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Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services
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 ag...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958899/ https://www.ncbi.nlm.nih.gov/pubmed/36833982 http://dx.doi.org/10.3390/ijerph20043288 |
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author | Smye, Victoria Browne, Annette J. Josewski, Viviane Keith, Barbara Mussell, William |
author_facet | Smye, Victoria Browne, Annette J. Josewski, Viviane Keith, Barbara Mussell, William |
author_sort | Smye, Victoria |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9958899 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99588992023-02-26 Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services Smye, Victoria Browne, Annette J. Josewski, Viviane Keith, Barbara Mussell, William Int J Environ Res Public Health Article 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. MDPI 2023-02-13 /pmc/articles/PMC9958899/ /pubmed/36833982 http://dx.doi.org/10.3390/ijerph20043288 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Smye, Victoria Browne, Annette J. Josewski, Viviane Keith, Barbara Mussell, William Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title | Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title_full | Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title_fullStr | Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title_full_unstemmed | Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title_short | Social Suffering: Indigenous Peoples’ Experiences of Accessing Mental Health and Substance Use Services |
title_sort | social suffering: indigenous peoples’ experiences of accessing mental health and substance use services |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9958899/ https://www.ncbi.nlm.nih.gov/pubmed/36833982 http://dx.doi.org/10.3390/ijerph20043288 |
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