Culturally Adapted Cognitive Behavioural Therapy and First Nations Population: A Role for Nurses?

Area of Science:

• Mental Health Nursing
• Indigenous Health
• Psychotherapy Research

Background:

• Cognitive Behavioural Therapy (CBT) is a widely recognized evidence-based treatment for various mental health conditions.
• Its application within First Nations communities is inconsistent, with limited data on nurses delivering this intervention.
• Existing disparities may stem from cultural misalignment, structural barriers, or workforce limitations.

Purpose of the Study:

• To examine the inconsistent integration of CBT in First Nations mental health care.
• To explore implications for mental health nursing practice.
• To identify strategies for culturally safe and effective CBT implementation.

Main Methods:

• A review of national and international literature was conducted.
• Analysis focused on cultural, structural, and workforce factors influencing CBT integration.
• The role of nurses in delivering structured therapies was considered.

Main Results:

• Tensions exist between CBT's individualistic focus and Indigenous holistic worldviews.
• Standardized CBT risks reinforcing mistrust due to colonization and systemic racism.
• Nurse-led CBT is feasible and effective, positioning nurses as key facilitators.

Conclusions:

• Meaningful progress requires culturally grounded CBT co-designed with First Nations communities.
• Addressing systemic factors like culturally responsive training is crucial.
• First Nations nursing leadership is essential for successful implementation and culturally safe care.