Design and Delivery of Public Mental Health Programming for First Nations Youth: Federal, Provincial, Regional, and Community Approaches to Youth Engagement in Northwestern Ontario
Notice bibliographique
Résumé
Public mental health programming aims to address mental health at a population level, and must therefore consider the interconnectedness of determinants of health, and their distinctions between First Nations communities.In Ontario, public mental health programming on-reserve has been described as a piecemeal of policies and legislation between governments, regional authorities, and community-based services.Regional organizations publish publicly about their program development processes, many of which highlight the importance of youth engagement.Youth engagement in decision-making that affects their lives can improve program relevance, and influence participating youths' wellbeing.This project was guided by three lines of inquiry: how federal, provincial, regional, and community-level organizations approach public mental health programming for First Nations youth living on reserve in northwestern Ontario; the ways in which they each use youth engagement methods, and; the experiences from engagement opportunities as perceived by both youth and adults.Interview data were collected between May 2019 and January 2022 to unpack programmatic approaches to public mental health and youth engagement methods used as defined by the McCain Model of Youth Engagement (Heffernan et al., 2017).The Youth-Adult Survey (Jones & Perkins, 2006) and the Youth Experiences Survey (Hansen & Larson, 2002) were administered to First Nations youth and youth workers in community between June and July 2021 to compare engagement experiences between participating youth and adults.Findings from this project reveal that public mental health programming is mostly designed and delivered by regional and community-level organizations, though rigorous reporting and iii evaluation requirements to sustain funding were significant challenges.Funding and designing programs for youth living on-reserve must be rooted in strengths-based approaches, as well as informed by challenges in community contexts.Regional and community-level organizations in northwestern Ontario most often engaged with youth, and used various methods of engagement; however, contextual factors, as well as historical and ongoing trauma, influenced both youth and adult allyship.Renewing the approach to public mental health for First Nations living on-reserve in northwestern Ontario will require renewed relationships between First Nations and governments that ensure inclusion of Indigenous epistemologies throughout design and decisionmaking.sewing round, I brought it to the Elder, and asked for guidance on the next step.She spoke to me in the language, and my co-worker turned to me: "She says stop being lazy and do it the right way from the beginning."There were many times during this dissertation where I would need to remind myself of that advice.Turns out, there aren't many corners that can be cut in the making of a medicine bag, nor a dissertation.To my supervisor Kim Matheson, thank you for believing in me from before the outset of this degree.Your support to apply to the program, to develop a robust project direction, and throughout the gruelling months of drafts and re-drafts, was unmeasurably helpful.To my supervisor Katherine Graham, thank you for being a bridge for me between the sciences and policy.Including endless thoughtful comments on drafts, light-hearted facilitation of meetings, and humorous encouragement in the last stages
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,013 | 0,004 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,002 | 0,005 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 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.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».