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.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-PA)
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University of New Mexico Health Sciences Center
United States
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Venner, Kamilla L; Sánchez, Victoria; Garcia, Jacqueline et al. (2018) Moving Away from the Tip of the Pyramid: Screening and Brief Intervention for Risky Alcohol and Opioid Use in Underserved Patients. J Am Board Fam Med 31:243-251
Gonzales, Melissa; Qeadan, Fares; Mishra, Shiraz I et al. (2017) Racial-Ethnic Disparities in Late-Stage Colorectal Cancer Among Hispanics and Non-Hispanic Whites of New Mexico. Hisp Health Care Int 15:180-188
Brave Heart, Maria Yellow Horse; Lewis-Fernández, Roberto; Beals, Janette et al. (2016) Psychiatric disorders and mental health treatment in American Indians and Alaska Natives: results of the National Epidemiologic Survey on Alcohol and Related Conditions. Soc Psychiatry Psychiatr Epidemiol 51:1033-46
Cooper, Karen L; Dashner, Erica J; Tsosie, Ranalda et al. (2016) Inhibition of poly(ADP-ribose)polymerase-1 and DNA repair by uranium. Toxicol Appl Pharmacol 291:13-20
Williams, Robert L; Romney, Crystal; Kano, Miria et al. (2015) Racial, gender, and socioeconomic status bias in senior medical student clinical decision-making: a national survey. J Gen Intern Med 30:758-67
Lewis, Johnnye; Gonzales, Melissa; Burnette, Courtney et al. (2015) Environmental exposures to metals in Native communities and implications for child development: basis for the Navajo birth cohort study. J Soc Work Disabil Rehabil 14:245-69
Kano, Miria; Getrich, Christina M; Romney, Crystal et al. (2015) Costs and inconsistencies in US IRB review of low-risk medical education research. Med Educ 49:634-7
Williams, Robert L; Romney, Crystal; Kano, Miria et al. (2014) Student specialty plans, clinical decision making, and health care reform. Fam Med 46:340-7
Aguilar-Gaxiola, Sergio; Ahmed, Syed; Franco, Zeno et al. (2014) Towards a unified taxonomy of health indicators: academic health centers and communities working together to improve population health. Acad Med 89:564-72
Gonzales, Melissa; Nelson, Harold; Rhyne, Robert L et al. (2012) Surveillance of colorectal cancer screening in new Mexico hispanics and non-Hispanic whites. J Community Health 37:1279-88