9/24/2014 WHAT IS A HEALTH CARE. Honouring Our Strengths: Indigenous Culture as Intervention in Addictions Treatment INTERVENTION?

Transcription

1 Honouring Our Strengths: Indigenous Culture as Intervention in Addictions Treatment WHAT IS A HEALTH CARE INTERVENTION? Definition: Any type of treatment, preventive care, or test that a person could take or undergo to improve health or to help with a particular problem. Health care interventions include drugs (either prescription drugs or drugs that can be bought without a prescription), foods, supplements (such as vitamins), vaccinations, screening tests (to rule out a certain disease), exercises (to improve fitness), hospital treatment, and certain kinds of care (such as physical therapy). Example: For example, health care interventions for people with depression include the many different drugs that are available for the treatment of depression. Counseling (without prescribing drugs) would also be a health care intervention for treating depression. 1

2 WHAT DO YOU HEAR IN VAL S STORY OF HOW CULTURE IS AN INTERVENTION? PRODUCTS HONOURING OUR STRENGTH: CULTURE AS INTERVENTION The aim of this research project is to build a culturally specific evidence base for demonstrating the impact of Indigenous culture in facilitating wellness. We will share some of our project process to date and aspects of the assessment tool that we are currently pilot testing and plans for its long term use. 2

3 WHAT DO WE KNOW 1. The destructive impacts of colonization on the determinants of First Nations health. 2. The important strengthsbased role of culture in healing from problematic substance use and addictions. HOS:CASI AIM & OUTCOME AIM: To evaluate the effectiveness of First Nations culture as a health intervention in alcohol and drug treatment through pre and post measurement of client wellness. ~That is, we gathered an understanding of how Indigenous traditional culture is understood and practiced at a sample of 12 NNADAP/YSAP treatment centres. ~From this, a valid instrument to measure the impact of cultural interventions on client wellness has been developed and we are pilot testing this now. ~Instrument will contribute to the design of NNADAP/YSAP s national Addictions Management Information System (AMIS) OUTCOME: Improved health programming, systems and policy for Indigenous youth and adults in drug and alcohol treatment in Canada. WHAT IS OUR STORY & WHO IS TELLING IT? Principal Co-Applicants: Colleen Dell (University of Saskatchewan), Peter Menzies (Independent. Formerly; Centre for Addiction and Mental Health), Carol Hopkins (National Native Addictions Partnership Foundation), Jennifer Robinson (Assembly of First Nations. Former designate; Jonathan Thompson) Co-Applicants: Sharon Acoose (First Nations University of Canada), Peter Butt (University of Saskatchewan), Elder Jim Dumont (Nimkee NupiGawagan Healing Centre), Marwa Farag (University of Saskatchewan), Joseph P. Gone (University of Michigan at Ann Arbor), Christopher Mushquash (Lakehead University), Rod McCormick (Thompson Rivers University. Formerly; University of British Columbia), David Mykota (University of Saskatchewan), Nancy Poole (BC Centre of Excellence for Women s Health), Bev Shea (University of Ottawa), Virgil Tobias (Nimkee NupiGawagan Healing Centre) Knowledge Users: Kasi McMicking (Health Canada), Mike Martin (National Native Addictions Partnership Foundation), Mary Deleary (Independent. Formerly; Nimkee NupiGawagan Healing Centre), Brian Rush (Centre for Addiction and Mental Health), Renee Linklater (Centre for Addiction and Mental Health), Sarah Steves (Health Canada. Former designate; Darcy Stoneadge) Collaborators (Treatment Centres): Willie Alphonse (Nengayni Wellness Centre), Ed Azure (Nelson House Medicine Lodge), Christina Brazzoni (Carrier Sekani Family Services), Virgil Tobias (Nimkee NupiGawagan Healing Centre. Former Designate; Mary Deleary), Patrick Dumont (Wanaki Centre), Cindy Ginnish (Rising Sun), Hilary Harper (Ekweskeet Healing Lodge. Acting Director; Yvonne Howse), Yvonne Rigsby-Jones (Tsow-Tun Le Lum), Ernest Sauve (White Buffalo Youth Inhalant Treatment Centre), Zelda Quewezance (Saulteaux Healing and Wellness Centre), Iris Allen (Charles J. Andrew Youth Treatment Centre), Rolanda Manitowabi (Ngwaagan Gamig Recovery Centre Inc./Rainbow Lodge) Collaborators (Leadership): Chief Austin Bear (National Native Addictions Partnership Foundation), Debra Dell (Youth Solvent Addiction Committee), Val De sjarlais (National Native Addictions Partnership Foundation. Former Designate; Janice Nicotine), Rob Eves (Canadian Centre on Substance Abuse. Former Designate; R ita Notarandrea), Elder Campbell Papequash (Saskatchewan Team for Research and Evaluation of Addictions Treatment and Mental Health Services Advisor) Contractors (methodology): Elder Jim Dumont (Nimkee NupiGawagan Healing Centre), Randy Duncan (University of Saskatchewan), Carina Fiedeldey-Van Dijk (epsyconsultancy), Laura Hall (University of Saskatchewan); Margo Rowan (University of Saskatchewan) Management: Barbara Fornssler (University of Saskatchewan). Former designate Michelle Kushniruk. Intro to the project: 3

4 PHASE/YEAR 1 Purpose: To develop content areas and create meaningful outcome indicators. Working as a Research Community - via team teleconferences and meetings Environmental scan of 12 treatment centres Scoping Study to identify relevant literature Cultural interventions to treat addictions in Indigenous populations: Findings from a scoping study on September 1, 2014 in the journal Substance Abuse, Treatment, Prevention, and Policy. This article is freely available for download at PHASE/YEAR 2 Purpose: To construct a culturally competent instrument. Begin Construction of Instrument: Develop item bank Validate initial draft instrument through content expert review Continue Construction & Validation: Hold focus group to review validity of instrument Pilot test instrument with Treatment Centres PHASE/YEAR 3 Purpose: To pilot test the instrument, finalize indicators and integrate within the National Addictions Management Information System (AMIS). Round out construction and validation of instrument: Quantitatively analyze the results of the pilot test to assess internal consistency and construct validity Conduct a substantive interpretation of the pilot test quantitative results. Examine the ability of the instrument to detect change in client wellness. Application of the research findings-- transition to the AMIS team. 4

5 WEBSITE: SHARING INFORMATION SHARING KNOWLEDGE NOW Four items are available: Indigenous Wellness Framework and Outcomes Common Cultural Interventions Definition of Culture Definition of Wellness Intro to the methodology SHARING KNOWLEDGE NOW Four items are available: Indigenous Wellness Framework and Outcomes Common Cultural Interventions Definition of Culture Definition of Wellness 5

6 SHARING KNOWLEDGE NOW Four items are available: Indigenous Wellness Framework and Outcomes Common Cultural Interventions Definition of Culture Definition of Wellness SHARING KNOWLEDGE NOW Cooking as Culture Recipe Cards One from each treatment centre involved with the project to date. Food is foundational to an emotionally, mentally, physically & spiritually healthy and well person. PILOT TESTING The Wellness Instrument is made up of 2 assessment forms: (1) Self-Report Form (completed by client) (2) Observer-Report Form (completed by treatment provider) This is a paper & pencil assessment. The assessment is administered twice during the treatment cycle for each client. 6

7 RESOURCES A. ~M. Rowan, N. Poole, B. Shea, J.P. Gone, D. Mykota, M. Farag, C. Hopkins, L. Hall, C. Mushquash, C. Dell Cultural Interventions to Treat Addictions in Indigenous Populations: Findings from a Scoping Study. Substance Abuse Treatment, Prevention, and Policy. ~A. Niccols, C. Dell, S. Clarke Treatment for Aboriginal Mothers with Substance Use Problems and their Children. International Journal of Mental Health and Addiction. 8(2), pp B. ~C. Dell, J. Kilty, C. Fillmore, S. Grantham, T. Lyons, S. Clarke, C. Hopkins Turtle Finding Fact Sheet: The Role of the Treatment Provider in Aboriginal Women s Healing from Illicit Drug Abuse. CES4Health.info. C. ~R. Bone, C. Dell, M. Koskie, M. Kushniruk, C. Shorting The Lived Experience of Volatile Substance Misuse: How Support Contributes to Recovery and Sustained Wellbeing. Substance Use & Misuse: An International Interdisciplinary Forum. 47(S1), pp D. ~Tempier, Adrien; Dell, Colleen A.; Papequash, Elder Campbell; Duncan, Randy; and Tempier, Raymond (2011) "Awakening: 'Spontaneous recovery from substance abuse among Aboriginal peoples in Canada," The International Indigenous Policy Journal: Vol. 2: Iss. 1, Article 7. Available at: E. ~SK Culture as Intervention: F. ~From Stilettos to Moccasins: STEP BY STEP STEP BY STEP We are providers not dividers We help to ignite the fire That is burning within And has always been Deep inside the darkness Let s find out where the spark is Together we ll make it right Don t give up the fight Knowing who you are You re still here you re still alive Its through the struggle We find the strength to survive Nobody chooses the harder road And your inner child already knows Life wasn t off to a smooth start Stories told break break break my heart I wish I could rock that little child to sleep And Tell them that they re safe and loved so deep But the best I can do is work through the pain Cast some sunshine through all the rain And see something better what you deserve Let history rest and enjoy this world Chorus Chorus It s alright It s gonna be okay It s alright It s gonna be okay When you cry I ll help ease the pain When you cry I ll help ease the pain I can be your stepping stone I can be your stepping stone You ll never have to walk alone You ll never have to walk alone Healing comes in a mighty wind Soothes our wounded spirits Rooted in culture, you are a life giver Like a tree that stands strong by the river In both of our lives we have faced a lot of strife But helping you gives me strength it gives me life We re no different you and I We both have dreams we both have pride We both know what it s like when the river runs dry Oh and time isn t always on our side So we gotta learn to love ourselves and try Connect to the earth connect to the sky My spirit reignites with nature Believing in something love instead of hate here That s where we belong That s where we become strong Let s get together and sing this song 7

8 CONTINUE THE CONVERSATION Thank You! Please get in touch anytime to share your thoughts & comments! Facebook: Aboriginal Culture As Intervention Twitter: #CultureAsWellness #HonouringOurStrengths Project Phone Number: Colleen Anne Dell Barb Fornssler 8