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National Framework for Action To Reduce the
Harms Associated with Alcohol and Other
Drugs and Substances in Canada
Substance Abuse and Schools Forum
Presented by
Carolyn Franklin, Canadian Centre on Substance Abuse
November 17th, 2005
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Canada
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Purpose
To inform you about progress on the National Framework for
Action To Reduce the Harms Associated with Alcohol Other
Drugs and Substances
To encourage you to support the Framework
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Contents
BACKGROUND
FRAMEWORK AT A GLANCE
THE NATIONAL FRAMEWORK IN ACTION
A National Alcohol Strategy
PRIORITY: FOCUSING ON CHILDREN AND YOUTH
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Background - Calls For Action
Calls for federal leadership
Special Committee on Non-Medical Use of Drugs,
(December 2002), Report of the Senate Committee on
Illegal Drugs (September 2002), Office of Auditor General
of Canada (2001)
Clear message
Need for a national plan
Greater federal leadership and coordination needed in
addressing substance use and abuse issues
Renewal of Canada’s Drug Strategy, May 2003
Included $16.4 million over 5 years for leadership and
related activities
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Background - Answering The Call
April 2004, Health Canada with CDS partners join with the Canadian
Centre on Substance Abuse (CCSA) to lead a consultative, multistakeholder process to gauge level of support for developing a
National Framework for Action together
Envisioned a process where the development of a National
Framework For Action would generate dialogue to
Articulate a vision, principles and goals for national action
Set out strategic priorities and directions that allow coherent
planning, delivery and evaluation of activities
Define and clarify the roles, responsibilities and accountabilities
of the different jurisdictions and stakeholders
Provide mechanisms to ensure coordination and facilitate
collaboration and partnerships between jurisdictions and
sectors
Create an environment within which funding can be leveraged
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Considerations
Need for federal leadership, not ownership
Need for a national plan, not an expansion of Canada’s
Drug Strategy
Ensure the contribution of many federal partners
Seek commitment from numerous provincial, territorial,
municipal, Aboriginal, and NGO stakeholders at various
stages of readiness, levels of trust and with potentially
very different philosophies
Get buy-in where there is no promise of new funding, only
the potential to better leverage existing funds
Gauge the right pace - process – key to success
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National Framework Circle of Partners
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Development Phases
Phase 1 Gauging Commitment
(May 2004 - June 2005)
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Purpose
To measure interest and begin identifying goals,
priorities for action, and guiding principles
Cross Canada Consultations
Toronto, Edmonton, Winnipeg, Fredericton,
Whitehorse, Vancouver, Iqaluit, Montreal, Ottawa
(NGOs), Ottawa (Federal Partners)
Participants (450)
Provincial officials in education, health, and Justice
ministries, NGOs, Aboriginal service providers and
policing/enforcement representatives
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Phase 2
Focusing On Priorities
(November 2004 and ongoing)
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Purpose
To drill down on priority issues and identify strategic
directions
Thematic Workshops
Alcohol policy, youth on youth issues, police and
policing partners issues, Corrections, Addictions
Workforce Development, FASD, Research, and Crack
Cocaine and Hepatitis C Virus National Forum
Future – pharmaceuticals, language, public
awareness, drug policy…
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Phase 3
National Framework Development –
Reaching Consensus
(January 2005 – September 2005)
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Wide consultation on a draft Framework document
Revised Framework validated at National Forum
(Montreal June, 2005) 100 key stakeholders from all
sectors
General consensus reached
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NATIONAL FRAMEWORK FOR ACTION TO REDUCE THE HARMS
ASSOCIATED WITH ALCOHOL AND OTHER DRUGS AND SUBSTANCES
IN CANADA
All people in Canada live in a society free of
the harms associated with alcohol and other drugs and
substances
Vision
Principles
Problematic Substance
Use is a Health Issue
Problematic Substance Use
Is Shaped by Social and
Other Factors
Successful Responses to Reduce the Harms
Associated with Alcohol and Other Drugs and Substances Reflect the Full range of Health Promotion,
Prevention, Treatment, Enforcement, and Harm
Reduction Approaches
Action is Knowledge-Based,
Evidenced-Informed and
Evaluated for Results
Human Rights are
Respected
Strong Partnerships are the
Foundation for Success
Responsibility, Ownership, and
Accountability are Understood
and Agreed Upon by All
Those Most Affected Are
Meaningfully Involved
Reducing the Harms Associated with Alcohol and
Other Drugs and Substances Creates Healthier
Safer Communities
To Create Supportive Environments that
Promote Health and Resiliency of
Individuals, Families and Communities
in Order to Prevent Problematic Use of Alcohol
and Other Drugs and Substances
Goals
To Address Specific Issues:
•
Priorities
•
•
•
•
Increasing Awareness and Understanding
of Problematic Substance Use
Reducing Alcohol-Related Harms
Preventing Problematic Use of
Pharmaceuticals
Addressing Enforcement Issues
Addressing Fetal Alcohol Spectrum
Disorder (FASD)
To Reduce the Harms Associated with Alcohol and
Other Drugs and Substances to Individuals,
Families, and Communities
Across Canada
To Build Supportive Infrastructure:
• Sustaining Workforce Development
• Improving Quality, Accessibility, and
Range of Options to Treat Harmful
Substance Use Including Substance Use
Disorders
• Implementing a National Research
Agenda and Facilitating Knowledge
Transfer
• Modernizing Legislation, Regulatory, and
Policy Frameworks
To Address the Needs of Key Populations:
•
•
•
•
Focusing on Children and Youth
Reaching Out to Canada’s North
Supporting First Nations, Inuit and Métis
Communities in Addressing Their Needs
Responding to Offender-Related Issues
Endorsement Process
Phase 4 Endorsement/Approval-in-Principle
(Fall 2005 – Fall 2006)
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All Stakeholders to seek endorsement from their respective
ministers, boards or governing bodies
Endorsement defined: approval, acceptance, support –a
commitment to move ahead, to take action
Complex multi-dimensional process involving
NGOs
Federal Departments – Health Canada, PHAC, Justice
and PSEPC
Provinces, Territories and Municipalities– health,
enforcement, education
Aboriginal Groups
Private Sector
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Endorsement Process Cont’d
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Goal is to have endorsement phase significantly
complete for FPT Ministers’ meeting next fall
Health Canada and CCSA continue to act as informal
secretariat
to manage evolution of Framework and assist
partners with endorsement process over the coming
year
to develop future governance options
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Phase 5: Developing National Strategies for Identified
Priorities (On-Going)
Framework provides the umbrella under which strategies can be developed
Leaders already emerging to take on specific issues:
Stigma and Public Awareness – Addictions Foundation of Manitoba
Workforce Development – CCSA
Alcohol – Health Canada, CCSA, AADAC
FASD – Public Health Agency
Pharmaceuticals - Health Canada
Synthetic Dugs and Marihuana Grow Ops - PSEPC
Research – Health Canada
Language – Centre for Addictions Research of BC with Government of
BC
Strategy development involves key players and will recognize each role, including
federal level
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The National Framework in Action – Developing
a National Alcohol Strategy
The Framework already providing significant impetus for action –
findings of the 2004 Canadian Addiction Survey confirms need and
Thematic Workshop held in November 2004
Jointly chaired by Health Canada, CCSA and the Alberta Alcohol and
Drug Abuse Commission with 25 NGOs and experts
Five key Strategic Priorities identified: screenings, policies to reduce
chronic disease, drinking context and targeted interventions, alcohol
taxes, culture of moderation
Deliverable: A National Alcohol Strategy, including short, medium
and long term recommendations within 6 months
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Priority Area 3: Priorities to Address the Needs
of Key Populations
Focusing on Children and Youth
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Considerations
Reality of adolescent substance use & Investments
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Focus on children and youth
Messages: prevention and health promotion v. “glamour”;
factual, age-appropriate, accessible, meaningful
Youth engagement
Parental and family involvement
Long-term, sustained prevention and health school
programs
Availability of youth-specific treatment programs
Implementation of public policies
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National Framework for Action - Secretariat
Contacts
Carolyn Franklin, CCSA
(613) 513-3579
[email protected]
Marjorie Ward, Health Canada
(613) 948-4264
[email protected]
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