Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers

Following the 2016 Horse River Wildfire in northern Alberta, the provincial health authority, the ministry of health, non-profit and charitable organizations, and regional community-based service agencies mobilized to address the growing health and mental health concerns among Indigenous residents a...

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Autores principales:	Kayla M. Fitzpatrick, T. Cameron Wild, Caillie Pritchard, Tara Azimi, Tara McGee, Jodi Sperber, Lorraine Albert, Stephanie Montesanti
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	wildfire health systems responsiveness service provision Indigenous health disaster recovery psychosocial supports Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f228af283c7b4f48b614b57299561fd2
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spelling	oai:doaj.org-article:f228af283c7b4f48b614b57299561fd22021-12-02T07:25:03ZHealth Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers2296-256510.3389/fpubh.2021.723613https://doaj.org/article/f228af283c7b4f48b614b57299561fd22021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.723613/fullhttps://doaj.org/toc/2296-2565Following the 2016 Horse River Wildfire in northern Alberta, the provincial health authority, the ministry of health, non-profit and charitable organizations, and regional community-based service agencies mobilized to address the growing health and mental health concerns among Indigenous residents and communities through the provision of services and supports. Among the communities and residents that experienced significant devastation and loss were First Nation and Métis residents in the region. Provincial and local funding was allocated to new recovery positions and to support pre-existing health and social programs. The objective of this research was to qualitatively describe the health systems response to the health impacts following the wildfire from the perspective of service providers who were directly responsible for delivering or organizing health and mental wellness services and supports to Indigenous residents. Semi-structured qualitative interviews were conducted with 15 Indigenous and 10 non-Indigenous service providers from the Regional Municipality of Wood Buffalo (RMWB). Interviews were transcribed verbatim and a constant comparative analysis method was used to identify themes. Following service provider interviews, a supplemental document review was completed to provide background and context for the qualitative findings from interviews. The document review allowed for a better understanding of the health systems response at a systems level following the wildfire. Triangulation of semi-structured interviews and organization report documents confirmed our findings. The conceptual framework by Mirzoev and Kane for understanding health systems responsiveness guided our data interpretation. Our findings were divided into three themes (1) service provision in response to Indigenous mental health concerns (2) gaps in Indigenous health-related services post-wildfire and (3) adopting a health equity lens in post-disaster recovery. The knowledge gained from this research can help inform future emergency management and assist policy and decision makers with culturally safe and responsive recovery planning. Future recovery and response efforts should consider identifying and addressing underlying health, mental health, and emotional concerns in order to be more effective in assisting with healing for Indigenous communities following a public health emergency such as a wildfire disaster.Kayla M. FitzpatrickT. Cameron WildCaillie PritchardTara AzimiTara McGeeJodi SperberLorraine AlbertStephanie MontesantiStephanie MontesantiFrontiers Media S.A.articlewildfirehealth systems responsivenessservice provisionIndigenous healthdisaster recoverypsychosocial supportsPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	wildfire health systems responsiveness service provision Indigenous health disaster recovery psychosocial supports Public aspects of medicine RA1-1270
spellingShingle	wildfire health systems responsiveness service provision Indigenous health disaster recovery psychosocial supports Public aspects of medicine RA1-1270 Kayla M. Fitzpatrick T. Cameron Wild Caillie Pritchard Tara Azimi Tara McGee Jodi Sperber Lorraine Albert Stephanie Montesanti Stephanie Montesanti Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
description	Following the 2016 Horse River Wildfire in northern Alberta, the provincial health authority, the ministry of health, non-profit and charitable organizations, and regional community-based service agencies mobilized to address the growing health and mental health concerns among Indigenous residents and communities through the provision of services and supports. Among the communities and residents that experienced significant devastation and loss were First Nation and Métis residents in the region. Provincial and local funding was allocated to new recovery positions and to support pre-existing health and social programs. The objective of this research was to qualitatively describe the health systems response to the health impacts following the wildfire from the perspective of service providers who were directly responsible for delivering or organizing health and mental wellness services and supports to Indigenous residents. Semi-structured qualitative interviews were conducted with 15 Indigenous and 10 non-Indigenous service providers from the Regional Municipality of Wood Buffalo (RMWB). Interviews were transcribed verbatim and a constant comparative analysis method was used to identify themes. Following service provider interviews, a supplemental document review was completed to provide background and context for the qualitative findings from interviews. The document review allowed for a better understanding of the health systems response at a systems level following the wildfire. Triangulation of semi-structured interviews and organization report documents confirmed our findings. The conceptual framework by Mirzoev and Kane for understanding health systems responsiveness guided our data interpretation. Our findings were divided into three themes (1) service provision in response to Indigenous mental health concerns (2) gaps in Indigenous health-related services post-wildfire and (3) adopting a health equity lens in post-disaster recovery. The knowledge gained from this research can help inform future emergency management and assist policy and decision makers with culturally safe and responsive recovery planning. Future recovery and response efforts should consider identifying and addressing underlying health, mental health, and emotional concerns in order to be more effective in assisting with healing for Indigenous communities following a public health emergency such as a wildfire disaster.
format	article
author	Kayla M. Fitzpatrick T. Cameron Wild Caillie Pritchard Tara Azimi Tara McGee Jodi Sperber Lorraine Albert Stephanie Montesanti Stephanie Montesanti
author_facet	Kayla M. Fitzpatrick T. Cameron Wild Caillie Pritchard Tara Azimi Tara McGee Jodi Sperber Lorraine Albert Stephanie Montesanti Stephanie Montesanti
author_sort	Kayla M. Fitzpatrick
title	Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
title_short	Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
title_full	Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
title_fullStr	Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
title_full_unstemmed	Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers
title_sort	health systems responsiveness in addressing indigenous residents' health and mental health needs following the 2016 horse river wildfire in northern alberta, canada: perspectives from health service providers
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/f228af283c7b4f48b614b57299561fd2
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Health Systems Responsiveness in Addressing Indigenous Residents' Health and Mental Health Needs Following the 2016 Horse River Wildfire in Northern Alberta, Canada: Perspectives From Health Service Providers

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