Health promotion for immigrant mothers of children with developmental disabilities: Towards a transformative approach

Background: High societal expectations that involve idealized and labour-intensive mothering are a source of stress, anxiety, guilt and frustration for women. Immigrant mothers caring for children with developmental disabilities are disproportionately burdened with health inequities. Study goals: The overall goal of our study was to examine health promotion practices of immigrant mothers with children with developmental disabilities using the Health Promotion Activities Scale (HPAS). Methods: Twenty-eight mothers of children with developmental disabilities were interviewed using the HPAS. A grounded theory approach was utilized to analyze the qualitative data. Results: Immigrant mothers of children with developmental disabilities’ engagement in health promoting activities is influenced by their role as primary caregivers, the gendered nature of mothering, non-Western views on health promotion, mothers’ burden from inequities and structural barriers pertaining to funding, disability, and migration status. The responses on the HPAS also underscore motherhood as a social construct with embedded assumptions and social expectations related to role and responsibilities that requires them to be “good” mothers. Discussion and Conclusion: There is need to incorporate transformative health promotion approaches in research and practice that consider mothers’ multicultural contexts. The intersections of motherhood, disability, gendered role expectations and migration need to be taken into account.

Resilience and Challenges of Working Mothers during COVID-19

The pandemic has brought on much hardships and highlighted the many inequities in our lives, including the increasing workload for working mothers. Compared to pre-pandemic, maternal research has found mothers to have increases in anxiety and depression during the pandemic. Given the added stressors of the pandemic, this paper aims to highlight some evidence-based strategies that mothers can use to support their mental health during the pandemic and beyond. These mental health strategies include (1) Self-compassion and mindfulness (2) Physical self-care (sleep and physical activity time); (3) Connecting time (maintaining social connections and shared responsibilities); and (4) Playtime (having fun!).

Combating Physician-Assisted Genocide and White Supremacy in Healthcare through Anti-Oppressive Pedagogies in Canadian Medical Schools to Prevent the Coercive and Forced Sterilization of Indigenous Women

Coercive and forced sterilization of Indigenous Peoples are acts of genocide that are rooted in colonialism and white supremacy and require fundamental changes to undergraduate medical education. I (Erika Campbell) draw upon the Truth and Reconciliation Commission of Canada’s 24th Call to Action, which calls for “skills-based training in intercultural competency, conflict resolution, human rights, and anti-racism” in medical schools. Additionally, I draw upon Call for Justice 7.6 from the Reclaiming Power and Place: The Final Report of the National Inquiry into Missing and Murdered Indigenous Women and Girl, which calls upon institutions and health service providers be educated in areas including, but not limited to: the history of colonialism in the oppression and genocide of Inuit, Métis, and First Nations Peoples; anti-bias and anti-racism; local language and culture; and local health and healing practice. I analyzed the responses of all 17 undergraduate medical programs in Canada to determine how they incorporated anti-racism within their medical education to meet the Calls to Action and Justice. All undergraduate medical programs include some form of cultural learning, which I argue does not directly challenge racism and colonialism. As such, I advocate for the implementation of anti-oppressive pedagogies within curricula to facilitate the unlearning of colonial rhetoric. I further argue the implementation of anti-oppressive pedagogies within education will contribute to the eradication of the ongoing genocide of Indigenous Peoples and white supremacy within our healthcare systems.

The True North Strong and Free? Casting Shadows on Whose History Students Learn in Canadian Universities

Race-based discrimination in Canada exists at the institutional and structural level. While acknowledging its existence is a crucial first step in eradicating this particular form of discrimination, an essential second step includes implementing structural changes at the institutional level in Canadian universities. In an effort to disrupt the Eurocentricity of knowledge production this commentary argues that the Canadian government’s official historical narrative that depicts Canada as being born of the pioneering spirit of British and French white settlers fails to capture the actual history of the country. Rather, it fosters the continuation of the supremacy of whiteness thereby causing significant harm through the perpetuation of racial bias. We argue that the history and contributions of Indigenous, Black, and Chinese Canadians, all of whom were in this country prior to confederation, should be told in a mandatory university course. Our findings indicate that while a number of universities have individual courses, usually electives and some graduate degrees on Indigenous, Black, and Chinese history, there is little offered from the Canadian context and certainly nothing that is a mandatory course requirement. In addition, we suggest compulsory university staff-wide anti-racism training; the ongoing hiring of professors and sessional instructors who are racially representative of the population of Canada; and community outreach, mentorship, and counselling programs that are designed to help students who are underrepresented in Canadian universities. In our opinion, we believe that these changes have the potential to provide a lens to disrupt settler colonial spaces, mobilize race in academic curricula, and encourage social justice actions that can offer a more inclusive learning environment.

A liberdade é a coisa mais cara da vida (freedom is the most expensive thing in life)

A short story that came to life through the observation of an artwork by Sara&André, this text is a personal viewpoint on being a mother, an academic and an independent curator, during the current COVID-19 pandemic.

Conditions for Success: Indigenous Youth Reflections on Their Experiences with Canadian Education Systems

This paper brings forward the reflections of 30 Indigenous youth from across Canada and their first voice perspectives with Canadian education systems. A central component of the project was to obtain youths’ understandings of education in Canada and to seek their recommendations on ways to improve education for Indigenous youth. Accessing Indigenous youths’ experiences is important as their capacities to have successful and equitable educational experiences are strongly hindered by colonial settler policy and systemic institutional racism. Indigenous scholars have appealed for changes to education systems with a focus on challenging colonial relations of power and the multiple oppressions Indigenous youth experience when educated under Eurocentric practices. Our methodological framework is located within a relational paradigm as a mechanism to ignite dialogue and prioritize Indigenous voices in education. Our building of relations began with a sharing circle held at our Mount Saint Vincent University’s Wigwaum. Our Indigenous colleague and co-author, Jonathon MeDrano, explains how sharing circles provide equitable opportunities for people to share their ideas and respective worldviews. We then facilitated reflective journaling workshops with the youth. The young people’s reflections in this paper identify the compelling need to address systemic racism, stereotypes, and to challenge normative and colonizing structures that generate discrimination. Moreover, the young people soundly indicated that education systems in Canada require much larger integrations of Indigenous ways of knowing and being in all aspects of delivery (i.e. language, culture, Indigenous teachings), including more Indigenous counsellors to support their mental well-being.

A critical analysis of the Assessment and Action Record (AAR) documentation: Examining the educational experiences of Black youth-in-care in Ontario

This article focuses on the Ontario Assessment and Action Record (AAR), used in child welfare to understand how this documentation supports (and fails to support) Black youth-in-care and their academic needs. We applied a critical review and analysis of three distinct but interconnected sources of data: 1) the AAR-C2-2016; 2) literature on the education of Black youth-in-care in Ontario; 3) policy and agency documents concerning how this group is faring. In our analysis of the AAR and its education dimension, findings suggest the AAR has been a race-neutral tool, which has implications in terms of how we conceptualize structural barriers faced by Black children and youth-in-care. We identified gaps and potential practice dilemmas for child welfare workers when using AAR documentation procedures. Using Critical Race Theory and the United Nations human rights framework, we argue that the AAR can be a tool to identify, monitor, and challenge oppression for Black children and youth-in-care who experience a continual negotiation of racialization alongside being a foster child. The AAR recordings can be harmful if they are simply a collection of information on the key areas of a child’s life. Prioritizing the academic needs of Black children in care is critical to social work and aligns with the commitments of One Vision, One Voice, Ontario’s Anti-Racism Strategic Plan as well as the United Nations Convention on the Rights of the Child, particularly in relation to the right to education.

The Implementation of Bill 212 in Ontario Schools: Implications for Black Students

In February 2008, Bill 212 (Progressive Discipline and School Safety) replaced Bill 81, the Safe Schools Act of June 2000 with regards to the behaviour, discipline, and safety of students. However, since Bill 212 has been in effect, suspensions and expulsions have been unfairly implemented against Black secondary students. Using anti-Black racism (ABR) framework, this commentary paper explores the effects of sections 306–311 of the Bill on Black students within Ontario's secondary school system. Based on this exploration, we will critically examine the way suspensions and expulsions have been employed through Bill 212 and the consequences of these disciplinary measures for Black students. We recommend alternative practices such as restorative justice and the integration of ABR framework to address students’ inappropriate behaviours in the educational system.

The Substance Abuse Program for African-Canadian and Caribbean Youth (SAPACCY): An Innovative Program Serving the Mental Health Needs of African, Caribbean, and Black Youth

Black youth experience disproportionately poor health outcomes throughout Ontario's healthcare system, including the mental health and addictions system. The Substance Abuse Program for African Canadian and Caribbean Youth (SAPACCY) at the Centre for Addiction and Mental Health (CAMH) seeks to address this disparity by providing clinical services to youth who identify as Black and/or as having African and/or Caribbean heritage, and their families, who are struggling with problematic substance use and/or mental health concerns. The clinical team works from an Afrocentric, culturally responsive lens to promote recovery and support Black youth in working through their mental health and addiction concerns. The program offers mental health and addictions counselling and psychotherapy, psychiatric consultation, psychoeducation, resource navigation, advocacy, and case management services to assist youth and their families/caregivers in reducing harm, moving toward recovery, and making healthy choices for themselves and their family. This paper will discuss SAPACCY’s approach to helping clients build resilience and resistance to anti-Black racism.