Fostering Community Connections Through Native Hawaiian Cultural Values to Strengthen Youth Resilience, Health, and Well-Being

摘要 与其他原住民类似，夏威夷原住民（NH）从整体上看待健康和福祉。 这些概念的核心是与家庭关系之间的平衡， 社区，akua（精神）和āina（土地，海洋）。NH社区曾经繁荣， 可持续的生态系统。然而，当地经济的西化，人们的流离失所， 从他们的纳，和夏威夷君主制的非法推翻带来了迅速 变化今天，历史创伤作为代际不平等循环而持续存在。健康 年轻人的情况恶化了。以欧洲为中心的方法来解决健康差距， 这些循环几乎没有中断，特别是在资源不足的社区。 该项目将通过超越诊所来解决历史创伤和有效护理的障碍 墙，创造一个支持系统，拥抱NH文化价值观和实践，赋予 青年，并促进lōkahi，韧性，健康和更强大的社区。两个完善的 NH服务的联邦合格社区卫生中心将与学校和地方合作， 基于社区组织。他们将共同通过识别和 交叉推荐有挑战的青年，以促进健康和有针对性的护理/管理， 组织，特别是心理健康问题。合作伙伴将应用NH价值观， 传统的NH概念在现代方法的背景下，并使用创伤知情 接近。合作伙伴还将围绕社区确定的有价值的成果开展合作 通过数据共享和向社区成员、资助者传播结果， 政策制定者。这一重要项目将扩大有关战略的知识， 实施和维持一个以青年为中心的护理系统，以及这种系统的价值， 支持青年度过青年期。

ABSTRACT Similar to other indigenous people, Native Hawaiian (NH) view health and well-being holistically. These concepts are centered on lōkahi (balance) among relationships with family and community, akua (spiritual), and ʻāina (land, sea). NH communities were once thriving, sustainable ecosystems. However, westernization of local economies, displacement of people from their ʻāina, and the illegal overthrow of the Hawaiian monarchy brought about rapid changes. Today, historical trauma persists as intergenerational cycles of disparities. The health of NH youth has worsened. Eurocentric approaches to address health disparities have done little to interrupt these cycles, especially in under-resourced communities. The project will address historical trauma and barriers to effective care by moving beyond clinic walls to create a system of support that embraces NH cultural values and practices, empowers youth, and promotes lōkahi, resilience, health, and a stronger community. Two well-established NH-serving federally-qualified community health centers will partner with schools and place- based community organizations. Together they will increase access to care by identifying and cross-referring challenged youth for wellness promotion and targeted care/management across organizations, especially for mental health concerns. Partners will apply NH values, promote traditional NH concepts in the context of modern methods, and use trauma-informed approaches. Partners will also collaborate around community-identified outcomes of value through data sharing and dissemination of results to community members, funders, and policymakers. This important project will expand knowledge about strategies needed to implement and sustain a NH youth-centered system of care and the value of such a system to support youth through young adulthood.