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Preliminary Evaluation of a School-Based Youth Leadership and Prevention Program in Rural Alaska Native Communities

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Abstract

Youth Leaders Program (YLP) is a health intervention implemented in a rural Alaskan school district, which utilizes natural helpers and peer leaders to increase protective factors such as school engagement and personal/cultural identities, and to reduce risks associated with drug/alcohol abuse, violence, and bullying. Through these means, the program aims to ultimately decrease the disproportionately high rates of indigenous youth suicide in the region. This paper describes process and outcome evaluation findings from the program during the 2013–2014 school year. Data collected include a survey for program participants done at the beginning and end of the study year (n = 61, complete pairs); pre- and post-intervention school data (attendance, GPA, and disciplinary actions) (n = 86); an all-school survey asking students at the participating schools about their experience with YLP and participating youth (n = 764); interviews with program advisors (n = 11) and school principals (n = 2); and focus groups with participating students at all eleven participating schools at the end of the year. Outcomes included increased school attendance (mean attendance increased from 146 to 155 days) and improved academic performance (mean GPA of 8th, 9th, and 10th graders increased from 3.01 to 3.14) of program participants; positive peer reviews of participating student interventions in cases of bullying, depression, and suicidality; and a reported increase in the sense of agency, responsibility, and confidence among participating youth. The YLP appears to improve school climate and increase school and other protective factors for participating students. Recommendations for program implementation in the future and implications for school health will be discussed.

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References

  • Alcántara, C., & Gone, J. P. (2007). Reviewing suicide in Native American communities: Situating risk and protective factors within a transactional–ecological framework. Death Studies, 31(5), 457–477.

    Article  PubMed  Google Scholar 

  • Balestrery, J. E. (2014). A multi-sited ethnographic study in Alaska: Examining the culture-communication nexus salient to Alaska Native Elders and conventional health and social services. Doctoral dissertation, University of Michigan. Retrieved from https://deepblue.lib.umich.edu/bitstream/handle/2027.42/107237/jeanswa_1.pdf?sequence=1

  • Baskin, T. W., Wampold, B. E., Quintana, S. M., & Enright, R. D. (2010). Belongingness as a protective factor against loneliness and potential depression in a multicultural middle school. The Counseling Psychologist, 38(5), 626–651.

    Article  Google Scholar 

  • Bjerregaard, P. (2001). Rapid socio-cultural change and health in the arctic. International Journal of Circumpolar Health, 60(2), 102–111.

    PubMed  Google Scholar 

  • Borowsky, I. W., Resnick, M. D., Ireland, M., & Blum, R. W. (1999). Suicide attempts among American Indian and Alaska Native youth: Risk and protective factors. Archives of Pediatrics and Adolescent Medicine, 153(6), 573–580.

    Article  PubMed  Google Scholar 

  • Castagno, A. E., & Brayboy, B. M. J. (2008). Culturally responsive schooling for Indigenous youth: A review of the literature. Review of Educational Research, 78(4), 941–993.

    Article  Google Scholar 

  • Catalano, R. F., Berglund, M. L., Ryan, J. A., Lonczak, H. S., & Hawkins, J. D. (2004). Positive youth development in the United States: Research findings on evaluations of positive youth development programs. The Annals of the American Academy of Political and Social Science, 591(1), 98–124.

    Article  Google Scholar 

  • Cerecer, P. D. Q. (2013). The policing of native bodies and minds: Perspectives on schooling from American Indian youth. American Journal of Education, 119(4), 591–616.

    Article  Google Scholar 

  • Charmaz, K. (2014). Constructing grounded theory. Washington, DC: Sage Publications.

    Google Scholar 

  • Cho, H., Hallfors, D. D., & Sánchez, V. (2005). Evaluation of a high school peer group intervention for at-risk youth. Journal of Abnormal Child Psychology, 33(3), 363–374.

    Article  PubMed  Google Scholar 

  • Conner, K. R., Britton, P. C., Sworts, L. M., & Joiner, T. E. (2007). Suicide attempts among individuals with opiate dependence: The critical role of belonging. Addictive Behaviors, 32(7), 1395–1404.

    Article  PubMed  Google Scholar 

  • Crooks, C. V., Burleigh, D., Snowshoe, A., Lapp, A., Hughes, R., & Sisco, A. (2015). A case study of culturally relevant school-based programming for First Nations youth: Improved relationships, confidence and leadership, and school success. Advances in School Mental Health Promotion, 8(4), 216–230.

    Article  Google Scholar 

  • Deyhle, D. (1992). Constructing failure and maintaining cultural identity: Navajo and Ute school leavers. Journal of American Indian Education, 31(2), 24–47.

    Google Scholar 

  • Dixon, A. L., Scheidegger, C., & McWhirter, J. J. (2009). The adolescent mattering experience: Gender variations in perceived mattering, anxiety, and depression. Journal of Counseling & Development, 87(3), 302–310.

    Article  Google Scholar 

  • Eccles, J. S., & Barber, B. L. (1999). Student council, volunteering, basketball, or marching band: What kind of extracurricular involvement matters? Journal of Adolescent Research, 14(1), 10–43.

    Article  Google Scholar 

  • Eccles, J. S., Barber, B. L., Stone, M., & Hunt, J. (2003). Extracurricular activities and adolescent development. Journal of Social Issues, 59(4), 865–889.

    Article  Google Scholar 

  • Eng, E., & Parker, E. (2002). Natural helper models to enhance a community’s health and competence. In R. J. DiClemente, R. A. Crosby, & M. C. Kegler (Eds.), Emerging theories in health promotion practice and research (pp. 126–156). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Faircloth, S. C., & Tippeconnic, J. W. (2010). The dropout/graduation crisis among American Indian and Alaska Native students: Failure to respond places the future of Native peoples at risk. Los Angeles, CA: The Civil Rights Project/Proyecto Derechos Civiles at UCLA. Retrieved from https://escholarship.org/uc/item/4ps2m2rf

  • Farmer, P. E., Nizeye, B., Stulac, S., & Keshavjee, S. (2006). Structural violence and clinical medicine. PLoS Med, 3(10), e449.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fergusson, D. M., Woodward, L. J., & Horwood, L. J. (2000). Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychological Medicine, 30(01), 23–39.

    Article  PubMed  Google Scholar 

  • Fletcher, A., Bonell, C., & Hargreaves, J. (2008). School effects on young people’s drug use: A systematic review of intervention and observational studies. Journal of Adolescent Health, 42(3), 209–220.

    Article  PubMed  Google Scholar 

  • France, M. K., & Finney, S. J. (2009). What matters in the measurement of mattering? A construct validity study. Measurement and Evaluation in Counseling and Development, 42(2), 104–120.

    Article  Google Scholar 

  • Fredricks, J. A., & Eccles, J. S. (2005). Developmental benefits of extracurricular involvement: Do peer characteristics mediate the link between activities and youth outcomes? Journal of Youth and Adolescence, 34(6), 507–520.

    Article  Google Scholar 

  • Fryberg, S. A., Covarrubias, R., & Burack, J. A. (2013). Cultural models of education and academic performance for Native American and European American students. School Psychology International, 34(4), 439–452.

    Article  Google Scholar 

  • Greenberg, M. T., Domitrovich, C., & Bumbarger, B. (1999). Preventing mental disorders in school-age children: A review of the effectiveness of prevention programs. Report submitted to the Prevention Research Center for the Promotion of Human Development, College of Health and Human Development, Pennsylvania State University. Retrieved from http://www.prevention.psu.edu/media/prc/files/MentalDisordersfullreport.pdf

  • Gregoric, C., & Owens, L. (2008). The effectiveness of peer support leadership training in a South Australian school. International Journal of Adolescence and Youth, 14(2), 93–112.

    Article  Google Scholar 

  • Griner, D., & Smith, T. B. (2006). Culturally adapted mental health intervention: A meta-analytic review. Psychotherapy: Theory, Research, Practice. Training, 43(4), 531.

    Google Scholar 

  • Hawkins, E. H., Cummins, L. H., & Marlatt, G. A. (2004). Preventing substance abuse in American Indian and Alaska Native youth: Promising strategies for healthier communities. Psychological Bulletin, 130(2), 304.

    Article  PubMed  Google Scholar 

  • Heaney, C. A., & Israel, B. A. (2008). Social networks and social support. Health Behavior and Health Education: Theory, Research, and Practice, 4, 189–210.

    Google Scholar 

  • Hill, D. L. (2009). Relationship between sense of belonging as connectedness and suicide in American Indians. Archives of Psychiatric Nursing, 23(1), 65–74.

    Article  PubMed  Google Scholar 

  • Kendal, S., Keeley, P., & Callery, P. (2011). Young people’s preferences for emotional wellbeing support in high school: A focus group study. Journal of Child and Adolescent Psychiatric Nursing, 24(4), 245–253.

    Article  PubMed  Google Scholar 

  • Kirmayer, L., Simpson, C., & Cargo, M. (2003). Healing traditions: Culture, community and mental health promotion with Canadian Aboriginal peoples. Australasian Psychiatry, 11(1), 15–23.

    Article  Google Scholar 

  • Kral, M. J., Wiebe, P. K., Nisbet, K., Dallas, C., Okalik, L., Enuaraq, N., et al. (2009). Canadian Inuit community engagement in suicide prevention. International Journal of Circumpolar Health, 68(3), 292–308.

    Article  PubMed  Google Scholar 

  • LaFromboise, T. D., Hoyt, D. R., Oliver, L., & Whitbeck, L. B. (2006). Family, community, and school influences on resilience among American Indian adolescents in the upper Midwest. Journal of Community Psychology, 34(2), 193–209.

    Article  Google Scholar 

  • Laurent, J., Catanzaro, S. J., Joiner, T. E., Jr., Rudolph, K. D., Potter, K. I., Lambert, S., et al. (1999). A measure of positive and negative affect for children: Scale development and preliminary validation. Psychological Assessment, 11(3), 326–338.

    Article  Google Scholar 

  • Lehti, V., Niemelä, S., Hoven, C., Mandell, D., & Sourander, A. (2009). Mental health, substance use and suicidal behaviour among young Indigenous people in the Arctic: A systematic review. Social Science and Medicine, 69(8), 1194–1203.

    Article  PubMed  Google Scholar 

  • MacDonald, J. P., Ford, J. D., Willox, A. C., & Ross, N. A. (2013). A review of protective factors and causal mechanisms that enhance the mental health of Indigenous Circumpolar youth. International Journal of Circumpolar Health, 72, 21775. doi:10.3402/ijch.v72i0.21775.

    Article  PubMed  Google Scholar 

  • McNabb, S. (1991). Elders, Inupiat Ilitqusiat, and culture goals in northwest Alaska. Arctic Anthropology, 28(2), 63–76.

    Google Scholar 

  • Oetzel, J., & Duran, B. (2004). Intimate partner violence in American Indian and/or Alaska Native communities: A social ecological framework of determinants and interventions. American Indian and Alaska Native Mental Health Research, 11(3), 49–68.

    Article  PubMed  Google Scholar 

  • Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. The Lancet, 369(9569), 1302–1313.

    Article  Google Scholar 

  • Patton, M. Q. (2008). Utilization-focused evaluation. Los Angeles, CA: Sage.

    Google Scholar 

  • Pisani, A. R., Schmeelk-Cone, K., Gunzler, D., Petrova, M., Goldston, D. B., Tu, X., et al. (2012). Associations between suicidal high school students’ help-seeking and their attitudes and perceptions of social environment. Journal of Youth and Adolescence, 41(10), 1312–1324.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rayle, A. D. (2005). Adolescent gender differences in mattering and wellness. Journal of Adolescence, 28(6), 753–763.

    Article  PubMed  Google Scholar 

  • Rayle, A. D., & Myers, J. E. (2004). Counseling adolescents toward wellness: The roles of ethnic identity, acculturation, and mattering. Professional School Counseling, 8(1), 81–90.

    Google Scholar 

  • Rhodes, J. E. (2005). A model of youth mentoring. In D. L. DuBois & M. J. Karcher (Eds.), A handbook of youth mentoring (pp. 30–43). Los Angeles, CA: Sage.

    Chapter  Google Scholar 

  • Rosenberg, M., & McCullough, B. C. (1981). Mattering: Inferred significance and mental health among adolescents. Research in Community & Mental Health, 2, 163–182.

    Google Scholar 

  • Sarche, M., & Spicer, P. (2008). Poverty and health disparities for American Indian and Alaska Native children. Annals of the New York Academy of Sciences, 1136(1), 126–136.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spencer, A. M. (2009). School attendance Patterns, unmet educational needs, and truancy: A chronological perspective. Remedial and Special Education, 30(5), 309–319.

    Article  Google Scholar 

  • Stevenson, L. (2014). Life beside itself: Imagining care in the Canadian Arctic. Berkeley, CA: University of California Press.

    Google Scholar 

  • Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the positive and negative affect schedule (PANAS). Journal of Cross-Cultural Psychology, 38(2), 227–242.

    Article  Google Scholar 

  • Van Orden, K. A., Witte, T. K., James, L. M., Castro, Y., Gordon, K. H., Braithwaite, S. R., et al. (2008). Suicidal ideation in college students varies across semesters: The mediating role of belongingness. Suicide and Life-Threatening Behavior, 38(4), 427–435.

    Article  PubMed  Google Scholar 

  • Villodas, F., Villodas, M. T., & Roesch, S. (2011). Examining the factor structure of the positive and negative affect schedule (PANAS) in a multiethnic sample of adolescents. Measurement and Evaluation in Counseling and Development, 44(4), 193–203.

    Article  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.

    Article  PubMed  Google Scholar 

  • Wexler, L. M. (2006). Inupiat youth suicide and culture loss: Changing community conversations for prevention. Social Science and Medicine, 63(11), 2938–2948.

    Article  PubMed  Google Scholar 

  • Wexler, L. M. (2009). The importance of identity, culture and history in the study of Indigenous youth wellness. Journal of the History of Childhood and Youth, 2(2), 267–278.

    Article  Google Scholar 

  • Wexler, L. M. (2011). Behavioral health services “Don’t work for us”: Cultural incongruities in human service systems for Alaska Native communities. American Journal of Community Psychology, 47(1–2), 157–169.

    Article  PubMed  Google Scholar 

  • Wexler, L. M., Dam, H. T., Silvius, K., Mazziotti, J., & Bamikole, I. (2016). Protective factors of Native youth: Findings from a self-report survey in rural Alaska. Journal of Youth Studies, 19(3), 358–373.

    Article  Google Scholar 

  • Wexler, L. M., & Gone, J. P. (2012). Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities. American Journal of Public Health, 102(5), 800–806.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wexler, L. M., Hill, R., Bertone-Johnson, E., & Fenaughty, A. (2008). Correlates of Alaska Native fatal and nonfatal suicidal behaviors 1990–2001. Suicide and Life-Threatening Behavior, 38, 311–320.

    Article  PubMed  Google Scholar 

  • Wexler, L. M., Joule, L., Garoutte, J., Mazziotti, J., & Hopper, K. (2014). “Being responsible, respectful, trying to keep the tradition alive:” Cultural resilience and growing up in an Alaska Native community. Transcultural Psychiatry, 51(5), 693–712.

    Article  PubMed  Google Scholar 

  • Wexler, L. M., Silveira, M. L., & Bertone-Johnson, E. (2012). Factors associated with Alaska Native fatal and nonfatal suicidal behaviors 2001–2009: Trends and implications for prevention. Archives of Suicide Research, 16(4), 273–286.

    Article  PubMed  Google Scholar 

  • Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., et al. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-Year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Funding for the evaluation was provided by the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Service to Science Initiative: “Building Evaluation Capacity for Evidence-Based Interventions” and by the Canadian Institutes of Health Research’s Team Grant—Circumpolar Wellness, Resilience & Suicide Prevention (PI: Chachamovich).

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Correspondence to Lisa Wexler.

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Wexler, L., Poudel-Tandukar, K., Rataj, S. et al. Preliminary Evaluation of a School-Based Youth Leadership and Prevention Program in Rural Alaska Native Communities. School Mental Health 9, 172–183 (2017). https://doi.org/10.1007/s12310-016-9203-2

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