Phase II: Opening the Pipeline for Native High Schools

描述（由申请人提供）：这个第二阶段的申请是为期三年的第一阶段SEPA的延续，题为“打开本地高中的管道”。从一开始，主要的广泛长期目标就是增加四个土著社区高中学生在主要机构接受生物医学科学和医学本科和研究生培训的可能性。由四个参与的土著社区各选出十名学生和两名教师陪同组成的团队，参加哈佛大学的美国土著高中暑期项目（NAHSSP），为期三周；两个社区在六月参加，两个在七月参加。学术主题一直是滥用酒精和可卡因或甲基苯丙胺。主要的课程内容包括讲座、关于基础神经科学的会议部分和讲座材料，以及在小组辅导中逐步讨论多种药物滥用的多部分案例。在第三周，学生们制作了一个项目，在他们的家庭社区进行展示。该项目与健康的关系包括提高学生、教师、家长和社区的教育期望；提高学生和教师对药物滥用的基础科学和心理学及其后果的理解（这是每个社区的一个重要问题）；鼓励学生和老师积极促进社区变革[药物滥用是不“正常”的]。在2007年夏天，一个新的，非常成功的案例，描述了一个十几岁的物质依赖派克堡居民，由派克堡和哈佛医学院的团队合作撰写。本申请的具体目标是：传播活动，包括：i)帮助所有四个社区（派克堡保留地、霍皮保留地、一个夏威夷土著群体和科德角的两个万帕诺亚格社区）撰写反映其当地情况的医疗案例；ii)鼓励学生在国内向不同的目标群体展示这些项目；（三）在哈佛医学院建立一个网站，发布课程材料，介绍NAHSSP的最佳做法，并开设一个互动网站，以便分享信息；（四）在哈佛举办研讨会，邀请其他土著社区和教育机构的代表交流需求和经验。传播活动的一个目标是形成新的社区/大学伙伴关系，这些伙伴关系将利用NAHSSP的有用元素来建立自己的方案。另一个目标是制定适合土著社区使用的更严格的评估程序。

DESCRIPTION (provided by applicant): This Phase II application is a continuation of a 3-year Phase I SEPA entitled "Opening the Pipeline for Native High Schools". The major Broad Long-term Goal, from the outset, has been to increase the probability that students at high schools in four Native communities will pursue undergraduate and graduate training in biomedical sciences and medicine at leading institutions. Teams of ten students and two teacher-chaperones, picked by each of the four participating Native communities, attend the Native American High School Summer Program (NAHSSP) at Harvard for three summer weeks; two communities attend in June, two in July. The academic subject has been abuse of alcohol and cocaine or methamphetamine. Lectures, conference sections on basic neuroscience and the lecture material, and stepwise consideration of a multi-part case of multiple substance abuse discussed in small-group tutorials, were the major curricular elements. During the third week, the students produced a project for presentation in their home communities. The health relatedness of the project includes raising the educational expectations of the students, teachers, parents and communities; raising the understanding of students and teachers about the basic science and psychology of substance abuse and its consequences (an important issue in each community); and encouraging the students and teachers to be active in facilitating community change [substance abuse is not "normal"]. In the 03 summer (2007), a new, highly successful case, that described a teenage substance-dependent Fort Peck resident, was written collaboratively by teams from Fort Peck and Harvard Medical School. The Specific Aims of this Application are: Dissemination activities including: i) Aiding all four communities (the Fort Peck Reservation; the Hopi Reservation; a Native Hawaiian group and two Wampanoag communities on Cape Cod) to write medical cases that reflect their local contexts; ii) Encouraging the students to present these projects to various target groups at home; iii) Developing a website, at Harvard Medical School, that will post the curricular materials, describe the best practices of NAHSSP and host an interactive site for sharing information; iv) Hosting a symposium, at Harvard, of representatives of other Native communities and educational institutions to share needs and experiences. A goal of the dissemination activities is the formation of new community/university partnerships that will take useful elements of NAHSSP to build their own programs. Another aim is to develop more rigorous evaluation procedures appropriate for use in Native communities. This SEPA Phase II project ( 2 R25 RR020406-04) will improve the understanding of teams of Native high school students and high school teachers, in four Native communities, about the neuroscience and clinical psychology of drug abuse and alcoholism. These understandings will make the teams more interested and more effective in helping to reduce this serious problem. At the same time, the expectations of the students, their teachers, parents and communities with respect to undergraduate and graduate professional trainings will rise.