Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use
Background Indigenous Peoples in Canada experience health disparities, including higher rates of chronic pain. Many report distrust of the health system due to factors such as racial discrimination. A lack of appreciation and respect for Indigenous knowledges further contributes to feelings of alien...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2024-05-01
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| Series: | Canadian Journal of Pain |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2025.2469213 |
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| author | Andrew Koscielniak Natalie Zur Nedden Yaadwinder Shergill Teresa Trudeau-Magiskan Marinna Read Alycia Benson Lana Ray Andrew Smith Virginia McEwen Paul Francis Alex Falcigno Tyler Drawson Andrea Furlan Christopher Mushquash Patricia A. Poulin |
| author_facet | Andrew Koscielniak Natalie Zur Nedden Yaadwinder Shergill Teresa Trudeau-Magiskan Marinna Read Alycia Benson Lana Ray Andrew Smith Virginia McEwen Paul Francis Alex Falcigno Tyler Drawson Andrea Furlan Christopher Mushquash Patricia A. Poulin |
| author_sort | Andrew Koscielniak |
| collection | DOAJ |
| description | Background Indigenous Peoples in Canada experience health disparities, including higher rates of chronic pain. Many report distrust of the health system due to factors such as racial discrimination. A lack of appreciation and respect for Indigenous knowledges further contributes to feelings of alienation. In 2022–2023, we offered the first Project Extension for Community Healthcare Outcomes (Project ECHO) Indigenous Chronic Pain and Substance Use Health (ICP&SU) to health care providers interested in improving chronic pain care with and for Indigenous Peoples in Canada. The program reflects a Two-Eyed Seeing approach weaving together Indigenous and Western approaches to chronic pain and substance use health care.Aims We describe the development and implementation of Project ECHO ICP&SU.Methods Following guidance from the project Elder, we use storytelling, centered around the metaphor of weaving, to discuss the conception and implementation of Project ECHO ICP&SU. We also describe our engagement in sharing circles and ceremonies to share stories, knowledges, and lessons learned.Results With strong Anishinaabe leadership, the program was implemented as intended and reached 121 health care professionals. Lessons learned included an overt recognition of the influence of different structures and institutions on programs and for a culturally safer development and evaluation frameworks for future Project ECHOs to improve care with and for Indigenous Peoples.Conclusions Project ECHO can be a vehicle to enact Truth and Reconciliation Calls to Action through weaving relationships and knowledges to create culturally safer institutions and practices to improve chronic pain, substance use health, and wellness, with and for Indigenous Peoples. |
| format | Article |
| id | doaj-art-67f33a28b228460da9f60d98f5cb204f |
| institution | Kabale University |
| issn | 2474-0527 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj-art-67f33a28b228460da9f60d98f5cb204f2025-08-21T13:20:49ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272024-05-018210.1080/24740527.2025.2469213Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance useAndrew Koscielniak0Natalie Zur Nedden1Yaadwinder Shergill2Teresa Trudeau-Magiskan3Marinna Read4Alycia Benson5Lana Ray6Andrew Smith7Virginia McEwen8Paul Francis9Alex Falcigno10Tyler Drawson11Andrea Furlan12Christopher Mushquash13Patricia A. Poulin14Indigenous Health, N’doo’owe Binesi, St. Joseph’s Care Group, Thunder Bay, CanadaDepartment of Anesthesiology & Pain Medicine, Ottawa Hospital Research Institute, Ottawa, CanadaDepartment of Anesthesiology & Pain Medicine, Ottawa Hospital Research Institute, Ottawa, CanadaKa-Na-Chi-Hih (To Keep One Sacred), Thunder Bay, CanadaKa-Na-Chi-Hih (To Keep One Sacred), Thunder Bay, CanadaIndigenous Health, N’doo’owe Binesi, St. Joseph’s Care Group, Thunder Bay, CanadaHealth Disciplines, Athabasca University, Athabasca, CanadaPain and Addiction Medicine, Centre for Addiction and Mental Health, Toronto, CanadaChronic Pain Management Program, St. Joseph’s Care Group, Thunder Bay, CanadaIndigenous Health, N’doo’owe Binesi, St. Joseph’s Care Group, Thunder Bay, CanadaChronic Pain Management Program, St. Joseph’s Care Group, Thunder Bay, CanadaChronic Pain Management Program, St. Joseph’s Care Group, Thunder Bay, CanadaUniversity of Toronto, Toronto, CanadaInterventional Pain Service, Thunder Bay Regional Health Sciences Centre, Thunder Bay, CanadaDepartment of Anesthesiology & Pain Medicine, Ottawa Hospital Research Institute, Ottawa, CanadaBackground Indigenous Peoples in Canada experience health disparities, including higher rates of chronic pain. Many report distrust of the health system due to factors such as racial discrimination. A lack of appreciation and respect for Indigenous knowledges further contributes to feelings of alienation. In 2022–2023, we offered the first Project Extension for Community Healthcare Outcomes (Project ECHO) Indigenous Chronic Pain and Substance Use Health (ICP&SU) to health care providers interested in improving chronic pain care with and for Indigenous Peoples in Canada. The program reflects a Two-Eyed Seeing approach weaving together Indigenous and Western approaches to chronic pain and substance use health care.Aims We describe the development and implementation of Project ECHO ICP&SU.Methods Following guidance from the project Elder, we use storytelling, centered around the metaphor of weaving, to discuss the conception and implementation of Project ECHO ICP&SU. We also describe our engagement in sharing circles and ceremonies to share stories, knowledges, and lessons learned.Results With strong Anishinaabe leadership, the program was implemented as intended and reached 121 health care professionals. Lessons learned included an overt recognition of the influence of different structures and institutions on programs and for a culturally safer development and evaluation frameworks for future Project ECHOs to improve care with and for Indigenous Peoples.Conclusions Project ECHO can be a vehicle to enact Truth and Reconciliation Calls to Action through weaving relationships and knowledges to create culturally safer institutions and practices to improve chronic pain, substance use health, and wellness, with and for Indigenous Peoples.https://www.tandfonline.com/doi/10.1080/24740527.2025.2469213Indigenous healthchronic painsubstance useTwo-Eyed Seeingcultural safetyfor project extension for community health care outcomes |
| spellingShingle | Andrew Koscielniak Natalie Zur Nedden Yaadwinder Shergill Teresa Trudeau-Magiskan Marinna Read Alycia Benson Lana Ray Andrew Smith Virginia McEwen Paul Francis Alex Falcigno Tyler Drawson Andrea Furlan Christopher Mushquash Patricia A. Poulin Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use Canadian Journal of Pain Indigenous health chronic pain substance use Two-Eyed Seeing cultural safety for project extension for community health care outcomes |
| title | Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use |
| title_full | Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use |
| title_fullStr | Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use |
| title_full_unstemmed | Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use |
| title_short | Two-Eyed Seeing in action: Project extension for community health outcomes – Indigenous chronic pain & substance use |
| title_sort | two eyed seeing in action project extension for community health outcomes indigenous chronic pain substance use |
| topic | Indigenous health chronic pain substance use Two-Eyed Seeing cultural safety for project extension for community health care outcomes |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2025.2469213 |
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