Therapeutic landscapes of home: Exploring Indigenous peoples' experiences of a Housing First intervention in Winnipeg
Therapeutic landscapes of home: Exploring Indigenous peoples' experiences of a Housing First intervention in Winnipeg
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DOI：
10.1016/j.socscimed.2015.10.057
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发表时间：
2015-12-01
影响因子：
5.4
通讯作者：
Distasio, Jino
中科院分区：
文献类型：
--
作者：
Alaazi, Dominic A.;Masuda, Jeffrey R.;Distasio, Jino
在本文中，我们探讨土著的文化，地方和健康的参与者之间的一个具有里程碑意义的加拿大住房第一倡议：在家里/Chez Soi（AHCS）项目。AHCS于2009年至2013年在温尼伯和其他四个加拿大城市实施，是一项多城市随机对照试验，旨在测试住房第一作为解决精神疾病患者长期无家可归问题的模式的有效性。由于温尼伯无家可归的人口70%以上是土著人，因此作出了重大努力，以适应该项目土著参与者在文化上具体的健康、精神和生活方式偏好。虽然从干预的角度来看是一个艰巨的挑战，但温尼伯的经验也提供了一个独特的机会，可以研究土著参与者的经验如何为加拿大改善住房和心理健康政策提供信息。在我们的研究中，独立于AHCS项目进行，但得到了AHCS项目的认可，我们利用案例研究的方法来探索该项目的土著参与者的经验。通过与土著参与者（N = 14）和关键线人项目工作人员和调查人员（N = 6）进行深入的定性访谈收集数据。我们的探索性工作表明，尽管对AHCS的干预相对满意，但原住民在城市中的地位感在很大程度上仍然与他们的住房体验脱节。我们发现，结构性因素，特别是负担得起的住房短缺和从城市社会文化和政治景观中系统地消除印第安人，对土著人民的地方感和家园感产生了不利影响。(C)2015爱思唯尔有限公司版权所有。
In this paper, we explore Indigenous perspectives of culture, place, and health among participants in a landmark Canadian Housing First initiative: At Home/Chez Soi (AHCS) project. Implemented from 2009 to 2013 in Winnipeg and four other Canadian cities, AHCS was a multi-city randomized control trial that sought to test the effectiveness of Housing First as a model for addressing chronic homelessness among people living with mental illnesses. As Winnipeg's homeless population is over 70% Indigenous, significant efforts were made to accommodate the culturally specific health, spiritual, and lifestyle preferences of the project's Indigenous participants. While a daunting challenge from an intervention perspective, Winnipeg's experience also provides a unique opportunity to examine how Indigenous participants' experiences can inform improved housing and mental health policy in Canada. In our study, conducted independently from, but with endorsement of the AHCS project, we utilized a case study approach to explore the experiences of the project's Indigenous participants. Data were collected by means of in-depth qualitative interviews with Indigenous participants (N = 14) and key informant project staff and investigators (N = 6). Our exploratory work demonstrates that despite relative satisfaction with the AHCS intervention, Indigenous peoples' sense of place in the city remains largely disconnected from their housing experiences. We found that structural factors, particularly the shortage of affordable housing and systemic erasure of Indigeneity from the urban sociocultural and political landscape, have adversely impacted Indigenous peoples' sense of place and home. (C) 2015 Elsevier Ltd. All rights reserved.