Evidence of meeting #131 for Health in the 44th Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was mental.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Sarah Larney  Associate Professor, Université de Montréal, As an Individual
Lance Charles  As an Individual
Cornelia Wieman  Chief Medical Officer, First Nations Health Authority
Rory Kulmala  Chief Executive Officer, Vancouver Island Construction Association
Sarah MacDonald  As an Individual

Gord Johns NDP Courtenay—Alberni, BC

Dr. Wieman, I really appreciate your being here and joining us remotely today.

From your perspective, is the federal government doing enough to address the intergenerational trauma arising from colonialism and residential schools?

Do you believe first nations are getting enough resources from the federal government to meet the demand for culturally safe mental health and substance use care?

I think you know that a mental health emergency has been declared by the Nuu-chah-nulth Tribal Council in my riding.

Can you also speak about the barriers to accessing federal funding, including the SUAP applications, which have been rejected across British Columbia?

Noon

Chief Medical Officer, First Nations Health Authority

Dr. Cornelia Wieman

Thank you for the questions.

To start, I just want to express my deepest condolences to Mr. Charles and Ms. MacDonald for sharing their testimony.

I'll start with saying that for first nations people, most often the underlying reason why people choose to use substances is trauma—the state of their mental health—whether that's from historical experiences, contemporary experiences of trauma or intergenerational experience of trauma. People use substances because they want to change how they feel. That's probably very similar for people other than first nations people.

Here in British Columbia, of course, we are quite concerned, as I shared the data for first nations people in B.C., particularly about the decrease in life expectancy, which is mainly driven by the toxic drug crisis public health emergency. As you've mentioned, there are the various states of declarations of emergency regarding the toxic drug crisis in different areas across the province by first nations communities or tribal councils, etc.

In answer to your question, we feel that the level of funding that we could leverage against the toxic drug crisis broadly probably isn't there. For example, I've said before that the amount of funding that was directed to the COVID-19 pandemic compared with what has been allocated for addressing a public health emergency that's now into its ninth year, where we have lost many more people due to toxic drugs than we did to the COVID-19 pandemic, sort of says something.

I think we've already spoken at this committee about stigma.

Noon

Liberal

The Chair Liberal Sean Casey

Thank you, Dr. Wieman.

We'll go to Mr. Doherty for five minutes, please.

Noon

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you, Mr. Chair.

Mr. Charles and Ms. MacDonald, why did Brianna start using drugs and at what age did she start?

Noon

As an Individual

Sarah MacDonald

She started using drugs at about ten and a half, shortly after her stepfather and I broke up. She just wasn't handling it very well.

12:05 p.m.

As an Individual

Lance Charles

She also wanted to drown out the demons and the voices that she kept hearing.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Is safe supply really safe?

12:05 p.m.

As an Individual

Sarah MacDonald

How can you have “safe”, “supply” and “drugs” in the same sentence? There's no such thing as safe drugs, period.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Would safe supply have saved Brianna?

12:05 p.m.

As an Individual

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Do you feel that Brianna was a victim of failed drug policy?

12:05 p.m.

As an Individual

Lance Charles

I feel it isn't just that she was failed by the drug policy; I feel that she was failed by the public health system as a whole. There were many different layers of failure. That was just one of them.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Can you tell us a little bit more about Chayton?

12:05 p.m.

As an Individual

Lance Charles

He was a loving little boy and very gentlemanly.

12:05 p.m.

As an Individual

Sarah MacDonald

He and Brianna would sit on the phone for hours conversing back and forth with each other. They just absolutely adored each other. They were the best of friends. They had known each other for the last few years and fed off each other, good and bad.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Yes.

12:05 p.m.

As an Individual

Sarah MacDonald

He really took it personally, and I really feel sorry for that.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

What can the federal government do to make sure tragedies like Brianna's and Chayton's never happen again?

12:05 p.m.

As an Individual

Lance Charles

Make changes to the public health policy. Start giving more funding and providing more educational background to these health workers who need it. For doctors, there needs to be more training. To be honest with you, it seems like mental health in children is being overlooked, and for doctors and psychologists and psychiatric care people, there's too much they don't understand.

Like I said to Mr. Johns, down in the States they are diagnosing children with mental health problems. Why can't we do that here in Canada? What's the difference?

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

You said the drugs in our community are getting worse. Are you seeing the diversion of safe supply into the hands of our kids and into the neighbourhoods in Abbotsford?

Lance Charles

Let's put it in this perspective, Mr. Doherty: A child can go up and get a bag of items to do a safe injection and prepare their drugs, and they literally walk out that door and there's a drug dealer standing right there. It's just like what happened in Nanaimo recently, where they were giving the self-harm safe kits in the front and out the back door the drugs were flying. I think that is enough of a statement to prove that, yes, it's becoming alarming.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

I have about a minute left. What else would you want our nation and those in this room to know about Brianna?

12:05 p.m.

As an Individual

Sarah MacDonald

She was a very loving, beautiful, caring girl. She was taken way too soon. She was so compassionate. She had so much potential. She was so smart. She loved to research everything so much. I wish she were here to share her side of the story right now.

12:05 p.m.

As an Individual

Lance Charles

She was robbed of her life. I feel she had so much potential to be a powerful individual, because she always took other people's problems and made them her own. She took it seriously. It didn't matter what it was, how big or small. She was a powerful individual. I believe that with the right education and treatment, and had she been able to finish school, she would have been a perfect fit in this room with all of us; she was that intelligent.

12:05 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you for sharing that with us and for being with us today.