title: The mental health of Indigenous peoples in Canada: A critical review of research.
abstract: Many scholars assert that Indigenous peoples across the globe suffer a disproportionate burden of mental illness. Research indicates that colonialism and its associated processes are important determinants of Indigenous peoples' health internationally. In Canada, despite an abundance of health research documenting inequalities in morbidity and mortality rates for Indigenous peoples, relatively little research has focused on mental health. This paper provides a critical scoping review of the literature related to Indigenous mental health in Canada. We searched eleven databases and two Indigenous health-focused journals for research related to mental health, Indigenous peoples, and Canada, for the years 2006-2016. Over two hundred papers are included in the review and coded according to research theme, population group, and geography. Results demonstrate that the literature is overwhelmingly concerned with issues related to colonialism in mental health services and the prevalence and causes of mental illness among Indigenous peoples in Canada, but with several significant gaps. Mental health research related to Indigenous peoples in Canada overemphasizes suicide and problematic substance use; a more critical use of the concepts of colonialism and historical trauma is advised; and several population groups are underrepresented in research, including Métis peoples and urban or off-reserve Indigenous peoples. The findings are useful in an international context by providing a starting point for discussions, dialogue, and further study regarding mental health research for Indigenous peoples around the world.
authors.affiliation: University of Toronto Mississauga, Department of Geography, 3359 Mississauga Road, Mississauga, ON L5L 1C6, Canada. Electronic address: sarah.nelson@mail.utoronto.ca.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Nelson
authors.affiliation: University of Toronto Mississauga, Department of Geography, 3359 Mississauga Road, Mississauga, ON L5L 1C6, Canada.
authors.forename: Kathi
authors.initials: K
authors.lastname: Wilson
mesh_terms: D002170:Canada / Q000453:epidemiology / Q000208:ethnology; D017281:Cost of Illness; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology* / Q000208:ethnology / Q000628:therapy; D008603:Mental Health / Q000592:standards* / Q000639:trends; D044382:Population Groups / Q000208:ethnology / Q000523:psychology*; D015995:Prevalence
keywords: Canada; Colonialism; Critical review; Indigenous peoples; Mental health; Scoping review