Assessing Cultures of Recovery in Tribal Communities - Research Core

项目摘要/摘要：研究核心 包括成瘾行为在内的精神健康挑战的流行率和发生率仍然低于 与其他种族相比，美国印第安人/阿拉斯加原住民(AI/AN)的比例显著上升 以及美国的少数族裔群体。尽管有这种巨大的需求，人工智能/人工智能社区仍然 服务不足，往往缺乏治疗和预防成瘾的必要资源。帮助填满这些关键字 在成瘾资源和培训方面的差距，本研究核心将评估具有文化基础的培训课程- Lum，xaʔtus(意思是第一张脸)-心理健康。这门课程将培训部落社区成员如何 应对青少年和成年人经历精神健康危机，并充当这些人之间的桥梁 以及他们所需要的帮助(在某些情况下是专业的)。对该计划的拟议评估将使用部落 参与性研究(TPR)方法，与来自七个部落的代表合作，确保需求 在研究设计和最终产品中强调了部落合作伙伴的目标。评估 XaʔTus，研究核心将使用随机等待名单控制设计，在七个部落实施，在- 包括初始受训人员(n=350)和等候名单控制人员(n=350)的五个评估时间点。这些评估包括： 测试将测量有关心理健康和成瘾的知识，以及指示的能力和信心。 适当地应对精神健康危机。我们还将评估社区层面的潜力 XaʔTus的效果与三波重复横断面社区调查(n=400)，这将检查 社区层面的心理健康污名、心理健康和社会隔离、领悟到的支持、寻求帮助的积极性 城市，以及治疗的获取和利用。我们将用BE的汇总记录来补充这些调查- 这些社区的行为健康中心(例如，过去一年的治疗转诊次数)。这项研究 CORE将提供有关该文化上合适的培训计划影响程度的知识 心理健康、社区对心理健康的认知和社区心理健康资源的可获得性， 无论是在个人层面还是在社区层面。我们将与部落议会和社区议会分享我们的发现- BERS，以确保培训的潜在好处在这些领域的AI/AN个人中得到广泛传播 社区，以及在允许的情况下通过更传统的学术手段传播我们的研究成果 来自相关部落。

PROJECT SUMMARY/ABSTRACT: RESEARCH CORE The prevalence and incidence of mental health challenges, including addictive behaviors, continues to be sub- stantially elevated among American Indian/Alaskan Native (AI/AN) populations when compared to other racially and ethnically minoritized groups in the United States. Despite this substantial need, AI/AN communities remain underserved and often lack necessary resources for addiction treatment and prevention. To help fill these key gaps in addiction resources and training, this Research Core will evaluate a culturally grounded training curricu- lum, xaʔtus (meaning First Face) - for Mental Health. This curriculum will train tribal community members in how to respond to youth and adults experiencing mental health crises and serve as a bridge between these individuals and the help (in some cases professional) they need. The proposed evaluation of the program will use a Tribal Participatory Research (TPR) approach, working with representatives from seven tribes to ensure that the needs and goals of the tribal partners are emphasized in the research design and resulting products. To evaluate xaʔtus, the Research Core will use a randomized waitlist control design, implemented in seven tribes, that in- cludes five assessment time points for both initial trainees (n=350) and waitlist controls (n=350). These assess- ments will measure knowledge about mental health and addiction, as well as the ability and confidence of indi- viduals to respond appropriately to mental health crises. We will also evaluate the potential for community-level effects of xaʔtus with a three-wave repeated cross-sectional community survey (n=400), which will examine community-level mental health stigma, mental health and social isolation, perceived support, help-seeking activ- ities, and treatment access and utilization. We will supplement these surveys with aggregated records from be- havioral health centers in these communities (e.g., number of treatment referrals in the past year). This Research Core will provide knowledge about the extent to which this culturally appropriate training program influences mental health, community perceptions about mental health, and community mental health resource availability, both at the individual and community levels. We will share our findings with tribal councils and community mem- bers to ensure that the potential benefits of training are widely disseminated among AI/AN individuals in these communities, as well as disseminating our findings through more traditional academic means with permission from the involved tribes.