Mescalero Tribal Preventive and Earty Mental Health Intervention Project

梅斯卡莱罗部落预防性心理健康干预项目

• 批准号: 8374775
• 负责人: ROBERT L WILLIAMS
• 金额: $ 14.98万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-10 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8374775
• 关键词: Address; Adolescent; Advisory Committees; Alcohol or Other Drugs use; American Indian and Alaska Native; Apache Indians; Boat; Calibration; Childhood; Clinical assessments; Communities; Data Collection; Decision Making; Depression and Suicide; Development; Education; Effectiveness; Elements; Emotional; Enrollment; Ensure; Environment; Evaluation; Evidence based practice; Exposure to; Goals; Group Therapy; Health; Health Policy; Health Services; Impairment; Indian reservation; Institute of Medicine (U.S.); Intervention; Life; Measures; Mental Depression; Mental Health; Modeling; National Institute of Mental Health; National Research Council; Native Americans; New Mexico; Outcome; Population; Post-Traumatic Stress Disorders; Prevalence; Prevention; Prevention program; Preventive; Preventive Intervention; Problem behavior; Process; Psyche structure; Psychotic Disorders; Public Health; Quality of life; Research; Research Project Grants; Research Support; Reservations; Rural Community; Schools; Science; Screening procedure; Social Environment; Students; Substance abuse problem; Suicide prevention; Symptoms; Target Populations; Testing; Time; Trauma; Universities; Youth; base; behavioral health; community based participatory research; community based practice; experience; group intervention; health disparity; improved; intervention program; native youth; outreach; programs; satisfaction; social; suicidal risk; tool

Behavioral health disparities among American Indian and Alaska Native youth are dramatic, particularly in terms of depression, suicide and post-traumatic stress disorder. The goal of this proposed community based participatory research (CBPR) project is to develop and pilot test elements of a public health prevention intervention model that is tailored to be culturally and socially appropriate for adolescents on the Mescalero Apache Tribal Reservation in New Mexico. We propose to partner with a Mescalero Mental Health Prevention and Intervention Task Force to (1) identify what serious MEB problems most need to be addressed (including, provisionally, depression, suicide risk, post-traumatic stress disorder, early symptoms of psychosis and coexisting substance abuse problems ; (2) broaden the focus of existing Mescalero prevention programs to focus on a larger array of serious MEB's; (3) review and adapt screening scales for depression, suicide risk, PTSD, and early symptoms of psychosis to insure their cultural and social appropriateness for youth on the Mescalero reservation; (4) similarly review and adapt measures of symptoms resulting from contemporary and historical trauma and of desirable life function outcomes; (5) review and adapt a multifamily group (MFG) prevention treatment model to ensure its cultural and social appropriateness for youth on the Mescalero reservation; (6) conduct a one-year pilot of the feasibility of the resulting public health model (outreach, identification, referral, screening and intervention) in the Mescalero Apache School Based Health Center (SBHC); and (6) conduct a three year evaluation of the model including; a process evaluation of its ability to reach, enroll and treat the target population, obtain acceptability in the community, maintain fidelity over time to the program model, its potential for sustainability and export; and, most importantly examine outcomes in terms of student satisfaction with treatment, MEB symptom levels, quality of life impairment and clinical assessment of improvement to develop some sense of the model's potential for reducing disparities in behavioral health.

美洲印第安人和阿拉斯加土著青年的行为健康差异是戏剧性的，尤其是在抑郁，自杀和创伤后应激障碍方面。这个拟议的基于社区的参与性研究（CBPR）项目的目标是开发和初步预防预防干预模型的测试元素，该模型量身定制，该模型量身定制为在新墨西哥州的Mescalero Apache部落保留地上在文化和社会上适合于社会。我们建议与Mescalero心理健康预防和干预工作组合作，以（1）确定最需要解决的严重MEB问题（包括临时，抑郁症，自杀风险，创伤后应激障碍，精神病的早期症状和共存的早期症状 药物滥用问题； （2）扩大现有的Mescalero预防计划的重点，以专注于更大的严重MEB； （3）审查并适应抑郁症，自杀风险，PTSD和精神病的早期症状，以确保其对年轻人的文化和社会适当性在Mescalero保留下进行； （4）类似地审查和适应了当代和历史创伤以及理想的生活功能结果所产生的症状的措施； （5）审查和适应多户家庭（MFG）预防治疗模型，以确保其对梅斯卡洛保留的青年的文化和社会适当性； （6）在基于Mescalero Apache School School Center（SBHC）中，进行了为期一年的公共卫生模型（外展，识别，转介，筛查和干预）的可行性一年； （6）对模型进行三年评估，包括：对其达到，注册和治疗目标人群，在社区中获得可接受的能力的过程评估，随着时间的流逝，保持忠诚度，其可持续性和出口的潜力；而且，最重要的是检查结果 在学生对治疗的满意度方面，MEB症状水平，生活质量障碍和改进的临床评估，以对模型降低行为健康差异的潜力产生某种意义。