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Community-based adaptation (CBA) has emerged over the last decade as anapproach to empowering communities to plan for and cope with the impacts ofclimate change. While such approaches have been widely advocated, few havecritically examined the tensions and challenges that CBA brings. Responding tothis gap, this article critically examines the use of CBA approaches with Inuitcommunities in Canada. We suggest that CBA holds signifi cant promise to makeadaptation research more democratic and responsive to local needs, providing abasis for developing locally appropriate adaptations based on local/indigenousand Western knowledge. Yet, we argue that CBA is not a panacea, and its com-mon portrayal as such obscures its limitations, nuances, and challenges. Indeed,if uncritically adopted, CBA can potentially lead to maladaptation, may be inap-propriate in some instances, can legitimize outside intervention and control, andmay further marginalize communities. We identify responsibilities for research-ers engaging in CBA work to manage these challenges, emphasizing the central-ity of how knowledge is generated, the need for project flexibility and opennessto change, and the importance of ensuring partnerships between researchers andcommunities are transparent. Researchers also need to be realistic about whatCBA can achieve, and should not assume that research has a positive role to playin comm unity adaptatio n just because it utilizes participatory approaches

Frontmatter -- Contents -- List of Figures and Tables -- Foreword -- Preface -- Acknowledgments -- Introduction: Health and Health Care in Northern Canada -- Section I: Social and Ecological Dimensions of Health and Wellness in the North -- Introduction -- 1 Education and Health: Education as a Social Determinant of Health for Inuit in Nunavut -- 2 Food and Health: Food Security, Food Systems, and Health in Northern Canada -- 3 Housing and Health: Housing and Health Challenges in Rural and Remote Communities -- 4 Determinants of Infectious Diseases: Agent, Host, and Environmental Factors in Infectious Diseases -- 5 Women's Health: What Does It Mean to "Be Well"? A Qualitative Case Study to Explore Inuit Women's Conceptions of Wellness -- 6 Assessing the Health Impacts of a Mine: Attending to the Prevailing Epistemology and Erasure of Indigenous Peoples' Well-Being -- Section II: Health Care in Northern Canada -- Introduction -- 7 Recruitment and Retention of Physicians: Physician Supply and Sufciency -- 8 Nursing in the North: Recruitment and Retention of Nurses -- 9 Maternal Health Care: Maternal Health in Manitoba Northern First Nations Communities – Challenges, Barriers, and Solutions -- 10 Elder Health and Long-Term Care: Northern Indigenous Elders and Long-Term-Care Services -- 11 Mental Health and Addictions Care: A Path towards Mental Health Care with Northern Indigenous Peoples -- 12 Climate Change and Health: Remote Northern Community Health Service Provision in a Rapidly Changing Climate -- 13 Suicide Prevention: A Sociocultural Approach to Understanding Suicide among Inuit – Issues and Prevention Strategies -- Section III: New Directions – Innovation, Collaboration, and Resilience -- Introduction -- 14 Youth Resilience: Resilience among Indigenous Youth in Northern Canada -- 15 Innovation for Northern Mental Health and Addiction Services: Indigenous Frameworks -- 16 Te Evolving Role of Telehealth: From Tackle Box Emergency Kits to Telemedicine -- 17 Cultural Safety Training and Education for Health Care Providers: Unsettling Health Care with Inuit in Canada -- 18 Integrating Traditional Healing and Northern Health Care: Indigenous Conceptions of Living Well -- 19 Health and Health Care Research Ethics: Health Research Ethics in Northern Canada -- 20 Patchy and Southern Centric: Rewriting Health Policies for Northern and Indigenous Canadians -- Conclusions: Achieving Health Equity in Northern Canada -- List of Contributors -- Index