Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach
Abstract Background Mental health disparities between Indigenous and non-Indigenous people in Canada are related to underlying economic, social, and political inequities that are legacies of colonization and the oppression of Indigenous cultures. It also widely acknowledged that mental health servic...
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ftdoajarticles:oai:doaj.org/article:20c33190390d4810aeab4b107d3b4aba 2023-05-15T18:44:19+02:00 Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach Stephanie Montesanti Kayla Fitzpatrick Bryan Fayant Caillie Pritchard 2022-03-01T00:00:00Z https://doi.org/10.1186/s12913-022-07682-3 https://doaj.org/article/20c33190390d4810aeab4b107d3b4aba EN eng BMC https://doi.org/10.1186/s12913-022-07682-3 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-022-07682-3 1472-6963 https://doaj.org/article/20c33190390d4810aeab4b107d3b4aba BMC Health Services Research, Vol 22, Iss 1, Pp 1-18 (2022) Indigenous mental health Holistic mental health service delivery Cultural safety Integrated models of care Cross-sectoral collaboration Community visioning Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1186/s12913-022-07682-3 2022-12-30T22:03:46Z Abstract Background Mental health disparities between Indigenous and non-Indigenous people in Canada are related to underlying economic, social, and political inequities that are legacies of colonization and the oppression of Indigenous cultures. It also widely acknowledged that mental health services currently available may not be culturally appropriate in supporting the health needs of Indigenous Canadians. A two-day Indigenous mental health forum examined mental health needs and gaps among Indigenous communities across the Regional Municipality of Wood Buffalo (RMWB) on Treaty 8 territory, in northern Alberta, Canada. This paper outlines the insights generated by stakeholder engagement at the forum to identify and prioritize directions for Indigenous mental health and build a vision and strategy for improving mental health services and programs for the region’s diverse Indigenous population. Methods We applied a modified nominal group technique (NGT) consensus method embedded within Indigenous knowledge to determine key priorities and directions for Indigenous-focused mental health and synthesize information from discussions that occurred at the forum. Following the NGT, a participatory community visioning exercise was conducted with participants to develop a vision, guiding principles, and components of an action plan for an Indigenous mental health strategy for the RMWB. Results Four key themes for setting priorities and directions for Indigenous mental health emerged from roundtable group discussions: 1) understand the realities of mental health experiences for Indigenous peoples, 2) design a holistic and culturally rooted mental health system, 3) foster cross-sectoral engagement and collaboration on mental health service delivery, and 4) focus on children and youth. The community visioning exercise helped stakeholders to visualize a direction or path forward for addressing existing gaps in the mental health system and opportunities for strengthening Indigenous mental health in the region. Conclusions ... Article in Journal/Newspaper Wood Buffalo Directory of Open Access Journals: DOAJ Articles Canada Wood Buffalo ENVELOPE(-112.007,-112.007,57.664,57.664) BMC Health Services Research 22 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Indigenous mental health Holistic mental health service delivery Cultural safety Integrated models of care Cross-sectoral collaboration Community visioning Public aspects of medicine RA1-1270 |
spellingShingle |
Indigenous mental health Holistic mental health service delivery Cultural safety Integrated models of care Cross-sectoral collaboration Community visioning Public aspects of medicine RA1-1270 Stephanie Montesanti Kayla Fitzpatrick Bryan Fayant Caillie Pritchard Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
topic_facet |
Indigenous mental health Holistic mental health service delivery Cultural safety Integrated models of care Cross-sectoral collaboration Community visioning Public aspects of medicine RA1-1270 |
description |
Abstract Background Mental health disparities between Indigenous and non-Indigenous people in Canada are related to underlying economic, social, and political inequities that are legacies of colonization and the oppression of Indigenous cultures. It also widely acknowledged that mental health services currently available may not be culturally appropriate in supporting the health needs of Indigenous Canadians. A two-day Indigenous mental health forum examined mental health needs and gaps among Indigenous communities across the Regional Municipality of Wood Buffalo (RMWB) on Treaty 8 territory, in northern Alberta, Canada. This paper outlines the insights generated by stakeholder engagement at the forum to identify and prioritize directions for Indigenous mental health and build a vision and strategy for improving mental health services and programs for the region’s diverse Indigenous population. Methods We applied a modified nominal group technique (NGT) consensus method embedded within Indigenous knowledge to determine key priorities and directions for Indigenous-focused mental health and synthesize information from discussions that occurred at the forum. Following the NGT, a participatory community visioning exercise was conducted with participants to develop a vision, guiding principles, and components of an action plan for an Indigenous mental health strategy for the RMWB. Results Four key themes for setting priorities and directions for Indigenous mental health emerged from roundtable group discussions: 1) understand the realities of mental health experiences for Indigenous peoples, 2) design a holistic and culturally rooted mental health system, 3) foster cross-sectoral engagement and collaboration on mental health service delivery, and 4) focus on children and youth. The community visioning exercise helped stakeholders to visualize a direction or path forward for addressing existing gaps in the mental health system and opportunities for strengthening Indigenous mental health in the region. Conclusions ... |
format |
Article in Journal/Newspaper |
author |
Stephanie Montesanti Kayla Fitzpatrick Bryan Fayant Caillie Pritchard |
author_facet |
Stephanie Montesanti Kayla Fitzpatrick Bryan Fayant Caillie Pritchard |
author_sort |
Stephanie Montesanti |
title |
Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
title_short |
Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
title_full |
Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
title_fullStr |
Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
title_full_unstemmed |
Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach |
title_sort |
identifying priorities, directions and a vision for indigenous mental health using a collaborative and consensus-based facilitation approach |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12913-022-07682-3 https://doaj.org/article/20c33190390d4810aeab4b107d3b4aba |
long_lat |
ENVELOPE(-112.007,-112.007,57.664,57.664) |
geographic |
Canada Wood Buffalo |
geographic_facet |
Canada Wood Buffalo |
genre |
Wood Buffalo |
genre_facet |
Wood Buffalo |
op_source |
BMC Health Services Research, Vol 22, Iss 1, Pp 1-18 (2022) |
op_relation |
https://doi.org/10.1186/s12913-022-07682-3 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-022-07682-3 1472-6963 https://doaj.org/article/20c33190390d4810aeab4b107d3b4aba |
op_doi |
https://doi.org/10.1186/s12913-022-07682-3 |
container_title |
BMC Health Services Research |
container_volume |
22 |
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1 |
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1766234979795206144 |