Highlights
Executive Summary
Developed in partnership with First Nations, the First Nations Mental Wellness Continuum Framework (the Framework) presents a shared vision for the future of First Nations mental wellness programs and services and practical steps towards achieving that vision. A response to the mental health and substance use issues that continue to be a priority concern for many First Nations communities, the Framework’s overarching goal is to improve mental wellness outcomes for First Nations.
On the one hand, the Framework is designed to strengthen federal mental wellness programming and support appropriate integration between federal, provincial, and territorial programs. It describes how programs can communicate better and work more effectively together within a comprehensive mental wellness system for First Nations. The Framework establishes a continuum of care that forms the basis for this system. On the other hand, the Framework provides guidance to communities to adapt, optimize, and realign their mental wellness programs and services based on their own priorities.
Section 1 of the Framework provides an overview of the approach and process. The Framework focuses on the broader concept of mental wellness rather than mental illness. Mental wellness is supported by factors such as culture, language, Elders, families, and creation. It is necessary for healthy individual, family, and community life. First Nations seek to achieve whole health—physical, mental, emotional, spiritual, social, and economic well-being—through a coordinated, comprehensive approach that respects, values, and utilizes First Nations cultural knowledge, approaches, languages, and ways of knowing.
Federal, provincial, and territorial mental wellness programs and services seek to address the indicators that challenge mental wellness in many First Nations
communities; however, there are gaps in services. Further, services are not always delivered in a culturally safe manner. To address this issue, First Nations communities and leadership called for the development of a coordinated, comprehensive approach to mental health and addictions programming. In response, the First Nations and Inuit Health Branch (FNIHB) of Health Canada, the Assembly of First Nations (AFN), and Indigenous mental health leaders from various First Nations non-governmental organizations jointly developed the Framework.
Section 2 - provides a detailed description of the First Nations Mental Wellness Continuum (the Continuum), which is at the heart of the Framework. The Continuum is rooted firmly in culture; it promotes access to supports and services for individuals and families across the lifespan, including those with multiple and complex needs. The continuum of essential services includes:
• Health Promotion, Prevention, Community Development, and Education
• Early Identification and Intervention
• Crisis Response
• Coordination of Care and Care Planning
• Detox
• Trauma-informed Treatment
• Support and Aftercare
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