Improving substance use treatment for First Nations and Inuit women – Recommendations arising from a virtual inquiry project
Abstract
This article describes the work undertaken by participants in a virtual community, who came together online over a 15 month period to discuss how to improve supports for First Nations and Inuit women with substance use problems at risk of having a child affected by FASD. The project exemplifies a collaborative process, inclusive of people from various geographical locations, cultures and professional sectors, affording participants the opportunity to weave together research, practice wisdom, policy expertise, and Indigenous Knowledge(s) in a voluntary, nonhierarchical context. Such virtual processes have the potential to support the development of nuanced recommendations reflective of the complexities of FASD prevention in Indigenous contexts taking into account multiple influences on women’s substance use, and a continuum of treatment responses. The article includes participants’ recommendations for improving Canada’s substance use system of care to address the treatment and support needs of First Nations and Inuit women.
References
Acoose, S., Blunderfield, D., Dell, C. A., & Desjarlais, V. (2009). Beginning with Our Voices. Journal of Aboriginal Health, 4(2), 35-43.
Anderson, K. (2009). Notokwe opikiheet -"old lady raised". Aboriginal women's reflections on ethics and methodologies in health. In P. A. Monture & P. D. McGuire (Eds.), First voices: An Aboriginal Women's Reader (pp. 507 - 519). Toronto: INANNA Publications and Education Inc.
Blackstock,C., Prakash,T., Loxley,J. & Wien, F. (2005). Wen:de we, are coming to the light of day. Ottawa, ON: First Nations Child and Family Caring Society of Canada.
Blackstock, C., Cross, T., George, J., Brown, I., & Formsma, J. (2006). Reconciliation in Child Welfare: Touchstones of Hope for Indigenous Children, Youth and Families. Ottawa, ON: First Nations Child and Family Caring Society of Canada & National Indian Child Welfare Association.
Bopp, J. (July 2003). Making the Path by Walking It: A Comprehensive Evaluation of the Women and Children’s Healing and Recovery Program (WCHRP) Pilot Yellowknife, Northwest Territories Northern Centre for Families.
CanFASD Research Network. (2012). Evaluation of FASD Mentoring Programs. Retrieved September 24, 2012
Chansonneuve, D. (July 2008). A Residential Addictions Treatment Facility for Aboriginal Women and their Children in the City of Ottawa: A Feasibility Study. Ottawa, ON: Minwaashin Lodge.
Council of Yukon First Nations. (2010, revised February 2011). Yukon First Nations' Mental Wellness Workbook. Whitehorse, YK: CYFN.
Dell, C. A. (2009). The role of the treatment provider in Aboriginal women’s healing from illicit drug abuse. Retrieved May 30, 2009, from http://www.coalescing-vc.org/virtualLearning/section5/documents/Cmty5_InfoSheet2.pdf
Dell, C. A., Acoose, S., Blunderfield, D., & Desjarlais, V. (2009). Beginning with our voices: How the experiential stories of First Nations women contribute to a national research project. Journal of Aboriginal Health, 5(1).
Fallot, R., & Harris, M. (2009). Creating cultures of trauma-informed care (CCTIC): A self-assessment and planning protocol. 2.2(7), 1-18. Retrieved from http://www.trauma-informed.ca/traumafiles/Trauma-informed_Toolkit.pdf
Grant, T. M., Ernst, C. C., Streissguth, A., & Stark, K. (2005). Preventing alcohol and drug exposed births in Washington State: Intervention findings from three Parent-Child Assistance Program sites. American Journal of Drug and Alcohol Abuse, 31(3), 471-490.
Health Canada. (2011). Honouring Our Strengths - A Renewed Framework to Address Substance Use Issues Among First Nations People in Canada Summary Report. Ottawa, ON: Health Canada.
Macmillan, H., Jamieson, E., Walsh, C., Wong, M, Faries, E., McCue, H. et al. (2008). First Nations women’s mental health: results from an Ontario survey. Archives of Women's Mental Health 11:109–115.
McHugh, T. F., & Kowalski, K. C. (2009). Lessons learned: Participatory action research with young aboriginal women. Pimatisiwin: A Journal of Aboriginal and Community Health, 7(1), 118-131.
Metz, E. (2008). Talking Together: An Alternative Approach to the Mainstream Adversarial Child Welfare System. from http://www.nanlegal.on.ca/upload/documents/talking-together---an-alternative-to-the-child-welfare-system.pdf
Muckle, G., Laflamme, D., Gagnon, J., Boucher, O., Jacobson, J., & Jacobson, S. (2011). Alcohol, Smoking, and Drug Use Among Inuit Women of Childbearing Age During Pregnancy and the Risk to Children. Alcoholism: Clinical and Experimental Research. 35(6): 1081-1091.
National Treatment Strategy Working Group. (2008). A System's Approach to Substance Use in Canada: Recommendations for a National Treatment Strategy. Ottawa, ON: National Framework for Action to Reduce the Harms Associated with Alcohol and Other Drugs and Substances in Canada.
Niccols, A., Dell, C. A., & Clarke, S. (2009). Treatment issues for Aboriginal mothers with substance use problems and their children. International Journal of Mental Health & Addiction, 8(2), 320-335.
Payne, S. (2007). In-Hospital Stabilization of Pregnant Women who Use Drugs. In N. Poole & L. Greaves (Eds.), Highs and Lows: Canadian Perspectives on Women and Substance Use (pp. 249-255). Toronto, ON: Centre for Addiction and Mental Health.
Poole, N. (2008). Fetal Alcohol Spectrum Disorder (FASD) Prevention: Canadian Perspectives. Ottawa, ON: Public Health Agency of Canada.
Poole, N. (2012). Essentials of Trauma-informed Practice. Ottawa, ON: Canadian Network of Substance Abuse and Allied Professionals, http://www.cnsaap.ca/Eng/ProfessionalToolkits/Pages/default.aspx
Poole, N., Salmon, A., & Network Action Team on FASD Prevention. (2010). 10 Fundamental Components of FASD Prevention from a Women's Health Determinants Perspective. Vancouver: BC: Canada Northwest FASD Research Network.
