Mae Katt - Academia.edu (original) (raw)

Papers by Mae Katt

Nombre de communautés autochtones du Nord canadien éprouvent des difficultés à recruter et à rete... more Nombre de communautés autochtones du Nord canadien éprouvent des difficultés à recruter et à retenir un personnel infirmier compétent et doivent s’en remettre à des infirmières d’urgence pour des services à court terme. Ces dernières ne sont souvent pas préparées pour les tâches exigeantes inhérentes à ce type de pratique. Cette étude examine les conséquences du roulement du personnel infirmier sur la continuité des soins dispensés aux résidents de trois communautés objibways, situées dans le Nord de l’Ontario. Les résultats sont fondés sur l’examen de 135 dossiers de bénéficiaires atteints de cancer, du diabète et de troubles de santé mentale, ainsi que sur des entrevues réalisées auprès de 30 professionnelles et paraprofessionnelles soignantes oeuvrant dans les communautés. L’étude a démontré que le roulement du personnel infirmier influe sur la communication, la gestion des médicaments et la diversité des services offerts. Il entraîne également des problèmes à l’échelle des suivi...

Canadian Journal of Program Evaluation, 2018

Ethical practice compels evaluators to obtain informed consent from evaluation participants. When... more Ethical practice compels evaluators to obtain informed consent from evaluation participants. When those participants are minors, parental consent is routinely sought. However, seeking parental consent may not be appropriate in all evaluation contexts. This practice note presents one context (mental health services research in rural Canada) where seeking parental consent for youths' participation in research was considered unethical and unfeasible. We present a two-step "capacityto-consent" protocol that we developed to obtain consent from youth participants. This protocol offers an ethical and feasible alternative to seeking parental consent for youth. The implications for evaluation practice are discussed.

Journal SOGC, 2000

* As there was no MeSH heading for Metis, it was assumed to be included under "Indians, North Ame... more * As there was no MeSH heading for Metis, it was assumed to be included under "Indians, North American." "Eskimos" is the MeSH heading for Inuit people.

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières, 2005

Many of Canada's northern First Nation communities experience difficulty recruiting and retai... more Many of Canada's northern First Nation communities experience difficulty recruiting and retaining appropriate nursing staff and must rely on relief nurses for short-term coverage. The latter often are not adequately prepared for the demanding nature of the practice. This study examined the consequences of nursing turnover on the continuity of care provided to residents of three Ojibway communities in northern Ontario. The findings are based on a review of 135 charts of oncology, diabetes, and mental health clients, and on interviews with 30 professional and paraprofessional health-care providers who served the communities. Nursing turnover is shown to detrimentally affect communications, medications management, and the range of services offered; it also results in compromised follow-up, client disengagement, illness exacerbation, and an added burden of care for family and community members.

Canadian Journal of Community Mental Health, 1997

The delivery of health and social services in Canada's northern First Nations is undermined b... more The delivery of health and social services in Canada's northern First Nations is undermined by the fact that professionals from outside and para-professionals from the communities often fail to respect one another's capabilities or to undertand one another's roles and, consequently, do not work well together. This paper explores the personal, professional, and situational causes, using examples of mental health care in the Sioux Lookout Zone of northwestern Ontario. Arguing that an interdisciplinary team approach is the ideal and, perhaps, the only real way in which essential services can be delivered, the authors suggest ways to achieve more effective collaboration.

International Journal of Circumpolar Health, 2004

Objectives. To illustrate how personal choice, or client self-reliance, is a determining factor i... more Objectives. To illustrate how personal choice, or client self-reliance, is a determining factor in the management of cancer patients' care in northern Aboriginal communities. Study design. Multiple-site study done in the northwestern part of the Canadian Province of Ontario. Method. In-depth interviews with professionals and paraprofessionals involved in community-based delivery of cancer care. Results. Study details how perceived care options, gender, awareness of disease and treatment, reaction to system-linked problems in care delivery, as well as cultural preferences influence clients' choices and care outcomes. Conclusion. The study underlines the interdependence between personal choice and the health care system; "bad" experiences with the system cause clients to disengage from care, while client disengagement results in reduced care options.

Journal of Interprofessional Care, 2004

... participatory action research BRUCE MINORE 1, MARGARET BOONE 1, MAE KATT 2, PEGGY KINCH 3 &am... more ... participatory action research BRUCE MINORE 1, MARGARET BOONE 1, MAE KATT 2, PEGGY KINCH 3 & STEPHEN BIRCH 4 ... Substantially revised, the tools were thenre-tested on non-subject cases from Wunnimun Lake First Nation. ...

... Decision-maker partners: Mae Katt ... Page 2. Principle Investigator: Bruce Minore Research D... more ... Decision-maker partners: Mae Katt ... Page 2. Principle Investigator: Bruce Minore Research Director Centre for Rural and Northern Health Research Lakehead University 955 Oliver Road Thunder Bay, Ontario P7B 5E1 Telephone: (807) 343-2136 Fax: (807) 343-2104 ...

The Canadian Journal of Native …, 1991

In 1990 the Nishnawbe-Aski Nation undertook broad consultation on the causes of, and community re... more In 1990 the Nishnawbe-Aski Nation undertook broad consultation on the causes of, and community responses to, adolescent suicide. This paper analyses the results, applying a locus of control model which identifies internal factors over which a community perceives it has control and those which are believed to be rooted in external, hence less controllable, sources. It also examines elements which either limit or encourage the development of preventative and coping strategies within the communities. En 1990, la Nation Nishnawbe-Aski a tenu une délibération générale sur les causes du suicide adolescent et les réponses de la communauté à ce fair. Cet article analyse les résultats en recourant au point de contrôle module qui identifie des facteurs internes sur lesquels une communauté croit avoir du contrôle et les autres facteurs qu'on croit bien enracinés dans des sources externes, et par consequent difficilement contrôlables. L'article examine aussi les éléments qui limitent ou favorisent le développement des stratégies preventives à I'intérieur des communautés.

Canadian Family Physician

Little research has been done on opioid use disorder in adolescents. This study offered an opport... more Little research has been done on opioid use disorder in adolescents. This study offered an opportunity to better understand the effect of an innovative high school buprenorphine treatment (BT) program for Indigenous youth.  There was a trend toward higher graduation rates, full-time employment, and a sense of wellbeing among the participants who had received BT while in high school.  There was a trend toward better outcomes for those who were still taking BT at the time of the survey; they reported less alcohol use and were more likely to be employed full time, and they were significantly more likely to have engaged in formal substance use counseling in the past year.  Participants commented that the proximity of the clinic had made participating in treatment possible. They described improved relationships with their family members and feeling encouraged by their student peers who were going through the treatment program at the school clinic.

International Journal of Indigenous Health, 2012

Journal of Agromedicine, 2009

The majority of First Nations, Métis, and Inuit people living in the Canadian province of Ontario... more The majority of First Nations, Métis, and Inuit people living in the Canadian province of Ontario have less access to quality health care than the population as a whole. Yet improving the situation is hampered by the lack of an information system that documents fundamental facts about Aboriginal people's health status and services utilization. Without a means to collect such data, these knowledge deficits will persist, making the planning and provision of culturally appropriate services impossible. The Ontario Health Quality Council commissioned a study to (1) review data collection systems in other Canadian jurisdictions and determine what Ontario needs in order to have a comprehensive Aboriginal health information system. The study involved a review of 177 policy and technical documents and interviews with 20 key informants in Ontario, as well as Canada's other provinces and territories. Results showed that the capacity to document Aboriginal peoples' health and service utilization varies significantly, depending on existing provincial/territorial health data sets and the ability to cross-link health data using unique identifiers. Some jurisdictions can locate Aboriginal data using health cards, health benefits payment information, or vital statistics identifiers; others rely on linkages using federal or provincial Aboriginal registry and membership lists. All have the capability to conduct geographical analyses to identify health and service utilization for communities or regions that have significant Aboriginal populations. To improve health information in Ontario, Aboriginal people's collective entitlements to information about their communities must be recognized. The authors outline implications of a set of principles that Canada's First Nations have adopted, commonly referred to as OCAP (Ownership, Control, Access, and Possession), on the collection, storage, use, and interpretation of health data. Only through negotiation with Aboriginal peoples can health information systems be established that meet their needs, as well as those of decision-makers and care providers.

Canadian Journal of Occupational Therapy, 2011

There is a lack of knowledge about how cultural ideas affect First Nations peoples&am... more There is a lack of knowledge about how cultural ideas affect First Nations peoples' perception of rehabilitation needs and the ability to access services. The study explored the perceptions of treating and healing brain injury from First Nations elders and traditional healers in the communities served by Wassay-Gezhig-Na-Nahn-Dah-We-lgamig (Kenora Area Health Access Centre). A participatory action approach was used, leading to a focus group with elders and traditional healers. Findings, established through a framework analysis method, were member checked prior to dissemination. Four themes arose from the data: pervasiveness of spirituality, "fixing" illness or injury versus living with wellness, working together in treating brain injury, and financial support needed for traditional healing. Funding is required for traditional healing services to provide culturallysafe and responsive occupational therapy services to First Nations individuals with brain injury.

Brain Injury, 2011

To explore the barriers and enablers surrounding the transition from health care to home communit... more To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario. Participatory research design using qualitative methods. Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes. Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery. A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions. Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.

Brain Injury, 2009

To explore the experiences of health care practitioners working with Aboriginal clients recoverin... more To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI). Participatory research design using qualitative methods. Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes. Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients. Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders. Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.

Nombre de communautés autochtones du Nord canadien éprouvent des difficultés à recruter et à rete... more Nombre de communautés autochtones du Nord canadien éprouvent des difficultés à recruter et à retenir un personnel infirmier compétent et doivent s’en remettre à des infirmières d’urgence pour des services à court terme. Ces dernières ne sont souvent pas préparées pour les tâches exigeantes inhérentes à ce type de pratique. Cette étude examine les conséquences du roulement du personnel infirmier sur la continuité des soins dispensés aux résidents de trois communautés objibways, situées dans le Nord de l’Ontario. Les résultats sont fondés sur l’examen de 135 dossiers de bénéficiaires atteints de cancer, du diabète et de troubles de santé mentale, ainsi que sur des entrevues réalisées auprès de 30 professionnelles et paraprofessionnelles soignantes oeuvrant dans les communautés. L’étude a démontré que le roulement du personnel infirmier influe sur la communication, la gestion des médicaments et la diversité des services offerts. Il entraîne également des problèmes à l’échelle des suivi...

Canadian Journal of Program Evaluation, 2018

Ethical practice compels evaluators to obtain informed consent from evaluation participants. When... more Ethical practice compels evaluators to obtain informed consent from evaluation participants. When those participants are minors, parental consent is routinely sought. However, seeking parental consent may not be appropriate in all evaluation contexts. This practice note presents one context (mental health services research in rural Canada) where seeking parental consent for youths' participation in research was considered unethical and unfeasible. We present a two-step "capacityto-consent" protocol that we developed to obtain consent from youth participants. This protocol offers an ethical and feasible alternative to seeking parental consent for youth. The implications for evaluation practice are discussed.

Journal SOGC, 2000

* As there was no MeSH heading for Metis, it was assumed to be included under "Indians, North Ame... more * As there was no MeSH heading for Metis, it was assumed to be included under "Indians, North American." "Eskimos" is the MeSH heading for Inuit people.

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmières, 2005

Many of Canada's northern First Nation communities experience difficulty recruiting and retai... more Many of Canada's northern First Nation communities experience difficulty recruiting and retaining appropriate nursing staff and must rely on relief nurses for short-term coverage. The latter often are not adequately prepared for the demanding nature of the practice. This study examined the consequences of nursing turnover on the continuity of care provided to residents of three Ojibway communities in northern Ontario. The findings are based on a review of 135 charts of oncology, diabetes, and mental health clients, and on interviews with 30 professional and paraprofessional health-care providers who served the communities. Nursing turnover is shown to detrimentally affect communications, medications management, and the range of services offered; it also results in compromised follow-up, client disengagement, illness exacerbation, and an added burden of care for family and community members.

Canadian Journal of Community Mental Health, 1997

The delivery of health and social services in Canada's northern First Nations is undermined b... more The delivery of health and social services in Canada's northern First Nations is undermined by the fact that professionals from outside and para-professionals from the communities often fail to respect one another's capabilities or to undertand one another's roles and, consequently, do not work well together. This paper explores the personal, professional, and situational causes, using examples of mental health care in the Sioux Lookout Zone of northwestern Ontario. Arguing that an interdisciplinary team approach is the ideal and, perhaps, the only real way in which essential services can be delivered, the authors suggest ways to achieve more effective collaboration.

International Journal of Circumpolar Health, 2004

Objectives. To illustrate how personal choice, or client self-reliance, is a determining factor i... more Objectives. To illustrate how personal choice, or client self-reliance, is a determining factor in the management of cancer patients' care in northern Aboriginal communities. Study design. Multiple-site study done in the northwestern part of the Canadian Province of Ontario. Method. In-depth interviews with professionals and paraprofessionals involved in community-based delivery of cancer care. Results. Study details how perceived care options, gender, awareness of disease and treatment, reaction to system-linked problems in care delivery, as well as cultural preferences influence clients' choices and care outcomes. Conclusion. The study underlines the interdependence between personal choice and the health care system; "bad" experiences with the system cause clients to disengage from care, while client disengagement results in reduced care options.

Journal of Interprofessional Care, 2004

... participatory action research BRUCE MINORE 1, MARGARET BOONE 1, MAE KATT 2, PEGGY KINCH 3 &am... more ... participatory action research BRUCE MINORE 1, MARGARET BOONE 1, MAE KATT 2, PEGGY KINCH 3 & STEPHEN BIRCH 4 ... Substantially revised, the tools were thenre-tested on non-subject cases from Wunnimun Lake First Nation. ...

... Decision-maker partners: Mae Katt ... Page 2. Principle Investigator: Bruce Minore Research D... more ... Decision-maker partners: Mae Katt ... Page 2. Principle Investigator: Bruce Minore Research Director Centre for Rural and Northern Health Research Lakehead University 955 Oliver Road Thunder Bay, Ontario P7B 5E1 Telephone: (807) 343-2136 Fax: (807) 343-2104 ...

The Canadian Journal of Native …, 1991

In 1990 the Nishnawbe-Aski Nation undertook broad consultation on the causes of, and community re... more In 1990 the Nishnawbe-Aski Nation undertook broad consultation on the causes of, and community responses to, adolescent suicide. This paper analyses the results, applying a locus of control model which identifies internal factors over which a community perceives it has control and those which are believed to be rooted in external, hence less controllable, sources. It also examines elements which either limit or encourage the development of preventative and coping strategies within the communities. En 1990, la Nation Nishnawbe-Aski a tenu une délibération générale sur les causes du suicide adolescent et les réponses de la communauté à ce fair. Cet article analyse les résultats en recourant au point de contrôle module qui identifie des facteurs internes sur lesquels une communauté croit avoir du contrôle et les autres facteurs qu'on croit bien enracinés dans des sources externes, et par consequent difficilement contrôlables. L'article examine aussi les éléments qui limitent ou favorisent le développement des stratégies preventives à I'intérieur des communautés.

Canadian Family Physician

Little research has been done on opioid use disorder in adolescents. This study offered an opport... more Little research has been done on opioid use disorder in adolescents. This study offered an opportunity to better understand the effect of an innovative high school buprenorphine treatment (BT) program for Indigenous youth.  There was a trend toward higher graduation rates, full-time employment, and a sense of wellbeing among the participants who had received BT while in high school.  There was a trend toward better outcomes for those who were still taking BT at the time of the survey; they reported less alcohol use and were more likely to be employed full time, and they were significantly more likely to have engaged in formal substance use counseling in the past year.  Participants commented that the proximity of the clinic had made participating in treatment possible. They described improved relationships with their family members and feeling encouraged by their student peers who were going through the treatment program at the school clinic.

International Journal of Indigenous Health, 2012

Journal of Agromedicine, 2009

The majority of First Nations, Métis, and Inuit people living in the Canadian province of Ontario... more The majority of First Nations, Métis, and Inuit people living in the Canadian province of Ontario have less access to quality health care than the population as a whole. Yet improving the situation is hampered by the lack of an information system that documents fundamental facts about Aboriginal people's health status and services utilization. Without a means to collect such data, these knowledge deficits will persist, making the planning and provision of culturally appropriate services impossible. The Ontario Health Quality Council commissioned a study to (1) review data collection systems in other Canadian jurisdictions and determine what Ontario needs in order to have a comprehensive Aboriginal health information system. The study involved a review of 177 policy and technical documents and interviews with 20 key informants in Ontario, as well as Canada's other provinces and territories. Results showed that the capacity to document Aboriginal peoples' health and service utilization varies significantly, depending on existing provincial/territorial health data sets and the ability to cross-link health data using unique identifiers. Some jurisdictions can locate Aboriginal data using health cards, health benefits payment information, or vital statistics identifiers; others rely on linkages using federal or provincial Aboriginal registry and membership lists. All have the capability to conduct geographical analyses to identify health and service utilization for communities or regions that have significant Aboriginal populations. To improve health information in Ontario, Aboriginal people's collective entitlements to information about their communities must be recognized. The authors outline implications of a set of principles that Canada's First Nations have adopted, commonly referred to as OCAP (Ownership, Control, Access, and Possession), on the collection, storage, use, and interpretation of health data. Only through negotiation with Aboriginal peoples can health information systems be established that meet their needs, as well as those of decision-makers and care providers.

Canadian Journal of Occupational Therapy, 2011

There is a lack of knowledge about how cultural ideas affect First Nations peoples&am... more There is a lack of knowledge about how cultural ideas affect First Nations peoples' perception of rehabilitation needs and the ability to access services. The study explored the perceptions of treating and healing brain injury from First Nations elders and traditional healers in the communities served by Wassay-Gezhig-Na-Nahn-Dah-We-lgamig (Kenora Area Health Access Centre). A participatory action approach was used, leading to a focus group with elders and traditional healers. Findings, established through a framework analysis method, were member checked prior to dissemination. Four themes arose from the data: pervasiveness of spirituality, "fixing" illness or injury versus living with wellness, working together in treating brain injury, and financial support needed for traditional healing. Funding is required for traditional healing services to provide culturallysafe and responsive occupational therapy services to First Nations individuals with brain injury.

Brain Injury, 2011

To explore the barriers and enablers surrounding the transition from health care to home communit... more To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario. Participatory research design using qualitative methods. Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes. Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery. A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions. Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.

Brain Injury, 2009

To explore the experiences of health care practitioners working with Aboriginal clients recoverin... more To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI). Participatory research design using qualitative methods. Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes. Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients. Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders. Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.