Evidence of meeting #34 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 suicide.

A video is available from Parliament.

On the agenda

MPs speaking

Also speaking

Sony Perron  Senior Assistant Deputy Minister, First Nations and Inuit Health Branch, Department of Health
Lynne Groulx  Executive Director, Native Women's Association of Canada
Amy Nahwegahbow  Senior Manager, Partner for Engagement and Knowledge Exchange, Native Women's Association of Canada

4:40 p.m.

Liberal

The Chair Liberal Andy Fillmore

My proposal was going to be for committee members to consider that we keep going through the next question, which we have time for before we have to return to our seats, and that would get us through all of the seven-minute questions. Often, we only get through the top seven. We would finish with your panel at that point, after that question, and then, as soon as we come back from the vote, we'll start with NWAC. Does that sound okay?

4:40 p.m.

Some hon. members

Agreed.

4:40 p.m.

Liberal

The Chair Liberal Andy Fillmore

Thank you.

Michael McLeod.

4:40 p.m.

Liberal

Michael McLeod Liberal Northwest Territories, NT

Thank you, Mr. Chairman.

Thank you, Minister and staff, for the presentation. I think you've captured pretty much all that we have been hearing over the last while as we've been doing this study. There are so many things. As you've stated, there is no one solution, and there are so many things that need to be addressed in order to correct and change the trend happening all across the country.

In different parts of the country we see a lot of need, but in the north we seem to see it more than in other parts of Canada. That's where we're seeing the suicide rates go through the roof, especially in Nunavut and in my area, the Northwest Territories.

Also, there's a real need for investment, a real need for catch-up. It's the first time in many years that we have money for housing. We're hitting a crisis level with housing. It's the first time that we have all our land claim negotiations moving again.

Those things are really positive, but at the same time, we still have a lot of other things that have to be looked at in terms of dealing with addictions and with the residential school fallout, yet we don't have any facilities. Our facilities are lacking, as are our staff. We don't have enough people on the ground.

In the Northwest Territories—and I believe that in Nunavut it's the same thing—our funding comes on a per capita basis for the most part, for a lot of the programs, and it really doesn't amount to a whole lot. I remember a housing program being announced. It was on a per capita basis. I think we were able to build two houses.

If health money comes on a per capita basis, it doesn't go far enough. We need base-plus funding. Is that something you would consider as we move forward in the discussions with the Northwest Territories, Nunavut, and the northern jurisdictions?

4:40 p.m.

Liberal

Jane Philpott Liberal Markham—Stouffville, ON

Thank you for raising this issue and for the work you're doing on behalf of the people in the Northwest Territories.

There are particular challenges—there's no question about it—in terms of the delivery of care in the territories. This is something that's been raised by other members as well. We have a few mechanisms to respond to this. Of course, for health services in general there is a Canada health transfer, but a large part of the health funding for the territories comes out of a territorial transfer arrangement with the finance minister as well.

In addition to that, there is something called the “territorial health investment fund”, which I understand has been helpful to the territories. I will be having further conversations about the ongoing nature of that funding, but we absolutely recognize the need and the fact that costs are higher in the territories because of the long distances.

There's a considerable amount of innovation now being made available in the delivery of care to remote locations, and this is something that I'm also hoping to find ways to support. I spoke last week to a doctor in Saskatoon who is involved in the “doc in a box” program, for instance, which is using remote-presence robotics to support delivery of care.

There are a lot of different ways in which we can support your constituents in terms of making sure they get the health care they need.

4:45 p.m.

Liberal

Michael McLeod Liberal Northwest Territories, NT

We certainly have a lot of catch-up to do. We really didn't get a lot of investment in the last 10 years, so we need to play catch-up. With the crisis happening in the area of suicides, we know that there is despair in the communities, and we know there's a lot of need. I'm hoping we're going to be able to address it through new funding agreements.

Indigenous Affairs is doing a lot of refocusing or review in some of the areas in the urban aboriginal strategy. I have been pushing hard for them to look at what exists there, how we can we enhance it, and how we can do better.

The one piece that's not included is the aboriginal head start program. In our visits to the communities, we've heard that it's something that works. It includes language and it includes youth, yet we don't know where it's going. We don't know if it's going to be part of the discussion about the other aboriginal programs. We've heard through the media and other sources that some jurisdictions, including Nunavut and the Northwest Territories also have not expanded the program since it started and that it might be better served in another department.

Could you talk about whether there is any way we can look at enhancing it or expanding it? We've heard about the need for family centres and cultural centres. Maybe the friendship centres would fit the bill, or maybe aboriginal head start program would fit the bill. I'm just trying to find ways by which we can flow money.

4:45 p.m.

Liberal

Jane Philpott Liberal Markham—Stouffville, ON

Thank you for bringing up the aboriginal head start program, because it's something that you and I have talked about before, and you have spoken to its power and effectiveness in many communities. I've had the opportunity to visit aboriginal head start sites. It responds to some of the very things that you have been talking about in this committee in terms of cultural continuity and helping people to understand, from a very young age, their language and their heritage. From what I understand, it is a very effective program.

It's run primarily in two particular mechanisms, and in some cases through the first nations and Inuit health branch and INAC, I believe. In our case, in the Northwest Territories I believe it flows through the Public Health Agency of Canada. Maybe Sony can clarify that, but in the Northwest Territories, that's where the funding comes through for the program. We would welcome opportunities to continue to see it expand, but I will ask Sony to speak to some specifics just to programming.

4:45 p.m.

Liberal

Michael McLeod Liberal Northwest Territories, NT

The money goes through Public Health to the Northwest Territories, but the regional representative is from the Yukon. Why don't we have one in the Northwest Territories? We don't have a voice, outside of the MP, to talk about aboriginal head start because the representative lives in Whitehorse. He should be living in the Northwest Territories. Is that something you can look at?

4:45 p.m.

Senior Assistant Deputy Minister, First Nations and Inuit Health Branch, Department of Health

Sony Perron

I cannot comment on that. Unfortunately, I'm not aware of the structure of how the funding is flowing between the agency and the recipients in the Northwest Territories.

4:45 p.m.

Liberal

Jane Philpott Liberal Markham—Stouffville, ON

I would be happy to put you in touch with or to look into that—

4:45 p.m.

Liberal

Michael McLeod Liberal Northwest Territories, NT

Yes, because other programs are slowly gobbling up the jurisdiction for aboriginal head start, and it's one of the few aboriginal programs that we have. We're going to lose it if we don't put some more resources into it or pay attention to it.

4:45 p.m.

Liberal

Jane Philpott Liberal Markham—Stouffville, ON

I will certainly look into the details on that for you.

4:45 p.m.

Liberal

The Chair Liberal Andy Fillmore

Thanks. We're out of time there.

Thank you very much, Minister Philpott, for your time today and for your testimony. It's very valuable for us.

We will suspend and come back after the votes and go from there.

Also, if there are people from NWAC in the room, could I ask you to please identify yourselves to me? Thank you.

4:45 p.m.

Liberal

The Chair Liberal Andy Fillmore

Welcome back, everyone.

It's 5:15, and I want to ask committee members again if they're willing to stay until 6:15 to give NWAC a full hour.

Cathy.

4:45 p.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

Chair, perhaps we could see how we do with one 28-minute round, with the four seven-minute rounds.

4:45 p.m.

Liberal

The Chair Liberal Andy Fillmore

Let's test that. How do people feel about getting through the four seven-minute question rounds after the 10-minute presentation? Okay? Thank you.

We very much welcome the Native Women's Association of Canada, and specifically Lynne Groulx, the executive director, and Amy Nahwegahbow, who is the senior manager and partner for engagement and knowledge exchange.

Thanks to both of you for coming and for your patience and understanding about the timing today. I'm going to give you the floor for a 10-minute presentation to share between the two of you as you would like.

4:45 p.m.

Lynne Groulx Executive Director, Native Women's Association of Canada

Thank you very much.

Good afternoon, Mr. Chairman, committee members, and distinguished witnesses and guests.

My name is Lynne Groulx. I'm the executive director of the Native Women's Association of Canada. My colleague Amy, who is with me here, is a senior manager at NWAC. She's also a researcher par excellence, and she will probably be able to answer many of the questions that you might have on this subject.

First, I'd like to acknowledge the Algonquin peoples on whose traditional territory we are meeting today.

Thank you for the opportunity to present. I am a Métis woman of mixed Algonquin and French descent. I bring with me the voices of my ancestors, the concerns of aboriginal women from across Canada, and the hopes of our future leaders, our youth.

NWAC is the national aboriginal organization in Canada that represents the interests and concerns of aboriginal women and girls. NWAC is made up of provincial and territorial members' associations from across the country. Our network of first nations and Métis women spans north, south, east, and west, into urban and rural on-reserve and off-reserve communities.

We've all read the staggering headlines reporting the high rates of suicide among aboriginal youth, including some girls as young as nine years old. In light of these recent tragedies, I encourage all of you to join me in picturing someone in your life who you deeply care for, whether it be a family member, a friend, or a colleague. For me, I envision my own daughter, a 17-year-old aboriginal woman full of potential and enthusiasm for life. It is devastating to hear on the news that another one of our communities is struggling with this issue of youth suicide. The thought of losing my own daughter to suicide is absolutely unbearable.

In Canada, we must act quickly and compassionately to address this urgent crisis occurring in our aboriginal communities. We must allow the reality and the impacts of these suicides not only to touch our hearts but to drive us to take action now. I cannot stress this enough. Every single life matters.

The forced assimilation through discriminatory government practices such as the Indian Act, residential schools, the sixties scoop, and Bill C-31 have tremendous negative impacts on the health and well-being of aboriginal people. Socio-economic and cultural factors that contribute to the suicide crisis among aboriginal people include but are not limited to: poverty, unemployment, lack of access to health and social services, substandard housing, food insecurity, and the loss of culture, language, and the land.

Many continue to suffer the impacts of these policies generations later, including my own daughter. Aboriginal women and girls, their families, and their communities continue to experience anxiety, depression, homelessness, post-traumatic stress, and other mental health problems and illnesses that can contribute to harmful behaviours such as drug and alcohol abuse, self-harm, and suicide.

For decades, researchers have been reporting and continue to report various high suicide rates among adults and youth in our aboriginal communities that are several times higher than rates among non-aboriginal peoples. In the past year, the community of Bearskin Lake First Nation in northern Ontario declared a state of emergency after a series of deaths, including that of a 10-year-old girl. Then, the Pimicikamak Cree Nation in northern Manitoba, over a three-month period, had six youth suicides. In the month of March, Attawapiskat First Nation in northern Ontario declared a state of emergency after 100 people had attempted suicide since September 2015 alone.

In the latest news reports, Stanley Mission, La Ronge, and Deschambault Lake in northern Saskatchewan lost five young girls aged 10 to 14 within a week, because of suicide. These innocent children, who should be outside playing and enjoying their youth, have lost hope and are choosing to end their lives. For many isolated aboriginal communities, suicide or attempts at suicide have become normalized behaviour.

Recently, NWAC collaborated with Statistics Canada on an article, “Past-year suicidal thoughts among off-reserve First Nations, Métis and Inuit adults aged 18 to 25: Prevalence and associated characteristics”. Some of the key results do not come as a surprise. At 27%, the prevalence of lifetime suicide thoughts among young adults was almost double that of their non-aboriginal counterparts, at 15%. Most interestingly, aboriginal young women in particular showed a trend towards a higher prevalence of lifetime suicidal thoughts and were more likely than men to report mood or anxiety disorders and a bullying environment in school.

Research shows that high self-worth, strong family ties, strong social networks, and education can help prevent suicide in our communities. Also, in 2008, research by Chandler and Lalonde found that community and individual empowerment, control over personal lives, connection to culture, participation of women in local band councils, and the control of child and family services within the community protect against suicide.

The remote first nation of Bella Bella in British Columbia is a great model for preventing youth suicide by reconnecting the youth with land and culture. They built a youth centre to run youth programming 14 hours a day, seven days a week, which focused on traditional songs and culture, hunting and fishing activities, language revitalization, and education on their history and community.

There's also another indigenous youth program in terms of southern Treaty No. 3, which has identified five key priorities for moving forward. Those priorities are listed in a report and come from the youth themselves: one, the need for support to learn how to be a healthier family; two, crisis support workers; three, support around death, loss, and suicide; four, access to elders and culture; and five, safe spaces. We think this is a very interesting and informative report.

It's time to act on the knowledge and the need for change as voiced by our communities. We need to develop gender-appropriate and community-driven youth programs and services to help build self-esteem and self-worth and rebuild the connection among our youth to land and culture.

We acknowledge the Liberal government's recent commitment of $70 million in new funding over the next three years to address health and the suicide crisis involving indigenous peoples living on and off reserve territories. However, long-term solutions, improved resources, and gender and culturally aware mental health services, both on- and off-reserve, are urgently needed to effectively address the crisis and the underlying systemic issues contributing to the risk of suicide and suicidal thoughts in aboriginal youth across Canada.

It is too often easy for leadership and governments to forget about these matters as long as they do not occur on their doorsteps. If Canada refuses to spend the necessary funds on aboriginal communities, thereby denying children access to clean water, safe housing, education, and equitable health care, Canada is essentially deciding by doing so that aboriginal families and children matter less. This institutional form of racism allows for disproportionate spending.

On January 26, 2016, the Canadian Human Rights Tribunal issued a landmark ruling that found the federal government guilty of racially discriminating against first nations children in its delivery of child welfare services on reserves. The Canadian government was ordered to take immediate action to ensure its program budget responds to the unique needs of first nations children and their families and to apply Jordan's principle to all first nations children on- and off-reserve.

It has been nearly one year since that decision, and still the Liberal government has not adequately responded to the discriminatory underfunding of child welfare services and is also failing to properly implement Jordan's principle. Cindy Blackstock has stated that equity in social services can reduce the tragedy of youth suicide, but still the Canadian government has not acted on this.

Canada is a wealthy country, and our children deserve better. We must continue to work together to realize our children's potential and to help them have hope so that they can begin to accomplish their dreams. That requires us to take bold and immediate steps forward to create the change necessary and to make it a reality.

Let's show them that we are a caring and inclusive society where the future is bright. Thank you.

5:25 p.m.

Liberal

The Chair Liberal Andy Fillmore

Thank you very much.

We'll move right into questions, with the first question coming from Don Rusnak, please.

November 16th, 2016 / 5:25 p.m.

Liberal

Don Rusnak Liberal Thunder Bay—Rainy River, ON

Thank you for coming today.

I'm Ontario's only first nation member of Parliament and a member of Treaty No. 3 territory, which you referenced. I actually worked for the organization as the executive director. It seems like a million years ago, but it was a while ago, and I know about the problem with government funding and the way in which organizations and communities are funded.

You spoke about long-term solutions to solve the problem. Right now, I see it as first nations people and indigenous people across this country having been put in a place of dependency through the Indian Act. The Indian Act was good at what it did; it made our people very dependent on someone else. That needs to stop.

I'm not deflecting the responsibility of the federal government and the provincial governments right now to resolve the problem as it exists. We're in crisis mode. You've referenced the unacceptable suicides that are happening right across the Northwest Territories, Nunavut, northern Ontario, northern Saskatchewan, and right through all of our first nation communities across the country. This is deplorable, and it needs to be stopped.

Over and over again while we've been working as a committee on the study, we've heard about some of the things that you've referenced. One is that youth centres are very helpful in giving indigenous youth some meaning, starting from a very young age, and that goes a long way to preventing these tragedies from occurring.

I'm somewhat familiar with your organization. Again, in the long run, I see indigenous communities and first nation communities across this country building programs to help ourselves, to help our own people. I understand that there is not a lot of capacity in some communities.

My vision in terms of first nations communities would be that we would have our own revenue, perhaps through agreements with the provinces and the federal government on sharing natural resources, so that we don't have to be—I'm careful when I say this, because I think some people misinterpret it sometimes—beggars in our own land.

Throughout history, we've signed treaties and agreements to share this land, and that's not what has been happening. Our land has been taken and we've been marginalized. We've been placed on small patches of land called “reserves”, which are usually scrub land, and then given money from these governments and told how to run our programs and our communities.

That's for the long term. It needs to change. I don't have all the answers for how it's going to change. It's going to have to come from the individual communities across this large land.

My question for NWAC is, what has your organization been doing in the short term to partner with community groups and other organizations to deal with this crisis immediately? What support can the federal government give to your organization and to other organizations that are helping with the immediate crisis?

5:30 p.m.

Executive Director, Native Women's Association of Canada

Lynne Groulx

I'll start and then ask Amy to give her comments as well.

As you know, NWAC is an advocacy organization. We do a lot of advocacy. We do research as well, and we have been very busy with the missing and murdered indigenous women inquiry and everything around it. Wherever we are, we hear about other issues. This is one of the issues that we're hearing about more and more.

We have a bit of a research unit inside the organization. Amy has been doing some research. In terms of programming or anything like that, we simply don't have any. Unless some specific funding were to be provided to NWAC, we're not engaged at that level. At this moment, we're speaking out whenever we can through our Facebook and Twitter and by doing the research and coming to forums such as this one to raise awareness about it from, I would say, a gender perspective on the issue.

5:30 p.m.

Liberal

Don Rusnak Liberal Thunder Bay—Rainy River, ON

You're not set up, as I understand it, to run programs.

5:30 p.m.

Executive Director, Native Women's Association of Canada

Lynne Groulx

We're not.

5:30 p.m.

Liberal

Don Rusnak Liberal Thunder Bay—Rainy River, ON

Do you partner with any other organizations or perhaps provide your research to these organizations to help them better tailor their programs for a specific community?

5:30 p.m.

Executive Director, Native Women's Association of Canada

Lynne Groulx

Yes. I'll let Amy speak to some of the partnerships we have with Health Canada and others.

5:30 p.m.

Amy Nahwegahbow Senior Manager, Partner for Engagement and Knowledge Exchange, Native Women's Association of Canada

Just quickly, I want to reiterate that NWAC lost 100% of its health department funding in 2012 and has had no capacity to address any health issue.

Luckily, in 2014 we were funded by the Canadian Institutes of Health Research to start engaging in health research and partnerships. That's why I'm called a “PEKE”, a partner for engagement and knowledge exchange. This funding opportunity allows us to do some work on suicide prevention and mental health.

With the work we're doing right now, we're able to partner with research teams that are doing participatory research with communities in different areas throughout Canada. These are really innovative partnerships, such as looking at resiliency factors through innovative research projects like dance, theatre, and art, working with the youth, and working with the communities. I think these have been really fabulous research partnerships and approaches to dealing with suicide.

We also engage with Statistics Canada. We have no funding to do so, but we partner to do joint publications and to analyze the data. We look at a lot of APS stuff that we have, and I think we're going to be promoting the next APS as well.

We partner with a lot of different organizations that work on mental health through providing feedback on their mental health frameworks for first nations, Métis, and Inuit. It's really difficult, because I'm a department of one. We're looking at suicide and at every health issue. I work on every health issue in Canada, and you know there are many issues that are impacting our aboriginal women.

We're trying to do more. We realized after everything that was happening that we.... It's hard to be able to do. Although we consult with a lot of the women on the ground in our regions, I am not in the communities myself, unless we go to do some of our research collaborations and I get to work with the women. So things—