Des Savoirs en Tension : La Construction Des Savoirs en Santé Mentale Et La Place Des Savoirs Autochtones Dans L’organisation Des Services

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

“…These ongoing disparities in health and social determinants question the adequacy of the current psychosocial and medical interventions [ 39–41 ]. The development, access, and delivery of mental health care to children, youth, families, and communities of Nunavik are challenged for a variety of reasons, including resources availabilities, lack of training, challenges in communication and interprofessional collaboration, and structural barriers that have been observed and reported by community members and services providers alike [ 32 , 42 ].…”

“…The development, access, and delivery of mental health care to children, youth, families, and communities of Nunavik are challenged for a variety of reasons, including resources availabilities, lack of training, challenges in communication and interprofessional collaboration, and structural barriers that have been observed and reported by community members and services providers alike [ 32 , 42 ]. Authors have described the challenges of adapting services to the cultural, social and organisational realities of the Inuit population [ 39 , 43 , 44 ]. The low number of Inuit stakeholders, both in clinical milieux and in decision-making positions, and the limited knowledge regarding Inuit socio-cultural aspects among many non-Inuit caregivers tends to create uneven power relations and contribute to the predominance of Western models of care and management, at the expense of traditional Indigenous practices and approaches that are more culturally sensitive [ 29 , 45 , 46 ].…”