Assessing Cultures of Recovery in Tribal Communities - Research Core

评估部落社区的恢复文化 - 研究核心

• 批准号: 10706995
• 负责人: SARAH E NELSON
• 金额: $ 58.46万
• 依托单位: HEALING LODGE OF THE SEVEN NATIONS
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10706995
• 关键词: Addictive Behavior; Adolescent; Adult; Alaska Native; American Indians; Authorization documentation; Award; Behavior; Belief; Collaborations; Communities; Community Surveys; Educational Curriculum; Effectiveness; Enrollment; Face; Feedback; Future; Goals; Health; Health Resources; Health Services Accessibility; Incidence; Indigenous; Individual; Knowledge; Learning; Measures; Mental Health; Modification; Native American Research Center for Health; Participant; Perception; Population; Prevalence; Prevention; Program Evaluation; Randomized; Records; Recovery; Research; Research Design; Resources; Social isolation; Surveys; Time; Training; Training Activity; Training Programs; Tribal Council; Tribes; United States; Waiting Lists; Work; Youth; addiction; behavioral health; community based participatory research; control trial; curriculum enhancement; design; ethnic minority population; experience; follow-up; healing; health training; help-seeking behavior; long term recovery; member; prevent; psychosocial; racial minority population; research data dissemination; social stigma; tribal Nation; tribal community; working group

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.

项目摘要/摘要：研究核心 包括加性行为在内的心理健康挑战的流行和事件继续是 与其他种族相比 和种族少数群体在美国。尽管有如此巨大的需求，但AI/AN社区仍然存在 服务不足且通常缺乏成瘾治疗和预防的必要资源。帮助填写这些钥匙 成瘾资源和培训方面的差距，该研究核心将评估一项文化扎根的培训课程 lum，xaʔtus（意思是第一面） - 用于心理健康。该课程将培训部落社区成员 应对经历精神健康危机的青年和成人，并作为这些人之间的桥梁 以及他们需要的帮助（在某些情况下）。拟议的对计划的评估将使用部落 参与性研究（TPR）的方法，与七个部落的代表一起工作，以确保需求 在研究设计和生成产品中强调了部落伙伴的目标。评估 研究核心Xaʔtus将使用在七个部落中实施的随机候补控制设计设计 包括初始训练（n = 350）和候补控制（n = 350）的五个评估时间点。这些评估 - 人们将衡量有关心理健康和成瘾的知识，以及指数的能力和信心 视野对心理健康危机做出适当反应。我们还将评估社区级别的潜力 Xaʔtus的效果以及三波重复的横截面社区调查（n = 400）的影响，将检查 社区级的心理健康污名，心理健康和社会孤立，感知的支持，寻求帮助的活动 - ITIE，以及治疗访问和利用。我们将通过BE-BE-BE-BE-RECORD进行补充这些调查 这些社区的卫生中心（例如，过去一年的治疗转诊次数）。这项研究 核心将提供有关该文化适当培训计划影响程度的知识 心理健康，社区对心理健康的看法以及社区心理健康资源可用性， 在个人和社区层面上。我们将与部落委员会和社区成员分享我们的发现 bers以确保培训的潜在好处被广泛传播 社区，以及通过允许通过更传统的学术手段传播我们的发现 来自所涉及的部落。