Building a Menominee-Centric Trauma Resilience Model

建立以女性为中心的创伤复原力模型

• 批准号: 10238847
• 负责人: Laura D Cassidy
• 金额: $ 8.79万
• 依托单位: GREAT LAKES INTER-TRIBAL COUNCIL, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-06 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10238847
• 关键词: Address; Advocate; American Indians; Caring; Child Abuse and Neglect; Clinic; Collaborations; Communities; Complex; Development; Development Plans; Domestic Violence; Economics; Environment; Evaluation; Event; Family; Future; Genocides; Health; Health Services; Health Status; Imagery; Indigenous; Individual; Intervention; Language; Link; Mainstreaming; Measures; Menominee; Mental Depression; Mental disorders; Mentors; Methods; Modeling; Modernization; Native American Research Center for Health; Native Americans; Obesity; Outcomes Research; Participant; Perception; Population; Pregnancy in Adolescence; Prevention; Provider; Psyche structure; Research; Risk Factors; Schools; Sexual abuse; Sexually Transmitted Diseases; Substance abuse problem; Transcend; Trauma; Tribal Elders; Work; Youth; adverse childhood events; base; behavioral health; emotional abuse; experience; family structure; healing; health disparity; intimate partner violence; member; neglect; novel; physical abuse; programs; protective factors; racism; resilience; response; role model; school district; social; substance use; trauma exposure; tribal leader; violence exposure

American Indians (AI) have persevered through historical trauma and oppression and many communities are thriving and promoting resilience. However the modern context for the AI presents many challenges for tribal youth who disproportionately experience adverse childhood events (ACEs). ACEs include such things as physical, emotional or sexual abuse or neglect, family substance use or abuse, domestic violence in the family, or mental illness in the family. A growing body of research has linked child maltreatment and/or exposure to violence to a broad range of long-term health problems. In order to nurture resiliency within the community, accurate measures of trauma exposure and resiliency are needed. The proposed research aims to measure ACEs and resiliency in Native American youth; to understand the factors that contribute to resiliency in youth; and to investigate the unique cultural practices that focus efforts toward renewal through cultural and community-based intervention models. The social ecological model frames our overall research to better understand the complex interplay between individual, family and community and strength based factors to overcome adversity. Specific Aim 1: To quantify the factors contributing to ACEs in AI youth, and the individual and community strengths necessary to advocate for the most effective programs that build individual and community resiliency. We will use validated scales to conduct a cross-sectional assessment of AI youth (grades 9-12) to measure strengths, resilience, adversity and related constructs. This will allow us to identify and measure the risk and protective factors most highly associated with ACEs and the differences in factors between those with high and low/no ACEs. Specific Aim 2: To employ storytelling to contextualize the AI strengths, including cultural practices that focus efforts toward renewal through cultural and community- based intervention models. Storytelling sessions will be conducted with 1) tribal mental/behavioral health and trauma assessment providers and 2) tribal leaders and Elders to identify how resiliency is cultivated individually, in families, and the community through economic opportunity, mentors and role models, organized community programs for families, a school environment that promotes prevention, and the family structure and Indigenous ways of knowing. Identifying needs and strengths will also allow us to identify, develop and adapt interventions in collaboration with our CAB to assist AI youth who suffer from ACEs to help them to thrive in their community.

美洲印第安人（AI）一直在历史创伤和压迫中坚持不懈，许多 社区正在蓬勃发展和促进韧性。但是AI的现代背景 给部落青年带来许多挑战，他们不成比例地经历不利的童年 事件（ACE）。 Aces包括身体，情感或性虐待或忽视等事情， 家庭药物使用或滥用，家庭中的家庭暴力或家庭精神疾病。一个 不断增长 长期健康问题范围。为了培养社区内的弹性， 需要准确的创伤暴露和弹性衡量。拟议的研究 旨在衡量美洲原住民青年的王牌和弹性；了解的因素 有助于年轻人的弹性；并调查集中精力的独特文化实践 通过基于文化和社区的干预模型更新。社交 生态模型构成了我们的整体研究，以更好地了解复杂的相互作用 在个人，家庭和社区和基于力量的因素之间以克服逆境。 特定目标1：量化对AI青年的ACE的因素，以及 提倡最有效的个人和社区优势 建立个人和社区弹性的程序。 我们将使用经过验证的量表对AI青年进行横断面评估（9 - 12年级） 衡量优势，韧性，逆境和相关结构。这将使我们能够确定 并衡量与ACE高度相关的风险和保护因素， 高/无ACE的人之间的因素差异。 特定目的2：采用讲故事来将AI的优势背景化，包括 通过文化和社区重点努力更新的文化实践 - 基于干预模型。 讲故事会议将与1）部落的心理/行为健康和创伤 评估提供者和2）部落领导者和长老，以确定如何培养弹性 通过经济机会，导师和角色单独，在家庭和社区中 模型，有组织的家庭社区计划，促进的学校环境 预防以及家庭结构和土著知识方式。确定需求和 优势还将使我们能够与我们的合作识别，发展和调整干预措施 CAB协助AI青年，他们患有AC，以帮助他们在社区中蓬勃发展。