Culturally Grounded Indigenous Mental Health Care

Indigenous Health

​​​​​​​​​Photo caption: A symbol of healing and hope, the Minookmii bear embodies the program’s spirit — its outstretched paw forming a heart of compassion, its body woven with cultural ​meaning. 

By: Travis Mealing ​

An innovative Indigenous mental health program is the latest example of how Waypoint Centre for Mental Health Care supported setting the standard for culturally grounded care in Ontario, led by Mamaway Wiidokdaadwin and B’Saanibamaadsiwin and the surrounding Indigenous communities in the region.

The Minookmii program — meaning Sacred Tracks Upon the Earth — is being recognized as a guiding forc​e behind the provincewide expansion of the Ontario Structured Psychotherapy (OSP) program. Rooted in Indigenous knowledge systems, Minookmii is not only supporting people with their recovery, but also transforming how mental health services are delivered.

Minookmii’s success has been instrumental in shaping OSP’s future. Key recommendations from a report evaluating the program have informed a provincial guidance document that will soon be implemented at all OSP sites, ensuring culturally grounded care for Indigenous clients provincewide. 

“The program’s success demonstrates the transformative power of culturally responsive mental health services rooted in Indigenous values and relational care,” said OSP Manager Melissa Moreau. 

OSP provides free, evidence-based, cognitive behavioural therapy (CBT) and related treatments for adults with depression and anxiety-related concerns. At its core, Minookmii weaves together Indigenous ways of knowing with CBT and cultural practices to provide a holistic, person-centred approach. The program embraces Indigenous wellness frameworks that emphasize belonging, hope, meaning and purpose — all essential components of well-being in many Indigenous communities. 

Therapists within the program support individuals dealing with a range of issues, including depression and anxiety, as well as intergenerational and historical trauma, spiritual distress, and feelings of disconnect caused by traumatic events and/or stressors. 

More than just a therapy service, Minookmii emphasizes healing through connection. In addition to one-on-one therapy, the program facilitates access to a broad spectrum of culturally relevant supports: sacred medicines, land-based healing practices, horse-assisted wellness, and ceremonies such as sharing circle​s. Traditional Healers, Elders and Knowledge Keepers are integral to the therapeutic process, ensuring the care offered resonates with the lived experiences of community members. 

This community-led, holistic model is especially vital in remote Indigenous communities, where access to culturally competent mental health services has historically been limited. As Minookmii continues to grow, it promises not only sustainability, but a replication of success across diverse regions of Ontario. 

A powerful symbol of the program’s identity is a specially designed bear that serves as the face of Minookmii. Rich with symbolism, the bear illustration has become widely recognized beyond the therapy rooms — representing healing, hope, and culturally rooted care within broader Indigenous health care initiatives. 

The bear’s design is a story in itself. At the centre, a wampum belt marks the foundational commitment between partner agencies, whose close relationship is reflected in the design’s colours. The bear’s outstretched paw forms a stylized heart, a tribute to the importance of leading with compassion and building connection between clients and therapists. Floral motifs reinforce ties to the land and cultural traditions, while a medicine wheel and seven-point fire reflect Minookmii’s holistic approach. Stars embedded in the bear’s form symbolize hope and direction — guiding those on their path to recovery, even through the darkest of times. ​

Minookmii is not only transforming how mental health services are delivered, but also how they are experienced — rooted in relationship, grounded in Indigenous culture, and guided by both ancestral knowledge and contemporary science. To learn more about the program, or to access services, visit therapyontario.ca/minookmii. ​