scholarly journals Findings From a Process Evaluation of an Indigenous Holistic Housing Support and Mental Health Case Management Program in Downtown Toronto

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Michelle Firestone ◽  
Jessica Syrette ◽  
Teyohá:te Brant ◽  
Marie Laing ◽  
Steve Teekens
Keyword(s):  
Process Evaluation ◽  
Best Practice ◽  
Indigenous Health ◽  
Management Program ◽  
Social Needs ◽  
Indigenous Populations ◽  
Community Members ◽  
Case Management Program ◽  
Human Resource Capacity ◽  
The Social

While urban Indigenous populations in Canada are increasing and represent many diverse and culturally vibrant communities, disparities between Indigenous and non-Indigenous people’s experiences of the social determinants of health are significant. The Mino Kaanjigoowin (MK) program at Na-Me-Res (Native Men’s Residence) in Toronto, Ontario, Canada, supports Indigenous men who are experiencing homelessness or are precariously housed and who have complex health and social needs. Using a community-partnered approach that aligns with wise practices for conducting Indigenous health research, a mixed-methods process evaluation of the MK program was conducted in 2017‒2018 by the Well Living House in partnership with Na-Me-Res. Thematic analysis of qualitative data gathered through two focus groups with community members who access the MK program (n = 9) and key informant interviews with staff (n = 11) was carried out using a decolonizing lens. Results indicate that the MK program provides a unique healing model that is grounded in trust, honour, and respect. Strengths of the program include a harm reduction framework, meeting basic needs, and person-centred care. The program could be enhanced through increased human resource capacity and improved infrastructure, including a separate space for MK staff and activities. The evaluation findings demonstrate how the MK program provides specialized and culturally safe services as a best- practice model to meet the complex health and social needs of urban Indigenous people.

scholarly journals The missing voices of Indigenous Australians in the social, cultural and historical experiences of tuberculosis: a systematic and integrative review

2019 ◽  
Vol 4 (6) ◽  
pp. e001794 ◽  
Author(s):  
Sue Devlin ◽  
David MacLaren ◽  
Peter D Massey ◽  
Richard Widders ◽  
Jenni A Judd
Keyword(s):  
Social Determinants Of Health ◽  
Indigenous Peoples ◽  
Social Determinants ◽  
Indigenous Health ◽  
Social Determinant ◽  
Determinants Of Health ◽  
Indigenous Populations ◽  
Indigenous Australians ◽  
The Social ◽  
Biomedical Diagnosis

IntroductionDisparities in tuberculosis (TB) rates exist between Indigenous and non-Indigenous populations in many countries, including Australia. The social determinants of health are central to health inequities including disparities in TB rates. There are limitations in the dominant biomedical and epidemiological approaches to representing, understanding and addressing the unequal burden of TB for Indigenous peoples represented in the literature. This paper applies a social determinants of health approach and examines the structural, programmatic and historical causes of inequities for TB in Indigenous Australia.MethodsAboriginal Australians’ families in northern New South Wales who are affected by TB initiated this investigation. A systematic search of published literature was conducted using PubMed, PsycINFO, Scopus and Informit ATSIhealth databases, the Australian Indigenous Health, InfoNet and Google. Ninety-five records published between 1885 and 2019 were categorised and graphed over time, inductively coded and thematically analysed.ResultsIndigenous Australians’ voices are scarce in the TB literature and absent in the development of TB policies and programmes. Epidemiological reports are descriptive and technical and avoid analysis of social processes involved in the perpetuation of TB. For Indigenous Australians, TB is more than a biomedical diagnosis and treatment; it is a consequence of European invasion and a contributor to dispossession and the ongoing fight for justice. The introduction and spread of TB has resulted in the stealing of lives, family, community and cultures for Indigenous Australians. Racist policies and practices predominate in the experiences of individuals and families as consequences of, and resulting in, ongoing structural and systematic exclusion.ConclusionDevelopment of TB policies and programmes requires reconfiguration. Space must be given for Indigenous Australians to lead, be partners and to have ownership of decisions about how to eliminate TB. Shared knowledge between Indigenous Australians, policy makers and service managers of the social practices and structures that generate TB disparity for Indigenous Australians is essential.A social determinant of health approach will shift the focus to the social structures that cause TB. Collaboration with Indigenous partners in research is critical, and use of methods that amplify Indigenous peoples' voices and reconfigure power relations in favour of Indigenous Australians in the process is required.

scholarly journals TRANSITIONING HOME AFTER STROKE: IMPROVING PHYSICAL HEALTH AND PATIENT ACTIVATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S794-S794
Author(s):  
Anne K Hughes ◽  
Amanda Woodward ◽  
Paul Freddolino ◽  
Michele Fritz ◽  
Constantinos Coursaris ◽  
...  
Keyword(s):  
Social Work ◽  
Case Management ◽  
Usual Care ◽  
Patient Activation ◽  
Management Program ◽  
Stroke Patients ◽  
Case Management Program ◽  
The Social ◽  
The Mean ◽  
Technology Group

Abstract While the majority of stroke patients will return home after being hospitalized, this transition is physically and emotionally challenging. We developed a social work based case management program to address these challenges. The Michigan Stroke Transitions Trial (MISTT), a pragmatic 3-arm clinical trial tested the effects of the case management program on its own and combined with technology against usual care in patients recovering from stroke. Patients from three Michigan hospitals were randomized to one of three groups upon discharge to home. The two treatment groups received services from a social work case manager via home visit and telephone. One treatment group also was given training and access to a curated stroke website developed for MISTT. The intervention lasted up to 90 days and data was collected via telephone at 7 and 90 days. Quality of life and patient activation were the primary outcomes, measured by the PROMIS Global 10, and the Patient Activation Measure (PAM), respectively. We compared treatment efficacy by comparing the change in outcomes between the three groups (N=265) using a difference-in-differences (D-in-D) analysis. The mean change in PROMIS scores for the social work + technology group was significantly higher than both the social work only group (difference= +2.4; 95%CI=0.46, 4.34; p=0.02) and usual care (difference= +3.4; 95%CI=1.41, 5.33; p<0.001). The mean change in PAM scores for the social work + technology group was significantly higher than the social work only group (+6.7; 95%CI=1.26, 12.08; p=0.02) and marginally higher than usual care (+5.0; 95%CI=-0.47, 10.52; p=0.07).

A Case Management Treatment Program for Drug-Involved Prison Releasees

1993 ◽  
Vol 73 (3) ◽  
pp. 319-331 ◽  
Author(s):  
STEVEN S. MARTIN ◽  
JAMES A. INCIARDI
Keyword(s):  
Criminal Justice ◽  
Case Management ◽  
Management Program ◽  
Outcome Evaluation ◽  
Management Model ◽  
Drug Abusers ◽  
Case Management Program ◽  
Negative Results ◽  
The Social ◽  
Management Approaches

This article considers the application of the case management model for community-based treatment of prison releasees. The case management model has been successfully applied to rehabilitation in the social work and mental health fields. The analogies to issues of building protective factors and relapse prevention suggest a direct application to the treatment of drug abusers, and the monitoring components of case management parallel many of the desired supervisory functions of parole and probation. This article reviews the rationale, potential, and few existing applications of case management approaches for criminal justice clients. It then presents findings from an ongoing outcome evaluation of a case management program for parolees. Both the positive and negative results from this study suggest that case management treatment, when mandated in the context of criminal justice supervision, shows promise in reducing relapse to drug use and recidivism.

scholarly journals High Tuberculosis Disease Burden among Indigenous People of the Paraguayan Chaco and Associated Community Characteristics, 2002–2004: An Ecological Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Amanda VanSteelandt ◽  
Ana Magdalena Hurtado ◽  
Miriam Rolón ◽  
Antonieta Rojas de Arias ◽  
Juan Carlos Jara
Keyword(s):  
Indigenous People ◽  
Disease Burden ◽  
Negative Binomial ◽  
Indigenous Communities ◽  
Indigenous Populations ◽  
Community Members ◽  
Community Characteristics ◽  
Epidemiologic Surveillance ◽  
The Social ◽  
Pediatric Tb

Indigenous populations are generally reported to suffer greater active tuberculosis (TB) disease burden. The objective of this study was to examine ecological associations between cases of active adult and pediatric TB reported from 2002 to 2004 and community characteristics in indigenous communities of the Paraguayan Chaco. Adult and pediatric models were examined by negative binomial and Poisson GLM regression, respectively. Active TB prevalence in indigenous people was eight times higher than the nonindigenous population. Communities with a health post were more than twice as likely to report active adult TB (RR = 2.07, 95% confidence interval (CI) [1.14–3.83], and p<0.05). Each additional average year of education in the community was associated with nearly 50% less likelihood of active pediatric TB (RR = 0.53, 95% CI [0.38–0.73], and p<0.001). Although nonsignificant, the presence of nonindigenous community members had a strong protective association in both the adult (RR = 0.56, 95% CI [0.30–1.03], and p=0.06) and pediatric models (RR = 0.64, 95% CI [0.34–1.14], and p=0.14). These results reinforce the importance of increasing epidemiologic surveillance and investigating the social determinants of TB disease among vulnerable indigenous populations.

Indigenizing Forum Theatre through a strength-based approach

2021 ◽  
pp. 117718012110584
Author(s):  
Laurie-Ann Lines ◽  
Casadaya Marty ◽  
Shaun Anderson ◽  
Philip Stanley ◽  
Kelly Stanley ◽  
...  
Keyword(s):  
First Nations ◽  
Indigenous Health ◽  
Indigenous Populations ◽  
Community Members ◽  
Community Partners ◽  
Forum Theatre ◽  
Indigenous Group ◽  
Strength Based ◽  
Mental Wellness ◽  
Nations Community

Strength-based approaches with Indigenous populations are recognized as empowering and promoting change, but there are minimal published explicit examples in Indigenous health in Canada. Working with three First Nations community partners in Alberta and the Northwest Territories, we explored an Indigenous strength-based application of Forum Theatre as a tool for mental wellness. Forum Theatre is differentiated by the interactive participation of the audience, who can change the play outcome. Collectively, community members were trained as community facilitators and used an Indigenous strength-based approach to indigenize Forum Theatre activities. We share strengths highlighted in our approach including inclusivity, relationality, language revitalization, intergenerational connectivity, team facilitation, partnerships, protocols, safety, empowerment, resilience, community connection, community-specific strengths, and relational responsibilities. An Indigenous strength-based approach must include the Indigenous group leading the project and has multiple benefits to the participants, facilitators, and community at-large, particularly when intertwined with relational, communal, and cultural assets unique to the Indigenous group employing the approach.

scholarly journals “They Wanted to Study Us; They Didn’t Want to Help Us”: Socially Just and Participatory Research Methodologies for Demographically Changing Schools

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Lyle Donald Hamm ◽  
Helen Massfeller ◽  
Amanda Scott ◽  
Kevin Cormier
Keyword(s):  
Case Study Research ◽  
Social Needs ◽  
Community Members ◽  
Open Communication ◽  
Refugee Students ◽  
Policy Makers ◽  
Community Stakeholders ◽  
The Social ◽  
Changing Schools ◽  
The Impact

Educators and leaders across Canada must re-conceptualize their pedagogies and leadership approaches and reflect on their own worldviews to enhance the transitions of new immigrant, international and refugee students into their schools. This paper reports on ongoing case study research in New Brunswick, Canada. The researchers are investigating the impact and implications of immigration and demographic changes on school and community stakeholders. The authors discuss the social justice and participatory methodological framework they are employing in the first school of five in their investigation and report the mid-case thematic findings related to the changing demographic conditions in the province. The findings have been consistently shared with school leaders and teachers through active participation, open communication and co-construction of meanings. The authors are hopeful that the key findings from this research will inform educators and policy-makers as they respond to the educational and social needs of their students and community members.

scholarly journals Introductory Essay: An Rx for Indigenous Health Inequality: The Social Determinants of Health

2011 ◽  
Vol 2 (1) ◽  
Author(s):  
Nicholas Spence
Keyword(s):  
Health Outcomes ◽  
Health Inequality ◽  
Indigenous Health ◽  
Decision Makers ◽  
Indigenous Populations ◽  
Special Edition ◽  
Great Pleasure ◽  
Indigenous Policy ◽  
The Social ◽  
Improve Health

It is with great pleasure that I am able to serve as the first Special Guest Editor (health) of the Inter-national Indigenous Policy Journal. This special edition is a compilation of some of the best research con-ducted on Indigenous populations. Moving beyond the disturbing trends so many of us are already well aware of, this body of research provides new theoretical, policy, and practical approaches for researchers, decision makers, and communities seeking to improve health outcomes for Indigenous populations.

The Social Impact of Suffering: Physical Pain Thwarts Social Needs

2010 ◽  
Author(s):  
Paolo Riva ◽  
James H. Wirth ◽  
Kipling D. Williams
Keyword(s):  
Social Impact ◽  
Social Needs ◽  
Physical Pain ◽  
The Social

PAR Method

2010 ◽  
Vol 3 (3) ◽  
pp. 355-375 ◽  
Author(s):  
Michelle Billies
Keyword(s):  
New York ◽  
Low Income ◽  
Critical Consciousness ◽  
Design Method ◽  
Participatory Action ◽  
Community Members ◽  
Context Analysis ◽  
Gender Nonconforming ◽  
The Social ◽  
And Gender

The work of the Welfare Warriors Research Collaborative (WWRC), a participatory action research (PAR) project that looks at how low income lesbian, gay, bisexual, transgender, and gender nonconforming (LG-BTGNC) people survive and resist violence and discrimination in New York City, raises the question of what it means to make conscientization, or critical consciousness, a core feature of PAR. Guishard's (2009) reconceptualization of conscientization as “moments of consciousness” provides a new way of looking at what seemed to be missing from WWRC's process and analysis. According to Guishard, rather than a singular awakening, critical consciousness emerges continually through interactions with others and the social context. Analysis of the WWRC's process demonstrates that PAR researchers doing “PAR deep” (Fine, 2008)—research in which community members share in all aspects of design, method, analysis and product development—should have an agenda for developing critical consciousness, just as they would have agendas for participation, for action, and for research.

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