1. Aboriginal youth addiction and substance abuse in Canada is of epidemic proportions. “Substantial research” has been conducted and a variety and combination of interventions have been implemented, but addiction rates continue to rise within this group. The traditional methods used to address addiction and substance abuse are inadequate and not specific to the Aboriginal population. Literatures suggests that only by considering the specific needs of the culture, community, and environment can intervention and prevention meet with success. (a) examine 3 literatures on the incidence of any addiction and any substance abuse (or both) with special attention to addiction and substance abuse among youths in Aboriginal communities in Canada, (b) review the factors historically thought to place Aboriginal youth at risk for addiction and substance abuse, (c) explore the needs for future research that would contribute to our understanding of regional distribution and causal agents of addiction and substance abuse, and (d) what are some roles we can play to help as health care professionals to improve the health of Aboriginal youths?
2. Treaties were legal contracts between First Nations and the British Crown. The Constitution Act, 1982 recognized these treaty rights and that these treaties are upheld by the Canadian government. Spirit and intent of treaties was to share the land and resources. According to Treaty #6, the federal government is responsible for the health of First Nations people. According to Health Canada (2009), the government is providing health services to “Support First Nations and Inuit people in reaching an overall health status that is comparable with other Canadians”. A) Discuss the different interpretation of Treaty 6 by the government and First Nations people, what are some of the programs that have successor in providing effective services to First Nations people? b) Discuss in detail the stages or types of Health Service Transfer agreements? What services are provided in each stage? What are the benefits and disadvantages? (Note: stages not phases of transfer)
3. Christiana is 30 years old. He has 2 children a boy and a girl. Christiana gave birth to her first child Marie, at age 14 and her second child Mat at age 16. At age 15, Marie got pregnant and gave birth to a baby girl Annet with her boyfriend who leaves out of town. This is very exciting news for both Marie and her boyfriend and for Christiana as well. But on the other hand, Christiana didn’t plan to become a grandmother at age 30. Christiana has been a single mum since age 14 and fears that the cycle will continue even to her grandchildren. In fact, the issue of teen pregnancy on the Moosegate Reserve is an epidemic. Over the last decade, the rate of teen pregnancy in Moosegate has doubled the National Average and the elders, chief and council are concerned. The teenagers there are fed up with the situation on reserve. No job, the only high school in Moosegate goes up to grade 8, so students have to move out of town to complete high school. The gymnasium at the school is not well equipped and there are not very many options in terms of things to do i.e. little resources and location. Moosegate is a small reserve north of Moosejaw. It has about 350 on-reserve members and about 350 off-reserve members. Many of their off-reserve population live in Moosejaw, North Battleford, Prince Albert or Regina. This particular First Nation has been exploited in the past by researchers because they have a particularly high incidence of teen pregnancy, and sexually transmitted diseases (STDs). The Chief and Council were fed up with the negative media attention and banned external researchers from coming to the community. They are, as the chief describes them, “canned programs” and do not meet the unique needs of her community. He would like to engage in research and have the community involved. The chief thinks it would boost self-esteem and give the community a sense of ownership over the issues they face. However, the chief is being met with fierce resistant over his idea. Many people remember the humiliation they suffered when their community was splashed on newspapers and television channels. They remember those headlines that read “Teens Can’t Say No to Sex on Moosegate First Nation” and “Community in Dire Need of Guidance”. They put their faith in those researchers. It’s not as if they didn’t know the issues existed but they were looking for solutions. Instead, they were victimized once again.
The Chief has secured a community meeting with potential researchers and social workers from the University of Regina. Some of them are Aboriginal and some of them are not. He has instructed them to come up with a research plan that they will present to the community. He gave careful instruction to them that they must construct the plan in a way that is not “set in stone” and that will address the communities’ valid concerns about the research process.
*(name is made up for the purpose of this assignment)
Instructions:
Come up with a complete analysis of how you can help the community as if you were the researcher presenting to this community. You will need to explain the epistemology, and methodology of how you are going to go about helping this community. In your answer, please indicate: What health determinants are influencing the health and wellbeing of teens in the community? What, if any determinants are missing here? Does anything else need to be considered?
• How much of this is determined by her social environment and how much is simply personal choice?
• What solutions can we see that might improve the situation? Who is responsible for what in the solution?
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