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Petteway RJ, López-Cevallos D, Mohsini M, Lopez A, Hunte RS, Holbert T, Madamala K. Engaging Antiracist And Decolonial Praxis To Advance Equity In Oregon Public Health Surveillance Practices. Health Aff (Millwood) 2024; 43:813-821. [PMID: 38830161 DOI: 10.1377/hlthaff.2024.00051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Abstract
Public health surveillance and data systems in the US remain an unnamed facet of structural racism. What gets measured, which data get collected and analyzed, and how and by whom are not matters of happenstance. Rather, surveillance and data systems are productions and reproductions of political priority, epistemic privilege, and racialized state power. This has consequences for how communities of color are represented or misrepresented, viewed, and valued and for what is prioritized and viewed as legitimate cause for action. Surveillance and data systems accordingly must be understood as both an instrument of structural racism and an opportunity to dismantle it. Here, we outline a critique of standard surveillance systems and practice, drawing from the social epidemiology, critical theory, and decolonial theory literatures to illuminate matters of power germane to epistemic and procedural justice in the surveillance of communities of color. We then summarize how community partners, academics, and state health department data scientists collaborated to reimagine survey practices in Oregon, engaging public health critical race praxis and decolonial theory to reorient toward antiracist surveillance systems. We close with a brief discussion of implications for practice and areas for continued consideration and reflection.
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Affiliation(s)
- Ryan J Petteway
- Ryan J. Petteway , Oregon Health & Science University and Portland State University, Portland, Oregon
| | | | - Mira Mohsini
- Mira Mohsini, Coalition of Communities of Color, Portland, Oregon
| | | | | | - Tim Holbert
- Tim Holbert, Oregon Health Authority, Portland, Oregon
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Webb J, Raez-Villanueva S, Carrière PD, Beauchamp AA, Bell I, Day A, Elton S, Feagan M, Giacinti J, Kabemba Lukusa JP, Kingsbury C, Torres-Slimming PA, Bunch M, Clow K, Gislason MK, Parkes MW, Jane Parmley E, Poland B, Vaillancourt C. Transformative learning for a sustainable and healthy future through ecosystem approaches to health: insights from 15 years of co-designed ecohealth teaching and learning experiences. Lancet Planet Health 2023; 7:e86-e96. [PMID: 36608955 DOI: 10.1016/s2542-5196(22)00305-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 09/16/2022] [Accepted: 10/31/2022] [Indexed: 06/17/2023]
Abstract
This paper presents insights from the work of the Canadian Community of Practice in Ecosystem Approaches to Health (CoPEH-Canada) and 15 years (2008-2022) of land-based, transdisciplinary, learner-centred, transformative learning and training. We have oriented our learning approaches to Head, Hands, and Heart, which symbolise cognitive, psychomotor, and affective learning, respectively. Psychomotor and affective learning are necessary to grapple with and enact far-reaching structural changes (eg, decolonisation) needed to rekindle healthier, reciprocal relationships with nature and each other. We acknowledge that these approaches have been long understood by Indigenous colleagues and communities. We have developed a suite of teaching techniques and resources through an iterative and evolving pedagogy based on participatory approaches and operating reciprocal, research-pedagogical cycles; integrated different approaches and ways of knowing into our pedagogy; and built a networked Community of Practice for continued learning. Planetary health has become a dominant framing for health-ecosystem interactions. This Viewpoint underscores the depth of existing scholarship, collaboration, and pedagogical expertise in ecohealth teaching and learning that can inform planetary health education approaches.
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Affiliation(s)
- Jena Webb
- Canadian Community of Practice in Ecosystem Approaches to Health, Université du Québec à Montréal, Montréal, QC, Canada.
| | | | - Paul D Carrière
- Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QB, Canada
| | - Audrey-Anne Beauchamp
- Département des sciences de l'activité physique, Université du Québec à Montréal, Montréal, QC, Canada
| | - Isaac Bell
- Institute of the Environment, University of Ottawa, Ottawa, ON, Canada
| | - Angela Day
- Department of Geography, Geomatics and Environment, University of Toronto Mississauga, Mississauga, ON, Canada
| | - Sarah Elton
- Department of Sociology, Ryerson University, Toronto, ON, Canada
| | - Mathieu Feagan
- Department of Knowledge Integration, University of Waterloo, Waterloo, ON, Canada
| | - Jolene Giacinti
- Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | | | - Celia Kingsbury
- Département de Médecine sociale et préventive, Université de Montréal, Saint-Hyacinthe, QB, Canada
| | - Paola A Torres-Slimming
- School of Medicine, Faculty of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru; Red Internacional América Latina, África, Europa, El Caríbe, Faculté des Lettres et Sciences Humaines, Université de Limoges, France
| | - Martin Bunch
- Faculty of Environmental & Urban Change, York University, Toronto, ON, Canada
| | - Katie Clow
- Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | - Maya K Gislason
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
| | - Margot W Parkes
- School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada
| | - E Jane Parmley
- Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | - Blake Poland
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Cathy Vaillancourt
- Institut national de la recherche scientifique, Centre Armand Frappier Santé Biotechnologie, Laval, France
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Newman J, Rivkin I, Brooks C, Turco K, Bifelt J, Ekada L, Philip J. Indigenous Knowledge: Revitalizing Everlasting Relationships between Alaska Natives and Sled Dogs to Promote Holistic Wellbeing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:244. [PMID: 36612566 PMCID: PMC9819902 DOI: 10.3390/ijerph20010244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 12/05/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Indigenous peoples have documented their culture's history in oral stories, revealing lessons about holistic relationships fostering perseverance. Despite vast differences in time, relationships and stories are equally important today. Athabascans retain their values, life skills, and wellness through cultural practices. Creating opportunities for youths to learn through reciprocal relationships increases wellness in Indigenous communities, highlighting the significance of community-developed programs that connect youths to their place and culture. METHOD Athabascan youths in rural Alaska get hands-on experience and Elder mentorship working with sled dogs in the Frank Attla Youth and Sled Dog Care-Mushing Program (FAYSDP). Through a community-based participatory research partnership with the community of Huslia and Jimmy Huntington School, we examined how FAYSDP affects youths, and how relationships within culture and land promote wellbeing. Fifteen middle and high-school youths shared their perspectives on how FAYSDP impacts them and their community using photovoice and digital storytelling. Nineteen adults contributed their perspectives in focus groups. We used emerging themes (inductive) and Athabascan cultural values and elements of social capital (deductive approaches) to analyze the qualitative data. RESULTS Findings illustrate how FAYSDP promotes wellbeing by empowering youths to apply what they learn to generate their own knowledge, while centering communities around culturally significant practices such as dog mushing. It connects youths to their home and their cultural values, using dogs as the driving force to bridge generations and foster youth wellness. DISCUSSION We discuss implications for community-based programs that engage Elders as teachers and the land as their classroom to promote youth holistic wellness.
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Affiliation(s)
- Janessa Newman
- Tamamta Fellowship, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Inna Rivkin
- Department of Psychology and Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Cathy Brooks
- Department of Alaska Native Studies and Rural Development, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Kathy Turco
- Alaska’s Spirit Speaks: Sound & Science, Fairbanks, AK 99709, USA
- A-CHILL (Alaska Care and Husbandry Instruction for Lifelong Learning) Project, Tok, AK 99780, USA
| | - Joseph Bifelt
- Rampart School (Yukon-Koyukuk School District), Rampart, AK 99767, USA
| | - Laura Ekada
- BLaST (Biomedical Learning and Student Training) Program, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
| | - Jacques Philip
- Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK 99775, USA
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Buse CG, Bezzola A, Brubacher J, Takaro TK, Fredeen AL, Parkes MW. Cumulative Impacts of Diverse Land Uses in British Columbia, Canada: Application of the "EnviroScreen" Method. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11171. [PMID: 36141471 PMCID: PMC9517321 DOI: 10.3390/ijerph191811171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2022] [Revised: 08/26/2022] [Accepted: 08/29/2022] [Indexed: 06/16/2023]
Abstract
(1) Objectives: Cumulative impacts refer to the legacies of land use decisions on environmental, community and health values. New integrative impact assessment tools are required to assess cumulative impacts on diverse values to meet sustainability goals in the 21st century. In this contribution, the CalEnviroScreen methodology-a screening tool capable of merging environmental, socioeconomic and health data-is applied to Local Health Areas in British Columbia, Canada. (2) Methods: The CalEnviroScreen is a method that standardizes environmental, socioeconomic and health data to depict an indicator's percentile rank in the distribution of all units of analysis. The method combines indicators to measure four dimensions of pressure: environmental exposures, environmental effects, socioeconomic conditions, and sensitive populations (i.e., health outcomes). We create two versions of EnviroScreen: one following the CalEnviroScreen suite of indicators, and another that uses nuanced indicators to approximate the realities of industrial land uses present in British Columbia. BCEnviroScreen scores are plotted by race/ethnicity to understand potential racial inequities in cumulative exposures. (3) Results: The BCEnviroScreen has a greater likelihood of quantifying the cumulative impacts of diverse industries and land uses present across resource-dependent parts of the province, relative to the more urban-centric CalEnviroScreen indicator suite. Analyzing the distribution of BCEnviroScreen scores by race/ethnicity suggests that visible minority populations may be inequitably exposed to cumulative impacts in BC. (4) Conclusion: EnviroScreen tools hold significant potential to influence Canadian environmental health policy. This research demonstrates the applicability of the tool to British Columbia and other jurisdictions, illustrates how indicators can be tailored to better represent regional context, and shows how the tool can be used to screen for potential environmental health injustices.
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Affiliation(s)
- Chris G. Buse
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Aita Bezzola
- School of Health Sciences, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
- Natural Resources and Environmental Studies Institute, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
| | - Jordan Brubacher
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Tim K. Takaro
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Arthur L. Fredeen
- Natural Resources and Environmental Studies Institute, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
| | - Margot W. Parkes
- School of Health Sciences, University of Northern British Columbia, Prince George, BC V2N 4Z9, Canada
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Sloan Morgan OV, Thomas K, McNab-Coombs L. Envisioning healthy futures: Youth perceptions of justice-oriented environments and communities in Northern British Columbia Canada. Health Place 2022; 76:102817. [PMID: 35636074 DOI: 10.1016/j.healthplace.2022.102817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Revised: 01/14/2022] [Accepted: 05/01/2022] [Indexed: 11/04/2022]
Abstract
Through an anti-colonial and critical race theoretical framework as well as arts-based methods (photovoice) that engage Indigenous and non-Indigenous youth, we explore the question: what do youth perceive as healthy and just environments and communities? Youth identified two overarching, strength-based messages: Firstly, youth demonstrate the need for a structural-level analysis of the conditions that influence individual-level outcomes of environmental health. Secondly, youth perspectives on healthy and justice-oriented environments and communities challenge environmental health scholars to consider youth as powerful actors. Youth perspectives of healthy and justice-oriented communities present a necessarily structural perspective to consider not only the impacts of environmental decision-making on health, but the conditions that have allowed for harmful impacts. In doing so, youth demonstrate the need for intersectional and complex understandings of health and wellbeing when discussing the environment. And, as we argue here, challenge us as scholars of environmental health to do the same.
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Affiliation(s)
- Onyx Vanessa Sloan Morgan
- Faculty of Arts and Social Sciences, University of British Columbia, Okanagan, 3333 University Way, Kelowna, BC, V1V 1V7, Canada.
| | - Kimberley Thomas
- Faculty of Medicine, Northern Medical Program, University of British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
| | - Laura McNab-Coombs
- Faculty of Human and Health Sciences & Health Arts Research Centre, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
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Buse CG, Allison S, Cole DC, Fumerton R, Parkes MW, Woollard RF. Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis. Front Public Health 2022; 10:867397. [PMID: 35692331 PMCID: PMC9178183 DOI: 10.3389/fpubh.2022.867397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 05/03/2022] [Indexed: 11/13/2022] Open
Abstract
Accelerating ecological and societal changes require re-imagining the role of primary care and public health to address eco-social concerns in rural and remote places. In this narrative review, we searched literatures on: community-oriented primary care, patient-oriented research engagement, public health and primary care synergies, and primary care addressing social determinants of health. Our analysis was guided by questions oriented to utility for addressing concerns of social-ecological systems in rural, remote contexts characterized by a high degree of reliance on resource extraction and development (e.g., forestry, mining, oil and gas, fisheries, agriculture, ranching and/or renewables). We describe a range of useful frameworks, processes and tools that are oriented toward bolstering the resilience and engagement of both primary care and public health, though few explicitly incorporated considerations of eco-social approaches to health or broader eco-social context(s). In synthesizing the existing evidence base for integration between primary care and public health, the results signal that for community-oriented primary care and related frameworks to be useful in rural and remote community settings, practitioners are required to grapple with complexity, durable relationships, sustainable resources, holistic approaches to clinician training, Indigenous perspectives, and governance.
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Affiliation(s)
- Chris G. Buse
- Centre for Environmental Assessment Research, University of British Columbia (Okanagan Campus), Kelowna, BC, Canada
- *Correspondence: Chris G. Buse
| | | | - Donald C. Cole
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | | | - Margot Winifred Parkes
- School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada
| | - Robert F. Woollard
- Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
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Parkes MW. River conversations: A confluence of lessons and emergence from the Taieri River and the Nechako River. RIVER RESEARCH AND APPLICATIONS 2022; 38:443-452. [PMID: 35910939 PMCID: PMC9305293 DOI: 10.1002/rra.3907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 10/09/2021] [Accepted: 10/20/2021] [Indexed: 06/15/2023]
Abstract
Drawing on ongoing patterns of learning and relationship, this paper offers a reflection and acknowledgement on the notable influence of two rivers and their role as respected and highly valued "eco-social elders": The Taieri River in Otago, New Zealand, and the Nechako River in northern British Columbia, Canada. The paper is motivated by the question: "If a river has 'voice', what can be learned from the emergence arising from rivers 'in conversation'?". At the heart of the reflection are the themes of confluence and emergence-ways in which we grasp the coming together of things, especially when that combination is more than the sum of their parts. The paper aims to explore a "conversation" between the river teachings of the Taieri River and the Nechako River, identifying examples of patterns and connections between distinct river "voices," and how these may contribute to emergence and ongoing conversations among different rivers and their teachings. The paper commences with an introduction to both rivers, identifying points of direct comparison and contrast, then moving to explore themes of confluence, weaving and emergence, combining ecological, metaphorical, and personal perspectives. The conversation then progresses downstream to river-ocean relationships, reflecting on rivers as eco-social elders that inspire conversations, provide a sense of home, and offer a point of reference to consider the wider influence on rivers and waterways on the health of diverse species within catchments and across the planet.
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Affiliation(s)
- Margot W. Parkes
- School of Health Sciences and Northern Medical ProgramUniversity of Northern British ColumbiaPrince GeorgeBritish ColumbiaCanada
- Department of Preventive and Social MedicineUniversity of OtagoDunedinNew Zealand
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Tu'itahi S, Watson H, Egan R, Parkes MW, Hancock T. Waiora: the importance of Indigenous worldviews and spirituality to inspire and inform Planetary Health Promotion in the Anthropocene. Glob Health Promot 2021; 28:73-82. [PMID: 34931576 PMCID: PMC8821976 DOI: 10.1177/17579759211062261] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
We now live in a new geological age, the Anthropocene – the age of humans – the start of which coincides with the founding of the International Union for Health Promotion and Education (IUHPE) 70 years ago. In this article, we address the fundamental challenge facing health promotion in its next 70 years, which takes us almost to 2100: how do we achieve planetary health? We begin with a brief overview of the massive and rapid global ecological changes we face, the social, economic and technological driving forces behind those changes, and their health implications. At the heart of these driving forces lie a set of core values that are incompatible with planetary health. Central to our argument is the need for a new set of values, which heed and privilege the wisdom of Indigenous worldviews, as well as a renewed sense of spirituality that can re-establish a reverence for nature. We propose an Indigenous-informed framing to inspire and inform what we call planetary health promotion so that, as the United Nations Secretary General wrote recently, we can make peace with nature.
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Affiliation(s)
- Sione Tu'itahi
- Health Promotion Forum of New Zealand/Runanga Whakapiki Ake i te Hauora o Aotearoa (HPF), New Zealand
| | - Huti Watson
- Ngati Porou Hauora Trust, Te Puia Springs, New Zealand
| | - Richard Egan
- Department of Preventive and Social Medicine/Te Tari Hauora Tūmatanui, Dunedin School of Medicine/Te Kura Hauora O Ōtepoti, University of Otago/Te Whare Wānanga O Otago, Dunedin, New Zealand
| | - Margot W Parkes
- School of Health Sciences, University of Northern British Columbia, Prince George, British Columbia, Canada
| | - Trevor Hancock
- School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada
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Aldred T, Alderfer‐Mumma C, de Leeuw S, Farrales M, Greenwood M, Hoogeveen D, O’Toole R, Parkes MW, Sloan Morgan V. Mining sick: Creatively unsettling normative narratives about industry, environment, extraction, and the health geographies of rural, remote, northern, and Indigenous communities in British Columbia. THE CANADIAN GEOGRAPHER. GEOGRAPHE CANADIEN 2020; 65:82-96. [PMID: 33888912 PMCID: PMC8049089 DOI: 10.1111/cag.12660] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 07/22/2020] [Accepted: 08/07/2020] [Indexed: 06/09/2023]
Abstract
Rural, remote, northern, and Indigenous communities on Turtle Island are routinely-as Cree Elder Willie Ermine says-pathologized. Social science and health scholarship, including scholarship by geographers, often constructs Indigenous human and physical geographies as unhealthy, diseased, vulnerable, and undergoing extraction. These constructions are not inaccurate: peoples and places beyond urban metropoles on Turtle Island live with higher burdens of poor health; Indigenous peoples face systemic violence and racism in colonial landscapes; rural, remote, northern, and Indigenous geographies are sites of industrial incursions; and many rural and remote geographies remain challenging for diverse Indigenous peoples. What, however, are the consequences of imagining and constructing people and places as "sick"? Constructions of "sick" geographies fulfill and extend settler (often European white) colonial narratives about othered geographies. Rural, remote, northern, and Indigenous geographies are discursively "mined" for narratives of sickness. This mining upholds a sense of health and wellness in southern, urban, Euro-white-settler imaginations. Drawing from multi-year, relationship-based, cross-disciplinary qualitative community-informed experiences, and anchored in feminist, anti-colonial, and anti-racist methodologies that guided creative and humanities-informed stories, this paper concludes with different stories. It unsettles settler-colonial powers reliant on constructing narratives about sickness in others and consequently reframes conversations about Indigenous well-being and the environment.
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Affiliation(s)
- Terri‐Leigh Aldred
- Carrier Sekani Family Services
- Department of Family Practice, Faculty of MedicineUniversity of British Columbia
| | | | - Sarah de Leeuw
- Health Arts Research CentreUniversity of Northern British Columbia
- Northern Medical ProgramUniversity of Northern British Columbia
- Faculty of MedicineUniversity of British Columbia
| | - May Farrales
- Health Arts Research CentreUniversity of Northern British Columbia
- Department of GeographySimon Fraser University
- Department of Gender, Sexuality and Women's StudiesSimon Fraser University
| | - Margo Greenwood
- National Collaborating Centre for Indigenous Health
- First Nations Studies ProgramUniversity of Northern British Columbia
| | - Dawn Hoogeveen
- Environment Community Health Observatory NetworkUniversity of Northern British Columbia
- School of Health SciencesUniversity of Northern British Columbia
- Geography ProgramUniversity of Northern British Columbia
| | - Ryan O’Toole
- School of Environmental PlanningUniversity of Northern British Columbia
| | - Margot W. Parkes
- Northern Medical ProgramUniversity of Northern British Columbia
- Environment Community Health Observatory NetworkUniversity of Northern British Columbia
- School of Health SciencesUniversity of Northern British Columbia
| | - Vanessa Sloan Morgan
- Health Arts Research CentreUniversity of Northern British Columbia
- Geography ProgramUniversity of Northern British Columbia
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Agner J, Barile JP, Botero A, Cha T, Herrera N, Kakau TM, Nakamura L, Inada M. Understanding the Role of Mental Health Clubhouses in Promoting Wellness and Health Equity Using Pilinahā-An Indigenous Framework for Health. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2020; 66:290-301. [PMID: 32955119 DOI: 10.1002/ajcp.12457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Individuals with severe mental illness need to be engaged in defining their own vision of wellness to promote equity and reduce disparities. This photovoice study helps define what wellness is and how it is achieved in mental health Clubhouses in Hawai'i. Results from a photovoice study with 43 members and staff were analyzed using Pilinahā, a Native Hawaiian framework for health. Pilinahā envisions health through connection to place, community, past and future, and one's better self. Within Clubhouses, connection to place included connection to 'āina (land) and the access to a safe space. Connection to community occurred through reciprocal social support, which developed kuleana (responsibility), and a sense of 'ohana (family) for many members who were previously isolated. Connection to one's better self-involved positive identity change, development of hope, and pursuing opportunities within and outside the Clubhouse. Connection to past and future was described through individual narratives, remembering members who had died, and connection to cultural traditions. Overall, wellness was conceptualized as the ability to work toward dreams, engage in cultural practice, and feel accepted, respected, and valued-to be treated with aloha. Findings provide a culturally responsive perspective on wellness and illustrate the value of Clubhouses as a space for mental health recovery and transformative change.
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Affiliation(s)
- Joy Agner
- Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA
| | - John P Barile
- Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA
| | - Adriana Botero
- Department of Psychology, Chaminade University, Honolulu, HI, USA
| | - Tiffany Cha
- Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA
| | | | - Tyra M Kakau
- Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA
| | - Lisa Nakamura
- Department of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA
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Rieger KL, Gazan S, Bennett M, Buss M, Chudyk AM, Cook L, Copenace S, Garson C, Hack TF, Hornan B, Horrill T, Horton M, Howard S, Linton J, Martin D, McPherson K, Rattray JM, Phillips-Beck W, Sinclair R, Schultz ASH. Elevating the uses of storytelling approaches within Indigenous health research: a critical and participatory scoping review protocol involving Indigenous people and settlers. Syst Rev 2020; 9:257. [PMID: 33148328 PMCID: PMC7640994 DOI: 10.1186/s13643-020-01503-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 10/12/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is a complicated and exploitative history of research with Indigenous peoples and accompanying calls to meaningfully and respectfully include Indigenous knowledge in healthcare. Storytelling approaches that privilege Indigenous voices can be a useful tool to break the hold that Western worldviews have within the research. Our collaborative team of Indigenous and non-Indigenous researchers, and Indigenous patients, Elders, healthcare providers, and administrators, will conduct a critical participatory, scoping review to identify and examine how storytelling has been used as a method in Indigenous health research. METHODS Guided by two-eyed seeing, we will use Bassett and McGibbon's adaption of Arksey and O'Malley's scoping review methodology. Relevant articles will be identified through a systematic search of the gray literature, core Indigenous health journals, and online databases including Scopus, MEDLINE, Embase, CINAHL, AgeLine, Academic Search Complete, Bibliography of Native North Americans, Canadian Reference Centre, and PsycINFO. Qualitative and mixed-methods research articles will be included if the researchers involved Indigenous participants or their healthcare professionals living in Turtle Island (i.e., Canada and the USA), Australia, or Aotearoa (New Zealand); use storytelling as a research method; focus on healthcare phenomena; and are written in English. Two reviewers will independently screen titles/abstracts and full-text articles. We will extract data, identify the array of storytelling approaches, and critically examine how storytelling was valued and used. An intensive collaboration will be woven throughout all review stages as academic researchers co-create this work with Indigenous patients, Elders, healthcare professionals, and administrators. Participatory strategies will include four relational gatherings throughout the project. Based on our findings, we will co-create a framework to guide the respectful use of storytelling as a method in Indigenous health research involving Indigenous and non-Indigenous peoples. DISCUSSION This work will enable us to elucidate the extent, range, and nature of storytelling within Indigenous health research, to critically reflect on how it has been and could be used, and to develop guidance for the respectful use of this method within research that involves Indigenous peoples and settlers. Our findings will enable the advancement of storytelling methods which meaningfully include Indigenous perspectives, practices, and priorities to benefit the health and wellbeing of Indigenous communities. SYSTEMATIC REVIEW PROTOCOL REGISTRATION Open Science Framework ( https://osf.io/rvf7q ).
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Affiliation(s)
- Kendra L Rieger
- School of Nursing, Trinity Western University, Langley, Canada.
| | - Sarah Gazan
- Lakota First Nation; Professional and French Language Services, Manitoba Teachers Society, Winnipeg, Canada
| | - Marlyn Bennett
- Faculty of Social Work, University of Manitoba, Winnipeg, Canada
| | - Mandy Buss
- Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Northern Connections Medical Center, Winnipeg, Canada
| | - Anna M Chudyk
- Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | | | | | - Cindy Garson
- Interlake Reserves Tribal Council, Headingley, Canada
| | - Thomas F Hack
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | | | - Tara Horrill
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | | | | | - Janice Linton
- Neil John Maclean Health Sciences Library, Bannatyne Campus, University of Manitoba, Winnipeg, Canada
| | - Donna Martin
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | | | | | - Wanda Phillips-Beck
- First Nation Health and Social Secretariat of Manitoba, Indigenous Research Chair in Nursing, University of Manitoba, Winnipeg, Canada
| | | | - Annette S H Schultz
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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12
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Spiegel SJ, Thomas S, O’Neill K, Brondgeest C, Thomas J, Beltran J, Hunt T, Yassi A. Visual Storytelling, Intergenerational Environmental Justice and Indigenous Sovereignty: Exploring Images and Stories amid a Contested Oil Pipeline Project. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2362. [PMID: 32244419 PMCID: PMC7177853 DOI: 10.3390/ijerph17072362] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 03/13/2020] [Accepted: 03/19/2020] [Indexed: 11/16/2022]
Abstract
Visual practices of representing fossil fuel projects are entangled in diverse values and relations that often go underexplored. In Canada, visual media campaigns to aggressively push forward the fossil fuel industry not only relegate to obscurity indigenous values but mask evidence on health impacts as well as the aspirations of those most affected, including indigenous communities whose food sovereignty and stewardship relationship to the land continues to be affronted by oil pipeline expansion. The Tsleil-Waututh Nation, based at the terminal of the Trans Mountain Pipeline in Canada, has been at the forefront of struggles against the pipeline expansion. Contributing to geographical, environmental studies, and public health research grappling with the performativity of images, this article explores stories conveying health, environmental, and intergenerational justice concerns on indigenous territory. Adapting photovoice techniques, elders and youth illustrated how the environment has changed over time; impacts on sovereignty-both food sovereignty and more broadly; concepts of health, well-being and deep cultural connection with water; and visions for future relationships. We explore the importance of an intergenerational lens of connectedness to nature and sustainability, discussing visual storytelling not just as visual counter-narrative (to neocolonial extractivism) but also as an invitation into fundamentally different ways of seeing and interacting.
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Affiliation(s)
- Samuel J. Spiegel
- School of Social and Political Science, University of Edinburgh, EH8 9LD Edinburgh, UK
| | - Sarah Thomas
- Tsleil-Waututh Nation, 3178 Alder Ct, North Vancouver, BC V7H 2V6, Canada; (S.T.); (K.O.); (C.B.); (J.T.); (J.B.)
- Faculty of Health Sciences, Simon Fraser University, Burnaby, BC V5A 1S6, Canada
| | - Kevin O’Neill
- Tsleil-Waututh Nation, 3178 Alder Ct, North Vancouver, BC V7H 2V6, Canada; (S.T.); (K.O.); (C.B.); (J.T.); (J.B.)
| | - Cassandra Brondgeest
- Tsleil-Waututh Nation, 3178 Alder Ct, North Vancouver, BC V7H 2V6, Canada; (S.T.); (K.O.); (C.B.); (J.T.); (J.B.)
| | - Jen Thomas
- Tsleil-Waututh Nation, 3178 Alder Ct, North Vancouver, BC V7H 2V6, Canada; (S.T.); (K.O.); (C.B.); (J.T.); (J.B.)
| | - Jiovanni Beltran
- Tsleil-Waututh Nation, 3178 Alder Ct, North Vancouver, BC V7H 2V6, Canada; (S.T.); (K.O.); (C.B.); (J.T.); (J.B.)
| | - Terena Hunt
- Ravenchild Consulting, North Vancouver, BC V7H 1B3, Canada;
| | - Annalee Yassi
- School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z4, Canada;
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