Adapting narrative exposure therapy with a tribal community: A community-based approach.
AI
PTSD
adaptation
narrative exposure therapy
substance use
treatment
Journal
Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
revised:
05
02
2022
received:
16
09
2021
accepted:
07
05
2022
pubmed:
28
5
2022
medline:
14
10
2022
entrez:
27
5
2022
Statut:
ppublish
Résumé
American Indian (AI) individuals are at increased risk for present-day trauma exposure and associated negative outcomes, as well as ongoing effects of intergenerational trauma exposure and adversity. However, few empirically supported treatments exist that are specifically tailored and/or tested with AI communities. This study describes the process of selecting, adapting, and implementing narrative exposure therapy (NET) with an AI community. A community and academic partnership was formed and worked together to make culturally mindful changes to NET to best fit the needs of the community. The partnership incorporated community leaders/Elders (n = 7), providers (n = 11), and participants seeking treatment (n = 50) to implement an iterative process of adapting and implementing the adapted form of NET. Key adaptions included addressing historical and intergenerational trauma, greater protections for confidentiality in a small community, and incorporation of cultural customs and traditions. Overall, the adapted form of NET was favorably received by the participants, and the implementation appeared to be feasible, with improved retention over past trials of adapted trauma-focused treatments with this community and with highly positive satisfaction ratings and feedback. NET was shown to be an appropriate approach for this AI community and should be considered as a treatment option for other AI communities. Future work should consider strategies outlined in this adaption as well as following a similar process for working with AI communities to implement culturally appropriate interventions for trauma-related symptoms.
Identifiants
pubmed: 35621371
doi: 10.1002/jclp.23395
pmc: PMC9811656
mid: NIHMS1859974
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2087-2108Subventions
Organisme : NIMHD NIH HHS
ID : R01 MD011574
Pays : United States
Informations de copyright
© 2022 Wiley Periodicals LLC.
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