We want to make sure that the xaʔtu̓s for Mental Health (i.e., First Face) training program achieves its training goals. To do this, we will evaluate it and share what we find. We will make improvements to the training based on what we learn from our evaluation. 

We used a Tribal participatory approach to build xaʔtu̓s for Mental Health. We also will use a Tribal participatory approach to evaluate it. 

How will we evaluate xaʔtu̓s for Mental Health?

This study is an evaluation of xaʔtu̓s for Mental Health. It is not an evaluation of Tribal communities. This study has two parts: Individual Impacts and Community Impacts.

Individual Impacts

  • We will create two groups of trainees in each Tribe – one that receives the First Face training initially, and the other that receives it 6 months later. 
  • Each group will complete surveys every 6-12 months for two years. 
  • We will look at how knowledge and attitudes about mental health, as well as willingness and perceived readiness to intervene with someone experiencing a mental health crisis change after training. 

Community Impacts

  • We will conduct community-wide surveys in each Tribe once a year for three years to examine attitudes toward mental health in the community and how they change as a result of the training. 

What will the evaluation participants do?

Participants in the First Face study will be asked to:

  • participate in a First Face training;
  • complete five 15-30 minute surveys over the course of two years. 

Participants will receive gift cards for each survey, for a total of $180 if they complete the training and all five surveys.

How can I sign-up to participate?

If you work or live in one of the seven Tribal nations where we will be conducting First Face training this summer, please sign up to learn more and possibly participate in the study! 

  • Coeur d’Alene Tribe of Indians
  • Confederated Tribes of the Colville Reservation
  • Confederated Tribes of the Umatilla Indian Reservation
  • Kalispel Tribe of Indians
  • Kootenai Tribe of Idaho
  • Nez Perce Tribe
  • Spokane Tribe of Indians



Hannah Tomeo, Research Coordinator

Email: info@firstface.org

Phone: 509-795-8344

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