Developing Community-Based Interventions for American Indian Mental Health

描述（由申请人提供）：我的长期职业目标是制定一项研究计划，解决边缘化，创伤和服务不足人群的心理健康服务差距。我希望进行以社区为基础的服务干预研究，结果：（a）以证据为基础的和文化相关的干预措施;（B）消费者驱动的干预措施，减少心理健康护理的障碍;和（c）心理学作为一门学科的理论和应用贡献关注不同个人和群体的心理健康和福祉。我以前的大部分工作都是与难民人口有关。在这个职业奖申请，我提出了一套培训目标和研究活动，这将使我准备与美国印第安人成功地工作。最初，我建议专注于纳瓦霍青年，并获得培训：（1）美国印第安人的心理健康;（2）人种学方法和方法;（3）创伤相关疾病的特征和治疗的临床观点;（4）定量数据分析和研究设计策略;（5）以社区为基础的心理健康干预研究中的伦理问题，以及美国印第安人的研究。我将通过一个全面的培训计划（课程，独立研究，并与当地和国家的导师实地考察），并通过指导执行研究，涉及纳瓦霍青少年及其家庭所经历的心理健康状况和压力源的民族志评估和设计和基于社区的参与式干预模型的预测试，为这一人群实现这些目标。新墨西哥州的大学是一个很好的环境，在其中追求这些目标。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，在参与性研究，开发和测试文化上的成功方面有着杰出的历史适当的干预措施，并与美国印第安社区有着密切的联系。相关性：美洲印第安人经历了种族灭绝和压迫的历史，这造成了代际创伤，精神健康障碍和药物滥用的发病率过高。现有的精神卫生服务往往在文化上不适当。这些因素造成了许多差异，拟议的培训和研究就是要解决这些差异。

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.