One Story of 2-Eyed Seeing - PowerPoint Presentation

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One Story of 2-Eyed Seeing

BC School

Superintendents

AssociationThursday, November 8th, 2018

Evan Adams, MD, MPHTla’amin Nation Slide3
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My family

Tla’amin

Nation

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Two-eyed SeeingSlide6

Two-eyed SeeingSlide7
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Beauty, Balance, FairnessSlide11

Mr. Albert Marshall, Mi’kmaq Elder

Eskasoni First Nation

Western

Indigenous

“Two-Eyed Seeing”

learning to see with the

strengths

of each & togetherSlide12
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Following my dreams took me away from home for many years …

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The Report of the Royal Commission on Aboriginal Peoples

(1996)

concluded

: “Aboriginal people are at the bottom of almost every available index of socioeconomic well-being, whether [they] are measuring educational levels, employment opportunities, housing conditions, per capita incomes or any of the other conditions that give non-Aboriginal Canadians one of the highest standards of living in the world.”Slide21

British Columbia (BC), Canada

32 First Nations languages

203 First Nations

270,585 Aboriginal identity

172,520 First Nations

+

89,405

Métis

+

1,615

Inuit

We are 5.9% of BC’s population of

4,560,240

50% of our population is ≤ 25 years old

Approximately 60% of the First Nations languages of Canada are spoken in BC.

We are diverse.

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As with all other Truth & Reconciliation Commissions internationally, Canada’s TRC gathered testimonials of (state-sanctioned) human rights violations against certain segments of their population.

In Canada, these were human rights violations against Indigenous children via the residential school system.

The important work of truth-gathering happened from coast to coast to coast, as Survivors of the Residential School system shared their experiences with the Truth and Reconciliation Commission. Canada’s Truth & Reconciliation CommissionSlide24
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The TRC’s Principles of Reconciliation:

TRC

Principle 2:

“

First Nations, Inuit, & Métis peoples, as the original peoples of this country & as self-determining peoples, have Treaty, constitutional, & human rights that must be recognized & respected.”  

TRC Principle 4: “

Reconciliation requires

constructive action

on addressing the ongoing legacies of colonialism that have had destructive impacts on Aboriginal peoples’

education, cultures & languages, health, child welfare, the administration of justice, & economic opportunities & prosperity

.”

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The TRC’s Principles of Reconciliation:

TRC Principle 5:

“

Reconciliation must create a more equitable & inclusive society by

closing the gaps in social, health, & economic outcomes that exist between Aboriginal & non-Aboriginal Canadians.” 

TRC Principle 6: “

All Canadians, as Treaty peoples, share responsibility for establishing & maintaining mutually respectful relationships.

”

TRC Principle 9:

“

Reconciliation requires political will, joint leadership, trust building, accountability, & transparency, as well as a substantial investment of resources.”Slide27

TRC Call to Action #22:

“We

call upon those who can effect change within the Canadian

health care

system to recognize the value of Aboriginal healing practices & use them in the treatment of Aboriginal patients in collaboration with Aboriginal healers

& Elders where requested by Aboriginal patients.”Slide28

TRC Call to Action #71:

“We call upon all chief coroners & provincial vital statistics agencies that have not provided to the Truth & Reconciliation Commission of Canada their records on the deaths of Aboriginal children in the care of residential school authorities to make these documents available to the National Centre for Truth & Reconciliation.”Slide29

Child Deaths at Residential Schools

My office is examining 4,900 child death records in BC’s residential schoolsSlide30

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“We, as Health Ministers, will work together & within our jurisdictions with Indigenous leaders to determine areas of shared priority, & to improve the co-ordination, continuity & appropriateness of health services for Indigenous peoples as part of a population health approach to improving Indigenous peoples’ health in Canada.

Statement of the Federal-Provincial-Territorial Ministers of Health – January 2016Slide31
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“Astronautics is synonymous with exploration.”

Dr. Robert Thirsk, a Canadian engineer & physician,

& former Canadian Space Agency astronaut

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www.fnha.ca

At one point, if you

drew a circle, the medicine people were Aboriginal, the medicine was Aboriginal, nurses, teachers were Aboriginal. But as colonization evolved and you looked at the circle there were no Aboriginals.

– Chief Robert JosephSlide37

The Challenge

The difference in health outcomes between First Nations & other Canadians is unacceptable, unethical, & unsustainable.

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A First Nations Health Authority

The Governing Body will provide for the effective participation of FNs in:

enacting policies;

identifying the results to be achieved in the delivery of programs; allocating resources; establishing service standards; implementing ongoing reciprocal accountability requirements; &other key functions of governance. In the interim, the Parties will support a process for FNs to have greater control over augmented resources dedicated to improve health services.[Tripartite First Nations Health Plan, 2007]Slide39

Heading

www.fnha.ca

Text

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October 2011Slide40

“What happens to communities happens to us.”

~ First Nations Health Authority

CEO Joe Gallagher

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It starts with me…

BC First Nations Perspective on Wellness – holistic

Our vision of health and wellness comes from the ancestors and

is relational

Colonization interrupted this

worldview

Each of us own our own Health and Wellness Journey

FNHA role as a partner to support our customer owners on their Health and Wellness JourneySlide42

Tripartite First Nations

Health Plan

Governance

Health Actions

One PlanSlide43

Makara’s StorySlide44
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Declaration of Commitment

Declaration of Commitment on Cultural Safety & Humility in Health Services for First Nations & other Aboriginal people in BCSlide48

Cultural Humility is …

A

life-long process

of self-reflection & self-critique to understand

personal biases & to develop & maintain mutually respectful partnerships based on mutual trust.

... ideally, everyone should have Cultural HumilitySlide49

Cultural Safety

Cultural Safety means an environment free of racism & discrimination, one where people feel safe receiving care.Slide50

Transforming the Health Care System

2016: 2 of 8 Aboriginal UBC Medicine grads / doctors. Slide51

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The Declaration is important because it gives us all permission to do what we need to do to achieve Cultural Safety with the services we provide through the incorporation of Cultural Humility. It starts with the individual. We can all make a difference.”

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FNHA’s vision for Cultural Humility & Safety

The FNHA envisions a future where First Nations people have a new relationship with their care providers.

Respect

UnderstandingAccountabilityEqual balance of powerMechanisms to address appropriate & inappropriate actions Slide53

Royal College of Physicians & Surgeons of Canada

A landmark decision to make Indigenous health a mandatory component of postgraduate medical education

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A focus on improved health and health care of Indigenous PeoplesSlide54

Systemic barriers to achieving the vision

“I’m sorry, I’m embarrassed to say that when I faced someone who was being ‘culturally unsafe’ to patients, instead of confronting the person, I left. I didn’t feel like I could do anything. There’s such a hierarchy.”

~ BC healthcare workerSlide55
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Someone may have cursed

you…

… But you can call your spirit back. You can call your heart and your mind back.

Empowered to heal.Culture as healing.A traditional life is always better than a colonized one.59Slide60

A Gardener’s TaleSlide61

Dr. Camara Jones:

Undoing Racism

"...the gardener notices that the pink flowers flourish while the red flowers languish, but has forgotten her original decision to separate the seeds into the two types of soil (one rich, one poor). Instead, she proclaims, "I was right to prefer pink over red!".Slide62
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Thank You