Behind the Pandemic in Aboriginal Communities - Interagency ...

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Card Key Issues Affecting Vulnerability Suggested Questions and ProbesAll Cards • Colonization• Intergenerational trauma• Poverty• Systemic racism1. Who in this card is vulnerable to HIV?2. What are the ways they could contractHIV?3. What are the factors that make themvulnerable?4. What are the root causes of thesefactors?IndividualAaron • Homophobia among family, high school, and home community.• Racism within mainstream gay culture.• Lack of positive role models of Aboriginal gay men.• Identity confusion: Aaron is having difficulties reconciling his Aboriginal identitywith his sexual identity.• Substance use to cope with stress.• Aarom has migrated to the city, which has provided an opportunity to explore hissexual identity.• Questionable healthiness of Aaron’s relationship with the older men.Carla • Misconceptions about sex and HIV risk.• Insufficient and ineffective sexual health education.• Carla has difficulties talking with her mother about sexuality and sexual health.What are some possible challenges facingAboriginal youth in determining their sexualorientation?What is at the root of some tensionswith diverse sexualities in Aboriginalcommunities – both urban and rural?Frankie • Many people – including professionals – are unaware of transgender identitiesand issues.• Frankie has little support to help him understand his gender identity.• Frankie’s family has little support to help them understand their son’s genderidentity and how to support him.Fred • Doctor is not aware of the social issues that may be affecting his patients’ lives.• Low literacy level affects Fred’s ability to understand how to take his medications.• Fred’s shame about not being able to read is a barrier to asking for help.• Fred’s fear of being stigmatized as a result of his HIV status is a barrier to askingfor help.• Poverty affects the kind of shelter Fred can access.What is the difference between sex andgender?How does one’s literacy affect one’spotential to be a self-determined individual?What kinds of things could be in place at thedoctor’s office to ensure that patients trulyunderstand directions and feel safe to askquestions?90
Card Key Issues Affecting Vulnerability Suggested Questions and ProbesFamilyJacques • Even though Jacques is highly motivated to attend post-secondary school, he facessignificant barriers to making his dream come true.• Educational attainment is a key determinant of one’s earning ability. Incomelevels significantly affect one’s health and well-being.• Students who are single parents often require additional support, such as qualityday care and clean and accessible housing in a safe neighbourhood.What are some of the barriers that Jacquesfaces in getting his degree?How does one’s education affect one’shealth?Jessica • Poverty affects where families can find housing. Poor families are often forced tolive in unsafe neighbourhoods in overcrowded and substandard housing.• Jessica’s aunt may be coping with her own history of trauma and may notunderstand the harm she is doing to her niece.• High prevalence of violence and substance misuse exists in the neighbourhood.• Adolescents have limited access to information about safer injecting and cleaninjecting equipment.What are some possible root causes thatwould cause an aunt to encourage her nieceto try drugs?JP (JeanPierre)• JP had many traumatic childhood experiences, including abuse and/or neglectin his family of origin, being taken into care, and being moved between fosterhomes.• Probable alienation from JP’s community and culture when adopted by a Whitefamily.• JP is confused about his identity and may not have someone who can supporthim to understand his Aboriginal identity and navigate racism.• Lack of understanding by adoptive parents of JP’s experiences of racialization.• Limited vocabulary for naming and discussing his experiences and emotions.• Overly authoritarian parenting style.• JP has been compelled to migrate. He may not have a support network in the cityand adequate financial resources.• The adoption has broken down.What is adoption breakdown and how doesit affect adoptees?What may face JP if he tries to becomeinvolved in the Native community/non-Native community?What may face JP if he tries to reunite withhis birth family?Mark • Unresolved trauma exists among residential school survivors.• This family conflict is really about the feelings arising as a result of the informationsession; people are not coping well with memories/feelings and are dealing withthese memories/feelings in a dysfunctional way.Why might the conversations aboutresidential school cause conflict in Mark’sfamily?How do family troubles contribute to youngpeople’s vulnerability to HIV?91
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Facilitator’s Materials..........
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What is this Educational Resource f
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experienced traumatic life events s
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Getting Ready to Facilitate this Ed
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Table 1: Potential Audiences and Ad
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Overview of Workshop AgendaOutlined
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WorkshopEtiquette(Social Norms)5 Mi
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Fred’s Story:LandscapeThinking(co
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Facilitator’s Note:It is possible
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Facilitator’s Note:Resiliency mea
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Participant MaterialsActivity Mater
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Individual LevelIndividual LevelInd
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Family LevelIndividual LevelFamily
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Family LevelFamily LevelFamily Leve
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Community LevelCommunity LevelCommu
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Community LevelCommunity LevelCommu
Page 39 and 40: Systemic LevelSystemic LevelSystemi
Page 45 and 46: Systemic LevelArmand’s StoryArman
Page 47 and 48: Activity Materials: Resiliency Card
Page 49 and 50: Community Healing and Self-Determin
Page 51 and 52: Cultural ContinuityYou live in a co
Page 53 and 54: Building Community CapacityEveryone
Page 55 and 56: GIPA and ResearchA few years ago, t
Page 57: Handout #1: HIV Basics 11CATIE. 201
Page 62 and 63: 10/21/2010Activity Purpose• Incre
Page 65 and 66: 9/27/2010Activity InstructionsActiv
Page 67 and 68: 9/27/2010Questions for Vulnerabilit
Page 69 and 70: 9/27/2010Fred’s StoryHas no fridg
Page 71 and 72: 9/27/2010Understanding Health Inequ
Page 74 and 75: 9/27/2010Root Causes: BroaderDeterm
Page 76 and 77: 9/27/2010Broader Determinants ofAbo
Page 80 and 81: Facilitator’s Note:These backgrou
Page 82 and 83: Gender and Gender Inequalities• G
Page 84 and 85: approach must be undertaken with in
Page 86 and 87: through collaboration and shared re
Page 88 and 89: Diagram 1: Factors that affect HIVv
Page 92 and 93: Card Key Issues Affecting Vulnerabi
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Page 96 and 97: Individual LevelIssue Exploration T
Page 99 and 100: Card Key Protective Factors Suggest
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Page 103 and 104: Glossary
Page 105 and 106: Gender norms refer to the expectati
Page 107 and 108: About the AuthorsLia De Pauw, MHSc,
Page 109 and 110: Bouey, Paul D., and Betty E. S. Dur
Page 111 and 112: Public Health Agency Health of Cana
Page 113 and 114: Mill, Judy E., Randy C. Jackson, Ca
Page 115 and 116: Scanlon, K., Travers, R., Humberto,
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