Page 99 - Six Nations Community Plan 2019

Measuring Progress

• Increased safety of community members with reduced • Greater understanding among community members of
harms and overdoses from drugs interconnections between substance abuse and trauma,
mental and physical health
• Community members who are healthy and not turning to
substances to cope • More babies born free from exposure to substances

Key Challenges And Concerns

• Parents using substances and losing custody creates instability for children
• Pregnant mothers who are using may feel they cannot access services, leading to increased exposure in womb
• Community Safety is impacted through impaired driving, drug paraphernalia in public, criminal activity
• Greater incidence of chronic pain leading to increased dependence on prescription drugs and illicit substances
• Opioid crisis is affecting our community and leading to dangerous use, overdoses
• Over-prescription of drugs leading to dependence and threatened abuse by others looking to get drugs
• Bans stigmatize use and make it more likely to lead to unsafe use

Suggested Lead Partners

• Health Services • Gane Yohs (Public Health) • Six Nations Emergency • New and emerging
Services organizations
• Social Services • Housing Departments

Timeline

OBJECTIVES STATUS IN 2019

Build a Residential Treatment A safe place is needed for members to detoxify and receive substance abuse helpage
Centre and substance Land and funding for treatment centre and holistic program has been secured by
withdrawal program health services, trained practitioners needed.
Expand committed midwifery Resources required to embrace women using during pregnancy with a harm reduction
care to mothers using during approach to protect unborn babies. Pregnant mothers who are using do not typically
pregnancy access care, so increased staff and transportation resources are required to meet them.
Housing Department currently has policies that restrict drug use in rental housing,
Housing policies that address need to expand scope to provide more care and harm reduction approach to
drug use
SHORT residents.
(2019-2024) Implementation of
Haudenosaunee Wellness Connections project and Pain project have 12-week chronic pain and prescription drug
use management program designed but resources required to implement them.
model applied to chronic pain
Create Community Standards Cannabis Law and Commission created in 2019 but governance issues create barrier in
for substance use based on upholding expectations. Standards for all substances are needed to ensure that we are
safety minimizing harms to users while taking a firm approach to drug dealers.
Develop outcomes- based Currently many partners providing care, strategy needed to deliver trauma-informed
strategy to coordinate harm-reduction care modalities in holistic and coordinated way.
substance abuse services
MEDIUM Create prescription monitoring Greater oversight required to reduce dependency and limit amount of prescription
drugs making it onto the black market. Will require personnel for monitoring and
(2025-2029) process accountability.
LONG Build mental health and Plan is in place for Residential Treatment Facility to support members in detox in short
term but dedicated space is needed for Mental Health and Addictions team to provide
(2030-2039) addictions facility long term and preventative support.

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