Saturday, December 15, 2012

Aboriginal Health

                                                          Aboriginal Mental Health
            When looking at Aboriginals Peoples of Canada, one must consider that this population consists of (698,025) First Nations people, (389,780) Metis, and (50,480) Inuit approximately 1,172,785 people or 3.8% of the total population of Canada ("Indicators of well-being," 2006). Aboriginal perspective on mental health is healing by medicine wheel teachings, understanding the four directions, finding their purpose of being through cultural activities, healing lodges, and treats the individual with a more holistic approach. Health and well-being include all the four aspects of human nature: physical, mental, emotional and especially our spiritual being. The profile of mental health disorders in Aboriginal people is primarily a by-product of our colonial past with regards to layered assaults on culture and personal identities. According to Smye & Mussell, (2001), “Root cause of mental health problems such as intergenerational trauma, poverty, unemployment, and lack of housing need to be addressed alongside the consequent mental health issues, that is, depression, substance use, abuse, PSTD, and anxiety disorders “(p.7 ).
            Traditional Western perspective treats the consumer with medication, psychotherapy, and sometimes the family is not included with the treatment options unless the consumer signs consent due to legal and ethical obligations regarding confidentiality (Simmie & Nunes, 2001). Traditional Western medicine often looks at mental illness as an individual illness or a disease of the mind, and most individuals feel that it fails to recognize their unique and distinct needs (Simmie & Nunes, 2001). Most people find that navigating through the system is difficult and challenging in order to seek help for most consumers; they end up on long waiting lists in order to get a doctors referral to a psychiatrist. 
            Some of the issues relating to suicide are rapid culture change, forced assimilation, and marginalization. One risk factor is that males are prone to attempt suicide previous to actually committing suicide. Drugs and alcohol are major contributors, along with school problems, social isolation, depression, poverty, unemployment, violence perpetration and victimization (Health Canada, 2010, para.32). Prevention programs are introduced through the implementation of native oriented programs beginning from childhood throughout teen to adulthood. Healing in communities is crucial and should begin in school based strategies. These strategies would be beneficial and effective if implemented into the school curriculum to enhance the ability to cope with stress, emotions, problem solving, interpersonal communications, and conflict resolution. These measures help to promote confidence and self-esteem, as well as provide the fundamentals to effectively deal with crisis and emotional conflict (Health Canada, 2010, para.57).
Looking at this issue from conservative ideology individual freedom is more important than social equality; individuals should be responsible for their own lives. Policies that encourage dependency on the state should be avoided. How can this ideology address the needs of mental health when it clearly states individuals are responsible for themselves?
I think the Socialism ideology better suits the needs of mental illness because it acknowledges social and economic equality as the most important values, and systemic discrimination based on gender, race, and ethnicity is eliminated through government policies. Personal dignity depends on social and economic equality. 
References
Health Canada, (2010). First nations and inuit health: Acting on what we know (0900C2). Retrieved from website: http://www.hc-sc.gc.ca/contact/index-eng.php
Health Canada, (2011). New fact sheet: Addressing mental illness. Retrieved from National Aboriginal Health Organization website: http://www.naho.ca/documents/naho/english/factSheets/mental_Health.pdf
Human Resources and Skills Development Canada, (2006).Indicators of well-being in canadacanadians in context - aboriginal population. Retrieved from Statistics Canada website: http://www4.hrsdc.gc.ca/.3ndic.1t.4r@-eng.jsp?iid=36
Simmie, S., & Nunes, J. (2002). The last taboo a survival guide to mental health. Toronto: Mc          Clelland & Steward Ltd.
 Smye, V., & Mussell, B. (2001). Aboriginal mental health:what works best.




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