Tragedy or Triumph: Canadian Public Policy
Transcription
Tragedy or Triumph: Canadian Public Policy
Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:06 PM Page 1 The 2005 Atkinson Fellowship in Public Policy A Special Report by Marie Wadden Where tragedy falls off Canada’s map Along with poverty, addiction, despair, Aboriginal communities battle myths Aboriginal communities are out of sight from most Canadians. Our family spent two weeks one summer on Vancouver Island. My children were hoping to see the people who made the wonderful totem poles of Stanley Park. We didn’t see a single Aboriginal person in our travels. I understand better now, after a frustrating drive back and forth on the same highway this summer looking for the Nanoose Band Reserve near Lantzville, B.C. There aren’t many off ramps for reserves. Few of the communities I visited this year, as part of my research on addiction among Aboriginal people, are marked on road maps, or sign posted on provincial highways. Not even the largest reserve in Manitoba — Sagkeeng, population 3,000. To get there I drove a couple of hours from Winnipeg to the Pine Falls turnoff. A gas station attendant pointed me towards town and said “drive that way.” I drove past prosperous middleclass homes. The source of wealth — a large paper mill. Alongside it are railway tracks. On the other side of the tracks is a long line of cookie-cutter CMHC bungalows stretching as far as the eye can see. I knew I was on the reserve because I’d also run out of pavement. This was the pattern MARIE WADDEN PHOTOS Kangirsuk, an Inuit village in northern Quebec, looks peaceful, but communities in the region have been plagued with violent crime. The Inuit also complain no agency is tracking suicides in their communities. wherever I travelled and I began to see the lack of pavement as a metaphor for neglect. Neighbours to reserves have told me over the years, “pavement isn’t a priority for them.” Or, “I guess they’ve got other priorities.” The assumption is, Aboriginal people choose bad roads. The Aboriginal community has been fighting assumptions for more than a century, most of them about the money — “our money,” as one friend pointed out — being spent on their welfare and problems. This year, it is about $9 billion, out of Canada’s total budget of $227 billion. Sometimes the money doesn’t make it to them. In 2005, $700 million was allocated for Aboriginal health care, but the money never left Ottawa. The bill to free up this money was not passed before the Liberal government fell. Yet that same year, $2.6 billion was fasttracked for Newfoundland after Premier Danny Williams insisted on getting a fair share of offshore About the winner Marie Wadden is a journalist who has been concerned about the problems of addiction in Canadian Aboriginal communities since first visiting Davis Inlet in 1978. Her passion for the subject earned Marie Wadden Atkinson Fellowship her the 2005 Atkinson Fellowship in Public Policy and led her to a year-long, cross-country trek to look at the causes, effects and potential solutions to the addiction crisis among Aboriginals. Her series of stories — Tragedy or Triumph; Canadian Public Policy and Aboriginal Addictions — is appearing in the Star and online at thestar.com/atkinson. Wadden began her career at CBC television in Newfoundland 27 years ago and has won numerous journalism awards. The St. John’s resident is the 17th winner of the Atkinson Fellowship and the first from east of Québec. The Fellowship, sponsored by The Atkinson Charitable Foundation, the Toronto Star and the Honderich Family, aims to further liberal journalism in the tradition of Joseph E. Atkinson, the Star’s founder. oil and gas revenues. The message: There are twice as many Aboriginal people in this country as there are Newfoundlanders, but they don’t count as much. Through the writing of this series I found a daunting list of Aboriginal problems — poverty, alcohol addiction, suicide — and the path to solutions isn’t an easy one. When I applied for the Atkinson Fellowship, my topic was The Money Pit. Why Throwing Money at Aboriginal Addictions Doesn’t Work. I changed the title to Tragedy or Triumph? Canadian Public Policy and Aboriginal Addictions to gain acceptance into Aboriginal communities. Now I know it’s neither a money pit nor a triumph. It is a tragedy, and not one of Aboriginal making. There are about 391,000 Aboriginal people living on reserves in Canada, and more than a million others in towns and cities across the country, including 40,000 Inuit in the Far North. The United Nations Human Development Index equates the Aboriginal standard of living in this country with that of Brazil, well below the Canadian norm. In 1978, I was in the Labrador community of Davis Inlet, where the people lived in shacks. “Indians don’t know how to live in houses,” I was told. Inside I found walls built without struts, sheets of drywall installed without proper framing, a single lightbulb to light a threebedroom house. The “Indians” didn’t build these houses; some southern contractor profited from the construction. This year, I met Phyllis and Andy Chelsea, a Shuswap couple in B.C. whose house is rotting with mould. Statistics Canada says 50 per cent of reserve housing is like this. Sign at an Inuit workshop in Ottawa meditates on the causes of suicide and addiction. Children play in the Labrador Innu community of Natuashish. Indian Affairs Minister Jim Prentice says the solutions to Aboriginal poverty will come through better education and he estimates it will take two generations to make a difference. I was so wrapped up in writing their story, I missed an event at my child’s school. Later, when a parent asked where I’d been, I told her about the Chelseas’ predicament. Her husband works for the Canada Mortgage and Housing Corporation and has told her the houses on reserves are mouldy because “they leave their water running.” I lived with the Chelseas for a couple of days at Alkali Lake and their water wasn’t running. Neither was the electricity. Huge trucks piled high with timber routinely knock out the power lines. To add insult to injury, the truck drivers are not Aboriginal. And the timber is going off the reserve, to enrich someone else’s life. Contrary to some taxpayers’ perceptions, Aboriginal people don’t get their housing free. It is provided through loans to band councils that are repaid by Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:06 PM Page 2 Tragedy or Triumph page 2 Path to hope isn’t easy charging rent. In B.C., I heard many stories of people being evicted by band councils because they couldn’t afford to pay their rents. Taxes? Only goods purchased on reserves are taxfree — most reserves have little to sell. The Inuit pay all the same taxes we do and more because of the higher costs of goods shipped north. Aboriginal people have another way of looking at the issue of “our” money. They believe “our” money is being made off their land. Some Canadian judges have agreed. their own. I did find stories of triumph, where Aboriginal solutions to their own problems are making a difference. In June, I attended a banquet to celebrate the 25th birthday of the National Native Alcohol and Drug Addiction Program, a great source of success stories. This past August, I was in Edmonton, where 3,000 delegates from as far away as New Zealand gathered as part of an inspiring addiction healing movement driven by Aboriginal Canadians. Later, in the Aboriginal community of Sagamok, near Sudbury, I saw plans to make its people less dependent on welfare. While addictions are my Man. focus, it was impossible to visit Aboriginal communities this year without hearing about the epidemic of suicide. In 2000, the Canadian Institute of Child Health reported 126 out of every 100,000 First Nations people has committed suicide, compared with 24 per 100,000 in the rest of the country. This is the most recent record we have of this unfolding tragedy. The Inuit complain no central agency tracks suicides in their communities, so how can they know if the situation is getting better or worse? It certainly feels worse, as a weekend in Manitoba and northern Ontario taught me. On ’You can either be on the side of helping us or you can decide to make the struggle that much harder’ Berma Bushie, of Hollow Water, Jim Prentice, federal minister of Indian and northern affairs, says the solutions to Aboriginal poverty are through better education for their youth and he estimates it will take two generations to make a difference. He sees promise in a bill under study by the Senate that would fast-track Aboriginal selfgovernment. How long is that going to take? And if this minority government falls, any progress Prentice may have made goes to waste, like the Kelowna accord the Liberals negotiated before their defeat. Aboriginal people have little faith in our political solutions. That’s why they’re doing so much on a Saturday morning, I was on the Hollow Water (Wanipigow) First Nation reserve not far from Winnipeg. I was driving a teen to the store. He was from a neighbouring reserve and was staying with relatives because he was having nightmares at home. His sister’s boyfriend had hanged himself and this young man had found the body. On the way to the store, he pointed to a house and said, “there’s a suicide watch on a 15year-old girl.” That same day I met a couple of teenage boys my own children would think were “very cool” because of the way they were dressed. When they agreed to pose for a photo, I nearly dropped the camera when I noticed rope burn marks on the neck of one of the boys from a suicide attempt. Later the same day, Marcel Hardisty, a community leader in Hollow Water, told me he and his wife are raising a child orphaned by parents who committed suicide. On Sunday, I drove to Kenora to meet Tania Cameron, the program manager of Aboriginal Wellness and Healing for the Kenora chief’s advisory council. She was to take me to the Wabaseemoong Reserve the next day. A suicide there cancelled that visit. I was reeling from this when I checked my emails before going to bed to find this, from Allan Saulis of the Maliseet Reserve in New Brunswick: “There was another suicide this weekend in our community. ... This will be the third. ... How many more will it take for the authorities, governments, and the media to take affirmative action once and for all?” When I called Tania a few weeks ago, she told me 24-yearold Travis James Henry, whom I heard sing at the spring feast in Kenora, killed himself in September and a few days later she attended her brother-inlaw’s funeral. He also died by his own hand. Aboriginal people appeared before the Senate committee on mental health and addictions a year ago to express their profound concern about the high rate of suicide. The senators were moved, but recommendations addressing Aboriginal concerns buried within the report have not been acted on. It wouldn’t be fair to say nothing is being done. The federal government has launched a national strategy on youth suicides in Aboriginal communities. But I fear it will take much more than a federal program to restore hope to Aboriginal youth. After spending a year going in and out of Aboriginal communities, after reading dozens of books and countless reports, I’ve come to believe we have driven the original inhabitants of this country into a place where their survival is at risk. Inuit women have raised the alarm about violence in their communities. Experts on fetal alcohol spectrum disorder warn of an impending social disaster if alcohol abuse is not curtailed in Aboriginal communities. Sober people on reserves are begging for mental health and addiction training, and income parity for professionals to work in their communities. First Nations and Inuit leaders are asking for relief from a severe housing shortage and want a national health budget that reflects their population’s needs. Aboriginal people are not asking to be saved. They are asking for support. Berma Bushie of Hollow Water, Man., was tired, afraid and discouraged when we spoke, but resolute. “You can either be on the side of helping us or you can decide to make the struggle that much harder,” she told me. “I would like to believe there are good people out there, regardless of what positions they hold in government. I believe that goodness, that’s what’s going to triumph. I truly appreciate all the help that we’ve gotten from government up to now and I would hope that the help continues. That’s all I ask for. The rest of the work that needs to be done is definitely on the part of Aboriginal people.” It has been my great privilege to meet people like Berma Bushie this year. Whenever I have felt sad I’ve pushed myself to work a little harder, read more, write more. Sad is passive. I wouldn’t stand beside a lake where people are drowning and say “how sad.” I’d jump in to lend a hand and I know most other Canadians would do the same. Helping the Innu help themselves Alcohol abuse, kids sniffing gasoline prompted a government healing strategy for the Labrador Innu But there is a growing gulf between the healers and the people to be healed In Natuashish, an Innu community in Newfoundland and Labrador, 8-month-old Thomas James Rich is just starting to make sense of the world around him. He gets excited and kicks his tiny feet whenever his 20-year-old mother, Victoria, picks him up. Thomas is one of the new generation of Innu, growing up under the care of an unprecedented government campaign designed to give him a better life. But 400 kilometres away in Goose Bay, Nympha Byrne, a Natuashish native who works for Health Canada, feels slapped in the face by people who are part of the same campaign. Such is the contradiction and the missteps that haunt the Labrador Innu Comprehensive Healing Strategy, a federal program designed to heal the social, health, drug addiction, alcoholism and safety problems of 3,000 people in the Innu communities of Natuashish and Sheshatshiu. Despite lofty intentions and even some victories, the program’s worst enemies are the people who run it and who have shut the Innu out of the decision-making process. It has created an ever-widening gulf between the healers and the fetal alcohol spectrum disorder, just got out of jail and is back to inhaling gasoline. Thomas’s 19year-old uncle committed suicide in April. His mother, sober now, dropped out of school at 12 and spent her teenage years inhaling gasoline fumes. In this baby’s community, suicide and alcohol abuse are the main causes of death. The Healing Strategy, initiated in 2001, is halfway through its 10year mandate. Two consultants’ Nympha Byrne, an Innu who works for reports — Health Canada completed in 2003 people to be healed. but whose contents were just recently made public — have At stake are the youth, who been critical of its progress. are dying at an alarming rate The reports — one by the from suicide and addiction, and babies like Thomas, whose future Health Research Unit at Memorial University in St. depends on stopping the cycle of John’s, the other by IER tragedy in the communities. Planning and the Aboriginal Thomas’s 20-year-old father, Research Institute of Ottawa — diagnosed five years ago with ’I see kids on the road sniffing gas, and I’m not allowed to counsel them’ say bureaucrats got off to a bad start by making decisions without Innu input, and showed a lot of insensitivity toward the people they’re supposed to be helping. “The federal government and the province of Newfoundland and Labrador have not shared sufficient information with the Innu regarding the Healing Strategy,” says the IER report. “This must change. The Labrador Innu need to be brought into the loop of information.” Both studies make recommendations to strengthen the plan, but the Innu have seen little improvement. “The Healing Strategy is unknown to people in the community,” a Natuashish leader told the Memorial University evaluators. “A presentation has never been made within the community.” Not enough has been done to train Innu in the field of social work, addictions and mental health, the evaluators say, yet these skills are necessary since it’s difficult to attract qualified outsiders to these communities. “I’d love to be trained as a therapist,” says Rose Gregoire, who spends her days pushing paper as case manager for the alcohol treatment program in Sheshatshiu. Gregoire is well suited for therapy because she is highly respected and worked for years in her community helping social workers who didn’t speak the language or know Innu families. Sarah Archer, Health Canada’s regional director in Atlantic Canada, says there’s an assessment underway to find out what training Innu health workers need. The Innu say this has taken so long there’ll be few graduates by the time the Healing Strategy ends. The evaluators agree it’s Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 3 Tragedy or Triumph taking a long time to make decisions. “The Healing Strategy has a significant number of committees, tables and working groups,” the IER report notes. “However, there does not seem to be a clear decision-making relationship. This is demonstrated by a high level of uncertainty — certainly among the Innu — about how decisions are being made and who is making them.” This disconnect was very real to Byrne, the only Innu working for the Labrador Health Secretariat, a branch of Health Canada based now in Goose Bay but first established in Halifax, thousands of kilometres away from the people it was created to help. In July, an internal draft memo titled Safety and Security: Travelling to Natuashish was placed on her desk. “The well-being of staff is of utmost importance when travelling,” the memo read. “It is preferred that staff travel in pairs when going to Natuashish.” The people Byrne loves most in the world live in Natuashish. It’s her hometown. She doesn’t think it’s a dangerous place, but her boss and colleagues do. She was humiliated and insulted by the memo. “I couldn’t face the staff meeting, I just went home,” she says. Byrne received an apology from her boss, but it hasn’t made her feel any better. She can’t understand why the warning was necessary since no Health Canada employee has ever been hurt in Natuashish. “I don’t think that’s fair to our people,” she says. The memo has also offended the chief of Sheshatshiu. “Why are Health Canada staff talking about their own safety when we have children who are not safe in our communities?” asks Anastasia Qupee. “We still have children walking around late at night, there are lots of drugs in the communities, a lot of children in temporary care. They’re supposed to be helping us. What are they doing? It may have ended our only hope of being able to work together.” Archer says problems like this are not unusual. “The process of relationship-building takes much longer with Aboriginal people than it does with other communities,” she says. The secretariat was based first in Halifax, she says, because it was hard to attract staff to Labrador. The evaluators would like to see more money spent on Innu initiatives that take troubled families to remote camps for spiritual and traditional treatment. When the Labrador Innu Comprehensive Healing Strategy was created, the federal government committed $81 million over three years, with $59 million going to Indian and Northern Affairs (to relocate Davis Inlet residents to Natuashish), $20 million to Health Canada and $2 million to the former solicitor general’s ministry. JENNIFER NOSEWORTHY FOR THE TORONTO STAR MARIE WADDEN PHOTOS Victoria Rich, top photo, hopes her 8-month-old baby, Thomas, will have a better life than she had as a child in the old Innu community of Davis Inlet. Rich, 20, was sniffing gasoline as a teenager. Now, she and her mother live in the new community of Natuashish and work at the health clinic, where sobriety is a condition of employment. Rose Gregoire, right, lives in Sheshatshiu, where she is a case manager for an alcohol treatment program. She’d like to be trained to work as a therapist. Bureaucrats from all three departments, plus the province of Newfoundland and Labrador, were asked to design the strategy. Unbelievably, Innu representatives were not invited to these meetings. Today, the Innu are invited to frequent meetings chaired by a federal negotiator, but remain frustrated. They see what’s happening now as a repeat of past federal government policies. Little Thomas Rich’s future was compromised 40 years ago. “In the 1960s, the selfsufficient lifestyle of the Labrador Innu came to an abrupt end with the settling of the two communities of Davis Inlet and Sheshatshiu by the federal government,” the IER evaluators write. “Signs of addictive behaviour and social/family dysfunction became apparent. Widespread alcohol use was prevalent by 1970.” Alcohol abuse was certainly prevalent when Thomas’s mother, Victoria, was born in 1986 to parents who were both alcoholics. Her birthplace, Davis Inlet, on the Labrador coast, was an isolated “fly-in” community with some boat transportation during the summer. It was a bad place to relocate a hunting society since for most of the year, the 600 Innu had no way to get off the small island that also lacked adequate fresh water for a growing population. Despite the isolation, it made international headlines a number of times during Victoria’s childhood. When she was 5, a fire killed six preschool children who had been left alone while their parents were out drinking. A few months later, a native constable took video that was broadcast around the world, showing teens in Davis Inlet, high on gasoline, threatening to kill themselves. The publicity didn’t change the living conditions. By the time Victoria was a teen, she was inhaling gas fumes, too. “I seen everything I didn’t see before,” she says about her fumeinduced hallucinations. “Boys. They were small. Tiny-like. They are on my eyes. But everybody told me there’s nothing in my eye. I told them I saw the Backstreet Boys, but they said it was nothing. I was seeing it because I was sniffing gas.” In the 1990s, the band council hired a psychologist, Dr. Wayne Hammond, who had helped troubled native children in Western Canada kick solvent abuse. “Our plan was to build a stabilization home where kids who were really out of control could be brought and where we would work with the family as a whole,” Hammond says. “We also planned to develop alternate activities for kids in town so they’d have something else to do instead of hanging out at night. We were looking at a kind of caregiver model where we would train people within the community to work with kids and families.” Hammond says a lot of public money might have been saved had the bureaucrats respected the Innu plan. Instead, the problems reached a crisis point in December 2000, and Victoria and 39 other children had to be evacuated for their own safety. “They took us to St. John’s,” she remembers, “and they locked us in a room for two or three hours. The gas sniffers, they break all the stuff. They break the toilet and the wall and they steal. They wanted to get out. I felt scared.” The children were kept in a decommissioned hospital for four months, then sent to treatment centres and foster homes across Canada — but not cured. “I think we delayed the healing of the community by 10 or 15 years,” Hammond says, “because Health Canada and Indian and Northern Affairs didn’t have the courage to step out of the box.” Victoria doesn’t inhale gasoline now, or drink alcohol. What has helped her most, she says, is her parents’ sobriety. “My mother and my father, they stopped drinking almost two years now, and I’m happy for them and I’m trying to get along with them,” she says. Her parents’ sobriety is one of the Healing Strategy’s success stories. The relocation of Davis Inlet residents to Natuashish has given people a reason to stop drinking. A treatment program designed and administered by Aboriginals in Western Canada is doing the rest. In Natuashish, there’s clean drinking water, a state-of-the-art septic system, beautiful homes, a large, light-filled school, an arena, band council building and, coming soon, a healing lodge and shelter for victims of family violence. “Physical construction and relocation is a qualified success, but social reconstruction is lacking,” the IER report noted in 2003. Victoria and her mother, Mary Agathe, are part of the Innu-run Natuashish Health Clinic where sobriety is a condition of employment. Much of the sobriety is thanks to Nechi (the Cree word for “friend”), an educational, research and health promotions centre created by natives in Alberta 35 years ago, specializing in addiction recovery. The Innu want the Labrador Health Secretariat disbanded so they can use its funding to administer the remaining years page 3 of the Healing Strategy themselves. This is not likely to fly with the civil servants who administer the program at Health Canada’s First Nations and Inuit Health Branch (FNIB), says Dr. Valerie Gideon. Gideon, the senior director of Health and Social Policy at the Assembly of First Nations, says federal government departments will always support their own staff at the expense of communities. “For pandemic planning, FNIB has set up a major office of community medicine in Ottawa and hired 40 people,” Gideon says. “They have not replicated that investment in First Nations communities or in First Nations organizations, so that is a perfect example.” Part of the solution rests with Sharon Clarke’s National Native Addictions Partnership Foundation, which is creating a cross-cultural course that will be available to bureaucrats and others working in Aboriginal communities. Clarke hopes it will make them less fearful of their clients by teaching about language, traditions and the historical context of social problems. “So that anybody who wants to work in Aboriginal communities has to have that module before they go in,” she says. For Nympha Byrne, the solution lies in helping the Innu heal Innu. “Sometimes, I’m ashamed to say that I’m a Health Canada worker,” says Byrne, who was hired as an addictions therapist but is not doing that job. “I see kids on the road sniffing gas, and I’m not allowed to counsel them. I’m only allowed to do presentations. I find that really painful.” Byrne, the only secretariat employee who speaks the Innu language, believes she’d be more useful working in her home community rather than from an office in Goose Bay. “I don’t think they trust me to work out of their sight,” she says. “They’re supposed to be providing expertise,” says Mary May Osmonde, director of social health in Sheshatshiu. “But we rarely see them in our communities. We don’t know what they are doing in their offices. “I’m very disappointed. Maybe the government wants us to fail. If we succeed and our people are healed, many bureaucrats will lose their jobs.” But Archer says Byrne and the rest of the secretariat staff are not supposed to provide direct services like counselling; their job is to provide advice and help manage the money that is being spent. In spite of the gulf that exists, there is one fundamental that everyone involved in the Healing Strategy agrees on: Thomas James Rich and children like him deserve a better life. Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 4 Tragedy or Triumph page 4 Troubled before they were born Mothers’ alcohol abuse leaves scars Aboriginal kids face consequences MARIE WADDEN PHOTO A woman walks past the gravesite of J.B. Rich and his brother Charlie. J.B. hanged himself when he was 17 and was followed by his brother a few weeks later. Both suffered from fetal alcohol spectrum disorder. An impish Innu boy named J.B. Rich from an impoverished Labrador community might not appear to have much in common with the son of a former Canadian prime minister. What Rich and Michel Chrétien share is the tragedy that befell them before they were born, ultimately leading to the destruction of one and the survival of the other. Both came into the world — Michel in 1968 and Rich in 1989 — with a preventable brain disorder that has left a swath of destruction in its wake, particularly in the Aboriginal community. It occurred when alcohol their mothers drank seeped into the placenta and was absorbed by their developing brains, causing them to develop fetal alcohol spectrum disorder, or FASD. The Canadian Pediatric Society says individuals with FASD have poor organizational skills, make poor choices and are unable to foresee the consequences of their actions. They are also impulsive, show inappropriate behaviour because they can’t read social cues, are excessively friendly and lack inhibition. This makes them very difficult to parent. Rich’s brain damage caused him to repeatedly get in trouble with the law until he ended his own life. Michel Chrétien also got into a lot of trouble, but he sobered up, thanks to considerable financial and emotional support from his parents. People with FASD have precarious lives that could turn from bad to worse on a dime. It’s estimated that nine in 1,000 babies in Canada have FASD; it is believed to be much higher in many Aboriginal areas. The extent of the problem has prompted some experts to fear for the cultural survival of some Aboriginal communities. “If we don’t act now we will end up with a lot of very dysfunctional individuals making decisions for their community, and because they are the majority, then things will really become very bleak for the community itself,” says Dr. Ted Rosales, a pediatric geneticist who was one of the first Canadian specialists to take on the FASD challenge. He first saw FASD in a nonAboriginal community in Newfoundland 27 years ago. “I went into a delivery room in Grand Falls,” he recalls, “and the smell of alcohol was so powerful you’d think it was a brewery. The baby had been soaking in alcohol throughout the pregnancy.” By the time that child and several of his brothers were teenagers they wound up in jail. Rosales learned a lot more about the condition, but his message of alcohol abstinence during pregnancy was rarely taken seriously. Not very much was known about FASD in 1971 when Aline and Jean Chrétien adopted their son Michel from an orphanage in the Northwest Territories. In fact, the term “fetal alcohol syndrome” was only coined two years later by researchers in Seattle who wrote up their findings in the medical journal, Lancet. The antics of a 20-monthold-boy, playing in an Inuvik orphanage crib, caught the attention of Aline and her husband, who was then minister of Indian and Northern Affairs. They adopted the lively toddler who grew up beside their daughter France and son Hubert. “Michel was beautiful,” Aline Chrétien recalled as she spoke to me at an Ottawa reception in April. “We fell in love with him.” Michel Chrétien’s birth mother, a Tetlit Gwich’in woman from Fort MacPherson, grew up in extreme poverty with 12 siblings. She was unaware of the consequences of drinking alcohol during pregnancy. A recent study of Aboriginal health in Quebec suggests the awareness level is still low for young Aboriginal women. Aboriginal girls in that province, between the ages of 15-17, drink significantly more than boys of the same age and 62 per cent are sexually active. There is little or no information in many Aboriginal high schools on birth control and FASD. Posters about the problem are usually in English, the second language of many First Nations and Inuit people. Rosales saw first-hand the extent of the FASD problem in Aboriginal communities in 2001. supervised for four months in the Grace Hospital, which became a laboratory for one of the most heart-rending experiments in Canadian history. “We did the best ever in terms of laboratory evaluation. We did all kinds of blood works, chromosome studies and cranial ultrasound, even MRI on some of them,” Rosales says. “We concluded that 29 of these 40 children have FASD.” The children called the kindly doctor, who is a native of the Philippines, “Dr. Miyagi” (after a character in the Karate Kid movies) as he made his daily rounds in the locked-down facility. The situation was chaotic because, Rosales says, it’s not a good idea to confine so many children with FASD in a single space. Rosales says the ringleader of widespread mischief at the hospital was J.B. Rich, then 12 years old. Jean Chrétien, former prime minister “He was the That’s when 40 Labrador first one brave enough to call me Innu children were evacuated to Dr. Miyagi to my face,” Rosales St. John’s, NL., for routinely remembers with a smile. “You inhaling gas fumes from plastic know, whatever came to his bags. Rosales was asked to mind, he’d say. And if he thought examine them. They were closely of doing something, he went ’Aline and I have suffered when our son has suffered’ Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 5 Tragedy or Triumph ahead and did it. He was always in the middle of trouble.” Michel Chrétien got into a lot of trouble too. He was convicted of impaired driving in Banff, Alta., in 1988 when he was 19. “Poor Michel,” his mother says. “He has an uncle who died from the disease of alcoholism. It’s a real problem for him.” Two years later, he was charged with sexually assaulting a young woman in Montreal. His biological mother attended the trial with the Chrétiens. Michel Chrétien spent two years in a maximum-security prison in Quebec and one year at a minimum-security prison in the Northwest Territories. When he was released, he rented a room in his birth mother’s apartment in Yellowknife. After three years, that situation deteriorated and his birth mother accused the Chrétiens of being too indulgent with their adopted son. Michel lived for a time in Regina where he was put on probation for throwing something at a child who upset him. Bonnie Buxton, author of Damaged Angels: A Mother Discovers the Terrible Cost of Alcohol in Pregnancy, says addiction affects a majority of individuals with FASD. Nearly 60 per cent have trouble with the law; 80 per cent have trouble finding work and living independently while 95 per cent suffer a mental-health disorder. In 2002, Michel Chrétien was exonerated on another sexual assault charge, but acknowledged his problems with drugs and alcohol in court. His father made a public statement. “Aline and I have suffered when our son has suffered and have been deeply concerned by any harm that may have come to others as a result of his conduct. We are deeply discouraged by his apparent relapse. We have offered all of our care and support to him in good times and bad, and we will continue to stand with him.” In April, when I spoke to Aline Chrétien, Michel was living in a supportive Aboriginal community in Minnesota where he seems to have found the stability he needs to cope with his life-long disability. “Jean, he loves that boy and says if we hadn’t adopted him he’d probably be dead by now,” his mother says. “Michel has been sober for six months and we are just hoping it will last.” J.B. Rich has not been as lucky. After examining the Innu children, Rosales wrote a report recommending continuing care for those affected by FASD. Instead, he says, they were sent home after some counselling and solvent-abuse therapy. Rosales next saw J.B. Rich four years later in a courtroom in Goose Bay, Labrador. The doctor sat there and listened to the litany of petty crimes the boy committed throughout his teens. He learned that Rich was in and out of the Goose Bay page 5 DR. TED ROSALES PHOTO Dr. Ted Rosales, a pediatric geneticist, was one of the first Canadian specialists to tackle challenge of fetal alcohol spectrum disorder. Correctional Centre, that his life was going nowhere. When it came time to take the witness stand in Rich’s defence, Rosales lashed out at the officials who let this happen. “If they had done what I had suggested, if he’d been given the community resources I said he’d need, this wouldn’t have happened. I spelled it out. But my report never got any attention from the provincial, federal governments and local community. It (the treatment and testing) cost $6.5 million to do this and it was shelved.” `My recommendation was that all these children need ongoing lifelong resources and support.’ It’s not the waste of money that concerns Rosales. It’s the waste of lives. After testifying that day, Rosales spent some time with Rich. “I asked how he was and whether he had a girlfriend and so forth,” Rosales remembers. “He wasn’t the same, not talkative at all. He was so changed. And I was really puzzled by that. Looking back, I think that it was dawning on him. Everything that was going wrong, and why.” The judge sentenced Rich to 40 days of community service. Several weeks after the trial, J.B. hanged himself. He was 17. “A few weeks later his brother Charlie did the same,” Rosales says. “Charlie also had FASD. I should have done more.” Both young men are buried now beside one another at the graveyard in Natuashish with identical wooden crosses decorated with plastic flowers, rosary beads and their baseball caps. “I almost gave up doing diagnosis for the courts,” the doctor says. “What’s the point of having people like J.B. hear they have FASD if they are not going to get services to help them? But I have to keep diagnosing and talking about it because I want the children with FASD helped and I want mothers helped so they will stop drinking.” He thinks the best way to halt the spread of this condition is to Rosales spends some of his free time poring over portraits of Aboriginal people in museums and history books, looking for evidence of FASD in their past. He can’t find it. He looks closely at the space between the eyes; the upper lip and nose. People brain-damaged by intrauterine exposure to alcohol have characteristic facial conditions that Rosales can’t find in the pictures he has examined. He has concluded that prior to the 1950s the condition, if it existed, was indiscernible in Aboriginal societies. “I’ve never seen an FASD face in the old pictures,” he says of his informal historical research. “I’m certain it wasn’t a problem for Aboriginal people in the past.” Rosales fears the very survival of Aboriginal cultures is threatened if the Dr. Ted Rosales, a pediatric geneticist condition is not raise the standard of living in prevented. “If alcohol use during Aboriginal communities and pregnancy is not stopped, the launch a public health campaign next generation will not have the promoting alcohol abstinence on brain capacity to appreciate their the scale of tobacco cessation own culture as something they programs in the south. should be proud of,” he says. “From a public health point What’s needed for those with of view, that’s the only program I FASD now, Rosales says, are know that will work,” Rosales individuals who can act as says. “Unless things are changed “second brains,” helping loved now, I think their very existence ones and friends make better as a culture, as a very unique decisions. group of individuals, is really at In Sheshatshiu, an Innu stake.” nurse named Mary Pia Benuen does that for children affected ’My recommendation was that all these children need ongoing lifelong resources and support’ with the condition. She keeps track of their progress in school, advocates for services and runs prevention programs. There isn’t enough money in Aboriginal health budgets to ensure the same services are available everywhere they’re needed. Aline Chrétien is one of her son’s “second brains.” “I bought Michel a computer recently,” she says, “because he needed one. But I won’t give him money in case he doesn’t use it wisely. Jean and I talk to him a lot on the telephone. We love him very much.” Rosales has been so deeply affected by his work in Labrador he has postponed his retirement. In one community, he estimates as many as 35 per cent of the people have FASD — close to what he sees as a tipping point for cultural destruction in another generation or two. Michael Miltenberger, the minister of health for the Northwest Territories, says he believes FASD is just as widespread in Aboriginal communities there as well. “You see how they have existed for a thousand and some years and then in a short period of time, 50 to 60 years, their whole culture and unique ways of life might go down the drain if this is not stopped,” warns Rosales. Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 6 Tragedy or Triumph page 6 MD tackles fetal alcohol challenge Leads crusade to find solution Studied disorder for 31 years Before the world even heard of fetal alcohol syndrome, Dr. Sterling Clarren was studying its devastating effects in his lab at the University of Washington in Seattle. His dedication to the task has not wavered in 31 years and today his world-leading research has drawn him north of the border, where Fetal Alcohol Spectrum Disorder has become an all too familiar phrase in many Aboriginal communities. “Something happened here, a tipping point,” Clarren says, “because the amount of FASD work going on in Canada is unique in the world.” Three years ago, the CanadaNorthwest FASD Research Network was created by the health ministers of the western provinces and northern territories. There is nothing similar for Ontario, Quebec or the Atlantic provinces. In the fall of 2004, the network hired Clarren, one of the world’s leading experts in the disorder, as CEO and scientific director. He is based at Vancouver’s Centre for Community Child Health Research. Clarren’s mission is to make sure the work is focused to produce practical solutions. There are 170 governmentfunded fetal alcohol-related projects in northwest Canada alone. Clarren says all this work should be better co-ordinated so what is learned can be shared with everyone involved. Clarren discovered that 17,000 pamphlets, brochures and videos have been produced in the northwest. “But it’s not being done in an organized way,” he says. “What’s effective? If we want to be serious about prevention, we need to put our energies together to be thoughtful about how we do it.” Clarren began studying the disorder in 1975 at the University of Washington where his commitment became so widely known that the author of a famous memoir on FASD sent Clarren his deceased son’s brain to study. Michael Dorris’s book, The Broken Cord (1989), first brought world attention to the disorder. It describes what Dorris learned about the condition from his adopted son Abel. Abel’s intellectual and reasoning capacity was so seriously damaged he could not learn from experience and was unable to work without help. He was killed by a hit-and-run driver shortly after the book was published. As a result of public interest generated by Dorris’s book, Clarren and his colleagues founded the Fetal Alcohol Syndrome Information Service at the university. It warned pregnant women that alcohol consumed during the first trimester interferes with the organization of brain cells, and in later months, with memory, emotion and learning. Clarren is developing a health policy model on treatment and prevention of the syndrome that he hopes will be applied nationally. “The other provinces could join us or the federal government could take control,” he says. “In the end, I think this field needs a maximum of collaboration and co-operation and minimum of competition because there is just so much work to do, so few resources and so little time to waste.” About 1,100 children a year in northwest Canada are tested for the disorder, but Clarren says this is not enough to determine the full extent of the problem. Michael Miltenberger, the Northwest Territories minister of health, says he believes 25 to 30 per cent of the territories’ 42,000 inhabitants are affected by the condition. “If we had alcohol stopped tomorrow, it would take the next 80 to 90 years for the system to clear itself of the troubles created by everyone who’s damaged by alcohol,” Miltenberger says. “Even if we were to do wonders tomorrow in terms of alcohol abuse, we have that segment of the population right from birth to age 80 that are damaged.” Clarren doesn’t want Aboriginal societies to be stigmatized by fetal alcohol disorder and has a general warning for everyone: “Any society that drinks a lot puts their unborn at high risk.” Clarren is confident most JEFF VINNICK FOR THE TORONTO STAR Dr. Sterling Clarren, an expert on fetal alcohol disorder, works from Vancouver’s Centre for Community Child Health Research. people know the harm of mixing pregnancy and alcohol, so efforts now need to be aimed at eradicating conditions that cause women to drink. He says he learned something valuable from such mothers in the U.S. “They have a universal experience with serious (physical or sexual) abuse,” he told a Yukon audience. “They have mental health disorders. They have limited social supports and half of them are brain-damaged themselves. I have never met a woman who drank through her pregnancy to hurt her baby. I don’t think she exists.” The lost generations Two Aboriginal doctors prescribe ways to heal their communities Long before the barricades went up at the Six Nations reserve in Caledonia last February, Dr. Cornelia Wieman was treating the community’s hidden wounds. “Nel” Wieman is Canada’s only female First Nation psychiatrist and at 41 is a dynamo, driven by unseen wounds of her own to make a difference. It’s people like her, and another Aboriginal doctor in Toronto, Peter Menzies, who hold out the most hope for happier Aboriginal lives in Canada. They are on the frontlines of the battle against a psychological condition that has only recently been diagnosed. It’s called “intergenerational trauma.” The term, first coined in the mid-1980s by U.S. scholar Dr. Maria Yellow Horse Brave Heart, is defined as what happens when an ethnic group is traumatized over an extended period of time. What happened to the Aboriginals over the past 100 years has resulted in the highest levels of alcohol addiction and suicide in Canada. “Forced assimilation and cumulative losses across generations involving language, culture and spirituality contribute to the breakdown of the family kinship networks and social structures,” Dr. Brave Heart writes. “The historical legacy and the current psychosocial conditions contribute to ongoing intergenerational traumas.” Wieman’s students at the University of Toronto’s faculty of medicine might have trouble picturing their chic teacher behind the wheel of the truck she uses to get around the bumpy roads at Six Nations. At the University of Toronto, she’s known as Dr. Wieman, codirector of the Indigenous Health Research program, a fit woman who walks to work from her downtown condominium. Wieman’s truck belongs to the life she shares with her PETER POWER/TORONTO STAR Dr. Cornelia Wieman, Canada’s first First Nation’s psychiatrist, has vowed to find ways to overcome the “intergenerational trauma” that exists in First Nations communities. husband Tim, a custom furniture maker, at a ranch-style home on the outskirts of Six Nations. That’s where Wieman sprouted new Aboriginal roots after the first ones were severed when she was very young. Intergenerational trauma forced Wieman to lead separate lives between the Aboriginal and nonAboriginal world. “This is the Jay Silverheels Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 7 Tragedy or Triumph Complex,” she says, acting as a Six Nations tour guide one day in January. Wieman knows the reserve well since she worked at the local mental health clinic for eight years. “Jay Silverheels was Tonto in The Lone Ranger series. He comes from this community. Actually, I met his nephew in Toronto.” Wieman’s birthplace is farther away, in Little Grand Rapids, Man. She was able to avoid the trauma trap because she was raised off the reserve by a Dutch family in Thunder Bay after her mother died after binge drinking. Wieman studied medicine and psychiatry at McMaster University. Her work at Six Nations enabled her to see first-hand what had killed her mother. “I think you’re dealing with generations of people who have been damaged by colonialism,” Wieman says, “and the way that we have been treated by the dominant culture makes you feel dispirited. You feel devalued and so people will turn to things like addictions as a way of coping, of self-medicating, of not really wanting to be here because their situation is just so intolerable.” Experts in the field of Aboriginal mental health say “intergenerational trauma” killed Wieman’s mother. It also prevented Dr. Peter Menzies’ parents from raising him. Menzies, 53, is the manager for Aboriginal services at the Centre for Mental Health and Addiction in Toronto. He did his Ph.D. thesis on Aboriginal intergenerational trauma and still marvels today at this achievement. That’s because like Wieman, his life got off to a rocky start. Menzies’ mother comes from the Sagamok Anishnawbek First Nation near Sudbury, but he was raised by the Sisters of St. Joseph and the Children’s Aid Society. Menzies never turned his back on his Aboriginal heritage; instead he embraced his people’s social challenges, looking for answers. His CV reflects that commitment — “20 years experience in the field of social work: child welfare, family services, income maintenance, addiction and mental health.” Now he’s helping Toronto’s Aboriginal homeless from a clinic on the busy corner of Parliament and King Sts. “I’ve always maintained that alcohol and drugs are only symptoms,” he says. “When I sit down with an Aboriginal person to provide counselling, I don’t even deal with the drinking issues. Like, I see guys who have left their community because they have so much trauma in them that they don’t know to how deal with it. The community can’t deal with them because they don’t have the mental health services. So why is that? Why can’t they stay in their communities or near their communities and get treatment for however long it takes to deal with this trauma that they’re carrying?” Canadians first connected trauma with alcoholism when the military hero Gen. Romeo MARIE WADDEN PHOTO Dr. Peter Menzies sees the effects of trauma on Toronto streets. Alcohol and drug abuse are only symptoms, he says. Dallaire was found drunk on a park bench in 2000. Dallaire had “post traumatic stress disorder” — the psychological effect of witnessing atrocities in warfare. The other types of traumas people experience as a result of war are called “collective” and didn’t come back until they were 17; many of them had been abused physically and sexually. Their parents were, in the meantime, at home grieving their children, so they turned to alcohol.” In April, Wieman was asked to do a psychiatric evaluation of a female Aboriginal offender serving a life sentence for seconddegree murder. Experiences like this are heartrending for her. She says “I want to see an improved mental health status for our people,” she says firmly. “I would love to see much lower rates of prison incarceration and suicide. I want to be part of the solution to that.” Menzies shares Wieman’s commitment. He dreams one day of creating an addiction treatment centre that will help Aboriginal leaders who are still drinking to return to their reserves and better serve their people. “I watch some of our leaders and I see a lot of pain and suffering. Why do their personalities look defeated? Why don’t I see a head held high? As a therapist, I think if I spent an hour with that person I’m going to find out what’s not resolved. I want to create a place where they can come for their own healing. There would be highly trained therapists to work with them. Maybe in an old farmhouse, somewhere peaceful. I’d like to ’The signs of improvement are all there, but we still have to deal with addictions and mental health issues.’ Dr. Peter Menzies “historic” trauma — terms used to describe what happened psychologically to the Jews who survived the Holocaust and the Japanese who survived the atomic bomb. Harvard University scholar Dr. Sousan Abadian compares the experience of Canada’s First Nations communities with that of the Japanese and European Jews. “When indigenous people were traumatized, they could not get healed by their ceremonies because they had been outlawed. The Japanese still had theirs. There were still rabbis in other parts of the world to help the European Jews. Indigenous people lost everything, even their sacred lands.” “The trauma I see is huge, huge,” says Edmonton’s Dr. Jane Simington, who has been counselling Aboriginal women in Canada’s prisons for 16 years. “Children were ripped out of their homes at the age of 5 for residential schools and they make it a centre of excellence for the study and treatment of indigenous addictions.” “We need to acknowledge what’s happened in the past historically,” says Wieman. “But we also need to focus on the solutions and what the future holds. I think that will come from my generation and even more so from the generation that comes after.” Both doctors have similar prescriptions for improving their peoples’ lives. The first would be streamlining government departments and health agencies so the care goes where it’s needed. “Once a First Nation person moves to an urban centre, Ottawa is saying that they are the responsibility of the province, but the province is saying, no, well, they’re not our responsibility because the Indian Act says ‘Indian,’” Menzies says with frustration. “So if they can just get rid of all this and say, yeah, we at Indian Affairs are responsible for First Nations, that’d be a big help.” The jurisdictional problems also infect the medical profession. “In psychiatry, no one really wants to deal with addictions,” says Wieman. “If someone with a substance abuse problem goes to a psychiatrist, they’ll be told to get help for their addiction first. Those who have substance abuse problems also have mental health issues. I think the two are inextricably linked.” When the lives of Aboriginal people were disrupted, there was little social support available within their communities page 7 because everyone was affected in the same way. Social workers and welfare cheques sent in from the outside seem to have only made things worse by creating dependency and killing selfesteem. The problems might seem insurmountable to many, but not to these two gifted Aboriginal healers. “Actually, I see a lot of hope,” says Menzies. “No. 1, we’re the fastest growing population in Canada; No. 2, there are more of us than ever attending colleges and universities. Who would have thought that every month in Toronto a First Nations newspaper would come to my doorstep? Who would have thought that there would be an Aboriginal People’s Television Network? “So the signs of improvement are all there, but we still have to deal with addictions and mental health issues. We still need to get at the core of the intergenerational trauma.” Wieman sees a long road ahead, particularly the challenge of creating more Aboriginal health-care specialists. “The Royal Commission on Aboriginal People recommended 10,000 health professionals be trained in 10 years,” she says. “The infrastructure to train that many health professionals just doesn’t exist. Try to tell any of the 17 medical schools in Canada that they need to make training Aboriginal physicians a priority. There are very few schools in Canada that have answered that challenge.” There are also discriminatory pay practices on First Nation reserves that Wieman deplores. She was forced to leave her Six Nations job because of the poor pay. “If I tell people as a psychiatrist I billed $36,000 last year, they’d think I’m lying,” she explains. “A colleague of mine started working for a mental health clinic at Townsend, three kilometres from our clinic, and as soon as she started she got sessional fees because it was off reserve.” Dr. Wieman was paid on a fee-for-service basis by the province of Ontario while her mental health nurses were paid by the federal government. “We had tried for eight years to access these sessional fees only to be told, well, she’s practising on a reserve so it’s a federal thing, so you can’t have these things. I don’t think I ever billed more than $40,000 a year because I didn’t see people every five minutes, I saw them once an hour,” she says. Wieman quit to put her energies into changing the system. Climbing out of her truck when the Six Nations tour is over, she becomes more reflective. “We’re taught that we need to use the gifts we’ve been given as best we can and work as hard as we can over the course of our lifetime to make things better for our young people especially. That’s a huge responsibility and one that I take seriously.” Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 8 Tragedy or Triumph page 8 The healing power of huskies Inuit community restoring pride after a century of traumatic events A woman leans out the window of her house and shouts in Inuktitut. Children on their way to school turn and start running toward the harbour. “There’s a dog team coming back,” one of the children calls out over her shoulder as she dashes for the harbour at Kangirsuk, a village of 400 Inuit in the eastern Arctic. All eyes scan the vast expanse of white for something other than snow and ice. Race officials station themselves near the long string of colorful flags that mark the finish line. Tiny dark specks draw closer to the end of the 525kilometre Ivakkak race that crossed from one end of the Nunavik region in northern Quebec to the other. With astonishing speed, 12 dogs, spread out like a fan, rush toward the finish line, pulling a sled with two men on board. These dogs are special and symbolic, a dozen of only 200 Inuit husky that carry on the bloodline after 20,000 were killed by Quebec police and the RCMP during the 1960s and `70s. The police say the dogs were diseased. The Inuit have another explanation. “We believe the dogs were killed so our people would be easier to control,” says Pita Aatami, the president of the Makivik Corporation, the company that administers a $124-million dollar Inuit heritage fund and also sponsors the dog sled race. It’s a harsh accusation and the suspicion will linger until an inquiry takes place, adding to the bitterness felt for other policies that have damaged Inuit life, such as the relocation of people to larger communities, residential schools that were sites of sexual abuse, and banning religious and cultural customs. The attempts to assimilate the Inuit go back more than 100 years, producing what experts call “intergenerational trauma” that has resulted in the highest rates of alcohol addiction and suicide in the country. The problems were compounded by diseases that decimated populations. The trail of trauma extends across the country: In 1919, one-third of the Inuit population in eastern Labrador was killed by the Spanish Flu epidemic carried on a mission boat. By the 1950s, these Inuit were just recovering when they were resettled to larger centres where it was more difficult to hunt and fish. They found themselves stuck in places where they had nothing to do. Because hunting defines who they are, culturally the people are devastated. Today, the Inuit experience the highest rates of addiction and suicide in the country, and it is especially prevalent in the male Fifteen dog sled teams participated in the 525-kilometre Ivakkak race that crossed from one end of the Nunavik region in northern Quebec to the other. MARIE WADDEN PHOTOS 20,000 Inuit husky were killed by Quebec police and the RCMP during the 1960s and 1970s. The police say the dogs were diseased. The Inuit believe the dogs were killed so their people would be easier to control. Hundreds of people gathered in the Kangirsuk recreation centre to celebrate the Ivakkak race and feast on frozen char, salmon and caribou meat. population. An Inuit woman’s organization called Pauktuutit says violence and abuse in their communities threatens the survival of the entire culture. “We went from nomadic selfsufficient family camps to being moved, sometimes without consent, into permanent settlements with much larger and unfamiliar social structures,” Mary Simon, the leader of Canada’s Inuit organization, told the Healing Our Spirit Worldwide conference in Edmonton this past summer. “Epidemics took a terrible toll. Many lost their lives while many others were left orphaned and dependent on others for their very survival.” The Healing conference, held every four years, began in 1992 as a forum to discuss alcohol and drug abuse issues and programs in indigenous communities throughout the world. The latest gathering in August drew more than 3,000 people from about 15 As they cross the finish line of the Ivakkak race, mushers Adamie Qurnak and Allie Tukalak are surrounded, hugged by bear-shaped men in heavy parkas. The children stand back as though in awe of their power. Qurnak and Tukalak had raced their dogs from Puvurnituq on the Hudson’s Bay coast, east to Kangirsuk on Ungava Bay. The April journey, in one of the world’s harshest climates, took eight days. The winning team made the same trip in five days. “I feel like a proud Inuk man,” says Tukalak, emerging from another embrace, his smile lighting up a face burned the colour of mahogany. The mushers hammer poles into the ice to tether their exhausted dogs as Kangirsuk boys hover, ready to help. Hundreds of people gathered in the Kangirsuk recreation centre to celebrate the 15 teams that participated in the race countries. The consensus among presenters at the conference was that bringing back traditional ceremonies and practices will help heal individuals suffering from intergenerational trauma. Among the other recommendations: restore elders to their former role in Aboriginal society as the teachers of Aboriginal values, and increase psychotherapeutic services to assist with addiction and mental health problems. Charlene Belleau from Alkali Lake, B.C. a First Nations community that became famous for its sobriety movement 25 years ago, summed up what has to be done in her speech. “It’s really, really important that our children not be made to carry the burden of our past,” she said. On the frozen ground of Kangirsuk, the Inuit dog sledders are doing their part to make sure the burden is lighter. through a territory in northern Quebec the size of France. Here, 10,000 people live in 15 scattered coastal communities. People had arrived from their homes with boxes of frozen char, salmon and caribou meat. Others had come with an abundance of cooked food, but the southerners were fascinated by delicacies like fermented walrus, and seabirds (in some cases not only uncooked but also unplucked). The raw and frozen food was laid out on clean strips of cardboard in the centre of the hall floor (the cooked food placed on tables at the front) creating an ingenious dining table for hundreds. The raw food diners knelt on the floor, showing the uninitiated how to cut a piece of frozen fish or fowl with a sharp knife and then how to vigorously chew. The visitors were told to “think sushi.” Outside the building there were clusters of inebriated young Inuit men. One of them, who a Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 9 Tragedy or Triumph few days before had, with great skill and humour, translated from Inuktitut to English for visitors, apologized for how people were eating inside. “These are very traditional people,” he said. “We don’t eat like that now, many of us, we’re more modern today.” The translator’s embarrassment of his peoples’ cultural eating style is shared by many young Inuit today, who see no reflection of their way of life in the popular media and fear something must be wrong with it. Participants in the dog sled race certainly didn’t sign up to rebuild their egos. They had their eyes on the prizes awarded this night, everything from cash to expensive commodities not otherwise available here — stainless steel refrigerators and leather sofas. The race’s sponsor, Makivik, was established in 1978 by the money Inuit here received as compensation from the James Bay and Northern Quebec hydroelectric project that caused flooding and water diversion on their land. Pita Aatami, Makivik’s 46year-old president, is bound to reinvest profits from investments — which includes Air Inuit and First Air — back into the community. That includes this race and the Inuit huskies that were almost wiped out. Makivik is breeding more and it is the only page 9 breed allowed in the Ivakkak dog sled race — no blue-eyed Siberians permitted here. The strategy likely won’t make Makivik more money, but it will create something that finally has a chance to grow. Inuk pride. Inuit women raise the alarm on violence Violence fuelled by addiction threatens a treasured culture Lavinia Barbour was passing a neighbour’s house when she heard children screaming. She heard men’s voices too. Inside the house in Nain, an Inuit community in Labrador, she saw a man trying to grab a little girl while her father fought him off. “He wanted to touch the little girl sexually,” says Barbour, the receptionist at the local RCMP detachment. “She was seven but is very tiny, she looks like she’s four.” Barbour knew the man — he had been arrested before. Barbour says this is not an exceptional example of the violence and chaos she regularly sees in the town of 1,500. In May, Barbour was passing a friend’s house when she heard her screaming. “He’s hurt, he’s hurt!” Barbour went inside and found her friend’s husband dead on the floor. He had shot himself while his children watched. Barbour has overheard some of the officers at the RCMP detachment compare what is happening in Nain with what’s going on in nearby Hopedale, another Inuit community. “They say ’domestics’ are different in Nain. Women in Hopedale get black eyes. In Nain, people are out to kill each other,” Barbour says. The message was just as blunt in a 2006 report called A National Strategy to Prevent Violence in Inuit Communities. “Some community leaders believe that violence has become so destructive to women, children, family relationships and community health that it threatens the very future of the Inuit,” says the report, prepared by Pauktuutit, the national organization that represents all Inuit women. Canada’s Inuit are a national treasure. Their art and artifacts grace our galleries and museums. The inukshuk (a stone structure shaped like a person with outstretched arms) is a Canadian icon. Inuit are a tiny minority in this country. Population estimates range from 46,000 to 55,000, the size of a small Canadian town. An estimated 5,000 Inuit live in Ontario towns and cities. Most Inuit live in 53 communities spread out over 4,000 kilometres, from Nain in the east to the Northwest Territories. The majority live in Nunavut, the largest of four Inuit territories in Canada. The future of their culture, shaped by the world’s coldest weather, is already compromised by climate change. Violence is now a much larger threat and Barbour says denial about its main cause — alcohol abuse — is the biggest obstacle to a recovery. Nunavut’s crime rate in 2004 was eight times the Canadian rate, according to Pauktuutit. The number of women and children who left their homes in Nunavut because of violence increased by 54 per cent between 2001 and 2004. Over the same period nationally, the increase was 4.6 per cent. Inuit women say the isolation of their communities makes it easy for other Canadians to ignore the reality of sexual and physical abuse in the north. Leesie Naqitarvik, who helped prepare the Pauktuutit strategy, says addiction to drugs or alcohol is one of the root causes. “The loss of culture, dependence, breakdown of families, denial and mistrust are other causes,” she says. In Nain, Barbour says people drink at the hotel year round, but the chaos gets worse when the ice breaks up and ships restock the beer store. That’s when the cells start to fill at the RCMP detachment. Barbour can describe the drinking culture in her community because she has been part of it. It starts with a few beers at home, then at the hotel bar where they connect with friends. Someone offers to host a house party where the drinking continues into the early hours of the next day. There’s sexual promiscuity, fighting, people passing out. Experts say alcohol and drugs alone don’t cause abuse, but make it more likely to occur, especially when people drink a lot of alcohol at a time. A study by the National Aboriginal Health Organization’s Ajunnginiq Centre says many Inuit avoid alcohol completely and abstinence rates are higher than the Canadian average. However, the 40 per cent of Inuit who do drink alcohol consume five or more drinks at a time, the definition of a binge drinker. A Statistics Canada report, Family Violence in Canada, states that the spouse of a binge drinker is more likely to be abused than that of a moderate drinker. Aboriginal women are three times more likely to be abused Susie Pinguapik and her four childrenat kangirsuk, Nunavuk, (northern Québec). Inuit baby snuggles inside it’s mother’s “amaut” (parka hood) in Kangirsuk, Nunavik (northen Quebec). than any other women in Canada because of the amount of binge drinking in their communities. The abuse they suffer is more violent. “Overall, Aboriginal victims were more likely (to be) either beaten, choked, threatened with or had a gun or knife used against them, or sexually assaulted,” states a report prepared by the Canadian Centre for Justice Statistics in 2005. Barbour’s husband is a weekend binge drinker who doesn’t hurt her, but she and her daughters frequently take refuge in one of the bedrooms to watch TV because they are bothered by the noise created when he is joined by friends. Experts agree the higher level of alcoholism and violence in Aboriginal communities is caused by trauma that was suffered in the past but is passed on from one generation to another. Trauma is called “collective” when it affects an entire population. Inuit suffered collective trauma 60 years ago when Canadian public policy tried to change them from nomadic hunters and fishers to Englishspeaking village dwellers. Many Inuit in Nain are the descendants of people who were forcibly relocated by the government from islands where they’d been self-sufficient to a life of welfare dependence. Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 10 Tragedy or Triumph Jennifer Dickson, the executive director of Pauktuutit, says the shortage of addiction treatment services for Inuit, and those with mental health problems, is appalling and there are very few safe places for women and children to go to avoid being abused. Barbour says there is a shelter in Nain, but women can’t stay there forever and end up returning to an abusive spouse because they have nowhere else to go. Inuit live in the most overcrowded houses in Canada, according to Statistics Canada. In some case, several families share a house and sleep in shifts within houses that average less than 1000 square feet. Home ownership is out of the question for most because it’s so expensive to build houses in the north. Permafrost makes it impossible to put in conventional water and sewer services and building materials have to be shipped up from the south during a short construction season. People rent social housing instead, but that’s not keeping pace with the demand, especially as the number of new Inuit families is growing at a very fast rate. The average age of Inuit is 20 (compared to 37 for Canada as a whole) and 60 per cent are under the age of 30. Inuit are having twice as many babies as most other Canadians. At a gathering of Inuit addiction and mental health workers in Ottawa this past spring, Meeka Arnakaq, a Nunavut elder, used a metaphor to explain why she feels so many Inuit men are angry and frustrated: “If the sled is toppled over, it cannot go. The man is underneath. This is how Inuit men are today. They are stuck. Their responsibilities have been taken away. Who is going to stand them up? We’ve found different ways of healing women, but not the men. The qamutik (sled) has to stand up. The dogs have to start running.” Women are on the frontline of this crisis because they provide most of the social services in their communities. At the Ottawa conference, the addiction and mental health workers complained about burnout, but demonstrated a remarkable commitment to being agents of change in their communities. Organizers tried to bolster their morale with inspirational talks and games, including a word association game. Their answers to “What Inuit feel today” demonstrate that the pall in their communities is never far from their minds. Among the negative feelings recorded: anger, frustration, rejection, humiliation, racism, domination, vengeance, jealousy, isolation, scared, insignificant, worthless, oppressed and suicidal. Jack Anawak, Canada’s Ambassador to Circumpolar Affairs, grew up in Repulse Bay, Nunavut, at the time Inuit children were sent to residential school and the men’s role was changing. “It was not a very good period in the late ’60s and up to the late ’70s,’ he says. “Young men suddenly lost their role as people who hunted. If you weren’t successful in hunting, you starved. All of a sudden, that role was taken away by the introduction of store-bought foods. It was devastating for them.” Two of Anawak’s brother died from suicide. Barbour says there’ve been so many suicides in Nain, residents have become almost numb to it. Her husband lost a niece (aged 20) and nephew (aged 18) recently and she’s concerned he’s drinking to cope with the loss. “You have to keep very busy,” she says, “or drink to deal with all the terrible things that are happening.” The high suicide rate — eight to 10 times higher than the Canadian average — is one of the reasons Inuit men have a much shorter lifespan than other Canadian men (62 years compared to 75). Pauktuutit’s Leesie Naqitarvik is asking local governments to pass zero tolerance resolutions, set up abuse prevention committees and sponsor prevention programs. “Land claims organizations can name abuse as a top priority social and economic issue. Governments can work with Inuit in setting abuse prevention and spending priorities,” the strategy recommends. Pauktuutit is lobbying all levels of government for funding to improve addiction and mental health services and want the Canadian public to support them. Barbour says her husband wants to stop drinking, but must overcome his embarrassment that other people will know he is seeking treatment. She also says he doesn’t have a lot of confidence in the treatment services that do exist because so many people return and take up drinking again. People are actually punished for not drinking, she says. When page 10 Barbour’s husband stopped for nine months a few years ago, the family lost all its friends and no one came to visit. This summer, at an international conference in Edmonton, Mariam Aglukaq from Nunavut’s Gjoa Haven symbolically lit the qulliq, a sealoil lamp symbolic of Inuit survival, in front of thousands of Aboriginals from around the world who also want to make change in their communities. Closed-circuit cameras broadcast her actions on two giant screens. She poured seal oil into a soapstone bowl, then took a small pouch made of caribou skin from an ingenious purse fashioned from an arctic loon. There wasn’t a sound in the Shaw Conference Centre hall as the audience waited for the kindling inside Aglukaq’s pouch to ignite with sparks from the two stones she rubbed together. A puff of smoke soon emerged from the bag and when Aglukaq blew air on it, a brilliant blaze of light jumped up from the qulliq. Pauktuutit hopes its campaign will ignite a flame that will stop the cycle of trauma and violence in time to preserve the beauty of one of Canada’s most ancient cultures. Strength of Spirit CIRCLE HEALING | Behaviour had so degenerated in Hollow Water, a Manitoba reserve, that women had to talk in secret about the problem of sexual abuse. Then, as more people joined the discussion, a miracle happened The children of Hollow Water today bounce confidently on the trampolines that can be found in almost every front garden, testing gravity, delighting in their falls because there is a soft cushion of springs ready to catch them. It wasn’t always like this. Hollow Water gets its English and Anishnawbe name, Wanipigow, from a whirlpool on the lake near the Manitoba reserve. The whirlpool is chaotic, its energy created by the spinning water. Circles of turbulence, an apt metaphor for the community. Circles are sacred shapes for the Anishnawbe people. In Hollow Water, circles of people are used to heal the scars of sexual abuse, which once threatened to engulf the community of 950. Their solution to this most heinous crime has been both successful and scorned: Embrace the abuser. In their world of justice, jails are a last resort. The sophisticated, therapeutic process called Community Holistic Circle Healing was developed by the people here about 20 years ago. What they can’t understand is why Canadian policy makers have been slow to support it, started to go downhill. Prior to especially since they’ve proven it that, the women were holding lowers addiction levels in a everything together.” community that was also rife Psychologists, sociologists with alcoholism and suicide. and Aboriginal people say Sexual abuse had become a historic, collective and way of life in Hollow Water, as it intergenerational trauma make had in many First Nations, Inuit their societies dysfunctional. In a and Métis communities when 1997 government report called they became dependent on The Four Circles of Hollow outsiders 50 years ago. “If you had seen this community back in the `70s when there was so much chaos, visible chaos, you would have written us off,” says Burma Bushie, director of the CHCH program. People stumbled around drunk in public. Women were bruised and beaten. Children cowered. Nina Buckskin, teacher “Alcohol abuse was at its highest point then,” Bushie says. “You could find a party in the Water, author Christine Sevillcommunity any time of the day Ferri said the sexual abuse was a or any day of the week. There result of “the deliberate intent of was violence between men. the dominant society to sever a Gangs. There was also violence people from themselves.” against women, both physically, It was noted that federally sexually, mentally and run residential schools, which no psychologically. But the physical longer exist, did the greatest violence and sexual assaults were damage, severing family ties and the most visible. Women did not making children vulnerable to start drinking until the ’60s. abuse within these institutions. That’s when our community Bushie was sexually abused by her grandfather between the ages of 6 and 9. She was raped by someone else when she was 12. “It got to the point where I would eat and eat and eat and never know that I was full. Or I would go for days without eating and not know I was hungry. I was totally disconnected from my body,” she says of the damage it ’Imagine, we’re expecting our children to come and learn. When they have issues like that, how can they learn? Sexual abuse is ... being done by grandpa, grandma, mom, dad, brother, sister, cousin.’ caused. When a child is assaulted, Bushie says, he or she loses their spirit. “I have been looking at my community for a long time,” she says. “The weakest piece in the community is the spiritual. We started to use all these drugs and alcohol, pills and what-not to numb the pain. That separated us from our spirit even more. Your spirit’s home is your body, so if you are putting all this bad stuff in your body, does your spirit want to live there?” Between 20 and 25 per cent of convicted sex offenders in Canada are Aboriginal, according to 2002 figures from the Aboriginal Healing Foundation, which also notes there may actually be as many as 150,000 who have committed sex offences. Sexual abuse is not just an Aboriginal problem, but it is aggravated by the fact that alcoholics and other addicts are more likely to be sexual abusers, according to Dr. William Marshall of Queen’s University and Y.M. Fernandez of Ontario’s Bath Institute in a 1999 report. “Once sexual abuse commences, feelings of guilt or fear will facilitate further alcohol or drug use and this may escalate into addiction. Prolonged addictions wear away social restraints so that sexual offending may occur as part of a more general breakdown in appropriate behaviour,” write Marshall and Fernandez. Nina Buckskin delivered the same message more bluntly in August at the Healing Our Spirit Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 11 Tragedy or Triumph page 11 MARIE WADDEN Playground on Hollow Water reserve. Twenty years ago, an estimated three out of every four people in the community had been sexually abused. Now, Community Holistic Circle Healing is helping both victims and offenders deal with the insidious cycle of destructive behaviour. Worldwide conference in Edmonton. During a presentation by the federal government on its strategy to prevent Aboriginal youth suicide, the 60-year-old Blackfoot woman from the Kainai First Nation (Blood Reserve) in Alberta stood up at the back of the room “I think all the suicides in Aboriginal communities are caused by sexual abuse,” said the retired teacher. “I worked for 34 years and many of the children would tell me stories about what was happening to them and you know sometimes it’s just unbelievable, the things that they tell me. Imagine, we’re expecting our children to come and learn. When they have issues like that, how can they learn? Sexual abuse is rampant. It’s being done by grandpa, grandma, mom, dad, brother, sister, cousin.” Appropriate behaviour had so degenerated in Hollow Water by the early 1980s that Bushie and a handful of women had to meet in secret to talk about it. The women estimated that three of every four persons on the reserve had been sexually abused and that one of every three persons was an abuser. Few would have gone to the police about this, mainly because the abuse was at the hands of loved ones. The women knew it had to be stopped. But how? What happened next is in the realm of miracles. In 1986, Bushie and a group of about 24 men and women turned the power of evil into a power of such goodness that Judge Murray Sinclair of the Manitoba Provincial Court has allowed them to deal with their sex offenders on their own terms, rather than hand them over to the courts. CHCH doesn’t want to send sex offenders to jail for one simple reason: Jail doesn’t change their behaviour. “The easy thing to do is just to deny everything and go sit in jail for a couple of months, because in many cases in Manitoba we’re finding that the sentences for sexual abuse are two years less a day,” Bushie says. “I believe that you have to serve a third of that sentence. So on good behaviour you can be out in a few months. That’s the easy way out.” The CHCH process sets in motion a community-wide response to a disclosure of sexual abuse. First, a trained team meets with the victim and ensures he or she is safe. If it’s an incest situation, the child is taken out of the home, but if it is not, the CHCH team believes it’s important to keep the child in as secure a setting as possible where medical help and counselling are provided. Another team immediately confronts the abuser, no matter the day or night. They do their best to get the abuser to admit to the crime. If he or she does not, the police are called in. If the abuser admits guilt, criminal charges are still laid, but those charges are stayed until the CHCH process is completed. “We bring that person into a circle,” says Bushie. “We ask them to tell us what they’ve done. In a lot of cases, when we start working they can’t tell all the details. With each circle they add on and add on as they begin to feel the support. They begin to understand that they are not being judged, that we’re here to help them, that we want the crimes to stop and we want them to become productive, balanced people. “They have to have weekly sessions with their abuse worker. They have to have weekly sessions with the therapist and counsellor. They have to have weekly sessions with the human sexuality program. We, as a team, sit with them on a monthly basis.” The second circle starts in four months and the offender is asked to sit with the CHCH workers and the offender’s family. The offender must go through the difficult task of telling his or her partner and their children what they’ve done. Even harder is the third circle, where they face their extended family and do the same thing. Then there’s a fourth circle. “This is where they tell the whole community,” Bushie says. “We feel if a person can go through those four circles, then we’re convinced that he or she is committed to healing and will do everything to continue. If that person is not able to complete the circles, then we will honour the courts.” A judge is invited to attend the fourth circle to pass sentence, usually on the recommendation of the community. Then there’s a feast to celebrate reconciliation between the offender, victim and the wider circle of family and friends. “I don’t believe for one minute that people are using us,” Bushie says. “They find out very quickly how difficult it is to face their own people.” Transparency ensures abusers are held to account for their actions for as long as they remain in the community. Therapy heals the victim and the offenders (few sexual offenders who’ve been through the CHCH program reoffend). It’s an exhausting process for the small CHCH team. Seven workers paid 352 home visits in one year. The circles involve so many people, sometimes it can take 10 to 12 hours to complete them. One disclosure may bring out a history of sexual abuse that involves many members of an extended family. In one year alone, 282 circles were held. The pay for CHCH workers is about $30,000 a year, but they keep at it because the benefits for the community are so tangible. One supporter is John Higgerty, an Alberta crown prosecutor who is involved in a restorative justice program that started in 1999. He says the pressure to provide these kinds of services likely will come from justice departments across the country. “It costs $90,000 a year to lock up a male and $130,000 to lock up a female. That money, put into communities across this country, can go an awful long way toward alternatives than jail and having them come out worse offenders than when they went in.” Not all are convinced of its merits. Ike Fehr owns a small hotel in the Métis community of Manigotogan. His hotel is the nearest place to Hollow Water to buy alcohol. “They don’t send their sex offenders to jail,” he says. “They give them a feast instead, for god’s sake. How perverted is that?” The circles have had an effect on Fehr’s business: He estimates that since he opened the hotel 20 years ago, business has dropped by more than 60 per cent. (Bushie estimates 80 per cent of the community’s adults now abstain from alcohol.) Fehr plans to sell the hotel. Bushie says the CHCH process has transformed not just Hollow Water but the three neighbouring Métis communities as well, with a combined population of 2,000. “At first we were saying alcoholism was the problem, suicide was the problem, child neglect was the problem, kids dropping out of school was the problem. The more we learned about ourselves, the more we learned about our community. Then we started touching on sexual abuse,” Bushie says. “There were 60 people at one workshop; church workers, single moms and the general membership. “We couldn’t ignore the problem because we were faced with actual numbers. The stats were very shocking. It was a crisis. People disclosed because of all the work we had been doing and because people had sobered up. “A lot of us have gone down that road of abusing alcohol to numb the pain,” Bushie says. “Thoughts of suicide were never far away from our minds, so we had travelled that road, and we knew what the symptoms were. Those were awesome times that sent us deeper.” Bushie, 57, has the confident Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 12 Tragedy or Triumph bearing of a woman who has accomplished much. She has been frequently asked to speak to groups, to inspire others. Her community now takes in foster children from neighbouring reserves in northeastern Manitoba, and is in danger of being overwhelmed by their needs. CHCH receives $200,000 in funding, split between the justice departments of Canada and Manitoba. This money pays salaries, but that’s about all. The team operates out of a split-level house where quarters are very cramped. There’s a large room set up with sewing machines and a table for scrapbooking projects and quilting, some of the therapeutic activities. Circles used to be held in the basement, but frequent flooding has made the space unusable. “People from all over the country phone,” says councillor Donna Smith, “and they ask if they can come here and work on issues, but we have to turn them away because we don’t have a place for them.” Bushie dreams of having a healing lodge, where families from other communities can be housed while they go through the process. CHCH has developed a training program to teach members of other Aboriginal communities how to do this work, but funding is too tight to export it. Bushie would like more Canadian support. “We’ve come a long way and our struggle should be celebrated and not ridiculed,” Bushie says. “That kind of acceptance and acknowledgement would go a long way to make the struggle less painful. This is our fight and we will do it.” Bushie says there’s more page 12 balance in the lives of Hollow Water’s people today. They’ve come out of the darkness. “There is definitely a reason why my community was chosen to deal with this problem. We really believe that we are instruments of the Creator, of our grandfathers and grandmothers. It’s time to heal from all this.” Turning the tide of despair SUICIDE | In September, Travis James Kelly, 24, hanged himself. Now, role models like Tania Cameron are trying to find solutions to this curse of the reserve COLLEEN SERBIN FOR THE TORONTO STAR Travis James Kelly, shown in this undated photo, left behind a young family who cannot make sense of his death. Tania Cameron, right, setout to do something about the glaring shortage of mental health and addiction services for the communities around Kenora. Travis James Kelly was a leader of drum songs. His voice rose and fell in time with his drumstick, resonating with an energy that came from deep within. His tenor voice sang ancient Anishinawbe songs that vibrated with the heartbeat pounding of his drumstick. His audience, seated in a circle around him, raised their hands in thanks and bowed their heads in reverence at the end of each stirring performance. In September 2006, 24-yearold Travis James (T.J.) Kelly, the transcendent singer of the Whitefish Bay First Nation in northwestern Ontario, hanged himself. His sons Tyrick and Avery and their mother, Misty Blackhawk, cannot make sense of his death. They do know it is the most common cause of death for young Aboriginal men in Canada. The loss of their ceremonial drummer and singer is a big blow to the staff at the Kenora Chiefs’ Advisory (KCA) on addictions and mental health, whose job is to prevent suicide. The other members of the KCA drum group, who performed with Kelly at powwows in Canada and the United States, were overcome with grief and could not play at his funeral. Suicide has become such a serious problem that the 14 reserves around Kenora and the 49 reserves north of and surrounding Thunder Bay have declared a state of emergency. At the same time Kelly killed himself, a 16-year-old on a neighbouring reserve killed his girlfriend and then himself. No one knows for sure how many Aboriginals are dying from suicide each year because there is no central agency keeping track. The coroners in many provinces do not tabulate suicide by ethnic origin. More than a decade ago, the Royal Commission on Aboriginal Peoples estimated the rate to be five or six times higher than the Canadian average. It recommended the creation of a co-ordinated national strategy on Aboriginal suicide that would keep track of the number of deaths, conduct research into the causes and fast track solutions. The recommendation has not been followed. The Royal Commission felt the issue was so urgent it released an interim report on suicide before the main report was released in 1996. Six years ago, the Canadian Institute of Child Health estimated that First Nations men between the ages of 15 to 24 kill themselves at the rate of 126 per 100,000, compared to 24 per 100,000 in the general population. The rate among Inuit is believed to be even higher, but again, no one is keeping an accurate count. Measure it this way: It’s rare to find an Aboriginal person in this country who has not lost a close friend or relative to suicide. In the absence of a coordinated strategy, Aboriginal people across the country are trying to find solutions on their own. In 2001, Tania Cameron, a 26-year-old from the Dalles reserve near Kenora who was program manager of KCA’s Aboriginal Healing and Wellness, set out to do something about the glaring shortage of mental health and addiction services for the communities around Kenora. She successfully negotiated a deal with Ontario’s Ministry of Health and Long Term Care to create the KCA mental health and addiction advisory. It enabled her to hire Dr. Ozzie Seunath, who now leads a team of six mental health and addictions workers for the 14 reserves around Kenora, which have a combined population of about 14,000. Seunath, an immigrant from the Caribbean, will never forget his first day on the job three years ago. There’d been a suicide on one reserve, followed by another, then another “I thought, I don’t know how to stop this,” he says. “We were rushing in there, making sure the friends and family members are looked after because when one Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 13 Tragedy or Triumph suicide happened it was often followed by others and this used to scare the heck out of us.” Seunath has learned enough to now confidently identify one of the reasons young Aboriginal men take their lives. “What is there for young people to do in terms of defining economic and individual independence?” he asks. “What is there for young people to look forward to in terms of training and so on? Without that direction and hope for the future, it’s easy to sink into ’that’s all there is.’” In Whitefish Bay, population 700, Kelly is the 10th young suicide in less than two years. People say he had a difficult relationship with the mother of his children. “The young adults put so much emotional energy into their relationships,” Seunath says, “that if they break up, life seems pretty worthless. It’s like the worst blow that will ever hit them. But if life had more opportunity, more hope for them and support, then they would see a break-up as a barrier to overcome rather than something to succumb to.” Seunath compares it to his experience as the descendant of slaves growing sugar cane in the Caribbean. He says while his people suffered poverty, there were enough of them to maintain the cultural and spiritual beliefs that sustain emotional resiliency. That’s not the case for many of his clients. “The native people had more denial and suppression of their cultural practices and identity,” he says. “Because of residential schools, they haven’t learned parenting and their traditional ways, so it is very difficult for them to pass on that kind of learning.” Whitefish Bay, where Kelly lived, is a place of great natural beauty, about six kilometres off the highway connecting Kenora to Sioux Narrows. Pelicans with bright orange beaks lounge on the lake near the reserve. There are no shabby houses. There are tidy lawns, flower pots hanging from door frames, and dads pushing their children in strollers. This spring, an elder and some children designed and mounted a large, handmade billboard near the entrance to the reserve. In bold letters it said: “Bootleggers, We Know Who You Are. Stop Selling Alcohol.” In defiance of the sign, a group of men huddle behind the band council building, drinking beer. A drunk approaches a visitor, beer in hand, his face scratched. The women’s shelter, surrounded by a high fence protected by security cameras, speaks of the violence alcohol is fuelling. “People don’t get up and say I’m going to become a drunk,” Seunath says. The problem is a lack of hope and direction. It leads to ’Give it up. Let’s just do what feels good at the moment.’” Part of the solution, he says, is more opportunity for employment and better role models. Tania Cameron is just such a role model. Now 31, an elected councillor on her reserve and the busy mother of two, Cameron organized Kenora’s first Suicide Prevention Day in September 2005. It was held on the Kenora waterfront, but didn’t attract many non-Aboriginals. A lot of people came in from the reserves. “There was this large circle of tee lights, reflecting off the water.” Cameron says. “It just breaks your heart to think of them as so many peoples’ lives. Their lights were blown out, you know. I try to place my mind where these kids were. It was a place of no hope.” The efforts to combat suicide have come on several fronts, including the entertainment world. Aboriginal actors Tom Jackson and Tina Keeper, who starred in the Canadian series North of 60, changed career paths radically after one of the young people on the show took his life 10 years ago. Mervin Good Eagle, 19, played the part of Joey Smallboat on the show that introduced Canadians to life on a fictional First Nations reserve. page 13 Keeper quit acting, became a Liberal Member of Parliament and today continues to lobby for the kind of co-ordinated national strategy on Aboriginal issues recommended by a 1994 Royal Commission. Jackson, who’s also a singer, spends several months a year travelling across northern Canada on his Dreamcatcher Tour, performing and facilitating workshops on suicide prevention. Jackson’s workshops are designed to get people thinking about what creates stress in their communities and what they can do to relieve it. “When you get those answers, you hand the solutions back to the community because through this exercise they determine what needs to be done. Fifty people in a room who are committed to making change now know collectively what balloon to pull down to get the resources they need. It empowers them,” he says. ‘Dry’ town just a myth Inuit community caught between bootleggers and alcohol laws that aren’t working The addiction treatment centre in Kuujjuaq is set to reopen after its program was revamped to reflect Inuit culture. Only nine addicts can be treated at one time. Two young men swing a large unmarked cardboard box into a pickup truck parked in front of the Air Inuit hangar in Kuujjuaq, on the western shore of Ungava Bay in northern Quebec. “We’ll have to drink quick,” one of them jokes, “before it gets stolen.” The contents of this box, flown here from a Montreal dépanneur (convenience store) 1,500 kilometres away, were hard to come by: four cases of beer and a large bottle of Johnnie Walker. No retail sales of alcohol are allowed in this Inuit community, so the only way to get it for home consumption is to order it from one of several Montreal stores licensed to supply it. These men paid $259 for 48 beers and a 40-ounce bottle of whiskey, plus $103 for air freight. Last year, $1 million worth of alcohol was flown from Montreal to Kuujjuaq, population 2,000. West of Kuujjuaq, in Iqaluit, Nunavut, residents have to apply for a permit to get alcohol that is brought in by air from Rankin Inlet, 1,300 kilometres away. Absurdly, if you want to drink in Rankin Inlet, it has to be flown in from Iqaluit. Alcohol is flying around in planes across the North because the Inuit feel uneasy about making it too accessible on the ground. Yet lots of alcohol is still available and continues to cause untold misery. At the centre of this apparent madness are communities besieged by alcohol, drugs and gambling with no idea how to control it. Aboriginal communities’ experiences trying to keep out alcohol has been so mixed, many have decided to give up trying altogether. Kuujjuaq is one of those. The emphasis in Canadian public policy has been on making people sober rather than on preventing addiction. For years, prohibition was considered the solution to addiction in Aboriginal communities, leading to myths of “dry communities.” There’s no such thing. So-called “dry” communities are created when band councils pass a resolution prohibiting the possession and consumption of alcohol, but they have not been successful at enforcing these bans. That failure has created an industry for bootlegging and drug smuggling. In Old Crow — the Vuntut Gwitchin community in the Yukon and the most remote First Nations community in Canada — Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 14 Tragedy or Triumph alcohol has been banned for 15 years. Old Crow is also one of the most socially healthy Aboriginal communities, but Chief Joe Linklater credits that to selfgovernment (also achieved 15 years ago), not the alcohol ban. In fact, he says there’s more alcohol in the town now than ever before and that has led him to consider removing the ban to put the bootleggers out of business. “I want to stop this criminal element from growing any stronger,” he says. “Who knows what else they’ll bring in here if they’re not stopped?” Linklater is frustrated the police haven’t been able to keep drugs and alcohol out of remote fly-in communities like his, but the RCMP head of Aboriginal policing says there are limits to what the police can do. Sales of alcohol at the bar are invested in recreational programs. The RCMP’s Reti says, ban or no ban, where there’s a thirst for alcohol, a way will be found to get it. He has confiscated gas cans full of whiskey and old video recorders with flasks hidden inside. He believes tackling the causes of addiction is more effective than stepping up enforcement. One of the most famous “dry” communities is Alkali Lake in British Columbia. It’s a triumph because it is still largely “dry” — not because there is no access to alcohol (it’s sold in neighbouring Williams Lake), but because the slide into addiction was halted in 1972, before it became an ingrained part of the reserve’s social life. sons needed help from an alcohol treatment program and they are bitter there has been so little economic opportunity for themselves and their children. “Living on the reserve is the same as residential school,” Andy Chelsea says. “Nothing’s changed. It’s still controlled, but now chief and council are the priests and nuns, and the principal of the whole thing is the Department of Indian Affairs. You’re still not allowed to develop any land. You’re not allowed to go against the principal’s policies.” The result, the Chelseas say, is a generation of disillusioned Aboriginal youth, who choose to escape reality with alcohol and drugs. At the root of the Aboriginal alcohol problem is binge MARIE WADDEN PHOTO After a 1,500-kilometre flight from Montreal, a box filled with beer and alcohol is loaded into a pickup truck at the Kuujjuaq airport. “Technically, we don’t have the authority to search luggage for alcohol because it’s not an illegal product,” says RCMP director general Doug Reti, who coincidentally is from Old Crow but now lives in Ottawa. “We have to have grounds to conduct such a search.” Kuujjuaq is revisiting its ban on retail alcohol sales too, not to take business away from bootleggers but from those Montreal dépanneurs. “Some of the benefits from these alcohol sales should come locally,” says Kuujjuaq’s 36-year-old mayor Larry Watt. Watt has invited Kuujjuaq’s non-profit organizations to compete for a permit to sell alcohol. The applicant will have to invest the money earned back into the town, as the community’s only bar does now. The story of how this came about is told in a powerful film called The Honour of All featuring former chief Andy Chelsea and his wife Phyllis. Phyllis was the first to sober up, then Andy, who became chief and appointed Phyllis as welfare officer. Welfare cheques were replaced with food vouchers to prevent people from buying alcohol. For nearly a decade, the Chelseas and others took tough action against the drinkers, visiting them in their homes, confronting them about their behaviour. The sobriety movement slowly snowballed to include almost everyone on the reserve. Today, the Chelseas are in their 60s and living in extreme poverty on the Alkali Lake reserve. Recently, one of their drinking — consuming more than five alcoholic beverages at a time. Compared to other Canadians, a higher percentage of Aboriginals abstain completely from alcohol. However, there are twice as Centre. In his book Fighting Firewater Fiction, Saskatchewan sociologist Richard Thatcher argues Aboriginals have no genetic predisposition for alcohol addiction. He believes the emphasis must be switched from encouraging total abstinence among Aboriginal youth to teaching safer ways to drink. Aboriginal Canadians such as Dr. Maggie Hodgson, co-founder of Alberta’s Nechi Training Research and Health Promotions Institute, say moderate drinking is not possible at this time and total abstinence must still be the message promoted in Aboriginal communities. Total abstinence is certainly the philosophy behind Canada’s National Native Alcohol and Drug Addiction Program. It was created 25 years ago by Health Canada with the mandate to hire one addiction worker for every 500 residents on First Nations reserves. Workers needed just one qualification — sobriety. Despite receiving low pay and little training, these Aboriginal workers have saved thousands of lives. The NNADAP program has been credited with reducing alcohol abuse rates in many First Nations communities, from highs of 95 per cent to half that today. Unfortunately, it wasn’t available to the Inuit for many years and this has set back their sobriety movement. Today there are 700 Aboriginal community workers and another 700 Aboriginals working at NNADAP’s 50 treatment centres, including 10 centres that help youths recover from solvent abuse. NNADAP is a triumph of Canadian public policy, but prevention programs remain the weakest link in the chain. Until the investment is made to promote healthier lives, Aboriginal communities need greater guidance on how best to handle the flow of drugs and alcohol. This confusion is being played out in Kuujjuaq, as a group of residents worry their efforts to reopen the town’s only addiction treatment centre will be wasted if alcohol becomes more readily available. The centre was closed because its programs were considered ineffective. Jacob Partridge, an Inuit elder, has been hired to make the treatment centre more culturally and spiritually suitable for Inuit. His original vision was to ’Alcohol in any form is a deterrent for our people to go forward.’ Jacob Partridge, Inuit elder many problem drinkers in Aboriginal communities as in the general population — 35 per cent compared to 17. “Studies around the world show that fights and violence, suicide, family and employment problems, accidents and injuries are usually the result of binge drinking,” says Marja Karhonen of the National Aboriginal Health Organization’s Ajunnginiq build a new centre on the edge of town containing three buildings representing three Inuit housing types, each with a different service, including relapse prevention. Lack of funding means he has to make do with the current 60-year-old building, so small it can only treat nine addicts at a time. David Forrest, the volunteer chair of the new treatment page 14 centre, remains optimistic that even in its modest form, it will have an impact. “We are going to put the Inuit way of doing things into the treatment centre,” Forrest says, “and adapt exiting protocols to Inuit philosophy. I’m very excited about it. It’s pretty neat.” Partridge worries about the mixed message to residents when the town’s leadership is prepared to put profit before prevention. “For me, alcohol in any form is a deterrent for our people to go forward,” he says. “The bar should be closed as well.” Canada can learn from a social experiment underway in Australia that is making alcohol hard to get, as well as investing in raising the Aboriginal standard of living. Noel Pearson, an Aboriginal lawyer and founder of the Cape York Institute on Policy and Leadership, has persuaded Australia’s federal government and private sector to invest heavily in education, housing and community development in three Aboriginal communities that have agreed to take part. In return, the communities have set up strict alcohol management plans that ban consumption of alcohol in the home and permit tough enforcement of these bans. Pearson was surprised at the resistance put up by nonAboriginals. “The people who were most intimately acquainted with problems in these communities — the teachers who didn’t have kids in their classrooms, the nurses who dealt with the broken bones, the policemen who pick up the drunks — thought their ability to have wine and beer in their fridges was a greater imperative than trying to tackle this raging social problem,” he says. Although the changes are barely a year old, Pearson sees positive results. “Keeping alcohol and bingedrinking circles out of the homes and out of the villages has achieved the most positive results,” he says. In Canada, meanwhile, many Aboriginal communities continue to slide backwards because community healing and development has not been made a national priority. Forrest, a non-Aboriginal businessman in Kuujjuaq, used to binge drink with Inuit friends he has made over 30 years. Since becoming sober, he sees the community in a new light. “Sometimes when I land here in the plane, I can feel the pain of the people,” he says. “We’re faced with it every day, through the suicides, through the senseless violence that occurs and through the lack of hope we see in peoples’ eyes.” Partridge is also concerned. “Even though it would look like a good idea to get all these millions of dollars into the community,” Partridge concludes, “who’s going to get the addicts healed, who’s going to get them out of it?” Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 15 Tragedy or Triumph page 15 Something to Crow about Canada’s most remote Aboriginal community has kept tradition alive and its good health intact The pride and joy of Canada’s most remote and healthiest Aboriginal community is plain to see on its website. Oldcrow.ca shows photos of this year’s high school graduates — four young men and two young women — outside the school. The young men wear their caps and gowns with flair; one has his arms crossed and his head cocked as though challenging the world to defeat him. Sunshine reflects the healthy sheen on the long dark hair of the female graduates. One has her arm around an elderly Gwichin man. Six high school graduates from a community of 300 may not seem like a big accomplishment. But think of the challenges. Old Crow is in the Yukon and has no roads connecting it to anywhere else. It’s 200 kilometres above the Arctic Circle and closer to the Alaskan border than to any place in Canada. If you think of Canada having four corners, Old Crow is the most northwestern corner. After university, many of these graduates will want to go home because, despite its remoteness, Old Crow is a good place to live. There hasn’t been a suicide in Old Crow since 1996. That death might not even have been a suicide. “It may have been unintentional,” Chief Joe Linklater explains, “and we might have prevented it had we been able to act more quickly.” This is remarkable considering the suicide rate in many other Aboriginal communities is many times higher than the Canadian average. No agency is keeping count, but in northern Ontario there’s fear it may be 40 times higher. One academic study always cited on the subject of Canada’s high Aboriginal suicide rate was conducted in B.C. by professors Chris Lalonde and Michael Chandler. The professors looked for the factors that made communities with low suicide rates different from more troubled communities. They learned that the healthiest communities are the most selfgoverning. The less Ottawa, the less suicide. Old Crow has had selfgovernment since 1995. Chief Linklater was elected to lead the community in 1998 at the age of 34. “We’ve learned more about governance in the past 11 years than all our years under the Indian Act,” he says. “We’ve come a huge distance in a short while, especially when you consider the Territorial government is 70 years old, and the Canadian government is 140 years old. I’m proud of what we’ve accomplished.” Linklater has a lot of help. He leads a very inclusive governing system. His small band council, just four elected members, administers the community’s services. Policy is set by the Elders Council, a Tribal court and the General Assembly. You can get a surprising amount of business done this way. make recommendations, he couldn’t find anyone who wanted to stay neutral on the question, which was one of the requirements of the committee. There are strong feelings all around. So an independent facilitator is to be hired to chair community meetings until a consensus is reached. Linklater says he likes a beer from time to time, but won’t Richard Thatcher says Aboriginal students who are grounded in their culture and raised to be comfortable outside of it have the best chance to avoid addiction and social problems. Bicultural youth have greater choices. Children in Old Crow learn the same curriculum as students in B.C., but there are lots of additions, like the Gwitchin the students so they won’t get too homesick. The chief is not saying where he stands on Resolution 11-2005, the alcohol ban, but it’s not on his short list of reasons Old Crow is so healthy. “You cannot legislate health”, says Linklater. “Strength of culture would be one reason we’re a healthy community,” he says. “The strength of the Gwichin language MYRANDA TIZYA-CHARLIE PHOTO Old Crow 2006 high school graduates include, from left to right, Wade Kaye, Amanda Frost, Travis Frost, Malinda Bruce, Robert Linklater and Floyd McGinnis. Elder John Joe Kyikavichik stands third from right. “We held a general assembly this weekend,” Linklater says, “and 40-50 people attended. We passed 24 resolutions in three hours. There was no yelling or screaming. We got consensus and compromise.” Self-government must also lower addiction rates. Old Crow is so comfortable with its social health, it is considering dropping a 15-year-old ban on the consumption and possession of alcohol. You wouldn’t tamper with something that’s not broken, so why consider abolishing a law that seems to be keeping everyone sober? “There’s more alcohol here now than there was 15 years ago, when the ban was first imposed” says Linklater. Bootleggers have been able to get alcohol and drugs past the RCMP even in this remote place. Drinking and drug use are not big problems in the community, but Linklater is afraid if the bootleggers are not put out of business they may use their connections to start smuggling worse things. Not everyone in town is comfortable with lifting the alcohol ban. When Linklater tried to strike a committee to drink in the community as long as it’s illegal. There are others who feel Old Crow has enough going for it to make moderate drinking possible. They might be right. Old Crow hasn’t suffered the same losses as most other Canadian Aboriginal communities. The habitat of the Porcupine River caribou herd, the community’s main food source, has not been destroyed by a hydro electric project or a logging operation. Old Crow’s isolation has been its saving grace. The people still have their land. On the town’s website, the radiant pictures of the 2006 graduating ceremony provide insight into the source of the chief’s confidence about its future. Elders in floor-length black and red Gwichin gowns, embroidered with traditional emblems, dance and clap as they lead the students into the community hall for the graduation ceremony. The students are shown with their caps and gowns set aside, relaxing in soft caribou-skin dresses and vests, embroidered in the Gwichin tradition. Saskatchewan sociologist Dr. language and traditions. “The school is an integral part of the community life and many of the local people work with the students. This is especially true of the elders who spend a lot of time teaching the pupils legends, how to trap, fish and hunt,” the website explains. Chief Linklater wants to strengthen the students’ grasp of math and the sciences with more instruction on the land. “We’ll study biology while out trapping the animals,” he says, “and physics by looking at the property of snow. Our environment is a living laboratory.” The challenges his students face have been turned into opportunities. This year’s graduates — Wade Kaye, Amanda and Travis Frost, Malinda Bruce, Robert Linklater and Floyd McGinnis — had to leave home after Grade 9 to attend high school in Whitehorse, 600 kilometres south. For three years, they lived away from their families, returning only in the summer. But their families never left them. Old Crow is one big extended family and Gwichin families in Whitehorse support is another. Third, our strong sense of community — everybody looks out for one another. And finally, we all feel ownership of what’s going on because we have self-government.” Linklater believes his community is on the right course, where alcoholism and other addictions will not be an issue in another generation if they can establish relevant programs and services, such as the land based education, recreational facilities and protect and enhance their traditional activities. There is, however, another potential threat. The United States has been talking about developing oil and gas projects in the sensitive calving and wintering grounds of the Porcupine Caribou herd. If these projects go ahead and the caribou herd is affected, the Gwichin of Old Crow may suffer the kind of trauma that has harmed so many other Aboriginal people. For now they’re doing everything under their control to prepare their children for whatever the future holds. Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 16 Tragedy or Triumph page 16 Aboriginal family triumphs over addiction Priests had caused much pain, but one turned out to be heaven-sent Francis Penashue leans forward, watching the pomp and circumstance from the raised box seat usually reserved for the Lieutenant Governor. The 65-year-old Innu man is seated in the box with five of his nine children. His wife, Tshaukuesh (Elizabeth Penashue) is below, on the stage of the St. John’s Arts and Culture Centre, poised to receive an honourary degree from Memorial University in the fall of 2005 for her environmental activism. Her son Jack stands beside her, ready to translate her acceptance speech into English. Tshaukuesh has added some cultural touches to her academic dress — moccasins and a colorful red and navy Innu cap. Jack wears his University of Regina graduation gown. This is a proud moment for a family that has suffered every social ill known to Aboriginals. It might never have happened had the Penashues not been willing to go to a place where fighting alcoholism is the only thing they had in common with others, and where they had to trust another Roman Catholic priest. Priests are the reason the Penashue family was broken in the first place. Time and again, Roman Catholic priests betrayed this family’s trust. And yet a Roman Catholic priest pulled the Penashues out, one by one, from the dark hole into which they were sinking. Jack Penashue was filled with so much rage when he first saw a priest at the Brentwood Recovery Home for alcoholics in Windsor, he thought he was going to kill him. But Jack wasn’t the first Penashue to seek help at Brentwood. It was Peter, the eldest. He was 26 in 1991. “I woke up one morning, it was my son’s sixth birthday. I was so sick, really hung over, and my wife had left me. All I could think was, how am I going to get her back and, where was I going to find money to buy my son a present? I was really about as far down as you can get.” Peter realized he was walking in his father’s unsteady footsteps. Throughout childhood, Peter had been the fixer, the one who tried to keep his siblings and mother safe while his father drank. Abenam Pone lives for moments like the one that brought Peter Penashue to his door. At that time, he ran Sheshatshiu’s National Native Alcohol and Drug Addiction MARIE WADDEN PHOTO Elizabeth Penashue receives an honourary degree from Memorial University in the fall of 2005 for her environmental activism. Her son, Jack, stands behind her. Program in Labrador. Pone had received help from the Brentwood Recovery home when he lived in Windsor. He came triumphantly back to Sheshatshiu in the 1980s — sober, eager to run the “alcohol centre,” referring people to treatment programs, running A.A. meetings and showing by example what sobriety has to offer. “I wanted to go to Brentwood because that’s where Abenam got sober,” Peter recalls. “They didn’t have a bed for me, so I begged Abenam to get me out of Sheshatshiu before the weekend. I knew I’d fall back into the drinking scene if I didn’t go right away and who knows how long I might have stayed like that and what more damage I’d do?” Pone and the staff at Brentwood know there’s only a small window to pull addicts through when they look for help. If the window isn’t open, it may be years before they’ll try again. Penashue was in by the weekend. Penashue returned from Brentwood sober and has stayed sober, serving for a time as president of the Innu Nation. He inspired other members of the family to get help. Peter’s father, Francis, was the only child of one of Sheshatshiu’s most respected hunters, Kanituakuet, who never drank, never stopped believing and practising the Innu religion (although he adapted some Catholic beliefs), but a man who didn’t keep his son close enough to him after his wife’s premature death. A priest persuaded Kanituakuet that Francis would be better off going to school than travelling and hunting for months at a time with his father. Francis was left behind with the priest, who was a strict disciplinarian. Francis was once strapped so hard with a piece of birch firewood that he couldn’t use his right hand for a month. Then the young boy was sent to Mount Cashel Orphanage in St. John’s to finish his education. (It has since been demolished because of its legacy of clerical sexual abuse.) There, he and another Innu boy hid in a closet when they got homesick and whispered together in their own language. By the priest’s reckoning, Francis was a success, an English-speaker ready to help his people deal with the culture that surrounded them after they gave up their nomadism to live in houses in 1963. Francis became the chief, a foreign concept to most Aboriginals at that time. That’s when he began to binge drink to cope with stress and rage. Alcohol released so much anger inside him, his wife and children — five boys and four girls — scattered for cover wherever they could find shelter. “Sometimes people turned us away,” his wife remembers, “because they were afraid of Francis.” Tshaukuesh drank too in the early years of the marriage. She says she stopped when her husband’s violence escalated and she needed sobriety to stay alive. A younger priest offered to shelter her boys while their father drank. She didn’t find out until years later how he picked them off one by one, seeking sexual favors, terrifying them into paralysis to get what he wanted. “I’d hear him coming and would pretend I was asleep, or I’d lock myself into the bathroom. Then I’d feel guilty because he would take one of my younger brothers,” Jack remembers. This living nightmare led Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 17 Tragedy or Triumph Jack down a self-destructive path that began with binge drinking and ended with frequent suicide attempts. “I drank javex once, I hated myself so much,” he says. “I cut my wrists, took pills, even tried to shoot myself a couple of times. But people kept rescuing me.” As recently as 1988, a priest betrayed this family’s trust once again by seducing one of the younger boys. It’s remarkable that three years after that, Peter was able to trust a priest to cure his alcoholism. He was desperate. The priest is Father Paul Charbonneau, who founded the Brentwood Recovery Home in 1964. He’s a short, powerfullooking man, even now, at 83. Charbonneau learned how to change addicts because he wanted to help their children. He was the child of addicts and knows how they suffer. “The children of addicts live in fear,” he says. “When I first started out as a young priest in my parish, I could tell in Grade 4, 5, 6 — these kids come from an alcoholic home. You’d see them, their faces, their eyes. They’d be almost like dead inside. They wouldn’t be alive at school. They’d be someplace else, afraid to go home. The whole atmosphere in an alcoholic home is generally one of terror, one of physical abuse, often sexual abuse. It’s just horrible.” The Brentwood Recovery Home has moved from a twostorey house in the centre of Windsor to a sprawling series of buildings on the city’s outskirts that were once used as a casino and nightclub complex. It’s a busy place that helps 100 or more addicts at a time. There’s no receptionist to greet visitors in the large lobby; this is a stripped down kind of place without a lot of the frills and concern for privacy that characterize other addiction centres. Former clients — or “alumni” as the recovered addicts are called — come and go, looking for help to prevent a relapse or for a way to help newcomers. The “alumni” provide talk therapy, the main catalyst used here to change peoples’ destructive behaviour. “It’s consciousness-raising,” explains Don Russell, the centre’s executive director. “It’s the talking about the shame and the hurt that helps. We’re not talking about how much booze or drugs we’ve had or used. That’s only five per cent of the problem.” Francis Penashue says he learned a lot while he was here, but it was the prodding of a former alcoholic that got through to him. “He used to ask me, do you love your children? I said yes,” Francis remembers. “And he said, no, you do not. And he said I was never at any of my children’s birthday parties, but I always said I was.” This man continued to confront Francis in the same way whenever they were in a group together. “He said, Francis, when the birthday was going on, were you there with friends? And I said yes. What he meant was, when my son had a birthday I used to get in a few dozen beers and call my friends and have a party to celebrate my son. That was mean because I was not there. I had a party for myself and my friends. We frightened the children.” After three months of talking and listening to other addicts, Penashue was finally able to empathize with his wife and children and leave Brentwood sober. It’s hard to imagine becoming so deadened to the feelings of others, but that’s the nature of addiction. Father Charbonneau believes there’s emotional trauma in the addict’s childhood that damages their ability to trust anyone, especially for emotional needs. Addicts are selfish and spend their time pursuing gratification through alcohol, drugs, gambling, food or sex. “They don’t trust anybody because they hate honesty,” he says. “They don’t live by it and they just feel everybody is the enemy, even the wife, and they almost become evil because they can’t experience love.” The children of addicts sometimes become addicts themselves. “Many children of addicts go on drugs or booze to kill some of the pain,” he says. “They join groups that do the same because they feel a little secure in a group since they can’t really feel secure or at peace in their own family.” This explains the cycle of addiction in traumatized Aboriginal communities and the growing popularity of gangs among their youth. Most of Brentwood’s clients are non-Aboriginal. Aboriginal people prefer to attend treatment centres where there is a program that incorporates their spiritual and traditional beliefs. These treatment programs also work very well. But Brentwood was somehow right for the Penashues, and is also used by members of the nearby Walpole Island First page 17 Nations reserve. Father Charbonneau says there is value in getting Aboriginal and non-Aboriginal clients to work through their problems together. “If they’re still blaming the white man or the government, they’re into self-pity and they won’t make that breakthrough,” he says, “but when they’re involved with the white person in recovery, then they have to trust this one and trust that one. And they can make the breakthrough individually and as a group, which is so basic to being spiritual because self-pity, blaming others, is really what alcoholism is all about.” Francis Penashue is worried about a son and grandson who still binge drink. He knows where to send them when they’re ready to change. In the meantime, it’s time to celebrate what has been accomplished. After convocation ends and all the pictures are taken, the Penashues invite friends to join them at a steak restaurant. Tables are pushed together and restaurant staff place a bottle of red wine on each table. The wine sits there, all through the meal, uncorked. NWT answers the wake-up call Chalmers report sparks a renewed commitment to solving addiction problems A lonely young boy pulling his family’s belongings on a sled through a Northwest Territories village has inspired Dr. Jennifer Chalmers to write compellingly about the deplorable state of addiction services there. “I was out for a drive and saw this five-year-old child,” she recalls, “pulling a sled along a muddy path with two TVs, boxes, towels, some toys on it. When I offered to help, he said `I’m moving, we were kicked out of our house.’ There was no sign of his parents.” She is the lead author of A State of Emergency; A Report on the Delivery of Addiction Services in the NWT that was published in 2002 and updated this year with a progress report on what the government has done. Chalmers has received the ultimate compliment for her work: Instead of shelving her reports, the NWT government is using them to set policy. Members of the legislature frequently refer to the “Chalmers’ Report” whenever they rise to speak about drug or alcohol abuse problems. There’s a lot of talk inside and outside the NWT legislature about addiction and Chalmers explains why in her preface: “The greatest problem facing the people of the Northwest Territories is addiction to substances such as alcohol, nicotine, marijuana and problem gambling. ... Improved economic opportunities as the result of oil, gas and mineral exploration have done little to decrease the incidence of addictions.” Chalmers was shocked to find that despite all that was known about the need for addiction services in 2002, only three per cent of the Territories’ Health and Social Services budget was spent on treatment and prevention. “You can’t go to a band council meeting, a school meeting, the RCMP and not hear about the problems with the youth in terms of alcohol and drug use,” she says. “If you ask for support from any community agency for anything to do with addictions, mental health, substance abuse, everyone will sign up. You’ll have 10 people right away. So the overwhelming demand and the urgency has been there.” Chalmers first began working in the NWT 16 years ago, when the Gwich’in Tribal Council hired her to set up a program to motivate addicts to stop hurting their families and bring reconciliation between parents and children (called a family treatment program). She has maintained a close relationship The bright faces of Innu youth in Natuashish, Labrador, reflect the hope that their generation can overcome the problems of addiction that have plagued Aboriginals. Atkinson Fdn Report 2006:Atkinson Fdn. Report 2006#A48F6 5/2/07 3:07 PM Page 18 Tragedy or Triumph with Gwich’in communities, helping to devise suicide prevention strategies, providing trauma and grief counselling, even providing mental health services from a tent in remote hunting camps. She has earned the trust of the Territories’ Aboriginal population (approximately 20,000 people in 32 communities spread out over an area the size of India. There are an equal number of non-Aboriginals, mostly living in the capital, Yellowknife). It’s no wonder they trust her. She’s one of the best in the business. Chalmers, who has Mohawk and Micmac ancestry, has four university degrees in psychology and did her doctorate at the prestigious Adler School of Psychology in Chicago. She has done post-graduate training in substance abuse, group therapy, child psychology and is a member of all the right professional associations in the U.S. and Canada. Her State of Emergency report has been instrumental in reversing the trend of cuts that severely damaged addiction services in the mid ’90s. The NWT government had decided to close three of its four residential treatment centres because the emphasis was shifting throughout North America from treating addicts at residential centres to outpatient clinics. Unfortunately, the government didn’t reinvest what it saved. Spending on addiction services went from $14-$15 million in 1994-1995 to just $3 million by 2001. The slow deterioration caused by the cuts rendered the whole system useless by the time Chalmers conducted her evaluation. “The whole system of addictions’ services lacks credibility from the client’s perspective, the government perspective, from the health care sector, and from the community perspective,” she wrote in her report. Like the false fronts or facades in TV westerns, Chalmers and her colleagues found community services that were just shells, giving the appearance that something was happening when really, nothing was. The community addiction programs, her report stated, were underfunded, housed in poor facilities and staffed by demoralized people, 37 per cent of whom had no education or qualifications for their jobs. What was happening was a rebuild it from scratch. “Our health indicators tell us alcohol consumption is two times the national average, smoking, family violence, sexually transmitted infections ... they’re all linked together,” he system,” he says, “and made addictions and mental health a core service.” Miltenberg has followed Chalmers guidelines and 48 recommendations, almost to the letter. Dr. Jennifer Chalmers is the lead author of “A State of Emergency: A Report on the Delivery of Addiction Services in the NWT”, published in 2002 and updated this year. huge disservice, Chalmers wrote, to the Aboriginal population most in need of social healing. When the State of Emergency report came out, there was widespread acceptance of its findings. No one defended the system that was in place, not even the newly elected Minister of Health and Social Services, Michael Miltenberger. He agreed to tear down the feeble foundation of his department’s addiction programming and says. “So a major development like the Mackenzie Valley pipeline, if we’re not properly prepared, will exacerbate the already bad indicators.” And so he got to work, spending the increased budget his department was given, allocating $7 million a year for addiction and mental health services. “We laid out a comprehensive plan to restructure the entire social services and health care Seventy-seven new jobs have been created for workers in the mental health and addictions sphere (counsellors, community wellness workers and clinical supervisors). There have been 20 graduates from a program called “community wellness,” surely one of the toughest jobs in a troubled community. The workers run alcohol, drug abuse and suicide prevention programs and are called out when there’s page 18 been a suicide to help coordinate the community’s response, particularly to prevent a cluster of suicides that often follow. Twenty-five new nurses have finished their training from Aurora College in Yellowknife, making Chalmers’ dream of a “northern health workforce” more of a reality. All of this has been accomplished in a little less than four years. “The rebuilding has begun,” Chalmers writes in her progress report. “Overall, the implementation of recommendations to re-build the system of addictions is a good one,” she writes. Chalmers describes a social system that has been wakened from sleep and is now dynamic, changing to accommodate the recommendations she made in 2002. But she warns against complacency. “The current funding of community-based services is a huge step in the right direction,” she reports, “and ongoing investments are needed to further develop and solidify these investments in the mental health and addiction core service.” The new addiction and mental health workers, for example, earn half the pay of their other Canadian counterparts, who themselves receive less than their worth, according to Chalmers. “The work is very undervalued, extremely undervalued, so people don’t stay in it,” she says. “In fact, much bias was heard with respect to how job descriptions are reviewed (they say) people do not need a degree or that pay ... to talk with people who have addictions.” The message Chalmers has sent to the government is to seize the moment and build on all the good will she found. “The passion and devotion to addressing the mental health, addiction, and family violence problems is limitless right across the NWT,” she notes. “People and groups at the community level realize there are no quick fix solutions, no miracle programs and few complete answers in dealing with the magnitude, and complexity of addiction and mental health problems.” The Award The Atkinson Fellowship in Public Policy is designed to further the tradition of liberal journalism and commitment to social and economic justice fostered by Joseph E. Atkinson, former publisher of The Toronto Star. It is awarded to a full-time journalist for a one-year research project on a topical public policy issue, culminating in the publication of results in a series of newspaper articles which the journalist is then free to develop into a book. The Fellowship is open to all Canadian journalists who have achieved some distinction in reporting on policy issues and includes a stipend of $75,000. As well, a budget for research of up to $25,000 is available. Sponsored by The Atkinson Charitable Foundation, The Toronto Star and The Honderich Family. Copyright The Atkinson Charitable Foundation Book Design Joan Blastorah Telephone inquiries: (416) 368-5152. Website: www.atkinsonfoundation.ca. Printed on recycled paper using vegetable-based inks. This publication is available in limited quantities upon request. The entire publication is also available on The Atkinson Charitable Foundation’s website: www.atkinsonfoundation.ca Tragedy or Triumph page 19 Planning a way out of addiction For Canadian Aboriginals devastated by addiction, the key to recovery lies within their own communities. But they need assistance. A 60-year-old Aboriginal man bursts through the door of the Sagamok Youth Centre, startling the group that is seated around a flip chart. “Help me, help me,” he cries. “I’ve been drinking for a month, I haven’t eaten. I can’t sleep. Help me.” The 20 or so people in the room don’t stir; it’s as if they are watching a play. The man appeared right on cue. Everyone was just talking about the Ojibway reserve’s drinking problem. But the man’s distress is very real. He weeps and reverts to speaking his native language, although one English word gets attention. When he says “detox,” people spring into action. “I’ll call Orion Southwind,” a workshop participant says, leaving the room to call the addictions worker. “We’ll take a 15-minute break,” says Michael Bopp, cofounder of the Four Worlds Centre for Development Learning in Cochrane, Alta. The 1,400 people in Sagamok Anishnawbek First Nations, a reserve 120 kilometres west of Sudbury, are involved in a daring social experiment that offers the best hope for the future of Aboriginal communities across this country. Government policies have pushed Aboriginal Canadians to the edge of destruction, but there is time to turn the corner. The story of what’s happening at Sagamok shows what can occur when Aboriginal people are trained and supported to lead their own recovery. Just three years into its 10year healing and community development plan, Sagamok can boast that 88 per cent of its employees are now sober, including the 30-year-old chief, Paul Eshkakogan. In 2003, those who helped to draw up the community plan estimated 70 per cent of males in Sagamok, 60 per cent of the females and 80 per cent of the youth abused alcohol or drugs. “At first I was pretty skeptical about community planning,” Eshkakogan says. “I think it was because of the amount of work that was involved. It was like looking at a mountain and saying, how are we ever going to get up there and start to address the work?” But now he’s sold on it. “Things are improving,” he says. “I can see it in the people. There is healing going on, there is growth. Even myself. Alcohol and drugs are not a part of my life anymore, nor my family’s. Our focus is on the children. I think that’s where this whole community healing has to start.” Thirty residents will soon graduate from the Moving Towards Wellness course, Residents of Saganok discuss the community; 10 Year Healing and Development Plan. Michael Bopp from the Four Worlds International Institute for Human and Community Development and Healing plan to lower community addiction levels. designed by Michael and Judy Bopp, and the graduates will in turn teach what they’ve learned to others in the community. The Bopps have been honing their skills in community development for 30 years in the Third World and in North America’s Aboriginal communities. They teamed up 20 years ago with Lakota leader Phil Lane Jr., a pioneer in Canada’s Aboriginal addiction recovery movement, and have built a reputation as informed, compassionate people with practical solutions. In 2001, they conducted a study of six Aboriginal communities that have lowered their addiction rates. “We learned that communities heal when there’s strong leadership supporting that process,” says Michael Bopp, “and when personal, cultural, economic, political and social development are worked on at the same time.” The first part of the Bopps’ course encourages people to learn what personal growth and healing is needed in their own lives. In the second part, they learn about conflict resolution and human relations. The third teaches what’s needed for community development and nation building. The fourth teaches program development. “When are the children least safe?” asks Bopp, back at his flipchart when the group returns from its unscheduled break. “On cheque days,” says Albert Eshkakogan without hesitation. “Whenever money comes into the community, children are less safe because their parents may go drinking.” “The band council sponsors events that sell alcohol to raise money,” adds Violet Boissoneau. “We make children less safe then.” After more discussion, the group decides to recommend alcohol no longer be sold at community events. This recommendation will become band council policy. “There’s an attitude, certainly, in this community that things have been going on for so long, there’s no use trying to do anything about it,” local businessman Levi Southwind says. “Community development is development of people. It opens up our minds to realize that change is possible and puts us on a learning curve to see how that could be done.” None of this would be happening if Southwind hadn’t successfully applied five years ago for funding from an agency called the Aboriginal Healing Foundation. It was established in 1998 to help former students of Canada’s residential schools heal from the legacy of physical, mental and sexual abuse. The creation of the Healing Foundation is a triumph of Canadian public policy. Its dissolution, when the funding runs out in a few years time, will be a tragedy. Dr. Gail Valaskakis, the foundation’s research director, was raised on a reserve in Wisconsin before moving to Canada, where she served as a dean at Montreal’s Concordia University and founded that city’s Native Friendship Centre. She told the Senate Committee on Mental Health and Addictions this year that the foundation needs more time to complete the important work it has started. She asked the federal government for a one-time $600 million endowment that, when invested, could fund the foundation’s work for another couple of decades. “We estimate that it takes a community an average of 10 years to reach out, dismantle denial, create safety and engage participants in the therapeutic healing process,” she told the Senators. “The projects funded by the Aboriginal Healing Foundation have played a critical role in beginning the healing process.” More than 1,300 healing projects have been kickstarted in Aboriginal communities across Canada thanks to the foundation. Dr. Maggie Hodgson would like the Foundation’s work to continue. She is the godmother of Canada’s Aboriginal healing movement and living proof of the “power of one.” Thirteen years ago, the Nadleh Whuten Carrier First Nation woman from British Columbia was instrumental in creating National Addictions Awareness week, for which she received the Canadian Centre of Substance Abuse Award for Excellence. The daughter of poor alcoholics, Hodgson barely completed high school, yet has a couple of honourary university degrees and was among 1,000 women from around the world nominated for last year’s Nobel Peace Prize because of her work in indigenous communities around the world. In 1992, she founded the Healing Our Spirit Worldwide movement to promote addiction recovery in Aboriginal Tragedy or Triumph communities from here to Australia. Since its creation, five international conferences have taken place. Hodgson is also co-founder of the Nechi Training, Research and Health Promotions Institute just outside of Edmonton, a centrepiece of Canada’s Aboriginal sobriety movement. “An important healing movement is growing,” she says. “But like a plant, it needs strong roots. I don’t think it’s grown beyond my dreams. It’s growing like it should.” Her latest project is a national day of healing and reconciliation, planned for May 26. She hopes it will be embraced by non-Aboriginal Canadians and help close what Saskatchewan sociologist Richard Thatcher calls “the profound distance between Aboriginal Canadians and the rest of the country.” The movement Hodgson has helped to build will go nowhere without support from nonAboriginal Canadians and their governments. That is proving to be not so easy, even when there appears to be the best of intentions. This past week, both the federal and British Columbia auditors-general criticized their governments’ slow pace in negotiating treaties with Aboriginal groups in that province, despite close to $1 billion being spent over the past 13 years. But progress can be made with affirmative action. B.C. Premier Gordon Campbell has promised to raise the Aboriginal standard of living in B.C. — the lowest in the country along with Newfoundland and Labrador — to the provincial average by 2016. And this past week, the B.C. and federal governments signed an agreement that is expected to inject $24 million a year into a First Nations health plan with the goal of extending life expectency by 2015. The life expectancy of Aboriginal Canadians is seven years less than that of the rest of the population. “We have two choices,” says Campbell. “We can continue to build a culture of dependency and a page 20 culture of addiction, of denial and despair, or we can make every effort to create a culture of hope, a culture of education and opportunity. Let’s build a house of hope.” In Sagamok, that hope is built into the 10-year healing and community development plan. But it’s already three years old. There’s a lot to do in the next seven years. People are reminded of that whenever someone cries out for help, like the man who burst in through the door at the Sagamok Youth Centre. Sign at the entrance to the Sagamok Anishnawbek First Nations Reserve near Sudbury where the community has drawn up a Ten Year Community Economic Development and Healing Plan to help lower addiction levels. 10 steps toward improving the lives of Aboriginals 1. Make policies that protect and strengthen the social fabric of Canada’s Aboriginal communities an immediate priority. 2. Remove jurisdictional barriers at all government levels so addiction and mental health services can be substantially increased in Aboriginal communities. 6. Enforcement must be stepped up to prevent drug trafficking and the illegal flow of alcohol now flooding into Aboriginal communities. 7. Promote and fund community planning that includes social healing. 3. Remove the 3 per cent cap on Aboriginal health-care funding. 8. Raise the living standard of Aboriginals as soon as possible to the Canadian average. 4. There is an urgent need for more public education in Aboriginal communities warning against binge drinking, gambling and smoking. 9. Support Inuit women in their campaign against violence. 5. Renew and strengthen the mandate of the Aboriginal Healing Foundation. 10. Governments respond to the wishes of the majority. Ordinary Canadians need to unite with Aboriginals to make their survival a priority.