A community-driven and evidence-based approach to developing mental wellness strategies in First Nations: a program protocol.
Community wellness
Community-based research
First Nation
Indigenous
Mental health
Mental wellness
Participatory action research
Resilience
Substance use
Violence
Journal
Research involvement and engagement
ISSN: 2056-7529
Titre abrégé: Res Involv Engagem
Pays: England
ID NLM: 101708164
Informations de publication
Date de publication:
2020
2020
Historique:
received:
25
06
2019
accepted:
03
01
2020
entrez:
22
2
2020
pubmed:
23
2
2020
medline:
23
2
2020
Statut:
epublish
Résumé
Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities, and close gaps in services through processes that place value on and supports Indigenous communities' rights to self-determination and control. The MWP involves collecting and using local data to develop and implement community-specific mental wellness strategies in five First Nations in Ontario. The MWP has four key phases. Phase 1 (data collection) includes a community-wide survey to understand MSV issues, service needs and community strengths; in-depth interviews with individuals with lived experiences with MSV issues to understand, health system strengths, service gaps and challenges, as well as individual and community resilience factors; and focus groups with service providers to improve understanding of system weaknesses and strengths in addressing MSV. Phase 2 (review and synthesis) involves analysis of results from these local data sources and knowledge-sharing events to identify a priority area for strategic development based on local strengths and need. Phase 3 (participatory action research approach) involves community members, including persons with lived experience, working with the community and local service providers to develop, implement, and evaluate the MWP to address the selected priority area. Phase 4 (share) is focused on developing and implementing effective knowledge-sharing initiatives. Guidelines and models for building the MWP are shared regionally and provincially through forums, webinars, and social media, as well as cross-community mentoring. MWP uses local community data to address MSV challenges by building on community supports and resilience factors. Drawing on local data and each community's system of formal and informal supports, the program includes sharing exemplary knowledge-to-action models and wellness strategies developed
Sections du résumé
BACKGROUND
BACKGROUND
Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities, and close gaps in services through processes that place value on and supports Indigenous communities' rights to self-determination and control. The MWP involves collecting and using local data to develop and implement community-specific mental wellness strategies in five First Nations in Ontario.
METHODS
METHODS
The MWP has four key phases. Phase 1 (data collection) includes a community-wide survey to understand MSV issues, service needs and community strengths; in-depth interviews with individuals with lived experiences with MSV issues to understand, health system strengths, service gaps and challenges, as well as individual and community resilience factors; and focus groups with service providers to improve understanding of system weaknesses and strengths in addressing MSV. Phase 2 (review and synthesis) involves analysis of results from these local data sources and knowledge-sharing events to identify a priority area for strategic development based on local strengths and need. Phase 3 (participatory action research approach) involves community members, including persons with lived experience, working with the community and local service providers to develop, implement, and evaluate the MWP to address the selected priority area. Phase 4 (share) is focused on developing and implementing effective knowledge-sharing initiatives. Guidelines and models for building the MWP are shared regionally and provincially through forums, webinars, and social media, as well as cross-community mentoring.
DISCUSSION
CONCLUSIONS
MWP uses local community data to address MSV challenges by building on community supports and resilience factors. Drawing on local data and each community's system of formal and informal supports, the program includes sharing exemplary knowledge-to-action models and wellness strategies developed
Identifiants
pubmed: 32082614
doi: 10.1186/s40900-020-0176-9
pii: 176
pmc: PMC7017570
doi:
Types de publication
Journal Article
Langues
eng
Pagination
5Informations de copyright
© The Author(s). 2020.
Déclaration de conflit d'intérêts
Competing interestsThe authors declare that they have no competing interests.
Références
J Health Soc Behav. 2003 Dec;44(4):488-505
pubmed: 15038145
J Trauma Stress. 2003 Oct;16(5):487-94
pubmed: 14584633
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
J Pers Soc Psychol. 1986 Dec;51(6):1173-82
pubmed: 3806354
Soc Sci Med. 2013 Jul;88:1-9
pubmed: 23702204
Lancet. 2015 Jun 27;385(9987):2562-3
pubmed: 26122149
CMAJ. 2011 May 17;183(8):E480-6
pubmed: 21555383
Science. 1997 Aug 15;277(5328):918-24
pubmed: 9252316
J Racial Ethn Health Disparities. 2014 Jul 12;1(4):247-256
pubmed: 27134815
Can J Psychiatry. 2000 Sep;45(7):607-16
pubmed: 11056823
Psychiatry Res. 2019 May;275:247-252
pubmed: 30933702
Can J Psychiatry. 2016 May;61(5):298-307
pubmed: 27254805
Int J Ment Health Syst. 2016 Feb 20;10:9
pubmed: 26900398
Int J Equity Health. 2008 Apr 22;7:9
pubmed: 18426602
J Nurs Meas. 2017 Apr 1;25(1):4-21
pubmed: 28395694
Nurse Res. 1997 May 1;4(3):5-16
pubmed: 27285770
Am J Community Psychol. 2004 Jun;33(3-4):119-30
pubmed: 15212173
Am J Prev Med. 1998 May;14(4):245-58
pubmed: 9635069
J Community Health. 2018 Apr;43(2):227-237
pubmed: 28861672