Intervention Development for Traumatized American Indian Adolescents

针对受创伤的美洲印第安人青少年的干预发展

基本信息

批准号：
7290914
负责人：
DOUGLAS K NOVINS
金额：
$ 29.58万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-21 至 2011-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Recent epidemiologic findings suggest that trauma is highly prevalent among American Indians (Al) adolescents and adults and that Posttraumatic Stress Disorder (PTSD) is the most common mental disorder in this population. These studies also show that trauma-related symptoms and PTSD are highly comorbid with other behavioral health problems, such as depression, anxiety, and substance use problems. Unfortunately, Al communities suffer from substantial disparities in access to quality behavioral health services for their adolescents. These disparities are largely the result of the lack of adequate funding, lack of properly trained personnel, and substantial geographic barriers. Use of these services is also compromised by perceptions of Al adolescents and their parents that those services that are available are difficult to access and often fail to provide the full range of interventions that they want and need. In this application, we propose to engage in the process of identifying and assessing potential interventions for improving the quality, accessibility, and acceptability of behavioral health services for traumatized Al adolescents with comorbid substance use and other behavioral health problems who receive services at a tribally-operated residential substance abuse treatment program. Guided by a Steering Committee of parent and youth advocates, clinicians, administrators, policymakers, and researchers, we will engage a broad array of key stakeholders in a process to identify those interventions that are of greatest relevance to these adolescents and their families, most feasible given the program's and community's resources, and have the strongest prospects for long-term sustainability. The specific aims of this project are as follows: 1) to assess the relevance, feasibility, and sustainability of potential interventions for traumatized adolescents with comorbid substance use problems who are served by the Jack Brown Center; 2) to target the highest ranked interventions for subsequent development and pilot testing; and 3) to describe and analyze this investigative process itself so that the methods that emerge can be used for similar intervention development efforts in Al and non-AI communities. Through this project, we will identify an intervention fits with this community's strengths and needs. This work will also allow us to start developing this intervention for testing and use in this and other Al communities.

描述（由申请人提供）：最近的流行病学研究结果表明，创伤在美国印第安人 (Al) 青少年和成人中非常普遍，创伤后应激障碍 (PTSD) 是该人群中最常见的精神障碍。这些研究还表明，创伤相关症状和创伤后应激障碍与其他行为健康问题高度共存，例如抑郁、焦虑和药物滥用问题。不幸的是，阿尔及利亚社区的青少年在获得优质行为健康服务方面存在巨大差异。这些差异主要是由于缺乏足够的资金、缺乏经过适当培训的人员以及巨大的地理障碍造成的。青少年及其家长认为现有的服务很难获得，而且往往无法提供他们想要和需要的全方位干预措施，这也影响了这些服务的使用。在本申请中，我们建议参与识别和评估潜在干预措施的过程，以提高在部落接受服务的患有共病物质使用和其他行为健康问题的受创伤阿尔青少年的行为健康服务的质量、可及性和可接受性。开展住院药物滥用治疗计划。在由家长和青少年倡导者、临床医生、管理人员、政策制定者和研究人员组成的指导委员会的指导下，我们将让广泛的关键利益相关者参与一个过程，以确定与这些青少年及其家庭最相关、最可行的干预措施考虑到该计划和社区的资源，并且具有最强劲的长期可持续性前景。该项目的具体目标如下： 1) 评估对杰克·布朗中心服务的患有共病药物使用问题的受创伤青少年的潜在干预措施的相关性、可行性和可持续性； 2) 针对后续开发和试点测试排名最高的干预措施； 3）描述和分析这一调查过程本身，以便所出现的方法可用于人工智能和非人工智能社区的类似干预开发工作。通过这个项目，我们将确定适合该社区的优势和需求的干预措施。这项工作还将使我们能够开始开发这种干预措施，以便在这个社区和其他人工智能社区中进行测试和使用。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Walking on: celebrating the journeys of Native American adolescents with substance use problems on the winding road to healing.

继续前行：庆祝有药物滥用问题的美国原住民青少年在蜿蜒的治愈之路上的旅程。

DOI：
发表时间：
2012-04
期刊：
影响因子：
2.8
作者：
Novins, Douglas K;Boyd, Misty L;Brotherton, Devan T;Fickenscher, Alexandra;Moore, Laurie;Spicer, Paul;Walking On Steering Committee
通讯作者：
Walking On Steering Committee