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A New Way of Looking at Best Practices in Aboriginal Communities
Introducing the Canadian Best Practice Initiative’s framework for including
“Tried and True” Aboriginal ways to promote health and prevent disease
Welcome! Bienvenue!
Kolipaîo (Abenaki)
Mino pijan (Algonquin)
Miropeicak (Atikamekw)
Ekudeh (Cree)
ilaali / Ullukkut / Ai (Inuit)
Kwe Kwe (Wendat)
Hadih (Carrier)
Minatakushini (Innu)
Weltasualulnog (Micmac)
IÓh (Mohawk)
Nimiwaitan
Takuasenen (Naskapi)
Qalxalulhmts (Bella Coola)
Aboriginal Ways Tried and True
Learning objectives Better understanding of:
• The rationale and wholistic model behind the framework
• Good practice from an Aboriginal perspective
• The screening and assessment process used to identify and evaluate interventions for inclusion
• The Canadian Best Practices Portal
• Public health interventions that have demonstrated success in First Nations, Inuit and Métis communities
Aboriginal Ways Tried and True
Welcome from the Public Health Agency - Nina Jetha, Manager, Canadian Best Practices Initiative
Aboriginal Ways Tried and True
www.cbpp-pcpe.phac-aspc.gc.ca
Aboriginal Ways Tried and True
Key Goals of the Ways Tried and True Project
• “Develop a wholistic and flexible approach for that will
provide the scaffolding to guide the identification and
assessment of Aboriginal public health interventions for
inclusion in the CBPP”
• Document the best available evidence on successful
public health interventions in Aboriginal communities
• Identify First Nations, Inuit and Métis public health
interventions on 3 key topic areas:
» Strong healthy bodies
» Mental wellness
» Maternal and child health
Aboriginal Ways Tried and True
Key organisations involved
• HC and PHAC
• Johnston Research Inc.
• Inuit Tapiriit Kanatami
• National Association of Friendship Centres
• National Collaborating Centre for Aboriginal Health
• Six Nations Grand River Territory
• Mental Health Commission of Canada
• Government of Nunavut
• Six Nations Grand River Territory
• Federation of SK Indian Nations
• Monoquonuwick-Neoteetgj Mosigisig Inc
• Kishk Anaquot Health Research
Aboriginal Ways Tried and True
Other key organisations
• Aboriginal Healing Foundation
• Indigenous Physicians Associations of Canada
• Aboriginal Nurses Association of Canada
• University of Regina
• McGill University
• Research and Health Promotion Institute, CIHR
• Native Women’s Associations of Canada
• Ryerson University
• Laval University
• University of Waterloo
• First Nations Health Managers Association
Aboriginal Ways Tried and True
Rationale for the Project
• Health disparities between Aboriginal and non-
Aboriginal Canadians are well-documented
• Yet information on how best to address these
inequities and improve health and well-being is
conspicuously difficult to find.
Aboriginal Ways Tried and True
Methodology and Approach
• Input from expert working
group
• Interviews with Aboriginal
community practitioners
and researchers
• Review of the literature
• Expertise of the JRI project
team
• Three phases
Aboriginal Ways Tried and True
Understanding “Best” Practices from an
Aboriginal Perspective
• The idea of replication is at odds with common
Indigenous knowledge.
• Interventions recognized as best practice may receive
funding without regard for the context and locally driven
solutions.
Aboriginal Ways Tried and True
The Wholistic Model of Aboriginal Health
Aboriginal Ways Tried and True
Rubric Screening Criteria
• Allows for: the inclusion of Aboriginal-specific constructs
such as traditional knowledge and wholistic approaches.
• Screens based on:
» Impact
» Community Involvement
» Quality of Evidence
» Source
» Focus
Aboriginal Ways Tried and True
Key elements used by the Aboriginal Ways
Tried and True Framework to assess
interventions and evidence:
• Community-based: high level of buy-in helps to increase vested
interest.
• Wholistic : “An integrative approach- that seeks to balance the mind,
body, and spirit with community and environment” (NAHO, 2011)
• Integrates Indigenous Cultural Knowledge
» Addresses and incorporates values, culture, shared experiences
» Not static, but changing and growing
» Responds to new ideas and challenges
• Building on Community Strengths and Needs
Aboriginal Ways Tried and True
Key elements – Cont’d
• Partnership and collaboration
» Importance of recognizing, valuing and integrating
multiple ways of knowing
» Become integrated through a process of partnership
and collaboration
• Effectiveness
» Based on reported outcomes
» Degree to which the intervention had the desired
outcomes
Aboriginal Ways Tried and True
Achievements to Date
• Highly collaborative approach
• Interest by CIHR’s Pathways project to use our
framework and rubric for funders and applicants
• Over 30 community based will be shared on the
site by 2015
• A new Ways Tried and True Section of the
Portal
Aboriginal Ways Tried and True
Tour of the Canadian Best Practices
Portal
Aboriginal Ways Tried and True
http://cbpp-pcpe.phac-aspc.gc.ca
The Canadian Best Practices Portal
• Provides resources to plan programs for
promoting health and preventing diseases
• Consolidates multiple sources of credible and
trusted information in one place.
• Offers a “one stop shop” for busy health
professionals and decision-makers
“To help public health decision-makers
make better decisions.”
Aboriginal Ways Tried and True
Guiding Principles for Enhancing the Portal
• Work within P/T Public Health Frameworks and
federal public health role
• Audience - public health professionals
• Increase public health capacity by providing
access to evidence-based information
• Link to existing resources rather than creating
new information.
Aboriginal Ways Tried and True
The Result
• Expanded content on a platform (2012),
compliant with new standards and mobile
access
• Easy access to credible information on
chronic disease prevention policies, resources,
data, guidelines, standards and systematic
reviews of the literature
• A comprehensive listing of public health RSS
feeds, email updates and list serves
Aboriginal Ways Tried and True
http://cbpp-pcpe.phac-aspc.gc.ca
Resources on the CBPP
Aboriginal Ways Tried and True
Portal-Public Health Topics
Aboriginal Ways Tried and True
Aboriginal Ways Tried and True
Aboriginal Ways Tried and True
What is a “Best Practice”?
An intervention, program/service, strategy,
or policy that has, through multiple
implementations, demonstrated high impact,
high adaptability and a high quality of evidence.
Aboriginal Ways Tried and True
Tour of Aboriginal Ways Tried and True
• INSERT SCREEN SHOT
Aboriginal Ways Tried and True
Tour of Aboriginal Ways Tried and True
• Search and browse for interventions
• Trusted and credible information
• TBD
Aboriginal Ways Tried and True
Maternal and Child Health Interventions
• 30 new interventions
Aboriginal Ways Tried and True
Intervention Name Focus
Kanistenhsera Teiakotihsnies Breastfeeding Promotion and Support
Promoting Iron Nutrition Infant Nutrition
Maskwacis Life Skills Training Child and Youth Life Skills
Immunization Reminder Calendar (AUS) Immunization Promotion
Nunavut Health Information System Surveillance
Kwanlin Dun Healthy Families Project
Parenting Kids First
Triple P Parenting Program (AUS)
Strong Healthy Bodies Interventions
Aboriginal Ways Tried and True
Intervention Name Focus
Sandy Lake Diabetes Prevention Program
Diabetes Prevention Kahnawake School Diabetes Prevention Program
Okichitaw (Indigenous Combat) Physical Activity Promotion (Urban)
The Nunavik Childcare Centre Nutrition Project
Nutrition/Country Food Promotion
Kainai High School Ever Active School Project
Physical Activity Promotion
Winnipeg Aboriginal Sport Achievement Centre North Physical Activity and Youth Leadership
Promotion Take a Kid Trapping Program
Drop the Pop School-based Nutrition Promotion
Little Salmon Carmacks First Nation Green House and Farm
Nutrition Promotion
Mental Wellness Interventions
Aboriginal Ways Tried and True
Intervention Name Focus
Makimautiksat Youth Wellness and Empowerment Camp
Wholistic Mental Wellness Promotion
Journey to Wellness School-based Suicide Prevention Program for Youth (12-18 years)
Caring for the Circle Within: Jackson Lake Land Based Healing Program
Intergenerational Trauma among Adults
Reclaiming our Ancestral Footsteps Land based Mental Wellness Program for Youth (16-18)
Projet Pair-Aidants Suicide Prevention Training
Hobbema Community Cadet Corps Program RCMP-led Mental Wellness Promotion (at-risk youth)
Bii Zin Da-De-Dah (US) Substance Abuse Prevention (family-centred)
Nimi Icinohabi Program Substance Abuse Prevention (School-based)
Makimautiksat Youth Wellness and Empowerment
Camp
• Location/Lead: Nunavut / Qaujigiartiit Health Research Centre
• Program Components:
» Youth aged 13-18
» 10 day land based camp
• Program Goals:
» Create preventative child/youth health & wellness interventions based on
northern and community-based ways of understanding
• Results:
» Increased self esteem, wellness, coping and pride
» Enhanced peer networks
Aboriginal Ways Tried and True
Journey to Wellness (J2W)
• Location/Lead: Saskatchewan/Battlefords Tribal Council Indian Health
Services
• Program Components:
» School based
» Youth aged 12 and 18
• Program Goals:
» Improve school relationships, problem solving, learn how to seek help for suicide
ideation
• Results:
» Improved problem solving, help seeking behaviour, confidence and view of
“future self”
» Enhanced connections within the community
Aboriginal Ways Tried and True
Sandy Lake Diabetes Prevention Project
• Location: Sandy Lake First Nation Ontario/ John Hopkins Bloomberg
School of Public Health
• Program Components:
» School based diabetes curriculum
» Diabetes radio show
» Retail based strategies
• Program Goals:
» Understand prevalence
» Increase awareness of diabetes
» Prevent diabetes
• Results:
» Increased nutritional awareness and confidence
» Increased fibre intake
» Decreased screen time among children
Aboriginal Ways Tried and True
Okichitaw (Indigenous Combat)
• Location/Lead: Toronto, Ontario/Native Canadian Centre of Toronto
• Program Components:
» Weekly martial arts program based in Cree culture
» Est. in 1997
• Program Goals:
» Build physical and mental strength
» Foster direction and focus
» Empowerment
• Results:
» Community connections, cohesion, and decrease in feelings of isolation and
displacement
» Increased understanding and interest in Aboriginal identity and culture
» Stress relief, patience
» Weight loss, self defense capacity, building strength
Aboriginal Ways Tried and True
Being recognized as an Aboriginal Way Tried and True is
confirmation that our project has reached its ultimate goal
of making a meaningful difference for Aboriginal children
and youth under community Elders' traditional guidance.
This recognition is also a testament to our project's
commitment to authentically honour Indigenous culture and
traditions in the context of a community-university
partnership.
~ Melissa Tremblay, Maskwacis Life Skills Training
Program
Aboriginal Ways Tried and True
Feedback and Questions
Aboriginal Ways Tried and True
Thank you! To learn more please contact Nina Jetha,
Manager - Canadian Best Practices Initiative
at [email protected] or visit the
portal at http://cbpp-pcpe.phac-aspc.gc.ca/.
Aboriginal Ways Tried and True