Dissecting systemic racism: policies, practices and epistemologies creating racialized systems of care for Indigenous peoples

AbstractIn this paper we explore some of the ways systemic racism operates and is maintained within our health and social services. We look at a very specific context, that of Nunavik Quebec, land and home to 13,000 Nunavimmiut, citizens of Quebec and Canada, signatories of the James Bay and Northern Quebec Agreement. We operationalize some of the ways in which policies and practices create and support social hierarchies of knowledges, also called epistemic racism, and how it impacts our ability to offer quality care that Indigenous peoples can trust and use.

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Treatment systems for drug users

10.1093/oso/9780198818014.003.0015 ◽

2018 ◽

Author(s):

Thomas F. Babor ◽

Jonathan Caulkins ◽

Benedikt Fischer ◽

David Foxcroft ◽

Keith Humphreys ◽

...

Keyword(s):

Social Services ◽

Justice System ◽

Drug Users ◽

Service System ◽

Systems Of Care ◽

Integrated System ◽

Service Systems ◽

Health And Social Services ◽

Primary Health ◽

Improve Health

Policies affecting the type, amount, and organization of health and social services play an important role in the overall effectiveness of a service system. Countries differ markedly in their service systems, which vary in terms of the availability, accessibility, coordination, cost-effectiveness, and coerciveness of treatment and harm-reduction services. There are now a large number of evidence-informed health and social services that are ready for implementation in systems of care in both low and high-income countries. These interventions, along with innovations in the organization of service systems, can directly address access, equity, and coordination. Coordination between the criminal justice system, mental health services, primary health care, and the treatment system can reduce drug use, improve health, prevent crime, and decrease recidivism. Health and social services organized within an integrated system, can have an impact on the population in a variety of areas targeted by drug policy.

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Moving Toward Indigenous-Centred Perinatal Care in Urban Quebec

International Journal of Indigenous Health ◽

10.32799/ijih.v16i2.33211 ◽

2020 ◽

Vol 16 (2) ◽

Author(s):

Natasha Blanchet-Cohen ◽

Cloutier Edith ◽

Lévesque Carole ◽

Laroche Stephane ◽

...

Keyword(s):

Social Services ◽

Indigenous Peoples ◽

Perinatal Care ◽

Well Being ◽

Healthy Lifestyles ◽

Community Members ◽

Parental Experiences ◽

Health And Social Services ◽

The Social ◽

Ways Of Being

This article explores Abinodjic, an initiative of the Native Friendship Centre in Val-d’Or, Quebec, Canada, which aims to move toward Indigenous-centred perinatal care for Indigenous mothers and families. Drawing on the findings of a three-year collaborative developmental evaluation, this article describes the emergence and relevance of a model of perinatal care in which Mino Pimatisi8in (a wholistic view of well-being) is the overarching goal, and where parental experiences, healthy lifestyles, support networks, and cultural knowledges are four interdependent areas of intervention that support children’s well-being, in the context of culturally safe services and approaches. We discuss three key elements significant to the initiative: (a) valuing Indigenous ways of being, (b) centring relationships and supporting the social networks, and (c) being advocates, both directly for community members as well as for Indigenous Peoples generally within the health and social services system. Findings demonstrate the importance of situating perinatal care within a continuum of Indigenous-led social and health services, and providing specific outreach, support, and guidance that are relational, strengths-based, and empowering for Indigenous families.

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Ageism in the health and social services sector in Ireland

PsycEXTRA Dataset ◽

10.1037/e537022013-004 ◽

2005 ◽

Author(s):

Eileen McGlone

Keyword(s):

Social Services ◽

Services Sector ◽

Health And Social Services

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Leading Evidence-Based Practice Implementation in Mental Health and Social Services

PsycEXTRA Dataset ◽

10.1037/e603552010-001 ◽

2010 ◽

Author(s):

Gregory A. Aarons ◽

Jonathan D. Horowitz

Keyword(s):

Mental Health ◽

Social Services ◽

Evidence Based Practice ◽

Evidence Based ◽

Health And Social Services ◽

Practice Implementation

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Depression in the Developing World

10.1093/oso/9780198801900.003.0017 ◽

2017 ◽

Author(s):

Harry Minas

Keyword(s):

Mental Health ◽

International Development ◽

Social Services ◽

Development Programs ◽

Middle Income ◽

Health And Social Services ◽

Middle Income Countries ◽

Culturally Informed ◽

Global Understanding

This chapter provides an overview of what is known about prevalence, social determinants, treatment, and course and impact of depression in developing, or low- and middle-income, countries. The importance of culture in depression and in the construction and application of diagnostic classifications and in health and social services is highlighted, with a particular focus on the applicability of ‘Western’ diagnostic constructs and service systems in developing country settings. The role of international organizations, such as WHO, and international development programs, such as the SDGs, in improving our understanding of depression and in developing effective and culturally appropriate responses is briefly examined. There is both a need and increasing opportunities in developing countries for greater commitment to mental health of populations, increased investment in mental health and social services, and culturally informed research that will contribute to improved global understanding of mental disorders in general and depression in particular.

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The Integration of Psychosocial Care into National Dementia Strategies Across Europe: Evidence from the Skills in DEmentia Care (SiDECar) Project

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073422 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3422

Author(s):

Ilaria Chirico ◽

Rabih Chattat ◽

Vladimíra Dostálová ◽

Pavla Povolná ◽

Iva Holmerová ◽

...

Keyword(s):

Content Analysis ◽

Clinical Practice ◽

Social Services ◽

Psychosocial Care ◽

Psychosocial Interventions ◽

System Of Care ◽

Dementia Care ◽

Integrated System ◽

Health And Social Services

There is evidence supporting the use of psychosocial interventions in dementia care. Due to the role of policy in clinical practice, the present study investigates whether and how the issue of psychosocial care and interventions has been addressed in the national dementia plans and strategies across Europe. A total of 26 national documents were found. They were analyzed by content analysis to identify the main pillars associated with the topic of psychosocial care and interventions. Specifically, three categories emerged: (1) Treatment, (2) Education, and (3) Research. The first one was further divided into three subcategories: (1) Person-centred conceptual framework, (2) Psychosocial interventions, and (3) Health and social services networks. Overall, the topic of psychosocial care and interventions has been addressed in all the country policies. However, the amount of information provided differs across the documents, with only the category of ‘Treatment’ covering all of them. Furthermore, on the basis of the existing policies, how the provision of psychosocial care and interventions would be enabled, and how it would be assessed are not fully apparent yet. Findings highlight the importance of policies based on a comprehensive and well-integrated system of care, where the issue of psychosocial care and interventions is fully embedded.

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Strategies for involving patients and the public in scaling-up initiatives in health and social services: protocol for a scoping review and Delphi survey

Systematic Reviews ◽

10.1186/s13643-021-01597-6 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Ali Ben Charif ◽

◽

Karine V. Plourde ◽

Sabrina Guay-Bélanger ◽

Hervé Tchala Vignon Zomahoun ◽

...

Keyword(s):

Social Services ◽

Scoping Review ◽

Delphi Study ◽

Public Involvement ◽

Scale Up ◽

Scaling Up ◽

Delphi Survey ◽

The Public ◽

Health And Social Services ◽

Scoping Reviews

Abstract Background The scale-up of evidence-based innovations is required to reduce waste and inequities in health and social services (HSS). However, it often tends to be a top-down process initiated by policy makers, and the values of the intended beneficiaries are forgotten. Involving multiple stakeholders including patients and the public in the scaling-up process is thus essential but highly complex. We propose to identify relevant strategies for meaningfully and equitably involving patients and the public in the science and practice of scaling up in HSS. Methods We will adapt our overall method from the RAND/UCLA Appropriateness Method. Following this, we will perform a two-prong study design (knowledge synthesis and Delphi study) grounded in an integrated knowledge translation approach. This approach involves extensive participation of a network of stakeholders interested in patient and public involvement (PPI) in scaling up and a multidisciplinary steering committee. We will conduct a systematic scoping review following the methodology recommended in the Joanna Briggs Institute Reviewers Manual. We will use the following eligibility criteria: (1) participants—any stakeholder involved in creating or testing a strategy for PPI; (2) intervention—any PPI strategy proposed for scaling-up initiatives; (3) comparator—no restriction; (4) outcomes: any process or outcome metrics related to PPI; and (5) setting—HSS. We will search electronic databases (e.g., Medline, Web of Science, Sociological Abstract) from inception onwards, hand search relevant websites, screen the reference lists of included records, and consult experts in the field. Two reviewers will independently select and extract eligible studies. We will summarize data quantitatively and qualitatively and report results using the PRISMA extension for Scoping Reviews (PRISMA-ScR) checklist. We will conduct an online Delphi survey to achieve consensus on the relevant strategies for PPI in scaling-up initiatives in HSS. Participants will include stakeholders from low-, middle-, and high-income countries. We anticipate that three rounds will allow an acceptable degree of agreement on research priorities. Discussion Our findings will advance understanding of how to meaningfully and equitably involve patients and the public in scaling-up initiatives for sustainable HSS. Systematic review registration We registered this protocol with the Open Science Framework on August 19, 2020 (https://osf.io/zqpx7/).

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