Incorporating diverse understandings of Indigenous identity: toward a broader definition of cultural safety for urban Indigenous youth

Abstract

This article explores the concept of cultural safety in relation with the diversity of cultural identities experienced by urban Indigenous youth. While the existing literature focuses on educating health care providers on the historical context and resultant disparities in social determinants of health among Indigenous Peoples, little attention has been given to how these histories have impacted the ways in which urban Indigenous Peoples have negotiated their identities. We contend that the numerous ways in which urban Indigenous identities have been impacted by colonial policies have many implications for urban service providers and policy-makers, and for the meaning of cultural safety in this context. Drawing on participatory research that employed Indigenous methodologies, with 20 urban Indigenous youth living in Montreal, we outline some guiding principles in addressing questions of Indigenous identity among urban youth, and their relevance to the definition and application of cultural safety concept and practices.