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Bridging the Gap of Indigenous Health Inequity: A Multi-site Qualitative Study to Explore and Understand the Role of the Indigenous Patient Navigator in Canada
Background: Indigenous Peoples in Canada have endured a significant history of colonization which has resulted in intergenerational disparities impacting individual and community wholistic health outcomes. This is complicated further for Indigenous Peoples who choose to access a complex mainstream, biomedical, colonial healthcare system. The role of the Indigenous Patient Navigator (IPN) has been identified as a strategy to address social determinants of health and provide a person-centered approach to empower individuals and families to establish a connection with appropriate health and social services.
Purpose: The overall purpose of this study is to explore the role of the IPN across health care settings in the province of Ontario, Canada. More specifically, to understand the roles and activities IPNs undertake to address the health and social service barriers and enablers Indigenous community members experience when accessing the mainstream, biomedical healthcare system.
Methods: This is a multi-site qualitative study guided by the methodological principles of Interpretive Description and the guidance of the Two-Eyed Seeing approach to ensure the inclusion of non-Indigenous and Indigenous worldviews.
Results: Thirty-six participants (20 IPNs and 16 Indigenous community members who accessed IPN services in Ontario, Canada) participated in semi-structured one-to-one, virtual or telephone interviews. Additionally, ten IPN organizational documents were reviewed for this study. Eight IPN roles are presented with corresponding activities including: 1) health and social service navigation, 2) wholistic support of Indigenous Peoples, 3) education, 4) Indigenous Knowledge and Traditional healing, 5) advocacy and capacity building, 6) administrative navigation, 7) leadership, and 8) outreach.
Conclusion: This research provides a deeper understanding of the role of the IPN across health care settings and how the role addressees barriers and enablers Indigenous community members experience when accessing health and social services
Exploring the Experiences of Indigenous Patients Accessing Naturopathic Medicine in Thunder Bay, Ontario
Health inequities for Indigenous Peoples across Turtle Island have been well documented, but the role of naturopathic doctors in contributing to Indigenous-led healthcare initiatives remains understudied. Very little research exists documenting the experiences of Indigenous individuals with naturopathic medicine. This qualitative research study contributes to addressing this gap by exploring the experiences of twelve Indigenous people who have accessed care from licensed naturopathic doctors in Thunder Bay, Ontario. Couched in discussions about the impact of colonisation and ongoing colonialism on their health and healthcare, participants expressed that the philosophy of naturopathic medicine aligns with Indigenous concepts of health and healing being holistic, collaborative, patient-centred and offering natural treatment options (e.g. plant medicines). In addition, participants experienced naturopathic doctors as trustworthy well-educated healthcare providers who listened. Barriers to accessing naturopathic care included the cost of appointments and prescribed substances; lack of awareness and misconceptions about naturopathic medicine; and geographical limitations. Indigenous patients accessing naturopathic medicine in Thunder Bay articulated that it has a key role to play in the health care they desire for themselves, their families and communities. Future research projects can query whether this finding holds true in other regions, and can explore the role of naturopathic medicine in Indigenous-led healthcare.  
One is Too Many and Not Enough
I know Centennial has a long history of engagement with trying to solve homelessness, whether it was one iteration of youth serving an Inn from the Cold, support of the Veteran’s Food Bank, supporting the Mustard Seed, or the many years of walking on the Coldest Night of the Year, one thing that always comes through when we think of our houseless neighbours, is addictions, but it is not something that only the unhoused struggle with.  
Case Study Analysis Through Mad Studies and Disability Justice Frameworks: Black Mental Health
Case Analysis
Marcus\u27s journey exemplifies intersectionality at work and how it shapes individual
experiences within mental health care. Intersectionality, a term coined by Kimberlé Crenshaw
(1991), emphasizes how overlapping identities interact to create distinct modes of
discrimination and privilege. Marcus, a Jamaican-Canadian sociology professor and parent to
an autistic child, embodies intersectionality through his cultural heritage, racial identity,
professional status, and potential neurodivergence. This complexity places him at the nexus
of systemic marginalization and individual vulnerability, intensified by society\u27s perception of
his racialized and neurodivergent identities (Cofield, 2023)
Havens, Earle, PI. The Archaeology of Reading in Early Modern Europe (AOR)
This is a review of The Archaeology of Reading in Early Modern Europe (AOR)
A Conversation With Lukas Pauer
Lukas Pauer is a licensed architect, urbanist, historian, educator, and the Founding Director of the Vertical Geopolitics Lab, an investigative practice and think-tank at the intersections of architecture, geography, politology, and media, dedicated to exposing intangible systems and hidden agendas within the built environment. At the University of Toronto (UofT), Lukas is an Assistant Professor of Architecture, Inaugural 2022-2024 Emerging Architect Fellow. There, his contribution at disciplinary intersections is reflected in his engagements as a Faculty Affiliate in Urban Studies at the UofT A&S SofC as well as a Faculty Affiliate in Global Affairs and Public Policy at the UofT Munk CERES.
From the Architectural Association in London, he holds a PhD AD on political imaginaries in architectural and urban design history with a focus on how imperial-colonial expansion has been performed architecturally throughout history. Pauer holds an MAUD from Harvard University and an MSc Arch from ETH Zürich. Among widespread international recognition, he has been selected as an Ambassadorial Scholar by the Rotary Foundation, a Global Shaper by the World Economic Forum, and an Emerging Leader by the European Forum Alpbach — leadership programs committed to change-making impact within local communities. In 2024, during his appointment as inaugural Emerging Architect Fellow at the UofT Daniels in recognition of advancing integrated practice, research, and teaching, he concurrently held an AIAS/ACSA New Faculty Teaching Award — the most prestigious teaching award for emerging educators in the field across North America
Counterpractice
If architecture—and its allied disciplines—are to meaningfully combat spatial injustice, then perhaps drafting and representation can be reimagined as tools of resistance. This section explores counterpractice: design methods that resist, refuse, or reorient dominant spatial logics and the power structures they serve. Here, drafting is not passive depiction—it is political. Drafting can disclose dimensions made absent by design, expose complicity in systems of control, and open space for dissent. How might a drawing serve as evidence? As critique? As rupture
A Conversation with Ghazal Jafari
Dr. Ghazal Jafari is a territorial scholar, award-winning designer, and weaver, professionally trained as an architect and urban designer. Her areas of research and work include environmental and climate justice, intersecting infrastructural ecologies and geospatial apparatuses of imperialism with regenerative landscape praxis, Indigenous spatial epistemologies, and transborder struggles for political self-determination. Her recent publications include, “Silent Siege: In the Shadow Landscapes of International Sanctions” (2025); “Woman, Water, Freedom” (2024); A BOTANY OF VIOLENCE: Across 529 Years of Resistance & Resurgence (ORO Editions, 2022), “No Design on Stolen Land: Dismantling Design’s Dehumanizing White Supremacy” (2020). She is a co-founding director of OPEN SYSTEMS, a non-profit 501(c)(3) organization dedicated to opening the knowledge of complex ecological challenges and raising awareness about geopolitical conflicts. She is an Assistant Professor of Spatial and Environmental Justice at the University of Virginia Urban and Environmental Planning department
Worlding
Art and architecture have long been used as tools to reflect on the state of the world—and to project alternative realities. This chapter on worlding not only explores this imagined view of what could be, but demands critical reflection on the current and past state of speculative design and its role in society.
Articles in this section assemble the work of authors attempting to reshape attitudes, structure activity, or analyze societal trends through their respective design and research practices. Together, these works document our reality and lay a framework for thinking about how we might move into the future