Transcript Presentation

Developing a Substance Abuse
Management Program in your
Workplace
Presentation by
Peter Vlahos, Special Projects, FNHA
Aboriginal Financial Officers Association of BC
September 24, 2015
www.fnha.ca
Substance Abuse Management in the Workplace;
History and Context





Brief Background and history of NNADAP
NNADAP Program Areas: Prevention, Intervention, Aftercare
Referral Guidelines for NNADAP Treatment Centers in BC
NNADAP Review Process in BC
Questions and Group Discussion: Strategies for developing a
substance misuse program in your workplace
2
www.fnha.ca
Background
 NNADAP originated in the mid-1970s as part of a national pilot project
to address alcohol and drug abuse. The program was made permanent
in 1982 because of the "urgent and visible nature of alcohol and drug
abuse among First Nations people and Inuit". This stability enabled
NNADAP to better coordinate with other programs in the promotion of
community health and sober lifestyles.
 Currently there are 49 NNADAP treatment centers / programs (12 in
BC) providing approximately 695 beds.
 Nationally, NNADAP supports over 550 community substance misuse
prevention programs with over 700 workers - almost all employed by
First Nations and Inuit communities. Program activities vary, based on
the size and needs of each community and the availability of skilled
workers, but they generally fall into three key areas:
3
www.fnha.ca
4
www.fnha.ca
Prevention
 Prevention activities, aimed at preventing serious alcohol and
other drug abuse problems, include:
 Public awareness campaigns;
 Public meetings;
 Public speaking;
 Developing content for schools on alcohol and drug abuse;
 School programs;
 News media work; and
 Cultural and spiritual events.
5
www.fnha.ca
Intervention
 Intervention activities, aimed at dealing with existing abuse
problems at the earliest possible stage, include:
 Recreation activities for youths;
 Discussion groups and social programs; and
 Native spiritual and cultural programs.
6
www.fnha.ca
Aftercare
 Aftercare activities, aimed at preventing alcohol and drug abuse
problems from reoccurring, include:
 Counselling;
 Sharing circles;
 Support groups;
 Crisis intervention;
 Support visits;
 Outreach visits;
 Treatment Center referrals;
 Detox referrals;
 Social service referrals;
 Medical referrals; and
 Band services referrals.
7
www.fnha.ca
Referral Guidelines for NNADAP Treatment
Centers in BC
 FNHA Eligible Clients are: Status Indians and Recognized Inuit
 Referral must be to the closest NNADAP-funded Treatment Centre,
where there is no fee for eligible clients
 One treatment cycle is approved for any given fiscal year (treatment
and patient transportation assistance where necessary)
 Clients must see a counsellor at least six times prior to the referral
being done and an assessment must be done by the referral worker.
8
www.fnha.ca
Referral Guidelines for NNADAP Treatment
Centers in BC
 Client is free of all commitments to the judicial system: Clients currently
involved in the court process will not be approved. If treatment is
mandated by the courts, e.g. conditional sentence, it will not be
approved by the Branch. If the client has served their time and decides
on their own to go for treatment, it will be approved.
 FNHA is the agency of last resort, so clients with the employee benefit
packages/coverage under social assistance/other benefit plans must
access those benefits first.
 Referrals to licensed Non-NNADAP Centres are to be dealt with on a
case-by case basis.
 Exceptions are made to address: gaps-in-service/Methadone
Maintenance clients/Concurrent Disorders clients. The maximum
benefit payable for Non-NNADAP programs is $40.00/client day.
9
www.fnha.ca
NNADAP Review Phase I: Key Themes
1.
2.
3.
4.
5.
6.
Improve Access
Enhance Partnerships, Coordination and Communication
Strengthen Information Management and System Support
Enhance Governance Structures and Processes
Maintain and Strengthen Indigenous-based Approaches
Strengthen Service Integration throughout the Continuum of
Care (Case Management, Clinical Supervision, Data,
Intake/Discharge)
7. Enhance HR Capacity and Retention, Training and
Professional Development
10
www.fnha.ca
NNADAP Review: Phase II Regional Forums (action
planning)

Building on Phase I,




Share & Deepen Key Themes
Prioritize Recommendations/ Next Steps
Action Planning
Network & Build/ Enhance Partnerships

Process guided by Region specific Working
Groups, including representatives from:
•
•
•
•
•
•
•
IRS Resolution Health Support Program
Community NNADAP Workers
NNADAP Treatment Centers
FNHA Regional Mental Health Advisors
FNHA Regional Directors
FNHDA (Health Directors)
Youth and Elders
Outcomes:
Regional Action
Plans
Enhanced
Partnerships &
Service
Integration
11
www.fnha.ca
NNADAP Review Phase II – Activities towards completing
Region Specific Action Plans
•
•
•
Regional Forum(s) starting on Vancouver Island (will inform follow up Regional
Forums) - training day for NNADAP workers added
Guiding documents: Reference manual will be created (focus on key themes
generated from Phase 1 Review and other recent Reports, (e.g., Administration,
Governance, Wellness Continuum, and Relationships and Partnerships);
Regional client journey mapping /needs assessments to inform Action Plans
12
www.fnha.ca
Questions & Discussion
13