Building a Menominee-Centric Trauma Resilience Model

建立以女性为中心的创伤复原力模型

• 批准号: 10238847
• 负责人: Laura D Cassidy
• 金额: $ 8.79万
• 依托单位: GREAT LAKES INTER-TRIBAL COUNCIL, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-06 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10238847
• 关键词: Address; Advocate; American Indians; Caring; Child Abuse and Neglect; Clinic; Collaborations; Communities; Complex; Development; Development Plans; Domestic Violence; Economics; Environment; Evaluation; Event; Family; Future; Genocides; Health; Health Services; Health Status; Imagery; Indigenous; Individual; Intervention; Language; Link; Mainstreaming; Measures; Menominee; Mental Depression; Mental disorders; Mentors; Methods; Modeling; Modernization; Native American Research Center for Health; Native Americans; Obesity; Outcomes Research; Participant; Perception; Population; Pregnancy in Adolescence; Prevention; Provider; Psyche structure; Research; Risk Factors; Schools; Sexual abuse; Sexually Transmitted Diseases; Substance abuse problem; Transcend; Trauma; Tribal Elders; Work; Youth; adverse childhood events; base; behavioral health; emotional abuse; experience; family structure; healing; health disparity; intimate partner violence; member; neglect; novel; physical abuse; programs; protective factors; racism; resilience; response; role model; school district; social; substance use; trauma exposure; tribal leader; violence exposure

American Indians (AI) have persevered through historical trauma and oppression and many communities are thriving and promoting resilience. However the modern context for the AI presents many challenges for tribal youth who disproportionately experience adverse childhood events (ACEs). ACEs include such things as physical, emotional or sexual abuse or neglect, family substance use or abuse, domestic violence in the family, or mental illness in the family. A growing body of research has linked child maltreatment and/or exposure to violence to a broad range of long-term health problems. In order to nurture resiliency within the community, accurate measures of trauma exposure and resiliency are needed. The proposed research aims to measure ACEs and resiliency in Native American youth; to understand the factors that contribute to resiliency in youth; and to investigate the unique cultural practices that focus efforts toward renewal through cultural and community-based intervention models. The social ecological model frames our overall research to better understand the complex interplay between individual, family and community and strength based factors to overcome adversity. Specific Aim 1: To quantify the factors contributing to ACEs in AI youth, and the individual and community strengths necessary to advocate for the most effective programs that build individual and community resiliency. We will use validated scales to conduct a cross-sectional assessment of AI youth (grades 9-12) to measure strengths, resilience, adversity and related constructs. This will allow us to identify and measure the risk and protective factors most highly associated with ACEs and the differences in factors between those with high and low/no ACEs. Specific Aim 2: To employ storytelling to contextualize the AI strengths, including cultural practices that focus efforts toward renewal through cultural and community- based intervention models. Storytelling sessions will be conducted with 1) tribal mental/behavioral health and trauma assessment providers and 2) tribal leaders and Elders to identify how resiliency is cultivated individually, in families, and the community through economic opportunity, mentors and role models, organized community programs for families, a school environment that promotes prevention, and the family structure and Indigenous ways of knowing. Identifying needs and strengths will also allow us to identify, develop and adapt interventions in collaboration with our CAB to assist AI youth who suffer from ACEs to help them to thrive in their community.

美国印第安人(AI)在历史创伤和压迫中坚持不懈，许多 社区正在蓬勃发展，并促进复原力。然而，人工智能的现代背景 对于经历了不成比例的不利童年的部落青年来说，这带来了许多挑战 事件(A)。A级包括身体、情感或性虐待或忽视， 家庭药物使用或滥用、家庭暴力或家庭精神疾病。一个 越来越多的研究将虐待儿童和/或接触暴力与广泛的 一系列长期的健康问题。为了在社区内培养适应能力， 需要准确衡量创伤暴露和复原力。拟议的研究 旨在衡量美国原住民青年的A级和复原力；了解 促进青年的复原力；并调查集中努力的独特文化习俗 通过以文化和社区为基础的干预模式进行更新。社交化 生态模型为我们的整体研究提供了框架，以更好地理解复杂的相互作用 个人、家庭和社区之间以及基于力量的因素，以克服逆境。 具体目标1：量化导致人工智能青年A级的因素，以及 个人和社区所需的优势，倡导最有效的 建立个人和社区复原力的计划。 我们将使用经过验证的量表对人工智能青少年(9-12年级)进行横断面评估 以衡量优势、韧性、逆境和相关结构。这将使我们能够确定 并衡量与ACE和 具有高和低/无A级的人群之间的因素差异。 具体目标2：使用讲故事的方式将人工智能的优势与背景联系起来，包括 注重通过文化和社区进行更新的文化实践- 以干预模式为基础。 讲故事课程将以部落心理/行为健康和创伤为主题 评估提供者和2)部落首领和长老，以确定如何培养复原力 个人、家庭和社区通过经济机会、导师和角色 模特，为家庭组织的社区计划，促进 预防，以及家庭结构和土著了解方式。确定需求和 优势还将使我们能够与我们的 CAB帮助患有ACES的AI青年帮助他们在社区中茁壮成长。