Understanding Historical Trauma for the Holistic Care of Indigenous Populations: A Scoping Review

2020 ◽  
pp. 089801012097913
Author(s):  
Lucy Joo-Castro ◽  
Amanda Emerson
Keyword(s):  
Indigenous People ◽  
Intergenerational Transmission ◽  
Indigenous Peoples ◽  
Scoping Review ◽  
Historical Trauma ◽  
Indigenous Populations ◽  
Holistic Care ◽  
Research Activity ◽  
The Past

Historical trauma refers to the collective depredations of the past that continue to affect populations in the present through intergenerational transmission. Indigenous people globally experience poorer health outcomes than non-Indigenous people, but the connections between Indigenous people’s health and experiences of historical trauma are poorly understood. To clarify the scope of research activity on historical trauma related to Indigenous peoples’ health, we conducted a scoping review using Arksey and O’Malley’s method with Levac’s modifications. Seventy-five articles (1996-2020) were selected and analyzed. Key themes included (a) challenges of defining and measuring intergenerational transmission in historical trauma; (b) differentiating historical trauma from contemporary trauma; (c) role of racism, discrimination, and microaggression; (d) questing for resilience through enculturation, acculturation, and assimilation; and (e) addressing historical trauma through interventions and programs. Gaps in the research included work to establish mechanisms of transmission, understand connections to physical health, elucidate present and past trauma, and explore epigenetic mechanisms and effects ascribed to it. Understanding first what constitutes historical trauma and its effects will facilitate development of culturally safe holistic care for Indigenous populations.

scholarly journals Us Mob Online: The Perils of Identifying as Indigenous on Social Media

Genealogy ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 52
Author(s):  
Bronwyn Carlson ◽  
Tristan Kennedy
Keyword(s):  
Social Media ◽  
Indigenous People ◽  
Indigenous Peoples ◽  
Mixed Methods Research ◽  
Indigenous Communities ◽  
Digital Environment ◽  
Collective Identities ◽  
Social Media Platforms ◽  
Insight Into

Social media is a highly valuable site for Indigenous people to express their identities and to engage with other Indigenous people, events, conversations, and debates. While the role of social media for Indigenous peoples is highly valued for public articulations of identity, it is not without peril. Drawing on the authors’ recent mixed-methods research in Australian Indigenous communities, this paper presents an insight into Indigenous peoples’ experiences of cultivating individual and collective identities on social media platforms. The findings suggest that Indigenous peoples are well aware of the intricacies of navigating a digital environment that exhibits persistent colonial attempts at the subjugation of Indigenous identities. We conclude that, while social media remains perilous, Indigenous people are harnessing online platforms for their own ends, for the reinforcement of selfhood, for identifying and being identified and, as a vehicle for humour and subversion.

scholarly journals Barriers and Facilitators of Access to Psychological Services for Indigenous Populations: A Scoping Review and Thematic Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Anna Plessas ◽  
Moana W. Billot ◽  
Armon Tamatea ◽  
Oleg N. Medvedev ◽  
Jessica McCormack ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Scoping Review ◽  
Methodological Approach ◽  
Final Analysis ◽  
Psychological Services ◽  
Barriers And Facilitators ◽  
Three Dimensions ◽  
Indigenous Populations ◽  
The Relationship

Background: The extent to which behavior-analytic interventions are offered to Indigenous populations across CANZUS in accessible and culturally appropriate ways is unknown. We conducted a scoping review with a thematic analysis of the extant literature to find: (1) what are the barriers and facilitators for providing effective and equitable delivery of psychological services (with a behavioral component) to Indigenous populations; and (2) what tools and practices exist for an effective and equitable service delivery.Methods: We systematically reviewed Medline, CINAHL, PubMed, PsycInfo, Web of science, Ovid and INNZ databases between 1990 and 2020. For the scoping review, we adhered to the JBI methodological approach (2015) and the PRISMA strategy for the identification, selection, and appraisal of the reviewed articles. A total of 1265 unique articles met the criteria for the screening by title; 238 by abstract; 57 were included for full text assessment; and 37 were included in the final analysis.Results: Three themes were revealed to account for the barriers and facilitators of culturally friendly practices: (1) connecting practices are about interactions shaping the relationship between service provider and service client; (2) innovative practices test new approaches and innovations that could facilitate access to psychological services and overcome barriers, and (3) reflective practices are about critically examining the processes and actions undertaken toward effective cultural adaptation of services.Conclusions: Our analysis suggests that the level of success in bringing together services and the recipients of treatment (connection), showing flexibility and persistence in finding solutions (innovation) and examining the role of our behaviors in reaching our goals (reflection) is determined by the providers' action in the aforementioned three dimensions of practice.

scholarly journals P.188 Neurotrauma in Indigenous populations of Canada: challenges and future directions: A Scoping Review

2021 ◽  
Vol 48 (s3) ◽  
pp. S74-S74
Author(s):  
Z Salaheen ◽  
A Moghaddamjou ◽  
MG Fehlings
Keyword(s):  
Spinal Cord ◽  
Rural Communities ◽  
Indigenous Peoples ◽  
Scoping Review ◽  
Brain Injuries ◽  
Spinal Cord Injuries ◽  
Healthcare Services ◽  
Indigenous Populations ◽  
Mesh Terms ◽  
Cord Injury

Background: Neurotrauma accounts for over 24 000 hospitalizations annually in Canada. Among those affected, Indigenous peoples are disproportionately impacted. The goal of this scoping review is to identify factors underlying these disparities. Methods: A scoping review was conducted to collect papers pertaining to neurotrauma in Indigenous populations of Canada. Using MEDLINE, 676 articles were screened with MeSH terms including ‘Indigenous’, ‘spinal cord injuries’, ‘brain injuries, traumatic’ and ‘Canada’ as of April 2021. Results: Studies report over twice the incidence of traumatic brain injury and traumatic spinal cord injury in Indigenous populations compared to non-Indigenous populations. The burden of neurotrauma is attributable to infrastructure disparities in rural communities and reserves, elevated rates of substance use and violence, and inequities in treatment and rehabilitation following injury. These issues are deeply rooted in the trauma endured by Indigenous peoples through the course of Canadian history, owing to government policies that severely impacted their socioeconomic conditions, culture, and access to healthcare services. Conclusions: Systems-level interventions guided by Indigenous community members will help to address the disparities that Indigenous peoples face in the care and rehabilitation of neurotrauma. This study will inform further research of culturally appropriate approaches to reduce neurotrauma burden among Indigenous peoples.

scholarly journals The Role of the Indigenous Patient Navigator: A Scoping Review

2022 ◽  
pp. 084456212110667
Author(s):  
Aric Rankin ◽  
Andrea Baumann ◽  
Bernice Downey ◽  
Ruta Valaitis ◽  
Amy Montour ◽  
...  
Keyword(s):  
New Zealand ◽  
Scoping Review ◽  
Health Assessment ◽  
Indigenous Populations ◽  
Patient Navigator ◽  
Patient Centered ◽  
Current State ◽  
Indigenous Patient ◽  
Scoping Reviews

Background Healthcare systems are complex and as a result patients may experience fragmentation of services. Indigenous populations experience increasingly disproportionate health disparities compared to non-Indigenous populations. Patient navigation is known as a patient-centered approach to empower individuals to connect with appropriate services. Literature surrounding the Indigenous Patient Navigator (IPN) remains sparse necessitating this scoping review. Purpose: To map the current state of the role of the IPN internationally within Canada, United States, Australia and New Zealand. Methods Estalished methodological framework by Arksey and O’Malley and the PRISMA extension for scoping reviews was used. Results A total of 820 articles were reviewed from four databases, yielding sixteen articles. Conclusions The absence of published literature surrounding the IPN role in Australia and New Zealand was surprising considering similar histories of colonization. The term navigator was used most often and was typically used when describing lay/peer roles. Professional roles were described using specific role descriptions. Six IPN roles were identified including: (1) social service navigation, (2) wholistic support of Indigenous people, (3) advocacy/building capacity, (4) health assessment, (5) administrative navigation, and (6) outreach. Additionally, barriers and enablers IPNs address are identified. This scoping review will assist to promote and reinforce the IPN role.

scholarly journals Memorialising the Past: Is there an 'Aboriginal' Way?

2008 ◽  
Vol 15 ◽  
Author(s):  
Bronwyn Batten ◽  
Paul Batten
Keyword(s):  
Indigenous People ◽  
Cultural Evolution ◽  
Natural Materials ◽  
The Past

There is debate about how the Aboriginal past can and should be memorialised. This paper utilises a series of example memorials to discuss the ways in which Indigenous and non-Indigenous people in Australia are choosing to depict – in a physical, public form – Aboriginal perspectives of the past. The paper focuses on the issues of cultural evolution and the adoption of so-called ‘European’ ways of memorialising. It also looks at the role of landscapes and natural materials in memorials to the Aboriginal past and the evolving role of counter- and anti-memorials to commemorate the past. The examples of memorials from around Australia suggest that, above all, we must be open-minded about what constitutes an ‘Aboriginal’ memorial. Ways of memorialising the Aboriginal past can range, for example, from natural to constructed, from created by Indigenous people exclusively to otherwise, and from targeting an exclusively Indigenous audience, a non-Indigenous audience, or both. There is more than one way of memorialising the Aboriginal past.

Universities as the Gatekeepers of the Intellectual Property of Indigenous People's Medical Knowledge

2008 ◽  
Vol 37 (S1) ◽  
pp. 34-45 ◽  
Author(s):  
Chris Kavelin
Keyword(s):  
Intellectual Property ◽  
Indigenous Knowledge ◽  
Indigenous People ◽  
Medical Knowledge ◽  
Academic Capitalism ◽  
Indigenous Communities ◽  
The Past ◽  
Policy Context ◽  
Law And Policy

AbstractThis paper will explore the role of universities as one of the most important gatekeepers that facilitate the appropriation of Indigenous medical knowledge (IMK) from Indigenous communities to transnational pharmaceutical corporations. The first section will deconstruct the “denial of dependency” upon IMK. Using case studies, the critique will demonstrate a complex mystification of Indigenous knowledge and labour, and a de-identification of Indigenous people and nature as the source of the medicines appropriated. The last section will analyse the law and policy context of the past 20 years that is responsible for creating a process of academic capitalism that has strengthened this phenomenon.

scholarly journals Recuperative memory in Romanian post-Communist society

2016 ◽  
Vol 44 (5) ◽  
pp. 751-771 ◽  
Author(s):  
Simona Mitroiu
Keyword(s):  
Intergenerational Transmission ◽  
Communist Regime ◽  
Communist Society ◽  
Political Class ◽  
Politics Of Memory ◽  
Literary Works ◽  
The Past

This paper explores the idea of “recuperative memory” with respect to the process of coming to terms with the past after the fall of the Romanian Communist regime in 1989. Its method is to examine the mechanisms used by recuperative memory in order to re-appropriate the past and emphasize the inherently mediated and multifaceted nature of this process. Using various examples from oral testimonies, autobiographical writings, literary works, and cinema, the paper argues that the role of recuperative memory is not only to facilitate the process of coming to terms with the past, but also to offer the material necessary to sustain a viable politics of memory. This entails providing a platform for the intergenerational transmission of memory and knowledge for those who did not live under the Communist regime, filling in this way the intergenerational gap, despite the lack of political class engagement.

Stop Burying the Lede: The Essential Role of Indigenous Law(s) in Creating Rights of Nature

2020 ◽  
Vol 9 (3) ◽  
pp. 403-427 ◽  
Author(s):  
Erin O'Donnell ◽  
Anne Poelina ◽  
Alessandro Pelizzon ◽  
Cristy Clark
Keyword(s):  
Indigenous Peoples ◽  
Indigenous Leadership ◽  
Indigenous Law ◽  
The Past ◽  
Transformative Potential ◽  
Scholarly Publications ◽  
Rights Of Nature ◽  
Pluralist Approach ◽  
Rapid Emergence

AbstractThe rapid emergence of rights of Nature over the past decade across multiple contexts has fostered increasing awareness, recognition, and, ultimately, acceptance of rights of Nature by the global community. Yet, too often, both scholarly publications and news articles bury the lede – namely, that the most transformative cases of rights of Nature have been consistently influenced and often actually led by Indigenous peoples. In this article we explore the ontologies of rights of Nature and earth jurisprudence, and the intersections of these movements with the leadership of Indigenous peoples in claiming and giving effect to their own rights (while acknowledging that not all Indigenous peoples support rights of Nature). Based on early observations, we discern an emerging trend of increased efficacy, longevity, and transformative potential being linked to a strongly pluralist approach of lawmaking and environmental management. A truly transformative and pluralist ecological jurisprudence can be achieved only by enabling, and empowering, Indigenous leadership.

scholarly journals Reimagining Indigenous spaces of healing: Institutional environmental repossession

2020 ◽  
Vol 1 (1) ◽  
pp. 27-36
Author(s):  
Vanessa Ambtman-Smith ◽  
Chantelle Richmond
Keyword(s):  
Indigenous Knowledge ◽  
Indigenous People ◽  
Social Relationships ◽  
Indigenous Peoples ◽  
Well Being ◽  
Knowledge Systems ◽  
Indigenous Populations ◽  
Urban Hospital ◽  
The Social ◽  
Health And Healing

Among the global Indigenous population, concepts of health and healthy living are wholistically intertwined within social, physical, natural, and spiritual systems. On-going processes of colonization and experiences of environmental dispossession have had the effect of removing Indigenous peoples from the lands, people and knowledge systems that have traditionally promoted their health. In 2014, Big-Canoe and Richmond introduced the idea of environmental repossession. This concept refers to the social, economic, and cultural processes Indigenous people are engaging in to reconnect with their traditional lands and territories, the wider goal being to assert their rights as Indigenous people and to improve their health and well-being. As Indigenous mothers, both who live in urban centres “away” from our families and traditional lands and knowledge systems, we engage with this conceptual model as a hopeful way to reimagine relationships to land, family, and knowledge. We embrace the concept of environmental repossession, and its key elements – land, social relationships, Indigenous knowledge – as a framework for promoting health and healing spaces among those who live “away” from their traditional territory. Drawing on three examples, an urban hospital, a university food and medicine garden, and a men’s prison, we suggest that these spaces do indeed offer important structural proxies for land, social relationships, and Indigenous knowledge, and can be important healing spaces. With increasingly urbanizing Indigenous populations in Canada, and around the world, these findings are important for the development of healing places for Indigenous peoples, regardless of where they live.

scholarly journals Virtual Care for Indigenous Populations in Canada, the United States, Australia, and New Zealand: Protocol for a Scoping Review (Preprint)

2020 ◽  
Author(s):  
Pat Camp ◽  
Mirha Girt ◽  
Alix Wells ◽  
Adeeb Malas ◽  
Maryke Peter ◽  
...  
Keyword(s):  
United States ◽  
New Zealand ◽  
Indigenous People ◽  
Scoping Review ◽  
Full Text ◽  
Indigenous Communities ◽  
The United States ◽  
Indigenous Populations ◽  
Virtual Care ◽  
Full Text Screening

BACKGROUND Indigenous people in Canada, the United States, Australia, and New Zealand experience an increased burden of chronic diseases compared to non-Indigenous people in these countries. Lack of necessary services and culturally relevant care for Indigenous people contributes to this burden. Many Indigenous communities have implemented systems, such as virtual care, to improve chronic disease management. Virtual care has extended beyond videoconferencing to include more advanced technologies, such as remote biometric monitoring devices. However, given the historical and ongoing Western intrusion into Indigenous day to day life, these technologies may seem more invasive and thus require additional research on their acceptability and utility within Indigenous populations. OBJECTIVE The objective of this paper is to present the protocol for a scoping review, which aims to map existing evidence. This study is based on the following guiding research question: What are the characteristics of virtual care use by Indigenous adult populations in Canada, the United States, Australia, and New Zealand? The subquestions are related to the technology used, health conditions and nature of the virtual care, cultural safety, and key concepts for effective use. METHODS This scoping review protocol is informed by the methodology described by the Joanna Briggs Institute and is supplemented by the frameworks proposed by Arksey and O’Malley and Levac et al. A search for published and gray literature, written in English, and published between 2000 and present will be completed utilizing electronic databases and search engines, including MEDLINE, CINAHL, Embase, Indigenous Peoples of North America, Australian Indigenous HealthInfoNet, Informit, and Native Health Database. Search results will be uploaded to the review software, Covidence, for title and abstract screening before full-text screening begins. This process will be repeated for gray literature. Upon completion, a data abstraction tool will organize the relevant information into categorical formations. RESULTS The search strategy has been confirmed, and the screening of titles and abstracts is underway. As of October 2020, we have identified over 300 articles for full-text screening. CONCLUSIONS Previous reviews have addressed virtual care within Indigenous communities. However, new virtual care technologies have since emerged; subsequently, additional literature has been published. Mapping and synthesizing this literature will inform new directions for research and discussion. CLINICALTRIAL INTERNATIONAL REGISTERED REPORT PRR1-10.2196/21860

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