Traumatic events are common occurrences in the lives of adults living in the United States. Roughly one quarter of those who experience a traumatic event will subsequently meet full criteria for posttraumatic stress disorder (PTSD);another quarter will experience partial PTSD with significant levels of Impairment. PTSD is related to adverse health outcomes. Including significant comorbidity with other behavioral health disorders, physical health disorders, and increased service utilization. Significantly less is known about trauma and trauma-related disorders including PTSD in American Indian and Alaska Native people (AI/ANs). Evidence suggests higher rates of trauma exposure and trauma-related disorders in AI/AN community and clinical samples than the general United States population. The health care setting offers a rich opportunity for the detection of trauma-related disorders. A high proportion of those experiencing a traumatic event receive health care services for injuries sustained or present for trauma-related sequelae even years after the event. The concept proposed is one of two related research projects within a renewal of the American Indian and ALaska Native Health Disparities center (P60) grant of the University of Colorado Denver. This research project builds upon existing studies examing behavioral health screening and detection in primary care settings for AI/AN people. Using a community based participatory approach, the proposed research project will engage key stakeholders In the consideration, development, and piloting of systematic screening for trauma among AI/AN adults at sites serving two unique AI/AN groups through the following specific alms: 1) Work with key stakeholders to consider and develop means to systematically screen for trauma then refer affected Individuals for intervention in two AI/AN health care settings;and 2) Pilot trauma screening and referral then assess the acceptability and feasibility of a future large scale trial in both settings.

Public Health Relevance

The primary outcome of interest is the development of an AI/AN population based acceptable and feasibile trauma screening, intervention, and referral system for use in AI/AN primary care setting. In terms of acceptability, we are interested in the acceptability to patients, clinicians, and clinical, administrative, and tribal leadership. With respect to feasibility, we will assess challenges and benefits which emerge during screening. intervention, and referral activities.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
Project #
Application #
Study Section
Special Emphasis Panel (ZMD1-RN (02))
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of Colorado Denver
United States
Zip Code
Smith, Julia J; Johnston, Janet M; Hiratsuka, Vanessa Y et al. (2015) Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. Prim Care Diabetes 9:120-6
Moore, Kelly; Jiang, Luohua; Manson, Spero M et al. (2014) Case management to reduce cardiovascular disease risk in American Indians and Alaska Natives with diabetes: results from the Special Diabetes Program for Indians Healthy Heart Demonstration Project. Am J Public Health 104:e158-64
Running Bear, Ursula; Anderson, Heather; Manson, Spero M et al. (2014) Impact of adaptive functioning on readmission to alcohol detoxification among Alaska Native People. Drug Alcohol Depend 140:168-74
Bassett, Deborah; Buchwald, Dedra; Manson, Spero (2014) Posttraumatic stress disorder and symptoms among American Indians and Alaska Natives: a review of the literature. Soc Psychiatry Psychiatr Epidemiol 49:417-33
Brooks, Elizabeth; Manson, Spero M; Bair, Byron et al. (2012) The diffusion of telehealth in rural American Indian communities: a retrospective survey of key stakeholders. Telemed J E Health 18:60-6
Shore, Jay H; Brooks, Elizabeth; Anderson, Heather et al. (2012) Characteristics of telemental health service use by American Indian veterans. Psychiatr Serv 63:179-81
O'Connell, Joan M; Wilson, Charlton; Manson, Spero M et al. (2012) The costs of treating American Indian adults with diabetes within the Indian Health Service. Am J Public Health 102:301-8
Doorenbos, Ardith Z; Jacobsen, Clemma; Corpuz, Rebecca et al. (2011) A randomized controlled calendar mail-out to increase cancer screening among urban American Indian and Alaska Native patients. J Cancer Educ 26:549-54
O'Connell, Joan; Yi, Rong; Wilson, Charlton et al. (2010) Racial disparities in health status: a comparison of the morbidity among American Indian and U.S. adults with diabetes. Diabetes Care 33:1463-70
Manson, Spero M (2009) Personal journeys, professional paths: persistence in navigating the crossroads of a research career. Am J Public Health 99 Suppl 1:S20-5

Showing the most recent 10 out of 30 publications