This is page numbers 2143 – 2196 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 services.

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Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Speaker

The Speaker Jackie Jacobson

Good afternoon, colleagues. May I have the report of Committee of the Whole. Mrs. Groenewegen.

Before I call for the report of Committee of the Whole, I have been informed that your wish is to sit late today beyond our daily adjournment. By the authority given to me as Speaker, by Motion 1-17(4), I hereby order you back into Committee of the Whole and authorize the House to sit beyond the daily hour of adjournment to consider the business before the House, and report when the committee deems appropriate. I would like to ask Mrs. Groenewegen to take the chair.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Jane Groenewegen

Where we left off yesterday, we were dealing with the Department of Health and Social Services. I would like to ask the Minister if he would like to bring witnesses into the Chamber.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Yes, I would, Madam Chair.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Jane Groenewegen

I will ask the Sergeant-at-Arms to please escort the witnesses to the table.

For the record, Mr. Beaulieu, could you please introduce your witnesses.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Madam Chair. To my right is Debbie DeLancey, deputy minister of Health and Social Services. To my left is director of finance, Jeannie Mathison, Health and Social Services.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Beaulieu. We were on page 8-31, community wellness and social services, operations expenditure summary, $89.259 million. Mr. Dolynny.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

Daryl Dolynny

Daryl Dolynny Range Lake

Thank you, Madam Chair. I have a committee motion.

Consideration in Committee of the Whole of Bills and Other Matters (Reversion)
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Jane Groenewegen

Please proceed.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

February 25th, 2013

Daryl Dolynny

Daryl Dolynny Range Lake

Madam Chair, I move that this committee strongly recommends that the government take immediate action to identify the funding necessary to fully implement the chronic disease management model. Thank you, Madam Chair.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Dolynny. The motion is in order. To the motion. Mr. Dolynny.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

Daryl Dolynny

Daryl Dolynny Range Lake

Madam Chair, I wish to speak to this motion, in favour of this motion, by using the soothing words of then Auditor General of Canada, Ms. Sheila Fraser. My reference is to the tabled document of March 1, 2011, in this House from the Auditor General with respect to this motion directly.

Page 14, paragraph 39, “Recommendation: Department of Health and Social Services, in collaboration with health and social services authorities, should identify a course of diabetes education, prevention and treatment programs; monitor implementation of programs across the

Northwest Territories; identify and collect data to measure program results; and use this data to improve program delivery.”

The department’s response: Agreed. “Establishing a chronic disease management model for the Northwest Territories is currently identified as a key action contained in the Foundation for Change, the Department of Health and Social Services system action plan for 2009-2012. The recommendations related to diabetes will be addressed with the overall model of chronic disease prevention and management delivered through primary community care teams. The first draft of this model has been developed and is to be completed in 2011-2012.”

Madam Chair, as I said, this was a tabled document in 2011 and it’s substantiation of the results of this audit from the Auditor General of that time was completed in September 2010. We are now in 2013 and we believe that the time has come for the Department of Health and Social Service to fully implement this chronic disease management model. Thank you, Madam Chair.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Wendy Bisaro

Thank you, Mr. Dolynny. To the motion.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

Some Hon. Members

Question.

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Wendy Bisaro

Question has been called.

---Carried

Committee Motion 9-17(4): Implementation Of Chronic Disease Management Model, Carried
Consideration in Committee of the Whole of Bills and Other Matters (Reversion)

The Chair

The Chair Wendy Bisaro

Committee, we are on page 8-31. Mr. Menicoche.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

Thank you, Madam Chair. I have a committee motion. I move that this committee strongly recommends that the government take immediate action to increase overall funding for addictions and mental health program delivery initiatives, including funding needed to implement the mental health and addictions plan and community wellness plan.

The Chair

The Chair Wendy Bisaro

Thank you, Mr. Menicoche. The motion is in order and is being distributed. To the motion. Mr. Menicoche.

Kevin A. Menicoche

Kevin A. Menicoche Nahendeh

Thank you, Madam Chair. This motion is as a result of committee deliberations that we never felt the government really achieved the 3 percent expenditures for mental health and addictions prevention and promotion, and this is one aspect of it. As well, I am pleased to move this motion because during my recent constituency tour in January, many of the community wellness plans were being approved by the communities of Nahanni Butte, Trout Lake, Wrigley, Jean Marie

and, for the most part, Fort Liard as well. What this spoke to me about was that they’re very pleased, they worked so hard and worked with the Department of Health and Social Services working towards these wellness plans. However, they found that once they started combining their wellness plans in all aspects of health and prevention, addictions and mental health, that the funding pool wasn’t really enough.

So what this motion speaks to me about, and I’d like to champion and put on the record, is that more money has to be delivered to the communities on the ground. I’ve spoken in this House; as well, I’ve done a Member’s statement for the community. As an example, Trout Lake gets their community wellness planning, they get their addictions and mental health funding, I think there was one pot, it’s about $5,000, but almost $2,000 of it is used for travel. So as a result, they only got $3,000 for on-the-ground programming for the community and it doesn’t go very far. So by combining the pots, it’s still there, but at the same time we’ve got to take into account that travel into remote communities. Of course, there’s still travel for specialists for Hay River and Yellowknife. At the same time, when you start going to remote communities, you’re talking about air charter, higher costs of accommodation in those communities.

So that’s why I like this motion, I champion it and I’ll look for full Regular Member support as we move forward with this motion, Madam Chair. Thank you.

The Chair

The Chair Wendy Bisaro

Thank you, Mr. Menicoche. To the motion.

Some Hon. Members

Question.

The Chair

The Chair Wendy Bisaro

Question has been called.

---Carried

The Chair

The Chair Wendy Bisaro

Committee, we are on page 8-31, Health and Social Services, activity summary. Mr. Bromley.

Bob Bromley

Bob Bromley Weledeh

Thank you, Madam Chair. I also have a motion and I move that this committee strongly recommends that the government take immediate steps to accelerate the implementation of year two actions identified in the Mental Health and Addictions Plan that will lead to a more robust mental health and addictions network better able to support the timely establishment of specialized wellness courts. Thank you, Madam Chair.

The Chair

The Chair Wendy Bisaro

Thank you, Mr. Bromley. The motion is in order. The motion is being distributed. To the motion. Mr. Bromley.

Bob Bromley

Bob Bromley Weledeh

Thank you, Madam Chair. I think everyone is aware that we have very serious issues of mental health and addictions in the Northwest Territories, some of the highest rates in the country by far. We also have very, very high rates of recidivism, and in our corrections these are obviously the results of our history and some of the major events there. Some examples of that are residential schools and the trauma that that entailed and still does to this day, a lack of early childhood development. As a result of these sorts of things, many people are still struggling and, unfortunately, we currently have a system that simply dumps many of these people into our jails.

It’s well recognized, and I think supported by our government, that we need to do something about that, and that there are demonstrated models out across Canada and North America and now the world, often termed mental health courts or wellness courts. We’re aware that the feasibility study being done by the Department of Justice and the Department of Health and Social Services will be done the end of next month, and committee wants a wellness court or the equivalent mental health court on the ground and operational for our people sooner rather than later. This is particularly so in light of the federal legislation that is causing more and more people to be jailed as it slowly gets implemented. There has been some assessment work done on that that demonstrates there is very serious and significant costs associated with that and prevention is the way to go.

So a major consideration that enables a wellness or mental health court to be in place is the astute observation of our justices, that we need the assurance of mental health and wellness services to be in place so that such a court can be enabled. This motion is meant to highlight that and to demand a timely action on it. Thank you, Madam Chair.