About C-CART
In the summer of 2021, Northern Arizona University’s Center for Health Equity Research (CHER), in partnership with NAU’s College of Education, received a grant to create a graduate training program for practicing clinicians and doctoral students in health professions.
The program, called Culturally-Centered Addictions Research Training or C-CART, addresses substance use disorders, specifically in underserved American Indian, Hispanic, and rural populations.
The innovative graduate certification program, funded through the National Institute on Drug Abuse, fills a critical need for culturally relevant training in health professions, and complements NAU’s doctoral programs in health care and behavioral health fields. Julie A. Baldwin, Regents’ Professor and CHER executive director, and Ramona Mellott, dean of the NAU College of Education and professor in the Department of Educational Psychology are the Multiple Principal Investigators (MPIs) of the project.
“Racial and ethnic minorities and rural residents often have high rates of substance use disorders and experience greater rates of poor health outcomes and premature mortality due, in part, to difficulty accessing evidence-based comprehensive and culturally relevant care,” said Mellott. “This program will prepare our students to conduct culturally-centered research on substance use disorders in practice settings.”
NAU faculty in the program include instructors and academic mentors Shane Haberstroh, professor, Department of Educational Psychology; Juliette Roddy, NARBHA Institute James Wurgler MD chair of Criminal Justice and Behavioral Health; Tara Bautista, assistant professor, Department of Psychological Sciences; Emery Eaves, associate professor, Department of Anthropology; Katie Mommaerts, assistant professor, Department of Social Work; Oaklee Rogers, chair and associate professor, Department of Occupational Therapy; and Ariel L. Roddy, assistant professor, Department of Criminology and Criminal Justice. The program also has a National Advisory Board with leading experts in the field.
The program targets students from doctoral programs in occupational therapy, physical therapy, clinical psychology, counseling/school psychology, interdisciplinary health and other departments throughout the university, as well as practicing professionals from the community.
According to Baldwin, evidence-based, integrated interventions informed by the research of culturally-centered, interprofessional teams “have the potential to play a critical role in improving behavioral health services for American Indian, Hispanic and rural populations.”
“Culturally-centered addictions research training can increase the number of well-qualified researchers, and improve care coordination and continuity of care by promoting interprofessional research teams and networks of both clinical and nonclinical providers,” Baldwin said.
Baldwin has successfully directed other federally funded projects focused on drug use and substance use disorders, including a graduate certificate program called the Institute for Translational Research Education in Adolescent Drug Abuse, a partnership between NAU and the University of South Florida, established seven years ago.
Community need for the graduate certificate training program
In 2015, NAU’s Department of Educational Psychology conducted a statewide survey of 15 clinical directors in Arizona behavioral health agencies to determine the need for an addictions research graduate certificate program. The results indicated nearly unanimous support for such a program.
With the COVID-19 pandemic, the need to address barriers to culturally relevant training among health care professionals is more urgent now than ever,” Mellott said.
Students in the program will develop skills through coursework and research experience working in interprofessional teams with academic and community mentors, and exploring culturally-centered, evidence-based practices through working with local community partners. Numerous community agencies across the state of Arizona are participating in the program.
Students and agency mentors will co-design research activities that have direct relevance to the agencies and the clients whom they serve, using participatory decision making––an approach that supports meaningful translation of research projects into positive outcomes.
“There are important considerations for designing and conducting research that will have a real impact on communities and will be useful for treatment providers,” said Keene. “The C-CART program will train researchers who will dissolve discipline boundaries and forge interdisciplinary advancement in substance abuse research and clinical practice.”