Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers

Background: Research on sustaining community-based interventions is limited. This is particularly true for suicide prevention programs and in American Indian and Alaska Native (AIAN) settings. Aiming to inform research in this area, this paper sought to identify factors and strategies that are key t...

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Autores principales:	E.E. Haroz, L. Wexler, S.M. Manson, M. Cwik, V.M. O’Keefe, J. Allen, S.M. Rasmus, D. Buchwald, A. Barlow
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Mental healing RZ400-408 Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/505a41df58814dcd92877e98fdab251b
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spelling	oai:doaj.org-article:505a41df58814dcd92877e98fdab251b2021-11-30T23:33:31ZSustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers2633-489510.1177/26334895211057042https://doaj.org/article/505a41df58814dcd92877e98fdab251b2021-11-01T00:00:00Zhttps://doi.org/10.1177/26334895211057042https://doaj.org/toc/2633-4895Background: Research on sustaining community-based interventions is limited. This is particularly true for suicide prevention programs and in American Indian and Alaska Native (AIAN) settings. Aiming to inform research in this area, this paper sought to identify factors and strategies that are key to sustain suicide prevention efforts in AIAN communities. Methods: We used a modified Nominal Group Technique with a purposeful sample of N = 35 suicide prevention research experts, program implementors and AIAN community leaders to develop a list of prioritized factors and sustainability strategies. We then compared this list with the Public Health Program Capacity for Sustainability Framework (PHPCSF) to examine the extent the factors identified aligned with the existing literature. Results: Major factors identified included cultural fit of intervention approaches, buy in from local communities, importance of leadership and policy making, and demonstrated program success. Strategies to promote these factors included partnership building, continuous growth of leadership, policy development, and ongoing strategic planning and advocacy. All domains of the PHPCF were representative, but additional factors and strategies were identified that emerged as important in AIAN settings. Conclusions: Sustaining effective and culturally informed suicide prevention efforts is of paramount importance to prevent suicide and save lives. Future research will focus on generating empirical evidence of these strategies and their effectiveness at promoting program sustainability in AIAN communities.E.E. HarozL. WexlerS.M. MansonM. CwikV.M. O’KeefeJ. AllenS.M. RasmusD. BuchwaldA. BarlowSAGE PublishingarticleMental healingRZ400-408PsychiatryRC435-571ENImplementation Research and Practice, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mental healing RZ400-408 Psychiatry RC435-571
spellingShingle	Mental healing RZ400-408 Psychiatry RC435-571 E.E. Haroz L. Wexler S.M. Manson M. Cwik V.M. O’Keefe J. Allen S.M. Rasmus D. Buchwald A. Barlow Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
description	Background: Research on sustaining community-based interventions is limited. This is particularly true for suicide prevention programs and in American Indian and Alaska Native (AIAN) settings. Aiming to inform research in this area, this paper sought to identify factors and strategies that are key to sustain suicide prevention efforts in AIAN communities. Methods: We used a modified Nominal Group Technique with a purposeful sample of N = 35 suicide prevention research experts, program implementors and AIAN community leaders to develop a list of prioritized factors and sustainability strategies. We then compared this list with the Public Health Program Capacity for Sustainability Framework (PHPCSF) to examine the extent the factors identified aligned with the existing literature. Results: Major factors identified included cultural fit of intervention approaches, buy in from local communities, importance of leadership and policy making, and demonstrated program success. Strategies to promote these factors included partnership building, continuous growth of leadership, policy development, and ongoing strategic planning and advocacy. All domains of the PHPCF were representative, but additional factors and strategies were identified that emerged as important in AIAN settings. Conclusions: Sustaining effective and culturally informed suicide prevention efforts is of paramount importance to prevent suicide and save lives. Future research will focus on generating empirical evidence of these strategies and their effectiveness at promoting program sustainability in AIAN communities.
format	article
author	E.E. Haroz L. Wexler S.M. Manson M. Cwik V.M. O’Keefe J. Allen S.M. Rasmus D. Buchwald A. Barlow
author_facet	E.E. Haroz L. Wexler S.M. Manson M. Cwik V.M. O’Keefe J. Allen S.M. Rasmus D. Buchwald A. Barlow
author_sort	E.E. Haroz
title	Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
title_short	Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
title_full	Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
title_fullStr	Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
title_full_unstemmed	Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers
title_sort	sustaining suicide prevention programs in american indian and alaska native communities and tribal health centers
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/505a41df58814dcd92877e98fdab251b
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Sustaining suicide prevention programs in American Indian and Alaska Native communities and Tribal health centers

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