perspectives on indigenous mental health

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PERSPECTIVES ON INDIGENOUS MENTAL HEALTH: Cultural Teachings and Implications for Care Dr. Christopher Mushquash, Ph.D., C.Psych. Canada Research Chair in Indigenous Mental Health and Addiction Associate Professor, Department of Psychology Lakehead University and Northern Ontario School of Medicine Psychologist, Dilico Anishinabek Family Care Director, Centre for Rural and Northern Health Research Associate Vice President Research, Thunder Bay Regional Health Sciences Centre Chief Scientist, Thunder Bay Regional Health Research Institute The Dr. Robert M. Martin Memorial Lecture Department of Clinical Health Psychology

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Page 1: PERSPECTIVES ON INDIGENOUS MENTAL HEALTH

PERSPECTIVES ON INDIGENOUS MENTAL HEALTH: Cultural Teachings and Implications for Care

Dr. Christopher Mushquash, Ph.D., C.Psych. Canada Research Chair in Indigenous Mental Health and Addiction

Associate Professor, Department of Psychology Lakehead University and Northern Ontario School of Medicine Psychologist, Dilico Anishinabek Family Care

Director, Centre for Rural and Northern Health Research Associate Vice President Research, Thunder Bay Regional Health Sciences Centre

Chief Scientist, Thunder Bay Regional Health Research Institute

The Dr. Robert M. Martin Memorial Lecture Department of Clinical Health Psychology

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OVERVIEW

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Twitter: @DrMushquash

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FOUNDATIONS

There are more differences within groups than between groups.

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FOUNDATIONS

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Twitter: @DrMushquash

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FOUNDATIONS

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FOUNDATIONS

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FOUNDATIONS

The problem with simple linear relationships.

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FOUNDATIONS

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Twitter: @DrMushquash

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FOUNDATIONS

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FOUNDATIONS

There are 3 possible outcomes to every intervention, no matter how well-intentioned.

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FOUNDATIONS

1. Improvement

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FOUNDATIONS

1. Improvement 2. No change

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FOUNDATIONS

1. Improvement 2. No change 3. Make things worse

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FOUNDATIONS OF WELLNESS

• Ability to self-regulate • Ability to tolerate distress • Ability to meet the demands of daily life • Ability to be in meaningful relationship(s) • Ability to take responsibility for oneself and/or others • Ability to use adaptive coping behaviours • Ability to manage physical needs, etc.

Twitter: @DrMushquash

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FOUNDATIONS OF WELLNESS

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Twitter: @DrMushquash

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FOUNDATIONS OF WELLNESS

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Twitter: @DrMushquash

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FOUNDATIONS OF WELLNESS

From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/

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Twitter: @DrMushquash

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FOUNDATIONS OF WELLNESS

From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/

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Twitter: @DrMushquash

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INTERGENERATIONAL TRAUMA

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FOUNDATIONS

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ADVERSE CHILDHOOD EXPERIENCES

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ADVERSE CHILDHOOD EXPERIENCES

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ADVERSE CHILDHOOD EXPERIENCES

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Twitter: @DrMushquash

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ADVERSE CHILDHOOD EXPERIENCES

Felitti, 2004

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Male with ACE score of 6 compared to male with ACE score of 0 has 46-times greater risk

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ADVERSE CHILDHOOD EXPERIENCES

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EXECUTIVE FUNCTION

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PREVENTION 35

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SELF-EFFICACY BANDURA, 1982

• Individual's belief in her or his ability to achieve goals • Choices regarding behavior • Motivation • Work performance • Thought patterns and responses • Health behaviors • Relationship to loss of control • Factors affecting self-efficacy

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Twitter: @DrMushquash

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SELF-EFFICACY BANDURA, 1982

• Individual's belief in her or his ability to achieve goals • Choices regarding behavior • Motivation • Work performance • Thought patterns and responses • Health behaviors • Relationship to loss of control • Factors affecting self-efficacy

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Twitter: @DrMushquash

https://www.cbc.ca/kidscbc2/the-feed/do-you-know-what-a-powwow-is

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DEVELOPMENT

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0 6

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DEVELOPMENT

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0 18

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DEVELOPMENT

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-2 18

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DEVELOPMENT

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DEVELOPMENT

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FOUNDATIONS OF WELLNESS

From: https://landbasedlearning.wordpress.com/indigenous-land-based-learning-programs/

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Predictability

Consistency

Warmth

Validation

Expectations

Consequences

Self-Efficacy

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ATTACHMENT

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CORRECTIVE EXPERIENCES

• Events that challenge one's fear or expectations and lead to new outcomes • Often facilitated by a skilled clinician

• Engage in new behaviors • Adopt more healthy ways of relating to others • Develop a more positive view of self • Feel previously unacceptable feelings

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Castonguay, L. G., & Hill, C. E. (Eds.). (2012).

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CULTURE-BASED APPROACHES

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MEEGWETCH

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