Behind the Pandemic in Aboriginal Communities - Interagency ...

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Card Key Issues Affecting Vulnerability Suggested Questions and ProbesTori • Family environment is chaotic and often unsafe.• Leaving school early has implications for Tori’s long-term earning ability.• School was not a good experience for Tori. Many schools are not set up toadequately support students living in adverse conditions. Tori may haveexperienced racialization and/or not felt connected with the curriculum.• Tori has few options for economic and emotional support.• Gangs may use gender-based violence and unsafe sex acts.What do gangs provide for their membersthat many feel is missing in their lives?Valerie(andMartin)Community• HIV and HIV stigma affect people’s partners and children.• HIV programs and services are often set up for individuals.• Women living with HIV often put the needs of their children and partner beforetheir own.Jennifer • Transphobia and/or lack of understanding of transgender people in Jennifer’shome community and social services.• Racism and lack of understanding of Aboriginal people in social service sectormake it difficult for Jennifer to access services• Jennifer has migrated, perhaps in hopes of acceptance, anonymity and betteraccess to services.• Jennifer has inadequate financial resources and social support.• Lack of negotiating power within survival relationships.Mary • Social assistance payments are often insufficient to cover one’s basic needs.• People who rely on social assistance may be forced to live in substandard housingand/or unsafe neighbourhoods.• Many rural Aboriginal communities have insufficient housing stock resulting inovercrowding.• Mary fears exists that she, her children, or her family will be stigmatized if shereturns to her home community.• If Mary moves back home, the added stresses on the family could impact familydynamics.• Mary may have limited access to specialized medical attention, services andpharmacists in her home community.How will moving ‘home’ affect her healthcare and her well-being?What sort of stresses might it place on hercommunity if she moves home?92
Card Key Issues Affecting Vulnerability Suggested Questions and ProbesMichelle • Michelle likely has trauma related to witnessing gender-based violence in herhome, her aunt’s alcoholism and verbal abuse.• Lack of positive examples of healthy relationships.• Migration.• Chaotic life.• Difficulties completing high school.• Unclear whether the relationship with the man is healthy.How might childhood trauma contribute toHIV vulnerability?How does witnessing gender-based violencecontribute to girls’ HIV vulnerability?Natalie • Natalie does not feel accepted in Aboriginal communities.• Natalie wants to reject her Aboriginal identity because of this rejection.• Identity confusion exists.How might the alienation that multiracialyouth sometimes face contribute to theirHIV vulnerability?Paula (andHarry)• There exists a lack of long-term sustainable employment opportunities in Paula’shome community.• Separation from one’s family and living in isolation increases the likelihood thatmigrant labourers will visit sex workers, have an affair, or use substances.What makes it difficult for couples to discusstheir sexual practices and health?Rebecca • Transphobia.• Impact of transphobia on mental health.How does anxiety affect people’s choicesabout sex and substance use?SystemicAdam • Adam feels pressured to get tattooed in prison, possibly to fit in.• Anti-tattoo policies are common in prisons. Tattooing continues covertly withunsafe equipment and conditions.• Such policies make prisoners and their families vulnerable to HIV.What are some reasons that prisoners mayget tattoos even though the equipment isunsafe and they may be punished if caught?Andrew • Trauma related to childhood experiences of neglect or abuse.• Trauma related to being removed from his family, removed from his communityand culture, and transferred between homes.• Stress related to coping with a significant transition.• Insufficient preparation and support for independent living.• Insufficient funds from Child Welfare System.• Weak social support network.• Weak ties to his Aboriginal culture and community.How does coping with stressful situationsaffect one’s vulnerability to HIV?93
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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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Systemic LevelSystemic LevelSystemi
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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 90 and 91: 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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