Building a Menominee-Centric Trauma Resilience Model

美洲印第安人（大赦国际）经历了历史创伤和压迫， 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 这对部落青年提出了许多挑战，他们不成比例地经历了不良的童年 事件（ACE）。ACE包括身体、情感或性虐待或忽视， 家庭物质使用或滥用、家庭暴力或家庭精神疾病。一 越来越多的研究将虐待儿童和/或儿童遭受暴力与广泛的 一系列长期健康问题。为了培养社区的复原力， 需要准确测量创伤暴露和复原力。拟议研究 旨在衡量美国土著青年的ACE和弹性;了解 有助于青年的复原力;并调查独特的文化习俗， 通过文化和基于社区的干预模式实现复兴。社会 生态模型框架我们的整体研究，以更好地了解复杂的相互作用， 个人、家庭和社区之间的关系，以及克服逆境的力量因素。 具体目标1：量化导致人工智能青年ACE的因素， 个人和社区的力量，以倡导最有效的 建立个人和社区弹性的计划。 我们将使用经过验证的量表对AI青少年（9-12年级）进行横断面评估。 衡量优势、复原力、逆境和相关概念。这将使我们能够识别 并测量与ACE最密切相关的风险和保护因素， 高ACE和低ACE/无ACE患者之间的因素差异。 具体目标2：利用讲故事的方式将人工智能的优势置于情境中，包括 文化实践，通过文化和社区， 干预模式。 讲故事课程将与1）部落心理/行为健康和创伤进行 评估提供者和2）部落领袖和长老，以确定如何培养弹性 通过经济机会、导师和角色， 模型，有组织的家庭社区计划，促进的学校环境， 预防，家庭结构和土著人的认识方式。查明需要和 我们的优势还将使我们能够与我们的合作伙伴合作， CAB帮助患有ACE的AI青年，帮助他们在社区中茁壮成长。

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.