Looking back, moving forward: a culture-based framework to promote mental wellbeing in Manitoba First Nations communities

Kyoon-Achan, Grace; Philips-Beck, Wanda; Lavoie, Josée G.; Eni, Rachel; Sinclair, Stephanie; Kinew, Kathi Avey; Ibrahim, Naser; Katz, Alan

doi:10.1080/17542863.2018.1556714

Cited by 13 publications

(43 citation statements)

References 23 publications

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“…Forty-three [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] papers came from Canada; ‘Indigenous peoples in Canada’ is used to collectively report on the aspects of wellbeing as reported in the included papers for First Nations, Métis and Inuit [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…The Indigenous peoples in Canada’s conceptualisations of wellbeing as being holistic (includes the whole person—including spiritual, mental, emotional and physical aspects of self) [ 60 ] were reported by 15 papers [ 16 , 19 , 20 , 21 , 30 , 32 , 35 , 37 , 42 , 45 , 49 , 51 , 52 , 56 , 58 ]. Many participants explicitly located the concept of wellbeing within the Medicine Wheel, containing the quadrants: mental, physical, emotional and spiritual [ 19 , 30 , 32 , 36 , 49 , 52 , 56 , 58 ]. Whilst it was recognised that these can be separate dimensions, they were also described as being connected [ 19 , 30 , 32 , 36 , 49 , 56 , 58 ].…”

Section: Resultsmentioning

confidence: 99%

“…Many participants explicitly located the concept of wellbeing within the Medicine Wheel, containing the quadrants: mental, physical, emotional and spiritual [ 19 , 30 , 32 , 36 , 49 , 52 , 56 , 58 ]. Whilst it was recognised that these can be separate dimensions, they were also described as being connected [ 19 , 30 , 32 , 36 , 49 , 56 , 58 ]. Some emphasised the need for connection between these quadrants in order to achieve good wellbeing [ 16 , 19 , 35 , 37 , 42 , 45 ], whilst others described wellbeing as a state of balance across these [ 19 , 20 , 21 , 42 , 45 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…Several papers emphasised this connection in terms of the individuals being connected with the land and each other [ 16 , 19 , 30 , 32 , 35 , 36 , 37 , 42 , 45 , 49 , 52 , 56 ]. The quality of each of these complex connections was said to be central in achieving wellbeing.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review

Gall

Anderson

Howard

et al. 2021

IJERPH

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Despite the health improvements afforded to non-Indigenous peoples in Canada, Aotearoa (New Zealand) and the United States, the Indigenous peoples in these countries continue to endure disproportionately high rates of mortality and morbidity. Indigenous peoples’ concepts and understanding of health and wellbeing are holistic; however, due to their diverse social, political, cultural, environmental and economic contexts within and across countries, wellbeing is not experienced uniformly across all Indigenous populations. We aim to identify aspects of wellbeing important to the Indigenous people in Canada, Aotearoa and the United States. We searched CINAHL, Embase, PsycINFO and PubMed databases for papers that included key Indigenous and wellbeing search terms from database inception to April 2020. Papers that included a focus on Indigenous adults residing in Canada, Aotearoa and the United States, and that included empirical qualitative data that described at least one aspect of wellbeing were eligible. Data were analysed using the stages of thematic development recommended by Thomas and Harden for thematic synthesis of qualitative research. Our search resulted in 2669 papers being screened for eligibility. Following full-text screening, 100 papers were deemed eligible for inclusion (Aotearoa (New Zealand) n = 16, Canada n = 43, United States n = 41). Themes varied across countries; however, identity, connection, balance and self-determination were common aspects of wellbeing. Having this broader understanding of wellbeing across these cultures can inform decisions made about public health actions and resources.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review

Gall

Anderson

Howard

et al. 2021

IJERPH

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“…Findings from a recent study of eight Indigenous communities articulated best practices for culturally effective services: “You treat the whole person, within the family and within the community. You support the person in achieving balance in their emotional, physical, spiritual and mental health [51••].” Through regular connections with Indigenous communities and experts in Indigenous health, we have sought to understand, validate, and incorporate healing strategies to counter the oppressive forces which, through policies of cultural genocide invoked intergenerational trauma, familial dysfunction, wide-spread mental suffering, addictions, and socio-economic disadvantage relative to the colonizing Western majority of Canada. Over time, the RNTS program has evolved to supplement existing community-based resources with telemental health, and when able, integrating our specialty therapies into community models.…”

Section: Sustaining the Service: The Importance Of Cultural Respect Amentioning

confidence: 99%

Digital Health Solutions for Indigenous Mental Well-Being

Hensel

Ellard

Koltek

et al. 2019

Curr Psychiatry Rep

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Purpose of Review This review summarizes digital health solutions being used for Indigenous mental well-being, with emphasis on available evidence and examples reported in the literature. We also describe our own local experience with a rural telemental health service for Indigenous youth and discuss the unique opportunities and challenges. Recent Findings Digital health solutions can be grouped into three main categories: (1) remote access to specialists, (2) building and supporting local capacity, and (3) patient-directed interventions. Limited evidence exists for the majority of digital solutions specifically in Indigenous contexts, although examples and pilot projects have been described. Telemental health has the strongest evidence, along with a growing evidence for web-based applications, largely led by Australia. Other digital approaches remain areas of promise requiring additional study. Co-design and service integration and respect for Indigenous history and ideologies are essential for success. Summary While the use of digital health solutions for Indigenous mental well-being holds promise, there is a limited evidence base for most of them. Future efforts to expand the use of digital solutions in this population should adhere to best practices for the delivery of Indigenous health services.

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First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity?

Lavoie

Phillips-Beck

Kinew

et al. 2020

International Journal of Circumpolar Health

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In this study, we focused on readmissions for Ambulatory Care Sensitive Conditions (ACSC) ending in death, to capture those admissions and readmissions that might have been prevented if responsive primary healthcare was accessible. We propose this as a sentinel indicator of equity. We conducted analyses of Manitoba-based 30-day hospital readmission rates for ACSC which resulted in death, using data from 1986-2016 adjusted for age, sex, and socio-economic status. Our findings show that, across Manitoba, overall rates of readmissions ending in death are slowly increasing, and increasing more dramatically among northern First Nations, larger First Nations not affiliated with Tribal Councils, and in the western region of the province. These regions have continuously been highlighted as disadvantaged in terms of access to care, suggesting that the time for action is overdue. Rising rates of readmissions for ACSC ending in death suggest that greater attention should be placed on access to responsive primary healthcare. These findings have broader implications for territorial healthcare systems which purchase acute care services from provinces south of them. As an indicator of quality, monitoring readmissions ending in death could provide territorial governments insights into the quality of care provided to their constituents by provincial authorities.

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Looking back, moving forward: a culture-based framework to promote mental wellbeing in Manitoba First Nations communities

Cited by 13 publications

References 23 publications

Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review

Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review

Digital Health Solutions for Indigenous Mental Well-Being

First Nations’ hospital readmission ending in death: a potential sentinel indicator of inequity?

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