The time has come to fix the Non-Insured Health Benefits (NIHB) program

Morrison, Jeff

doi:10.1177/1715163515589940

Cited by 4 publications

(4 citation statements)

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“…Overall, we consider that the NIHB program has improved over the years and has removed a lot of the predetermination processes that were previously required. However, a real issue is that some beneficiaries and dental offices may be unaware of enhancements and improvements, as most offices are not automatically notified of the changes being made [ 21 ]. Moreover, services providers may also be oblivious to the challenges posed by limited social determinants of health and system-imposed barriers to accessing oral health care faced by Indigenous peoples in Manitoba.…”

Section: Introductionmentioning

confidence: 99%

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Kyoon-Achan

Schroth

DeMaré

et al. 2021

Int J Equity Health

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Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous populations compared to the general population. ECC has been strongly associated with social determinants of health. Methods Focus groups and sharing circles were conducted with four First Nations and Metis communities in urban and rural communities in Manitoba. There were eight groups in total of purposively sampled participants (n = 59). A grounded theory approach guided thematic analysis of audio recorded and transcribed data. Results Indigenous participants experienced challenges similar to those found in the general population, such as encouraging and motivating parents and caregivers to establish regular oral hygiene routines for their children. However other challenges reported, disproportionately affect Indigenous communities. These include poor access to dental care, specifically no dental offices within 1 h driving radius and not having transportation to get there. Not having evidence-based oral health information to support good oral hygiene practices, preventing parents from making the best choices of oral hygiene products and oral health behaviours for their children. Poverty and food insecurity resulting in poor nutritional choices and leading to ECC. For example, feeding children sugary foods and beverages because those are more readily avialble than healthy options. Confusing or difficult encounters with dental professionals, highlighted as a factor that can erode trust, reduce compliance and impact continued attendance at dental offices. Conclusion Closing existing early childhood oral health gaps for First Nations and Metis peoples and communities requires equity-oriented healthcare approaches to address specific problems and challenges faced by these populations. Family, community and systemic level interventions that directly implement community recommendations are needed.

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Section: Introductionmentioning

confidence: 99%

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Kyoon-Achan

Schroth

DeMaré

et al. 2021

Int J Equity Health

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“…For example, in February, 1996, NAN Chiefs passed a motion calling for a postponement on program changes and funding reductions to the medical services branch of the 25 NIHB, especially as the Indigenous youth suicide rates were rapidly rising in northern Ontario at the time (Nishnawbe Aski Nation, 2019). According to Morrison (2015), "inadequate communication of policy changes, lack of standardized scope of practice and compensation models, lack of clarity regarding patient coverage benefits, inadequate travel arrangements and many others" (p. 217). Moreover, Métis and non-status First Nations people do not meet the NIHB eligibility criteria and thus, are not able to access NIHB services (Allan & Smylie, 2015).…”

Section: The Non-insured Health Benefits (Nihb)mentioning

confidence: 99%

“…Despite an in-depth evaluation in 2014 with the promise of substantial program reform, there are still significant barriers to NIHB mental health service access (Morrison, 2015).…”

Section: The Non-insured Health Benefits (Nihb)mentioning

confidence: 99%

Exploring the Functionality of Mental Health Services in Northern Ontario and how it Compares to Indigenous Youth Understandings of Thriving and Wellness

Sherk

2024

Preprint

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<p>This Major Research Paper utilized a qualitative research approach to understand the system of mental health services available to Indigenous youth in northern Ontario and how its functionality aligns or conflicts with Indigenous youth perspectives on thriving and wellness. Using a case study-informed approach, one data set consists of a comprehensive, descriptive list of approximately 200 mental health services for Indigenous youth living in remote First Nations in northern Ontario. The other data set was obtained from an Indigenous-led youth organization’s weekly social media campaign, Thriving Thursdays. Drawing from Critical Social Sciences (CSS) and decolonizing frameworks, this study seeks to identify systemic barriers impacting First Nations’ youth access to mental health services in northern Ontario and, simultaneously, incorporate Indigenous youths’ conceptualizations to reimagine the mental health system’s design. This paper concludes with implications and recommendations to improve mental health services in northern Ontario for Indigenous youth.</p>

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“…To resolve this dichotomy between disease and illness, healthcare providers must be prepared to accommodate to the principles of biomedicine as well as the experience of illness as narrated by the patient and their family. When alternative therapies are clearly contraindicated and will put the patient at risk, respectful education and justification are recommended [ 62 ].…”

Section: A Way Forward: Recommendations For Key Stakeholdersmentioning

confidence: 99%

Exploring Biologic Treatment Hesitancy Among Black and Indigenous Populations in Canada: a Review

Akuffo‐Addo

Udounwa

Chan

et al. 2022

J. Racial and Ethnic Health Disparities

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The time has come to fix the Non-Insured Health Benefits (NIHB) program

Cited by 4 publications

References 0 publications

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Exploring the Functionality of Mental Health Services in Northern Ontario and how it Compares to Indigenous Youth Understandings of Thriving and Wellness

Exploring Biologic Treatment Hesitancy Among Black and Indigenous Populations in Canada: a Review

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