Am Indian Alsk Native Ment Health Res. 2021;28(2):33-51. doi: 10.5820/aian.2802.2021.33.
This article discusses a community-based participatory research project with university researchers, an urban inter-tribal center, and other community partners to develop, administer, and deliver a community needs assessment of an urban American Indian (AI) community. In the development process, community focus groups identified major domains of inquiry for a needs assessment survey: mental health and substance abuse, medical care, and social services, including cultural programming. Results are presented and discussed in each domain. Overall, this community needs assessment contributes to a better understanding of American Indian and Alaska Native (AI/AN) urban challenges by providing information about the AI/AN population in a large southwest metropolitan area. Specifically, it highlights the relevance of local and state contexts for understanding issues facing AI/AN populations. A growing body of research indicates that AI/AN populations demonstrate some similar challenges in terms of health, social service needs, and mental health and substance abuse needs due to shared histories of colonization and misguided or underfunded government programs, among other factors. It remains true that AI/AN communities nonetheless are each distinctive and face unique challenges and opportunities within the local, state, and regional contexts in which they reside. The process described in this paper will inform policy, practice, and research communities interested in understanding the unique realities of an urban community representing many different AI tribes.
本文讨论了一个基于社区的参与式研究项目,该项目由大学研究人员、一个城市部落间中心和其他社区合作伙伴共同参与,旨在为一个城市美洲印第安人(AI)社区开发、管理和提供社区需求评估。在开发过程中,社区焦点小组确定了需求评估调查的主要研究领域:心理健康和药物滥用、医疗保健以及社会服务,包括文化项目。在每个领域都呈现并讨论了结果。总的来说,这项社区需求评估通过提供关于大西南都会区的美洲印第安人和阿拉斯加原住民(AI/AN)人口的信息,有助于更好地了解 AI/AN 城市面临的挑战。具体而言,它强调了地方和州的背景对于理解 AI/AN 人口所面临问题的重要性。越来越多的研究表明,由于殖民化的共同历史、错误或资金不足的政府计划等因素,AI/AN 人口在健康、社会服务需求以及心理健康和药物滥用需求方面存在一些相似的挑战。诚然,AI/AN 社区仍然各具特色,在其所在的地方、州和地区背景下,面临着独特的挑战和机遇。本文所述的过程将为对了解代表许多不同 AI 部落的城市社区独特现实感兴趣的政策、实践和研究社区提供信息。