized waitlist assessment of xaʔtus for Mental Health. The Capacity Building Core will use project-based educational experiences to help AI/AN students gain research experience and HL develop its own research and training unit, while also providing xaʔtus for Mental Health training and evaluation at HL. The Pilot Projects will use survey research methods to obtain essential information from tribal youth and adults about ideal intervention points for youth in recovery and perceived barriers to using xaʔtus for Mental Health. In addition to the many scientific knowledge gains of the research studies, the proposed set of activities will have an immediate public health impact, through the training of hundreds of tribal community members in mental health knowledge and situational awareness.

项目总结/摘要：总体 七国疗愈小屋（英语：Healing Lodge of the Seven Nations）是一个美国原住民青少年住宅戒毒中心。 来自部落社区的年轻人来到HL，包括但不限于Coeur d 'Alene部落，Kootenai部落， 部落，内兹珀斯部落，科尔维尔保留地的联合部落，印第安人的卡利斯佩尔部落， 印第安人的斯波坎部落和尤马蒂拉保留地的联盟部落。认识到缺乏 关于支持部落国家内青少年康复的最佳做法的方案研究， 已经与成瘾部门、剑桥健康联盟、哈佛 医学院教学医院。这个伙伴关系是土著研究，合作， 学习和卓越（圈）。作为CIRCLE的NIVI-VIII计划的一部分，促进恢复文化 在部落社区，我们与这七个部落国家合作，并向他们学习社区如何寻求 帮助他们的青少年从药物使用障碍中康复。因此，CIRCLE的NARIX计划， 在部落社区建立恢复文化是这项工作的合理延伸。我们使用部落 采用前瞻性方案开发方法，建立基于以下方面的心理健康第一反应系统： 土著价值观、优势和需求被称为xa-toos，第一张脸，心理健康。 现在，CIRCLE提出的NIGHTXII计划，评估部落社区的恢复文化，寻求 支持行政核心，研究核心，能力建设核心和两个试点项目，将 支持先进的发展和深入了解xa acutus为心理健康，和独特的理解部落 青春在复苏更具体地说，在研究核心，我们将完成社区调查和一个大的 多波随机等待名单评估xa acutus精神健康。能力建设核心将使用 基于项目的教育经验，以帮助AI/AN学生获得研究经验，HL发展自己的 研究和培训单位，同时也提供xa的精神卫生培训和评估在HL。试点 项目将使用调查研究方法，从部落青年和成年人那里获得关于理想的基本信息。 为康复中的青年提供干预点，并认识到使用xa altus促进心理健康的障碍。除了 由于这项研究获得了许多科学知识，拟议的一系列活动将立即产生 通过对数百名部落社区成员进行心理健康知识培训， 和态势感知。