In Indigenous peoples health: supporting the root causes of f - - PowerPoint PPT Presentation

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In Indigenous peoples health: supporting the root causes of f - - PowerPoint PPT Presentation

Mar 21, 2024 383 likes •746 views

In Indigenous peoples health: supporting the root causes of f wellness through pri rimary ry care transformation Dr. Danile Behn Smith, MD, CCFP-EM, Certified Functional Medicine Practitioner, Indigenous Health Physician Advisor to

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In Indigenous peoples health: supporting the root causes of f wellness through pri rimary ry care transformation

  • Dr. Danièle Behn Smith, MD, CCFP-EM, Certified Functional Medicine

Practitioner, Indigenous Health Physician Advisor to B.C.’s Provincial Health Officer First Nations Health Authority – Mental Health and Wellness Summit May 24th, 2019

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Starting in a good way …

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I started thinking about the intersection of Indigenous wellness and primary care almost 20 years ago.

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Over the last twenty years I have come to believe that:

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Being healthy and well means being in harmony and balance in mind, body and spirit and with all of our relations.

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Humility, gratitude, respect, ceremony, land, language and food are good medicines.

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Self-determination is the key determinant of health.

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Structural and systemic Canadian colonial practices and policies undermine and interfere with our ability to be healthy, vibrant and self-determining.

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The current renewal that is underway in B.C.’s primary care system is is a tremendous opportunity to promote healthy, vib ibrant, , self lf-determining In Indig igenous in indiv ividuals, , famili ilies and communities by:

Healthy, vibrant, self- determining

Status Quo Indigenous wellness Root causes Two-eyed seeing models

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My lens on Indigenous wellness and primary care has been shaped by many key events:

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

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My primary care training embodied the harms of the status quo:

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

"Medicine and health always sees itself as benevolent and caring for people. It's not true for many Indigenous people, it's a violent encounter.“ Dr. Barry Lavallee

Accessed May 21st, 2019 at CBC https://www.cbc.ca/news/canada/manitoba/winnipeg-brian-sinclair-report-1.4295996

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Indigenous medicine and healers taught me about Indigenous healing beliefs and systems.

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

Being healthy and well means being in harmony and balance in mind, body and spirit and with all

  • f our relations.

Humility, gratitude, respect, ceremony, land, language and food are good medicines.

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Indigenous healers and medicines taught me that “Our lives are in the land” …

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

Christi Belcourt, Our Lives are in the Land, 2014.

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Indigenous healers and medicines taught me that “Our lives are in the land” …

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

Christi Belcourt, Our Lives are in the Land, 2014.

“The plants are teachers. They are connected to each other, and all other spiritual beings through the sacredness of life. When I remember who I am – a human being connected to all of life – I remember also that I am loved by the spirit world and our ancestors. And when I remember this, I remember to respect even the smallest of things.” Christi Belcourt, 2018.

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Getting sick and being disabled forced me to create a “new circle of medicine” for myself:

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

Lisa Boivin, Sharing Bioethics, 2018.

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Functional medicine is a model of primary care that can support two-eyed seeing.

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

Lisa Boivin, Sharing Bioethics, 2018.

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Functional medicine is a model of primary care that aligns with Indigenous beliefs of health and wellness.

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Functional medicine requires practitioners to “gather oneself” and engage in self-reflection.

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

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Functional medicine honors people’s stories and helps them make meaning of their health journey.

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

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Functional medicine holds space for strengths and illuminates barriers to wellness.

Primary care training Indigenous healing Sickness and disability Functional medicine healing Public health

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The functional medicine model illuminates the need to move WAY up stream.

Primary care training Indigenous healing Sickness and disability Functional medicine healing

Public health

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The functional medicine model illuminates the need to move WAY up stream.

Primary care training Indigenous healing Sickness and disability Functional medicine healing

Public health

Norval Morrisseau (Anishinaabe 1931-2007) Children with Tree of Life acrylic on canvas

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The functional medicine model illuminates the need to move WAY up stream.

Primary care training Indigenous healing Sickness and disability Functional medicine healing

Public health

STRUCTURAL SYSTEMS PROXIMAL

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In order to promote Indigenous wellness through primary care transformation we must arrest racism, white supremacy and social exclusion.

Healthy, vibrant, self- determining

Status Quo Indigenous wellness

Root causes

Two-eyed seeing models

Kent Monkman, The Daddies, 2017.

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“White fragility continues to hold racism in place.”

Accessed May 21, 2019 at www.robindiangelo.com

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White Fragility

“Though white fragility is triggered by discomfort and anxiety, it is born of superiority and entitlement.” Di’Angelo.

Settler colonialism Settler benefits Segregation

Racial insulation Decreased racial stamina

Defensive responses

Reinstate dominance

Healthy, vibrant, self- determining

Status Quo Indigenous wellness

Root causes

Two-eyed seeing models

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Socially constructed race affects our proximal determinants of health such as:

STRUCTURAL SYSTEMS PROXIMAL

  • Whether we survive birth
  • Which careers we will have
  • Where we are most likely to live
  • How much money we will earn
  • Schools we will attend
  • How healthy we will be
  • Who our friends and partners

will be

  • How long we can expect to live
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In order to promote Indigenous wellness, we must arrest racism, white supremacy and social exclusion.

Healthy, vibrant, self- determining

Status Quo Indigenous wellness

Root causes

Two-eyed seeing models

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The current renewal that is underway in B.C.’s primary care system is is a tremendous opportunity to promote healthy, vib ibrant, , self lf-determining In Indig igenous in indiv ividuals, , famili ilies and communities by:

Healthy, vibrant, self- determining

Status Quo Indigenous wellness Root causes Two-eyed seeing models

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Lisa Boivin, U of T, Indigenous Bioethicist and Artist

In the next two weeks I commit to circular learning about …

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Mussi cho

  • Dr. Danièle Behn Smith

daniele.behnsmith@gov.bc.ca

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