MENTAL HEALTH CARE UTILIZATION OF INDIGENOUS PEOPLES IN CANADA
The Challenges for Indigenous Religious Freedom in Canada Today
Abstract
Abstract
The Indigenous mental health crisis in Canada must be contextualized
with discussions on race and colonialism within population
health research. This research uses nationally representative data
from the 2015-2016 Canadian Community Health Survey to investigate
the mental health service utilization of Indigenous populations relative
to non-Indigenous populations. Preliminary findings suggest an underutilization
of mental health services by Indigenous people because
although they are more likely than non-Indigenous people to possess
characteristics related to an increased likelihood of consulting a mental
health professional, findings show that Indigenous peoples access
mental health services at similar rates as non-Indigenous peoples.
References
Alegria, M., Bijl, R.V., Lin, E., Walters, E., & Kessler, R.C. (2000). Income differences in persons seeking outpatient treatment for mental disorders: a comparison of the United States with Ontario and the Netherlands. Arch Gen Psychiatry 57(4):383–391.
Arboleda-Flórez, J. (2005). The Epidemiology of Mental Illness in Canada. Canadian Public Policy 5.
Benoit, A. C., Cotnam, J., Raboud, J., Greene, S., Beaver, K., Zoccole, A., Brien-Teengs, Balfour, L., Wu, W., & Loutfy. M. (2016). Experiences of Chronic Stress and Mental Health Concerns among Urban Indigenous Women. Archives of Women’s Mental Health 19(5).
Bingham, B., Moniruzzaman, A., Patterson, M., Distasio, J., Sareen, J., O’Neil, J., & Somers, J.M. (2019). Indigenous and Non-Indigenous People Experiencing Homelessness and Mental Illness in Two Canadian Cities: A Retrospective Analysis and Implications for Culturally Informed Action. BMJ Open 9(4).
Browne, A. J., Smye, V. L., Rodney, P., Tang, S. Y., Mussell, B., & O’Neil, J. (2010). Access to Primary Care From the Perspective of Aboriginal Patients at an Urban Emergency Department. Qualitative Health Research 21 (3): 333-348.
Callan, M., Kim H., & Matthews, W. (2015). Predicting Self-Rated Mental and Physical Health: The Contributions of Subjective Socioeconomic Status and Personal Relative deprivation. Frontiers Research Foundation 1(1):1415.
Canadian Civil Liberties Association. (2017). The Current State of Mental Health in Canada. Retrieved November 30, 2019 from https://ccla.org/current-state-mental-health-canada/.
Canadian Mental Health Association. 2018. “Mental Health in the Balance: Ending the Health Care Disparity in Canada.” Retrieved November 30, 2019 from https://cmha.ca/ending-health-care-disparity-canada.
Chandler, M. J. & Lalonde, C. (1998). Cultural continuity as a hedge against suicide in Canada’s first nations. Transcultural Psychiatry 35(2): 191-219.
Feminist Northern Network. (2016). Colonialism and its Impacts. Resource Development in Northern Communities: Local Women Matter #3. Ottawa: Canadian Research Institute for the Advancement of Women.
Firestone, M. (2013). Our Health Counts – Unmasking Health and Social Disparities among Urban Aboriginal People in Ontario. University of Toronto, Canada. ProQuest Dissertations Publishing.
Firestone, M., Smylie, J., Maracle, S., McKnight, C., Spiller, M., & O’Campo, P. (2015). Mental Health and Substance Use in an Urban First Nations Population in Hamilton, Ontario. Canadian Journal of Public Health. Retrieved November 17, 2019 from https://link-galegroupcom.proxy1.lib.uwo.ca/apps/doc/A449316307/AONE?sid=lms.
Hansen, H. (2019). Cultural safety training raises the bar for our mental health providers. First Nations Health Authority. Retrieved December 17, 2019 from https://www.fnha.ca/wellness/sharing-our-stories/cultural-safety-training-raises-the-bar-for-our-mental-healthproviders.
Henderson, W. B. (2006). Indian Act. The Canadian Encyclopedia. Retrieved
March 23, 2019 from https://www.thecanadianencyclopedia.ca/en/article/indian-act.
Indigenous Peoples Atlas of Canada. (2019). The Road to Reconciliation.
Retrieved December 16, 2019 from https://indigenouspeoplesatlasofcanada.ca/article/the-road-to-reconciliation/.
Jang, Y., Yoon, H., Chiriboga, D.A., Molinari, V., & Powers, D.A. (2015).
Bridging the Gap Between Common Mental Disorders and Service Use: The Role of Self-Rated Mental Health Among African Americans. The American Journal of Geriatric Psychiatry 23(7):658–65.
Josewski, Viviane. (2012). Analysing ‘Cultural Safety’ in Mental Health Policy Reform: Lessons from British Columbia, Canada. Critical Public Health 22(2):223–34.
Kant, S., Vertinsky, I., Zheng, B., & Smith, P.M. (2013). Social, cultural, and land use determinants of the health and well-being of Aboriginal peoples of Canada: A path analysis. Journal of Public Health Policy 34(3): 462-476.
Mccue, H.A. (2011). Reserves. The Canadian Encyclopedia. Retrieved March 23, 2019 from https://www.thecanadianencyclopedia.ca/en/article/aboriginal-reserves.
McIntyre, C., Harris, M.G., Baxter, A.J., Leske, S., Diminic, S., Gone, J.P., Hunter, E., & Whiteford, H. (2017). Assessing Service Use for Mental Health by Indigenous Populations in Australia, Canada, New Zealand and the United States of America: A Rapid Review of Population Surveys. Health Research Policy and Systems 15 (65): 1-17.
Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB. Retrieved November 30, 2019 from https://www.mentalhealthcommission.ca/sites/default/files/MHStrategy_Strategy_ENG.
Mental Health Commission of Canada. (2016). Advancing the Mental Health Strategy for Canada: A Framework for Action (2017–2022), Ottawa, ON. Retrieved November 30, 2019 from https://www.mentalhealthcommission.ca/sites/default/files/2016-08/advancing_
the_mental_health_strategy_for_canada_a_framework_for_action.pdf.
Miller, J.R. (2012). Residential Schools in Canada. The Canadian Encyclopedia. Retrieved December 16, 2019 from https://www.thecanadianencyclopedia.ca/en/article/residential-schools.
Mitrou, F., et al. (2014) Gaps in Indigenous Disadvantage Not Closing: A Census Cohort Study of Social Determinants of Health in Australia, Canada, and New Zealand from 1981-2006. BMC Public Health, 14. 1: 201-201.
Nader, F., Kolahdooz, F., & Sharma, S. (2017). Assessing Health Care Access and Use among Indigenous Peoples in Alberta: A Systematic Review. Journal of Health Care for the Poor and Underserved 28(4):1286–1303.
Nelson, S.E. & Wilson, K. (2017). The Mental Health of Indigenous Peoples in Canada: A Critical Review of Research. Social Science & Medicine 176:93–112.
Pirkis, J.E., Burgess, P.M., Meadows, G.N., & Dunt, D.R. (2001). Suicidal Ideation and Suicide Attempts as Predictors of Mental Health Service Use. Medical Journal of Australia 175(10):542–45.
Richmond, C.A.M. & Cook, C. (2016). Creating Conditions for Canadian Aboriginal Health Equity: The Promise of Healthy Public Policy. Public Health Reviews 37(1):2.
Sareen, J., Afifi, T., McMillan, K., & Asmundson, G. (2011). Relationship Between Household Income and Mental Disorders: Findings From a Population-Based Longitudinal Study. Arch Gen Psychiatry 68(4):419-427.
Senate of Canada. (2006). Out of the Shadows at Last. Retrieved November
, 2019 from https://sencanada.ca/content/sen/committee/
/soci/rep/rep02may06part1-e.htm#_Toc133223000.
Statistics Canada. (2017). Canadian Community Health Survey, 2015-2016: Annual Component. Version updated September 2019. Ottawa.
Steele, L.S., Dewa, C.S., Lin, E., & Lee, K. (2007a). Education Level, Income Level and Mental Health Services Use in Canada: Associations and Policy Implications. Healthcare Policy 3(1):96–106.
Steele, L., Dewa, C., & Kenneth Lee. (2007b). Socioeconomic Status and Self-Reported Barriers to Mental Health Service Use. The Canadian Journal of Psychiatry 52(3):201–6
Tang, S.Y. & Browne, A.J. (2008). Race Matters: Racialization and Egalitarian Discourses Involving Aboriginal People in the Canadian Health Care Context. Ethnicity & Health 13(2):109–27.
Webster, P.C. (2016). Canada’s Indigenous Suicide Crisis. The Lancet 387(10037):2494–2494.
Woods, J. (2016). Public opinion of indigenous people in Canada improving: survey. The Globe and Mail, June 8. Retrieved December 14, 2019 from https://www.theglobeandmail.com/news/politics/public-opinion-of-indigenous-people-in-canada-improving-survey/article30346252/.
Zuvekas, S.H. & Fleishman, J.A. (2008). Self-Rated Mental Health and Racial/Ethnic Disparities in Mental Health Service Use. Medical Care 46(9):915.
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