Blending Two Worlds: Traditional Aboriginal Healing Strategies for Depression and Anxiety

Study Overview
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Brief Summary
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Purpose Provide a culturally sensitive and supportive treatment environment for children, youth and families in the aboriginal community experiencing stress, anxiety and depression. Gain insight into understanding of the role of Traditional Healing options provided by Aboriginal Healers and Helpers in the management of stress, anxiety and depression. Encourage Aboriginal and First Nation clients to seek treatment earlier from a culturally supportive system. Hypothesis This will be a descriptive hypothesis generating research project, however it is anticipated that members of the Aboriginal community experiencing stress, anxiety and depression may experience improved care and outcomes if their treatment includes traditional healing methods. A number of measures of subject and treatment characteristics, stress, anxiety and depression will provide the foundation for triangulation of outcomes in order to describe the impact of the various treatment options (standard care, Traditional Healing, combined standard care and Traditional Healing).

Detailed Description
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Aboriginal clients, including first nation youth, may not be confident or comfortable with the standard treatments offered by the current Mental Health environment. Incorporating traditional aboriginal healing methods such as dream work, energy healing, healing circles, pipe ceremonies, self care, smudging, sweat lodge and traditional learning into standard practice will provide a culturally sensitive and supportive environment for children, youth and families experiencing stress, anxiety and depression. It is believed that Aboriginal and First Nation clients that access treatment options consistent with cultural beliefs will be encouraged to seek treatment earlier and will experience improved care and outcomes. In addition, the improved understanding of the role of traditional healing methods provided by Aboriginal Healers and Helpers in the management of these disorders will help clinicians incorporate these practices in the management of anxiety and depression

Official Title
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Blending Two Worlds: Traditional Aboriginal Healing Strategies for Depression and Anxiety. Possible Options for Children, Youth and Families

Conditions
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Anxiety, Depression

Intervention / Treatment
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* Other: Traditional Healing options


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children and adolescents (less than 18 years of age)and families with anxiety and/or depression attending the Surrey North Child and Youth Mental Health Team. Exclusion Criteria: Subjects with severe anxiety or depression requiring intervention (i.e. hospitalization) or have a past or present history of suicide attempt. Subjects with special needs including medical contraindications (i.e. medical conditions including pregnancy), brain injury, developmental disability or fetal alcohol syndrome). Those subjects unwilling or unable to participate in a Traditional Healing options.

Ages Eligible for Study
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Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 2<br>Traditional Healing arm Provides Traditional Healing options only | Other: Traditional Healing options<br>* Dream work, energy healing, healing circles, pipe ceremonies, self care, smudging, sweat lodges and traditional learning.<br>|
| Active Comparator: 3<br>Traditional Healing and usual standard of care arm Subjects will access both treatment options | Other: Traditional Healing options<br>* Dream work, energy healing, healing circles, pipe ceremonies, self care, smudging, sweat lodges and traditional learning.<br>|
| Active Comparator: 1<br>Treatment as usual | Other: Traditional Healing options<br>* Dream work, energy healing, healing circles, pipe ceremonies, self care, smudging, sweat lodges and traditional learning.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Provide Aboriginal and First Nation youth and their families with treatment options consistent with cultural beliefs. Improving outcomes in the management of anxiety and depression. |  | Within one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 1. Encourage Aboriginal and First Nation clients to seek treatment earlier from a culturally supportive system. 2. Validate the benefit of traditional diet and healing methods in the treatment of stress, anxiety and depression |  | Within 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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traditional healing, anxiety, depression, aboriginal, children, youth