ArticleInternational journal of environmental research and public health2023
Social Suffering: Indigenous Peoples' Experiences of Accessing Mental Health and Substance Use Services.
Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Climate justice, mobility justice, and health inequities among racialized communities in Canada: a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Measuring Mental Health Service Accessibility for Indigenous Populations: a Systematic Review.Journal of racial and ethnic health disparities · 2025Pooled it
- Modernizing Brain Injury Services in British Columbia: Developing Research Priorities for Children and Youth with Acquired Brain Injury.Healthcare (Basel, Switzerland) · 2026Article
- A Culturally Grounded Music-Based Intervention for Indigenous Older Adults in Long-Term Care: Protocol for a Mixed Methods Pilot Study.JMIR research protocols · 2026Article
- The characteristics and experiences of parents accessing prescribed safer supply in BC, 2020-2021.Harm reduction journal · 2026Article
- Mapping Aboriginal Mental Health Journeys Through Psychiatric Care Systems.JAMA network open · 2026Article
- Patient experiences and perceived efficacy of a newly implemented hospital-based withdrawal management unit in Vancouver, Canada: findings from the Road to Recovery evaluation.Addiction science & clinical practice · 2026Article
- Identifying challenges in concurrent mental health and substance use disorder care: qualitative findings from an e-Delphi study in British Columbia, Canada.BMC health services research · 2026Article
- Trends in the dispensing of opioids for pain and concurrent benzodiazepine use among First Nations People in Ontario, Canada, from 2013 to 2021.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Traditional music, recovery-oriented psychological functioning, and psychological resilience among ethnic minority communities in Southwest China: a sequential explanatory mixed-methods study.Frontiers in psychology · 2026Article
- Pathways to healing: balancing the tensions between harm reduction and cultural practices in a managed alcohol program for Indigenous adults in Calgary, Canada.Frontiers in public health · 2026Article
- Article
- Addressing barriers to addiction recovery services in the Northwest Territories, Canada.International journal of circumpolar health · 2025Article
- Exploring the impact of stigma on the health of inclusion health groups: a qualitative scoping review and critical analysis.BMC public health · 2025Article
- Socio-spatial inequalities in accessibility of Indigenous community-controlled mental health services in South East Queensland, Australia.International journal of health geographics · 2025Article
- Retention in Opioid Agonist Therapy Among First Nations People.JAMA network open · 2025Article
- Epidemiological profile of perinatal health among indigenous pregnant people in the Wayamu territory, Brazil.BMC pregnancy and childbirth · 2025Article
- Manifestation, causes and approach to mental distress among the population of migrant and refugee women in Ecuador and Panama: a qualitative study with key informants.International journal for equity in health · 2025Article
- Truth to Action: Lived Experiences of Indigenous Healthcare Professionals Redressing Indigenous-Specific Racism.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Clinical utility of the GAD-7 for detecting generalized anxiety in Quechua indigenous people.Frontiers in psychiatry · 2025Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 1 country.
Funding
Abstract
In this paper, we present findings from a qualitative study that explored Indigenous people's experiences of mental health and addictions care in the context of an inner-city area in Western Canada. Using an ethnographic design, a total of 39 clients accessing 5 community-based mental health care agencies were interviewed, including 18 in-depth individual interviews and 4 focus groups. Health care providers also were interviewed (n = 24). Data analysis identified four intersecting themes: normalization of social suffering; re-creation of trauma; the challenge of reconciling constrained lives with harm reduction; and mitigating suffering through relational practice. The results highlight the complexities of experiences of accessing systems of care for Indigenous people marginalized by poverty and other forms of social inequity, and the potential harms that arise from inattention to the intersecting social context(s) of peoples' lives. Service delivery that aims to address the mental health concerns of Indigenous people must be designed with awareness of, and responsiveness to, the impact of structural violence and social suffering on peoples' lived realities. A relational policy and policy lens is key to alleviate patterns of social suffering and counter the harms that are unwittingly created when social suffering is normalized.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.