Thank you, Member for Tu Nedhe-Wiilideh. Madam Premier.

Thank you, Madam Chair. Absolutely. I am glad that the Member recognizes no one model fits all; it is what I have said forever. It is a core to my heart. I believe that we do need community. I have said that. We can't do this alone. We need to be open to working with Indigenous governments; that is why it is in this mandate. What we think in Yellowknife is the answer may not be the answer in Tuktoyaktuk, so we have a responsibility as the GNWT to make sure that we engage with all Indigenous governments so that they define their healing, and then we support them in actualizing the programming. Thank you, Madam Chair.

Thank you, Madam Premier. Member for Tu Nedhe-Wiilideh.

Mahsi cho, Madam Chair, and thank you to Madam Premier for her response. I am just looking at the timelines, here; winter 2020 for a review to be completed. Has there been an active engagement with communities or Indigenous governments to reach this benchmark? Mahsi cho, Madam Chair.

Thank you, Member for Tu Nedhe-Wiilideh. Madam Premier.

Thank you, Madam Chair. Right now, winter 2020 is for the national jurisdictional review. Engaging with Indigenous governments, I am not sure. I don't know if we have done that at this point. In fairness, Ministers have been busy developing the mandate, developing all the work we have to do, getting familiar with it, and being in session. If the Minister hasn't started this work, I have full faith that she will begin this work as soon as possible. Thank you, Madam Chair.

Thank you, Madam Premier. Member for Tu Nedhe-Wiilideh.

Thank you, Madam Chair. Another thing, too, is aftercare. It is really important to always follow up with any sort of treatment program and preventing relapse, and I think it is important that we closely track this to measure change, positive change. What measures is the Premier planning to go forward with to help measure this success? Mahsi cho.

Thank you, Member for Tu Nedhe-Wiilideh. Madam Premier.

Thank you, Madam Chair. Some of this, actually, we can obtain from our database; people who we send out for treatment supports, people who we provide drug and alcohol counselling. That will give us a baseline, and then the goal is to actually reduce that as people are sent out and stuff. We can get baselines. Some of the programs developed and hospitalizations for alcohol, we know how many people go to the hospital, so we can. We already have a baseline; we just need to pull those out. Then we can actually measure success by if our rates of hospitalization, our rates of return to treatment centres, et cetera, are lowered. Thank you, Madam Chair.

Thank you, Madam Premier. Member for Tu Nedhe-Wiilideh.

Thank you, Madam Chair. I have got one more question. I know that the Member for Thebacha, she is not here right now, but I know that she mentioned that Salt River and Poundmaker's had a program in place, and it met with some success, from what I have been told. With these partnerships with these treatment centres down south, would the Premier be willing to work with some of these treatment centres in the South and bring some of their programs and some of the people up North to try to work with them to get into the communities? Mahsi cho.

Thank you, Member for Tu Nedhe-Wiilideh. Madam Premier.

Thank you, Madam Chair. I think that question would probably be best answered by our Minister of Health and Social Services. Thank you, Madam Chair.

Thank you, Madam Premier. Minister of Health and Social Services.

Thank you, Madam Chair. I do want to talk about the facility-based addiction treatments we have in the South. We have four that we work with currently. It is the Poundmaker's Lodge, which is located in St. Albert. We also have the Fresh Start Recovery Centre, which is in Calgary. We also have the Aventa treatment centre for women, which also is in Calgary, and we have the Edgewood Treatment Centre, which is in Nanaimo. This is something, our continued partnership with the facilities in the South, and it is important to know that, as we look at the mandate, bringing services closer to home, if there is a model out there that our department can mirror to bring that closer to home, then definitely that is something our department will look into. Thank you, Madam Chair.

Thank you, Minister. Anything further, Member for Tu Nedhe-Wiilideh? Thank you, Member. Next on my list is the Member for Inuvik Twin Lakes.

Thank you, Madam Chair. I am just looking at this priority. In "Strengthen community counselling services," I kind of look at it as more taking a position that we have a medical social worker in the hospital in Inuvik who deals with clients who are in the hospital. We have child welfare social workers, but we don't have case workers or outreach workers, in our community, at least, anyway, I don't know how it is in Yellowknife, for our vulnerable population, for our homeless, for our people with addictions, for our people who are having housing issues. If they were to go for treatment, coming back, we have mental health and addiction counsellors who send them off, and then they come back, but they are not really linked with housing and all those types of things.

I am just trying to figure out a way that, maybe with increasing some of this work, the social workers, to have an adult outreach social worker for our homeless population fit in here, or training a specific social worker to work with these populations, that is an outreach, so they don't have to go into this hospital. They are at the homeless shelter. They are at the wet shelter. They need somebody who can reach out to them. We know, as Indigenous people, we don't really go looking a lot of times, unless we are really sick and really need help. We just need someone there who can put their hand out and we can start to trust and work with. I ask if that somehow can be looked at, especially in our regional centres where the homeless population is higher. Thank you, Madam Chair.

Thank you, Member for Inuvik Twin Lakes. Madam Premier.

Thank you, Madam Chair. What the Member is talking about, I believe, kind of looks like our integrated service delivery program that we have offered. It is the model that we are moving toward. It is not going to happen overnight. There are financial limitations, professional ability, training, all those things. However, we are working closer within departments, and some things are already happening that weren't in here, because we didn't put everything in here and we also don't have things going.

Our child and youth mental health workers who are going into schools, I am ecstatic that that is happening. That is the start. I believe the Member spoke today about the issue of young people; if we can get them when they are younger and deal with their mental health wellness, and help them make better choices through our child and youth mental health workers, through our career Pathways workers within the schools who are going to help try to guide students starting in grade seven, that is the beginning, but we do have to work better towards integrated service delivery. The departments know, all these Ministers know, and all their deputy ministers know, we are expecting in this government that they will work better, not only amongst themselves, but with all stakeholders. That does mean, if you are going to work with all stakeholders, I hate to say it, but I am just going to say it to all government employees: you have to be willing to get out of your offices. Thank you, Madam Chair.

Thank you, Madam Premier. Member for Inuvik Twin Lakes.

Thank you, Madam Chair. Looking at establishing under here, and I know some other Members have talked about it, the medical detox and managed alcohol programs, I know from my past experience, when clients are wanting to go for treatment in the hospitals, we have always accepted them two to three days before they are going to go, because clinically, they need at least three days to medically withdraw. Some need more, though, if they are every-day, heavy-addiction users.

I am just wondering how, if we are going to be doing this, is it going to be in our hospitals? I do know that these clients can be heavy-load clients, and they would be more of what we call in the practice one-to-one because of their addictions and withdrawing sometimes. This will be a heavy burden on the budget in a hospital setting. I am just wondering if you could elaborate a little bit on how this might look or if it is going to be in the hospital. Thank you, Madam Chair.

Thank you, Member for Inuvik Twin Lakes. Minister of Health and Social Services.

Thank you, Madam Chair. I do want to talk a little bit about what we are proposing to do around medical detox. The department is exploring some options for medical detox in the Northwest Territories. We are in the process of developing a terms of reference for some of the consultation and research. We will be consulting with residents and Indigenous organizations, as well as healthcare providers, and in addition to that, having a jurisdictional scan to see how detox is offered in other provinces or territories and research some of the best practices for the delivery of medical detox.

Once this has been determined, reviewing the results of our research, and then consult and identify options to move forward for the delivery of medical detox, whether it is through a centralized facility or by using our health centres or other creative options. I mean, that is the whole intent of doing a jurisdictional scan is to find best options and have a look at them and just really come up with an implementation plan. Those are some of the things that our department is doing in terms of the medical detox.