Search Results (9)

Racism within healthcare systems remains a critical barrier to equitable care for Indigenous Peoples. Despite calls from the Truth and Reconciliation Commission of Canada to integrate anti-racist frameworks into health education, implementation remains limited. Understanding how educators integrate Indigenous-specific anti-racist pedagogy is essential for developing effective and sustainable teaching approaches. This study aimed to identify the pedagogical principles that educators implement when teaching Indigenous-specific anti-racism in health professionals’ education programs. Using biographical narrative methodology, we conducted 17 in-depth interviews between September 2023 and March 2024 with educators who met three criteria: (1) teaching in Canadian health professional programs, (2) explicit commitment to anti-racist approaches, and (3) focus on Indigenous health content. Analysis was validated through race-based focus groups (n = 8), individual follow-up interviews (n = 4), and written feedback (n = 5). Thematic analysis identified six interconnected pedagogical principles specifically designed for Indigenous-specific anti-racist education, grounded in educators’ lived experiences: (1) centering and privileging Indigenous knowledge, worldviews, and strategies; (2) adopting a relational approach to teaching and learning; (3) contextualizing content in relation to colonialism; (4) supporting transformational learning leading to action; (5) embracing discomfort and addressing resistance; and (6) incorporating accountability mechanisms. These principles collectively create safe and transformative learning environments that challenge systemic racism in healthcare education. Implementing Indigenous-specific anti-racist pedagogy requires a holistic, systemic approach that centers Indigenous knowledge, fosters relational learning, and embeds accountability. These principles provide a framework for educators and institutions committed to decolonizing health education and advancing health equity for Indigenous Peoples. Full article

This paper examines the pervasive yet underrecognized phenomenon of consumer racial profiling (CRP) against Indigenous peoples in Canada. Drawing on sociolegal analysis, public health research, and empirical data, the authors demonstrate how CRP—manifested in routine acts of surveillance, exclusion, and humiliation in retail and service spaces—functions as a contemporary expression of colonialism and systemic racism. The work identifies both individual and collective harms, including racial trauma, internalized inferiority, and civic alienation, while framing CRP as a neglected but critical human rights issue. The authors argue that CRP exacerbates intergenerational trauma and undermines reconciliation efforts, calling for Indigenous-specific remedies such as healing ceremonies, cultural safety training, and systemic data collection reforms. By situating CRP within broader patterns of legal consciousness, systemic discrimination, and access to justice, this report is a much-needed foundational resource for advancing anti-racist practices in commercial settings and fulfilling Canada’s private-sector obligations under the Truth and Reconciliation Commission and the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP). Full article

An orange shirt is synonymous with truth and reconciliation in Canada. How did this symbol spread from a personal story about surviving a residential school, to a children’s book by author Phyllis J. Webstad, to a national symbol of Indigenous solidarity and allyship? This paper examines the work of Webstad as a Canadian story luminary, using historical and textual analysis to explore the power of “The Orange Shirt Story” to decolonize, resist, refuse, and transform. The orange shirt reveals the deep connectedness between storytelling, social justice, resilience, and activism. Full article

Due to the persistent impacts of colonialism, Indigenous peoples of Canada face disproportionate rates of mental health and substance use disorders, which are often insufficiently addressed by Eurocentric ‘mainstream’ mental health and addiction services. The need to better address Indigenous mental health has led to Indigenous mental health integrated care (hereafter integrated care): programs using both Indigenous and Western practices in their care delivery. This research describes the common lessons, disjunctures, and solutions experienced by existing integrated care programs for Indigenous adults across Canada. It reveals the best practices of integrated care for programs, and contributes to the Truth and Reconciliation Commission of Canada’s Calls to Action #20 and #22. This study, co-designed by an Indigenous Knowledge Keeper and Practitioner, explores the programs’ relational processes through interviews with key informants. The data was analyzed in consultation with Indigenous collaborators to highlight Indigenous values and interpretations, and knowledge co-production. In highlighting the complexity of integrated care, study results show the lessons of ‘Real Commitment to Communities and Community Involvement,’ and tensions and disjunctures of ‘Culture as Healing,’ ‘People-focused vs. Practitioner-focused Programs,’ ‘Community-oriented vs. Individual-oriented Programs,’ and ‘Colonial Power Dynamics in Integrated Care.’ The discussion explores why tensions and disjunctures exist, and suggests how to move forward using integrated care’s lessons and the concept of IND-equity. Ultimately, Indigenous-led partnerships are paramount to integrated care because they leverage Indigenous knowledge and approaches to achieve health equity within integrated care. Full article

Child sexual abuse (CSA) is a severe and concerning public-health problem globally, but some children are at higher risk of experiencing it. The harms caused by colonization and particularly the inter-generational legacy of residential schools would presumably increase the vulnerability of Indigenous children in former British colonies. Among 282 Indigenous participants in Canada recruited from Prime Panels, CSA was reported by 35% of boys, 50% of girls, and 57% of trans and gender non-conforming participants. These rates are substantially higher than global meta-analytic estimates (7.6% of boys and 18.0% of girls). There was evidence of intersectionality based on socioeconomic status. CSA was associated with a variety of other indicators of negative childhood experiences and significantly predicted numerous negative outcomes in adulthood, including mental-health issues (e.g., PTSD), unemployment, and criminal legal-system involvement. Sexual abuse of Indigenous Canadian children is a public-health crisis, and layers of marginalization (e.g., gender, social class) exacerbate this risk. Trauma-informed services to address the harms of colonization are severely needed, in line with recommendations from Canada’s Truth and Reconciliation Commission. Full article

In much of the world, education, nursing, and social work are human-centred professions that aim to engage with individuals holistically. Yet, how much of their training prepares them for this manifold reality? In this article, we provide an overview of three Canadian societal contexts, examine the literature on religious literacy in higher education and in the Canadian context, and study the professional programs of education, nursing, and social work offered in the top-ranked universities in the three largest English-speaking provinces in Canada. We describe the incorporation of the Calls to Action issued by the Truth and Reconciliation Commission of Canada and the limited evidence of religious literacy evident in the online information provided about the chosen programs and then argue that religious literacy is a necessary component of the university preparation programs for those entering these human-centred professions. Student requests for religious literacy workshops provided by the Centre for Civic Religious Literacy (CCRL), a non-religious and non-profit organization that works with partners in communities across Canada, demonstrate a demand for such education. Full article

The Truth and Reconciliation Commission has called upon Canada to engage in a process of reconciliation with the Indigenous peoples of Canada. Child Welfare is a specific focus of their Calls to Action. In this article, we look at the methods in which discontinuing colonization means challenging legal precedents as well as the types of evidence presented. A prime example is the ongoing deference to the Supreme Court of Canada decision in Racine v Woods which imposes Euro-centric understandings of attachment theory, which is further entrenched through the neurobiological view of raising children. There are competing forces observed in the Ontario decision on the Sixties Scoop, Brown v Canada, which has detailed the harm inflicted when colonial focused assimilation is at the heart of child welfare practice. The carillon of change is also heard in a series of decisions from the Canadian Human Rights Tribunal in response to complaints from the First Nations Child and Family Caring Society of Canada and the Assembly of First Nations regarding systemic bias in child welfare services for First Nations children living on reserves. Canadian federal legislation Bill C-92, “An Act respecting First Nations, Inuit and Métis children, youth and families”, brings in other possible avenues of change. We offer thoughts on manners decolonization might be approached while emphasizing that there is no pan-Indigenous solution. This article has implications for other former colonial countries and their child protection systems. Full article

The association between fetal alcohol spectrum disorder (FASD), residential schools and subsequent assimilatory policies in Canada is of such significance that it was included in the groundbreaking Truth and Reconciliation Commission of Canada’s Final Report through Call to Action #33, which focuses on collaboratively developing FASD prevention programs in Indigenous communities. A consensus statement with eight tenets for enacting Call to Action #33 was co-developed in May 2017 using a Two-Eyed Seeing approach during and after a meeting on Indigenous approaches to FASD prevention held in Canada. The consensus statement provides guidance for creating community-based, culture-led FASD prevention programs in Indigenous communities. The eight tenets reflect the diverse perspectives of Indigenous and non-Indigenous participants, are grounded in available research evidence, and align with Indigenous worldviews and wellness models. This paper uses the consensus statement and eight exemplary FASD prevention programs from Indigenous communities and organizations across Canada to highlight identity, culture, and relationships as central elements of FASD prevention in Indigenous communities. The consensus statement provides guidance for developing community- and culture-led FASD prevention programs and highlights the importance of Indigenous knowledge systems in developing and researching FASD prevention in, and with, Indigenous communities. Full article

The rise and abandonment of Uranium City constitutes an environmental history yet to be fully evaluated by humanities scholars. 1982 marks the withdrawal of the Eldorado Corporation from the town and the shuttering of its uranium mines. The population declined to approximately 50 from its pre-1982 population of about 4000. This article is inspired by findings from the authors’ initial field visit. As Uranium City is accessible only by air or by winter roads across Lake Athabasca, the goal of the visit in May 2017 was to gather information and questions through photographic assessment and through communication and interviews with residents. This paper in part argues that the cyclonic development metaphor used to describe single-commodity communities naturalizes environmental damage and obscures a more complicated history involving human agency. Apart from the former mines that garner remedial funding and action, the town site of Uranium City is also of environmental concern. Its derelict suburbs and landfill, we also argue, could benefit from assessment, funding, and remediation. Canada’s 2015 Truth and Reconciliation Commission Report provides a way forward in healing this region, in part by listening to the voices of those most affected by environmental impacts caused not by a metaphorical cyclone but by other humans’ decisions. As descendants of European immigrants to Turtle Island (the Indigenous term referring to North America), the authors are also subjects of the very terms—cyclonic development, abandonment, remediation—used to describe the history of the land itself: in this case, a mining town in the far northern boreal forests and Precambrian Shield. Full article