Assessing Cultures of Recovery in Tribal Communities - Research Core

评估部落社区的恢复文化 - 研究核心

• 批准号: 10706995
• 负责人: SARAH E NELSON
• 金额: $ 58.46万
• 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/10706995
• 关键词: Addictive Behavior; Adolescent; Adult; Alaska Native; American Indians; Authorization documentation; Award; Behavior; Belief; Collaborations; Communities; Community Surveys; Educational Curriculum; Effectiveness; Enrollment; Face; Feedback; Future; Goals; Health; Health Resources; Health Services Accessibility; Incidence; Indigenous; Individual; Knowledge; Learning; Measures; Mental Health; Modification; Native American Research Center for Health; Participant; Perception; Population; Prevalence; Prevention; Program Evaluation; Randomized; Records; Recovery; Research; Research Design; Resources; Social isolation; Surveys; Time; Training; Training Activity; Training Programs; Tribal Council; Tribes; United States; Waiting Lists; Work; Youth; addiction; behavioral health; community based participatory research; control trial; curriculum enhancement; design; ethnic minority population; experience; follow-up; healing; health training; help-seeking behavior; long term recovery; member; prevent; psychosocial; racial minority population; research data dissemination; social stigma; tribal Nation; tribal community; working group

PROJECT SUMMARY/ABSTRACT: RESEARCH CORE The prevalence and incidence of mental health challenges, including addictive behaviors, continues to be sub- stantially elevated among American Indian/Alaskan Native (AI/AN) populations when compared to other racially and ethnically minoritized groups in the United States. Despite this substantial need, AI/AN communities remain underserved and often lack necessary resources for addiction treatment and prevention. To help fill these key gaps in addiction resources and training, this Research Core will evaluate a culturally grounded training curricu- lum, xaʔtus (meaning First Face) - for Mental Health. This curriculum will train tribal community members in how to respond to youth and adults experiencing mental health crises and serve as a bridge between these individuals and the help (in some cases professional) they need. The proposed evaluation of the program will use a Tribal Participatory Research (TPR) approach, working with representatives from seven tribes to ensure that the needs and goals of the tribal partners are emphasized in the research design and resulting products. To evaluate xaʔtus, the Research Core will use a randomized waitlist control design, implemented in seven tribes, that in- cludes five assessment time points for both initial trainees (n=350) and waitlist controls (n=350). These assess- ments will measure knowledge about mental health and addiction, as well as the ability and confidence of indi- viduals to respond appropriately to mental health crises. We will also evaluate the potential for community-level effects of xaʔtus with a three-wave repeated cross-sectional community survey (n=400), which will examine community-level mental health stigma, mental health and social isolation, perceived support, help-seeking activ- ities, and treatment access and utilization. We will supplement these surveys with aggregated records from be- havioral health centers in these communities (e.g., number of treatment referrals in the past year). This Research Core will provide knowledge about the extent to which this culturally appropriate training program influences mental health, community perceptions about mental health, and community mental health resource availability, both at the individual and community levels. We will share our findings with tribal councils and community mem- bers to ensure that the potential benefits of training are widely disseminated among AI/AN individuals in these communities, as well as disseminating our findings through more traditional academic means with permission from the involved tribes.

项目概要/摘要：研究核心 包括成瘾行为在内的心理健康挑战的普遍性和发生率仍然较低 与其他种族相比，美洲印第安人/阿拉斯加原住民 (AI/AN) 人群中的这一比例显着升高 以及美国的少数族裔群体。尽管存在巨大需求，AI/AN 社区仍然存在 服务不足，并且常常缺乏用于成瘾治疗和预防的必要资源。帮助填写这些关键信息 由于成瘾资源和培训方面的差距，该研究核心将评估基于文化的培训课程 lum, xaʔtus（意思是第一张脸）- 用于心理健康。该课程将培训部落社区成员如何 应对经历心理健康危机的青少年和成年人，并成为这些人之间的桥梁 以及他们需要的帮助（在某些情况下是专业的）。该计划的拟议评估将使用部落 参与式研究（TPR）方法，与七个部落的代表合作，以确保需求 研究设计和最终产品强调了部落合作伙伴的目标。评估 xaʔtus，研究核心将使用随机等候名单控制设计，在七个部落中实施，其中- 包括针对初始学员 (n=350) 和候补名单控制 (n=350) 的五个评估时间点。这些评估- 测试将衡量有关心理健康和成瘾的知识，以及个人的能力和信心。 个人对心理健康危机做出适当反应。我们还将评估社区层面的潜力 xaʔtus 对三波重复横断面社区调查（n=400）的影响，该调查将检查 社区层面的心理健康耻辱、心理健康和社会孤立、感知支持、寻求帮助的活动 机构以及治疗的获取和利用。我们将用来自以下方面的汇总记录来补充这些调查： 这些社区的行为健康中心（例如，过去一年的治疗转诊数量）。这项研究 核心将提供有关该文化上适当的培训计划影响程度的知识 心理健康、社区对心理健康的看法以及社区心理健康资源的可用性， 无论是在个人还是社区层面。我们将与部落理事会和社区成员分享我们的发现 确保培训的潜在好处在这些领域的 AI/AN 个体中得到广泛传播 社区，以及在获得许可的情况下通过更传统的学术手段传播我们的发现 来自相关部落。