https://www.indigenousmomandbaby.org/publications daily 0.75 2020-12-23 https://www.indigenousmomandbaby.org/publications/blog-post-title-four-he8ca monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/publications/blog-post-title-one-7gf6n monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/publications/blog-post-title-three-geezk monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/publications/blog-post-title-two-7w7ah monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/publications/hlyceyg9lahpquphpfbtw15smy1ain monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/publications/m4o1hkjslkqs82wtyba7xz7wtae24r monthly 0.5 2021-02-17 https://www.indigenousmomandbaby.org/maincopy daily 0.75 2021-06-17 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1621719413960-47PG02BOJQ00TN7WXAOV/Two+Row+Wampum+Design.jpg enter - Make it stand out The Two Row Wampum belt represents an agreement between the Haudenosaunee people and the settlers. The two purple rows signify each travelling through life side by side in a respectful way. The three white rows signify the relationship is founded on the principles of friendship and peace and that this agreement is to last forever. We, as health providers, have an obligation to this agreement, to treat our clients with respect and to build trusting relationships built upon friendship and peace. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616778511605-QTLT1T5UZMAWSZ1ZD64Z/image.jpg enter - Prioritize building trusting relationships Although the fast pace of health care may make it challenging, building trusting relationships with providers was important to mothers. Mothers who have experienced racism and discrimination may, justifiably, have difficulty trusting their providers. Clinicians can begin to foster trusting relationships by the following: Use effective communication skills: listen attentively to mothers’ concerns, explain assessments and treatments Involve parents in decision-making Validate parents’ concerns Promote confidentiality: ensure safe and private areas are available for sensitive conversations, ensure confidential information isn’t audible from reception areas https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616778482885-8TO7LJERC5NRMK3YLIS3/image.jpg enter - Take a sensitive and supportive approach to the involvement of child protection services (CPS) The involvement of child services is particularly traumatic for Indigenous families. Indigenous children are over-represented in the care of CPS (Truth and Reconciliation Commission, 2015). This reflects the continuing colonial control on Indigenous ways of parenting, and the history of residential schools and the Sixties Scoop, in which Indigenous children were forcibly removed from their families. Health providers can apply trauma and violence-informed care by the following: Provide respectful and nonjudgmental care, regardless of past involvement with child services Affirm parents’ strengths and abilities Advocate for the family, ensure Indigenous representation is present at meetings with child services Never threatening child services involvement as ‘punishment’ for missed or cancelled appointments. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616778454385-DKFDMMUNZ4HDZWF4OY1K/finance.jpg enter - Eliminate financial barriers to health care access Fee-for-use health services, expensive transportation costs and other fees can be a barrier for Indigenous parents seeking health care for their infants. These barriers might be mitigated by the following: Avoid charging patients for seeking attention at walk-in clinics Provide taxi vouchers, bus passes, or free parking when transportation costs are a barrier Connect families to programming that can provide tangible resources such as groceries, diapers and transportation vouchers when needed When possible, provide services that address contributors to social inequity. The Hamilton Regional Indian Centre is a fantastic example, providing an on-site high school program, free access to internet, and on-site employment counsellors. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616778566391-KF7GK3KX4TRGNNS7FUFV/flexible.jpg enter - Facilitate flexible appointments Many of the mothers had several children, and busy, complex lives that sometimes made it necessary for appointments to be cancelled or re-booked. Providers can make their practice more flexible by the following: Avoid punitive measures like charging a fee or de-rostering patients who miss or cancel appointments Offer home-visiting or virtual services so that parents do not have to worry about transportation or arranging child-care for their other children while they visit the clinic Offer complimentary on-site child-care services Provide alternative care options, such as same-day services, after-hours care, or on-call telephone or virtual triaging services to determine if urgent care is required. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616778588078-PVMZUSSOXCI8VCXGM9JO/11.png enter - Create welcoming and friendly clinics, and provide holistic care Mothers in this study appreciated when providers made such effort in their practice settings, for example: Warm, friendly receptionists who endeavour to remember family members’ names. Since receptionists are the first point of contact during a health visit, they set the tone for the clinic and the following healthcare encounter. Well-maintained, clean, accessible clinic environments — mothers interpreted the clinic environment as a reflection of how the clinician valued their patients. Acknowledging spiritual needs: offer access to spiritual care spaces and Indigenous Elders Acknowledge Indigenous traditional medicine and spirituality as integral components of health: connecting families to community spiritual/ cultural resources such as those provided by the Hamilton Friendship Centre (HRIC). https://www.indigenousmomandbaby.org/resources daily 0.75 2023-01-27 https://www.indigenousmomandbaby.org/about daily 0.75 2022-06-21 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/8b3697a3-87d0-4210-b100-9a9fba5ba96b/wampum+%281%29.jpg About - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.indigenousmomandbaby.org/advisory-board daily 0.75 2021-05-22 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608323937665-U4ECUX2BECYM3F9HZ5KA/shawna.png Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608527915414-MXBE4NB8O4OIK5VSJAWE/image-asset.png Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608527974330-6Q57XCXDW42XO4OYOMPY/image-asset.png Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608527999293-QFMH31ZCS0XH2GTVSOS6/image-asset.png Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608324038088-2JJRH0SHR4WFO7WLIQUA/image-asset.jpeg Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608324081467-4SEAE0KJ7H036OBAWGZ3/heather.png Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608750770206-18XY1GP3ABQRC8O2CEVV/image-asset.jpeg Advisory Board https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608323963800-31HLWWAKXPIIV91DG45Q/image-asset.png Advisory Board https://www.indigenousmomandbaby.org/cover-1 daily 0.75 2021-03-23 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1616522196954-IEU4ABRS2H6UJULZ07O8/image-asset.png cover https://www.indigenousmomandbaby.org/mental-health daily 0.75 2023-01-27 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608315965365-78C3VUFG5HVGHWA3XQQ2/mental+health.png mental health https://www.indigenousmomandbaby.org/enter daily 1.0 2022-11-07 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608346957945-96PY8IBGCTZ5FYDSOQNQ/image-asset.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608347011730-O2OOKWR04BLX9J87O48E/image-asset.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605565979299-A04COLAVSXZWI9F97Y6I/image-asset.png home - Prioritize building trusting relationships Although the fast pace of health care may make it challenging, building trusting relationships with providers was important to mothers. Mothers who have experienced racism and discrimination may, justifiably, have difficulty trusting their providers. Clinicians can begin to foster trusting relationships by the following: Use effective communication skills: listen attentively to mothers’ concerns, explain assessments and treatments Involve parents in decision-making Validate parents’ concerns Promote confidentiality: ensure safe and private areas are available for sensitive conversations, ensure confidential information isn’t audible from reception areas https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605566003226-64MTJI1XNHQ5L2TQZ9MI/image-asset.png home - Take a sensitive and supportive approach to the involvement of child protection services (CPS) The involvement of child services is particularly traumatic for Indigenous families. Indigenous children are over-represented in the care of CPS (Truth and Reconciliation Commission, 2015). This reflects the continuing colonial control on Indigenous ways of parenting, and the history of residential schools and the Sixties Scoop, in which Indigenous children were forcibly removed from their families. Health providers can apply trauma and violence-informed care by the following: Provide respectful and nonjudgmental care, regardless of past involvement with child services Affirm parents’ strengths and abilities Advocate for the family, ensure Indigenous representation is present at meetings with child services Never threatening child services involvement as ‘punishment’ for missed or cancelled appointments. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605566040084-XRTGOZDPZZW1ZX3D2ULG/7.png home - Eliminate financial barriers to health care access Fee-for-use health services, expensive transportation costs and other fees can be a barrier for Indigenous parents seeking health care for their infants. These barriers might be mitigated by the following: Avoid charging patients for seeking attention at walk-in clinics Provide taxi vouchers, bus passes, or free parking when transportation costs are a barrier Connect families to programming that can provide tangible resources such as groceries, diapers and transportation vouchers when needed When possible, provide services that address contributors to social inequity. The Hamilton Regional Indian Centre is a fantastic example, providing an on-site high school program, free access to internet, and on-site employment counsellors. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605566090448-42ISBLS3MRRKIF9LBEBR/image-asset.png home - Facilitate flexible appointments Many of the mothers had several children, and busy, complex lives that sometimes made it necessary for appointments to be cancelled or re-booked. Providers can make their practice more flexible by the following: Avoid punitive measures like charging a fee or de-rostering patients who miss or cancel appointments Offer home-visiting or virtual services so that parents do not have to worry about transportation or arranging child-care for their other children while they visit the clinic Offer complimentary on-site child-care services Provide alternative care options, such as same-day services, after-hours care, or on-call telephone or virtual triaging services to determine if urgent care is required. https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605566152533-EDZLEH206JF5A2R2UOAN/image-asset.png home - Create welcoming and friendly clinics, and provide holistic care Mothers in this study appreciated when providers made such effort in their practice settings, for example: Warm, friendly receptionists who endeavour to remember family members’ names. Since receptionists are the first point of contact during a health visit, they set the tone for the clinic and the following healthcare encounter. Well-maintained, clean, accessible clinic environments — mothers interpreted the clinic environment as a reflection of how the clinician valued their patients. Acknowledging spiritual needs: offer access to spiritual care spaces and Indigenous Elders Acknowledge Indigenous traditional medicine and spirituality as integral components of health: connecting families to community spiritual/ cultural resources such as those provided by the Hamilton Friendship Centre (HRIC). https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605647193700-34AS0ZRT01PK9VWT34RZ/med%2Bsquare.jpg home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608528208185-PJTVPB5MLG758H19M9B9/Screen+Shot+2020-12-21+at+12.14.25+AM.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605482594219-O8GMW3ENFZD5I1FX1PML/m+square.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1605647227105-AP7GEIQZKU8IIQQ0AICD/w%2Bsquare.jpg home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608528210129-SMVM3WC2490YTSVXZUER/Screen+Shot+2020-12-21+at+12.16.50+AM.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608528209073-4C2GN9WZALW0CA5R1GUP/Screen+Shot+2020-12-21+at+12.14.57+AM.png home https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/1608528209708-2DKVP17TF83104S50QHV/Screen+Shot+2020-12-21+at+12.17.38+AM.png home https://www.indigenousmomandbaby.org/contact daily 0.75 2021-12-18 https://www.indigenousmomandbaby.org/whatsnew daily 0.75 2022-04-22 https://images.squarespace-cdn.com/content/v1/5ef7eb3852f22e04c7a358ba/6b8e6761-f57d-416a-8b4b-008fb2d2fa75/we+are.jpg What's New https://www.indigenousmomandbaby.org/socialmedia daily 0.75 2023-01-27