Need more Indigenous people giving care: we need people who know to offer these options. —Julie Bull #WRI2018 #BuildMomentum
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Don't make the assumption that all Indigenous people will want traditional care. Need to give people options—not an either/or. —Julie Bull #WRI2018 #BuildMomentum
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"It doesn't cost a lot of money to be culturally safe. Respectful relations don't cost a lot of money." Even putting up a sign in the language of the people Indigenous to that land can make a big difference. —Victoria Smye #WRI2018 #BuildMomentum
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"What gets measured gets done. If cultural safety doesn't get measured, it doesn't get done." —Germaine Elliott #WRI2018 #BuildMomentum
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Community members get discharged, and they go through discharge planning, but nobody thinks to contact the community to let them know about the discharge and what services that person may need. —Germaine Elliott #WRI2018 #BuildMomentum
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Institutional racism is pervasive, but individuals can work on with their own biases. "We have power. If we can band together within these institutions, we can change that." Speak up when you hear colleagues making inappropriate comments. —Julie Bull #WRI2018 #BuildMomentum
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We don't need any more legislation. We need to move forward with existing policy that may be enhanced. At local, institutional, governance level to support cultural safety. —Susan Plewes #WRI2018 #BuildMomentum
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Important as practitioners, educators, researchers to always think about inequities in power. "Am I engaging in a way that permits and invites dialogue that's safe and respectful?" —Victoria Smye #WRI2018 #BuildMomentum
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"We don't need other people speaking on our behalf." —Julie Bull #WRI2018 #BuildMomentum
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We don't get to decide. We can't say "I'm a culturally safe researcher/practitioner." Our participants/patients decide that. —Julie Bull
#WRI2018 #BuildMomentum
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Cultural sensitivity: acknowledging that differences exist
Cultural competence: identifying differences
Cultural safety: doing something about it. Big part: recognizing our own positioning, approach with humility. Most important part.
#WRI2018 #BuildMomentum
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What does cultural safety look like? Elliott worked with an Indigenous team; they made it a point to foster a welcoming environment. Recognized that people are spirits in a human body and aimed to behave in a way that doesn't cause damage. #WRI2018 #BuildMomentum
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Susan Plewes first worked in an Indigenous hospital in Alberta and has now worked in five different provinces. Integration is happening! Plewes is proud of the relationships that are being built. #WRI2018 #BuildMomentum
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Victoria Smye works in health equity as a settler ally. #WRI2018 #BuildMomentum
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Julie Bull shares Elliott's optimism. The focus should be on the integration piece of Indigenous ways of knowing in the system; otherwise it will always be us vs. them. Bull sees her background in ethics and engagement underpinning all aspects of health. #WRI2018 #BuildMomentum
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Germaine Elliott is executive director at the Aboriginal Health Circle. "I find a great deal of hope in the integration of Indigenous perspectives in health care generally and in mental health specifically." #WRI2018 #BuildMomentum
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Final session! "Emerging Issues (and Solutions) in Indigenous Mental Health Research, Practice and Policy," moderated by Patrick Dion, with panellists Germaine Elliott, Julie Bull, Victoria Smye, and Susan Plewes.
#WRI2018 #BuildMomentum
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Some ways of engaging people:
•an intriguing but not distracting set that would keep people on topic if their eye wandered
•a host
•overlaid text, kinetic type
#WRI2018 #BuildMomentum
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When the team realized that they couldn't whittle their videos down from 12 minutes to 2–3 minutes, they researched what made people stick around for longer videos. #WRI2018 #BuildMomentum
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The team knew the videos would be available to the public on YouTube, but the main audience would be educators and students. In a video, people can't refer back to previous information easily, so you've got to keep the messages front and centre. #WRI2018 #BuildMomentum
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Budgets for these projects can be small. The team drew from the institution's own staff. Many people had hobbies and side projects with skills and talents who were willing to volunteer for the video: acting, set design, visual art. #WRI2018 #BuildMomentum
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Chose to use the KT Planning Template developed by Melanie Barwick as a framework for the video project. #WRI2018 #BuildMomentum
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Aimed at reaching:
•mental health care professionals and decision makers
•educators and students
•patients and families
•general public
#WRI2018 #BuildMomentum
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This presentation is based on an extension of the "Remembering Oak Ridge Digital Archive" project, funded by a Canada 150 grant. Videos shows broader history of mental health care in Canada. Produce 2–3 videos, 2–3 minutes in length on YouTube. #WRI2018 #BuildMomentum
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Three key points:
•Be deliberate—while maintaining flexibility and openness to serendipity
•Know the people—know your team, know your audience
•Respect the medium—understand its strengths and weaknesses
#WRI2018 #BuildMomentum
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Now I'm in a workshop: "Applying a KT lens to communicating research through film." #WRI2018 #BuildMomentum
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What do clients think of this? Students are interviewing patients about the impact of illicit substance use on the unit and what they would do. How are they being affected by the policy? #WRI2018 #BuildMomentum
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Delivered in-person training of procedure to staff—what to do when elicit substances are found, whom to notify, how to process potentially hazardous material (e.g., fentanyl), when to engage police, how to debrief patient. #WRI2018 #BuildMomentum
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Objectives of strategy:
1. promote common understanding of evidence-based treatment for people with CD
2. promote consistent practice across the organization
3. outlines roles and responsibilities of staff
4. partner with police in a non-adversarial way
#WRI2018 #BuildMomentum
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Illicit substance use has always occurred in this hospital. Administrators blamed the concurrent disorders unit, but the issue has existed in other parts of the hospital. #WRI2018 #BuildMomentum
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