Healing From Within: Identifying and Understanding the Intersecting Barriers to Help-seeking After Experiences of Violence for Wisconsin American Indian Women Through Survivor-led Research

从内部治愈：通过幸存者主导的研究，识别和理解威斯康星州美国印第安妇女遭受暴力经历后寻求帮助的交叉障碍

• 批准号: 10438024
• 负责人: Jeneile Marie Luebke
• 金额: $ 10.42万
• 依托单位: GREAT LAKES INTER-TRIBAL COUNCIL, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-19 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10438024
• 关键词: Address; Advisory Committees; American Indians; Area; Cessation of life; Clinic; Communities; Complex; County; Data; Elderly; Ensure; Environment; Foundations; Future; Gender; Health; Home; Indigenous; Individual; Inequality; Institution; Interview; Investigation; Knowledge; Life; Mainstreaming; Mental Health; Mental disorders; Methodology; Methods; Midwestern United States; Motivation; Murder; Native American Research Center for Health; Native-Born; Outcome; Pattern; Personal Satisfaction; Pilot Projects; Policies; Potawatomi; Prevalence; Provider; Recommendation; Reduce health disparities; Reporting; Research; Research Personnel; Resources; Risk; Rivers; Rural; Safety; Services; Shapes; Shelter facility; Substance Use Disorder; Surveys; Survivors; Tribes; Trust; Universities; Violence; Wisconsin; Woman; barrier to care; base; career; community based participatory research; community partnership; experience; forest; gender-based violence; healing; health care availability; health disparity; health equity promotion; help-seeking behavior; improved; indigenous community; meetings; racism; recruit; relationship abuse; research study; reservation-based; resilience; response; rural area; severe injury; social stigma; substance misuse; substance use; tribal Nation; tribal community; tribal health; urban area

ABSTRACT Indigenous women experience gender-based violence (GBV) at disproportionately high rates, contributing to devastating impacts to health and wellbeing including substance misuse and mental health disorders. Our understanding of the complex, intersecting health needs of Indigenous women who experience co-occurring substance misuse, mental health,and GBV on reservation-based and urban areas in the Midwest is limited. Additionally, the services available toaddress these issues are siloed and ineffective in meeting the needs of Indigenous women. To address this urgent gap, we propose a pilot study that uses a mixed-methods and community engaged approach to identify and understand barriers to help-seeking among Indigenous women with co-occurring mental health and/or substance use disorders after experiences of gender-based violence, and to understand how resiliency and cultural identity may help to motivate help-seeking among Indigenous women survivors of GBV in the localcontext of Wisconsin. This proposed pilot study is the first of its kind in Wisconsin by being Indigenous led, andthrough the formation of academic community partnerships between universities, 3 of Wisconsin’s 11 federally recognized tribes, Indigenous-led organizations, and tribal community leaders across the State. First, a community advisory team comprised of GBV survivors, providers, elders, and other stakeholders will be assembled and meet to ensure that all aspects of the study are culturally safe and meets the needs of the collaborating communities. We will conduct a survey and individual interviews with 90-100 Indigenous women to better understand their experiences, barriers to help-seeking, and resiliency factors that motivate help-seeking after experiences with GBV. Women will be recruited from community-based partner agencies, tribal health clinics, Indigenous led organizations, and tribal community leaders in order to capture women seeking help as well as women who have not sought help. Our proposed community engaged study is in line with the priorities of the Native American Research Center for Health (NARCH) initiative because it aims to address the health disparities related to GBV while promoting wellness in Indigenous populations by allowing communities to select, control and prioritize health-related research and research career enhancement opportunities, and establishes trust between academic institutions and tribal communities. Our pilot study data will generate baseline data andknowledge to advance our understanding of the complex needs of Indigenous women after experiences of GBV and reduce barriers to needed services and allow for the meaningful dissemination of findings in a way that reduces health disparities and promotes health equity. This pilot study proposal also helps to build a foundationupon which to carry out larger community based participatory studies that can be used to generate actionable recommendations to improve identification and comprehensive treatment of substance misuse, GBV, and otherhealthcare and safety concerns among Indigenous women.

抽象的 土著妇女以不成比例的率经历基于性别的暴力（GBV），有助于 对健康和福祉的毁灭性影响，包括滥用药物和精神健康障碍。我们的 了解经历同时发生的土著妇女的复杂，相交的健康需求 中西部基于保留地和城市地区的物质遗物，心理健康和GBV受到限制。 此外，这些问题可用的服务孤立而无效，无法满足 土著妇女。为了解决这一紧急差距，我们提出了一项使用混合方法的试点研究， 社区参与的方法来识别和理解土著妇女寻求帮助的障碍 在经历了基于性别的暴力经历之后，与同时发生的心理健康和/或药物使用障碍以及 了解弹性和文化身份如何有助于激励土著妇女寻求帮助 威斯康星州LocalContext的GBV幸存者。这项拟议的试点研究是威斯康星州的第一项此类研究 通过成为土著人，并通过大学之间的学术社区伙伴关系形成，3 威斯康星州的11个联邦认可的部落，土著人领导的组织和部落社区领袖 国家。首先，一个社区咨询团队完成了GBV表面，提供商，长老和其他 利益相关者将被组装并开会，以确保研究的各个方面在文化上是安全的，并满足 协作社区的需求。我们将对90-100进行调查和个人访谈 土著妇女可以更好地了解自己的经历，寻求帮助的障碍以及弹性因素 经过GBV的经验，激励寻求帮助。妇女将从社区伴侣中招募 机构，部落健康诊所，土著LED组织和部落社区领导人，以占领 寻求帮助的妇女以及没有感觉到帮助的妇女。我们拟议的社区参与研究是 符合美国原住民卫生研究中心（NARCH）倡议的优先事项，因为它的目的 解决与GBV相关的健康分布，同时通过允许 社区选择，控制和优先考虑与健康相关的研究和研究职业增强 机会，并在学术机构和部落社区之间建立信任。我们的试点研究数据 将产生基线数据和知识，以促进我们对土著人的复杂需求的理解 妇女经过GBV的经历，并减少了所需服务的障碍，并允许有意义的 以减少健康差异并促进健康公平的方式传播发现。这项试点研究 提案还有助于建立一个基础，以进行更大的社区参与研究 可用于生成可行的建议，以改善身份证明和全面 土著妇女的滥用药物，GBV和其他健康状况以及安全问题的治疗。