“It’s not like I’m more Indigenous there and I’m less Indigenous here.”: urban Métis women’s identity and access to health and social services in Toronto, Canada

Monchalin, Renée; Smylie, Janet; Bourgeois, Cheryllee

doi:10.1177/1177180120967956

Cited by 12 publications

(14 citation statements)

References 16 publications

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“…Kinship ties are viewed as an essential element of health as these relationships and connections have the ability to provide emotional and spiritual support, restoring balance during times of stress and illness (Willing et al 2020 ). Kinship ties are a fundamental element of Indigenous identity (Killsback 2019 ; Monchalin et al 2020 ). Cultural identity is a theme that has also been highlighted in other literature as important in connection to health and wellbeing (Brown et al 2021 ) alongside connection to spirituality, ancestors, and cultural practices (Verbunt et al 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

Meredith

McKerchar

Lacey

2023

Arch Womens Ment Health

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Indigenous mothers and birthing parents experience significant inequities during the perinatal period, with mental health distress causing adverse outcomes for mothers/birthing parents and their infants. Limited literature is available to inform our understanding of solutions to these issues, with research primarily focusing on inequities. Our aim was to conduct a systematic review of Indigenous approaches to treatment of perinatal mental health illness. Following the PRISMA guidelines for systematic literature reviews, an electronic search of CINAHL, Medline, PubMed, Embase, APA PsycInfo, OVID Nursing, Scopus, Web of Science, and Google Scholar databases was conducted in January and February 2022 and repeated in June 2022. Twenty-seven studies were included in the final review. A critical interpretive synthesis informed our approach to the systematic review. The work of (Yamane and Helm J Prev 43:167–190, 2022) was drawn upon to differentiate studies and place within a cultural continuum framework. Across the 27 studies, the majority of participants were healthcare workers and other staff. Mothers, birthing parents, and their families were represented in small numbers. Outcomes of interest included a reduction in symptoms, a reduction in high-risk behaviours, and parental engagement/attachment of mothers/birthing parents with their babies. Interventions infrequently reported significant reductions in mental health symptoms, and many included studies focused on qualitative assessments of intervention acceptability or utility. Many studies focused on describing approaches to perinatal mental health distress or considered the perspectives and priorities of families and healthcare workers. More research and evaluation of Indigenous interventions for perinatal mental health illness is required. Future research should be designed to privilege the voices, perspectives, and experiences of Indigenous mothers, birthing parents, and their families. Researchers should ensure that any future studies should arise from the priorities of the Indigenous population being studied and be Indigenous-led and designed.

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Section: Discussionmentioning

confidence: 99%

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

Meredith

McKerchar

Lacey

2023

Arch Womens Ment Health

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“…To act on these recommendations, health resources and funding needs to be made accessible to Métis communities (Monchalin, 2019). Métis specific funding will provide support for Métis people in leading the development of specific cultural safety training that is both designed and led by the community, in addition to developing an Indigenous specific clinic that is accessible for Métis in Victoria.…”

Section: Discussionmentioning

confidence: 99%

“…It was initially nested in a project entitled Our Health Counts Toronto (OHC), a longitudinal cohort study co-led by the Well Living House (WLH) and Seventh Generation Midwives Toronto (SGMT) in 2015 and 2016 (Monchalin, 2019). Upon learning from OHC that Métis people in Toronto needed health care services but did not receive them, Author 1 conducted an in-depth, follow-up study in 2018 and 2019 for their doctoral research project with WLH and SGMT (Monchalin, 2019). This doctoral research involved conversations with 11 self-identified Métis women living in and/ or accessing health and social services in Toronto.…”

Section: Methodsmentioning

confidence: 99%

“I would just like to see more acknowledgement, respect and services for the people who are in between, just Métis people”: recommendations by Métis women to improve access to health and social services in Victoria, Canada

Monchalin

Auger

Jones

et al. 2022

AlterNative: An International Journal of Indigenous Peoples

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This paper reports on recommendations made by Métis women, two-spirit, and gender diverse people for improving access to health and social services in Victoria, British Columbia. Expanding on research conducted in Toronto, Ontario, this study applied a conversational interview method to further explore and understand experiences of self-identifying Métis women, two-spirit, and gender diverse people ( n = 24) who access health and social services in Victoria. Participants provided wholistic and practical recommendations for improving access to health and social services, including (1) warm and inviting service spaces, (2) Métis-specific cultural safety training, (3) Indigenous specific clinic, (4) wholistic or integrative service delivery, and (5) non-judgemental service providers. This research demonstrates that Métis women, two-spirit and gender diverse community members hold practical solutions for improving access to health and social services for the larger Métis community.

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“…To begin with, similar to all Metis people, Metis women experience racism. Monchalin notes that "[T]he Euro-Canadian government defines who is and who is not an Indian based on a system of registration that has its roots in a racist, archaic blood quantum concept, meaning that the amount of 'Indian blood' is what determines whether one is a 'true Indian'" (Monchalin et al, 2020). In the case of Métis people, their physical appearance is often used to measure how much "Indian blood" they have.…”

Section: Discrimination Based On Racementioning

confidence: 99%

“The Forgotten People:” Analyzing the Invisible, Intersectional Discrimination Against Metis Women

Jia

2023

J Stud Res

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The Metis is a group of indigenous peoples in Canada. Having experienced centuries of injustices, beginning with colonialism dating back to the 16th century, culminating with military defeats in the 1800s and the establishment of residential schools, and continuing with structural injustices in the 21st century, Metis people have long been, and continue to be marginalized and made invisible in the Canadian society. In particular, Metis women born between 1997 and 2012 face intersectional discrimination based on not only race, but also a multitude of identity factors, including gender, age, geographical location, health, sexual orientation, and lateral violence from First Nations peoples. The multilayered oppression against young Metis women is made invisible to mainstream society, which can be explained by several theories, including color-blind racism, collective shame, lack of understanding of intersectionality, and Mauvaise foi (bad faith). To address the invisible, intersectional discrimination against young Metis women, several suggestions and possibilities could be considered. These include amending the education system, fostering group affiliation, bringing structural changes to federal policies and funding system, and cooperating with other indigenous nations such as First Nations and Inuit to constitute a stronger social power.

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“It’s not like I’m more Indigenous there and I’m less Indigenous here.”: urban Métis women’s identity and access to health and social services in Toronto, Canada

Cited by 12 publications

References 16 publications

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

Indigenous approaches to perinatal mental health: a systematic review with critical interpretive synthesis

“I would just like to see more acknowledgement, respect and services for the people who are in between, just Métis people”: recommendations by Métis women to improve access to health and social services in Victoria, Canada

“The Forgotten People:” Analyzing the Invisible, Intersectional Discrimination Against Metis Women

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