PDF(Pubmed)
Abstract：
Globally and historically, Indigenous healthcare is efficacious, being rooted in Traditional Healing (TH) practices derived from cosmology and place-based knowledge and practiced on the land. Across Turtle Island, processes of environmental dispossession and colonial oppression have replaced TH practices with a colonial, hospital-based system found to cause added harm to Indigenous Peoples. Growing Indigenous health inequities are compounded by a mental health crisis, which begs reform of healthcare institutions. The implementation of Indigenous knowledge systems in hospital environments has been validated as a critical source of healing for Indigenous patients and communities, prompting many hospitals in Canada to create Traditional Healing Spaces (THSs). After ten years, however, there has been no evaluation of the effectiveness of THSs in Canadian hospitals in supporting healing among Indigenous Peoples. In this paper, our team describes THSs within the Center for Addiction and Mental Health (CAMH), Canada\'s oldest and largest mental health hospital. Analyses of 22 interviews with hospital staff and physicians describe CAMH\'s THSs, including what they look like, how they are used, and by whom. The results emphasize the importance of designating spaces with and for Indigenous patients, and they highlight the wholistic benefits of land-based treatment for both clients and staff alike. Transforming hospital spaces by implementing and valuing Indigenous knowledge sparks curiosity, increases education, affirms the efficacy of traditional healing treatments as a standard of care, and enhances the capacity of leaders to support reconciliation efforts.
摘要：
在全球和历史上，土著医疗保健是有效的，植根于源自宇宙学和基于地点的知识并在土地上实践的传统治疗（TH）实践。穿过海龟岛，环境剥夺和殖民压迫的过程已经用殖民地取代了TH的做法，以医院为基础的系统被发现对土著人民造成了额外的伤害。日益增长的土著健康不平等现象因心理健康危机而加剧，这意味着医疗机构的改革。在医院环境中实施土著知识系统已被验证为土著患者和社区康复的重要来源，促使加拿大的许多医院创建传统的治疗空间（THS）。十年后,然而,没有对加拿大医院中THS在支持土著人民康复方面的有效性进行评估。在本文中,我们的团队描述了成瘾和心理健康中心（CAMH）内的THS，加拿大最古老和最大的精神健康医院。对医院工作人员和医生的22次访谈的分析描述了CAMH的THS，包括它们的样子,它们是如何使用的，和谁。结果强调了为土著患者指定空间的重要性，他们强调了陆基治疗对客户和员工的整体利益。通过实施和评估土著知识来改变医院空间，激发好奇心，增加教育，确认传统治疗方法作为护理标准的功效，并增强领导人支持和解努力的能力。
