Toronto Star

Canada committed to Indigenous communitie­s:

- JANE PHILPOTT Jane Philpott is the federal minister of health.

Last weekend, two more young people died by suicide in Northern Ontario. Each loss adds to the disturbing­ly high suicide rates among Indigenous youth. But statistics don’t help grieving families. They will feel the pain and loss forever. Each life lost is a tragedy beyond measure.

Each time a community is affected by suicide, there is a flurry of activity to mobilize counsellor­s, engage crisis teams and ensure local needs are met. There are urgent calls for more money and more mental health workers for affected regions. In Budget 2017, our government pledged $118.2 million over five years to improve mental health services for First Nations and Inuit. This builds on $69 million announced last year to fund community-based workers and mental wellness teams, and to ensure there are counsellor­s in regions facing crisis. The number of communitie­s supported by mental wellness teams will nearly triple by the third year, going from 86 to approximat­ely 240. These teams serve multiple communitie­s and go where they are needed, for as long as they are needed.

Two weeks ago I visited communitie­s in Northern Ontario, where the crisis continues to have a devastatin­g impact. I was impressed by their determinat­ion to break the cycle of despair. When I visited Wunnumin Lake First Nation, I learned about their Choose Life Project. This initiative will address suicide risk factors, particular­ly among youth, through onthe-land activities and programs for children to increase self-esteem and strengthen families.

This type of community-led programmin­g is critical to solving this crisis. This is why we are working with Nishnawbe Aski Nation and the Ontario government to develop a long-term strategy to prevent suicides in that province.

However, ending the epidemic of youth suicide requires more than mental health care. Any oversimpli­fication of the causes and solutions for this crisis does a disservice to the communitie­s that are most affected. The roots of this crisis and its remedies are not mysterious, but they are complex. It took generation­s of discrimina­tion to create the circumstan­ces behind these suicides. Justice will not be restored overnight. It can be shown by many measures — life expectancy, chronic diseases such as diabetes, infectious diseases such as tuberculos­is, infant mortality rates, suicide rates — that Indigenous peoples have suffered from systemic discrimina­tion when it comes to health. Poor health outcomes and loss of hope for Indigenous youth also derive from a range of social inequities in areas such as education, employment, housing, and community infrastruc­ture.

The current state of Indigenous health in Canada is a direct result of generation­s of previous government policies, including the impacts of residentia­l schools. We need to dismantle the colonial structures of the past and reconcile our broken relationsh­ip with Indigenous peoples to improve quality of life in their communitie­s.

Preventing suicide requires achieving social equity. We have already taken important steps by investing in key social determinan­ts of health, such as housing, education and the environmen­t. While these are first steps, our intent is to continue investing in all areas in pursuit of social equity.

Preventing suicide requires a transforma­tional approach to health, including the correction of unjust policies. This work has begun. We have changed policies related to Jordan’s Principle, prena- tal care, medical transporta­tion and more. We have regular meetings with leaders of First Nations, Inuit and Métis organizati­ons, to build better relationsh­ips and improve our understand­ing of their priorities and needs. We are responding to the Calls to Action from the Truth and Reconcilia­tion Commission.

Promoting life and preventing suicide requires respect for Indigenous knowledge and practices, including work done to create important foundation­al documents.

Preventing suicide also requires a focus on birthing wellness; attachment of parents and children; and the protection, safety and nurturing of children from infancy onward. It means preventing trauma and supporting healing for victims of domestic abuse and sexual violence. It involves helping young people to reconnect with their land and revitalize their culture.

While we work with Indigenous leaders to improve the day-to-day reality of their communitie­s, we must simultaneo­usly address more foundation­al work to restore hope. This includes the affirmatio­n of inherent and treaty rights, as enshrined in Section 35 of the Constituti­on.

First Nations, Inuit and Métis peoples have been clear. They need control over their lives. Our government is determined to support the path toward selfdeterm­ination.

Canadians are ashamed about how generation­s of injustice have deprived Indigenous peoples of hope and dignity. We must acknowledg­e the tremendous amount of preventabl­e suffering, trauma and loss of life in the past. But the future is before us, with the obligation to do better, to do right. The path to health and wellness for Indigenous peoples requires reconcilia­tion, justice and equity. Nothing less.

Any oversimpli­fication of this crisis does a disservice to the communitie­s that are most affected. The roots of this crisis and its remedies are not mysterious, but they are complex

 ?? NATHAN DENETTE/THE CANADIAN PRESS FILE PHOTO ?? An Indigenous cemetery is shown in the northern Ontario First Nations community of Attawapisk­at. The James Bay community of 2,000 was under a state of emergency last year due to a spike in youth suicide attempts.
NATHAN DENETTE/THE CANADIAN PRESS FILE PHOTO An Indigenous cemetery is shown in the northern Ontario First Nations community of Attawapisk­at. The James Bay community of 2,000 was under a state of emergency last year due to a spike in youth suicide attempts.
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