Any access to mental health services will make some difference, but you're never going to make as much difference without culture. No matter where you live in Canada, whether you live on a first nations reserve or in an urban environment, access to cultural support is difficult. It's difficult because there isn't the evidence that people look for to provide funding to support them.
Just recently through the residential health schools support program first nations people have had access to cultural supports. They also have access to mental health support therapists, but they're inclined to use more of the cultural supports.
Whether you live on a reserve or off a reserve, you have, through the non-insured health benefits program, access to crisis counselling, which doesn't address the depth of trauma and the intergenerational trauma. Definitely the answer to that is an appreciation for the evidence that is founded in our culture and the cultural practices.
There are some good examples. For example, there are off reserve programs, such as the aboriginal healing and wellness strategy, funded by the Ministry of Health and Long-Term care in Ontario. The Wabano Centre is an example here in Ottawa that provides cultural types of programming and cultural interventions. That doesn't necessarily mean those kinds of supports are available if you live on a reserve. Access is challenged by acceptance of knowledge and evidence.