Healthy Transitions: Cultural Adaptations of the Transition to Independence Model® for a Tribal Community
摘要
The Substance Abuse and Mental Health Services Administration1 funds a federal grant entitled,“Healthy Transitions: Improving Life Trajectories for Youth and young adultswith serious mental disorders program” with the goal to improve and expandingaccess to developmentally, culturally, and linguistically appropriate servicesand supports for transition-aged youth and young adults ages 16-25 who eitherhave or are at risk for developing serious mental health conditions. The Transitionto Independence Process (TIP) Model®used broadly and supported by SAMHSA has not been widely used among AmericanIndian/Alaskan (AIAN) tribes. Prior to our work, there has been no success inadapting the TIP Model® for AIAN communities. The tribal behavioral healthagency partnered with a local university to employ a rigorous process todevelop cultural modifications of the TIP Model® Core Practices in accordancewith community strengths and needs. Adaptations occurred in consultation withmodel developers, with consideration of the conceptual rationale for theprogram, while grounding new content in indigenous cultures and worldviews.Additional research is needed to test the efficacy of this culturally groundedlife skill intervention with AI/AN adolescents and young adults to determineits effectiveness in achieving health and well-being outcomes.