44th Parl. 1st Sess.
October 20, 2022 10:00AM
- Oct/20/22 7:31:32 p.m.
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Madam Chair, that is an excellent question. I want to thank my colleague who had the courage to support my bill and listen to the experts on substance use, Bill C-216, a health-based response to substance use.
We need to listen to the experts, listen to the local knowledge in this country and listen to indigenous knowledge about how we move forward. Those 67 leading organizations are ready to deliver mental health now, but they are running on fumes as I stated. Injecting the mental health transfer, getting it out the door to those local experts, will save lives.
We have an opportunity to save lives right now if we come together, collectively, and not wait for everything to be perfect. It will not be. What we do know is that those organizations save lives now and they can prevent the loss of further life. We need their help and we need to listen to them.
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- Oct/20/22 7:33:51 p.m.
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Madam Chair, I want to thank my colleague for his really important work on the three-digit hotline and on PTSD. I worked with him on the PTSD bill right after we got elected. We are both from the class of 2015, and I really appreciate his leadership when it comes to mental health and working collaboratively.
It is not something that I have not been a witness to. I do not have a lived experience of living as an indigenous person or in an indigenous community, but I do live in a region that has been heavily hit with suicide. I have not been to Attawapiskat, but certainly, watching that, it brought me back home.
Part of the reason I ran for Parliament back in 2015 was that I had been to, I think, 15 funerals in my region for people who had passed from either substance use or suicide. When we go to a funeral for someone and we know it is a preventable loss of life, there is just an empty feeling. We know that we need to do better. Certainly, there are not enough supports.
As a parliamentarian back in 2016, one of the Nuu-chah-nulth nations was going through a suicide crisis. I had to go home and be with the people there. They do not have adequate supports. They need resources. They have solutions. They have healing journey solutions that they want to implement. They just need resources.
We are failing when it comes to mental health, and we are failing on reconciliation. We really need to listen to the communities themselves. Each community has ideas on how its members can heal from the trauma endured in residential schools and the colonial laws that were implemented and forced upon them.
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- Oct/20/22 7:39:22 p.m.
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Madam Chair, the member for Courtenay—Alberni is my neighbour back home and I thank him for his incredible work on mental health, dealing with opioid addiction and all of the challenges we are seeing across Canada right now.
The member mentioned something in his speech that is really important to me and the communities that I have lived in, which is indigenous mental health. We know what the reality is with all of the history that we have all been apprised of. Indigenous communities have a particular reality that they face every single day. We know that the deaths that happen by suicide in indigenous communities, especially by young people, are profound, far too numerous and leave a weight on communities.
I remember speaking to one chief who felt that he was not getting a good deal from a level of government and he told a representative when they were discussing this that if the representative wanted any agreement from the chief, they were going to go to the bridge where more than one kid, unfortunately, had hanged themselves. When we talk about that, we must recognize this particular pressure.
I am wondering if the member could talk about what resources are needed to be acknowledged in indigenous communities to make sure that these deaths stop, because they are happening far too often, and Canada is directly to blame.
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- Oct/20/22 8:32:25 p.m.
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Madam Chair, it is a great honour for me to stand tonight to take part in the take-note debate on mental health, addressing the gap. This topic is close to my heart. I do not think five minutes will do it justice, but in the short time that I have been allotted, I would like to talk about the disparity between the non-indigenous and indigenous people who live in Canada.
First, I would like to say that tonight I am here not only as the member of Parliament who represents the amazing riding of Richmond Hill, but also as a person with lived experience, both personally and through family and close friends. As the focus of my intervention tonight is on the indigenous, let me start by saying kwe, kwe. Ullukkut. Tansi. Hello. Bonjour. I would like to also acknowledge that Canada's Parliament is located on the beautiful unceded traditional territory of the Algonquin Anishinabe people.
We indeed need to have this conversation and debate tonight. It has been long overdue. Mental health is an urgent and critical issue that impacts non-indigenous as well as indigenous people across this country. We need to acknowledge and look closely at the states of emergency that have been declared in many indigenous communities in recent years as they suffered the horrific loss of their young and other loved ones.
Suicide rates have consistently been shown to be higher among first nation, Inuit and Métis people in Canada than among non-indigenous people. In fact, the rates among first nations are three times higher than that of non-indigenous people. For the Métis, the suicide rate was approximately twice as high as that of non-indigenous. For the Inuit, the rate was approximately nine times higher.
Behind each of these statistics are stories of unspeakable grief and loss, but also strength and resiliency. The historical and ongoing impacts of colonization, the forced placement of indigenous children in residential schools, the removal of indigenous peoples from their homes, families and communities during the sixties scoop and the forced relocation of communities has been well documented. This resulted in the breakdown of families, communities, political and economic structures, loss of language, culture and traditions, exposure to abuse, intergenerational transmission of trauma and marginalization, which are associated with high rates of suicide.
We know these high rates are linked to a variety of factors, but we also know the way forward is to address the disparities in the determinants of health and also help indigenous people find a sense of hope and belonging. I was glad to hear that the determinants of health was a topic of a question that was raised in the House.
Closing the gaps in the areas of education, housing and health care will go a long way to promoting mental well-being. The government knows that the first nation, Inuit and Métis people have suffered the effects of inadequate housing, education and health and as a result there has been an impact on their mental health outcomes. That is why we have been working with indigenous partners to determine what is needed to close the housing, education and health gaps for the non-indigenous and indigenous communities.
The work to co-develop distinctions-based indigenous health legislation is part of this government's commitment to address the social determinants of health and advance self-determination in alignment with the United Nations Declaration on the Rights of Indigenous Peoples. We know that the way forward is working with indigenous partners to address the disparities in the determinants of health and help people find a sense of hope and belonging.
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- Oct/20/22 8:39:07 p.m.
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Uqaqtittiji, I would first like to acknowledge the great work the member does with my colleagues from Courtenay—Alberni and Edmonton Riverbend for Father's Day on the Hill, which focuses on improving men's mental health. I think that is great work. Qujannamiik for that.
Knowing that professional certified mental health services are not adequately meeting the needs of indigenous peoples, does the member agree that the federal government needs to also incorporate existing lay counsellors and volunteer counsellors who are indigenous into the health care system so they too can be paid for the great work that they do?
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- Oct/20/22 8:39:58 p.m.
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Madam Chair, I thank the hon. member for her acknowledgement.
Indeed, we need to do everything in our power to make sure that we not only focus on parity between mental health and physical health, but also resolve the issue of the disparity that exists specifically for the indigenous community. I have been advocating for parity since 2015. As I am becoming more aware and more educated on the issue of the disparity that exists among indigenous and non-indigenous, I felt that it is time for me to also advocate for the indigenous and, indeed, make sure that we have not only the support at the professional level but also the support at other levels.
I talked about the social determinants of health being housing, being education, being support and being community. All of those will go a long way in helping to address the disparity that exists.
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- Oct/20/22 8:41:44 p.m.
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Madam Chair, to my colleague, who I have had the honour of knowing since 2015 and working with him, let me clarify.
Health care and specifically mental health is a multi-jurisdictional issue. It is the responsibility of the federal government as well as the provincial government. We need both partners to come to the table and focus on the outcome, which is the health and the mental health and well-being of all Canadians, indigenous and non-indigenous, rather than squarely blaming the provincial government.
I thank the member for correcting me if I came across in that way.
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- Oct/20/22 9:19:11 p.m.
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Madam Chair, I had the honour and privilege of travelling through Iqaluit this summer with the member to see her work on the ground with youth and mental health in Nunavut and with young Inuk, and she is absolutely right. We should give our young people the tools to self-care and self-love, to be strong and to be proud of their heritage as indigenous youth and youth from new countries who make Canada home. If they do not feel they have a place here with the resources, hope and supports they need, whether it is peer to peer, peer to mentor or within a wraparound framework, as I mentioned previously, then we are failing them.
As my colleague said earlier, this is not a partisan issue. We all get it. We are here because we get it, and we understand that there are many pieces of the puzzle. It takes a village to raise a child, and this Canadian village really needs to step up for its youth.
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- Oct/20/22 10:01:24 p.m.
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Uqaqtittiji, I will be sharing my time with the member for Vancouver East.
As parliamentarians, we must recognize indigenous-led mental health services. Colonial mental health services are not having the same effect for Nunavummiut as they may for other Canadians. Since time immemorial, first nations, Métis and Inuit have used their own practices to support each other. Our mental wellness practices as indigenous people are valuable but need more recognition.
In Nunavut, community members do not have the specific spaces that provide secure and confidential mental health services the same way certified professional mental health providers do. The infrastructure may be there but unavailable to indigenous providers. If a psychologist were to travel to a community, they would leave people on a waiting list with little to no support. Practices that work for southern communities cannot be the only option for indigenous peoples.
There are indigenous-led services that are making a huge difference with the people they help. An Inuit mental health project funded by the Mandala Institute for Holistic Mental Health is beginning to offer Inuit-led services. This institute has a huge impact on Inuit across Canada. Inuit elders, activists and advocates have long been calling for Inuit-specific mental health training programs. These programs need to be available to Inuit across Canada. Decolonized mental health programs are needed to address mental health crises that are leading to increased depression, addiction and suicide rates.
The Mandala mental health funded project is looking into piloting a heal the healer program. This program would train Inuit to support their communities with expertise in mental health. Projects like these need to be funded. There need to be financial resources dedicated for indigenous-led mental health practices. These services need to be recognized by the government to make sure the burden is not on Inuit. We cannot continue to ask indigenous community members to volunteer their time and space because the government does not recognize their expertise. The government has allocated $600 million for innovative mental health care for Canadians since the start of the pandemic. There must also be a focus on providing funding for indigenous traditional health practices.
My communities are not seeing the support and training they need to support themselves. This is not acceptable in this time of reconciliation. We as parliamentarians need to demand more from the government and all future governments. We appreciate kind words, but significant investments for indigenous-led mental health services are urgently needed.
As parliamentarians, we must stop placing the burden on Inuit and indigenous peoples who do not have the housing, who live in poverty and who lack the infrastructure to do the work of the government. In the meantime, first nations, Métis and Inuit can access the Hope for Wellness help line at 1-855-242-3310. I have used it myself, and I will be forever grateful for receiving counselling in Inuktitut from Hope for Wellness.
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