This article explores the concept of cultural safety in relation with the diversity of cultural identities experienced by urban Indigenous youth. While the existing literature focuses on educating health care providers on the historical context and resultant disparities in social determinants of health among Indigenous Peoples, little attention has been given to how these histories have impacted the ways in which urban Indigenous Peoples have negotiated their identities. We contend that the numerous ways in which urban Indigenous identities have been impacted by colonial policies have many implications for urban service providers and policy-makers, and for the meaning of cultural safety in this context. Drawing on participatory research that employed Indigenous methodologies, with 20 urban Indigenous youth living in Montreal, we outline some guiding principles in addressing questions of Indigenous identity among urban youth, and their relevance to the definition and application of cultural safety concept and practices.

This chapter critically examines the notion of Canadian Indigenous youth leaving care by arguing that all forms of separation, including adoption, should be analyzed through the lens of ongoing colonization of Indigenous peoples. Several immediate and long-term practices are examined, some of which call for greater support for Indigenous ways of caring for children, urgent measures to address poverty in Indigenous communities, cultural planning for Indigenous children who are currently separated from their families and communities, and ways of supporting Indigenous youth in transition to adulthood who are looking to reconnect with their families, communities, and cultures.

In this article, the authors highlight Indigenous helper Vicky Boldo/kisêwâtisiwinyôtin:iskwew’s (Gentle Wind Woman) approach to healing knowledges. kisêwâtisiwinyôtin:iskwew’s background of Cree, Coast Salish and Métis ancestry, in addition to living a scarring experience as a trans-racial adoptee, created a ground of insight and self-care that sparked her awareness and reliance on Mother Earth as part of her survival. This chapter documents kisêwâtisiwinyôtin:iskwew’s insights into the sacred and inseparable relationship to Earth and all beings as crucial to overall wellbeing. The authors discuss kisêwâtisiwinyôtin:iskwew’s teachings about connection, embodiment and utilizing inner resources to move through the pain and trauma of separation from the self and sacred. Ultimately, kisêwâtisiwinyôtin:iskwew exemplifies the need to centre the ways in which people respond to hurt assisted by positive social environments that challenge and stop structures of abuse. This understanding gained as a “wounded healer” in turn creates spaces for individual learnings extending into intergenerational teachings on healing and dignity.

The nêhiyawêwin (Plains Cree language) Cree word, miskâsowin, relates to the sacred teachings of Treaty Elders of Saskatchewan as a concept pertaining to wellness of “finding one’s sense of belonging”—a process integral in the aftermath of colonial disruption. Métis educator and performance artist Moe Clark offers an approach to healing and well-being, which is imparted through movement, flux and through musical and performance-based engagement. Moe works with tools of embodiment in performance and circle work contexts, including song creation, collaborative performance, participatory youth expression and land-based projects as healing art. She shares her process for re-animating these relationships to land, human kin, and other-than-human kin through breath-work, creative practice and relationality as part of a path to wholeness. The authors document Moe’s approach to supporting the identity, growth, healing and transformation of others.