scholarly journals Indigenous Women from the Sixties Scoop Healing Through the Full Moon Ceremony and Storytelling at Winona's Place.

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Janani Kodeeswaran ◽  
Maggie Campaigne ◽  
Anita C Benoit
Keyword(s):  
Health Services ◽  
Full Moon ◽  
Well Being ◽  
Cultural Knowledge ◽  
Indigenous Women ◽  
Community Members ◽  
Indigenous Healing ◽  
Community Based Research ◽  
Healing Environment ◽  
The Sixties

The Sixties Scoop refers to the policies and practices in Canada from the 1950s to 1980s of forcibly removing Indigenous children from their birth families and communities. Cultural disconnection, loss of identity, and lower social connectedness were outcomes for Sixties Scoop survivors. My project focused on establishing a healing environment at the YWCA Toronto Winona’s Place for Indigenous women who were Sixties Scoop survivors and interested in learning more about the Sixties Scoop. Community-Based Research principles were followed and included working with Indigenous community members. Our project consisted of 8 weekly two-hour healing circles culminating in a Full Moon Ceremony. Through feedback forms and two-hour focus groups, data was collected on the project’s strengths, areas for improvement, and information on resources needed by the women to create a healing environment. Thematic analysis was used to analyze the data. The healing circles and Full Moon Ceremony allowed the women to engage with a Knowledge Carrier and Winona community members, learn about Indigenous teachings and cultures, and work through painful experiences with community members. Although many of the women experienced hardships and trauma, they remained interested in healing and reconnecting to Indigenous cultures. The women shared what they had learned through teachings, how the sessions positively impacted their well-being, how they would apply cultural knowledge into their healing journeys, and offered recommendations on how Winona’s Place could better support them. We demonstrated the significance of Indigenous healing approaches for improving health and well-being among our participants, who have experienced trauma. Cultural connection to Indigeineity is rarely considered, or offered, in mainstream health services. Indigenous healing models and perspectives are important in creating and implementing Indigenous-specific health services and promotion programs. My project hopes to emphasize the importance of decolonizing public health systems and addressing the Calls to Action related to health.

Honouring the grandmothers through (re)membering, (re)learning, and (re)vitalizing Métis traditional foods and protocols

2019 ◽  
Vol 6 (2) ◽  
pp. 51-72
Author(s):  
Monica Cyr ◽  
Joyce Slater
Keyword(s):  
Nutrition Transition ◽  
Family Health ◽  
Holistic Approach ◽  
Well Being ◽  
Cultural Knowledge ◽  
Community Members ◽  
Traditional Foods ◽  
Food Practices ◽  
Culinary Knowledge ◽  
Health And Well Being

In Canada, Métis cultural restoration continues to advance. Food practices and protocols, from the vantage point of Métis women who were traditionally responsible for domestic work, qualify as important subjects worthy of study because food and food work are integral components of family health and well-being. This qualitative grounded theory study explored Métis cultural food in Manitoba, Canada, with the intent to honour Métis women. In-depth interviews were conducted with Métis residents of urban Winnipeg and southern rural Manitoba. Results indicate that women were traditionally the keepers of culinary knowledge and practices in Métis families, and were highly resourceful in feeding large families and often other community members. Traditional foods were often land-based (wild and cultivated) and frequently enhanced with market foods. There is a strong sense of history, pride, identity, and desire for revitalization through cultural activities such as food practices; however, disrupted cultural knowledge translation around food and the nutrition transition to unhealthy Western diets present challenges. Results of this research will provide Manitoba Métis people with opportunities for critical reflection on food and their identity as Métis; food origins; the role of food in our lives; and how ecological and political structures affect the production and consumption of food. In addition, this research will provide an alternative discourse as it relates to Métis food, supporting a holistic approach to overall health and well-being that is self-affirming and strength-based.

Transdiagnostic versus Diagnosis-Specific Group Cognitive Behavioral Therapy for Anxiety Disorders and Depression: A Randomized Controlled Trial

2021 ◽  
pp. 1-14
Author(s):  
Nina Reinholt ◽  
Morten Hvenegaard ◽  
Anne Bryde Christensen ◽  
Anita Eskildsen ◽  
Carsten Hjorthøj ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Well Being ◽  
Major Depressive ◽  
Outpatient Mental Health ◽  
End Of Treatment

<b><i>Introduction:</i></b> The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) delivered in a group format could facilitate the implementation of evidence-based psychological treatments. <b><i>Objective:</i></b> This study compared the efficacy of group UP and diagnosis-specific cognitive behavioral therapy (dCBT) for anxiety and depression in outpatient mental health services. <b><i>Methods:</i></b> In this pragmatic, multi-center, single-blinded, non-inferiority, randomized controlled trial (RCT), we assigned 291 patients with major depressive disorder, social anxiety disorder, panic disorder, or agoraphobia to 14 weekly sessions in mixed-diagnosis UP or single-diagnosis dCBT groups. The primary test was non-inferiority, using a priori criteria, on the World Health Organisation 5 Well-Being Index (WHO-5) at the end of the treatment. Secondary outcomes were functioning and symptoms. We assessed outcomes at baseline, end-of-treatment, and at a 6-month follow-up. A modified per-protocol analysis was performed. <b><i>Results:</i></b> At end-of-treatment, WHO-5 mean scores for patients in UP (<i>n</i> = 148) were non-inferior to those of patients in dCBT (<i>n</i> = 143; mean difference –2.94; 95% CI –8.10 to 2.21). Results were inconclusive for the WHO-5 at the 6-month follow-up. Results for secondary outcomes were non-inferior at end-of-treatment and the 6-month follow-up. Client satisfaction and rates of attrition, response, remission, and deterioration were similar across conditions. <b><i>Conclusions:</i></b> This RCT demonstrated non-inferior acute-phase outcomes of group-delivered UP compared with dCBT for major depressive disorder, social anxiety disorder, panic disorder, and agoraphobia in outpatient mental health services. The long-term effects of UP on well-being need further investigation. If study findings are replicated, UP should be considered a viable alternative to dCBT for common anxiety disorders and depression in outpatient mental health services.

scholarly journals COVID-19 and Children’s Well-Being: A Rapid Research Agenda

2021 ◽  
Author(s):  
Rebecca N. Dudovitz ◽  
Shirley Russ ◽  
Mary Berghaus ◽  
Iheoma U. Iruka ◽  
Jessica DiBari ◽  
...  
Keyword(s):  
Nonprofit Organizations ◽  
Research Agenda ◽  
Well Being ◽  
Research Network ◽  
Negative Effects ◽  
Research Partnerships ◽  
Data Infrastructure ◽  
Community Based Research ◽  
National Measurement ◽  
Resilient Response

Abstract Purpose Understanding the full impact of COVID-19 on U.S. children, families, and communities is critical to (a) document the scope of the problem, (b) identify solutions to mitigate harm, and (c) build more resilient response systems. We sought to develop a research agenda to understand the short- and long-term mechanisms and impacts of the COVID-19 pandemic on children’s healthy development, with the goal of devising and ultimately testing interventions to respond to urgent needs and prepare for future pandemics. Description The Life Course Intervention Research Network facilitated a series of virtual meetings that included members of 10 Maternal and Child Health (MCH) research programs, their research and implementation partners, as well as family and community representatives, to develop an MCH COVID-19 Research Agenda. Stakeholders from academia, clinical practice, nonprofit organizations, and family advocates participated in four meetings, with 30–35 participants at each meeting. Assessment Investigating the impacts of COVID-19 on children’s mental health and ways to address them emerged as the highest research priority, followed by studying resilience at individual and community levels; identifying and mitigating the disparate negative effects of the pandemic on children and families of color, prioritizing community-based research partnerships, and strengthening local, state and national measurement systems to monitor children’s well-being during a national crisis. Conclusion Enacting this research agenda will require engaging the community, especially youth, as equal partners in research co-design processes; centering anti-racist perspectives; adopting a “strengths-based” approach; and integrating young researchers who identify as Black, Indigenous, and People of Color (BIPOC). New collaborative funding models and investments in data infrastructure are also needed.

scholarly journals The Determinants of Telehealth Provision: Empirical Evidence from OECD Countries

2021 ◽  
Vol 18 (16) ◽  
pp. 8288
Author(s):  
Fuhmei Wang ◽  
Jung-Der Wang
Keyword(s):  
Health Services ◽  
Health Spending ◽  
Well Being ◽  
Oecd Countries ◽  
Outcome Variable ◽  
Explanatory Variables ◽  
Telehealth Service ◽  
Increase Productivity ◽  
Number Of Individuals ◽  
Health And Well Being

Health services provided through the telecommunications system aim to improve the population’s health and well-being. This research aims to explore what digital, economic, and health factors are associated with the provision of telehealth services, especially in ageing communities. Applying Organization for Economic Cooperation and Development (OECD) countries’ experiences, this research tries to construct a logistic regression model between adopting a telehealth system or not, a binary outcome variable, and a group of potentially explanatory variables. Estimation results showed that there were thresholds for telehealth provision: The demand for telehealth service usually began when the provision of telecommunication accessibility reached 50%, the proportion of elders exceeded 10%, or the proportion of health spending occupied more than 3–5% of the gross domestic product (GDP); the slope of each variable seemed to correspond with an increase in demand for such a provision. A growing number of individuals in OECD countries are now readily served by telehealth systems under the COVID-19 pandemic. These findings could be regarded as a model for other countries for implementing the necessary infrastructure early on when any of these parameters reaches its threshold. Moreover, telehealth applied in developing countries could be elevated for wider populations to access basic health services and for the remote delivery of health care. A rational decision could be made to appropriately use additional resources in telehealth provision. With accessible e-health services, the population’s health could be improved, which in turn would possibly increase productivity and social welfare.

scholarly journals A Men’s Survey: Exploring Well-Being, Healthy Relationships and Violence Prevention

2021 ◽  
pp. 106082652110188
Author(s):  
Liza Lorenzetti ◽  
Vic Lantion ◽  
David C. Este ◽  
Percy Murwisi ◽  
Jeff Halvorsen ◽  
...  
Keyword(s):  
Violence Prevention ◽  
Well Being ◽  
Cultural Groups ◽  
Community Based ◽  
Healthy Relationships ◽  
Community Based Research ◽  
On Line ◽  
Multiple Challenges ◽  
Research Assistants ◽  
African Canadian

The participation of men is critical to preventing domestic violence, however, there is still little understanding of the capacities and supports that men need for well-being and healthy relationships. A men’s survey was designed to explore and identify the capacities and resources required by a diverse population of Canadian men. Data was collected on-line and through trained community-based research assistants. Over 2,000 men from 20 ethno-cultural groups responded, and multiple challenges and enablers were identified. Responses from Indigenous and African Canadian men highlight the need for an intersectional lens in understanding men’s well-being and violence prevention.

scholarly journals Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049210
Author(s):  
Elisa Liberati ◽  
Natalie Richards ◽  
Jennie Parker ◽  
Janet Willars ◽  
David Scott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Healthcare ◽  
Well Being ◽  
Comparison Method ◽  
Service Users ◽  
Qualitative Interview Study ◽  
Remote Care

ObjectivesTo explore the experiences of service users, carers and staff seeking or providing secondary mental health services during the COVID-19 pandemic.DesignQualitative interview study, codesigned with mental health service users and carers.MethodsWe conducted semistructured, telephone or online interviews with a purposively constructed sample; a lived experience researcher conducted and analysed interviews with service users. Analysis was based on the constant comparison method.SettingNational Health Service (NHS) secondary mental health services in England between June and August 2020.ParticipantsOf 65 participants, 20 had either accessed or needed to access English secondary mental healthcare during the pandemic; 10 were carers of people with mental health difficulties; 35 were members of staff working in NHS secondary mental health services during the pandemic.ResultsExperiences of remote care were mixed. Some service users valued the convenience of remote methods in the context of maintaining contact with familiar clinicians. Most participants commented that a lack of non-verbal cues and the loss of a therapeutic ‘safe space’ challenged therapeutic relationship building, assessments and identification of deteriorating mental well-being. Some carers felt excluded from remote meetings and concerned that assessments were incomplete without their input. Like service users, remote methods posed challenges for clinicians who reported uncertainty about technical options and a lack of training. All groups expressed concern about intersectionality exacerbating inequalities and the exclusion of some service user groups if alternatives to remote care are lost.ConclusionsThough remote mental healthcare is likely to become increasingly widespread in secondary mental health services, our findings highlight the continued importance of a tailored, personal approach to decision making in this area. Further research should focus on which types of consultations best suit face-to-face interaction, and for whom and why, and which can be provided remotely and by which medium.

scholarly journals COVID-19 Barometer: Social Opinion – What Do the Portuguese Think in This Time of COVID-19?

2021 ◽  
pp. 1-9
Author(s):  
Ana Rita Pedro ◽  
Ana Gama ◽  
Patrícia Soares ◽  
Marta Moniz ◽  
Pedro A. Laires ◽  
...  
Keyword(s):  
Health Services ◽  
Online Survey ◽  
Well Being ◽  
Point Of View ◽  
Daily Lives ◽  
The People ◽  
Huge Impact ◽  
The Impact ◽  
Continue Monitoring

The COVID-19 pandemic brought new challenges to the global community, reinforcing the role of public health in society. The main measures to combat it had (and still have) a huge impact on the daily lives of citizens. This investigation aimed to identify and monitor the population’s perceptions about how it faced this period and the impact on health, well-being, and daily life. In this study, we describe the main trends observed throughout the COVID-19 pandemic in terms of mental health status, confidence in the capacity of the health services to respond to the pandemic, and the use of health services by participants. The online survey collected responses from 171,947 individuals ≥16 years of age in Portugal, over a period of 15 weeks that started on 21 March 2020. Participants could fill the questionnaire once or weekly, which enabled us to analyse trends and variations in responses. Overall, 81% of the respondents reported having felt agitated, anxious, or sad during the COVID-19 pandemic; 19% did not experience these feelings. During the confinement period, the proportion of participants feeling agitated, anxious, or sad every day/almost every day ranged between 20 and 30%, but since the deconfinement this proportion decreased. Around 30% reported having more difficulty getting to sleep or to sleep all night; 28.4% felt more agitated; 25.5% felt sadder, discouraged, or cried more easily; and 24.7% felt unable to do everything they had to do, women more frequently than men. Overall, 65.8% of the participants reported feeling confident or very confident in the health services’ capacity to respond to the challenges associated with the pandemic, and this confidence increased over time. Concerning the people who needed a consultation, 35.6% had one in person and 20.8% had one remotely, but almost 44% did not have one due to cancellation by the service (27.2%) or their own decision not to go (16.3%). At this unusual time in which we find ourselves and based on our findings, it is essential to continue monitoring how the population is facing the different phases of the pandemic until it officially ends. Analysing the effects of the pandemic from the point of view of citizens allows for anticipating critical trends and can contribute to preventative action.

Development, implementation and evaluation of nurse-led integrated, person-centred care with long-term conditions

2017 ◽  
Vol 25 (3) ◽  
pp. 186-195 ◽  
Author(s):  
Clare Lynette Harvey ◽  
Jonathan Sibley ◽  
Janine Palmer ◽  
Andrew Phillips ◽  
Eileen Willis ◽  
...  
Keyword(s):  
Health Services ◽  
Chronic Conditions ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Long Term Conditions ◽  
Content Type ◽  
Care Services ◽  
Health Strategy ◽  
Global Increase

Purpose The purpose of this paper is to outline a conceptual plan for innovative, integrated care designed for people living with long-term conditions (LTCs). Design/methodology/approach The conceptual plan delivers a partnership between the health system, the person with LTCs (chronic), their family, and the community. The partnership aims to support people at home with access to effective treatment, consistent with the New Zealand Government Health Strategy. This concept of people-owned care is provided by nurses with advanced practice skills, who coordinate care across services, locations and multiple LTCs. Findings With the global increase in numbers of people with multiple chronic conditions, health services are challenged to deliver good outcomes and experience. This model aims to demonstrate the effective use of healthcare resources by supporting people living with a chronic condition, to increase their self-efficacy and resilience in accordance with personal, cultural and social circumstance. The aim is to have a model of care that is replicable and transferable across a range of health services. Social implications People living with chronic conditions can be empowered to manage their health and well-being, whilst having access to nurse-led care appropriate to individual needs. Originality/value Although there are examples of case management and nurse-led coordination, this model is novel in that it combines a liaison nursing role that works in partnership with patients, whilst ensuring that care across a number of primary and secondary care services is truly integrated and not simply interfaced.

Large-Scale Sport Events and Resident Well-Being: Examining PERMA and the Gold Coast 2018 Commonwealth Games

2021 ◽  
pp. 1-14
Author(s):  
Jason Doyle ◽  
Kevin Filo ◽  
Alana Thomson ◽  
Thilo Kunkel
Keyword(s):  
Large Scale ◽  
Positive Emotions ◽  
Well Being ◽  
Host Community ◽  
Social Psychological ◽  
Community Members ◽  
Community Based ◽  
Before And After ◽  
Sport Events ◽  
Commonwealth Games

Delivering community-based benefits is oftentimes cited to justify the high costs associated with hosting large-scale events. The current research is embedded in positive psychology to examine how an event impacts host community members’ PERMA domains, reflected through positive emotions, engagement, relationships, meaning, and accomplishment. Adopting a longitudinal approach, the authors interviewed 15 host community members before and after a large-scale sport event to determine if and how the event impacted their well-being. The findings uncovered evidence that the event activated positive emotions, relationships, and meaning across both phases, and evidence of accomplishment within the postevent phase. The findings contribute to the knowledge by examining the links between large-scale sport events and well-being throughout the event lifecycle. This research forwards implications for event bidding committees, event organizers, and host community officials to maximize community well-being through hosting large-scale events and to help justify associated expenses from a social–psychological perspective.

Mental health data: A case for the African communities in New South Wales

2021 ◽  
Vol 42 (1) ◽  
pp. 64-80
Author(s):  
Daniel Kwai Apat ◽  
Wellington Digwa
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
New South ◽  
Mental Health Policy ◽  
New South Wales ◽  
Community Members ◽  
South Wales ◽  
Health Related

This paper examines mental health policies in relation to African communities residing in New South Wales, Australia and the attitudes of African communities toward mental disorders and mental health services. Current mental health policy frameworks have shown an inadequate inclusion of African communities. This may negatively affect the design of mental health interventions and how African communities engage with mental health services. The available mental health literature on African communities showed disjointed and uncoordinated data which focuses on specific community-groups within African communities. Insufficient mental health or suicide data, combined with African community members’ perception toward mental disorders and mental health services, makes it very difficult to progress engagement and interventions. There is a need for proper and sizable data on mental health related to people of African descent in NSW and Australia wide, if positive outcomes are to be realised.

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