Developing Community-Based Interventions for American Indian Mental Health

制定基于社区的美洲印第安人心理健康干预措施

• 批准号: 7788181
• 负责人: JESSICA R GOODKIND
• 金额: $ 16.93万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-22 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7788181
• 关键词: Address; Adolescent; Alcohol or Other Drugs use; American Indians; Award; Buffers; Clinical; Communities; Community Medicine; Control Groups; Data; Data Analyses; Discipline; Discrimination; Disease; Documentation; Early treatment; Environment; Ethical Issues; Ethnography; Family; Goals; Health; Health Promotion; Health Resources; Healthcare; High Prevalence; Individual; Intervention; Intervention Studies; Interview; Investigation; Lead; Long-Term Effects; Mediating; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Methodology; Modeling; Native Americans; Navajo; New Mexico; Outcome; Outcome Measure; Parent-Child Relations; Parenting behavior; Participant; Pattern; Personal Satisfaction; Pilot Projects; Population; Post-Traumatic Stress Disorders; Poverty; Psychiatry; Psychology; Quality of life; Recording of previous events; Refugees; Research; Research Activity; Research Design; Site Visit; Social Change; Substance abuse problem; Suicide; Symptoms; Testing; Time; Training; Trauma; Underserved Population; Universities; Work; Youth; base; behavioral health; career; community based service; coping; depressive symptoms; design; disorder prevention; ethnographic method; evidence base; experience; follow up assessment; group intervention; intergenerational; intervention effect; post intervention; programs; self esteem; service intervention; skills; stressor; success; therapy development

DESCRIPTION (provided by applicant): My long term career goal is to develop a research program that addresses disparities in mental health services for marginalized, traumatized and underserved populations. I hope to conduct community-based services intervention research that results in: (a) evidence-based and culturally-relevant interventions; (b) consumer-driven interventions that reduce barriers to mental health care; and (c) theoretical and applied contributions to psychology as a discipline concerned with the mental health and well-being of diverse individuals and groups. Most of my previous work has been with refugee populations. In this career award application, I propose a set of training goals and research activities that will prepare me to work successfully with American Indian populations. Initially I propose to focus on Navajo youth and to obtain training in: (1) American Indian mental health; (2) ethnographic methods and methodology; (3) clinical perspectives on the character and treatment of trauma-related disorders; (4) quantitative data analysis and research design strategies; and (5) ethical issues in community-based mental health intervention research, and research with American Indians. I will achieve these goals through a comprehensive training plan (coursework, independent study, and site visits with local and national mentors), and through mentored execution of research that involves ethnographic assessment of the mental health conditions and stressors experienced by Navajo adolescents and their families and the design and pre-testing of a community-based participatory intervention model for this population. University of New Mexico is an excellent environment in which to pursue these goals. The Center for Health Promotion and Disease Prevention and collaborating programs in Psychiatry, Family and Community Medicine, the Center for Native American Health, and the Behavioral Health Center of the Southwest, have an outstanding history of participatory research, success in developing and testing culturally-appropriate interventions, and strong connections to American Indian communities. Relevance: American Indians have endured a history of genocide and oppression, which has resulted in intergenerational trauma and disproportionately high prevalence of mental health disorders and substance abuse. Available mental health services are often not culturally appropriate. These factors have contributed to numerous disparities, which the proposed training and research are designed to address.

描述（由申请人提供）：我的长期职业目标是开发一个研究项目，解决边缘化，创伤和服务不足人群的心理健康服务差异。我希望开展以社区为基础的服务干预研究，结果是：(a)基于证据和与文化相关的干预措施；(b)以消费者为导向的干预措施，减少获得精神保健的障碍；(c)对心理学作为一门关注不同个人和群体的心理健康和福祉的学科的理论和应用贡献。我之前的大部分工作都是关于难民的。在这份职业奖励申请中，我提出了一套培训目标和研究活动，这些目标和研究活动将为我成功地与美国印第安人一起工作做好准备。最初，我建议将重点放在纳瓦霍青年身上，并获得以下方面的培训：(1)美国印第安人心理健康；(2)民族志方法和方法论；(3)创伤相关障碍的特点及治疗的临床观点；(4)定量数据分析与研究设计策略；(5)社区心理健康干预研究中的伦理问题，以及对美洲印第安人的研究。我将通过一个全面的培训计划（课程，独立研究，与当地和国家导师的实地考察），通过指导研究的执行，包括对纳瓦霍青少年及其家庭的精神健康状况和压力源的人种学评估，以及为这一人群设计和预先测试一个基于社区的参与性干预模式，来实现这些目标。新墨西哥大学是追求这些目标的绝佳环境。健康促进和疾病预防中心以及精神病学、家庭和社区医学、美洲原住民健康中心和西南行为健康中心的合作项目，在参与式研究方面有着杰出的历史，在开发和测试适合文化的干预措施方面取得了成功，并与美洲印第安人社区建立了牢固的联系。相关性：美洲印第安人经历了种族灭绝和压迫的历史，这导致了代际创伤和不成比例的高患病率的精神健康障碍和药物滥用。现有的精神卫生服务在文化上往往不合适。这些因素造成了许多差异，拟议的培训和研究旨在解决这些差异。