An environmental scan of mental health services for indigenous youth in Canada.

IF 2.9 Q2 PSYCHIATRY
Sofia Hempelmann Perez, Isabella Kakish, Gregory Brass, Kathleen MacDonald, Chris Mushquash, Srividya N Iyer
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Abstract

Background: There is an urgent need for culturally and contextually relevant mental health support for First Nations, Inuit and Métis youth.

Objective: Our aim was to identify mental health and wellness services that are currently available to Indigenous youth across Canada.

Methodology: As a first step, we conducted a web-based environmental scan of services tailored to Indigenous youth. Specific factors were examined for each program, including organization type and mission, types of services, and who provides services.

Results: One hundred and seventeen programs were found, with 54% being non-profits and 34% being on-reserve. Four core features were identified. The first was a strengths-based focus, rather than a pathology/deficit-focus, in programs' vision and mission statements, reflected in words like wellness and resilience. The second (87% of included programs) was the integration of mental health services with a range of other services and supports (e.g., health, employment, housing). The third was the provision of land-based programming (in 34% of programs) such as camps or hunting. Such programs were framed as promoting wellness and healing and strengthening identity. The fourth was the role of community members without formal mental health professional training (in 42% of programs), for example, as youth workers or knowledge keepers. This stems not only from the dearth of specialists in many Indigenous settings, but also a valuing of Indigenous knowledge.

Conclusion: These core features in mental health services for Indigenous youth may be promising avenues for communities seeking to strengthen the services they offer to First Nations, Inuit and Métis youth.

加拿大土著青年心理健康服务环境扫描。
背景:第一民族、因纽特人和梅蒂斯人青年迫切需要文化和背景相关的心理健康支持:第一民族、因努伊特人和梅蒂斯人青年迫切需要与文化和背景相关的心理健康支持:我们的目的是确定目前加拿大各地为土著青少年提供的心理健康和保健服务:作为第一步,我们对针对土著青少年的服务进行了网络环境扫描。我们对每个项目的具体因素进行了研究,包括组织类型和使命、服务类型以及服务提供者:结果:我们找到了 177 个项目,其中 54% 为非营利组织,34% 在保留地。确定了四个核心特征。第一,在项目的愿景和使命陈述中,以优势为重点,而不是以病理/缺陷为重点,这体现在健康和复原力等字眼上。其次(87%的项目)是将心理健康服务与一系列其他服务和支持(如健康、就业、住房)相结合。第三种是提供陆上项目(34% 的项目),如营地或狩猎。这些计划的目的是促进健康、治疗和加强身份认同。第四是让没有接受过正规心理健康专业培训的社区成员发挥作用(42%的项目),例如,担任青年工作者或知识守护者。这不仅是因为在许多土著环境中缺乏专家,而且也是对土著知识的重视:为原住民青少年提供心理健康服务的这些核心特点,可能是社区寻求加强为原住民、因努伊特和梅蒂斯青少年提供服务的有前途的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.90
自引率
4.30%
发文量
35
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