Suchergebnisse

Mobility pathways to and from Indigenous programs is one strategy post-secondary education (PSE) institutions employ to support reconciliation, yet data is limited on the status or impact of these pathways. The current study examined program pathways of Indigenous and non-Indigenous learners within Indigenous programming. Fifty-three students were recruited from across PSE institutions in Ontario. Chi squared tests indicated that the majority of students transferring to an Indigenous program were Indigenous, however the study also found that non-Indigenous learners were frequent users of pathways. Results of this study provide cause for consideration about how settler normativity may permeate in pathway development and delivery and recommendations are provided on how PSE can centre Indigenous students in mobility program development.

Indigenous communities and federal funding agencies in Canada have developed policy for ethical research with Indigenous Peoples. Indigenous scholars and communities have begun to expand the body of research regarding their peoples, and novel and innovative methods have begun to appear in the published literature. This review attempts to catalogue the wide array of Indigenous research methods in the peer-reviewed literature and describe commonalities among methods in order to guide researchers and communities in future method development. A total of 64 articles met inclusionary criteria and five themes emerged: General Indigenous Frameworks, Western Methods in an Indigenous Context, Community-Based Participatory Research, Storytelling, and Culture-Specific Methods.

AbstractFirst Nations communities are seeking to improve current service delivery models and create alternative evidence‐based strategies. A First Nations child welfare organization has prioritized further understanding of reunification and parenting, including identification of successes and barriers to reunification, and service needs within communities. These priorities were addressed with a community‐based participatory research model and guided by a Research Advisory. Results were analysed using a blend of grounded theory and thematic analysis techniques. Participants indicated that placing children with extended family or within home communities facilitate best child outcomes. These reunifications could be increased by promoting parental and community capacity. Successes identified within communities included available supports, such as those that increased empowerment and community capacity. Identified barriers within communities were the lack of culturally appropriate services, hesitancy to obtain available support due to fears of child welfare intervention, and mental health difficulties of community member.

Moving towards reconciliation within Indigenous research requires the careful examination of existing practices at all stages of the research process. Engagement in and dissemination of reflexive processes may increase the relevance of research results for Indigenous communities and partners. This article describes and contextualizes the results obtained from this qualitative research study examining parenting needs and child reunification in these communities. The initial results were deemed relevant by the partnering community but research stakeholders reported that they did not reflect all community values. Based on the advice of the Research Advisory Group, the research team decided to further analyze the results to address these shortcomings. The reanalysis process focused on improving the perceived meaningfulness and relevance to communities. Exploration of how these results were re-situated in an Indigenous framework of wellbeing is discussed. Researcher reflections about the project processes and considerations for future research are explored.

Generalist health interventions that aim to reduce chronic health disparities between Indigenous and non-Indigenous populations can be culturally adapted to better meet the needs of Indigenous people in Canada; however, little is known regarding best practices in implementing these adaptations. The present study first provides a review of the research process used to adapt a previous evidence-based housing initiative for Indigenous youth in Northwestern Ontario. Second, it includes an overview of the adaptations that were made and the associated rationale for such adaptations. Third, it examines the experiences of participants and staff involved in the cultural adaptation of the Housing Outreach Program Collaborative (HOP-C), a health intervention re-designed to improve physical and mental health outcomes, wellbeing, and social support for formerly homeless Indigenous youth as they secure housing. Qualitative feedback from interviews with 15 participants and eight program staff, in addition to one focus group with an additional six frontline workers, described perceived outcomes of the program's cultural adaptations. Modifications to the overall program structure, specific roles within the program (including counseling services, peer mentorship, cultural services, and case management), and adaptations to general implementation within the health organization providing the intervention were described by participants and staff as effective and helpful adaptations. The focus of Indigenous values at an organizational level led to consistent adaptations in counseling and case management to best meet the unique needs of the youth involved. Based upon participant interviews, recommendations to future adaptations are provided.

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