For Native American populations, mental disorder prevalence, distribution and subsequent treatment seeking is not well known. Evidence from the few studies that have been published and research underway now, however, suggests a serious disparity in the prevalence of mental disorders for this population compared to the general US population and a very low utilization of mental health services. Research Plan: Two complementary studies are proposed. The first is a small qualitative investigation of illness experience and contextual factors related to treatment seeking among Native American women with current and lifetime psychological pathology. The second is a quantitative secondary analysis of pathways to mental health treatment and care seeking among Native women. Both studies aim to provide descriptive and analytic information on utilization by type of disorder and treatment system and identify other influences on care seeking as suggested by the Network-Episode Model theory. The research will test models regarding the pathways into care that consider social, community and system variables as determinants of access to treatment and provide narratives to contextualize the results. One data set to be used for the secondary analysis is drawn from the largest psychiatric epidemiologic, risk and protective factors study ever conducted among Native Americans (the SUPERPFP study N=3200). The other data set is from the candidates own study of the same variables drawn from Native women in a primary care setting (Mental Health and Abuse Among Native Women in Primary Care N=234) Career Development Program: This study will be conducted within the broader context of an expert-led training program. The proposed 5-year course of study includes instruction in advanced quantitative research design and statistical methods, multi-level and mixed method approaches, psychiatric nosology, and the operationalization of theory in pathways to mental health care research. The ultimate goal of this revised Career Development Award is for the candidate to have the skills, knowledge, and experience to teach and conduct rigorous, culturally competent mental health services research for Native Americans and other culturally distinct groups.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH002018-04
Application #
6772518
Study Section
Special Emphasis Panel (ZMH1-SRV-C (01))
Program Officer
Light, Enid
Project Start
2001-07-18
Project End
2006-06-30
Budget Start
2004-08-01
Budget End
2005-06-30
Support Year
4
Fiscal Year
2004
Total Cost
$137,942
Indirect Cost
Name
University of New Mexico
Department
Family Medicine
Type
Schools of Medicine
DUNS #
868853094
City
Albuquerque
State
NM
Country
United States
Zip Code
87131
Yager, Joel; Waitzkin, Howard; Parker, Tassy et al. (2007) Educating, training, and mentoring minority faculty and other trainees in mental health services research. Acad Psychiatry 31:146-51
Oetzel, John; Duran, Bonnie; Jiang, Yizhou et al. (2007) Social support and social undermining as correlates for alcohol, drug, and mental disorders in American Indian women presenting for primary care at an Indian Health Service hospital. J Health Commun 12:187-206
Waitzkin, Howard; Yager, Joel; Parker, Tassy et al. (2006) Mentoring partnerships for minority faculty and graduate students in mental health services research. Acad Psychiatry 30:205-17
Wallerstein, Nina B; Duran, Bonnie (2006) Using community-based participatory research to address health disparities. Health Promot Pract 7:312-23
Duran, Bonnie; Oetzel, John; Lucero, Julie et al. (2005) Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment. J Consult Clin Psychol 73:819-29
Foley, Kevin; Duran, Bonnie; Morris, Priscilla et al. (2005) Using motivational interviewing to promote HIV testing at an American Indian substance abuse treatment facility. J Psychoactive Drugs 37:321-9
Malcoe, Lorraine Halinka; Duran, Bonnie M; Montgomery, Juliann M (2004) Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study. BMC Med 2:20
Duran, Bonnie; Walters, Karina L (2004) HIV/AIDS prevention in ""Indian country"": current practice, indigenist etiology models, and postcolonial approaches to change. AIDS Educ Prev 16:187-201
Oetzel, John; Duran, Bonnie (2004) Intimate partner violence in American Indian and/or Alaska Native communities: a social ecological framework of determinants and interventions. Am Indian Alsk Native Ment Health Res 11:49-68
Duran, Bonnie; Sanders, Margaret; Skipper, Betty et al. (2004) Prevalence and correlates of mental disorders among Native American women in primary care. Am J Public Health 94:71-7

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