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Étude qualitative de la vision et des besoins des jeunes du Nunavik en matière de santé mentale et aperçu de la réponse fournie par les organismes du milieu

Publication: Canadian Journal of Community Mental Health
18 Décembre 2019

Résumé

Les Inuit du Nunavik, suite aux changements sociaux considérables auxquels ils font face, vivent des difficultés importantes de santé mentale. L’objectif de cette recherche est d’explorer la vision qu’ont les jeunes Inuit de la santé mentale et de vérifier si les services offerts par les organismes locaux comblent leurs besoins. Pour ce faire, 5 jeunes adultes de 18 à 25 ans ont été recrutés. Par le biais de Photovoice, ils ont illustré leur définition de la santé mentale. Neuf entrevues semi-structurées ont été menées auprès d’intervenantes et d’intervenants clés oeuvrant au sein d’organismes du milieu. Par une analyse thématique, utilisant les théories de Maslow et de Bronfenbrenner, la vision des jeunes a été analysée ainsi que le rôle de chaque organisme. Une compréhension de leur vision de la santé mentale en ressort et celle-ci est essentielle afin que les ressources mises à leur disposition puissent fournir une réponse culturellement appropriée. Ainsi, il sera possible, en partenariat avec la communauté, de déterminer les actions à prioriser à l’avenir.

Abstract

As a result of substantial cultural and social changes occurring in their once isolated world, the Inuit of Nunavik now face significant mental health challenges. The objective of this research is to explore Inuit youth’s vision of mental health and to determine whether the services offered by local organizations meet their needs. To do this, 5 young adults aged 18 to 25 were recruited. Through Photovoice, they illustrated their understanding and perception of mental health. Nine semi-structured interviews were then conducted with key workers in local organizations. Through a thematic analysis based on Maslow’s and Bronfenbrenner’s theories, the young people’s vision was analyzed, along with the role of each organization. An understanding of the Inuit’s vision of mental health emerges, and it is essential that local service providers share this understanding so that their response can be culturally appropriate. In this way, it will be possible, in partnership with the community, to determine which actions to prioritize in the future.

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References

Alianait Inuit-Specific Mental Wellness Task Group. (2007). Alianait Inuit mental wellness action plan. Ottawa, ON : Inuit Tapiriit Kanatami. Récupéré de https://www.itk.ca/wp-content/uploads/2009/12/Alianait-Inuit-Mental-Wellness-Action-Plan-2009.pdf
Anctil, M. et Rochette, L. (2008). Qanuippitaa? Comment allons-nous? Enquête de santé auprès des Inuits du Nunavik 2004 : les faits saillants. Québec : Institut national de santé publique du Québec / Régie régionale de la santé et des service sociaux du Nunavik. Récupéré de http://www.inspq.qc.ca/pdf/publications/775_ESIFaitsSaillants.pdf
Auclair G. and Sappa M. 2012 Mental health in Inuit youth from Nunavik: Clinical considerations on a transcultural, interdisciplinary, community-oriented approach Journal de l’Académie canadienne de psychiatrie de l’enfant et de l’adolescent 21 2 124 -126 Récupéré de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3338178/
Bird E. K.-R. 2011 Health, education, language, dialect, and culture in First Nations, Inuit, and Métis communities in Canada: An overview Canadian Journal of Speech-Language Pathology and Audiology 35 2 110 -124
Bjerregaard P. and Curtis T. 2002 Cultural change and mental health in Greenland: The association of childhood conditions, language, and urbanization with mental health and suicidal thoughts among the Inuit of Greenland Social Science & Medicine 54 1 33 -48 https://doi.org/10.1016/s0277-9536(01)00005-3
Blanchet, L., Laurendeau, M.-C., Paul, D. et Saucier, J.-F. (1993). La prévention et la promotion en santé mentale : préparer l’avenir. Boucherville, QC : Gaëtan Morin.
Braun V. and Clarke V. 2006 Using thematic analysis in psychology Qualitative Research in Psychology 3 2 77 -101 https://doi.org/10.1191/1478088706qp063oa
Breton A., Dufour S., and Lavergne C. 2012 Les enfants autochtones en protection de la jeunesse au Québec : Leur réalité comparée à celles des autres enfants Criminologie 45 2 157 -185 https://doi.org/10.7202/1013724ar
Bronfenbrenner, U. (1994). Ecological models of human development. Dans T. Husén et T. N. Postlethwaite (dir.), International encyclopedia of education (2e éd., Tome 3, p. 1643–1647). Oxford, Angleterre : Pergamon.
Caldwell J. Y., Davis J. D., Du Bois B., Echo-Hawk H., Erickson J. S., Coins R. T., and Stone J. B. 2005 Culturally competent research with American Indians and Alaska Natives: Findings and recommendations of the first symposium of the Work Group on American Indian Research and Program Evaluation Methodology American Indian and Alaska Native Mental Health Research 12 1 1 -21 https://doi.org/10.5820/aian.1201.2005
Campbell, C. D. et Evans-Campbell, T. (2011). Historical trauma and Native American child development and mental health: An overview. Dans M. C. Sarche, P. Spicer, P. Farrell et H. E. Fitzgerald (dir.), American Indian and Alaska Native children and mental health: Development, context, prevention, and treatment (p. 1–26). Santa Barbara, CA : Praeger/ABC-CLIO.
Cargo M., Grams G. D., Ottoson J. M., Ward P., and Green L. W. 2003 Empowerment as fostering positive youth development and citizenship American Journal of Health Behavior 27 Suppl. 1 S66 -S79 https://doi.org/10.5993/AJHB.27.1.s1.7
Castleden H. and Garvin T. 2008 Modifying Photovoice for community-based participatory Indigenous research Social Science & Medicine 66 6 1393 -1405 https://doi.org/10.1016/j.socscimed.2007.11.030
Chandler M. J. and Lalonde C. 1998 Cultural continuity as a hedge against suicide in Canada’s First Nations Transcultural Psychiatry 35 2 191 -219 https://doi.org/10.1177/136346159803500202
Cotton, M.-È. (2014, 7 mai). Interprétations religieuses et traditionnelles à la maladie chez les Inuits. Midi-conférence du Progamme Grand Nord, Institut universitaire en santé mentale Douglas, Montréal, QC.
de la Sablonnière R., Saint-Pierre F. P., Taylor D. M., and Annahatak J. 2011 Cultural narratives and clarity of cultural identtity: Understanding the well-being of Inuit youth Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health 9 2 301 -322
Desjardins, N., D’Amours, G., Poissant, J., Manseau, S., Foro, A. et Beauregard, D. (2008). Avis scientifique sur les interventions efficaces en promotion de la santé mentle et en prévention des troubles mentaux. Québec : Institut national de santé publique du Québec. Récupéré de http://www.inspq.qc.ca/pdf/publications/789_Avis_sante_mentale.pdf
Drew S. E., Duncan R. E., and Sawyer S. M. 2010 Visual storytelling: A beneficial but challenging method for health research with young people Qualitative Health Research 20 12 1677 -1688 https://doi.org/10.1177/104973231037745
Evans-Campbell T. 2008 Historical trauma in American Indian/Native Alaska communities: A multilevel framework for exploring impacts on individuals, families, and communities Journal of Interpersonal Violence 23 3 316 -338 https://doi.org/10.1177/0886260507312290
Hergenrather K. C., Rhodes S. D., Cowan C. A., Bardhoshi G., and Pula S. 2009 Photovoice as community-based participatory research: A qualitative review American Journal of Health Behavior 33 6 686 -698 https://doi.org/10.5993/ajhb.33.6.6
Instituts de recherche en santé du Canada. (2016). Plan stratégique de l’Institut de la santé des Autochtones des IRSC 2014–2016. Ottawa, ON : Auteur. Récupéré de http://www.cihr-irsc.gc.ca/f/49589.html
Jacklin K. and Kinoshameg P. 2008 Developing a participatory Aboriginal health research project: “Only if it’s going to mean something.” Journal of Empirical Research on Human Research Ethics 3 2 56 -68 https://doi.org/10.1525/jer.2008.3.2.53
Kirmayer L. J. 2007 Psychotherapy and the cultural concept of the person Transcultural Psychiatry 44 2 232 -257 https://doi.org/10.1177/1363461506070794
Kirmayer L. J. 2012a Changing patterns in suicide among young people Canadian Medical Association Journal 184 9 1015 -1016 https://doi.org/10.1503/cmaj.120509
Kirmayer L. J. 2012b Rethinking cultural competence Transcultural Psychiatry 49 2 149 -164. https://doi.org/10.1177/1363461512444673
Kirmayer L. J., Boothroyd L. J., and Hodgins S. 1998 Attempted suicide among Inuit youth: Psychosocial correlates and implications for prevention Revue canadienne de psychiatrie 43 8 816 -822
Kirmayer L. J., Brass G. M., and Tait C. L. 2000 The mental health of Aboriginal peoples: Transformations of identity and community Revue canadienne de psychiatrie 45 7 607 -616
Kirmayer L. J., Fletcher C. M., and Boothroyd L. J. 1997 Inuit attitudes toward deviant behavior: A vignette study Journal of Nervous and Mental Disease 185 2 78 -86 https://doi.org/10.1097/00005053-199702000-00003
Kirmayer L. J., Simpson C., and Cargo M. 2003 Healing traditions: Culture, community and mental health promotion with Canadian Aboriginal peoples Australasian Psychiatry Suppl.1 S15 -S23 https://doi.org/10.1046/j.1038-5282.2003.02010.x
Kral, M. J. & Idlout, L. (2009). Community wellness and social action in the Canadian Arctic: Collective agency as subjective well-being. Dans L. J. Kirmayer et G. G. Valaskakis (dir.), Healing traditions. The mental health of Aboriginal peoples in Canada. (pp. 315–334). Vancouver : University of British Columbia Press.
Kral M. J., Idlout L., Minore J. B., Dyck R. J., and Kirmayer L. J. 2011 Unikkaartuit: Meanings of well-being, unhappiness, health, and community change among inuit in Nunavut, Canada American Journal of Community Psychology 48 3–4 426 -438 https://doi.org/10.1007/s10464-011-9431-4
Lessard, L., Bergeron, O., Fournier, L. et Bruneau, S. (2008). Étude contextuelle sur les services de santé mentale au Nunavik. Québec : Institut national de santé publique du Québec. Récupéré de https://www.inspq.qc.ca/pdf/publications/868_SanteMentalNunavik.pdf
Loppie Reading, C. et Wien, F. (2009). Inégalités en matière de santé et détermiants sociaux de la santé des peuples autochtones. Prince George, BC : Centre de collaboration nationale de la santé autochtone. Récupéré de http://www.nccah-ccnsa.ca/Publications/Lists/Publications/Attachments/46/Health Inequalities & Social Determinants of Aboriginal Peoples’ Health (French).pdf
Maslow, A. H. (2008). Devenir le meilleur de soi-même (tr. L. Nicolaeff). Paris, France : Eyrolles.
Mikkonen, J. et Raphael, D. (2011). Déterminants sociaux de la santé : les réalités canadiennes (tr. L. Alessi). Toronto, ON : Université York, École de gestion et de politique de la santé. Récupéré de http://www.thecanadianfacts.org/Les_realites_canadiennes.pdf
Ministère de la Santé et des Services sociaux du Québec (avec la collaboration de l’Institut national de santé publique du Québec et l’Institut de la statistique du Québec). (2011). Pour guider l’action : portrait de la santé du Québec et de ses régions : les statistiques. Québec : Gouvernement du Québec. Récupéré de http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2011/11-228-03W.pdf
Morin E. and Lafortune D. 2008 L’agression sexuelle à l’égard des mineurs en territoires nordiques : perceptions des intervenants Revue canadienne de santé mentale communautaire 27 1 93 -110
Mueller, C. (2006). Breaking the ice: Qallunaat teachers’ journeys to Nunavik (Thèse de doctorat). Université McGill, Montréal, QC. Récupéré de http://digitool.library.mcgill.ca/R/?func=dbin-jump-full&object_id=102816&local_base=GEN01-MCG02
O’Neil, J. D. (1986). Colonial stress in the Canadian Arctic: An ethnography of youth adults changing. Dans C. R. Janes (dir.), Anthropology and epidemiology (Tome 9, p. 249–274): Dordrecht, Pays-Bas : D. Reidel.
Palibroda, B. (avec Krieg, B., Murdock, L. et Havelock, J.). (2009). A practical guide to Photovoice: Sharing pictures, telling stories and changing communities. Winnipeg, MB : Praire Women’s Health Centre of Excellence. Récupéré de http://www.pwhce.ca/photovoice/pdf/Photovoice_Manual.pdf
Plourde C., Brunelle N., and Landry M. 2010 Faire face à l’usage de substances psychoactives au Nunavik : amalgame de traditions et pratiques modernes Drogues, santé et société 9 1 77 -120 https://doi.org/10.3406/oss.2010.1392
Plourde, C., Brunelle, N. et Landry, M. (2011). Alcohol and drug use in Nunavik: Converging views of the future. Québec, QC : Presses de l’Université Laval.
Régie régionale de la Santé et des Services sociaux du Nunavik. (2011). Rapport annuel 2010– 2011. Kuujjuaq, QC : Auteur. Récupéré de https://nrbhss.ca/sites/default/files/2010_2011_Rapport annuel 2010 2011 Francais WEB EDITION.pdf
Richmond C. A. M. and Ross N. A. 2008 Social support, material circumstance and health behaviour: Influences on health in First Nation and Inuit communities of Canada Social Science & Medicine 67 9 1423 -1433 https://doi.org/10.1016/j.socscimed.2008.06.028
Smokowski P. R., Evans C. B. R., Cotter K. L., and Webber K. C. 2014 Ethnic identity and mental health in American Indian youth: Examining mediation pathways through self-esteem, and future optimism Journal of Youth and Adolescence 43 3 343 -355 https://doi.org/10.1007/s10964-013-9992-7
Société Makivik. (2007). Nunavik at a glance. Coup d’oeil sur le Nunavik. Kuujjuaq, QC : Auteur.
Tester F. J. and McNicoll P. 2004 Isumagijaksaq: Mindful of the state: Social constructions of Inuit suicide Social Science & Medicine 58 12 2625 -2636 https://doi.org/10.1016/j.socscimed.2003.09.021
Wexler L. M. 2006 Inupiat youth suicide and culture loss: Changing community conversations for prevention Social Science & Medicine 63 11 2938 -2948 https://doi.org/10.1016/j.socscimed.2006.07.022
Wexler L. M., Eglinton K., and Gubrium A. 2014 Using digital stories to understand the lives of Alaska Native young people Youth & Society 46 4 478 -504 https://doi.org/10.1177/0044118X12441613
Williams L. and Mumtaz Z. 2008 Being alive well? Power-knowledge as a countervailing force to the realization of mental well-being for Canada’s Aboriginal young people International Journal of Mental Health Promotion 10 4 21 -31 https://doi.org/10.1080/14623730.2008.9721773
Wolsko C., Lardon C., Hopkins S., and Ruppert E. 2006 Conceptions of wellness among the Yup’ik of the Yukon- Kuskokwim Delta: The vitality of social and natural connection Ethnicity & Health 11 4 345 -363 https://doi.org/10.1080/13557850600824005

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 38Number 3November 2019
Pages: 1 - 17

History

Version of record online: 18 Décembre 2019

Mots-clés

  1. Inuit
  2. Nunavik
  3. Photovoice
  4. santé mentale
  5. changements sociaux

Key Words

  1. Inuit
  2. Nunavik
  3. Photovoice
  4. mental health
  5. social change

Authors

Affiliations

Gentiane Perrault Sullivan [email protected]
Georgia Vrakas
Université du Québec à Trois-Rivières

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