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Indigenous peoples in Canada have suffered from ongoing impacts of colonization. Narrowing the scope to First Nations people in British Columbia, their perspective on health and wellness spans from individual to kin, to land, economy, socialization, and cy-cles that exist in life. Such intricacies have been impacted by colonial systems wherein many Indigenous people have left their traditional lands and communities to pursue other opportunities or to flee unsettling circumstances. This paper uses Indigenous methodologies to collect qualitative data on the experiences of some First Nations peoples when relocating off-reserve as it relates to their health and wellness. The participants of this study were Elders connected to the Tillicum Lelum Aboriginal Friendship Centre, located on Snuneymuxw (Nanaimo) territory, Vancouver Island, British Columbia, Canada. Elders were selected as the sample group based on the traditional perspective of their knowledge and wisdom. Six common themes from Elders' experiences were connection, way of living, education and employment, colonialism, land, and quality of health care. Further, axial coding found four action-based themes that can be applied from the research: racism, relevance, restrictions and resources--creating the 'four Rs' as recommendations for larger health systems in British Columbia, Canada. [ABSTRACT FROM AUTHOR]

Leadership models that uphold feminist qualities of mutuality, collaboration, and distribution of power can foster organizational and community success. Utilizing a systems perspective grounded in land-based analogies can assist with understanding the diversity and strength that come from entire ecosystems around wicked social issues. While Indigenous leadership models have supported such perspectives since time immemorial, current and ongoing acts of colonialism driven by patriarchal systems and violent gender-based policies and procedures have eroded matriarchal leadership models that sustained what is now known as Canada for generations. Reflections of two evolving Indigenous women in leadership note the opportunities to reawaken matriarchal values in organizational and community leadership as a powerful act of reconciliation., Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.