Technology-Based Health Services for American Indian and Alaska Native People

提出的概念是两个研究项目之一，将包括在P60创伤中心资助提案中，该提案由丹佛科罗拉多大学的Spero Manson领导。所描述的研究概念建立在SCF与Manson博士在抑郁症和药物滥用筛查方面进行的当前研究和评估工作的基础上。采用基于社区的参与式方法，拟议的研究项目将使利益相关者参与考虑和开发电子工具，以支持提供者评估和治疗创伤，加强和扩大向客户所有者提供的亲自干预，并扩大护理管理结构。提供者的电子工具可包括在基于网络的平台上提供简短的迷你讲座，回顾创伤对身体、心理、精神和社会功能的影响。也可以提供关于处理创伤的认知行为方法和家庭健康勇士处理创伤的方法的讲座。将为客户所有者开发工具，以支持他们已经收到的干预措施，如电子提醒练习压力管理和放松技巧，练习练习用更健康、更准确的想法取代对创伤的不准确想法，以及跟踪想法、行为和情绪的工具。面向客户所有者的工具可能会根据偏好和可用性以各种形式提供（例如，文本消息、智能电话电子邮件、基于web的材料）。护理管理结构可以包括，当客户所有者报告了有关行为（如自残行为）时，向综合护理团队病例管理人员发出电子通知。同样，所有工具都将与关键涉众一起考虑和开发。主要利益相关者将包括客户所有者以及SCF医疗服务部、SCF行为服务部、SCF组织发展部和家庭健康勇士倡议计划内的临床和行政领导。关键信息提供者还将指导电子支助试点工作，并考虑更广泛的实施。

The concept proposed is one of two research projects that would be included in a P60 trauma-focused center grant proposal lead by Spero Manson of the University of Colorado, Denver. The research concept described builds upon current research and evaluation efforts SCF has conducted with Dr. Manson in terms of depression and substance abuse screening. Using a community based participatory approach, the proposed research project will engage stakeholders in considering and developing electronic tools to support providers in assessing and treating trauma, reinforcing and augmenting in-person interventions offered to customer-owners, and augmenting care management structure. Electronic tools for providers may include brief mini-lectures offered on a web-based platform reviewing the effects of trauma on physical, mental, spiritual, and social functioning. Lectures on cognitive-behavioral approaches to addressing trauma and the Family Wellness Warriors approach to trauma may also be offered. Tools for customer-owners would be developed to support intervention they are already receiving such as electronic reminders to practice stress management and relaxation skills, exercises to practice substituting inaccurate thoughts about trauma with healthier and more accurate thoughts, and tools to track thoughts, behaviors, and emotions. Tools for customer-owners will likely be offered in a variety of forms according to preference and availability (e.g., text messaging, smart phone emails, web-based materials). Care management structures could include electronic notification to integrated care team case managers when a customer-owner has reported a concerning behavior such as self-injurious behavior. Once again, the tools would all be considered and developed with key stakeholders. Key stakeholders will include customer-owners as well as clinical and administrative leadership within the SCF Medical Services Division, SCF Behavioral Services Division, the SCF Organizational Development Division, and the Family Wellness Warriors Initiative program. Key informants will also guide efforts to pilot electronic supports and consideration for broader implementation.