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Mental Health Provision in Northern Canada: Practitioners’ Views on Negotiations and Opportunities in Remote Practice

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An Erratum to this article was published on 23 April 2016

Abstract

The focus of this article is on the final expanded qualitative findings and meta-analysis of a northern Canada study involving a four-phase, 3-year research design. The qualitative findings from interviews with twenty informal and formal mental health practitioners focus on the broader themes found within the meta-analysis in an attempt to answer a recent call for more proactive literature emphasizing opportunities for counselling and mental health support. The results explored included helping professional and paraprofessional development within remote settings, visions for the provision of community supports to assist them in providing services, and components of a conceptual model of mental health practice in the Canadian North.

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References

  • Aaen-Larsen, B. (2003). Health care in the circumpolar world: Greenland. Circumpolar Health, 2003, 49–53.

    Google Scholar 

  • Barbopoulos, A., & Clark, J. M. (2003). Practicing psychology in rural settings: issues and guidelines. Canadian Psychology, 44(4), 410–424.

    Article  Google Scholar 

  • Barca, F., McCann, P., & Rodriquez-Pose, R. (2012). The case for regional development intervention: place-based versus place-neutral approaches. Journal of Regional Science, 52(1), 134–152. doi:10.1111/j1467-9187.2011.00756.x.

    Article  Google Scholar 

  • Canadian Medical Association. (2000). Rural and remote practice issues. Canadian Medical Association Journal, 163(8), 1047–1054.

    Google Scholar 

  • Canadian Mental Health Association, Ontario (2009). Rural and northern community issues in mental health. Retrieved from http://ontario.cmha.ca.

  • Centre for Community Child Health. (2011). Place-based approaches to supporting children and families. Policy Brief, 23. Retrieved from www.rch.org.au/ccch/.

  • Environics Research Group. (2010). 2010 Quantitative and qualitative research among northerners (pp. 1–134). Ottawa: Indian and Northern Affairs Canada.

    Google Scholar 

  • Erickson, S. H. (2001). Multiple relationships in rural counselling. The Family Journal, 9(3), 302–304. doi:10.1177/1066480701093010.

    Article  Google Scholar 

  • Fields, K., Van De Keere, L., Hanlon, N., & Halseth, G. (2008). The experiences of occupational therapists practicing in rural and remote communities in northern British Columbia. Unpublished manuscript, Community Development Institute, University of Northern British Columbia, Prince George, Canada.

  • Galambos, C., Watt, J., Anderson, K., & Danis, F. (2006). Ethics forum: Rural social work practice: Maintaining confidentiality in the face of dual relationships. Journal of Social Work Values and Ethics. Retrieved from http://www.socialworker.com

  • Gilbert, R. (2012). Place-based initiatives and Indigenous justice. Indigenous Clearinghouse. Retrieved from http://www.indigenousjustice.gov.au

  • Graham, J. R., Brownlee, K., Shier, M., & Doucette, E. (2008). Localization of social work knowledge through practitioner adaptations in northern Ontario and the northwest territories, Canada. Arctic, 61(4), 399–406.

    Google Scholar 

  • Halverson, G., & Brownlee, K. (2010). Managing ethical considerations around dual relationships in small rural and remote Canadian communities. International Social Work, 53(2), 247–260. doi:10.1177/0020872809355386.

    Article  Google Scholar 

  • Hill, C. E., Knox, S., Thompson, B. J., Williams, E. N., Hess, S. A., & Ladany, N. (2005). Consensual qualitative research: an update. Journal of Counseling Psychology, 52(2), 196–205.

    Article  Google Scholar 

  • Kvernmo, S. (2004). Mental health of Sami youth. International Journal of Circumpolar Health, 63(3), 221–234.

    Article  PubMed  Google Scholar 

  • Lakhani, J., Benzies, K., & Hayden, K. A. (2012). Attributes of interdisciplinary research teams: a comprehensive review of the literature. Clinical and Investigative Medicine, 35(5), 260–265.

    Google Scholar 

  • Leineweber, M., & Arensman, E. (2003). Cultural change and mental health: the epidemiology of suicide in Greenland. Archives of Suicide Research, 7(1), 41–50. doi:10.1080/13811110301570.

    Article  Google Scholar 

  • MacDonald, J. P., Ford, J. D., Willox, A. C., & Ross, N. A. (2013). A review of protective factors and causal mechanisms that enhance the mental health of indigenous circumpolar youth. International Journal of Circumpolar Health, 72, 21775. doi:10.3402/ijch.v72i0.21775.

    PubMed  Google Scholar 

  • Malone, J. L. & Dyck, K. G. (2011). Professional ethics in rural and northern Canadian psychology. Canadian Psychology, 52(3), 206–214.

  • McIlwraith, R. D., Dyck, K. G., Holms, V. L., Carlson, T. E., & Prober, N. G. (2005). Manitoba’s rural and northern community-based training program for psychology interns and residents. Professional Psychology: Research & Practice, 36(2), 164–172.

    Article  Google Scholar 

  • Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Retrieved from http://strategy.mentalhealth commission.ca

  • Minore, B., & Boone, M. (2002). Realizing potential: improving interdisciplinary professional/paraprofessional health care teams in Canada’s northern Aboriginal communities through education. Journal of Interprofessional Care, 16(2), 1390147. doi:10.1080/13561820220124157.

  • O’Neill, L. K., George, S., Koehn, C., & Shepard, B. (2013a). Informal and formal mental health support: preliminary qualitative findings. International Journal of Circumpolar Health, 72, 21203. doi:10.3402/ijch.v72i0.21203.

    Google Scholar 

  • O’Neill, L. K., George, S., & Sebok, S. (2013b). Survey of northern informal and formal mental health practitioners. International Journal of Circumpolar Health, 72, 20962. doi:10.3402/ijch.v72io.20962.

    Google Scholar 

  • Parkinson, A. J. (2010). Improving human health in the arctic: the expanding role of the arctic Council’s sustainable development working group. International Journal of Circumpolar Health, 69(3), 304–313.

    Article  PubMed  Google Scholar 

  • Richmond, C. A. M., & Ross, N. A. (2008). The determinants of first nations and Inuit health: a critical population health approach. Health & Place, 15, 403–411. doi:10.1016/jhealthplace.2008.07.004.

    Article  Google Scholar 

  • Rygh, E. M., & Hjortdahl, P. (2007). Continuous and integrated health care services in rural areas: a literature study. Rural and Remote Health, 7(766), 1–10.

    Google Scholar 

  • Schmidt, G. G. (2000). Remote, northern communities. International Social Work, 43(3), 337.

    Article  Google Scholar 

  • Sunderland, A., & Findlay, L. (2013). Health Reports- Perceived need for mental health Care in Canada; Results from the 2012 Canadian Community Health Survey-Mental Health. Retrieved from www.statcan.gc.ca/pub/82-003-x/2013009

  • Tarlier, D., Johnson, J., & Whyte, N. (2003). Voices from the wilderness: an interpretive study describing the role and practice of outpost nurses. Canadian Journal of Public Health, 94(3), 180–184.

    PubMed  Google Scholar 

  • Tester, F. J., & McNicoll, P. (2004). Isumagijaksaq: mindful of the state: social constructions of Inuit suicide. Social Science & Medicine, 58, 2625–2636. doi:10.1016/j.socscimed.2003.09.021.

    Article  Google Scholar 

  • the Greenland Population Study, Bjerregaard, P., & Curtis, T. (2002). Cultural change and mental health in Greenland: the association of childhood conditions, language, and urbanization with mental health and suicidal thoughts among the Inuit of Greenland. Social Science & Medicine, 54, 33–48.

    Article  Google Scholar 

  • Timulak, L. (2009). Meta-analysis of qualitative studies: a tool for reviewing qualitative research findings in psychotherapy. Psychotherapy Research, 19(4–5), 591–600 doi:10.1080/10503300802477989.

  • Vukic, A., & Keddy, B. (2002). Northern nursing practice in a primary health care setting. Journal of Advanced Nursing, 40(5), 542–548.

    Article  PubMed  Google Scholar 

  • Weigel, D. J., & Baker, B. G. (2002). Unique issues in rural couple and family counselling. The Family Journal, 10(1), 61–69.

    Article  Google Scholar 

  • Young, K. (2013). Circumpolar health-what is next? International Journal of Circumpolar Health, 72, 20713. 10.3402/ijch.v72i0.20713 .

    Google Scholar 

  • Young, T. K., & Chatwood, S. (2011). Health care in the north: what Canada can learn from its circumpolar neighbours. CMAJ. doi:10.1503/cmaj.100948.

    Google Scholar 

  • Zapf, M. K. (1993). Remote practice and culture shock: social workers moving to isolated northern regions. Social Work, 38(6), 694–704.

    Google Scholar 

Download references

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Correspondence to Linda O’Neill.

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Conflicts of Interest

The authors have no conflicts of interest and have not received any funding or benefits from industry or elsewhere to conduct this study.

Ethical Approval

The study received Research Ethics Approval from the University of Northern BC, the University of Lethbridge, a Scientific Licence from Yukon Government, and Research Licence from the Aurora Research Institute.

Funding

The authors and research team express appreciation to the Social Sciences and Humanities Research Council of Canada (SSHRC) for funding for the research project.

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O’Neill, L., Koehn, C., George, S. et al. Mental Health Provision in Northern Canada: Practitioners’ Views on Negotiations and Opportunities in Remote Practice. Int J Adv Counselling 38, 123–143 (2016). https://doi.org/10.1007/s10447-016-9261-z

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