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Rehabilitation challenges for Aboriginal clients recovering from brain injury: a qualitative study engaging health care practitioners.

https://arctichealth.org/en/permalink/ahliterature152713
Source
Brain Inj. 2009 Mar;23(3):250-61
Publication Type
Article
Date
Mar-2009
Author
Michelle L Keightley
Ruwan Ratnayake
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Alice Bellavance
Claudine Longboat-White
Angela Colantonio
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2009 Mar;23(3):250-61
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude of Health Personnel - ethnology
Brain Injuries - epidemiology - ethnology - rehabilitation
Continuity of Patient Care
Cultural Diversity
Female
Health Services, Indigenous - standards
Humans
Male
Middle Aged
Patient compliance
Qualitative Research
Young Adult
Abstract
To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI).
Participatory research design using qualitative methods.
Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes.
Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients.
Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders.
Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.
PubMed ID
19205962 View in PubMed
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A scoping review of Indigenous suicide prevention in circumpolar regions.

https://arctichealth.org/en/permalink/ahliterature261034
Source
Int J Circumpolar Health. 2015;74:27509
Publication Type
Article
Date
2015
). Traditional and western knowledge EchoHawk (27) recommends better integrating Western and Traditional knowledge bases for more culturally appropriate intervention for youth suicide. Allen et al. (15) showed the effective translation of culturally based values into a measurable framing of protective
  1 document  
Author
Jennifer Redvers
Peter Bjerregaard
Heidi Eriksen
Sahar Fanian
Gwen Healey
Vanessa Hiratsuka
Michael Jong
Christina Viskum Lytken Larsen
Janice Linton
Nathaniel Pollock
Anne Silviken
Petter Stoor
Susan Chatwood
Source
Int J Circumpolar Health. 2015;74:27509
Date
2015
Language
English
Publication Type
Article
File Size
636900
Keywords
Adolescent
Adult
Age Factors
Arctic Regions
Female
Focus Groups
Humans
Male
Mental health
Needs Assessment
Population Groups/ethnology
Population Groups/statistics & numerical data
Primary Prevention/organization & administration
Retrospective Studies
Risk assessment
Sex Factors
Suicide/prevention & control
Survival Analysis
Young Adult
Abstract
Background. Suicide is a serious public health challenge in circumpolar regions, especially among Indigenous youth. Indigenous communities, government agencies and health care providers are making concerted efforts to reduce the burden of suicide and strengthen protective factors for individuals, families and communities. The persistence of suicide has made it clear that more needs to be done. Objective. Our aim was to undertake a scoping review of the peer-reviewed literature on suicide prevention and interventions in Indigenous communities across the circumpolar north. Our objective was to determine the extent and types of interventions that have been reported during past decade. We want to use this knowledge to support community initiative and inform intervention development and evaluation. Design. We conducted a scoping review of online databases to identify studies published between 2004 and 2014. We included articles that described interventions in differentiated circumpolar Indigenous populations and provided evaluation data. We retained grey literature publications for comparative reference. Results. Our search identified 95 articles that focused on suicide in distinct circumpolar Indigenous populations; 19 articles discussed specific suicide-related interventions and 7 of these described program evaluation methods and results in detail. The majority of publications on specific interventions were found in North American countries. The majority of prevention or intervention documentation was found in supporting grey literature sources. Conclusion. Despite widespread concern about suicide in the circumpolar world and active community efforts to promote resilience and mental well-being, we found few recorded programs or initiatives documented in the peer-reviewed literature, and even fewer focusing specifically on youth intervention. The interventions described in the studies we found had diverse program designs and content, and used varied evaluation methods and outcomes. The studies we included consistently reported that it was important to use community-based and culturally guided interventions and evaluations. This article summarizes the current climate of Indigenous circumpolar suicide research in the context of intervention and highlights how intervention-based outcomes have largely remained outside of peer-reviewed sources in this region of the world.
PubMed ID
25742882 View in PubMed
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