Prevention. Intervention. Respect.
Tipis in a field

Adaptation and implementation of cognitive behavioral intervention for trauma in schools with American Indian youth.

American Indian adolescents experience higher rates of suicide and psychological distress than the overall U.S. adolescent population, and research suggests that these disparities are related to higher rates of violence and trauma exposure. Despite elevated risk, there is limited empirical information to guide culturally appropriate treatment of trauma and related symptoms. We report a pilot study of an adaptation to the Cognitive Behavioral Intervention for Trauma in Schools in a sample of 24 American Indian adolescents. Participants experienced significant decreases in anxiety and posttraumatic stress disorder symptoms, and avoidant coping strategies, as well as a marginally significant decrease in depression symptoms. Improvements in anxiety and depression were maintained 6 months postintervention; improvements in posttraumatic stress disorder and avoidant coping strategies were not.

Goodkind JR; Lanoue MD; Milford J
Journal Of Clinical Child And Adolescent Psychology: The Official Journal For The Society Of Clinical Child And Adolescent Psychology, American Psychological Association, Division 53
Journal Article
New Mexico; Adaptation, Psychological; Avoidance Learning; Cognitive Therapy methods; Indians, North American psychology; Stress Disorders, Post-Traumatic psychology; Stress Disorders, Post-Traumatic therapy; Adolescent; Anxiety psychology; Anxiety therapy; Depression psychology; Depression therapy; Female; Humans; Life Change Events; Male; New Mexico epidemiology; Schools; Stress Disorders, Post-Traumatic ethnology; Surveys and Questionnaires; Time Factors; Treatment Outcome; Violence prevention & control; Violence psychology; Adolescent: 13-18 years; All Child: 0-18 years; Female; Male
Tribal Adaptation
  • Secondary
  • Tertiary
mental health problems
  • access to health and social services
  • social and emotional competence