Impact: Implementation of a multisectoral programme to improve Indigenous adolescent mental health in Brazil and Dominica

我们为什么需要这项研究：许多土著人生活在拉丁美洲和加勒比地区，大多数人生活在贫困之中，精神健康问题频繁发生，包括青少年自杀和吸毒，我们对此非常关注。因此，对我们来说，有必要开展研究，帮助有心理健康问题的青少年，但也要尊重土著文化。青少年是一个复杂的生命阶段，特别是对土著人来说，他们也经历了许多问题，如暴力，歧视和资源匮乏。由于这些原因，土著青少年普遍存在心理健康问题，这就是为什么土著卫生专业人员和村里的其他人接受培训以帮助面临问题的青少年是很重要的。为什么这个项目是不同的：研究人员经常向村民展示现成的研究成果，这会产生不安全感，因为我们缺乏知识，或者是因为研究人员想把他们的知识强加于人而不考虑我们的知识，有时带有某种蔑视，这会产生深深的不满。因此，我们很高兴这项研究已经涉及到我们，因为该项目创建，该项目将与我们一起进行的一个团队，已经在项目与土著人民。这项研究的建议：这项研究的工作将在两个国家，巴西和多米尼加的两个土著设置，在四个工作流。13所学校的约1500名青少年将参加。在第一个工作流程中，研究人员和村民以及青少年将共同制定促进心理健康的信息，在学校活动期间在谈话圈中进行讨论，他们还将修改已经用于帮助有心理健康问题的青少年的工具。在第二个工作流中，他们将培训教师、土著卫生工作者、村长和其他社区领导人，将这些信息纳入我们的学校和社区活动。他们将培训教师和卫生工作者识别和管理常见的青少年心理健康问题。在第三个工作流中，他们将培训像我们这样的原住民年轻人如何进行研究，了解该计划如何运作，它是否帮助青少年以及如何改善它。在第四个工作流中，研究人员将支持土著青少年和年长的青年撰写并向我们的社区，全国和整个地区展示研究结果。我们还将共同组织活动，探讨研究结果如何加强我们的学校和卫生系统应对土著青少年健康问题的能力。谁将受益：许多人将从这项研究中受益，包括青少年和所有那些将接受培训以实施和评估该方案的人。提高对整个区域土著社区的健康和福祉的认识也有重要的更广泛和更长期的好处。

Abstract developed by Indigenous youths consulted for the proposal.WHY WE NEED THIS STUDY: Many Indigenous people live in Latin America and the Caribbean, most in a situation of poverty.Mental health problems are frequent, including suicide and drug use among teenagers, which we are very concerned about. So for usit is necessary to carry out studies that help adolescents with mental health problems but also respect the Indigenous culture.Adolescence is a complicated life stage, especially for Indigenous people who also experience many problems such as violence,discrimination and less resources. For these reasons it is common for Indigenous adolescents to have mental health problems, andthis is why it is important that Indigenous health professionals, and other people in the village, are trained to help adolescents who arefacing problems.WHY THIS PROJECT IS DIFFERENT: Researchers often present ready-made research to the village and this generates insecurity inus, due to our lack of knowledge, or because researchers want to impose their knowledge without considering ours, sometimes with acertain contempt, which generates deep dissatisfaction. Therefore, we are pleased that this research has involved us since the projectwas created and that the project will be carried out with us by a team that has already worked in projects with Indigenous people.WHAT THIS STUDY IS PROPOSING: The work in this study will take place in two Indigenous settings in two countries, Brazil andDominica, in four work streams. About 1500 adolescents in 13 schools will take part. In the first work stream, researchers and people of the village, and adolescents, will co-develop mental health promotion messages, to be discussed in conversation circles during school activities.They will also amend a tool that has already been used to help adolescents with mental health problems. In the second work stream, they will train teachers, Indigenous health workers, village Chiefs and other community leaders to incorporate these messages into our school andcommunity activities. They will train teachers and health workers to identify and manage common adolescent mental health problems.In the third work stream, they will train Indigenous young people like ourselves in how to do research, to understand how the programme worked, whether it helped adolescents and how it can be improved. In the fourth work stream, researchers will support Indigenous adolescents and older youths to write and present results of the study to our community, nationally and across the region. Together, we will also organize events on how findings can strengthen the capacity of our schools and health systems to respond to Indigenous adolescent health.WHO WILL BENEFIT: Many will benefit from this study including adolescents and all those who will be trained to implement and evaluate theprogramme. There are also important wider and longer-term benefits of raising awareness of the health and well-being of Indigenouscommunities across the region.