We are goin g to look today at 3 things A paper A flowchart of intervention from another project A recently developed tool chosen to be developed and distributed nationally
The Association has been involved in 3 promising approaches projects commissioned by the Public Health Agebn cy of canada – littlke research, no stnadards of evidence based practice, few tools for FN, none culturally appropriate that we know of
Using term as entry point for FN (abuse a harsh word-avoids denial) Interpersonal engagement resulting in co-creation of meaning-has to be more culturally safe
Continual ‘conversations that matter’ as relationships have grown; extracting themes and issues; framing and reframing what we understand for feedback; listening carefully to expressions of issues and interests and needs; Asking what would help, offering our models for consideration in a very gentle way. Based on refelxive learning process-using aciton learning cycle
Finding showed there were virtually no tools to use with adult abuse situations. No tools available which were culturally appropriate and aimed at adult abuse. Further, people asked for a process to follow in intervening-this was generally not established in the communities we talked to ; if available outside communities -were not known within communities. Matched feedback from other source-VIHA work, Assoc work, BLI thinking Explain last point
Found processes and protocols/procedures are underdeveloped in communities we spoke to-looking for both; don’t re-invent the wheel. Most cases handled on case by case basis- hangover of emotional impact of these cases is extensive…can only go so far in intervening. Need to be able to explain larger picture- An additional piece to the BLI Tool; preceded it as process to guide use of tools generally. Tool fits within-people tell us they need both .
Here is a critical question that gets asked all the way along the ‘flow’ of this flowchart… Each person has a role, inside and outside of the community
Ovals are ‘start’ and ‘end’ points Diamonds are points of decision Boxes are roles or processes Raised bumps are where cultural safety is considered / darker bumps=more safety (I would say cultural safety needs to be considered throughout in different ways)
Practical application of the approach In the absence of other tools why not develop??
re·spect (r -sp kt ) tr.v. re·spect·ed , re·spect·ing , re·spects 1. To feel or show deferential regard for; esteem. 2. To avoid violation of or interference with: respect the speed limit. 3. To relate or refer to; concern. n. 1. A feeling of appreciative, often deferential regard; esteem. See Synonyms at regard . 2. The state of being regarded with honor or esteem. 3. Willingness to show consideration or appreciation.
Cultural safety – poster by Ball in every SW office… Recommend Assembly of First Nations Wholistic Planning and Policy model, balance wheel cultural framework used to assess data form aborig sources by aborig researchers to interpret and substantiate aboriginal health indicators – status. Used questions reflecting fundamental questions as indentified by AFN for health determinants. Trying to avoid re-authoring aboriginal concepts or practices-interpret through other eyes in addition to ours
Last spring somebody asked ‘what would it take to turn this paper / approach into a tool for front line use in intervening?” A concrete tool to help frontline workers engage with clients, families and communities in a critical, reflexive and culturally safe way Based on concepts and questions indicated by AFN culutural framework- an aboriginal lens lens to look at aboriginal health data informed by quesitons about health determinants Based on all other concepts in paper. Paper underpinned an approach – tool is by contrast the intervention
Being least Intrusive Paper: available at www.bccrns.ca