Mescalero disparities project
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Mescalero Disparities Project. Maria Yellow Horse Brave Heart, Ph.D. Doreen Bird, MPH June 12, 2011. Goal Over 5 years, to develop a culturally responsive prevention intervention to reduce mental, emotional, and behavioral problems for Mescalero Apache youth/teens/adolescents.

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Mescalero Disparities Project

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Mescalero disparities project

Mescalero Disparities Project

Maria Yellow Horse Brave Heart, Ph.D.

Doreen Bird, MPH

June 12, 2011


Mescalero disparities project

Goal

Over 5 years, to develop a culturally responsive prevention intervention to reduce mental, emotional, and behavioral problems for Mescalero Apache youth/teens/adolescents

Determine key mental, emotional, and behavioral issues Mescalero youth face (depression and suicide risk)

Mental Health Prevention and Intervention Program (MHPIP) Task Force of Mescalero community providers, members, and traditional cultural advisors

Culturally adapt screening tools/measures for disorders such PTSD, depression, early signs of psychosis, and to explore assessment of the impact of historical trauma upon the youth

Modify intervention as needed based on results from pilot study

Pilot feasibility of the chosen/culturally adapted intervention

Assess cultural and social appropriateness of proposed interventions to address the identified issues

Mescalero Tribal Preventive and Early Mental Health Intervention

In Partnership:

Mescalero Apache Tribe

Mescalero Schools

Mescalero Apache School Based Health Center

Mescalero Youth Suicide Prevention Project

Tribal Health Services

Indian Health Services

Students

Traditional/Cultural Advisors

other community members

CRCBH Team

Maria Yellow Horse Brave Heart (Hunkpapa/Oglala Lakota), PI

Steven Adelsheim, PI

Richard Hough, PI

Jessica Goodkind

Melina Salvador

Doreen Bird (Kewa)

Consultants

Nadine Tafoya (Mescalero Apache)

Doug Novins

NM Cares

Funders

National Institute of Health/ National Institute on Minority Health and Health Disparities

art, PhD


Mhpip year 1 timeline

MHPIP Year 1 Timeline

Discuss coordination with community BH prevention outreach,

education, identification, referrals

  • Culturally adapt screening tools/measures for disorders such as PTSD, depression & impact ofhistorical trauma

Summary of review process & recommendations

  • Identify key mental, emotional, and behavioral issues Mescalero youth face

Year 1

  • Assess cultural and social appropriateness of proposed interventions to address the identified issues

Year 2

Review & suggest modification for proposed Life Function Scales/ MHPIP Satisfaction & Cultural Acceptability Scale

Review suggested modifications for the MFG intervention

Intro of MHPIP TF members & introduction to MHPIP goals; possible modification of project goals

Indicates tasks completed


Year one challenges

Year One Challenges

  • University & Funding Based:

  • Contracts

  • -clinician, consultant

  • Carry Over funding

  • Delayed Project Start Up

  • Budget restrictions

    -Meal reimbursements for task force meetings

  • Community Based:

  • Navigating Tribal Politics

  • Task force group process

  • Negotiating key stakeholder buy in


Year two planned activities

Year Two Planned Activities

  • Hire clinician from the community

  • Review assessment instruments

  • Revise intervention for cultural specificity

  • Recruit participants

  • Pilot intervention

  • Begin data collection


Evaluation

Evaluation

  • Year 1:

  • Task force meeting notes shared with TF members and reviewed by Mescalero Steering Committee.

  • Activities plotted on time line to see accomplishments and review work still needed to be done.

  • Internal budget review to see over/under expenditures

  • Year 2: Pilot intervention – data collection

  • Years 3-5: Pilot completion & data analysis


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