A proposed broader or Indigenized social determinants of health framework includes "colonialism" along with other global processes. What does it mean to understand Canadian colonialism as a distal determinant of Indigenous health? This paper reviews pertinent discourses surrounding Indigenous mental health in Canada. With an emphasis on the notion of intergenerational trauma, there are real health effects of social, political, and economic marginalization embodied within individuals, which can collectively affect entire communities. Colonialism can also be enacted and reinforced within Indigenous mental health discourse, thus influencing scholarly and popular perceptions. Addressing this distal determinant through policy work necessitates that improving Indigenous health is inherently related to improving these relationships, i.e. eliminating colonial relations, and increasing self-determination.

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In 2006, the Government of Canada announced the approval of a final Residential Schools Settlement Agreement with the collaboration of the four churches responsible (United, Anglican, Presbyterian, Catholic), the federal government and residential school survivors. Schedule "N" of the Agreement lists the mandate of the TRC; therein, the TRC states one of its goals as: (d) to promote awareness and public education of Canadians about the system and its impacts. Can education -as the TRC hopes to engendertruly be transformative, renewing relationships and promoting healing in the process of forging these new relationships? The literature reviewed and the conferences attended highlighted that generating empathy may be a necessary ingredient for the instigation of social change, but is insufficient. Transformation through education, or reconciliation through truth-telling, testimonial reading and responsible listening would mean claiming a genuine, supportive responsibility for the colonial past. Educational policy and media initiatives are fundamental to creating awareness, developing public interest and support of the TRC's recommendations. However, authors also stress the importance of critical pedagogy in the whole process of truth and reconciliation, and that real reconciliation would require confronting the racism that initiated these institutions and allowed for a decontextualization of their impacts.

In 2006, the Government of Canada announced the approval of a final Residential Schools Settlement Agreement with the collaboration of the four churches responsible (United, Anglican, Presbyterian, Catholic), the federal government and residential school survivors. Schedule "N" of the Agreement lists the mandate of the TRC; therein, the TRC states one of its goals as: (d) to promote awareness and public education of Canadians about the system and its impacts. Can education - as the TRC hopes to engender - truly be transformative, renewing relationships and promoting healing in the process of forging these new relationships? The literature reviewed and the conferences attended highlighted that generating empathy may be a necessary ingredient for the instigation of social change, but is insufficient. Transformation through education, or reconciliation through truth-telling, testimonial reading and responsible listening would mean claiming a genuine, supportive responsibility for the colonial past. Educational policy and media initiatives are fundamental to creating awareness, developing public interest and support of the TRC's recommendations. However, authors also stress the importance of critical pedagogy in the whole process of truth and reconciliation, and that real reconciliation would require confronting the racism that initiated these institutions and allowed for a decontextualization of their impacts.

I ntroduction: Women who are younger in age are more likely to smoke during pregnancy and postpartum and tend to have less success with cessation/reduction. There is an unmet need for interventions targeted to pregnant and postpartum young women that provide them with support to quit/reduce long-term into the postpartum period and beyond. Aims: Our study aimed to gain an in-depth understanding of the perspectives of young pregnant and postpartum women of text messaging (TM) as a conduit for smoking cessation/reduction, and to determine the appropriate content, frequency, duration and unique features needed for an effective cessation/reduction TM programme. Methods: Six focus groups and six telephone interviews were convened with 36 pregnant and postpartum women 16-30 years of age. Results: Three main themes were identified: 1) topic areas that women would like TM to focus on; 2) the need for messages to be tailored; and 3) the importance for the programme to take a woman-centered approach. Conclusions: Respondents supported the idea of a TM cessation/reduction intervention and had clear programme recommendations. A personalised, woman-centered TM programme that meets a young woman's unique needs and addresses her concerns through her participation and direction is likely to empower and support her to quit/reduce.