Community-Based Mental Health Initiatives in a First Nations Health Centre: Reflections of a Transdisciplinary Team
Notice bibliographique
Résumé
As a case study on collaboration, this paper is a first person account from a psychologist and a social worker and their experiences developing and piloting community- based mental health programs for a rural Albertan Cree community. We provide an overview of two such pilots, the Family Wellness Program and the Community-based Anger Management Workshops. Here we reflect on our attempts to integrate mental, physical, emotional, and spiritual considerations consistent with the community cultural context. Each of these programs have been developed and offered within both interdisciplinary and multidisciplinary contexts involving counsellors, teachers, nurses, and community Elders from within and outside the community. Such dynamic programming has evolved into transdisciplinary community-based mental health initiatives that have enhanced community wellness but also taxed these rural service providers. Together we share our reflexivity, outlining some of the issues, challenges, and inspirations in our separate and collaborative work in our attempts to foster mental health and community wellness for this resilient but marginalized population. Providing culturally responsive clinical services within a community mental health model requires a solid understanding of the social forces and con- text shaping our lives and the lives of the commun- ities we serve. Key competencies for culture-centred services include: self-awareness, understanding the world view of our clients, using appropriate inter- vention skills and techniques, and involvement in organizational developments (Arthur and Stewart, 2001). This case study sharing is a first person ac- count of the experiences of two professionals work- ing together as agents of change. With that in mind, we wish to begin with a brief personal placement. Judi is a Canadian woman who lives and works in her lifelong rural community of St. Paul, Alberta. She is an academic and practising registered psych- ologist who has travelled to work in Frog Lake First Nation for seventeen years. Darrell is a Cree man and proud member of Frog Lake First Nation, a small rural Aboriginal community in Canada. He lives off reserve and travels to his home community to provide services as a registered social worker. We have worked separately and collaboratively in this community. Here, we want to share our experiences developing and piloting community-based mental health programs. We have sought the guidance and permission of community Elders, specifically Francis Quinney and Doris Okanee, who, as gifted helpers and respected Cree Elders, consented to our shar- ing these stories and encouraged us to publish this article as a teaching tool. The programs we highlight here arose out of dis- satisfaction with existing services which tended to
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| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,004 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
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