Building Cultures of Recovery in Tribal Communities

在部落社区建设恢复文化

• 批准号: 10004670
• 负责人: Heather M Gray
• 金额: $ 65.31万
• 依托单位: HEALING LODGE OF THE SEVEN NATIONS
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10004670
• 关键词: Active Learning; Adolescent; Award; Collaborations; Communities; Development; Drug Addiction; Education; Effectiveness; Face; Feedback; Goals; Health Alliance; Health Professional; Healthcare; Indigenous; Infrastructure; Intervention; Learning; Mental Health; Native American Research Center for Health; Native Americans; Needs Assessment; Participant; Persons; Program Development; Randomized Controlled Trials; Recovery; Research; Research Training; Reservations; Resources; Risk; Safety; Secure; Shapes; Site; Substance Use Disorder; Support System; System; Teaching Hospitals; Testing; Training; Translating; Tribes; United States; Vision; Work; Youth; addiction; adolescent substance use; base; care systems; design; experience; healing; improved; indigenous community; innovation; learning community; medical schools; member; prevent; programs; response; social structure; treatment center; tribal Nation; tribal community; tribal leader

PROJECT SUMMARY  The Healing Lodge of the Seven Nations (HL) is a Native American youth residential chemical dependency treatment center. Youth come to the Healing Lodge from tribal communities including 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. We refer to these communities as the seven HL tribal affiliates. 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 (the Division). 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. We conducted strengths and needs assessments to learn how communities seek to support their youth in recovery from substance use disorders. The proposed NARCH X program is a logical extension of this work. The proposed program will use a Tribal Participatory Program Development approach to build a mental health first response system grounded in indigenous values, strengths, and needs. We anticipate that our system of care, tentatively titled, x̌aʔtus (pronounced hah-­toos;; i.e., First Face), will equip community members to serve as a bridge between youth in need and professional healthcare. Anyone in the tribal community will be able to use First Face to support a young person struggling with mental health problems or crises. This system will be particularly helpful for youth in recovery from substance use disorders (SUDs). Moreover, it will help prevent the development of SUDs by supporting young people who are especially at risk for SUDs due to mental health concerns. After developing this system of care, we will conduct a multi-­site randomized controlled trial to test its effectiveness and revise it based on feedback from trial participants. Subsequently, we will train hundreds of tribal community members to use this innovative, culturally-­appropriate, community-­based mental health support system. We will secure long-­term sustainability by building research and training capacity within the HL and intervention capacity within seven tribal communities.

项目摘要 七国疗愈小屋（英语：Healing Lodge of the Seven Nations）是一个美国原住民青年居住化学品依赖治疗中心。 来自部落社区的青年来到治疗小屋，这些部落社区包括Coeur d 'Alene部落、Kootenai部落、内兹珀斯部落、科尔维尔保留地联盟部落、卡利斯佩尔印第安人部落、斯波坎印第安人部落和乌马蒂拉保留地联盟部落。我们把这些社区称为HL的七个部落分支。由于认识到在部落民族内缺乏关于支持青少年康复的最佳做法的方案研究，人道主义法与剑桥健康联盟成瘾问题司（哈佛医学院的一家教学医院）建立了研究伙伴关系。 该合作伙伴关系是土著研究，合作，学习和卓越中心（圈）。 作为CIRCLE的NARVIX计划的一部分，促进部落社区的恢复文化，我们与这七个部落国家合作并向他们学习。我们进行了优势和需求评估，以了解社区如何寻求支持他们的青少年从物质使用障碍中恢复过来。拟议的NIGHTX计划是这项工作的逻辑延伸。 拟议的方案将采用部落协商方案发展办法，建立一个以土著价值观、优势和需求为基础的心理健康第一反应系统。 我们预计，我们的护理系统，暂命名为，x a tus（发音为hah-toos; i.e.， 第一面），将使社区成员成为有需要的青年和专业医疗保健之间的桥梁。 部落社区的任何人都可以使用第一张脸来支持一个与心理健康问题或危机作斗争的年轻人。该系统将特别有助于青年从药物使用障碍中恢复过来。 此外，它将通过支持由于心理健康问题而特别有可能发生SUD的年轻人来帮助预防SUD的发展。在开发出这一护理系统后，我们将进行一项多中心随机对照试验，以测试其有效性，并根据试验参与者的反馈进行修订。随后，我们将培训数百名部落社区成员使用这种创新的，文化上合适的，以社区为基础的心理健康支持系统。我们将通过在HL内部建立研究和培训能力以及在七个部落社区内建立干预能力来确保长期的可持续性。