Skip to main content
Sign In

University of Colorado Denver

Centers for American Indian and Alaska Native Health
 
 
 

NCAIANMHR

Cornerstone Areas 1 & 2


PROJECT TITLE:
NCAIANMHR PGY 11-15: Cornerstone Areas 1 & 2: Indian Youth Epidemiology Risk and Protective Factors, Service Use, and Outcomes Project (IY-ERPSOP) 

FUNDING SOURCE: 
NIMH NCAIANMHR Center Grant 

DATES OF FUNDING: 
1996 – 2001

PRINCIPAL INVESTIGATOR(S): 
Spero Manson, Ph.D.

CENTER STAFF INVOLVED:
Diana Gurley, Ph.D.; Spero Manson, Ph.D.; Douglas Novins, M.D., Paul Spicer, Ph.D.; Debra Sprague, M.A.

SPECIFIC AIMS/RESEARCH GOALS:

Cornerstone Area 1:

  1. to develop culturally appropriate versions of screening and diagnostic instruments for use with children and adolescents in two American Indian (AI) communities;
  2. to pilot test the modified instruments with small samples of (AI) children and adolescents;
  3. to develop measures of culture-specific symptoms and syndromes of psychiatric disorder to be incorporated into the interview protocols;

 

Area 2:
  1. to develop culturally appropriate measures of mental health service utilization for use with children and adolescents in two AI communities;
  2. to pilot test these measures of service utilization among small, community-based samples of AI children and adolescents, in concert with the epidemiologic work to be conducted under the auspices of Cornerstone Area 1;
  3. to develop culturally appropriate measures of mental health service outcomes for use with children and adolescents in AI communities;
  4. to pilot test these measures of service outcomes among small, select samples of AI children/adolescents in treatment;
  5. to develop culturally appropriate measures of mental health service outcomes for use with adults in two AI communities.

Funding for these projects was substantially reduced from what was originally proposed.   To enable the main purpose of the project, which was to develop and pilot test culturally appropriate measures of mental health status, service use, and treatment outcomes among American Indian children, three of the original aims were removed:   Cornerstone Area 1, Aim 4 (develop sampling strategies), and Cornerstone Area 2, Aims 9 and 10 (develop and pilot test treatment outcome measures with adults).   these changes were approved by the project officer.

 

RESEARCH DESIGN:
  1. Preparatory focus groups of parents, teachers, and providers.
  2. Cross-sectional survey of two school-based samples of children aged 4-10 and adolescents aged 11-15 and their parents, with a two-week retest of all participants. School samples were drawn from two different culture groups, from Northern Plains and Southwest tribes.
  3. Cross-sectional survey of adolescents in a residential treatment facility and their parents and counselors, with two-day retest of youth and counselors.


PARTICIPANTS:
  1. Focus group participants and key informants were Denver residents who were also members of the Southwest or Northern Plains tribes, or teachers and counselors from   participating schools.   A total of 30 individuals participated.
  2. School-based samples were drawn randomly from age-appropriate children and youth currently enrolled in one of two public schools in the participating reservation communities.   The Southwest sampling frame consisted of all students enrolled in the Southwest tribe schools in the fall of 1998; in the Northern Plains, it consisted of all students enrolled in the Northern Plains tribe schools in the fall of 1998.   The sampling frames were supplemented to include new preschool and kindergarten enrollees in both schools, to ensure interviews of parents with the youngest children.   The Southwest sample consisted of 56 youth aged 11-15 and their parents, and 43 children aged 4-10 and their parents.   The Northern Plains sample consisted of 39 youth and their parents, and 17 children and their parents.
  3. The clinical sample was drawn from all enrollees in a multi-tribal residential treatment center in the Northern Plains, and consisted of 43 youth aged 11-21, a parent of each youth, and their counselors.

 

MEASURES:
  1. School-based Projects
    • Child Interview
      • Introductory questions about school, interests, and friends.
      • Mental health screening assessment for children
    • Youth Interview
      • Introduction and timeline.
      • Mental health status:   Diagnostic Interview Schedule for Children (DISC);   Composite International Diagnostic Interview, Substance Abuse Module (CIDI-SAM); tobacco use. 
    • Youth Self-Report
      • Psychosocial assessments of school involvement, activities, peer involvement, stressful events, social support, ethnicity, coping, self-esteem, spirituality.
      • Assessment of physical health and development, mental health problems.
      • Sociodemographic questions on household characteristics.
    • Parent Interview
      • Introduction and timeline; sociodemographic questions; child health history.
      • Standardized diagnostic interview on mental health status:   Diagnostic Interview Schedule (DISC).
      • Assessments of service use for physical and mental health care for child.
    • Parent Self-Report
      • Assessment of parental health, pre- and perinatal status of child, child’s health status and functioning.
      • Psychosocial assessments of family functioning and conflict, parental satisfaction with child’s school, stressful events, social support, spirituality, ethnicity
  2. Clinical Project
    1. Youth Interview
      1. Sociodemographic measures, school participation, household characteristics.
      2. General health status and physical functioning, development, sexual behavior.
      3. Psychosocial measures of peer involvement, stressful events, social support, ethnic identity, attitudes toward alcohol and drug use.
      4. Measures of attitudes toward health services.
      5. Screening questions on mental health status and symptomatology.
    2. Parent Interview
      1. Sociodemographic measures and household characteristics.
      2. Questions on child’s health, development, family health history, functional status.
      3. Psychosocial measures of family dynamics, social support, ethnicity, stressors.
      4. Measures of health service use and attitudes toward health services.
      5. Screening questions on mental health status and symptomatology.
    3. Counselor Report (paper and pencil)
      1. Assessments of youth functioning; screening questions on mental health status.

 

PUBLICATIONS:

None

University of Colorado Denver

© The Regents of the University of Colorado, a body corporate. All rights reserved.

All trademarks are registered property of the University. Used by permission only.