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Behind the Pandemic in Aboriginal Communities - Interagency ...

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Card Key Issues Affect<strong>in</strong>g Vulnerability Suggested Questions and ProbesArmand • Lack of appropriate addiction treatment services exists <strong>in</strong> rural communities.• Some faith-based social services impose <strong>the</strong>ir religious beliefs on service userswhich can create a barrier.• Armand’s desire for secrecy <strong>in</strong>creases social isolation and chances of depressionand/or us<strong>in</strong>g aga<strong>in</strong> if he has been clean for a while.• Armand has feel<strong>in</strong>gs of be<strong>in</strong>g judged by <strong>the</strong> religious-based service organization.How is Armond’s access to addictionservices affected by <strong>the</strong> religious beliefs of<strong>the</strong> organization provid<strong>in</strong>g <strong>the</strong> service?Charlie • Youth <strong>in</strong> <strong>the</strong> community are vulnerable.• The community is geographically isolated. There may be few positive socialand recreational options for youth. There may be high levels of poverty <strong>in</strong> <strong>the</strong>community.• Little support exists for adolescent parents to cont<strong>in</strong>ue <strong>the</strong>ir education.• Teacher has little tra<strong>in</strong><strong>in</strong>g <strong>in</strong> sexuality education and isn’t comfortable talk<strong>in</strong>gabout <strong>the</strong> subject.• Available resources are not culturally competent or up-to-date.• Limited access to <strong>the</strong> Internet affects access to <strong>in</strong>formation.What does a “fly-<strong>in</strong> community” mean?What might be some of <strong>the</strong> positives andnegatives for young people associated withliv<strong>in</strong>g <strong>in</strong> a “fly-<strong>in</strong> community”?What might be some of <strong>the</strong> cultural barriersor taboos faced when address<strong>in</strong>g sexualitywith Aborig<strong>in</strong>al teens?Jane • Community regularly floods – possibly due to climate change or damm<strong>in</strong>g ofnearby rivers.• Inadequate hous<strong>in</strong>g exists; <strong>the</strong>re is <strong>in</strong>sufficient money to upgrade.• Dr<strong>in</strong>k<strong>in</strong>g water supply is unsafe.• The extreme challenges of <strong>the</strong> physical environment create vulnerability – i.e.,avoid<strong>in</strong>g HIV <strong>in</strong>fection is not <strong>the</strong> biggest concern.How does <strong>the</strong> quality of one’s hous<strong>in</strong>g andaccess to dr<strong>in</strong>k<strong>in</strong>g water affect one’s HIVvulnerability?Jill • Doctor does not understand <strong>the</strong> importance of traditional medic<strong>in</strong>e and heal<strong>in</strong>gpractices for his patient or how such practices can compliment Western medic<strong>in</strong>e.• Racism and a feel<strong>in</strong>g of superiority of Western medic<strong>in</strong>e are implied by doctor.Ramona • Laws create unsafe conditions for street-level sex workers.• There exists high levels of violence aga<strong>in</strong>st sex workers with limited access tojustice.How might what <strong>the</strong> specialist said affect<strong>the</strong> relationship with Jill?What do you th<strong>in</strong>k <strong>the</strong> specialist meant tocommunicate? What could <strong>the</strong> specialisthave said differently?94

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