This is page numbers 3229 – 3260 of the Hansard for the 17th Assembly, 4th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was communities.

Topics

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you. If the Gwich’in are able to line up some other uses for the facility. I recognize that they have talked about the other departments that may be able to use that facility and then it becomes feasible for them to operate. At that point, they said that that building could be available for a treatment program or two. So if they’re able to run some other programs and I can’t remember specifically, but he mentioned that they had worked with ENR, they’ve worked with Justice to make that a possibility. If that place is operational and we have a program developed, we certainly want to put a program in there, certainly before the next year is up. Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. Final, short supplementary, Mr. Blake.

Frederick Blake Jr.

Frederick Blake Jr. Mackenzie Delta

Thank you, Mr. Speaker. Just from what the Minister has said, it sounds like funding is

an issue here. If this is a focus of the department, will the Minister agree to help the Gwich’in to take care of the maintenance of the building? Thank you.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you. I think what we would rather do, I suppose, is to get into a contract on the number of people who would be taking the treatment and then pay the rate for that treatment as opposed to agreeing to pay for the operating costs of the facility. So I think that is probably the way we would go, certain costs for a certain number of people that are in treatment. Thank you.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. Member for Sahtu, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. I talked in my Member’s statement about some of the support that’s needed in someone’s life when they want to put away alcohol or any type of addiction. Coming from a small community, in communities the people are listening to me now, today, at this very minute. They have enough motivation and courage to say I want to do something with alcohol, put it away or do something with addictions, drugs or whatever type of addictions they have.

Are there any types of programs right now, from listening to the Minister’s Forum, where they can take their family who say we want to go up to their cabin and stay there for a bit to deal with those issues?

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Minister of Health, Mr. Beaulieu.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Speaker. From October 23

rd to 25

th last week, we had

gathered 50 people, 60 people in Fort Simpson to look at the development of an on-the-land youth treatment program. We need to be able to get that information and we’ve hired an individual specifically to develop that program. We need to look at what the youth had to say, how they see the program developing.

Now, I have to say that when we were travelling in the Sahtu, the people over there certainly want to see not only the youth go out on the land but the elders and the youth together to go out on the land for treatment. I’ve seen that in my own riding as well. So we kind of have a general idea of what on-the-land treatment with youth and on-the-land treatment is going to look like. So, certainly, we could end up with that type of treatment.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you. It’s said that we need to think like our ancestors had been thinking. They knew the culture and the customs, Mr. Speaker. The culture taught them how to live in harmony with each other, so the people are saying we need to

think like this again and that we must rely on a power greater than ourselves and that they don’t need alcohol in their lives.

So I say this: When will the Minister present a concrete on-the-land program for people in the small communities so they can take advantage of this service and this program?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you. I think we have to really look at the philosophy of on-the-land treatment. We’re asking Aboriginal governments to provide us with proposals on what they see as something that will work for on-the-land treatment for the people, whether they be elders, the youth or families. This is not going to be a program where the government is going to come in with a program and then determine how the program will be set up. On-the-land treatment is something that would be community driven. We’ve received proposals from counsellors in the Sahtu even, and they’re very good, but what we’re trying to do is get the Aboriginal government to present that, whether it be the same thing or not. That’s how we wish to address those issues.

Norman Yakeleya

Norman Yakeleya Sahtu

Certainly, the Sahtu people have been asking for on-the-land treatment programs ever since I became the MLA 10 years ago. With the closure of the Nats'ejee K'eh program, now the focus is coming back to the on-the-land treatment programs. I would ask the Minister to look at the programs. It may not fit within the prescribed policy or requirement, and this is coming from an Aboriginal community, government, that this is how they see it.

I would ask the Minister if he would dust off the proposals from the Sahtu to say yes, this could work for Colville Lake, Tulita or Deline. This can work in Fort Good Hope or Norman Wells. Would the Minister be willing to do that, to say yes, we can work on something like this? It’s been done already.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

I can say that on-the-land treatment program is going to be very specific. It’s going to very specific to that community. I doubt if one program is going to even fit into two communities. Just about every individual community would have their own on-the-land program. There is going to be slight differences in every one of them. That’s why we’re really relying on Aboriginal people in the communities that said to us when we travelled and when the forum travelled, we want on-the-land treatment, so we’re asking them to come to us, bring us a proposal on what it is that they see on the land, and we will go out and try to find the funding to do that.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. Final, short supplementary, Mr. Yakeleya.

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. It seems that we have a disconnect. The Minister is asking the Aboriginal governments, the

communities, to give us the proposal for on the land. The communities are saying this is what we believe is an on-the-land program and it seems that we’re not connecting as we need to sit down together and talk about this. We do have the proposals, I’ve seen them myself and I actually passed them on to the Minister.

Would the Minister then say, okay, Fort Good Hope, Tulita, Deline, Colville Lake even, we think we have a program. Let’s work on it together. I’m asking when can the Minister then say the Sahtu or any other regions, you can start having your on-the-land programs in your region.

Tom Beaulieu

Tom Beaulieu Tu Nedhe

When we discontinued funding to Nats'ejee K'eh, we had indicated to the individual governments, Aboriginal governments that approached us and asked us what we were going to do, we said at this point we had discontinued the funding and now we are working on developing something that’s going to work community by community, and we have promised them that sometime after the end of this fiscal year we would have things in place that would allow individual communities to access funding to run on-the-land programs.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. The honourable Member for Range Lake, Mr. Dolynny.

Daryl Dolynny

Daryl Dolynny Range Lake

Thank you, Mr. Speaker. I’m going to give the Minister a bit of a break on addictions. Earlier this month our Minister of Health and Social Services held a joint meeting with our federal Minister of State for Seniors, the Honourable Alice Wong, here in Yellowknife. The theme that came out of this meeting is how we can help our seniors and the challenges they face. I, like many, were interested in what exactly this territory will embark on to support our growing influx of seniors. My question today will be for the Minister of Health and Social Services.

Canada, in general, is way behind on home care help, as we have been informed by national patient advocates. Other provinces have taken steps to recognize this underfunded part of our health care system.

Can the Minister shed some light on what are his department’s plans to address our home care shortfall?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Speaker. We will be coming forward with enhanced home care in the next budget session. We have been working on developing enhanced home care. We’re working with the federal government. The federal government is providing us some funding directly for home care as well. It’s part of the overall continuum of care for seniors in the Northwest Territories. We do have a strategy to develop care

for seniors and the idea is to maintain people in their own homes as long as possible.

Daryl Dolynny

Daryl Dolynny Range Lake

I’m encouraged and looking forward to the strategy and the budget here coming up for seniors. For the record, I just want to let you know, my personal experience with home care workers has been excellent, professional and totally respectful.

Seniors’ safety is a paramount factor for life longevity. What is the Minister planning to do to address the growing safety needs of our seniors?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Senior safety, for me, is something that is sort of like an emerging issue. That may sound like an unusual response, but when you watch things at a national level, you’re starting to see the very beginnings of what the various provinces are doing to develop a system that tries to keep the seniors safe. Simple things like putting in peepholes, grab bars, alarms and those types of things is what the jurisdictions are working on. We, as the Department of Health and Social Services, in my responsibility for seniors, are looking at those types of things with our other national partners.

Daryl Dolynny

Daryl Dolynny Range Lake

Again, I appreciate the Minister’s response on that. Seniors often deal with a rotating cast of nurses and personal care workers each with their own different style of delivering care. In fact, patients can encounter what is called a kaleidoscope of different messages that increase the risk of communication breakdown.

Can the Minister indicate what is his department doing to improve and address this kaleidoscope of different messages our seniors receive?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

As the health professionals develop the electronic medical records, when the health professional comes into the home, whether it be a home care nurse or if that senior has gone to the health centre to visit with a doctor or a registered nurse, that electronic medical record is designed to be the basis of the continuum of care. So that individuals who have been given some advice on what to do, or changing medicines or any sort of issues that was in the past where there were some confusing messages coming in from the different types of individuals or nurses that they were dealing with time to time, you would see that this is there to try to address that issue.

The Speaker

The Speaker Jackie Jacobson

Thank you, Mr. Beaulieu. Final, short supplementary, Mr. Dolynny.

Daryl Dolynny

Daryl Dolynny Range Lake

Thank you, Mr. Speaker. Again, thank you to the Minister. Finally, the Minister is quoted in the Yellowknifer on October 14, 2013, which I’ll table later today, that is directly related to the topic that we’re talking about here today. I’m going to quote here: “If we’re able to hold 10 seniors back for 10 years, that’s $1 million a year.” Can the Minister explain this quote to the House?

Tom Beaulieu

Tom Beaulieu Tu Nedhe

On average, long-term care is about $100,000 per year per senior, so that was why. I just did the math, so 10 seniors would be $1 million for one year.