{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T15:15:54Z","timestamp":1780326954039,"version":"3.54.1"},"reference-count":46,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to examine the strengths and challenges of running a managed alcohol program for Indigenous adults in a non-Indigenous organization and posit areas to embed cultural practices as a necessary aspect for healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Grounded in a Two-Eyed Seeing approach that weaved western and Indigenous ways of knowing and a community-based research design, this project included staff group and individual interviews followed by a Knowledge Keeper review. Cultural practices and ceremony guided the project from start to finish. Researchers used reflexive thematic analysis to co-create findings with Elders and community leaders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three key themes emerged from the staff interviews (1) success and strengths (2) challenges hindering full potential, and (3) recommendations for enhancement. Following data collection, Knowledge Keepers engaged in follow-up discussions and reflections on the project results to suggest a strength-based approach to embed cultural practices and cultural safety throughout the organization hosting the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study advocates for a movement beyond cultural programming toward fully integrating Indigenous knowledges into policies and practices for non-Indigenous organizations working with Indigenous adults. Reconciliation requires acknowledgement that culture and ceremony are necessary for healing. It also necessitates that Indigenous and non-Indigenous staff can actively engage in Indigenous ways of knowing to foster a culturally safe environment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1833954","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T05:43:21Z","timestamp":1779342201000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pathways to healing: balancing the tensions between harm reduction and cultural practices in a managed alcohol program for Indigenous adults in Calgary, Canada"],"prefix":"10.3389","volume":"14","author":[{"given":"Angelina","family":"McLean","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences, University of Calgary","place":["Calgary, AB, 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