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首页> 外文期刊>International Journal of Mental Health Systems >Innovations on a shoestring: a study of a collaborative community-based Aboriginal mental health service model in rural Canada
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Innovations on a shoestring: a study of a collaborative community-based Aboriginal mental health service model in rural Canada

机译：不断创新：加拿大农村基于社区的协作性原住民精神卫生服务模式的研究

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Background Collaborative, culturally safe services that integrate clinical approaches with traditional Aboriginal healing have been hailed as promising approaches to ameliorate the high rates of mental health problems in Aboriginal communities in Canada. Overcoming significant financial and human resources barriers, a mental health team in northern Ontario is beginning to realize this ideal. We studied the strategies, strengths and challenges related to collaborative Aboriginal mental health care. Methods A participatory action research approach was employed to evaluate the Knaw Chi Ge Win services and their place in the broader mental health system. Qualitative methods were used as the primary source of data collection and included document review, ethnographic interviews with 15 providers and 23 clients; and 3 focus groups with community workers and managers. Results The Knaw Chi Ge Win model is an innovative, community-based Aboriginal mental health care model that has led to various improvements in care in a challenging rural, high needs environment. Formal opportunities to share information, shared protocols and ongoing education support this model of collaborative care. Positive outcomes associated with this model include improved quality of care, cultural safety, and integration of traditional Aboriginal healing with clinical approaches. Ongoing challenges include chronic lack of resources, health information and the still cursory understanding of Aboriginal healing and outcomes. Conclusions This model can serve to inform collaborative care in other rural and Indigenous mental health systems. Further research into traditional Aboriginal approaches to mental health is needed to continue advances in collaborative practice in a clinical setting.
机译：背景技术将临床方法与传统原住民治疗相结合的文化安全合作服务已被誉为缓解加拿大原住民社区高水平心理健康问题的有前途的方法。为了克服重大的财务和人力资源障碍，安大略省北部的精神卫生小组开始实现这一理想。我们研究了与原住民精神卫生合作相关的策略，优势和挑战。方法采用参与式行动研究方法评估Knaw Chi Ge Win服务及其在更广泛的心理健康系统中的地位。定性方法被用作数据收集的主要来源，包括文件审查，与15个提供者和23个客户的人种学访谈。和3个焦点小组与社区工作者和管理者。结果Knaw Chi Ge Win模型是一种创新的，基于社区的原住民精神卫生保健模型，该模型在充满挑战的农村高需求环境中带来了各种护理方面的改善。共享信息，共享协议和进行中的教育的正式机会为这种合作医疗模式提供了支持。与该模型相关的积极成果包括改善护理质量，文化安全以及将传统的原住民康复与临床方法相结合。持续的挑战包括长期缺乏资源，健康信息以及对原住民康复和结果的粗略认识。结论该模型可以为其他农村和土著精神卫生系统的合作医疗提供信息。需要进一步研究传统的原住民心理健康方法，以继续在临床环境中开展协作实践。

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