Some of the priorities for first nations are the provision of medically assisted treatment, and so greater access to methadone, buprenorphine, and naloxone maintenance. Withdrawal management is also absent from the first nations system and there's a reliance on provincial government services that often don't have enough services to address the needs of first nations people.
We need to have a focus on outcomes that are reflective of cultures, such as investment in spiritual wellness that promotes health, emotional wellness that promotes belonging, mental wellness that promotes having meaning in one's life, and physical wellness that facilitates having purpose in one's life. If hope, belonging, meaning, and purpose were our targeted outcomes of any approaches to addressing prescription drug abuse we would be promoting an indigenous wellness framework.