This research project sought to help health department officials prepare culturally appropriate home care programs and services for Aboriginal people living in cities and other off-reserve settings. The project undertook a literature review to explore the existence of culturally appropriate home care programs, consulted 120 Aboriginal women living off-reserve in Quebec to identify home care-related needs, and received comments from more than 50 people in five friendship centres. The proposed model is an adaptation of Quebec’s provincial home care model and Ontario’s Life Long Care program. The most developed parts of the model are its principles, objectives, division of responsibilities, culturally appropriate program components, and framework for evaluation. The literature review contains some relevant details on the demographics and health status of Canada’s Aboriginal people, Ontario’s prototype home care program for those living off-reserve, and the role Aboriginal people play in setting health policy in Australia.
This project was supported by the Health Transition Fund, which was created in 1997 to provide support for evidence-based decision-making in health care reform by supporting pilot and evaluation projects which test innovative approaches to health care delivery. The views expressed herein do no necessarily represent the official policy of federal, provincial, or territorial governments.