✎✎✎ Describe The Causes And Effects Of Complex Disability And Conditions

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Describe The Causes And Effects Of Complex Disability And Conditions



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Common Developmental Disabilities in Children

The papers selected for inclusion were coded following similar categories used by Wilson and Young [ 22 ] and Young [ 23 ] in their reviews of Indigenous health research. The categories used includes: Indigenous identity group, geographic location, age-sex, residential school attendance, and health status. A description of each category is provided below. Data extraction was carried out by one of the researchers in an Excel database and was verified by another team member.

Although we distinguish specific types of health outcomes resulting from personal experiences and the intergenerational impacts of residential schooling, it is important to acknowledge that these outcomes do not occur independently, but exist in complex relationships with other effects [ 24 ]. Social, cultural, and spiritual effects of residential schools are often associated with physical, mental, and emotional health [ 24 ]. For the purposes of categorizing the types of outcomes described in the studies reviewed, it was necessary to impose somewhat arbitrary categories of physical health, mental health and emotional well-being, and general health, as described below.

In addition, for the purposes of this review, suicide and suicide attempts or thoughts were also classified with mental health. General health: A category related to general overall health was also included for papers that did not make references to a specific health outcome. For this review, we examined two aspects of geography. Firstly, we determined if the studies referred to Indigenous populations living on First Nations reserves, Footnote 1 Northern communities, non-reserve rural areas, or in urban areas. Secondly, we identified the province or territory of focus in the paper. The health outcomes associated with residential school attendance might be different for men and women, or boys and girls.

Residential school attendance was classified as either personal attendance or familial attendance i. As depicted in Fig. The details of each study included in the review were provided in a chart and can be found in Table 2. The majority of papers were published in and later, with the exception of one published in Their sample sizes ranged from 1 to 51, and involved children, youth, and adults. Often, studies included men and women, various Indigenous identities, several geographic locations, and personal and familial residential school attendance. The majority of studies, 43, included First Nations. A total of 14 studies were conducted using national level Canadian data. Seven studies focused on Atlantic Canada; two were conducted in Newfoundland, one in Nova Scotia, one in New Brunswick, and two in the Atlantic region.

Six studies were conducted in Quebec, ten studies took place in Ontario, and one in Central Canada. In Western Canada, eight studies took place in Manitoba, eight in Saskatchewan, ten in Alberta, 13 in British Columbia, one in the prairies, and three in Western Canada. Additionally, a few studies were conducted in the territories, with two taking place in the Northwest Territories, and six in Nunavut. Two studies did not specify a geographic location and two were conducted in the USA. Twenty-four studies considered Indigenous peoples living on-reserve, while 23 involved those living off-reserve. Study participants living off-reserve can be further categorized as living in rural or remote areas, northern communities, or urban areas.

Seventeen studies indicated that their participants were from a rural or remote location, 14 included participants in northern communities, and 24 focused on urban populations. Both males and females were represented in the research with 48 studies including both men and women. Five studies included only women, and one solely looked at males. Regarding age, 46 studies included individuals over the age of 18, whereas 15 included children and youth under the age of Nine studies did not include information on the age of participants.

In terms of residential school attendance, 42 of the studies reviewed included residential school attendees themselves personal attendance and 38 examined the effects of having a parent or other family members who had attended familial attendance. Four studies did not indicate who had attended residential school. General health : It is evident from the results of this review that personal or familial e. Twelve papers used self-reported health or general quality of life as an outcome measure and found that people who had attended residential schools generally felt as though their health or quality of life had been negatively impacted. While this may be attributed to other factors such as aging within the population, the role of residential schools cannot be dismissed [ 26 ].

Hackett et al. For example, some studies have found better overall reported health among those with family members who attended see, e. Feir [ 29 ]. Physical health : Physical health problems, namely chronic health conditions and infectious diseases, were also apparent in the literature. Thirteen papers related specific physical health conditions to residential school attendance. In a study by Ghosh [ 30 ], participants stated that their experiences at residential school impacted their diets through the higher consumption of carbohydrates, a factor the authors relate to the higher rates of diabetes among this population today.

Howard [ 31 ] found similar results and suggested that residential schooling contributed to the urbanization of Indigenous peoples in Canada, which has led to diabetes and other problems. Dyck and colleagues also reported that those who attended residential school had a slightly higher prevalence of diabetes than those who did not, although the finding was not statistically significant [ 32 ]. Corrado and Cohen found that many First Nations people who had personally attended residential schools reported suffering from physical ailments including, chronic headaches, heart problems, and arthritis [ 5 ].

Mental health and emotional well-being : Mental health, and particularly emotional well-being, was the area of health most commonly identified as affected by residential school attendance. Forty-three studies reviewed found that personal or intergenerational residential school attendance was related to mental health issues such as mental distress, depression, addictive behaviours and substance misuse, stress, and suicidal behaviours. For example, Walls and Whitbeck [ 38 ] noted that early lifetime stressors such as residential school attendance are negatively associated with mental health among adults.

Corrado and Cohen [ 5 ] found that among residential school Survivors, all but two suffered from mental health issues such as PTSD, substance abuse disorder, major depression, and dysthymic disorder. Anderson [ 39 ] found that residential school attendance among Inuit men was related to mental distress. Familial residential school attendance has been associated with lower self-perceived mental health and a higher risk of distress and suicidal behaviours [ 28 ].

Intergenerational effects were found by Stout [ 40 ] among women who had parents or grandparents attend residential schools, with women reporting that familial attendance at residential school had had an enduring impact on their lives and mental health. Substance abuse and addictive behaviours have also been identified as common among those impacted by residential schools. In a study conducted by Varcoe and Dick [ 36 ], a participant associates her drinking and drug use to the sexual, physical, emotional, and mental abuse experienced at residential school.

Suicide and suicidal thoughts and attempts were associated with personal and familial residential school attendance in several papers. Elias and colleagues [ 41 ] found that residential school attendees who suffered abuse were more likely to have a history of suicide attempts or thoughts. Furthermore, non-attendees who had a history of abuse were more likely to report having familial residential school attendance, suggesting that residential schooling might be important in the perpetuation of a cycle of victimization. Youth 12—17 years participating in the on-reserve First Nations Regional Health Survey who had at least one parent who attended residential school reported increased suicidal thoughts compared to those without a parent that attended [ 42 ].

In general, the empirical literature further documented the wide ranging negative effects of residential schools that had previously been identified by Survivors themselves [ 15 ] and confirmed that residential schooling is likely an important contributor to the current health conditions of Indigenous populations in Canada. The studies included revealed a range of poorer physical, mental and emotional, and general health outcomes in both residential school attendees and their families compared with those without these experiences.

This included evidence of poorer general health, higher risk of chronic conditions such as diabetes, as well as infectious diseases such as STIs. Many of the studies related residential schooling to poorer mental health, including depressions and substance misuse. The regional and historical variations in the implementation of residential schooling [ 10 ] would lead us to expect geographic variability in these effects. While only one study reviewed examined these differences, it is indicated that variation in health status among community members may be related to various colonial histories in different areas [ 43 ].

Importantly, given the vast consequences and predominately negative impact of attendance at these schools, the literature reviewed suggests that younger generations continue to experience the negative health consequences associated with residential schooling. Some of the papers were able to identify specific intergenerational effects, including higher risk of negative outcomes for those whose parents or grandparents attended, whether they themselves were residential school Survivors [ 9 ].

Others only considered whether family members had attended, suggesting that the effects are clustered within families, rather than isolating the intergenerational transmission of trauma related to residential schooling. Overall, the newness of the literature indicates that this is a recent and growing area of research. One of the likely consequences of this is that much of the research reviewed was correlational, and few studies explicitly examined the mechanisms that connected residential school experience to health outcomes.

Although some of the studies examining mental health identified substance use resulting from a need to cope with psychological pain [ 44 , 45 , 54 ] or to provide individuals with feelings of regaining power and control [ 45 ], most of the studies of physical health effects or general health did not attempt to unpack the range of proximate and mediating factors in the causal chain between residential schooling and the health of Survivors or of their family members. A strength of this review is that it was conducted systematically and provides methodological accounts to ensure the transparency of the findings.

Additionally, the findings of this research highlight the extent and range of the available literature on this important topic in health and suggest areas that require further research. It is important to acknowledge its limitations, however. Firstly, while a scoping review provides a rapid summary of a range of literature, it does not include an appraisal of the quality of the studies included nor provide a synthesis of the data. The lasting effects of residential schooling on the current Indigenous population are complicated and stretch through time and across generations.

This would include more research that examines how the effects of residential schooling are mediated or moderated by other social and cultural determinants. For example, the use of ecological frameworks would help researchers and health professionals gain a deeper understanding of how the various levels of context in which the high rates of diseases such as obesity and diabetes have developed have themselves been shaped by colonial policies and by residential schooling in particular.

The findings from this scoping review highlight the importance of considering government policies and historical context as critical to understanding the contemporary health and well-being of Indigenous peoples. As Kirmayer, Tait and Simpson [ 47 ] note, this includes other colonial policies, forms of cultural oppression, loss of autonomy, and disruption of traditional life, as well as residential schooling. Better knowledge of how the effects of these historically traumatic events continue to affect communities and individuals may help inform both population health interventions and the care and treatment of individuals.

Moreover, identifying the characteristics and conditions of those individuals and communities who have been resilient to the effects of residential schooling may contribute to promoting appropriate supports to limit the transmission of these effects. Gracey M, King M. Indigenous health part 1: determinants and disease patterns. Article PubMed Google Scholar. National Aboriginal Health Organization. Ways of knowing: A framework for health research. Google Scholar. Adelson N.

The embodiment of inequity: health disparities in aboriginal Canada. J Public Health. Reading J, Elias B. Chapter 2—an examination of residential schools and elder health. Ottawa: Aboriginal Healing Foundation; Healing traditions: culture, community and mental health promotion with Canadian aboriginal peoples. Australas Psychiatry. Article Google Scholar. Bodirsky M, Johnson J. Decolonizing diet: healing by reclaiming traditional Indigenous foodways. Loppie Reading C, Wien F. The intergenerational effects of Indian residential schools: implications for the concept of historical trauma. Transcult Psychiatry. Truth and Reconciliation Commission of Canada.

Winnipeg: Truth and Reconciliation Commission of Canada; Accessed 27 Jan Rethinking resilience from Indigenous perspectives. Can J Psychiatry. Am J Drug Alcohol Abuse. Mental illness is a leading cause of disability. Untreated mental illness can cause severe emotional, behavioral and physical health problems. Complications sometimes linked to mental illness include:. There's no sure way to prevent mental illness. However, if you have a mental illness, taking steps to control stress, to increase your resilience and to boost low self-esteem may help keep your symptoms under control. Follow these steps:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

This content does not have an English version. This content does not have an Arabic version. Overview Mental illness, also called mental health disorders, refers to a wide range of mental health conditions — disorders that affect your mood, thinking and behavior. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Arlington, Va. Accessed April 8, Dual diagnosis.

National Alliance on Mental Illness. Practice Guidelines for the Psychiatric Evaluation of Adults. Accessed April 1, Understanding psychotherapy and how it works. American Psychological Association. Asher GN, et al. Complementary therapies for mental health disorders. Medical Clinics of North America. Complementary health approaches. As a result, inmates with mental illness in segregation are often subject to the most extreme conditions of confinement.

An Eighth Amendment challenge alleging deliberate indifference must satisfy both a subjective and objective test. Ruben, Disability Rights Vermont Full Transcript conclude that a prison official knew of a substantial risk from the very fact that the risk was obvious. Various courts have applied the two-prong deliberate indifference test to segregation claims brought by inmates with mental illness and found that segregation of this population violates the constitutional prohibition on cruel and unusual punishment.

For instance, in Madrid v. Together, these statutes provide non-constitutional causes of action to challenge placement in segregation on the basis of mental illness, prolonged stays in segregation due to symptoms of mental illness, and the limitation and denial of access to services and programs to inmates in segregation with mental illness. However, much more work needs to be done to help those inmates with mental illness who are locked up and locked down in segregation.

Although prison advocates are employing a multitude of tactics to pressure departments of corrections to effect reform, it remains difficult for inmates in segregation to navigate the complex grievance and judicial process, and reach resources and organizations on the outside to assist with legal claims. This lack of access to advocates results in the continuation of inmates in segregation facing prolonged isolation in harmful conditions. Thus, this report concludes with a call to action and a series of recommendations. They are also intended to add a disability perspective to the ongoing conversation about prison conditions, and inform national policymakers about the unique issues faced by inmates with mental illness.

The cell has a grate in the floor where inmates relieve themselves. A black and white drawing of a wrinkled face with one eye, by inmate David Troupe.

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