A5045738017- Substance Abuse Treatment and Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Treatment and Access
- Community Health and Development
- Health Policy Implementation Science
- Prenatal Substance Exposure Effects
- Attention Deficit Hyperactivity Disorder
- Health Sciences Research and Education
- Suicide and Self-Harm Studies
- Child and Adolescent Health
- Cannabis and Cannabinoid Research
- Migration, Health and Trauma
- Indigenous Health, Education, and Rights
- Child Abuse and Trauma
- Alcohol Consumption and Health Effects
- Digital Mental Health Interventions
- Posttraumatic Stress Disorder Research
- Childhood Cancer Survivors' Quality of Life
- Gun Ownership and Violence Research
- Meta-analysis and systematic reviews
- Health and Medical Research Impacts
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent and Pediatric Healthcare
- Academic Writing and Publishing
- Opioid Use Disorder Treatment
University of Colorado Anschutz Medical Campus
2015-2025
Native Health
2012-2025
University of Colorado Denver
2013-2024
University of Colorado System
2001-2019
Colorado School of Public Health
2011-2019
Children's Hospital Colorado
2018-2019
The Medical Center of Aurora
2018
Outcomes Research Consortium
2017
Portland State University
2017
Oregon Health & Science University
2017
OBJECTIVE: The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) provided estimates of the prevalence DSM-III-R disorders utilization services for help with those in populations. Completed between 1997 1999, AI-SUPERPFP was designed to allow comparison findings results baseline National Comorbidity Survey (NCS), conducted 1990–1992, which reflected general United States population. METHOD: A total 3,084 tribal members (1,446 a...
Introduction: A youth’s emergency department (ED) visit for suicidal behaviors or ideation provides an opportunity to counsel families about securing medications and firearms (i.e., lethal means counseling).Methods: In this quality improvement project drawing on the Counseling Access Lethal Means (CALM) model, we trained 16 psychiatric clinicians provide counseling with parents of patients under age 18 receiving care suicidality discharged home from a large children’s hospital. Through chart...
Telepsychiatry may involve working with clinicians, patients and systems of care that are both geographically culturally distinct. In this context, appropriate is an important component telepsychiatry. The outline for cultural formulation from the Diagnostic Statistical Manual Mental Disorders (DSM-IV) provides general principles addressing these issues. Two components particularly relevant in telepsychiatry: (1) how background (i.e. their identity) influences comfort technology; (2) effect...
This study evaluated a videoconference-based psychiatric emergency consultation program (telepsychiatry) at geographically dispersed department (ED) sites that are part of the network care an academic children's hospital system. The compared outcomes with those usual involving ambulance transport to for in-person prior disposition inpatient or discharge home.This process in cross-sectional, pre-post design five network-of-care before and after systemwide implementation telepsychiatry 2015....
Evidence suggests that American Indian (AI) populations may be at increased risk for problems with alcohol, but a lack of community-based research using diagnostic criteria has constrained our ability to draw inferences about the extent severe alcohol problems, such as dependence, in AI populations.This article draws on data collected by Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP), which involved interviews 3084 people living or near their...
American Indian alcohol use has received scrutiny in recent decades,1 but data derived from samples that permit direct comparisons to other US epidemiological studies have been less commonly reported.2–4 This brief places rates of the quantity and frequency 2 tribally defined reservation such a comparative context.
OBJECTIVE: American Indian populations have often been considered to be at greater risk for major depressive episode than are other groups in the United States. The Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP), completed between 1997 1999, was designed allow comparisons with baseline National Comorbidity Survey (NCS), conducted 1990–1992. prevalence of lifetime 12-month DSM-III-R compared AI-SUPERPFP NCS samples. METHOD: A total 3,084...
Data from self-report surveys of 1,353 high school students representing three culturally distinct American Indian tribes were analyzed for tribal differences in factors associated with suicidal ideation. In the multivariate analysis, no single correlate suicide ideation was common to all tribes. The correlates consistent each tribe's social structure, conceptualization individual and gender roles, support systems, death. These results underscore heterogeneity across their cultural...
To examine the characteristics of marijuana users among a large sample American Indian high school students.High survey.Seven predominantly schools in four communities west Mississippi.1464 adolescents who: (1) completed survey November, 1993, (2) were grades 9 to 12, (3) members one tribal groups; and (4) had complete set data for these analyses.Logistic regression models developed predict probability low-frequency (1-3 times over last month) high-frequency (11 or more times) use....
The objective of this study was to describe the use biomedical services and traditional healing options among a reservation-based sample American Indians from 2 culturally distinct tribesParticipants were 2595 Indian adolescents adults ages 15 57 randomly selected represent tribes living on or near their rural reservations. First, we examined prevalence correlates for both physical health psychiatric problems. Second, developed logistic regression models predicting independent combined...
Background. This study examined the relationship of childhood abuse, both physical and sexual, with subsequent lifetime depressive anxiety disorders – depression or dysthymia, post-traumatic stress disorder (PTSD), panic generalized (GAD) among American Indians (AIs). Method. Three thousand eighty-four AIs from two tribes Southwest Northern Plains participated in a large-scale, community-based study. Participants were asked about traumatic events family history, administered standard...
This study examined the extent and types of help seeking (biomedical, traditional, 12-step groups) for substance use problems in two American Indian reservation populations by using data from Service Utilization, Psychiatric Epidemiology, Risk, Protective Factors Project (AI-SUPERPFP). also sought to understand correlates such seeking, including measures need, demographic characteristics, spirituality, ethnic identity.AI-SUPERPFP, completed between 1997 2000, was a cross-sectional...
Background: High rates of alcohol use and alcohol-related morbidity mortality among American Indians (AI) are major public health concerns. The purpose this paper is to describe patterns consumption three distinct samples (AIs) compared a U.S reference population. Methods: Data were drawn from two epidemiologic studies: 1) study 2,927 AIs living on or near reservations culturally tribes in the Southwest (SW-AI) Northern Plains (NP-AI); 2) National Longitudinal Alcohol Epidemiologic Study...
Abstract American Indian (AI) youth experience significant mental health disparities. The majority of AI live in urban areas, yet are underserved and unstudied. This manuscript describes a qualitative study community needs an population youth, conducted as part the planning process for system care (SOC). Participants included 107 families that participated one 16 focus groups assessing services. Forty‐one percent participants were or young adults. Data coded analyzed using software then...