ELEVATE Training Integration Core

提升培训整合核心摘要 到目前为止，物质使用障碍(SUD)是我们社区与妊娠相关的死亡的主要原因， 它对美国印第安人和阿拉斯加原住民(AI/AN)和农村人口的影响不成比例。成功 应对这一孕产妇死亡危机需要社区伙伴关系和跨学科合作 临床和研究两方面的努力。为了实现这一范式转变，来自不同领域的早期调查人员(ESIS) 必须对背景进行培训，使其认识到SUD是一种位于生物行为、 社会政治和公共卫生因素。我们使用扩展的ESI定义来包括调查人员 从学生到初级教师的职业道路。Elevate培训集成核心将使用 结合学术机构资源和社区伙伴关系，为Esis创造机会。 这一多样化的受训者群体将成为我们培训计划的顶峰：高级学者， 由犹他大学(U Of University)副校长提供75%FTE支持的导师教员研究职位 用于研究。伊利诺伊大学的学术资源包括正式的研究培训机会 通过药物使用和妊娠康复、成瘾、依赖(SUPeRAD)诊所； 总统临床和翻译研究学者计划(VPCAT)，成瘾计划 研究、临床护理、知识和宣传(PARCKA)；犹他州临床和翻译中心 科学研究所(CTSI)。社区伙伴关系包括犹他州支持恢复的倡导者 意识(Usara)和来自神圣圈诊所的合作者。与Elevate Center的 关注传播和实施科学，中心支持的Elevate学者将参加 山区各州社区参与的传播和实施科学培训研究所。全 提升中心的调查人员将担任研究导师。David Turok医学博士将领导该项目， 与SUPeRAD联合创始人兼临床总监Jasmin E.Charles，PA-C合作，他将 协调所有中心项目中EIS的研究机会。高级研究项目提供了 有抱负的研究人员的基础和重点1)支持文化一体化的发展 通过采用成功的SUPeRAD模式对城市本地母亲进行围产期SUD干预，2)帮助 制定和执行一套培训方案，以减轻对SUD患者的偏见和耻辱，以及3) 与犹他州孕产妇死亡率审查委员会合作进行和评估举报人面谈 为了了解家庭、系统和社区一级的贡献者以及歧视在 与怀孕有关的死亡。Elevate培训集成核心将在犹他州培养一批未来的领导者 具备识别和研究复杂问题的最实用解决方案所需的技能 在产妇的SUD周围，以及广泛传播这些发现。

ELEVATE Training Integration Core Abstract Substance use disorder (SUD) is by far the leading cause of pregnancy-associated death in our community, and it disproportionately affects American Indian and Alaska Native (AI/AN) and rural populations. Successful response to this maternal death crisis demands community partnerships and transdisciplinary collaborations in both clinical and research efforts. To achieve this paradigm shift, early-stage investigators (ESIs) from diverse backgrounds must be trained to recognize SUD as a condition that lies at the intersection of bio-behavioral, sociopolitical, and public health factors. We use an expansive definition of ESI to include investigators along career pathways from students to junior faculty. The ELEVATE Training Integration Core will use a combination of academic institutional resources and community partnerships to create opportunities for ESIs. This diverse group of trainees will serve as a pool for our Training Program capstone: the ELEVATE scholar, a mentored faculty research position with 75% FTE support from the University of Utah (U of U) Vice-President for Research. The U of U academic resources include formalized research training opportunities available through the Substance Use & Pregnancy – Recovery, Addiction, Dependence (SUPeRAD) Clinic; the Vice President’s Clinical and Translational Research Scholar Program (VPCAT), the Program for Addiction Research, Clinical Care, Knowledge and Advocacy (PARCKA); and Utah Center for Clinical and Translational Science Institute (CTSI). The community partnerships include Utah Support Advocates for Recovery Awareness (USARA) and collaborators from the Sacred Circle Clinic. Consistent with the ELEVATE Center’s focus on dissemination and implementation science, the Center supported ELEVATE Scholar will enroll in the Mountain States Community-Engaged Dissemination and Implementation Science Training Institute. All ELEVATE Center investigators will serve as research mentors. David Turok, MD will lead the Program, working in collaboration with Jasmin E. Charles, PA-C, co-founder and clinical director of SUPeRAD who will coordinate research opportunities for ESIs across all Center projects. The ELEVATE research projects provide a foundation and focus for aspiring researchers to 1) support the development of a culturally-integrated perinatal SUD intervention for urban Native mothers by adapting the successful SUPeRAD model, 2) help develop and execute a training package to mitigate bias and stigma against individuals with SUD, and 3) to conduct and evaluate informant interviews in collaboration with the Utah Maternal Mortality Review Committee in order to understand the family, systems and community-level contributors and the role of discrimination in pregnancy related death. The ELEVATE Training Integration Core will grow a cadre of future leaders in Utah with the skillsets needed to identify and investigate the most functional solutions to the complicated problems around maternal SUD, as well as to disseminate these findings broadly.