title: Experience and representations of health and social services in a community of Nunavik.
abstract: OBJECTIVE
  The study aims to explore representations and experiences with health and social services in an Inuit community of Nunavik.
  
  
  METHODS
  A total of 15 semi-structured interviews were conducted with Inuit adults from a community of Northern Quebec. Informal interviews and participatory observation was conducted on six visits over two years. A thematic inductive analysis of data was conducted.
  
  
  RESULTS
  Participants' experiences with care were largely related to the nature of interactions with service providers, and feelings about whether perceived needs were being met. Often these needs were socio-economic. Perceptions of services were based on concepts of trust, privacy and fear of consequences of divulging information, three intrinsically related themes.
  
  
  CONCLUSIONS
  Reflections must be made on how to address the socio-economic needs of patients and how to go beyond the immediate requests to hear the psychosocial needs that patients might not feel safe to talk about.
authors.affiliation: a Department of Psychoeducation , Université de Montréal - Pavillon Marie-Victorin , CP 6128, succ. Centre-Ville, Montreal , QC , Canada H3C 3J7.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Fraser
authors.affiliation: b Division of Social and Cultural Psychiatry , McGill University , Youth Mental Health, CSSS de la Montagne (CLSC Parc Extension), 7085 Hutchison, salle 204.10, Montreal , QC , Canada H3N 1Y9.
authors.forename: Lucie
authors.initials: L
authors.lastname: Nadeau
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D020957:Nunavut; D012947:Social Work / Q000458:organization & administration*
keywords: Inuit; cultural competence; experiences; services