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Indigenous and Northern Affairs committee  It's not just mental health programming that is going to make the change. It's all of those other pieces, as well, in the social determinants, in housing, in employment, in economic opportunity, and in education. When all of those pieces are moving forward, then there won't be as much need.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  No problem, we'll get you the information.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  This is in the B.C. Tripartite Framework Agreement, in the memorandum of understanding that preceded that, and in the regional partnership accords between health authorities and the B.C. First Nations Health Authority. We have those structures in place. What we've done historically, however, is a little bit of this, a little bit of that.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  We need long-term, sustainable, predictable funding.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  Right now you're only seeing it from a western, government point of view. What Patricia is talking about is that we also need that other point of view, the cultural point of view.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  We need the structures that existed historically, the responsibility to care for the people in the community.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  It has to work in partnership.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  I warned you about the soapbox.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  Except for the Nisga'a.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  We're talking back and forth projects. They are sustainably funded, which is unique. They are part of an agreement between the province and first nations around medical service plan premiums. It was one of the big sticking points on the transfer agreement. First nations had MSP premiums paid on their behalf by Health Canada.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  Part of this is memorandums of understanding and letters of understanding and all kinds of things in the political world because that's how the province runs, but that's not how our communities run.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  There are risks and benefits to the First Nations Health Authority. I came to B.C. six years ago from the federal system, so I had an understanding of what they were trying to get away from. Everything that the regional office of first nations and inuit health had been doing—the funding, the building, the people, everything else—was part of the transfer agreement.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald

Indigenous and Northern Affairs committee  There are elements that are universal. I think the primacy of first nations and aboriginal voices in what we do is definitely the most important, but the contexts and the needs are different. Part of what we do is trying to balance the fact that those 203 communities are very diverse in size, in needs, in geography.

November 2nd, 2016Committee meeting

Dr. Shannon McDonald