Evidence of meeting #32 for Indigenous and Northern Affairs in the 42nd Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was community.

On the agenda

MPs speaking

Also speaking

Scott Clark  Executive Director, Aboriginal Life in Vancouver Enhancement Society
Mavis Benson  Member, Cheslatta Carrier Nation
Gabriella Emery  Project Manager, Indigenous Health, Provincial Health Services Authority
Cassandra Blanchard  Program Assistant, Indigenous Health, Provincial Health Services Authority
Eric Klapatiuk  President Provincial, Aboriginal Youth Council, British Columbia Association of Aboriginal Friendship Centres
Cassidy Caron  Minister, Métis Youth British Columbia, Provincial Youth Chair, Métis Nation British Columbia
Tanya Davoren  Director of Health, Métis Nation British Columbia
Patricia Vickers  Director, Mental Wellness, First Nations Health Authority
Shannon McDonald  Deputy Chief Medical Officer, First Nations Health Authority
Joachim Bonnetrouge  Chief, Deh Gah Got'ie First Nations
Sam George  As an Individual
Gertrude Pierre  As an Individual
Ray Thunderchild  As an Individual
Yvonne Rigsby-Jones  As an Individual
Cody Kenny  As an Individual

10:20 a.m.

Liberal

The Chair Liberal Andy Fillmore

Thank you, both, for your wonderful testimony this morning. I have to say I really love your unofficial job titles too, “Still Waters Run Deep” and “Organizational Wizard”. That's good stuff. What you've told us today will be extremely helpful for us, so thank you for that.

You probably heard me say at the close of the last panel that there is an online portal for leaving more information, up to 3,000 words. If you want to convey something more to us that you weren't able to fit in today, Grant can help you to get connected with that website.

Also, we have developed an online survey, and because you're in the health field we would love for you to pass it along to your colleagues, or anyone outside of your organization in the health services delivery field, to help us build some really good data for the study as well.

I was going to close, but Jenny, did you want to say something?

10:20 a.m.

NDP

Jenny Kwan NDP Vancouver East, BC

I wonder whether or not this is possible, Mr. Chair.

It would be very useful, I think, for the committee to obtain information from the health authorities about the actual crisis intervention programs and the clinical services that they deliver. For example, it could be information about trauma counselling, where it is located, how much is being funded in in each community, and the number of counsellors there.

A major issue is people getting the initial assessment. How long are the wait lists and so on? Outreach workers would be key in terms of reaching out. If we could get some of that basic information from the appropriate individuals, then I think that would help inform the committee.

10:20 a.m.

Liberal

The Chair Liberal Andy Fillmore

Thanks for that.

Thanks again to both of you for your time and stories today. We appreciate it very much.

We'll suspend very briefly, for about four minutes, and come back very promptly.

10:20 a.m.

Liberal

The Chair Liberal Andy Fillmore

We will resume now.

Thanks everyone, and welcome to the three of you. We have, in this hour, two panel presentations of 10 minutes each.

The first is from the British Columbia Association of Aboriginal Friendship Centres, with Eric Klapatiuk. Thanks for being here and for speaking on behalf of your organization.

From the Métis Nation British Columbia, we have Cassidy Caron, who is minister of youth and provincial youth chair, and Tanya Devoren. Welcome.

I'm happy to offer the floor to Eric for 10 minutes, and then to you two to share your 10 minutes any way you see fit.

Please, go ahead.

10:30 a.m.

Eric Klapatiuk President Provincial, Aboriginal Youth Council, British Columbia Association of Aboriginal Friendship Centres

Debbie Williams from Duncan, B.C., was going to join me this morning, but her flight was cancelled out of Duncan due to weather.

As introduced, my name is Eric Klapatiuk. I'm with the British Columbia Association of Aboriginal Friendship Centres. I sit as their youth executive. Currently, I'm residing in and working with the Friendship House of Prince Rupert.

One of the things the friendship centres across B.C. and across Canada really advocate for is the urban aboriginal population in the nation. When we say urban aboriginal people, we talk about virtually anyone who is seeking help, but mainly our first nations, Inuit, and Métis brothers and sisters who are moving away from their own home communities and relocating into urban centres, whether that be for employment or education. When we talk about urban people, these are the people we're talking about, people who are moving from their home communities to these big urban centres where supports are not as easily available. Their social circles are not the same; they diminish.

I moved to a new centre in Prince Rupert, and it's not the same as my home community. It's not the same as Kamloops. It's not the same as Quesnel. Prince Rupert is a completely different isolated town I'm navigating.

I want to start my conversation about someone who is very close to me in my life and has become one of my brothers in my day-to-day life. I'm going to give this person the name of Matt. He is a very happy individual, someone in whom you would never see any outward signs of suicide. He was very good at hiding it. That's what we find when it comes to people who are considering or planning suicide. They don't want people to know, but at the same time they want people to know, and they will put feelers out.

Matt was suffering for a long time. He was in a relationship, and the relationship brought him down to a level where he did not know what to do. He did not want to reach out to anyone, and the more we tried to be there for him, the more he pushed us away.

I remember getting a phone call at 6:30 in the morning from his mom asking me to come over to his house. I instantly went over, and I had a conversation with his mom. She was completely devastated. That morning Matt was driving home and stopped his car in oncoming traffic. He just stopped it and turned the engine off.

In Quesnel during the winter months, this is a dangerous thing to do. Road conditions aren't great, the weather conditions aren't amazing, and his plan in that moment was that he needed to leave. There was nothing more he could do. He had had it with everything that had been going on. He'd had it with relationships that were not there for him. He'd had it with having no support. He saw himself as rejected and as a burden to his friends and society, and he felt that sharp pain of stigma toward people who are suffering. He had a feeling there was no support and he was cut off. I am thankful now he is still with us, and I'm there for him, and his family is there for him, and we're all able to sit there and support him.

One of the things that has come out of this for me, as a bystander and a witness to his struggle, is this feeling of depression. Even though Matt was not successful in his suicide, it still affected us around him. I had an internal struggle of why no one was there to help him. Why was he not asking us for help?

Also, because of my relationship with him, I think I did not understand the fact of it being hard to be someone close to someone who is committing suicide. We forget that we're a huge part of their lives, and would assume they would come to us when they are struggling and just be outright about it.

Matt is a first nations individual and we live in a society that still views aboriginal people as “less than”. We live in a society that is rampant with racism, and this was another factor in why Matt believed he needed to commit suicide.

Matt attended Gathering of Voices, which is a national youth conference that the B.C. association hosts. One thing that Gathering of Voices does well is adding that connection to community, adding that togetherness, that culture of learning, adding that engaging aspect and that ability to express oneself and be real with other youth around the province and around the country.

We know that Gathering of Voices works. We've had instances where youth participants—people as young as 10, 12, and 14 years old—coming to Gathering of Voices with a plan. I have had conversations with people one year and they've come to that particular conference with a plan. I would see them the next year for Gathering of Voices, and even though I wouldn't remember their names, I would remember I had talked to them before and they were so thankful I had taken five minutes out of my day to have a conversation, taken five minutes out of my day to see how they were doing and really ask them how they were feeling and if they were enjoying themselves. That was a change for them. That was what flipped in their minds, saying, “There is no isolation here. I am not isolated in my small remote community. I have support outside of my community.” Gathering of Voices is a conference that youth around the province really look forward to.

In Prince Rupert, where I'm now living, one of the most difficult obstacles these youth face on a month-to-month basis is having nothing to do on the weekends. We are doing the best we can with what we have. I ask them to tell me something that's missing in their lives right now, and weekend programming for youth is a critical missing part of that.

Weekends have traditionally and concurrently been an avenue where we see rises in drinking and drug use. When you bring it into a remote community like Prince Rupert, a small community, those numbers rise. When we look into the aspects of why these young people are turning to risky behaviours, we see the reasons. They're turning to drugs and alcohol because they are trying to numb themselves from their struggles, from their feelings of isolation, and from the sense that they are a burden.

Within the B.C. association, we really utilize every moment of our programming. We push this culture of helping everybody within the organization. If you come in and are needing support, we will stop what we're doing to help you. Every life matters, and we don't.... It's increasing the knowledge that suicide is not a flaw; it is not that person's fault.

Sorry, I'm getting a little carried away; it's an emotional topic to talk about but nothing gets done if you don't talk about it.

Gathering Our Voices, as I said, is great. People look forward to it, and we help a lot of people.

Thank you.

10:40 a.m.

Liberal

The Chair Liberal Andy Fillmore

Thanks a lot, Eric.

We'll move on to Cassidy and Tanya to share the ten minutes as you'd like.

10:40 a.m.

Cassidy Caron Minister, Métis Youth British Columbia, Provincial Youth Chair, Métis Nation British Columbia

Good morning, everyone.

I would like to begin by acknowledging the ancestors—the Musqueam, Squamish, and Tsleil-Waututh people—of the unceded territories that we are meeting on today. I thank them for allowing me to be a visitor to their territory to carry out this important work that we will be discussing today.

I would also like to thank the standing committee for extending an invitation to me and President Morin Dal Col to be here this morning to speak to the issue of suicide among indigenous peoples and communities. I bring regrets from President Morin Dal Col who is feeling under the weather this morning. She was planning to be a part of this presentation this morning so she could address this important subject on behalf of Métis people in British Columbia. She did want me to convey to you her deep concern for many families—Métis, first nations, and Inuit—right across this country, who have experienced the loss of a loved one or loved ones through the taking of their own lives, and she offers her praise to this committee for undertaking these hearings and looking for the solutions to address this very serious issue.

My name is Cassidy Caron. I am Métis. My families come from St. Louis and Batoche, Saskatchewan, and I'm the provincial Métis youth chairperson and minister of youth for Métis Nation British Columbia. I am honoured to be here today. The work that is being done and the stories that are being shared across the country are incredibly valuable and it is necessary that they are heard so that action can be taken.

First, I want to offer a brief background of the Métis people here in British Columbia. Métis are recognized under section 35 of the Constitution Act as one of three distinct aboriginal peoples in Canada. Métis have been documented in B.C. as early as 1793 and nearly 70,000 self-identified Métis people reside throughout British Columbia. Métis Nation British Columbia is recognized by the provincial and federal government and the Métis National Council as the official governing body representing Métis in B.C., including more than 14,500 Métis people who have applied for and been granted Métis citizenship.

I would like to share with you the story of Nick Lang—noting we have received special permission from his family to do so—to underscore how gaps in cultural support, and not having a responsive system, led to the devastating end to this young man's life. Just last month, the Office of the Representative for Children and Youth in British Columbia released its investigative report detailing the circumstances leading up to the death of Nick Lang.

Nick was a 15-year-old Métis youth. Nick's mother described him in the RCY report as a child who was extremely kind, happy, generous, and sensitive to other people's feelings and emotions. His father described Nick as someone who made friends easily, with his older brother remaining his closest friend throughout his life. From a young age, Nick identified as Métis, and came to learn about and experience his culture. Nick was a proud citizen of Métis Nation British Columbia. He was connected to his culture through the love of being outdoors and fishing. He enjoyed cultural ceremonies, and his parents described him as being both curious about and proud of his identity.

Nick struggled through his early teen years, becoming addicted to marijuana and escalating to the use of methamphetamines. Nick's parents spent many years reaching out for assistance, beginning with the local Ministry of Children and Family Development office, hoping the social worker would offer support services or resources. None were offered as all non-protection-based MCFD services are voluntary. They then researched mandatory treatment options for Nick, however they could not find any public options that they felt were appropriate for him and the private programs that they looked at were beyond their reach financially.

His parents reached out to a director from Métis Nation B.C. to ask if she knew of any Métis-specific programs or financial assistance for a private program. However, she was unaware of any appropriate substance use programs for Métis youth in B.C. She genuinely wanted to help Nick's family, but did not have the access to funding or services to do so.

Nick's substance use and negative behaviour escalated to the point where he assaulted his mother and became involved with the youth justice system. While waiting for his sentencing, police were notified when Nick posted on Facebook that he would be “dead by sunrise”. Nick was located in possession of a concealed weapon and was brought to the local hospital to have his mental health assessed, considering his post, which hinted at suicidal ideation. However, Nick did not receive a mental health assessment when he denied that he was suicidal. Nick was sentenced for assault with a weapon and placed on an intensive support and supervision order with extensive conditions.

After many years of his parents desperately seeking for services to support Nick, he began attending a full-time attendance program as ordered by the youth justice system. Tragically, even this support did not come soon enough for Nick, who after less than one week in the program was found hanging in a bedroom closet of the care home where he was staying while attending this program.

Nick's experiences highlight gaps in available and appropriate support services and a complete lack of provincial resources focused on supporting the development of appropriate Métis-specific services. The McCreary Centre Society recently released a Métis-specific profile on youth health in British Columbia. This disaggregated data is the first of its kind and reports on some sobering statistics on Métis youth health, including mental health. The data comes from the 2013 B.C. adolescent health survey administered to youth aged 12 to 19; and from the 2013 data, 32% of aboriginal youth identified as Métis.

In the report, it states that 35% of Métis youth in British Columbia report having at least one mental health condition. The most common were depression and anxiety. In 2008, over a quarter, 27%, of Métis girls aged 12 to 19 had deliberately cut or injured themselves. In 2013, this number increased for Métis girls to 36%.

Females were more likely than their peers five years ago to consider suicide and twice as likely to attempt. Métis youth were more likely than their non-Métis peers to consider or attempt suicide. Among Métis youth, females were more likely to have missed out on needed mental health care than medical care. Many Métis youth were concerned about the lack of cultural awareness within the health care system and were cautious about approaching health care professionals for fear of encountering racism.

They felt that culturally specific services and the availability of professionals who identify as Métis would help to reduce their reluctance to seek help. It was also reported that strong, community-based relationships were considered key for success and wellness of Métis youth. Both youth and adults have told us that cultural connectedness plays an important role in the wellness of Métis youth. Taking part in cultural practices was particularly linked to positive mental health for youth.

One of the challenges in building services for Métis people is that the unique history and heritage of Métis people may not necessarily fit into the traditionally held understanding of what it means to be indigenous. As a result, we as Métis people have struggled to have our rights and our unique identity recognized. Recently, the Government of Canada announced its mental wellness helpline for indigenous peoples. This helpline, however, does not meet the needs of Métis people as it is specifically the first nations and Inuit hope for wellness helpline.

As a 24/7 hotline, this would have been an amazing opportunity to offer Métis people in distress. This is one example of our Métis people being excluded from safe and responsive services for indigenous people, which is why we urge the standing committee, moving forward with your studies, to be inclusive of Métis people and not merge them into the umbrella of indigenous or aboriginal people in Canada.

The need to work with Métis communities to develop Métis-appropriate services is even greater when one considers the number of Métis people in B.C. and Canada, as I earlier stated. Currently, MNBC is not sufficiently resourced to fulfill its mandate to develop and enhance opportunities for Métis communities by implementing culturally relevant social and economic programs and services.

There is need for sustainable and sufficient funding for Métis governing bodies to work with our communities to take ownership and control over mental wellness programs and over suicide prevention and intervention.

One example of taking ownership was the blue ribbon suicide prevention campaign launched by Métis Nation – Saskatchewan in 2014. It created a tool kit to educate those involved in front-line positions who may come into contact with Métis youth in distress. The campaign was also designed to share teachings and traditions with Métis youth so that they have a stronger sense of belonging and know they are part of a larger community.

We strongly recommend that the federal government, in collaboration with provincial and territorial governments, implement a national strategy for suicide prevention and intervention and to ensure the inclusion of Métis people; that there be meaningful collaboration and consultation with Métis communities in developing and implementing the plan; and that the strategy include a plan for the development and delivery of culturally responsive services for Métis children and families.

I want to thank you so much for your time and for considering these points as well as Nick's story, and for moving forward with your study on suicide among indigenous peoples and communities.

10:50 a.m.

Liberal

The Chair Liberal Andy Fillmore

Thanks, Cassidy, and Tanya as well. And thank you, Eric.

We're going to move right into some questions now. These questions are seven minutes long.

The first question is coming from Mike Bossio, please.

10:50 a.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Thank you all for being here this morning and for sharing your stories and the stories of your loved ones, who you're very close to.

A lot of what we've heard today, and especially yesterday when we met with a number of mixed indigenous youth at the UNYA centre, talked about the connectedness that is imperative in youth and the multi-faceted aspect of connectedness when you have, especially in urban centres, Métis and a number of youth. We had youth from across the country who were part of this program and therefore coming from very different national backgrounds.

UNYA, of course, is one element of providing that service within the urban setting, but could you take that a step further as to how you could see other programs that would help in ensuring that connectedness? Also, how do you draw them into it? That seems to be at the base of it. You've referred to that with Matt pushing you away, and the same thing with Nick, when they say, “I'm going to deal with this. Go away; leave me alone.”

I could start with Eric, and then Cassidy.

10:50 a.m.

President Provincial, Aboriginal Youth Council, British Columbia Association of Aboriginal Friendship Centres

Eric Klapatiuk

I can utilize my position in Prince Rupert. In Prince Rupert, I work with youth at risk in the friendship house. One thing we find as an obstacle to maintaining that connectedness is that the youth who utilize our drop-in are the social group. Within themselves, they're their own social group. Most of these youth attend an alternative school because they see the mainstream high school as being an unsafe place for them to receive their education. These youth who attend our drop-in, within their social group, also tend to date within their social group. When we have these individuals who are dating within this social group, ranging from 13 to 18 years of age, we see some obstacles. One of those obstacles is that if the relationship goes bad, we lose that individual because they don't want to come back to the drop-in. They don't want to come back and be in the vicinity of someone they've had a falling out with. It's hard to bring them back in. That reduces the connectivity they have with the individuals around them.

When it comes to small, isolated communities, you don't necessarily have the same kinds of options as larger urban centres. Prince Rupert is a small town. The graduation class is small. These are the people you have known all your life. If something were to go awry and there was no area for that youth to turn to for that support, that youth could be seen as a youth at risk, or potentially a youth at risk.

When we look at individuals who are missing those supports, those are the individuals we need to be gearing ourselves to. We need to be increasing those supports for youth. We need to be increasing the ability of communities across our nation to address these kinds of issues.

10:55 a.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

In your mind, what do those types of supports look like?

10:55 a.m.

President Provincial, Aboriginal Youth Council, British Columbia Association of Aboriginal Friendship Centres

Eric Klapatiuk

One thing I strive to do is maintain a healthy culture of what a respectful relationship looks like. A lot of times in the work that I've done, many people who have even just thought about suicide have been connected to a relationship that has gone bad. In the work I do, I have a lot of conversations on what a healthy relationship looks like. If you were to put yourself in the shoes of the other gender in that relationship, how would you want to be treated? I try to get that view, compare that, and make sure they have that understanding of what relationships are intimately and with friends. What are the different types of relationships you can have? You can go into what overall is a healthy relationship. That's what I try to bring to the work I do.

A lot of the work I do stems from ending violence initiatives, and I talk about ending violence initiatives, relationship violence, and bringing an understanding of what that looks like. Those are the kinds of obstacles that it comes to when we're talking about barriers to that connectivity. A lot of them are linked into relationships, and when we talk about suicide and link that to relationships, that's one of those major points.

10:55 a.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Cassidy, to build on that, as we've heard in urban centres, a lot of these youth are associated with gangs, so it's drawing them out of the gangs as well. Can you speak, once again, to that connectedness? How do we draw them in and how do we move them away from gangs?

10:55 a.m.

Minister, Métis Youth British Columbia, Provincial Youth Chair, Métis Nation British Columbia

Cassidy Caron

Tanya will speak to that. Thank you.

November 2nd, 2016 / 10:55 a.m.

Tanya Davoren Director of Health, Métis Nation British Columbia

Cultural connectedness is, of course, very important. We know it's a protective factor for our youth. From the McCreary Centre report, we know that for our males ages 12 to 19, connectedness to family and having one adult outside their family was a huge protective factor for them. It could be a coach, a teacher, or anyone in their life who they can trust. An elder, of course, we would use as a great example.

For females it was connectedness to one parent and school connectedness. One of the problems with our schools is that, for all aboriginal students, $1,100 is given to the school for each aboriginal student registered, but the programs and the cultural supports that are available are not strengthening Métis identity. Local first nations culture is being taught, which is important for first nations youth, but it further confuses Métis identity for our youth, so it's important that Métis youth are supported, and that strong identity promotes strong self-worth.

10:55 a.m.

Liberal

The Chair Liberal Andy Fillmore

Thanks.

Cathy McLeod, please.

10:55 a.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

Thank you.

You made a comment on the suicide prevention line. The beauty of having Google available is.... I had no idea that the Métis were excluded in terms of that being a resource for them.

Can you talk a little bit further about that?

10:55 a.m.

Minister, Métis Youth British Columbia, Provincial Youth Chair, Métis Nation British Columbia

Cassidy Caron

Yes, I'll just start, and maybe Tanya can add to it.

The biggest misunderstanding was that it was promoted as an indigenous helpline, and indigenous typically encapsulates Métis, first nations, and Inuit. However, when you read further into the article announcing this amazing resource, it was just first nations- and Inuit-specific.

I believe Tanya can speak a little bit further on that.

10:55 a.m.

Director of Health, Métis Nation British Columbia

Tanya Davoren

Actually I called the helpline last night because I wanted to know what they would say to a Métis person calling, and they certainly said that, if a Métis person was calling in crisis, they would offer immediate support, but their real role is to connect them to insurable health benefits, and we know that Métis people do not qualify for insurable health benefits.

We have low-income families who are the working poor, really, who are paying their MSP premiums, but of course, counselling and medication are cost prohibitive, as are all those things that are required to support any person struggling with mental health issues. Definitely, not having insurable health benefits is a huge issue for Métis people, although it was nice to know that if you were to call, they would offer immediate support. But there are no real solutions for Métis people other than to try to hook them up to a counsellor where they probably would not have funding.

11 a.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

If someone was in crisis, they could call the crisis counsellors who are available, who do their work, but this line is normally a connection to further resources.

11 a.m.

Director of Health, Métis Nation British Columbia

Tanya Davoren

That was my understanding from the person I spoke to.

11 a.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

You felt it was promoted as an indigenous line, but it really was first nations and Inuit.

11 a.m.

Director of Health, Métis Nation British Columbia

Tanya Davoren

It definitely says “for indigenous peoples”.

11 a.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

The statistics that you gave are very compelling. There is certainly a discrepancy between the population across Canada with youth and the first nations population. Is it somewhere in the middle? Do you know off the top of your head? Is it equally as disturbing and concerning? I don't have those numbers in my head. Do you have any idea how those compare?

11 a.m.

Minister, Métis Youth British Columbia, Provincial Youth Chair, Métis Nation British Columbia

Cassidy Caron

You go first.