Up to a third of patients obtaining primary care services are suffering from psychological problems and the primary health care team deals with the majority. In this volume, experts from a wide range of mental health care disciplines discuss issues ranging from primary prevention with identification of risk to early identification of problem symptoms and the effective management of long-term mental illness. With full reference to the current state of research, emphasis has been given to practical measures that can be readily utilized in the primary care setting. This handbook will serve as an invaluable resource for all those with interests in the protection and conservation of mental health.

In recent years there has been growing interest in identifying the social and cultural attributes that define the Metis as a distinct people. In this groundbreaking study, Brenda Macdougall employs the concept of wahkootowin � the Cree term for a worldview that privileges family and values interconnectedness � to trace the emergence of a Metis community in northern Saskatchewan. Wahkootowin describes how relationships worked and helps to explain how the Metis negotiated with local economic and religious institutions while nurturing a society that emphasized family obligation and responsibility. This innovative exploration of the birth of Metis identity offers a model for future research and discussion.