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Related Experiment Video

Updated: Jul 20, 2025

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
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Recommendations for Optimizing xaʔtus (First Face) for Mental Health Training: Insights from Key Informants.

Heather M Gray, Mariana Beu Rae, Cassie Anderson

    American Indian and Alaska Native Mental Health Research (Online)
    |July 31, 2023
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    Summary

    Native adolescents facing mental health issues often turn to peers due to limited access to culturally relevant services. The xaʔtus (First Face) for Mental Health intervention aims to improve informal support networks and formal care pathways for these youth.

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    Area of Science:

    • Public Health
    • Mental Health Services Research
    • Indigenous Health

    Background:

    • Native adolescents frequently encounter mental health challenges, including substance misuse.
    • Limited access and cultural misalignment with professional services often lead youth to prefer informal support networks.
    • Existing behavioral health services may not adequately meet the cultural needs of Tribal communities.

    Purpose of the Study:

    • To gather insights from key informants to optimize the planning, promotion, and delivery of the xaʔtus (First Face) for Mental Health intervention.
    • To enhance community-based mental health support for Native adolescents.
    • To bridge informal and formal mental health care pathways for youth.

    Main Methods:

    • Conducted three focus groups with adolescents, clinical staff, and community members from Tribal nations in the Northwest United States.
    • Utilized qualitative data from focus groups to generate recommendations for intervention optimization.
    • Key informants included teens from a residential chemical dependency program, behavioral health clinical staff, and community educators/social service professionals.

    Main Results:

    • Planning recommendations emphasized respecting trainees' time, integrating training into educational curricula, and ensuring physical safety while avoiding "Zoom fatigue."
    • Promotion strategies should address potential reluctance by highlighting the personal relevance and benefits of becoming a First Face.
    • Training delivery should incorporate interactive activities, self-care instruction, acknowledge trauma's impact, and avoid divisive political discussions.

    Conclusions:

    • Community input is crucial for tailoring interventions like First Face for Mental Health to the specific needs of Tribal communities.
    • Addressing cultural relevance and accessibility barriers can improve engagement with mental health services.
    • Optimized planning, promotion, and delivery strategies are essential for the successful implementation of community-based mental health programs for Native youth.