This project is a qualitative study of a land-based intervention used in an Indigenous community in northern Ontario. As previous research suggests, a sense of connection to the land is an integral part of Indigenous well-being, and mental health interventions centered around this connection may be more appropriate for use in Indigenous communities than Western treatment approaches that typically emphasize individuality. The present study gains further insight into how a land-based intervention can be applied to an Indigenous community. Interviews with three community members were conducted and summarized in order to understand their views on the background, components, advantages, and challenges of the program. Results showed a focus on strengthening cultural identity, facilitating intergenerational knowledge transfer, and building relationships with others, similar to other land-based programs across Canada. The importance of reconnecting Indigenous youth with their cultural heritage and developing community-centered programs are discussed.The goal of the present study was to contribute to a deeper understanding of a land-based intervention within an Indigenous community in northern Ontario. A recent qualitative study by Danto and Walsh (2017) explored the comparative resilience of one James and Hudson Bay community, which despite a shared history of trauma and oppression with the other five Cree communities in this area, had been reported to have markedly lower rates of mental health services utilization and suicide. Interviews with community leaders and mental health services providers were conducted and analyzed in order to identify the features that distinguished this
This project is a qualitative study of the mental health perceptions and practices of one Aboriginal community in the northern Ontario James and Hudson Bay region. Despite a shared history of trauma and oppression with the other five Cree communities in this area, as well as an added trauma of natural disaster and subsequent relocation, this community has been reported to have markedly lower rates of mental health services utilization and suicide. Interviews with eight community leaders and mental health services providers were conducted and analyzed in order to identify the features that distinguish this community. In line with recent recommendations for culturally sensitive and community-compatible research methods, participants' narratives were organized in terms of the Bmedicine wheel^of traditional healing. Results showed strong connection to the land and traditions, openness to both traditional and Christian spirituality, community engagement, and shared parenting as strengths valued by a majority of participants.
This paper describes a model of flexible psychiatric outreach service in Canada designed to meet the needs of persons who are homeless or marginally housed and have mental illness. The activities of the Psychiatric Outreach Team of the Royal Ottawa Hospital for individual clients and the community agencies who serve them are profiled, followed by a demographic and mental and physical health profile of the clients seen in the past year. The differences from other models of service and the benefits and limitations of this unique multidisciplinary team are discussed, with implications for future service development for this vulnerable population.
As the field of qualitative research has grown larger and the application of mixed methods has become common, methodological distinctions—and the core assumptions that underlie these distinctions—have faded in prominence. This article examines the epistemological, methodological, and methodical assumptions that define some of the fault lines between approaches to qualitative research. The metaphor of fault lines is introduced to highlight the shifting grounds within and across established traditions in qualitative research, as well as the ways in which researchers may respond to these dynamics. Included in this discussion will be the conflicting viewpoints regarding the epistemological position of the subject, as well as key points of contrast between empirical, rhetorical, and performative research. As a reference point for both designing and evaluating research in light of these distinctions, the term structural integrity is introduced. The implications of this term for the continued development of a rigorous human science are discussed.
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