Encounters with the north: psychiatric consultation with Inuit youth.
BACKGROUND
The Inuit population of Canada experiences high rates of mental health problems. Youth are particularly affected, with rates of youth suicide among the highest in the world. Psychiatric consultation is one model that has been used to address this problem. Is this the most appropriate method to assist Inuit populations with these issues?


METHODS
This review addresses this question by examining literature focusing on psychiatric consultation in Canada's north, especially that which pertains to Inuit populations.


RESULTS
The traditional model of medical-psychiatric consultation has significant limitations including assumptions about its validity and usefulness, its segmented approach, and its individual focus.


CONCLUSIONS
Openness to other forms of knowledge, cultural competence, and understanding the importance of social factors are crucial in order for psychiatric consultation to be effective.
Kassam
Azaad
A
Northeast Mental Health Centre, North Bay, Ontario, Canada. akassam@nemhc.on.ca