Assessing Cultures of Recovery in Tribal Communities - Pilot Project 1: Understanding Relapse among Tribal Youth

项目摘要/摘要 了解美洲印第安人/阿拉斯加原住民复发的共同风险和保护因素 (AI/AN)从药物使用障碍中恢复的青少年对于确保预防复发至关重要 节目是真实的、相关的、文化上合适的和有效的。这个试点项目的总体目标是 是为了(1)深入了解复吸的个人内部和人际关系决定因素 通过对连续入院的AI/AN青少年居民的调查，了解正在戒毒的AI/AN青少年 七国康复之家(HL)；(2)第一次在HL，将收集的信息作为 利用原始调查数据提供常规临床服务，以推进临床研究；以及(3)从事各种 知识翻译/研究传播活动，旨在将获得的知识返还给人工智能/人工智能 青少年关爱社区。我们将邀请大约15名AI/AN HL居民的三个队列 参与一项评估关键人口统计数据(即年龄、性别、部落保留地居住状况)的调查， 复发的情景先兆(即触发经历、危机经历、其他潜在错过 (干预点)、社会社区支持/网络和个人内部特征(即应对技能)。 我们将遵循部落参与研究的方法，根据这一方法，我们将征求关于 由来自七个国家和地区的代表组成的工作组的研究计划和仪器 部落国家。因此，调查的最终形式将反映部落的兴趣和感知的需要。 合伙人。我们将把调查信息与有关HL患者的临床信息结合起来，特别是 共患精神疾病和复发史，在入院时收集。我们将描述风险的流行度 和保护因素，并补充这些描述性分析 亚组分析旨在探索测量变量之间的潜在交互作用，以推进量身定做 旨在支持AI/AN青少年返回家乡社区后的善后护理方法 努力维持他们的恢复。我们将采用最佳实践来传达和传播研究成果 向广大受众提供调查结果，其中将包括工作组、部落议会、霍尔族居民，或许还包括 最重要的是，包括善后护理专家在内的主要HL工作人员。这一试点项目将为 一套指导性的研究经验，将在新的 成立了医治小屋研究和培训小组。

PROJECT SUMMARY/ABSTRACT Understanding common risk and protective factors for relapse among American Indian/Alaskan Native (AI/AN) adolescents in recovery from substance use disorders is essential for ensuring that relapse prevention programming is authentic, relevant, culturally appropriate, and effective. The overall goals for this Pilot Project are to (1) gain an in-depth understanding of the intrapersonal and interpersonal determinants of relapse among AI/AN youth in recovery from addiction by surveying consecutively-admitted AI/AN adolescent residents of the Healing Lodge of the Seven Nations (HL); (2) for the first time at the HL, integrate information collected as part of routine clinical services with original survey data to advance clinical research; and (3) engage in a variety of knowledge translation/research dissemination activities designed to return knowledge gained to AI/AN adolescents’ care communities. We will invite three cohorts of approximately 15 AI/AN HL residents to take part in a survey that assesses key demographics (i.e., age, gender, tribal reservation residence status), situational precursors to relapse (i.e., trigger experiences, crisis experiences, other potential missed intervention points), social community supports/networks, and intrapersonal characteristics (i.e., coping skills). We will follow a Tribal Participatory Research approach, whereby we will solicit the feedback regarding the research plan and instrumentation from a Working Group composed of representatives from seven surrounding tribal nations. Therefore, the final form of the survey will reflect the interests and perceived needs of tribal partners. We will combine survey information with relevant clinical information about HL residents, particularly comorbid psychiatric conditions and relapse history, collected at intake. We will describe the prevalence of risk and protective factors shared by AI/AN youth in the aggregate and supplement these descriptive analyses with subgroup analyses designed to explore potential interactions among measured variables, to advance tailored aftercare approaches designed to support AI/AN adolescents after they return to their home communities and work to maintain their recovery. We will employ best practices for conveying and disseminating research findings to a broad audience, which will include the Working Group, tribal councils, HL residents, and, perhaps most importantly, key HL staff including aftercare specialists. This Pilot Project will provide the foundation for a set of guided research experiences that will build professional clinical research capacity at the newly established Healing Lodge Research and Training Unit.