Pub Date : 2024-04-23DOI: 10.32799/ijih.v19i1.41319
Melissa Lewis, Elizabeth Modde, Martina Kamaka, Terry Maresca, Melissa Horner, Stan Hudson, Laurelle L Myhra
Indigenous patients frequently experience bias and racism in society and within medical encounters. Biased health care relates to delayed and worsened health care, as well as worse health outcomes. Evidence exists that training can reduce bias and improve care. However, no recommendations or requirements around Indigenous health education exist. Therefore, a team of 7 experts was formed to create a training guide called the Indigenous Health Toolkit to train healthcare providers to provide more effective care to Indigenous patients. Indigenous methodologies were applied to this endeavor to create recommendations and training which included engagement with Indigenous elders, community, youth, and businesses. A 7-module toolkit was created over one year to train healthcare providers to provide culturally congruent and bias-free care to Indigenous patients in hopes of reducing the gap in health disparities that exists between Indigenous and non-Indigenous communities.
{"title":"Development of the Indigenous Health Toolkit","authors":"Melissa Lewis, Elizabeth Modde, Martina Kamaka, Terry Maresca, Melissa Horner, Stan Hudson, Laurelle L Myhra","doi":"10.32799/ijih.v19i1.41319","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41319","url":null,"abstract":"Indigenous patients frequently experience bias and racism in society and within medical encounters. Biased health care relates to delayed and worsened health care, as well as worse health outcomes. Evidence exists that training can reduce bias and improve care. However, no recommendations or requirements around Indigenous health education exist. Therefore, a team of 7 experts was formed to create a training guide called the Indigenous Health Toolkit to train healthcare providers to provide more effective care to Indigenous patients. Indigenous methodologies were applied to this endeavor to create recommendations and training which included engagement with Indigenous elders, community, youth, and businesses. A 7-module toolkit was created over one year to train healthcare providers to provide culturally congruent and bias-free care to Indigenous patients in hopes of reducing the gap in health disparities that exists between Indigenous and non-Indigenous communities.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adopting strength-based approaches reinstate power and control to Aboriginal communities, while nurturing empowerment and decision making in the design and delivery of culturally contextualised approaches to addressing Aboriginal health and wellbeing. Aboriginal health policy and practice continues to address Aboriginal child health and wellbeing from a whole-of-population deficit discourse, further exacerbating Aboriginal disadvantage for Aboriginal children and young people. Furthermore, population health level data provides an opportunity to understand the complexities of health and wellbeing for urban Aboriginal children and young people yet such information is rarely documented. This paper seeks to discuss the development of multi-disciplinary community-based Aboriginal child health services in an urban community using strengths-based principles. We highlight the opportunities and challenges in addressing Aboriginal child health over a ten-year period, and demonstrate that access to culturally safe, resilience-building services can produce measurable improvements in health seeking behaviour, maternal health and early intervention. Within, we draw on holistic frameworks to demonstrate that optimal outcomes can be achieved through integrated interdisciplinary models of care that are responsive to the needs of the local community, understand the social determinants of health and build resilience – all critically important to addressing Aboriginal child health and wellbeing
{"title":"Strength-Based approaches to providing an Aboriginal Community Child Health Service","authors":"Natasha Larter, Michelle Jersky, Lola Ryan, Georgia Harding, Melinda Moore, Lauren Hamill, Shea Caplice, Susan Woolfenden, Karen Zwi","doi":"10.32799/ijih.v19i1.41292","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41292","url":null,"abstract":"Adopting strength-based approaches reinstate power and control to Aboriginal communities, while nurturing empowerment and decision making in the design and delivery of culturally contextualised approaches to addressing Aboriginal health and wellbeing. Aboriginal health policy and practice continues to address Aboriginal child health and wellbeing from a whole-of-population deficit discourse, further exacerbating Aboriginal disadvantage for Aboriginal children and young people. Furthermore, population health level data provides an opportunity to understand the complexities of health and wellbeing for urban Aboriginal children and young people yet such information is rarely documented. \u0000This paper seeks to discuss the development of multi-disciplinary community-based Aboriginal child health services in an urban community using strengths-based principles. We highlight the opportunities and challenges in addressing Aboriginal child health over a ten-year period, and demonstrate that access to culturally safe, resilience-building services can produce measurable improvements in health seeking behaviour, maternal health and early intervention. Within, we draw on holistic frameworks to demonstrate that optimal outcomes can be achieved through integrated interdisciplinary models of care that are responsive to the needs of the local community, understand the social determinants of health and build resilience – all critically important to addressing Aboriginal child health and wellbeing","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140691022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-27DOI: 10.32799/ijih.v19i1.41307
Alasdair Vance, J. McGaw, Di O'Rorke, Selena White, Sandra Eades
Indigenous young people around the world suffer poorer mental health outcomes than their non-Indigenous counterparts. Currently, how culture matters for health, what cultural practices are used in community to support health and wellbeing, and how culture is passed on in Aboriginal contemporary life in south east Australia – a region most affected by settler-colonisation – is not well understood. This paper presents findings from yarns with a representative sample of 45 Indigenous participants working in the field of health and wellbeing that explored how culture interleaves with health and wellbeing. It used Grounded Theory as the overarching methodology with community participation in all aspects of the project. Participants were nominated through snowballing and screened by a governing Board of Elders. They included men and women of varied ages, half residing in urban areas and half from rural Victoria, Australia. They had declared affiliations to 31 Traditional tribal groups. The yarns were held over zoom between a FN research assistant who was part of the community, and each participant. Each was recorded, transcribed, coded and analysed by a multi-perspectival team. Culture was viewed as central to individual and communal life, and passed on through relationships with people and Country itself. A wide variety of cultural practices were used by community members to aid and maintain health and wellbeing in profound ways. Myriad obstacles to health and wellbeing exist were also described, from experiences of disconnection through to barriers for accessing services. These findings have the potential to shape future holistic care and policy.
{"title":"Culture, Health and Wellbeing: Yarning with the Victorian Indigenous community","authors":"Alasdair Vance, J. McGaw, Di O'Rorke, Selena White, Sandra Eades","doi":"10.32799/ijih.v19i1.41307","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41307","url":null,"abstract":"Indigenous young people around the world suffer poorer mental health outcomes than their non-Indigenous counterparts. Currently, how culture matters for health, what cultural practices are used in community to support health and wellbeing, and how culture is passed on in Aboriginal contemporary life in south east Australia – a region most affected by settler-colonisation – is not well understood. This paper presents findings from yarns with a representative sample of 45 Indigenous participants working in the field of health and wellbeing that explored how culture interleaves with health and wellbeing. It used Grounded Theory as the overarching methodology with community participation in all aspects of the project. Participants were nominated through snowballing and screened by a governing Board of Elders. They included men and women of varied ages, half residing in urban areas and half from rural Victoria, Australia. They had declared affiliations to 31 Traditional tribal groups. The yarns were held over zoom between a FN research assistant who was part of the community, and each participant. Each was recorded, transcribed, coded and analysed by a multi-perspectival team. Culture was viewed as central to individual and communal life, and passed on through relationships with people and Country itself. A wide variety of cultural practices were used by community members to aid and maintain health and wellbeing in profound ways. Myriad obstacles to health and wellbeing exist were also described, from experiences of disconnection through to barriers for accessing services. These findings have the potential to shape future holistic care and policy.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41140
Sarah Tomkins, Jennifer Liu
Indigenous women and birthing parents in Canada disproportionately face mistreatment in their maternal healthcare experiences due to systemic anti-Indigenous racism, ongoing harmful impacts of settler colonialism, and power differentials inherent in many healthcare relationships. Indigenous midwives and doulas are important leaders in resisting these conditions and reclaiming traditional Indigenous birth knowledge and practices. Ultimately, they work to uphold Indigenous self-determination and sovereignty. Grounded in an understanding of historical and current challenges regarding Indigenous maternal health, this qualitative study explored how best to situate oneself as a settler researcher and maternal health practitioner to support Indigenous maternal health in a culturally safe, anti-racist manner. In this article, key insights are shared from semi-structured interviews conducted with five prominent Indigenous scholars, midwives and community leaders. These consultants emphasized the central importance of intentional relationships in advancing the reclamation of traditional birth practices and providing culturally safe care, along with the indispensability of Indigenous midwives and doulas in these processes. Consultants also stressed the critical need for increased numbers of, and accessibility to, Indigenous practitioners in communities across the country. Settler practitioners are urged to understand the historical and contemporary impacts of settler colonialism, and the significance of building culturally safe, anti-racist relationships with their Indigenous colleagues and clients.
{"title":"Meaningful Positioning","authors":"Sarah Tomkins, Jennifer Liu","doi":"10.32799/ijih.v19i1.41140","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41140","url":null,"abstract":"Indigenous women and birthing parents in Canada disproportionately face mistreatment in their maternal healthcare experiences due to systemic anti-Indigenous racism, ongoing harmful impacts of settler colonialism, and power differentials inherent in many healthcare relationships. Indigenous midwives and doulas are important leaders in resisting these conditions and reclaiming traditional Indigenous birth knowledge and practices. Ultimately, they work to uphold Indigenous self-determination and sovereignty. Grounded in an understanding of historical and current challenges regarding Indigenous maternal health, this qualitative study explored how best to situate oneself as a settler researcher and maternal health practitioner to support Indigenous maternal health in a culturally safe, anti-racist manner. In this article, key insights are shared from semi-structured interviews conducted with five prominent Indigenous scholars, midwives and community leaders. These consultants emphasized the central importance of intentional relationships in advancing the reclamation of traditional birth practices and providing culturally safe care, along with the indispensability of Indigenous midwives and doulas in these processes. Consultants also stressed the critical need for increased numbers of, and accessibility to, Indigenous practitioners in communities across the country. Settler practitioners are urged to understand the historical and contemporary impacts of settler colonialism, and the significance of building culturally safe, anti-racist relationships with their Indigenous colleagues and clients.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140234946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41314
Chelsea Gabel, Robert Henry, Alexandra Nychuk, Sage Hartmann, Amanda LaVallee
The purpose of this article is to gain insight into the ways in which Métis youth describe, understand, and express their identity and how this relates to their overall health and well-being. There has been a lack of opportunity for Métis to identify and control depictions of themselves. As part of a larger intergenerational digital storytelling research project, this research undertook a community-engaged, arts and strengths-based approach using semi-structured interviews and digital stories with Métis from Manitoba, Saskatchewan, and Alberta to understand how they have come to understand what it means to be Métis today in Canada. The findings of this study reaffirm an explicit connection between Métis youth identity and their overall health and well-being.
{"title":"“We Know Who We Are”: Reflections on Métis Youth Identity, Health and Well-Being","authors":"Chelsea Gabel, Robert Henry, Alexandra Nychuk, Sage Hartmann, Amanda LaVallee","doi":"10.32799/ijih.v19i1.41314","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41314","url":null,"abstract":"The purpose of this article is to gain insight into the ways in which Métis youth describe, understand, and express their identity and how this relates to their overall health and well-being. There has been a lack of opportunity for Métis to identify and control depictions of themselves. As part of a larger intergenerational digital storytelling research project, this research undertook a community-engaged, arts and strengths-based approach using semi-structured interviews and digital stories with Métis from Manitoba, Saskatchewan, and Alberta to understand how they have come to understand what it means to be Métis today in Canada. The findings of this study reaffirm an explicit connection between Métis youth identity and their overall health and well-being.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.40944
Hsien Seow, Joanna Vautour, Valerie Bishop, Chantel Antone, Tessa Belleau, Brett Corbiere, Verna Fruch, Laura McCormick, Lori Monture, Margaret Civak, Shilpa Jyothi Kumar, Kayla McMillan, D. Bainbridge, Robin Cano
In Ontario, Canada, several training programs have been created to improve home-based palliative care in First Nations communities, though they primarily focus on meeting needs at end-of-life. Therefore, education focused on incorporating an early palliative care approach for community health-related workers is necessary. To address this gap, we tested the CAPACITI curriculum with 12 health care providers working in First Nations communities across Ontario, 11 of which were members of a First Nations community, and engaged them in a collaborative process to co-design an education program that they felt was representative of First Nations values and culture. The co-designers were trained as nurses (n=8), personal support workers (n=2), a social worker (n=1), and a physician (n=1). We met with them for 12 weekly one hour sessions. They completed a workbook of questions and recommendations to tailor the education to a First Nations community context. We incorporated these recommendations into the new education by reviewing existing material, making notes of suggested changes, and adding new content. We redesigned the education according to several themes: incorporating culture, recognizing First Nations health care workers and knowledge, and approaching education wholistically. The resulting program, Supporting the Journey Home: Growing the Community Bundle to Care for those with Serious Illness, gives First Nations health care providers practical resources to operationalize an early palliative care approach with community members. To our knowledge, this is the first study to describe the co-design process of an existing palliative care education program with First Nations health care providers.
{"title":"Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities","authors":"Hsien Seow, Joanna Vautour, Valerie Bishop, Chantel Antone, Tessa Belleau, Brett Corbiere, Verna Fruch, Laura McCormick, Lori Monture, Margaret Civak, Shilpa Jyothi Kumar, Kayla McMillan, D. Bainbridge, Robin Cano","doi":"10.32799/ijih.v19i1.40944","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.40944","url":null,"abstract":"In Ontario, Canada, several training programs have been created to improve home-based palliative care in First Nations communities, though they primarily focus on meeting needs at end-of-life. Therefore, education focused on incorporating an early palliative care approach for community health-related workers is necessary. To address this gap, we tested the CAPACITI curriculum with 12 health care providers working in First Nations communities across Ontario, 11 of which were members of a First Nations community, and engaged them in a collaborative process to co-design an education program that they felt was representative of First Nations values and culture. The co-designers were trained as nurses (n=8), personal support workers (n=2), a social worker (n=1), and a physician (n=1). We met with them for 12 weekly one hour sessions. They completed a workbook of questions and recommendations to tailor the education to a First Nations community context. We incorporated these recommendations into the new education by reviewing existing material, making notes of suggested changes, and adding new content. We redesigned the education according to several themes: incorporating culture, recognizing First Nations health care workers and knowledge, and approaching education wholistically. The resulting program, Supporting the Journey Home: Growing the Community Bundle to Care for those with Serious Illness, gives First Nations health care providers practical resources to operationalize an early palliative care approach with community members. To our knowledge, this is the first study to describe the co-design process of an existing palliative care education program with First Nations health care providers.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41312
E. Walke, Kathleen Conte, Susan Parker Pavlovic, David Edwards, Veronica Matthews
Abstract Background: There is opportunity for Universities to actively engage with Aboriginal communities to participate, conduct, and ideally lead, responsible research that attends to community priorities and issues. The Health from the Grassroots (Grassroots) project seeks to address an ongoing mismatch between university-defined priorities and community-defined priorities in rural [***]. Grassroots, led by Aboriginal staff of the [***], is a community engagement project aimed at engaging Aboriginal communities in conversations to inform research priorities. This paper describes the project vision, implementation, and lessons learned in the first years. Approach: The Grassroots project was a true representation of collaborative research led by and for Aboriginal people. We designed and conducted a local survey and yarning sessions with community members and used this information to design a “rich picture” to report findings and engage in further conversation with communities about evolving health and research priorities. We identified strengths and challenges faced by communities and health services in the region. The Aboriginal research team centred community in decision-making for project design and direction. Lessons Learned: Challenges encountered included limited resources and devoted time for the research team as this project occurred alongside staffs’ substantive positions. Community members were highly engaged in the consultation process and the rich picture continues to be used to further conversations about research action. Conclusions: Deep-rooted relationships and identities as members of the Community in which we live, and work enabled meaningful consultation to inform research action. Research priorities identified through the Grassroots project have been integrated into the ongoing work of the [***].
{"title":"Health from the Grassroots, Listening to Mob","authors":"E. Walke, Kathleen Conte, Susan Parker Pavlovic, David Edwards, Veronica Matthews","doi":"10.32799/ijih.v19i1.41312","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41312","url":null,"abstract":"Abstract \u0000Background: There is opportunity for Universities to actively engage with Aboriginal communities to participate, conduct, and ideally lead, responsible research that attends to community priorities and issues. The Health from the Grassroots (Grassroots) project seeks to address an ongoing mismatch between university-defined priorities and community-defined priorities in rural [***]. Grassroots, led by Aboriginal staff of the [***], is a community engagement project aimed at engaging Aboriginal communities in conversations to inform research priorities. This paper describes the project vision, implementation, and lessons learned in the first years. \u0000 \u0000Approach: The Grassroots project was a true representation of collaborative research led by and for Aboriginal people. We designed and conducted a local survey and yarning sessions with community members and used this information to design a “rich picture” to report findings and engage in further conversation with communities about evolving health and research priorities. \u0000We identified strengths and challenges faced by communities and health services in the region. The Aboriginal research team centred community in decision-making for project design and direction. \u0000Lessons Learned: Challenges encountered included limited resources and devoted time for the research team as this project occurred alongside staffs’ substantive positions. Community members were highly engaged in the consultation process and the rich picture continues to be used to further conversations about research action. \u0000Conclusions: Deep-rooted relationships and identities as members of the Community in which we live, and work enabled meaningful consultation to inform research action. Research priorities identified through the Grassroots project have been integrated into the ongoing work of the [***]. ","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41297
Jasper Garay
This article assesses the Cultural Safety of mainstream mental health services in two regions of New South Wales, Australia, based on the experiences and perspectives of Aboriginal young people aged 16 – 25. Yarning semi-structured in-depth interviews were conducted with thirteen Aboriginal young people in two regions of New South Wales. Thematic analysis was undertaken by all research members to identify themes from the data and conceptual connections between them. Identified themes from individual analysis and coding were triangulated during several analysis meetings to finalize key themes and findings. Aboriginal young people identified that Aboriginal Community Controlled Health Services offered culturally safe Social and Emotional Wellbeing service supports, whereas mainstream mental health services did not. Aboriginal young people proposed that institutional reforms such as increasing engagement with cultural competency programs, employing more Aboriginal staff, and implementing culturally meaningful services, would increase Cultural Safety in mainstream mental health services. Cultural Safety within mainstream mental health services should be enhanced to ensure the subjective Social and Emotional Wellbeing support needs of Aboriginal young people are understood, addressed, and supported. Without Aboriginal young people having confidence that mainstream mental health services and systems are prioritising Cultural Safety when providing supports, mainstream mental health systems risk failing to reduce mental health and Social and Emotional Wellbeing disparities unjustly experienced by Aboriginal young people in New South Wales.
{"title":"Aboriginal young people’s experiences of Cultural Safety in mental health services in two regions of New South Wales, Australia","authors":"Jasper Garay","doi":"10.32799/ijih.v19i1.41297","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41297","url":null,"abstract":"This article assesses the Cultural Safety of mainstream mental health services in two regions of New South Wales, Australia, based on the experiences and perspectives of Aboriginal young people aged 16 – 25. Yarning semi-structured in-depth interviews were conducted with thirteen Aboriginal young people in two regions of New South Wales. Thematic analysis was undertaken by all research members to identify themes from the data and conceptual connections between them. Identified themes from individual analysis and coding were triangulated during several analysis meetings to finalize key themes and findings. Aboriginal young people identified that Aboriginal Community Controlled Health Services offered culturally safe Social and Emotional Wellbeing service supports, whereas mainstream mental health services did not. Aboriginal young people proposed that institutional reforms such as increasing engagement with cultural competency programs, employing more Aboriginal staff, and implementing culturally meaningful services, would increase Cultural Safety in mainstream mental health services. Cultural Safety within mainstream mental health services should be enhanced to ensure the subjective Social and Emotional Wellbeing support needs of Aboriginal young people are understood, addressed, and supported. Without Aboriginal young people having confidence that mainstream mental health services and systems are prioritising Cultural Safety when providing supports, mainstream mental health systems risk failing to reduce mental health and Social and Emotional Wellbeing disparities unjustly experienced by Aboriginal young people in New South Wales.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41321
Deborah McGregor, Hillary McGregor, Mahisha Sritharan, Lauren King
Successfully addressing the most challenging issues of our time (climate change, biodiversity loss, and pandemics among them) will require transformative change in all areas of human society. We must embrace new perspectives with respect to our interactions with all life. Indigenous knowledge can aid global society in developing sustainable models for human-nature interaction. Indigenous youth are increasingly expressing solutions that can help put us on a clear path forward. The ongoing paternalistic nature of dominant society nonetheless means that Indigenous youth voice continues to be overlooked in most instances, even in programs that are ostensibly developed for the benefit of Indigenous and other youth. In this article, we place Indigenous youth voice front and centre as we describe an Indigenous youth-designed and led initiative aimed at improving mental health and overall wellbeing of specifically Indigenous youth.
{"title":"Indigenous Well-Being: An Anishinaabek Youth Leadership Approach","authors":"Deborah McGregor, Hillary McGregor, Mahisha Sritharan, Lauren King","doi":"10.32799/ijih.v19i1.41321","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41321","url":null,"abstract":"Successfully addressing the most challenging issues of our time (climate change, biodiversity loss, and pandemics among them) will require transformative change in all areas of human society. We must embrace new perspectives with respect to our interactions with all life. Indigenous knowledge can aid global society in developing sustainable models for human-nature interaction. Indigenous youth are increasingly expressing solutions that can help put us on a clear path forward. The ongoing paternalistic nature of dominant society nonetheless means that Indigenous youth voice continues to be overlooked in most instances, even in programs that are ostensibly developed for the benefit of Indigenous and other youth. In this article, we place Indigenous youth voice front and centre as we describe an Indigenous youth-designed and led initiative aimed at improving mental health and overall wellbeing of specifically Indigenous youth. ","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-17DOI: 10.32799/ijih.v19i1.41192
Courtney Defriend
Indigenous peoples in Canada have suffered from ongoing impacts of colonization. The topic of Indigenous health is wholistic and intricate, spanning from individual to kin, to land, economy, socialization, and all things. Such intricacies have been impacted by colonial systems wherein many have left their traditional land bases and communities to pursue other opportunities or to flee circumstance on their home territories. This paper uses Indigenous methodologies to collect qualitative data on the experiences for some First Nations peoples connected to the Tillicum Lelum Aboriginal Friendship Centre, on Vancouver Island when relocating off-reserve. Elders were selected as the sample based on the traditional perspective of knowledge and wisdom. As a result, six common themes from experiences were connection, way of living, education and employment, colonialism, land, and quality of health care. Further, axial coding found four action-based themes to be applied from the research. Racism, relevance, restrictions, and resources created the ‘Four R’s’ as recommendations for larger health systems in British Columbia.
{"title":"You Belong to Everyone","authors":"Courtney Defriend","doi":"10.32799/ijih.v19i1.41192","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41192","url":null,"abstract":"Indigenous peoples in Canada have suffered from ongoing impacts of colonization. The topic of Indigenous health is wholistic and intricate, spanning from individual to kin, to land, economy, socialization, and all things. Such intricacies have been impacted by colonial systems wherein many have left their traditional land bases and communities to pursue other opportunities or to flee circumstance on their home territories. This paper uses Indigenous methodologies to collect qualitative data on the experiences for some First Nations peoples connected to the Tillicum Lelum Aboriginal Friendship Centre, on Vancouver Island when relocating off-reserve. Elders were selected as the sample based on the traditional perspective of knowledge and wisdom. As a result, six common themes from experiences were connection, way of living, education and employment, colonialism, land, and quality of health care. Further, axial coding found four action-based themes to be applied from the research. Racism, relevance, restrictions, and resources created the ‘Four R’s’ as recommendations for larger health systems in British Columbia. ","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140234755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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