Background Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities, and close gaps in services through processes that place value on and supports Indigenous communities' rights to self-determination and control. The MWP involves collecting and using local data to develop and implement community-specific mental wellness strategies in five First Nations in Ontario. Methods The MWP has four key phases. Phase 1 (data collection) includes a community-wide survey to understand MSV issues, service needs and community strengths; in-depth interviews with individuals with lived experiences with MSV issues to understand, health system strengths, service gaps and challenges, as well as individual and community resilience factors; and focus groups with service providers to improve understanding of system weaknesses and strengths in addressing MSV. Phase 2 (review and synthesis) involves analysis of results from these local data sources and knowledge-sharing events to identify a priority area for strategic development based on local strengths and need. Phase 3 (participatory action research approach) involves community members, including persons with lived experience, working with the community and local service providers to develop, implement, and evaluate the MWP to address the selected priority area. Phase 4 (share) is focused on developing and implementing effective knowledge-sharing initiatives. Guidelines and models for building the MWP are shared regionally and provincially through forums, webinars, and social media, as well as cross-community mentoring. Discussion MWP uses local community data to address MSV challenges by building on community supports and resilience factors. Drawing on local data and each community's system of formal and informal supports, the program includes sharing exemplary knowledge-to-action models and wellness strategies developed by and for First Nations people that can be used by other First Nations to identify shared wellness priorities in each community, and determine and execute next steps in addressing areas of main concern.

中文翻译：

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以社区驱动和基于证据的方法制定原住民心理健康战略：计划协议。


背景 心理健康、物质使用/成瘾和暴力 (MSV) 是影响加拿大原住民福祉的重要问题。本文概述了名为“心理健康计划”(MWP) 的从研究到行动计划的协议。 MWP 旨在通过重视和支持土著社区自决和控制权的进程，提高社区能力，促进社区之间的关系建设，并缩小服务差距。 MWP 涉及收集和使用当地数据，以制定和实施安大略省五个原住民社区特定的心理健康战略。方法 MWP 有四个关键阶段。第一阶段（数据收集）包括社区范围内的调查，以了解 MSV 问题、服务需求和社区优势；对具有 MSV 问题生活经验的个人进行深入访谈，以了解卫生系统的优势、服务差距和挑战，以及个人和社区的复原力因素；与服务提供商进行焦点小组讨论，以加深对系统在解决 MSV 方面的弱点和优势的了解。第二阶段（审查和综合）涉及对这些本地数据源和知识共享活动的结果进行分析，以根据本地优势和需求确定战略发展的优先领域。第三阶段（参与式行动研究方法）涉及社区成员，包括有生活经验的人，与社区和当地服务提供商合作，制定、实施和评估 MWP，以解决选定的优先领域问题。第四阶段（共享）的重点是制定和实施有效的知识共享计划。 通过论坛、网络研讨会、社交媒体以及跨社区指导，在区域和省级共享建立 MWP 的指南和模型。讨论 MWP 使用当地社区数据，通过社区支持和复原力因素来应对 MSV 挑战。该计划利用当地数据以及每个社区的正式和非正式支持系统，包括分享由原住民开发并为原住民制定的示范性知识到行动模型和健康策略，其他原住民可以使用这些模型来确定每个社区共同的健康优先事项。社区，并确定和执行解决主要关注领域的后续步骤。