NNAPF’s Renewal Project on Cultural Aftercare Practices: Case Study

Kitigan Zibi Health and Social ServicesManiwaki, Quebec

Introduction

• The following slides will be answers from the community (Kitigan Zibi Health and Social Services in Maniwaki, Quebec) that completed the questionnaire regarding cultural aftercare.

Could you describe what your community/ organization is currently doing?

• The NNADAP program in community provides services in prevention, intervention, and aftercare to members.

How do you link aftercare service(s) with the client’s community?

• It is an extension of treatment where individuals can access one on one counselling, support, referrals, and participate in culturally relevant activities.

Support

One on one counselling

Referrals

Participate in culturally relevant activities

Aftercare Services

Client’s Community

What are the programs and services being offered, the goals, and how they are being

offered?

• Working with an aftercare plan or adapting plan to meet person’s needs. I do counselling sessions related to relapse prevention. The goal is to keep person focused on their recovery by meeting with them on a regular basis, weekly, every couple weeks, or monthly depending on their needs.

Client’s Need

Aftercare Plan

Counselling sessions related to relapse

prevention

Group Support

Family Support

What resources are needed for these programs and services?

• Access to mental health services and employment, education.

Aftercare Services

Mental Health Services

Employment

Education

Cultural Activities

How are the physical, emotional, spiritual, and mental aspects of the clients being addressed?

• After a person completes a treatment program, a report is usually provided by the treatment centre that gives us specific areas to work on. They can recommend for example, a person that suffers from ptsd would benefit from additional therapy from a psychologist.

Client

Treatment Program

Aftercare Services

Report

What are the aftercare activities the client are referred to?

• AA/NA support meetings, Al-ANON, Family Resource Centre which offers men’s talking circle, adult drop-ins, workshops on financial management, cooking classes, language class, which are offered in the community and catchment areas

AA/NA support meetingsAl-ANON

men’s talking circleadult drop-ins

workshops on financial management

cooking classeslanguage class

Aftercare Activities

Family Resource Centre

Who are the range of community resources available to the clients?

• Health centre programs, adult ed., nurses, psychologist, therapist, doctors once or twice a week, career counselor

Health Centre Programs

Adult Education

Nurses

Psychologist

Therapist

Doctors

Career Counsellor

Education Programs

Do you provide relapse prevention programming? What is the nature of your

relapse prevention program(s)?• Yes. One on one counseling I do lessons or session on planning for

holidays, dealing with urges and triggers, healthy relationships, honesty in recovery, self-care, grief and loss in recovery, role modeling for children, HALT recovery strategies, dealing with pressures to use, planning for holidays when new in recovery, how to take responsibility of yourself, spirituality

What department(s) or community member(s) do you collaborate with to provide aftercare services (i.e., clinical

services, cultural practices)?• Ode Widokazowin is a Family Resource Centre, Health Centre, KZA Band

Administration. • For cultural activities we did workshops on birch bark canoe building,

drum making, sweats, rattles, attended career and job fairs, hunting excursions, paddling carving, ice fishing.

• We use our local cultural people in community to teach traditional skills.

How do you engage family members and other people with substance use issue who

are close to the clients?

• In a person’s recovery plan I identify supportive people in their family that can assist their relative in their recovery. I do not coerce myself unto others unless they’re ready.

Recovery Plan

Supportive family

What are the community and technology-based models of peer support (i.e., use of

internet, phone or video)?

• Facebook and other social media has become extremely popular in the community. They make friends in treatment and continue to stay in contact with each other after treatment.

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Client

Client

Client

Client

Client

Client

Home visits

Are there ongoing check-ins (i.e., recovery management) by the service providers and

support networks?

• I do home visits and try and stay connected with individuals that I’ve worked with in the past.

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Community Worker

Do you have any other information that we may have not asked that may assist in

learning more about your aftercare services?

• Aftercare maintenance is new for us and we are still working and learning. It is a positive resource that is definitely needed in helping people in recovery from substance abuse.

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Aftercare Services

How does your community / organization address any conflict with the communities acceptance / non-acceptance of culture?

• We do not force anything on anyone. It is the person’s choice whether they want to know or accept culture. We see the after effects and conditioning of residential schools that still resonate generations after, but we want to promote and instill pride in our people.

NNAPF’s System’s Approach

Next Steps• What else would you like to know?