ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018
"All my relations": experiences and perceptions of Indigenous patients connecting with Indigenous Elders in an inner city primary care partnership for mental health and well-being.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 45 citations in OpenAlex.
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- Understanding the experiences of young, urban, Indigenous mothers-to-be in British Columbia, Canada.BMC pregnancy and childbirth · 2025Observational
- The living experience of First Nations Peoples and Forensic Mental Health systems: listening to the deep stories behind the numbers.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025Article
- Inuit youth health and wellbeing programming in Canada.International journal of circumpolar health · 2024Review
- Truth and Reconcilition Commissions and Health Care System Responses for Indigenous Peoples: A Scoping Review.Health and human rights · 2024Article
- What Outcomes Are Associated with Learning About Colonialism and Its Impacts on Indigenous Peoples in Health Professional Programs? A Critical Integrative Review.Perspectives on medical education · 2024Review
- Core components of an anti-racist approach among health professions educators: an integrative review.International journal of medical education · 2023Review
- Linking Heart Health and Mental Wellbeing: Centering Indigenous Perspectives from across Canada.Journal of clinical medicine · 2022Review
- Integrating Indigenous healing practices within collaborative care models in primary healthcare in Canada: a rapid scoping review.BMJ open · 2022Article
- Culturally safe interventions in primary care for the management of chronic diseases of urban Indigenous People: a scoping review.Family medicine and community health · 2022Article
- Identifying priorities, directions and a vision for Indigenous mental health using a collaborative and consensus-based facilitation approach.BMC health services research · 2022Article
- Association between intergenerational solidarity involving elders and mental health of Indigenous people living off reserve.BMC public health · 2022Article
- The Efficacy of a Health Promotion Intervention for Indigenous Women: Reclaiming Our Spirits.Journal of interpersonal violence · 2021Article
- Integrating equity and social justice for indigenous peoples in undergraduate health professions education in Canada: a framework from a critical review of literature.International journal for equity in health · 2021Review
- Partnering with Indigenous Elders in primary care improves mental health outcomes of inner-city Indigenous patients: Prospective cohort study.Canadian family physician Medecin de famille canadien · 2019Article
- Indigenous health disparities: a challenge and an opportunityCanadian journal of surgery. Journal canadien de chirurgie · 2018Article
- "God gives the child": An abductive analysis of barriers to postnatal care using the Health Equity Implementation Framework.Women's health (London, England)Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMental health services in urban settings generally have not been adapted to serve the needs of Indigenous patients. We explored how patients' encounters with Indigenous Elders affected their overall mental health and well-being to identify therapeutic mechanisms underlying improvement.
methodsWe conducted qualitative interviews of participants enrolled in a 6-month prospective mixed-methods evaluation of a program for mental health and well-being that featured the inclusion of Elders in the direct care of Indigenous patients in an inner city primary care clinic. Individual semistructured interviews were conducted to explore patients' experiences and perceptions of their participation in the Elders program.
resultsWe included 37 participants from at least 20 different First Nations. All but 1 participant described substantial benefits from their encounters with Elders, and none reported being negatively affected. Five overarching themes were identified: experiencing healing after prolonged periods of seeking and desperation; strengthening cultural identity and belonging; developing trust and opening up; coping with losses; and engaging in ceremony and spiritual dimensions of care as a resource for hope.
interpretationOur evaluation illustrates that the Elders program was perceived by participants to have a broad range of positive impacts on their care and well-being. Although this study was based on experiences at a single urban clinic, these findings support the Truth and Reconciliation Commission of Canada's calls to action regarding the inclusion of Elders as a strategy to improve care of Indigenous patients in Canadian health care systems.
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