Trauma Histories, Impact of Residential Schools, and the Mental Health among Manitoba First Nations Adults living On On-Reserve

2009 ◽  
Author(s):  
Brenda Elias ◽  
Amanda Woods ◽  
Madelyn Hall ◽  
Say Hong ◽  
Javier Mignone ◽  
...  
2013 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Brenda Elias ◽  
Madelyn Hall ◽  
Say P. Hong ◽  
Erich V. Kliewer ◽  
Lyna Hart

First Nations women have historically used cervical Papanicolaou (Pap) screening services less than non-First Nations women, and have correspondingly higher rates of cervical cancer compared to non-Aboriginal women. It has been suggested that trauma/mental health histories and addiction behaviours may present barriers and result in less use of Pap screening. This study examined the potential influence of trauma/mental health histories and addiction on self-reports of Pap screening. Data from the Manitoba First Nations Regional Longitudinal Health Survey 2002/2003 were used to explore the association of social demographic characteristics, trauma history, and addiction behaviours with Pap screening among a sample of 1,707 First Nations adult women living on-reserve in Manitoba, Canada. Women younger than 50 years, those who reported suicidal thoughts and/or attempts over their lifetime, and those with polysubstance addictions were more likely to have been screened in the three years prior to the survey. Contrary to the perceptions of some older First Nations women, women with a challenging past were indeed engaging in Pap screening. Trauma histories and addiction behaviours did not reduce the use of cervical screening for First Nations women in this study. Screening uptake, however, is still less than optimal for older women and women with less than high school education. Culturally appropriate and gender-sensitive communication and health service efforts are required to  undo existing misperceptions, and to encourage women, regardless of age or current or past circumstances, to participate in cancer screening for their own wellbeing.


2018 ◽  
Vol 27 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Sebastian Rosenberg ◽  
Ian Hickie

Objective: The objective of this study was to present an assessment of Australia’s mental health system performance, within its social context, by comparison with other countries. Method: A review of existing literature and databases from both Australia and overseas was undertaken. Systems permitting international comparison of mental health and its social context are few. The review is limited in scope. Results: Although Australia was one of the first nations to develop and adopt a national mental health policy (in 1992), the data that are available suggest that we are not World leaders across the identified domains. Conclusions: While international benchmarking can play an important role in fostering quality improvement, there are only limited mental health or social system performance data sources to utilise. It would be desirable for a more systematic international process to be established to review existing approaches and design a new multilateral strategy. It would be important that this new strategy reflected the full experience of mental health and its broader social context.


2020 ◽  
Vol 5 (4) ◽  
pp. 178-182
Author(s):  
Peter D Shipley

The challenges and complexity of the reconciliation process are still not well understood by a large number of non-Indigenous people in Canada. As a nation, we are attempting to grasp the intricacy of how to unravel and atone for the damage that has been done in establishing and managing the more than 130 residential schools in Canada. This not only impacted more than 150,000 First Nations, Métis, and Inuit children but destroyed generations of families that are still and will continue to be impacted for years to come. The official apology from Prime Minister Stephen Harper on June 11, 2008, to all Indigenous people in Canada for the atrocities of the Indian Residential Schools was the start of a very long and painful continuous journey. The 94 calls to action released in 2015 by the Truth and Reconciliation Commission provide a road map to a complex recovery process for Indigenous people across the country. In January 2018, Health Canada held a national panel discussion with Indigenous leaders and experts on the question “Reconciliation—What Does it Mean?” One of the main themes of reconciliation revolves around education, and, in order to stay focused, we must continue to educate Canadians, including police leaders and new recruits, as we move through the meandering path of econciliation. The book Our Shared Future provides an outstanding in-depth look through the windows into a number of individual perspectives on the reconciliation journey.


2020 ◽  
Vol 57 (2) ◽  
pp. 346-362
Author(s):  
Corinne A Isaak ◽  
Natalie Mota ◽  
Maria Medved ◽  
Laurence Y Katz ◽  
Brenda Elias ◽  
...  

This qualitative study explored the fit between on-reserve First Nations community members’ conceptualizations of help-seeking for mental health concerns and the Andersen Behavioral Model of Health Services Use. Youth, adults and elders (N = 115) living and or working in eight distinct First Nations communities within a tribal council area in Canada participated in focus groups or individual interviews that were transcribed, coded and then analyzed using a thematic analysis approach informed by grounded theory methodology. Resulting themes were then mapped onto the Andersen Behavioral Model of Health Services Use. Participants’ conceptualizations of predisposing characteristics including social structures, health beliefs and mental illness, enabling and impeding resources had a high degree of fit with the model. While perspectives on perceived need for mental health care, and spirituality as a health and lifestyle practice had only moderate fit with the model, these domains could be modified to fit First Nations’ interpretations of help-seeking. Participants’ perceptions of avoidant strategies and non-use of mental health services, however did not map onto the model. These findings suggest conceptualizations of help-seeking for mental health issues in these First Nations communities are only partially characterized by the Andersen Behavioral Model, suggesting there are a number of considerations to Indigenize the model. Findings also highlight potential explanations for why some members of this population may not access or receive appropriate mental health treatment. Multi-pronged efforts are warranted to link culturally normed pathways of help-seeking with effective mental health supports for First Nations community members in Canada.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Leah Cave ◽  
Matthew N. Cooper ◽  
Stephen R. Zubrick ◽  
Carrington C. J. Shepherd

Abstract Background Increased allostatic load is linked with racial discrimination exposure, providing a mechanism for the biological embedding of racism as a psychosocial stressor. We undertook an examination of how racial discrimination interacts with socioecological, environmental, and health conditions to affect multisystem dysregulation in a First Nations population. Methods We conducted latent class analysis (LCA) using indicators of life stress, socioeconomic background, and physical and mental health from a nationally representative sample of Australian Aboriginal adults (N = 2056). We used LCA with distal outcomes to estimate the effect of the latent class variable on our derived allostatic load index and conducted a stratified analysis to test whether allostatic load varied based on exposure to racial discrimination across latent classes. Results Our psychosocial, environmental, and health measures informed a four-class structure; ‘Low risk’, ‘Challenged but healthy’, ‘Mental health risk’ and ‘Multiple challenges’. Mean allostatic load was highest in ‘Multiple challenges’ compared to all other classes, both in those exposed (4.5; 95% CI: 3.9, 5.0) and not exposed (3.9; 95% CI: 3.7, 4.2) to racial discrimination. Allostatic load was significantly higher for those with exposure to racial discrimination in the ‘Multiple challenges’ class (t = 1.74, p = .04) and significantly lower in the ‘Mental health risk’ class (t = − 1.67, p = .05). Conclusions Racial discrimination may not always modify physiological vulnerability to disease. Social and economic contexts must be considered when addressing the impact of racism, with a focus on individuals and sub-populations experiencing co-occurring life challenges.


2019 ◽  
Vol 27 (1) ◽  
pp. 3-12
Author(s):  
Colleen Sheppard

The Truth and Reconciliation Commission of Canada (TRC) was mandated to “document the individual and collective harms” of residential schools and to “guide and inspire a process of truth and healing, leading toward reconciliation.”  The stories of survivors revealed the intergenerational and egregious harms of taking children from their families and communities. In seeking to redress the legacy of the residential schools era, the TRC Calls to Action include greater recognition of self-governance of Indigenous Peoples, as well as numerous recommendations for equitable funding of health, educational, and child welfare services.


2015 ◽  
Vol 106 (6) ◽  
pp. e375-e381 ◽  
Author(s):  
Michelle Firestone ◽  
Janet Smylie ◽  
Sylvia Maracle ◽  
Constance McKnight ◽  
Michael Spiller ◽  
...  

Author(s):  
Rosemary Nagy ◽  
Robinder Kaur Sehdev

“Home” to more than 150,000 children from the 1870s until 1996, the residential school system was aimed at “killing the Indian in the child” and assimilating First Nations, Métis, and Inuit children into white settler society. It was, in short, a genocidal policy, operated jointly by the federal government of Canada and the Catholic, Anglican, United, and Presbyterian Churches. Children as young as four years old were torn from their families and placed in institutions that were chronically underfunded; mismanaged; inadequately staffed; and rife with disease, malnutrition, poor ventilation, poor heating, neglect, and death. Sexual, emotional, and physical abuse was pervasive, and it was consistent policy to deny children their languages, their cultures, their families, and even their given names. While some children may have had positive experiences, many former students have found themselves caught between two worlds: deprived of their languages and traditions, they were left on their own to handle the trauma of their school experience and to try to readapt to the traditional way of life that they had been conditioned to reject. Life after residential school has been marred for many by alcohol and substance abuse, cycles of violence, suicide, anger, hopelessness, isolation, shame, guilt, and an inability to parent.First Nations leader Phil Fontaine catalysed the struggle for redress in 1990 when he stunned Canada by speaking about his residential-school experience. The second major catalyst was the Royal Commission on Aboriginal Peoples (RCAP) of 1991–1996, which broadly exposed the horrors of residential schools to Canadians and called for a public inquiry.


2008 ◽  
Vol 11 (2) ◽  
pp. 109-115 ◽  
Author(s):  
Harriet L. MacMillan ◽  
Ellen Jamieson ◽  
Christine A. Walsh ◽  
Maria Y.-Y. Wong ◽  
Emily J. Faries ◽  
...  

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