Etter Meghan, Goose Annie, Nossal Margot, Chishom-Nelson Jessica, Heck Carly, Joober Ridha, Boksa Patricia, Lal Shalini, Shah Jai L, Andersson Neil, Iyer Srividya N, Malla Ashok
ACCESS Open Minds Ulukhaktok, Ulukhaktok, Northwest Territories, Canada.
Inuvialuit Regional Corporation, Inuvik, Northwest Territories, Canada.
Early Interv Psychiatry. 2019 Jun;13 Suppl 1(Suppl Suppl 1):35-41. doi: 10.1111/eip.12816.
To describe a community-specific and culturally coherent approach to youth mental health services in a small and remote northern Indigenous community in Canada's Northwest Territories, under the framework of ACCESS Open Minds (ACCESS OM), a pan-Canadian youth mental health research and evaluation network.
As 1 of the 14 Canadian communities participating in a 5-year, federally funded service transformation and evaluation project, the arctic Inuit community of Ulukhaktok has undertaken culturally relevant adjustments in their delivery of youth mental wellness services and related community wellness initiatives. These enhancement activities highlight connections to culture and traditional skills, honour youth- and community-expressed desires to incorporate Inuvialuit-specific approaches to wellness, and strengthen the support systems to improve access to mainstream mental healthcare, when needed. The adaptation of a Lay Health Worker model from Global Mental Health to the local circumstances resulting in creation of lay community health workers is central to this approach in meeting contextual needs.
Community leaders identified key activities for sustainable change, including human capital development, authentic collaboration and diversified engagement strategies. Building around five ACCESS OM objectives, the local site team in Ulukhaktok has identified its youth programming and mental wellness service gaps through an ongoing process of community mapping.
Information from service providers, youth and other community members demonstrates attuning of the ACCESS OM framework to Inuit paradigms in Ulukhaktok. It could prove to be a sustainable prototype for delivering youth mental health services in other communities in the Inuvialuit Settlement Region and possibly across the entire Inuit Nunangat. It needs, however, to be further supported by easier access to specialized mental health services when needed.
在全加拿大青年心理健康研究与评估网络“ACCESS 开放心灵”（ACCESS OM）的框架下，描述加拿大西北地区一个偏远的小型北方原住民社区针对青年心理健康服务所采取的特定于社区且符合文化习俗的方法。
作为参与一项由联邦政府资助的为期 5 年的服务转型与评估项目的 14 个加拿大社区之一，乌鲁哈克托克的北极因纽特社区在提供青年心理健康服务及相关社区健康倡议方面进行了与文化相关的调整。这些强化活动突出了与文化及传统技能的联系，尊重青年和社区表达的将因努伊特人特有的健康方法纳入其中的愿望，并加强了支持系统，以便在需要时改善获得主流心理医疗服务的机会。将全球心理健康领域的非专业健康工作者模式因地制宜改编为当地的非专业社区健康工作者，是该方法满足实际需求的核心。
社区领袖确定了实现可持续变革的关键活动，包括人力资本开发、真正的合作以及多样化的参与策略。围绕“ACCESS OM”的五个目标，乌鲁哈克托克的当地项目团队通过持续的社区规划过程，确定了其青年项目和心理健康服务方面的差距。
来自服务提供者、青年及其他社区成员的信息表明，“ACCESS OM”框架已与乌鲁哈克托克的因纽特人范式相契合。它可能成为在因努伊特人定居区的其他社区乃至整个因努伊特努纳武特地区提供青年心理健康服务的可持续典范。然而，在需要时还需更便捷地获得专业心理健康服务，以提供进一步支持。
