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First Nations Health Council Chair Report – Fall 2018

Date:

Since June 2010, it has been my honour to serve as Chair of the First Nations Health Council (FNHC). I am pleased to announce I was just re-elected for another term. BC Chiefs challenged the FNHC to negotiate a tripartite agreement that resulted in improved services, secured long-term funding, and improved health outcomes.

We met that challenge and in 2011 – BC Chiefs renewed our mandate and tasked us to provide leadership, oversee transformation of the health system, make progress on the social determinants of health, and to be advocates. In 2012, BC Chiefs gave us direction upon the structure of the First Nations Health Authority (FNHA). We worked with the FNHA CEO as members and appointed the FNHA board of directors and supported the building of the FNHA.

Six years ago, we began to transition away from Health Canada to the FNHA.  As we wrap up the work on Non-Insured Health Benefits (NIHB) transfer, we will complete transition.  Our focus is now on transformation of the health system, making progress on the social determinants of health, and advocacy.

Our communities and our Nations now have the opportunity to redevelop their Nationhood and achieve a Nation-to-Nation relationship with Canada. BC Chiefs gave us clear direction with setting standards such as the 7-Directives. Directive #1 – Community-driven and Nation-based underpins our work. In transforming mental health, we are calling upon Chiefs, Leaders, and Caregivers to work together in ways that they may not have for a long time. Change is not easy, even when that change is good for us.  The FNHC will need to develop strategies and approaches to support this work.

 

Roadmap to Nation-to-Nation

At the Federal Deputy Ministers & FNHC table held June 29, 2018 in Ottawa, we discussed the challenges and the opportunities of achieving a Nation-to-Nation relationship. We had a lively, candid, and respectful dialogue. There was general agreement to the notion that we should develop jointly a Roadmap to Nation-to-Nation.

This roadmap would identify the challenges/barriers and the opportunities. The FNHC Partnership Working Group (PWG) is going to Ottawa in mid-October to meet senior officials. We will meet with Chiefs of Staff and officials from PMO, Treasury Board, and Finance.  We will begin to develop a roadmap.

 

FNHA – FNHC – FNHDA Joint Planning August 14-15-16

The August FNHA – FNHC – FNHDA joint planning session was productive and positive. Our discussions on the Mental Health Transformation work created an opportunity to air out fears and concerns. After airing out fears and questions – we began to see the possibilities. This process works well. On the 3rd day, we carried out ceremony to lift our spirits and take care of our family.

 

Tripartite MOU on Mental Health Transformation

Our Secretariat team and the FNHA teams have been working closely together to complete the implementation plan for the Tripartite Partnership to Improve Mental Health and Wellness Services and Achieve Progress on the Determinants of Health and Wellness MOU signed on July 26th. It is nearly finalized and ready to be shared publically.

This MOU on Mental Health Transformation calls for Nations to work together with all of their communities. Some Health Directors have expressed concerns that their Chiefs do not meet regularly and have not worked together for some time. Others expressed concern that their Chiefs are in conflict over various issues. We will need to find ways to encourage and support leaders coming together for this work.

 

Cannabis

FNHA Non-medical Cannabis Information for First Nations: www.fnha.ca/cannabis

In late June, the Government of Canada passed legislation to legalize cannabis. The Province of BC is working on legislation. At the last FNHC quarterly meeting, we heard presentations from Canada, the Province of BC and the FNHA on cannabis. We will begin a dialogue on this issue. We will also look at how we can begin to inform our Chiefs and Leaders during our upcoming regional engagements.

The FNHC recognizes the autonomy and self-determination inherent to First Nation communities and, specifically, the rights of communities to choose how to address cannabis in their territories. FNHC favours approaches that minimize the negative health impacts for individuals who voluntarily choose to use cannabis, and which minimize the promotion of cannabis use to children and youth. We approach this work with a spirit of shared responsibility – family members, community leaders, and health system partners all have a role to play.

The FNHA will be engaging with First Nations in BC through the fall regional caucus sessions. The FNHA has posted their health information on cannabis online at: www.fnha.ca/cannabis. For First Nations interested in providing feedback about cannabis and health, there is an online survey that can be taken on the FNHA website.

 

Implementation Committee

Health Canada (now Indigenous Services Canada), the BC Ministry of Health, FNHA and the FNHC established a governance committee to oversee the implementation of our 2011 BC Tripartite Framework Agreement on First Nations Health Governance. We are approaching the conclusion of this committee and are now considering the next iteration and work of this tripartite governance committee.

Our key and founding documents go back to 2005, 2006, 2007, 2010, 2011 and 2012.  On September 19, 2018, the Implementation Committee decided to work together to refresh our tripartite health plans and partnership accords. We want to build upon the progress made by each of the partners by setting out priorities for transformation, improving services, and strengthening and growing our partnerships with regional health authorities, Ministries and Departments.

As we begin to work together on renewing these key documents, we will be working with the FNHC and the FNHA to ensure that we leave no one behind.

 

Secwepemc Nation Stsmemelt MOU

Kukpi7 Wayne Christian invited me to attend the signing of this MOU in July during the AFN AGM held in Vancouver. I attended and witnessed the signing of an MOU on children and family services jurisdiction.  The Secwepemc Nation wants to build from the Splatsin model of jurisdiction. The Governments of Canada and BC have agreed to work with the Secwepemc Nation.

The First Nations Leadership Council with its partners on the Tripartite Working Group on Children and Family Services held a two-day meeting on September 26-27 in Richmond. The FNLC set the agenda that minimized presentations and maximized small group discussions. It was a productive format and there was a great dialogue. Kukpi7 Christian presented the Secwepemc Nation Stsmemelt MOU at this meeting. This presentation generated much excitement. The Wet’suwet’en Nation is working in partnership with the Secwepemc Nation on jurisdiction for children and families.

 

Matriarchs, Grandmothers and Aunties

During the First Nations Leadership Council meeting on children and families, I spoke with Chief Harvey McLeod. He shared with me a document – The Upper Nicola “Grandmothers Declaration.” It is a simple and yet powerful declaration.

Some time ago, our sister Gwen Philips talked about the role of Grandmothers. She raised the idea of the FNHC finding a way to support the Grandmothers to reclaim their role. We need to give some consideration to this idea and how we may take action to realize our Vision Statement – “Healthy, Self-Determining, Vibrant BC First Nations Children, Families, and Communities.”

 

Regional Partnership Accords

The Fraser Salish Partnership Accord and the other regional partnership documents are being evaluated as part of our 5-year evaluation. This review is an ideal time for the FNHC as one of one, three of three (regional), and fifteen of fifteen (provincial) members, to make certain that we are approaching our work in similar ways. Let us find the time to explore best practices from each of our regions and as we renew our regional partnership accords that each region is making progress on our shared priorities.

 

Partnerships

There is so much work to do. There are many organizations doing work. We need to find ways to coordinate our efforts. If we do not work together, we may prevent progress or create unnecessary conflict. We need to find time to develop a strategy on partnerships. We will need to develop a strategy and then bring it to our respective partnership tables with the Deputy Ministers.

 

Conclusion

Eight years passed quickly – while we have made significant progress there is much work to do. We should enjoy and celebrate the 5th birthday of the First Nations Health Authority. We should not party too long for there is much more work to do.

At times, it seems like the more we do, the more that we are expected to do. That is both the gift and the curse of leadership. By working together, we can and we will change the world in which we live.  By staying true to our mandate, staying in our lane – we will make progress to achieving our Vision Statement.  We will transform health and we will make progress on the Social Determinants of Health.

The FNHC looks forward to seeing you at our fall 2018 regional caucus sessions.

 

Grand Chief Doug Kelly
Chair, First Nations Health Council

 

 

SAVE-THE-DATE! FNHC Fall Regional Caucus Sessions

Date:

Dates and locations of the First Nations Health Council Fall Regional Caucus Sessions have been set. Additional information including registration links, agenda items and background information will be shared over the coming weeks.

For now please save-the-date and we look forward to seeing you there!

Vancouver Island:
Dates: Nov 6, 7, 8
Location: Nanaimo Coast Bastion
REGISTRATION LINK

Vancouver Coastal:
Dates: Nov 20, 21, 22
Location: Vancouver Coast Coal Harbour Hotel
REGISTRATION LINK

Interior:
Dates: Nov 14, 15, 16
Location: Kelowna Coast Capri Hotel
REGISTRATION LINK

Northern:
Dates: Nov 27, 28, 29
Location: Coast Inn of the North

Fraser Salish:
UPDATED  Dates: Dec 10, 11, 12
Location: Harrison Hot Springs

 

In Case You Missed It: What Took Place at the Spring Regional Caucus Sessions

The FNHA communications team attended each 2018 Spring Regional Caucus session and summarized the work in online blogs. Some leaders expressed interest in what is taking place at the reginoal level in other areas of the province. Take a read of each blog to find out and look out for the upcoming blogs this fall.

 

Fraser Salish Nations Gather to Discuss Health Transformation and Nation-Rebuilding

Fraser Salish Elders, Youth, Chiefs, Health and Technical staff gathered for the Fraser Salish Caucus on Sema:th territory in Abbotsford March 27-29 for discussions on health service improvements, mental health and wellness, Nation rebuilding and health governance.

18 political leads, 17 health leads, and seven technical leads were on hand for three days of moving forward on health systems transformation for Fraser Salish communities. Day one opened with a cultural procession and welcome to the territory from Jackie Bird from Sema:th First Nation.

 

Interior Region Chiefs and Health Leads Engage in Constructive Dialogue on Community Mental Health & Wellness and Nation-based Governance

The Interior Caucus session began on March 13-15, 2018​ with ceremony, brushing off, and a prayer from Syilx Nation’s Mary Louie and Wilfred Barnes; Chief Roxanne Lindley of Westbank First Nation provided the territory welcome. 42 Political Leads and 53 Health Leads participated in the three-day event.

Caucus Chair Allan Louis, ​Syilx Nation opened the caucus with an update on Interior Region priorities.

 

Vancouver Island Families Discuss Governance, Relationships and Health Transformation in Snuneymuxw Territory

From April 18-20, 2018, political and health representatives from the three Island families—Kwakwaka’wakw, Nuu-chah-nulth and Coast Salish—gathered in Snuneymuxw territory for Vancouver Island Spring Regional Caucus. The three days of community engagement were attended by 112 delegates, including 32 political leads, 27 health leads and nine social leads.

Snuneymuxw Elder Eleanor White opened day one in a good way with prayer and a welcome to the territory and Bill Cranmer (‘Namgis), Corner Post for the Vancouver Island Region, shared words in Kwa’kwala and a song to the Creator “to give us wisdom in our work.”

 

Three Days of Dialogue and Decision-making: Leaders Gather for the Northern Regional Caucus in Lheidli T’enneh Territory

More than 175 participants attended the three-day Northern Regional Caucus from April 9-10 on Lheidli T’enneh Territory in Prince George. Forty-three of 54 Northern communities were represented by Chiefs, Hereditary Chiefs, Chief Councilors and proxies.

Darlene McIntosh of the Lheidli T’enneh welcomed everyone to the territory and provided the opening prayer, and the Khast’an drummers provided three traditional songs from the territory

 

Vancouver Coastal Region Come Together for a Productive 2018 Spring Caucus

From April 24-26, political and health leads, Elders, youth and regional staff gathered in Vancouver for the Vancouver Coastal Regional Caucus. Five Chiefs, 18 technical health leads, and eight proxies attended the forum for discussions on health service updates and transformation, ongoing partnerships, and governance.

Coordination lead for the Coastal Wolfpack and member of the Musqueam Nation Alec Dan provided a welcome to the territory and song to acknowledge the honoured guests and the important work they had to do.

Tripartite Ceremony Reaffirms Commitment to Improve Mental Health and Wellness Services with First Nations in British Columbia

Date:

In May of 2018 at Gathering Wisdom for a Shared Journey IX, the First Nations Health Council (FNHC), Government of Canada and Province of British Columbia announced a commitment to improve mental health and wellness services that support First Nations children, families and communities in BC. Building on this announcement, Canada, BC and the FNHC signed a tripartite agreement on July 26, 2018 that confirms the commitment of all partners to take action on mental health and wellness.

Since 2015, the FNHC has talked to BC First Nations about the social determinants of health. Through these discussions, issues related to mental health and wellness emerged as the top priority across all regions. This reinforces the direction provided by First Nations through Regional Health and Wellness Plans that identify mental health and wellness and substance use as the most important priority for us to make progress on.

For many, issues related to mental health and wellness, substance use challenges, and untreated trauma can be the roots and risk factors that contribute to other concerns like the opioid/overdose public health emergency, overrepresentation of First Nations in child welfare and criminal justice systems, family violence, and other determinants of health.

The FNHC has heard from many communities that immediate and flexible investments in mental health and wellness will result in better outcomes by supporting community-led solutions that address these root causes. The FNHC has heard that First Nations need to be able to design and implement their own services that address the unique needs of their children, families and communities. When we make progress on mental health and wellness, we will make progress on the social determinants of health.

New Funds for Mental Wellness Services and Treatment Centres

The purpose of this MOU is to support a Community-Driven, Nation-Based approach to the design, planning and delivery of mental health and wellness services. This MOU sets out commitments that the partners will work towards over the next two years. The MOU comes with a commitment of $30 million – $10 million each from the FNHA, Canada and BC – over two years to fund health and wellness planning and a series of “demonstration” or “test” site projects that can support enhanced service delivery models determined by communities.

These investments will be administered through the First Nations Health Authority as the health service delivery partner of the First Nations health governance structure in BC. This division of responsibility ensures the separation of services and politics in the administration of this funding. The actual investment approach will be determined through the creation of a public implementation plan in Fall of 2018. It is expected that the first phase of this funding will be available to BC First Nations in the fall of this year.

In addition to the $30 million commitment, this MOU confirms the commitment of the partners to build, renovate, replace and expand a number of First Nations treatment centers in BC. We have heard how challenging it can be to access timely, culturally safe treatment services. This is a significant investment by all partners and an important part of improving the accessibility of substance use services across BC. This commitment is a separate funding commitment from the $30 million to be determined by the partners through a plan also to be created by the Fall of 2018.

Flexible Funding

Through engagement on the social determinants of health, the FNHC has heard that funding provided by Canada and BC for community services is inequitable, unpredictable and not based on actual need of communities. These programs are often developed in silos and do not provide the flexibility to work wholistically. We have heard that proposal-based processes creates competition and reporting requirements are burdensome and based on external priorities. Finally, we know that funding is needed to address capacity challenges, including resources for training, infrastructure, recruitment and retention, pay equity, and governance development.

Recommendations from First Nations have informed this new funding approach. Through this agreement, flexible funding is available directly to Nations and communities to plan, design, and implement mental health and wellness plans, without burdensome application and reporting requirements. We are testing a new funding approach, where federal and provincial funds are pooled, providing Nations with the flexibility to align resources with their health and wellness plans and priorities. This means less money is spent on the administration of funds and more money is available to communities to do the work they know is needed.

Based on recommendations from the Regional Caucuses, there will be no ‘call for proposals’ as part of this new funding approach. A key part of this process is to explore approaches that it make it easier for communities to access funding for mental health and wellness services.

Long-Term Investments in Mental Health and Wellness

As part of this agreement, the parties are committed to work together and with BC First Nations to secure long term funding to transform mental health and wellness in BC. The timeframe for the current MOU is set for two years, in order to test the new funding approach. Over the next two years, the FNHC will be engaging First Nations to gather feedback in order to inform future mental and wellness funding agreements.

There is an understanding between BC, Canada and the FNHA that the $30 million is an initial investment. The FNHC is aware that communities need more resources to improve health outcomes. Over the next two years, we have the opportunity to plan as communities and as Nations. Together, we will learn what resources are required in the long-term to ensure we create a sustainable, comprehensive system of mental health and wellness care for our people.

Next Steps

As set out in the MOU, the next step in the process is to develop an implementation plan by October 2018 that sets out an approach for allocating the funding over the two-year period. In order to ensure this new funding approach works for First Nations, we look forward to immediate engagement at Regional Caucuses in the fall.

Over the next two years, we will be actively engaging First Nations to determine what does and does not works and what needs to change, in order to inform long term investments that meet the needs of our communities. In the below links you will find a copy of the MOU, some Frequently Asked Questions and a link to this letter as a PDF.

We look forward to discussing this work further directly with Chiefs, Leaders and Caregivers in the months ahead and hope you have a safe and healthy summer.

Sincerely,

The First Nations Health Council

 

Visual: Mental Health and Wellness Memorandum of Understanding between the Government of Canada, Province of BC and First Nations Health Council – Breakdown of New Funding Commitments

Download the Memorandum of Understanding here

Download Frequently Asked Questions here

Download this letter in PDF format here

Gathering Wisdom for a Shared Journey IX Recap

Date:

The FNHC would like to thank all of those who attended Gathering Wisdom for a Shared Journey IX on May 15-17, 2018. This year, over 700 Chiefs, Leaders, Health Directors, Youth Leaders, Elders, and federal and provincial partners attended the 3-day forum to engage in discussions surrounding the health and wellness of BC First Nations. The forum this year provided an opportunity for Nations to share their own stories and journeys of health and wellness. We are thankful to all of those that took part in this important discussion.

A New Approach for Tripartite Investment in Mental Health and Wellness

Building on the progress of the tripartite health initiative, the Government of Canada, the Province of BC and the First Nations Health Council (FNHC) have agreed to take significant steps to improve mental health and wellness outcomes for First Nation children, families and communities in BC. As announced at the Gathering Wisdom forum, the federal and provincial governments and the First Nations Health Authority (FNHA) will each make an initial investment of $10 million over two years for a total funding commitment of $30 million. In addition, Canada, BC, the FNHC and the FNHA have agreed to work together to develop a tripartite plan to address the need for the renovation, replacement, expansion and construction of Indigenous treatment centers in BC.

Since 2015, the FNHC has been engaging First Nations on the social determinants of health – the conditions in which people are born, grow, work, live and age, and the wider set of forces shaping the conditions of daily life. Through these engagements, mental health and wellness emerged as the top priority across all regions. This is consistent with the priorities set out in the Regional Health and Wellness Plans and further reinforces recommendations made by First Nations through extensive engagement done to date on mental health and wellness, including A Path Forward: First Nations Mental Wellness and Substance Use 10-Year Plan.

In the spring of this year, the FNHC started a discussion with First Nations on a new partnership model for mental health and wellness. This initial investment by Canada, BC and the FNHA will support a new approach for funding mental health and wellness services. This funding approach aims to simplify the process for First Nations to access funding by pooling federal and provincial resources for mental health and wellness and establishing new and more flexible funding arrangements that focus on outcomes. As we have heard from First Nations across BC, it is important to knock down silos, remove unnecessary rules, significantly simplify the process to receive and report on funding, and support Nation-based approaches to health and wellness. In taking a new approach with this initial investment, funding will focus on achieving outcomes – not the terms and conditions of a funding agreement.

The initial investment of $30 million over the next two years will focus on the following:

Planning – provide funding for First Nation communities and Nations to develop, renew, or redesign their health and wellness plans in a manner that aligns with their vision of wellness and enhances protective factors associated with positive mental health and wellness outcomes.

Service Delivery – provide funding for Community-Driven and Nation-Based demonstration sites that support enhanced service delivery models for mental health and wellness.

In the weeks ahead, the partners will develop an implementation plan that sets out these processes in more detail, including an approach for First Nations to access funding through this new opportunity. It is important to note that this is an initial investment to support a new and more flexible approach for funding mental health and wellness services. The FNHC is committed to continue its engagement with First Nations on this approach and to secure a funding commitment from Canada and BC to sustain this over the long-term.

Click here to see the full Media Release

Nations Sharing Promising Practices

The purpose of the Gathering Wisdom forum this year was to seek direction on mental health and community-led approaches for addressing the social determinants of health.  Based on feedback from past forums, the forum provided an opportunity for Chiefs, Leaders and Caregivers to share promising practices and strategies for improving health and wellness outcomes in their communities. This included:

  • Satsan (Wet’suwet’en), Steven Point (Coast Salish) and Sophie Pierre (Ktunaxa) shared their perspectives on the role of health, healing and relationships in larger discussions on Nation rebuilding.
  • Chief Dean Nelson (Lil’wat Nation), Chief Nathan Matthew (Simpcw First Nation) and Chief Jackie Thomas (Saik’uz First Nation) shared their perspectives on the role of leaders in creating a vision for change in the community.
  • Panel Presentation on wholistic approaches to health and wellness planning that featured the Stikine Wholistic Working Group, the Wet’suwet’en Anuk Nu’ At’en Ba’glgh’iyi z’ilhdic Program, the Syilx Nation, and the Sts’ailes Snowoyelh Program.
  • Terry Cross (Founder of the National Indian Child Welfare Association) and Shirley Williams (Lummi Nation) spoke to the importance of culture and community-based approaches in creating a healthy future for our children.

We would like to thank all of our guest presenters for sharing their perspectives. You can now see all of these presentations online.

Youth Leaders Program

New to the Gathering Wisdom forum this year, the FNHC sponsored 15 Youth Leaders from across BC to attend the forum this year. The Youth Leaders were asked to be part of the forum by listening and learning from the leadership in the room and to share their reflections on the discussion at the end of the forum. We were inspired by the courageous and thoughtful words shared by the Youth Leaders at the end of the forum. As Autumn Walkem from the Nlaka’pamux Nation aptly put it, “I am ready for change. Are you?”

The FNHC would like to personally thank each and every Youth Leader who attended the Gathering Wisdom forum and the Living Markers that supported them throughout. Thank you to:

  • Marcie Pruden, Fraser Salish Region
  • Stanley Daniels, Canim Lake Band, Interior Region
  • Autumn Walkem, Nlaka’pamux Nation, Interior Region
  • Kali Gabriel-Baptiste, Osoyoos Indian Band, Interior Region
  • Daphne McRae, Upper Nicola Band, Interior Region
  • Hannah Olinek, Nak’azdli Band, Northern Region
  • Mikayla Mayner, Wet’suwet’en First Nation, Northern Region
  • Jordan Leask, Metlakatla First Nation, Northern Region
  • Taylor Behn-Tsakoza, Fort Nelson First Nation, Northern Region
  • Christopher Haller, Nuxalk Nation, Vancouver Coastal Region
  • Crystal Lewis, Squamish Nation, Vancouver Coastal Region
  • Leonard Nookemis, Huu-ay-aht First Nation, Vancouver Island Region

Honouring Ceremony

The Gathering Wisdom forum this year started with a tribute to Qut’same’t (Elder Leonard George). Leonard George has touched so many lives. The FNHA, FNHC and FNHDA came together to honour the work and legacy of Leonard George in ceremony. We want to acknowledge the George family for allowing us to do this work.

As part of this work at the beginning of the forum, we also took time to acknowledge those that have lost loved ones in the opioid crisis. We heard from Charlene Belleau about the current state of emergency relating to accidental drug overdoses and the importance of strong leadership to stop this crisis. Bev Lambert shared her personal story of how she lost her son to addiction, and encouraged us to share our own personal stories and support each other through our journeys of healing. Grand Chief Doug Kelly led a Call to Action, and invited attendees to join him in promising to live violence free and open our hearts and release the unconditional love within.

As part of this Call to Action, the FNHC invited Chiefs, Leaders and Caregivers to write names and memories of loved ones lost to this crisis on quilting squares. The memorial quilt was unveiled on the final day of the forum as a way to pay respect to those who have been lost and to support each other in our healing journeys. We want to thank all of those that took part in this ceremony. As a next step, the FNHC has committed to bring the memorial quilt to the Regional Caucuses in the fall and to continue the conversation that was started at the Gathering Wisdom forum.


Chief Nathan Matthew speaking during the Role of Leaders in Community Health and Wellness panel

Wholistic Approaches to Health and Wellness Planning panel

Terry Cross of the National Indian Child Welfare Association presenting on “Remembering a Healthy Future”

Memorial quilt for those who have lost loved ones in the opioid crisis

Vancouver Island cultural sharing

Treaty 8 dancers

Video – Gathering Wisdom for a Shared Journey IX: Celebrating Five Years Since Transfer

This video introduces leaders to the key themes of Gathering Wisdom, including a reflection on progress since health transfer, healing and resilience, reclaiming our wellbeing, and health as the foundation of nation-rebuilding. It ends with a call to action for leaders to take up this work in their own communities.

Watch the video here!

Upcoming Gathering Wisdom forum materials

In the coming weeks, the FNHC will be producing a full proceedings report on what was heard and learned at the Gathering. This report will include a more detailed summary of each discussion and presentation and the next steps to be taken by the FNHC. Additionally, the entire Gathering Wisdom video will be uploaded for those to watch who could not attend the Gathering.

Our Engagement Story on the Social Determinants of Health and Wellness, 2015-2018

Since 2015, the FNHC has engaged First Nations across BC on the social determinants of health. This summary report has been prepared by the FNHC based on what was shared at the Regional Caucuses, and outlines common concerns, challenges and opportunities across regions.

Click to see the report!

Gathering Wisdom for a Shared Journey IX Presentations

Date:

Presentations from Gathering Wisdom for a Shared Journey IX are available here:

Day 1 – Honouring Qut-Samet, Leonard George

Day 1 – Cancer and First Nations Peoples in BC

Day 2 – Presentation from the FNHA – Dr. Shannon McDonald and Joe Gallagher

Day 2 – Role of Health Resilience and Healing in Nation Rebuilding – Satsan Herb George

Day 2 – Role of Leaders in Community Health and Wellness – Chief Dean Nelson

Day 2 – Role of Leaders in Community Health and Wellness – Nathan Matthew

Day 2 – Role of Leaders in Community Health and Wellness – Chief Jackie Thomas

Day 2 – Wholistic Approaches to Health and Wellness Planning – A Continuing  Success of the Tahltan Kaska Tlingit and BC

Day 2 – Wholistic Approaches to Health and Wellness Planning – Syilx Wellness Framework

Day 2 – Wholistic Approaches to Health and Wellness Planning – Wet’suwet’en Wellness

Day 3 – Tripartite Partnership on Mental Health and Wellness

Day 3 – Remembering a Healthy Future – Terry Cross and Shirley Williams

For more info on the presentations see the conference guide here.

Agenda for Gathering Wisdom for a Shared Journey IX

Date:

Agenda for Gathering Wisdom is Available Now!

The FNHC is pleased to share the draft agenda for the Gathering Wisdom for a Shared Journey forum on May 15-17, 2018 in Vancouver. The purpose of the forum this year is to promote dialogue among First Nations in BC on strategies to address the broader determinants of health and wellness, including the role of health, resilience and healing in Nation rebuilding. The forum will be an opportunity to hear from other First Nations in BC that are redesigning their governance to support more wholistic approaches to health and wellness in their communities. Based on feedback from past forums, the FNHC has invited First Nations from across BC to share their stories of health and wellness.

The forum will feature a number of panel presentations, including:

Role of Health, Resilience and Healing in Nation Rebuilding

  • Herb George (Wet’suwet’en) and Sophie Pierre (Ktunaxa) will share lessons learned and possible strategies for supporting Nations on their journeys of healing and rebuilding.

Role of Leaders in Community Health and Wellness

  • Chief Dean Nelson (Líl̓wat), Chief Nathan Matthew (Simpcw) and Chief Jackie Thomas (Saik’uz) will share lessons learned and successes in supporting the health and wellness journeys of their communities.

Wholistic Approaches to Health and Wellness Planning

  • The Stikine Wholistic Working Group, the Wet’suwet’en Wellness Working Group, the Syilx and the Sts’ailes will share their stories of building wholistic health and wellness plans and programs that are grounded in the vision, values, culture and teachings of their Nations.

Presentation by Terry Cross

  • We are excited to welcome back Terry Cross (Founder of the National Indian Child Welfare Association) to share his experiences supporting Tribes in the United States design effective services for Indigenous children and youth and new opportunities to work directly with First Nations in BC.

Tripartite Partnership on Mental Health and Wellness

  • As reported at the Regional Caucuses this spring, the FNHC is proposing a partnership with Canada and BC to improve mental health and substance use services in BC. This panel presentation will be an opportunity to hear from the Government of Canada, the Province of BC, the FNHC and the FNHA on proposals to transform mental health and wellness services in BC.

Presentation by Joe Gallagher

  • Joe Gallagher (Chief Executive Officer of the First Nations Health Authority) will talk about emerging priorities for the FNHA as a health and wellness partner to First Nations in BC.

It is important to note that there will be opportunities to talk to the FNHA throughout the forum. The FNHA will be hosting a series of information sessions to ensure communities can access information on key programs (e.g. Health Benefits). In addition, representatives from the FNHA will be available to meet with First Nations directly as requested.

Please see the link for the full agenda.

A reminder that the registration deadline for the Gathering Wisdom forum is this Friday (April 27, 2018). The FNHC is pleased to cover the costs of three (3) representatives from each First Nation community in BC to attend the Gathering Wisdom forum this year. If you have a role in health and wellness in your community, please visit www.gathering-wisdom.ca to register today!

Celebrating Culture and Wellness at Gathering Wisdom

The culture, language and identity of each Nation is an essential determinant of individual, family and community wellness. The Gathering Wisdom forum this year will feature cultural work and ceremony throughout the forum. This includes an honouring ceremony, cultural sharing, and wellness services. A reminder to bring your drums and regalia to participate in the cultural sharing on the first day of the forum.

In addition, the Gathering Wisdom forum will feature artisans from across BC, including jewelry, beadwork and buckskin work, prints and original paintings, cedar weaving, cedar carvings, and other arts and crafts.

How to Register

To register, please visit www.gathering-wisdom.ca and click ‘register’ to begin. Details on reserving a hotel room will be sent once registration is complete.

Based on feedback from past forums, the FNHC has simplified the registration process. The FNHC will cover the travel and accommodation costs for three (3) representatives from each First Nation community in BC to attend the Gathering Wisdom forum this year. This includes:

  1. One Political Lead (e.g. Chief, Councilor or Proxy)
  2. One Health Lead (e.g. Health Director, Community Health Representative or Health Portfolio Holder)
  3. One Social Lead (e.g. Band Administrator, Social Development Director or Social Development Worker)

As the discussion on the social determinants of health is broader than health services, we want to include representatives that have responsibility for health and social services in their community. It is up to each community to choose how they want to participate in the Gathering Wisdom forum this year within the three affiliations described above. Due to the nature and focus for this year, the participation of political representatives from each community is encouraged by the FNHC.

REGISTRATION DEADLINE: Friday, May 4, 2018.
Ensure to register by the deadline to guarantee your seat and hotel room. After this date, registration cannot be guaranteed.

QUESTIONS?
Please contact gatheringwisdom@pacegroup.com.

Gathering Wisdom for a Shared Journey 2018 Youth Leaders Program

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The FNHC is now accepting applications for First Nation leaders aged 16 to 30 years to participate in the inaugural Youth Leaders Program at Gathering Wisdom for a Shared Journey IX, May 15-17, 2018. There are 10 spots available – one male and one female from each BC region. The 10 Youth Leaders selected will be asked to address an audience of 700 First Nation leaders and health leads from across BC.

As we have heard from many, the voice of youth is vitally important to the work we have in front of us. The Youth Leaders Program is an opportunity for aspiring First Nation leaders from across BC to attend the Gathering Wisdom forum, learn from the leaders around them, and take part in a provincial level dialogue on the health and wellbeing of First Nations in BC.

Who is a Youth Leader?

A youth leader is a positive role model and a health and wellness champion in their community. A youth leader is ready to represent the views of their peers and is willing to share their own perspectives on challenges they see in their communities. A youth leader is a champion for positive change and lives the values of respect, discipline, relationships, culture, excellence and fairness.

What will you do as a Youth Leader?

The 10 Youth Leaders selected will be asked to attend and actively participate in the 3-day Gathering Wisdom for a Shared Journey forum. On the first day of the forum, the 10 Youth Leaders will be introduced to the Chiefs in Assembly. On the final day of the forum, the 10 Youth Leaders will be asked to offer closing comments. Throughout the forum, Youth Leaders will convene as a group to share what they have learned, and prepare for their speaking opportunity on the last day. This is an opportunity for the 10 Youth Leaders to offer their own reflections on the forum, their hopes for the future, and recommendations for further engagement with youth in these discussions.

Why apply?

The 10 Youth Leaders selected will receive an all-expense paid trip to Vancouver for the Gathering Wisdom forum on May 15-17, 2018, including travel, accommodation and meals. In addition, the 10 Youth Leaders will receive a health and wellness prize package for their participation in the forum. Most importantly, the 10 Youth Leaders will have the opportunity to connect directly with First Nation leaders from across BC, and represent the voices of First Nation youth at the largest Indigenous health and wellness conference in the country.

Application and Selection Process

How to apply?

To apply, please submit an application by Thursday, April 19, 2018.

Applications are submitted online: https://www.surveymonkey.com/r/GWIX-YouthApplication.

Requirements

  • Youth aged 16-30 years are eligible to apply
  • Must be enrolled in high school, or have completed Grade 12
  • Must have volunteer and leadership experience
  • Experience mentoring youth is an asset
  • Active participation in cultural activities is an asset
  • Must demonstrate community engagement and involvement
  • One reference from a non-family member (brief statement in MS Word or PDF including contact information)
  • Availability to attend 3-day forum in Vancouver, May 15, 16, 17, 2018
  • Be comfortable with publicly speaking to an audience of 700 attendees

Selection Process

  • To be accepted, candidates must show they meet the requirements listed above
  • A maximum of 10 youth candidates will be accepted – one female and one male from each of the five BC regions
  • Candidates will be accepted based on their submitted applications and relevant experience, ensuring fair representation from across BC
  • Candidates with completed applications will be reviewed by Gathering Wisdom event organizers as they are received, up to April 19, 2018
  • Accepted candidates will be notified no later than Thursday, April 26, 2018

Gathering Wisdom for a Shared Journey IX FAQ

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What does my community need to know about the Gathering Wisdom forum this year?

The Gathering Wisdom forum this year will feature discussions on health, mental health, and the social determinants of health. Based on feedback from the last Gathering Wisdom forum, it is important that there are opportunities to learn and contribute to the work of better health outcomes for First Nations in BC.

Gathering Wisdom IX will provide an opportunity for leaders and health and wellness leads to hear from the FNHA on health programs and services, learn more about promising practices from other communities across BC, discuss the role of health and healing in Nation rebuilding, and discuss new opportunities in the areas of mental health and the social determinants of health.

Most importantly, the Gathering Wisdom forum is an opportunity for leaders to discuss the direction of the social determinants of health strategy that the FNHC is leading.

Will there be a decision at the Gathering Wisdom forum this year?

Based on discussions with leaders at the Regional Caucuses in the fall, the FNHC has heard that communities need more time to talk about the direction of this work before making a province-wide decision. The upcoming Regional Caucuses will provide time for leaders to discuss the future direction of the FNHC and any future decisions that may need to be made related to work within the social determinants of health. At this year’s Gathering Wisdom forum, Chiefs will be asked to provide direction on the work within the social determinants of health.

Why is it important that Chiefs attend the Gathering Wisdom forum?

As decision-makers, it is important that Chiefs have information to support the health and wellness work they do in community. The Gathering Wisdom forum is an important part of the health governance process. It is an opportunity to provide Chiefs with an update on progress and discuss future directions for the health governance structure that we as BC First Nations have established.

While there may be no province-wide decision to make at Gathering Wisdom this year, the FNHC is asking for leadership direction on work within the social determinants of health. There will be keynote presentations on Nation rebuilding and opportunities for leadership dialogue throughout the three-day forum.

Can I meet with the FNHA on health programs?

Yes. There will be multiple opportunities to talk with the FNHA throughout the three-day forum. We will be hosting a series of information sessions to ensure communities get the information they need on health programs. In addition, we will ensure senior representatives of the FNHA are available to meet with leaders and health leads on the specific interests of their community. More information will be made available on this in the coming month.

Who is invited to attend?

Similar to the Regional Caucuses, we are pleased to invite three (3) representatives from each BC First Nation community in BC. This includes:

  1. Political Lead (e.g. Chief or Proxy)
  2. Health Lead (e.g. Health Director, Community Health Representative, or Health Portfolio Holder on Council)
  3. Social Lead (e.g. Social Development Director, Social Development Worker, or Children and Family Worker)

It is up to each community to choose how they want to participate in the Gathering Wisdom forum this year within the three affiliations described above. Due to the nature and focus for this year, the participation of political representatives from each community is encouraged by the FNHC.

In addition, we are pleased to invite one (1) representative from the following:

  • Delegated Aboriginal Agency
  • First Nation Umbrella Health Provider

What is the ‘social lead’ category on registration?

As the discussion on the social determinants of health is broader than health services, we want to include representatives that have responsibility for health and social services in their community. A ‘social lead’ may include, but is not limited to, a band manager, social development director, social development worker, social worker, or children and family worker. These are examples – each community should select the most appropriate representative to attend for their community.

Will there be a regional procession?

Yes. We encourage all attendees to bring your drums and regalia to participate in the regional procession on the first day.

How do I register?

To register, visit here: https://www.regonline.ca/gatheringwisdomIX

Ensure to register by the deadline of Friday, April 27, 2018 at 11:59pm to guarantee your seat and that a hotel room is available. After this date, registration cannot be guaranteed.

How does my community get reimbursed for travel and accommodation costs?

Travel expense reimbursement forms can be downloaded from multiple locations during the online registration process. In addition, hard copy forms will be supplied onsite at the Forum near registration.

Will there be other activities throughout the three day forum?

Yes. There will be a variety of Wellness Services open to all invited delegates to access. Potential services include traditional and cultural practices such as cedar brushing and smudging. In addition, a limited number of Artisan Vendors will be onsite offering products for sale.

Read the FAQs in PDF format here (PDF 96 KB)

Holiday Message from Grand Chief Doug Kelly

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As I look back on the past seven years, it strikes me that our greatest strength, our diversity, could also be our greatest weakness.  The striking diversity of more than 200 communities, can at times, be our greatest weakness.

For several years now, the journey to transforming the world for our children and grandchildren, required us to create the space to listen, to learn, and then to act together.  We engage our leaders.  In doing so, we account for our work.  We hear the issues and questions and we bring them forward to our FNHC and when needed to the FNHA.  Always mindful of our role as leaders, advocates and high-level oversight – we do not mix politics with business.

Two months ago, our FNHA turned four years old.  Our FNHA went from crawling to walking, and is learning to run.  It has grown from a concept first imagined by the First Nations Summit in 1997.  Then, First Nations were our only willing partners.  The concept of self-determination in health was not embraced by others.

In 2005, the concept of First Nations controlling First Nations Health returned.  This time, our government partners shared our vision of self-determination in health.  From that 2005 concept, it took six years of years of engagement, dialogue – listening and learning.  We took missteps, faltered, fell, but we got up, dusted ourselves off and kept moving.  On May 26, 2011, Chiefs mandated us to move forward and create the FNHA.

It took the FNHC and our senior team two years and four months to build the FNHA and to prepare for service delivery.  Our agreement with Canada and British Columbia set out five years of hard work.  Our dedicated leader, Joe Gallagher and his team carried out this gruelling pace and finished the work for October 1, 2013.

We have found our feet, realized our potential, and committed to our vision – “Healthy, Self-Determining BC First Nations Children, Families, and Communities.”  Drawing upon our diversity as a strength, we will continue our work.  We will set the table, learn to listen, listen to learn, air out fears and strengthen our resolve to work together.  From the ground up, community-driven and Nation-based, we will chart our path forward.  We will find ways to increase First Nations decision-making.  We will work with the FNHA, our provincial and federal Deputy Minister partners to improve services.  We will work with our partners to support capacity development with our communities and Nations.  At every opportunity, we partner with others that share our vision.  We will continue our quest for personal, professional and organizational excellence – to be the best that we can be.

Our governance structure, engagement pathway, and leadership are tried, tested, true, and work.  Our Chiefs and Caregivers will help us to move forward in the right direction, changing the world for our children and grandchildren.

I love you my dear FNHC, FNHA, FNHDA family.  2018 is promising to be an exciting and challenging year, so take a break this Christmas season, be with your loved ones, rest, relax, and recharge.  We have much work to do next year to create a better world.  Listening and learning before we act allows our diversity to become a strength.  Focussing on a common vision, while respecting diversity, helps us to move the work forward together.  Merry Christmas to all of you and wishing all health and happiness in 2018.

-Grand Chief Doug Kelly, FNHC Chair

[Photo: Grand Chief Doug Kelly and Jennifer Jones, Health Director, Cowichan Tribes]