Assessing Cultures of Recovery in Tribal Communities - Pilot Project 1: Understanding Relapse among Tribal Youth

项目总结/摘要 了解美国印第安人/阿拉斯加原住民复发的常见风险和保护因素 (AI/AN）从药物使用障碍中康复的青少年对于确保预防复发至关重要， 方案编制是真实的、相关的、文化上适当的和有效的。本试点项目的总体目标 （1）深入了解复发的内在和人际决定因素， 通过调查被传唤入院的青少年居民， 七国康复小屋（HL）;（2）首次在HL，整合收集的信息， 利用原始调查数据开展常规临床服务，以推进临床研究;（3）从事各种 知识翻译/研究传播活动，旨在将获得的知识返回给AI/AN 青少年关爱社区我们将邀请三组约15名AI/AN HL居民参加 参与评估关键人口统计数据的调查（即，年龄、性别、部落保留地居住地位）， 复发的情境前兆（即，触发经验、危机经验、其他潜在的遗漏 干预点）、社会社区支持/网络，以及个人特征（即，应对技能）。 我们将遵循一种部落调查研究的方法，据此，我们将征求有关 研究计划和仪器由一个工作组组成的代表从七个周围 部落国家因此，调查的最终形式将反映部落的利益和感知需求， 伙伴我们将联合收割机调查信息与HL居民的相关临床信息相结合，特别是 共病精神疾病和复发史，在入院时收集。我们将描述风险的普遍性 和保护性因素共享的AI/AN青年的总和，并补充这些描述性分析， 亚组分析旨在探索测量变量之间的潜在相互作用， 旨在支持AI/AN青少年返回其家庭社区后的后续护理方法， 努力保持恢复。我们将采用最佳实践来传达和传播研究成果 调查结果，以广泛的观众，其中将包括工作组，部落委员会，HL居民，也许， 最重要的是，关键的HL工作人员，包括善后专家。该试点项目将为 一套指导性的研究经验，将建立专业的临床研究能力，在新的 成立了康复之家研究和培训股。

PROJECT SUMMARY/ABSTRACT Understanding common risk and protective factors for relapse among American Indian/Alaskan Native (AI/AN) adolescents in recovery from substance use disorders is essential for ensuring that relapse prevention programming is authentic, relevant, culturally appropriate, and effective. The overall goals for this Pilot Project are to (1) gain an in-depth understanding of the intrapersonal and interpersonal determinants of relapse among AI/AN youth in recovery from addiction by surveying consecutively-admitted AI/AN adolescent residents of the Healing Lodge of the Seven Nations (HL); (2) for the first time at the HL, integrate information collected as part of routine clinical services with original survey data to advance clinical research; and (3) engage in a variety of knowledge translation/research dissemination activities designed to return knowledge gained to AI/AN adolescents’ care communities. We will invite three cohorts of approximately 15 AI/AN HL residents to take part in a survey that assesses key demographics (i.e., age, gender, tribal reservation residence status), situational precursors to relapse (i.e., trigger experiences, crisis experiences, other potential missed intervention points), social community supports/networks, and intrapersonal characteristics (i.e., coping skills). We will follow a Tribal Participatory Research approach, whereby we will solicit the feedback regarding the research plan and instrumentation from a Working Group composed of representatives from seven surrounding tribal nations. Therefore, the final form of the survey will reflect the interests and perceived needs of tribal partners. We will combine survey information with relevant clinical information about HL residents, particularly comorbid psychiatric conditions and relapse history, collected at intake. We will describe the prevalence of risk and protective factors shared by AI/AN youth in the aggregate and supplement these descriptive analyses with subgroup analyses designed to explore potential interactions among measured variables, to advance tailored aftercare approaches designed to support AI/AN adolescents after they return to their home communities and work to maintain their recovery. We will employ best practices for conveying and disseminating research findings to a broad audience, which will include the Working Group, tribal councils, HL residents, and, perhaps most importantly, key HL staff including aftercare specialists. This Pilot Project will provide the foundation for a set of guided research experiences that will build professional clinical research capacity at the newly established Healing Lodge Research and Training Unit.