{"title":"Indigenous Perspectives on Strengths, Resilience, and Well-being","authors":"Melissa Walls, Nikki Crowe, Vicki Oberstar, Joseph Gone, Marcia Kitto, Colleen Bernu, Nicole Weiss","doi":"10.32799/ijih.v19i1.41134","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41134","url":null,"abstract":"Indigenous communities consistently call for strengths-based, assets-driven approaches to promoting health equity. This includes efforts to expand well-being and resilience frameworks to reflect cultural understandings and perspectives. This study describes community-based participatory research (CBPR) involving focus groups with four diverse groups of Indigenous community members in a single reservation community in the United States. Data were analyzed using inductive and deductive multi-coder processes. Our collaborative efforts led to innovations in planned methods and focal areas of study, including a reframing of “resilience” as one that brings hearts and community together. This approach also yielded a unique, intensive qualitative coding structure that represents a substantive effort to democratize and Indigenize research methods. Community members who participated in focus groups identified Indigenous cultural practices, beliefs, and community as critical components to 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":"140235261","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}
Tara Dimopoulos-Bick, David Follent, Cory Paulson, Sharon Taylor, Melissa Cawley, Regina Osten, Belinda Co, L. Trevena
{"title":"Navigating two worlds: developing a learning map to visualise the knowledge and skills required for culturally informed shared decision making with Aboriginal people in New South Wales Australia","authors":"Tara Dimopoulos-Bick, David Follent, Cory Paulson, Sharon Taylor, Melissa Cawley, Regina Osten, Belinda Co, L. Trevena","doi":"10.32799/ijih.v19i1.41457","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41457","url":null,"abstract":"Finding Your Way is a shared decision making (SDM) resource created with and for Aboriginal people in 2021. It is the only culturally adapted SDM resource for Aboriginal people in Australia and one of few examples developed with First Nations people internationally. A two-round modified e-Delphi approach, incorporating yarning methods, was used to gather expert opinions and reach a consensus on the capabilities (knowledge and skills) required to effectively use Finding Your Way and engage in SDM with Aboriginal people. 29 predefined capabilities were gleaned from the research evidence and yarning sessions to form the basis of the e-Delphi. 138 panel members completed round one of the e-Delphi between 19/01/2023 and 27/01/2023, and 113 completed round two between 09/02/2023 and 20/02/2023. There was 82% panel member retention rate across the two-e Delphi rounds and the consensus threshold was 75% strongly agree. Consensus was reached for ten capabilities, and a learning map was developed to reflect Aboriginal valuing, being, knowing and doing as represented in the Aboriginal 8 Ways of Learning pedagogy. Cultural imagery was used to create the learning map representing key knowledge and skills required ton use Finding Your Way, presenting this information in a symbolic and non-linear way.","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":"140235350","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}
{"title":"Skookum Health","authors":"Lyana Patrick, Tsatia Adzich, Krystal Dumais","doi":"10.32799/ijih.v19i1.41320","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41320","url":null,"abstract":"This article presents findings of a collaborative, community-based project that established partnerships between researchers at Simon Fraser University and Indigenous community members and organizations in Surrey, British Columbia. In Metro Vancouver, Surrey saw the biggest increase in its Indigenous population, which grew 77 per cent between 2006 and 2016 to 13,460. This was a timely project given that community research partners were interested in focusing on health issues and that traditional health and social service models geared towards Indigenous populations tend to focus on on-reserve populations. Research objectives included: 1) to identify the health needs and priorities of Indigenous peoples in Surrey; 2) to determine what methodologies should be used when researching culture and health; and 3) to explore how existing data connected to Surrey’s Indigenous population can be accessed to better align research priorities with the health status of Indigenous peoples in Surrey. Data was gathered through two community talking circles (n=30) and one-to-one interviews with health and social service providers (n=12). Findings from the project included: the importance of culturally safe care and support in health and social service systems; the need for training and education among health and social service providers on the history and contemporary experiences of Indigenous peoples; and the importance of having access to Elder-led cultural teachings and land-based activities that support health and wellbeing of families and communities.","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":"140235493","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}
Becky Cook, Ron Cook, Gordon Walker, Madeline Walker, Floyd Sutherland, Faylene Sutherland, Dave Swanson, C. Thomas
{"title":"kiwētotētan: ininiw kiskinomākēwin a framework for decolonial education","authors":"Becky Cook, Ron Cook, Gordon Walker, Madeline Walker, Floyd Sutherland, Faylene Sutherland, Dave Swanson, C. Thomas","doi":"10.32799/ijih.v19i1.41253","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41253","url":null,"abstract":"Pre-contact Indigenous Nations were vibrant with their own legal, government, and education systems. Indigenous education was community-led and grounded in the spiritual, emotional, physical and mental development of the child. Teachings were tied to the land following the natural cycles, and language was passed down through ceremony and time on the land. Following the creation of the Canadian state, Indigenous education systems were eroded, leaving detrimental impacts on communities and youth that are ongoing today. In recent decades, many communities have taken the initiative to restore community-led Indigenous education systems. The work presented here, Ininiw kiskinomākēwin, was collectively built with both Ininiwak and Anishinabe Elders and educators from Northern Manitoba and can be adapted to fit other First Nations groups across Canada. Ininiw kiskinomākēwin conveys the pre-contact methods for ensuring children and youth grow and become healthy, contributing members of society, and includes teachings involving family, community, language, land, and spirit. The implementation of this work is ongoing; critical components related to building a local teacher workforce, engaging Elders, supporting parents and having access to the land will shape how we choose to educate current and future generations.","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":"140235294","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}
Michael F. Doyle, Lisa Jackson-Pulver, Samuel Harley, Ian Ring, Emma McBryde
{"title":"Could Adequate and More Appropriate Housing for Aboriginal and Torres Strait Islander People in New South Wales, Australia, Reduce the Risk of Poorer Health Outcomes?","authors":"Michael F. Doyle, Lisa Jackson-Pulver, Samuel Harley, Ian Ring, Emma McBryde","doi":"10.32799/ijih.v19i1.41293","DOIUrl":"https://doi.org/10.32799/ijih.v19i1.41293","url":null,"abstract":"Objective: Indigenous Australians are estimated to be 3.7 times more likely to be living in overcrowded conditions and are more likely to have poorer health outcomes. To investigate correlations between housing, health and age of death, we used data from the Public Health Information Development Unit (PHIDU) on the 105 Indigenous Areas (IAREs) within New South Wales (NSW). \u0000 \u0000Methods: Univariant and multivariant linear regression analysis of the Public Health Information Development Unit (PHIDU) database. \u0000 \u0000Results: Our results indicate that for every 1% increase in crowded households in an IARE, avoidable hospital admissions increased by 130 cases per 100,000. \u0000 \u0000Conclusion: We conclude that this finding is consistent with the view that decreased overcrowding could improve the health of Aboriginal people in NSW. \u0000 \u0000Implications for public health: Increased housing availability could reduce the demand for health services, including public hospitals.","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":"140235360","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}
{"title":"Conversations on Cannabis and Mental Health: Recommendations for Health and Social Care Providers from Indigenous 2SLGTBQQIA+ People in Canada","authors":"Marisa Blake, Jessica Webb, Lee Allison Clark, Chaneesa Ryan, Abrar Ali, Lynne Groulx","doi":"10.32799/ijih.v18i2.39270","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39270","url":null,"abstract":"With the recent legalization of cannabis in Canada, there is an urgent need for information about its effects on Indigenous populations due to the impact of cannabis on the mental health of Indigenous Peoples in Canada being largely unknown. Using the guiding principles of Etuaptmumk (Two-Eyed Seeing), Sharing Circles were held to hear the needs and experiences of Indigenous People in relation to their mental health and cannabis use. From these engagements and using gender-based and distinctions-based analysis, four recommendations were developed for academic institutions, medical regulatory authorities and health and social care providers (HSCPs) to consider when caring for Indigenous People living with mental health issues. The findings point to the disconnection between recent research on medical cannabis and its availability to Indigenous People through accessible mediums, HSCPs, and the lack of cultural safety in health and social services. The four recommendations provided are helpful to both educate frontline HSCPs about the needs and experiences of Indigenous People and improve access to current information and best practices for Indigenous People who use cannabis for mental health from the regulatory and representation perspective.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135207228","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}
{"title":"My Mother Wild","authors":"Mikaela Gabriel","doi":"10.32799/ijih.v18i2.39572","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39572","url":null,"abstract":"Indigenous land relationships are central for Indigenous wellness, ceremonies, language, and cultural resurgence; as original caretakers of Turtle Island, the relationship with land is a profoundly spiritual one. This same relationship has also been the focus of colonial forces’ division, separation, and control, resulting in dislocation from traditional territories and ensuing impacts across all domains of Indigenous health and wellbeing. This article reviews existing literature that centralizes Indigenous land relationships, and contributes the reflections and stories of Indigenous youth that participated in this author’s dissertation study. Employing a narrative inquiry methodology with oral storytelling traditions, nine Indigenous youth and four traditional knowledge keepers were interviewed and shared their experiences on urban migrations, employment, education, and mental health. Their connections and reflections on land are included here, with key reflections, proposed connections to existing literature, and in-depth exploration that centers and promotes Indigenous land-based healing and education efforts.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361967","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}
Tracey Carr, Stephanie Witham, Anum Ali, Erin Lashta, Teddy Clark, Leonard Montgrand, Martha Morin, Robert St. Pierre, Marissa Evans, Gary Groot
{"title":"COVID-19 Containment in Indigenous Communities in North-West Saskatchewan: Community and Multi-Sectoral Stakeholder Perspectives","authors":"Tracey Carr, Stephanie Witham, Anum Ali, Erin Lashta, Teddy Clark, Leonard Montgrand, Martha Morin, Robert St. Pierre, Marissa Evans, Gary Groot","doi":"10.32799/ijih.v18i2.39431","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39431","url":null,"abstract":"In the spring of 2020, remote Indigenous communities in the far north-western region of Saskatchewan, Canada, experienced a COVID-19 outbreak that required the collaboration of local leaders, Indigenous governments, and other multi-sectoral organizations. This study shares the stories of those involved in the response and illustrates the challenges, successes, and recommendations for future emergency preparedness. A total of 22 participants were interviewed from the impacted communities, government agencies, and organizations in public health, public safety, and law enforcement between May and August of 2021. Qualitative interviews were analyzed using thematic analysis resulting in the following themes: 1) Challenges, 2) Consequences, 3) Successes, and 4) Recommendations. A final knowledge translation event was held with key stakeholders, including public health professionals and community members, to co-create final recommendations for future public health responses in remote Indigenous communities. Our findings underscored the importance of community leadership, local investment, public health preparedness, and relationship building between organizations and jurisdictions. Lessons and recommendations from these stories can be applied to future pandemic preparedness in the province.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361751","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}
{"title":"Mental Health & Educational Attainment: Learning From Indigenous Youth Who Are Homeless","authors":"Sabina Mirza","doi":"10.32799/ijih.v18i2.39571","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39571","url":null,"abstract":"Indigenous youth who experience homelessness are faced with multilevel challenges related to family, health, service access, support, employment and education. Navigating racism, ageism and other forms of discrimination complicates the search for pathways out of homelessness, especially when attempted without systematic adult support. In this study, the educational experiences of homeless youth across the York Region of Toronto were explored in depth. The narratives shared by 11 Indigenous youth convey their perspectives on education, health and mental health, and other life contexts affected by homelessness. Analyses of their dialogues can help educators, researchers and service providers better understand their health and mental health challenges. Despite desires to continue with their educational pursuits, they are often forced to drop out of school prematurely. Their perspectives, especially about mental health and education, can raise awareness about youth homelessness in suburban areas surrounding Toronto.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361756","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}
Rachel Thorburn, Jeffrey Ansloos, Sam McCormick, Deanna Zantingh
{"title":"Role of Self-Determination in Health and Wellness: A qualitative study with Indigenous youth health leaders across Canada","authors":"Rachel Thorburn, Jeffrey Ansloos, Sam McCormick, Deanna Zantingh","doi":"10.32799/ijih.v18i2.39519","DOIUrl":"https://doi.org/10.32799/ijih.v18i2.39519","url":null,"abstract":"This work centers the voices of Indigenous young people to explore how they are defining and enacting self-determination, and how these expressions of self-determination influence the wellness of these young people and their communities. Thematic analysis was used to analyze 15 interviews with Indigenous young people about how they understood wellness in the context of their community work. Interview transcripts were analyzed to understand how young people conceptualized and enacted self-determination and its relationship to wellness, and to identify underlying connections to Indigenous self-determination theory. Results indicate that Indigenous young people define and enact self-determination through traditional healing and embracing cultural wellness practices; through sharing lived experience and meeting people where they are at; and. through community inclusion and intuitive practice. Implications for researchers, policymakers, and care providers who work with Indigenous young people are considered.","PeriodicalId":54163,"journal":{"name":"International Journal of Indigenous Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136361490","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}