Intergenerational Trauma: The Relationship Between Residential Schools and the Child Welfare System Among Young People Who Use Drugs in Vancouver, Canada

Barker, Brittany; Sedgemore, Kali; Tourangeau, Malcolm; Lagimodiere, Louise; Milloy, John; Dong, Huiru; Hayashi, Kanna; Shoveller, Jean; DeBeck, Kora

doi:10.1016/j.jadohealth.2019.01.022

Cited by 47 publications

(36 citation statements)

References 20 publications

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“…Other barriers worldwide include requirements for prior authorizations for buprenorphine and naltrexone, insufficient number of addiction treatment programs that offer MOUD to AYAs, lack of health insurance among AYAs, high copays for medications and clinical visits, and pervasive and persistent disparities in offered treatment and access to health care by race and ethnicity [25e27]. These striking disparities are linked to the complex intersection of historical injustices, culture, and policies [26,28].…”

Section: Barriers To the Receipt Of Moud Need To Be Minimizedmentioning

confidence: 99%

Medication for Adolescents and Young Adults With Opioid Use Disorder

2021

Journal of Adolescent Health

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Opioid-related morbidity and mortality have risen in many settings globally. It is critical that practitioners who work with adolescents and young adults (AYAs) provide timely, evidence-based treatment for opioid use disorder (OUD). Such treatment should include medications for opioid use disorder (MOUD), including buprenorphine, naltrexone, and methadone. Medication treatment is associated with reduced mortality, fewer relapses to opioid use, and enhanced recovery and retention in addiction care, among other positive health outcomes. Unfortunately, the vast majority of AYAs with OUD do not receive medication. The Society for Adolescent Health and Medicine recommends that AYAs be offered MOUD as a critical component of an integrated treatment approach. Barriers to receipt of medications are widespread; many are common to high-, middle-, and low-income countries alike, whereas others differ. Such barriers should be minimized to ensure equitable access to youth-friendly, affirming, and confidential addiction treatment that includes MOUD. Robust education on OUD and medication treatment should be provided to all practitioners who work with AYAs. Strategies to reduce stigma surrounding medicationdand stigma experienced by individuals with substance use disorders more generallydshould be widely implemented. A broad research agenda is proposed with the goal of expanding the evidence base for the use and delivery of MOUD for AYAs.

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Section: Barriers To the Receipt Of Moud Need To Be Minimizedmentioning

confidence: 99%

Medication for Adolescents and Young Adults With Opioid Use Disorder

2021

Journal of Adolescent Health

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“…For more than a century, Canadian assimilationist policies in education, child welfare, and Western health systems have intensified, creating a lasting legacy of negative impacts on the lives and well-being of Indigenous children and their families (Blackstock, 2003;Blackstock et al, 2006). Approximately 150,000 First Nations, Inuit, and Metis children were forcibly removed from their homes and communities and legally mandated to be institutionalized in the residential school system from the late 1800s to predominantly the 1950s (Barker et al, 2019;TRC, 2015). By the 1950s to 1960s, many of the residential schools had been shut down, with the last government-funded school closed in Saskatchewan in 1996(TRC, 2015.…”

Section: Historical Contextmentioning

confidence: 99%

“…The severe disruption of kinship, language, identity, and spirituality associated with the child welfare system creates a legacy of trauma for Indigenous individuals, families, and communities (Barker et al, 2019;Menzies, 2008). Indigenous children in youth protection services are frequently removed and relocated to unfamiliar cities; segregated by sex in a youth facility; processed to a dormitory unit with very few personal belongings; kept for long periods without seeing their families; given extremely limited opportunities to enjoy traditional foods; and in some extreme cases, are punished for speaking their native language (Lowrie, 2018).…”

Section: Trauma Associated With the Child Welfare Systemmentioning

confidence: 99%

From Breath to Beadwork: Lessons Learned From a Trauma- Informed Yoga Series With Indigenous Adolescent Girls Under Youth Protection

Barudin¹

2021

IJIH

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This paper explores the promising practice of an emerging culturally adapted, trauma-informed yoga program for Indigenous adolescent girls. I draw from my experiential learning during a series of 12 yoga sessions over 2018 and 2019 with eight Indigenous girls (ages 13–17) from rural and remote Inuit communities in Quebec, Canada. Participants had experienced varying degrees of child maltreatment and interaction with the child welfare system, and they were all under the care of youth protection services in a residential facility. The yoga and mindfulness intervention provided weekly 60-minute sessions in the residential unit. Yoga sessions integrated a blended model of cultural teachings, group dialogue, and trauma-informed yoga. The approach included circle sharing, cultural teachings, gentle progressions of physical postures, guided meditation, breathing techniques, centring practices, and beadwork. This promising practice explores trauma-informed yoga as a strengths-based community strategy for relational healing that promotes cultural connectedness, safety, and resilience among Indigenous adolescent girls removed from their rural and remote communities to a residential facility in an urban area. This paper outlines an introductory framework for health professionals, paraprofessionals, program administrators, and staff working with Indigenous children and youth in residential facilities. Specifically, this promising practice builds on existing findings of trauma-informed yoga with adolescents, as well as movement and centring approaches through an Indigenous lens of relational healing.

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“…This includes looking at notions of parenting, which can be viewed as a task that is generally taken on by parent(s) within the family. Typically, inadequate representations of Indigenous parenting manifests itself through the over-representation of incarcerated parents and those who currently have their children in care (Hardy, 2018; Byle 2019, Barker et al, 2019). Additionally, it was noted that within the reviewed newspaper articles that when parenting was mentioned, it was often weighted on mothers and framed within a negative light.…”

Section: Pfligermentioning

confidence: 99%

The Framing of Indigenous Canadian Families: A Historical Discourse Analysis

Pfliger¹

2020

CJFY

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To gain a comprehensive understanding of how Indigenous Canadian family life is framed in Canadian newspapers, 160 years of discourse was examined. To accomplish this analysis, newspaper articles were coded for themes relating to family and parenting, which was then compared to framing theory (Entman, 1993). This study concluded Indigenous families can be recognized through three distinct eras, each of which contributes to the development of discourse and the framing of Indigenous families. These findings are discussed concerning cultural framing and its effects on Indigenous populations.

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Intergenerational Trauma: The Relationship Between Residential Schools and the Child Welfare System Among Young People Who Use Drugs in Vancouver, Canada

Cited by 47 publications

References 20 publications

Medication for Adolescents and Young Adults With Opioid Use Disorder

Medication for Adolescents and Young Adults With Opioid Use Disorder

From Breath to Beadwork: Lessons Learned From a Trauma- Informed Yoga Series With Indigenous Adolescent Girls Under Youth Protection

The Framing of Indigenous Canadian Families: A Historical Discourse Analysis

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