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The Portal brings together a broad selection of resources from all six of the National Collaborating Centres (NCCs). Search for resources by clicking on NCC, Type, Topic and Core Competency.

Please note: the Portal is not exhaustive and not all resources are indexed by PHAC Core Competency.

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Overcoming barriers to culturally safe and appropriate dementia care services and supports for Indigenous peoples in Canada

National Collaborating Centre for Aboriginal Health | 10/17/2018 | Aboriginal Health, Cultural safety, First Nations health, Indigenous health, Report, NCCAH Resource List

As individuals age, memory loss can sometimes occur, resulting from both the natural aging process as well as from medical conditions like Alzheimer’s disease and other dementias that are progressively degenerative and irreversible. Dementias can affect an individual’s daily functioning and quality of life, as well as place a significant burden on family caregivers. While little is known about dementias among Indigenous populations in Canada, they are recognized as an emerging health issue in these communities. The Indigenous seniors population, while proportionately smaller than the general Canadian population, has been growing rapidly and rates of dementias are expected to increase due to a higher prevalence of risk factors in the development of the disease, including diabetes, midlife hypertension and obesity, physical inactivity, lower levels of education, and smoking. Further, Indigenous people face a host of barriers in accessing health care, including access to dementia care services and supports.

This paper aims to identify the challenges and burdens Indigenous people in Canada face in accessing culturally safe and appropriate dementia care services and supports, and suggests ways of overcoming these challenges. It begins by providing an overview of the general challenges Indigenous seniors face in accessing health services, then summarizes the literature on Indigenous perspectives of aging well and caring for loved ones with dementia, as understanding these perspectives is essential for developing programs and services that are responsive to their needs. Key elements of a culturally safe framework for dementia care for Indigenous communities and examples of innovative dementia care services for Indigenous peoples concludes the paper.

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Webinar: Cultural safety for Indigenous peoples: A determinant of health

A NCCAH webinar, co-hosted with Northern Health, was held on February 17, 2016 on “Cultural safety for Indigenous peoples: A determinant of health.” Dr. Sarah de Leeuw, Associate Professor in the Northern Medical Program, University of Northern British Columbia and a Research Associate for the National Collaborating Centre for Aboriginal Health, explored how racism has manifested in the way health care services are provided to Indigenous peoples and is thus a barrier to their optimal health. Specifically, the presentation highlighted the ways in which Indigenous people have expressed their realities of experiencing racism, and discussed ways that healthcare professionals might engage with the arts and humanities in order to more deeply reflect on their thoughts about racism and Indigenous peoples. The webinar attracted great interest, with 366 participants in attendance.

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Towards Cultural Safety for Métis: An introduction for health care providers

This fact sheet aims to demonstrate how health care providers can provide a culturally safe health care environment when caring for Métis patients. Cultural safety is an on-going and evolving process that will require health care providers to revisit and adjust modes of services in order to meet the needs of Métis. Culturally safe health care systems and environments are established by a continuum of building blocks – cultural awareness, cultural sensitivity, and cultural competency.

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