2021
DOI: 10.1186/s12889-021-12272-9
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Wakȟáŋyeža (Little Holy One) - an intergenerational intervention for Native American parents and children: a protocol for a randomized controlled trial with embedded single-case experimental design 

Abstract: Background Trauma within Native American communities compromises parents’ parenting capacity; thus, increasing childrens’ risk for substance use and suicide over the lifespan. The objective of this manuscript is to describe the Wakȟáŋyeža (Little Holy One) intervention and evaluation protocol, that is designed to break cycles of intergenerational trauma, suicide, and substance use among Fort Peck Assiniboine and Sioux parents and their children. Methods … Show more

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Cited by 13 publications
(13 citation statements)
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“…Strengths-based models focused on empowerment, home-visiting programs, and intergenerational interventions incorporating spirituality are promising models that have been explored among minoritized families. [44][45][46] With a restructuring of a notification system separate from child welfare services as described above, there is an opportunity to create and evaluate culturally appropriate models of enhanced support for families who may be facing significant challenges, including SUD that is separate from child welfare. Of course, if concerns of abuse or neglect arise at any point along this care continuum, a report to child welfare services would be mandated.…”
Section: Clinical Care Model Innovationmentioning
confidence: 99%
“…Strengths-based models focused on empowerment, home-visiting programs, and intergenerational interventions incorporating spirituality are promising models that have been explored among minoritized families. [44][45][46] With a restructuring of a notification system separate from child welfare services as described above, there is an opportunity to create and evaluate culturally appropriate models of enhanced support for families who may be facing significant challenges, including SUD that is separate from child welfare. Of course, if concerns of abuse or neglect arise at any point along this care continuum, a report to child welfare services would be mandated.…”
Section: Clinical Care Model Innovationmentioning
confidence: 99%
“…Caregiver connectedness relates to how youth perceive affection, genuine concern, and respect demonstrated by caregivers (Foster et al, 2017). Academic literature notes that positive relationships between a parent and child are a protective factor against substance abuse (Brockie et al, 2021), violence (Farrell et al, 2010), internalizing disorders (Day & Padilla-Walker, 2009), depression and anxiety (Eugene, 2021), suicidal ideation (Pharris et al, 1997), and suicide attempts (Borowsky et al, 2001;Brockie et al, 2021;Foster et al, 2017;Pharris et al, 1997). The CPs were asked: To what extent do parents or caregivers influence an adolescent's self-esteem?…”
Section: Caregiver Connectednessmentioning
confidence: 99%
“…In Fort Peck, there is critical need for sustainable psychological and behavioral health support (23). However, provision of these services is hampered by the remote location of reservations, wait time of up to 3 months, lack of private or employment-based health insurance, reluctance to utilize existing health services due to structural and institutional racism (1,24), and the primary health care provider on reservations, the Indian Health Service, being chronically underfunded and understaffed, particularly in rural and remote settings (25).…”
Section: Reservation Community Needs Assessmentmentioning
confidence: 99%
“…3-5 years of age and attending tribal Head Start(23). The intervention is a strengths-based, 12-module curriculum focused on promoting family wellness across a holistic well-being (i.e., physical [behavioral], emotional, mental [cognitive], and spiritual) spectrum.…”
mentioning
confidence: 99%