Building Cultures of Recovery in Tribal Communities

在部落社区建设恢复文化

基本信息

批准号：
10004670
负责人：
Heather M Gray
金额：
$ 65.31万
依托单位：
HEALING LODGE OF THE SEVEN NATIONS
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10004670
关键词：
Active Learning Adolescent Award Collaborations Communities Development Drug Addiction Education Effectiveness Face Feedback Goals Health Alliance Health Professional Healthcare Indigenous Infrastructure Intervention Learning Mental Health Native American Research Center for Health Native Americans Needs Assessment Participant Persons Program Development Randomized Controlled Trials Recovery Research Research Training Reservations Resources Risk Safety Secure Shapes Site Substance Use Disorder Support System System Teaching Hospitals Testing Training Translating Tribes United States Vision Work Youth addiction adolescent substance use base care systems design experience healing improved indigenous community innovation learning community medical schools member prevent programs response social structure treatment center tribal Nation tribal community tribal leader

项目摘要

PROJECT SUMMARY The Healing Lodge of the Seven Nations (HL) is a Native American youth residential chemical dependency treatment center. Youth come to the Healing Lodge from tribal communities including the Coeur d’Alene Tribe, the Kootenai Tribe, the Nez Perce Tribe, the Confederated Tribes of the Colville Reservation, the Kalispel Tribe of Indians, the Spokane Tribe of Indians, and the Confederated Tribes of the Umatilla Reservation. We refer to these communities as the seven HL tribal affiliates. Recognizing the lack of programmatic research regarding best practices for supporting adolescents’ recovery within tribal nations, HL has developed a research partnership with the Division on Addiction, Cambridge Health Alliance, a Harvard Medical School teaching hospital (the Division). This partnership is the Center for Indigenous Research, Collaboration, Learning, and Excellence (CIRCLE). As part of CIRCLE’s NARCH VIII program, Promoting Cultures of Recovery in Tribal Communities, we worked with and learned from these seven tribal nations. We conducted strengths and needs assessments to learn how communities seek to support their youth in recovery from substance use disorders. The proposed NARCH X program is a logical extension of this work. The proposed program will use a Tribal Participatory Program Development approach to build a mental health first response system grounded in indigenous values, strengths, and needs. We anticipate that our system of care, tentatively titled, x̌aʔtus (pronounced hah-toos;; i.e., First Face), will equip community members to serve as a bridge between youth in need and professional healthcare. Anyone in the tribal community will be able to use First Face to support a young person struggling with mental health problems or crises. This system will be particularly helpful for youth in recovery from substance use disorders (SUDs). Moreover, it will help prevent the development of SUDs by supporting young people who are especially at risk for SUDs due to mental health concerns. After developing this system of care, we will conduct a multi-site randomized controlled trial to test its effectiveness and revise it based on feedback from trial participants. Subsequently, we will train hundreds of tribal community members to use this innovative, culturally-appropriate, community-based mental health support system. We will secure long-term sustainability by building research and training capacity within the HL and intervention capacity within seven tribal communities.

项目摘要七个国家（HL）的康复小屋是美国原住民青年居民的化学依赖治疗中心。青年来到了来自部落社区的康复小屋，包括科尔·阿琳（Coeur d’Alene）部落，库特内奈（Kootenai）部落，内兹·佩斯（Nez Perce Tribe），科尔维尔保留区的同盟部落，印第安人的卡利斯佩尔部落，印第安人的斯波坎部落以及乌梅蒂拉（Umatilla）保留的同盟国。我们将这些社区称为七个HL部落分支机构。 HL认识到缺乏有关支持青少年在部落国家康复的最佳实践的程序研究，HL与成瘾部，哈佛医学院教学医院（该部门）建立了研究合作伙伴关系。该合作伙伴关系是土著研究，合作，学习和卓越的中心（Circle）。作为Circle Narch VIII计划的一部分，我们促进了部落社区的康复文化，我们与这七个部落的国家合作并了解了。我们进行了优势和需求评估，以了解社区如何寻求从物质使用障碍中恢复中的青年。提出的Narch X程序是这项工作的逻辑扩展。拟议的计划将采用部落参与计划的发展方法来建立以土著价值，优势和需求为基础的心理健康第一反应系统。我们预计，我们的护理系统，著名的标题为x̌aʔtus（发音为hah-toos ;;第一面）将使社区成员成为有需要的青年与专业医疗保健之间的桥梁。部落社区中的任何人都将能够使用第一脸来支持年轻人在精神健康问题或危机中挣扎。该系统将对从药物使用障碍（SUD）中恢复的青年特别有用。此外，这将有助于通过支持尤其是由于心理健康问题而面临SUD风险的年轻人来帮助防止SUD的发展。在开发了这种护理系统之后，我们将进行一项多站点随机对照试验，以测试其有效性并根据试验参与者的反馈进行修改。随后，我们将训练数百名部落社区成员使用这种创新，具有文化的基于社区的心理健康支持系统。我们将通过在HL内建立研究和培训能力和七个部落社区的干预能力来确保长期的可持续性。