Aboriginal Health Human. A Current Snapshot
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1 Aboriginal Health Human Resources In Ontario: A Current Snapshot Final Report
2 Health Canada is the federal department responsible for helping Canadians maintain and improve their health. We assess the safety of drugs and many consumer products, help improve the safety of food, and provide information to Canadians to help them make healthy decisions. We provide health services to First Nations people and to Inuit communities. We work with the provinces to ensure our health care system serves the needs of Canadians. Disclaimer: Health Canada, First Nations and Inuit Health Branch, Ontario Region ( FNIH - Ontario Region ) collaborated with Ontario First Nations to circulate a questionnaire on Aboriginal Health Human Resources, that was distributed by Ontario Political Territorial Organizations ( PTO ) and Independent First Nations (AIAI, UOI, GCT#3, NAN, IFN) to all Ontario First Nations in Of the then 134 First Nations in Ontario, 96 responded to the questionnaire. The PTO s and Independent First Nations submitted the responses to FNIH - Ontario Region, which agreed to summarize the questionnaire results. FNIH - Ontario Region issued a call for proposals to summarize and analyze the questionnaire results, and to conduct a scan on Aboriginal Health Human Resources in Ontario. The Centre for Rural and Northern Health Research at Lakehead University (the Centre ) submitted the successful proposal and prepared a report as requested by FNIH - Ontario Region. Among other things, the report summarizes and analyzes the questionnaire results, presents information from a literature review, a data review, and relevant stakeholders, including universities, colleges, and Aboriginal and non-aboriginal health care providers. The Centre submitted an initial draft report to FNIH - Ontario Region in June A revised draft was circulated to Ontario PTO s and Independent First Nations for review, comment, and feedback in July The original questionnaire was endorsed by Ontario First Nations, as represented by the PTO s and Independent First Nations. However, the Chiefs of Ontario have requested that it be made known to the reader of the report that the literature review, program scan, and analysis contained in the report, prepared by the Centre, did not involve collaboration with Ontario First Nations and, therefore, did not reflect the Ownership Control Access and Possession ( OCAP ) principles of First Nations. FNIH - Ontario Region will be distributing the report for information purposes only. Though the research process was not managed by First Nations, the content of the report may still prove useful for some First Nations in Ontario planning Health Human Resources activities and related functions. The report is not necessarily definitive, authoritative, comprehensive or current. The report represents the findings, views, opinions, and conclusions of the Centre research team only, and is provided strictly as is, without warranties or representations of any kind whatsoever from First Nations. Ontario First Nations, the PTO s, and the Independent First Nations have informed Health Canada that they wish it to be known that they assume no liability whatsoever for any of the contents of the report, for any actions taken in reliance on the report, nor for any other use of the report. Readers should where possible verify the information in the report before acting on it. Any inquiries regarding the report should be directed to the Centre research team. Published by authority of the Minister of Health. Aboriginal Health Human Resources In Ontario: A Current Snapshot Final Report is available on Internet at the following address: Également disponible en français sous le titre : Ressources humaines autochtones dans le domaine de la santé en Ontario : Un portrait actuel Rapport final This publication can be made available on request on diskette, large print, audio-cassette and braille. For further information or to obtain additional copies, please contact: Publications Health Canada Ottawa, Ontario K1A 0K9 Tel.: (613) Fax: (613) info@hc-sc.gc.ca Her Majesty the Queen in Right of Canada, represented by the Minister of Health Canada, 2008 All rights reserved. No part of this information (publication or product) may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, or stored in a retrieval system, without prior written permission of the Minister of Public Works and Government Services Canada, Ottawa, Ontario K1A 0S5 or copyright.droitdauteur@pwgsc.gc.ca Cat.: H E ISBN:
3 v vii iii
4
5 Main Messages v
6 Aboriginal Health Human Resources in Ontario: A Current Snapshot vi
7 Executive Summary vii
8 Aboriginal Health Human Resources in Ontario: A Current Snapshot viii
9 Executive Summary ix
10 Aboriginal Health Human Resources in Ontario: A Current Snapshot x
11 Executive Summary xi
12 Aboriginal Health Human Resources in Ontario: A Current Snapshot xii
13 Executive Summary xiii
14 Aboriginal Health Human Resources in Ontario: A Current Snapshot xiv
15 Background 1
16 Aboriginal Health Human Resources in Ontario: A Current Snapshot 2
17 Literature and Data Review 3
18 Aboriginal Health Human Resources in Ontario: A Current Snapshot 4
19 Literature and Data Review 5
20 Aboriginal Health Human Resources in Ontario: A Current Snapshot 6
21 Literature and Data Review 7
22 Aboriginal Health Human Resources in Ontario: A Current Snapshot 8
23 Literature and Data Review 9
24 Aboriginal Health Human Resources in Ontario: A Current Snapshot 10
25 Literature and Data Review 11
26 Aboriginal Health Human Resources in Ontario: A Current Snapshot 12
27 Literature and Data Review 13
28 Aboriginal Health Human Resources in Ontario: A Current Snapshot 14
29 Data Sources 15
30 Aboriginal Health Human Resources in Ontario: A Current Snapshot 16
31 Data Sources 17
32 Aboriginal Health Human Resources in Ontario: A Current Snapshot 18
33 Health Human Resource Educational Programs 19
34 Aboriginal Health Human Resources in Ontario: A Current Snapshot 20
35 Health Human Resource Educational Programs 21
36 Aboriginal Health Human Resources in Ontario: A Current Snapshot 22
37 Health Human Resource Educational Programs 23
38 Aboriginal Health Human Resources in Ontario: A Current Snapshot 24
39 Health Human Resource Educational Programs 25
40 Aboriginal Health Human Resources in Ontario: A Current Snapshot 26
41 Health Human Resource Educational Programs 27
42 Aboriginal Health Human Resources in Ontario: A Current Snapshot 28
43 Scholarships and Bursaries 29
44 Aboriginal Health Human Resources in Ontario: A Current Snapshot 30
45 Results From First Nation Community-Specific Questionnaires 31
46 Aboriginal Health Human Resources in Ontario: A Current Snapshot Type of Community Remote Isolated Semi-Isolated Non-Isolated 13 32
47 Results From First Nation Community-Specific Questionnaires Nursing Station Health Station Health Centre Health Office None
48 Aboriginal Health Human Resources in Ontario: A Current Snapshot Administration Nursing Mental Health HCC Care Special Programs Other 34
49 Results From First Nation Community-Specific Questionnaires 35
50 Aboriginal Health Human Resources in Ontario: A Current Snapshot Non-Isolated 911 Semi Isolated 218 Isolated 325 Remote
51 Results From First Nation Community-Specific Questionnaires 37
52 Aboriginal Health Human Resources in Ontario: A Current Snapshot Brighter Futures (any) Community Health Representatives Building Healthy Communities (any) Canada Prenatal Nutrition (CPNP) Home and Community Care Aboriginal Diabetes Initiative Non-Insured Health Benefits NNADAP Prevention Early Childhood Development Fetal Alcohol Spectrum Disorder (FASD) Nursing BF Mental Health BHC Mental Health BF Healthy Babies Environmental Health BF Child Development HIV/AIDS BF Injury Prevention Family Violence Prevention Solvent Abuse Prevention Aboriginal Head Start on Reserve BF Parenting Skills Dentists/Dental Hygienist Tele-Health E-Health Indian Residential Schools MH Support # of communities 38
53 Results From First Nation Community-Specific Questionnaires Non-Isolated (n = 51) Brighter Futures Community Health Representative Building Healthy Communities Canada Prenatal Nutrition Home and Community Care Aboriginal Diabetes Initiative NNADAP Prevention Early Childhood Development Fetal Alcohol Spectrum Disorder Nursing Environmental Health HIV/AIDS 39
54 Aboriginal Health Human Resources in Ontario: A Current Snapshot Semi-Isolated (n = 13) Brighter Futures Community Health Representative Building Healthy Communities Canada Prenatal Nutrition Home and Community Care Aboriginal Diabetes Initiative NNADAP Prevention Early Childhood Development Fetal Alcohol Spectrum Disorder Nursing Environmental Health HIV/AIDS 40
55 Results From First Nation Community-Specific Questionnaires Isolated(n = 18) Brighter Futures Community Health Representative Building Healthy Communities Canada Prenatal Nutrition Home and Community Care Aboriginal Diabetes Initiative NNADAP Prevention Early Childhood Development Fetal Alcohol Spectrum Disorder Nursing Environmental Health HIV/AIDS 41
56 Aboriginal Health Human Resources in Ontario: A Current Snapshot Remote Isolated (n = 10) Brighter Futures Community Health Representative Building Healthy Communities Canada Prenatal Nutrition Home and Community Care Aboriginal Diabetes Initiative NNADAP Prevention Early Childhood Development Fetal Alcohol Spectrum Disorder Nursing Environmental Health HIV/AIDS 42
57 Results From First Nation Community-Specific Questionnaires 43
58 Aboriginal Health Human Resources in Ontario: A Current Snapshot Child Welfare Aboriginal FASD/Child Nutrition Daycare Program on Reserve Mental Health Program Addictions Program Early Years Program Chiropody Home Care, Homemakers Long-Term Care Other Ministry Programs AHWS Healthy Babies Healthy Children AHWS Community Wellness Worker AHWS Crisis Intervention Worker AHWS Community Social Worker AHWS Maternal Child Care AHWS Shelters Women and Children AHWS Healing Lodge Other AHWS Programs Northern Diabetes Health Network Southern Ontario Diabetes Network Infant Development Preschool Speech and Language Services Aboriginal Literacy Program Other Provincial Programs
59 Results From First Nation Community-Specific Questionnaires 45
60 Aboriginal Health Human Resources in Ontario: A Current Snapshot 46
61 Results From First Nation Community-Specific Questionnaires 41 Administration Nursing Mental Health HCC Care Special Programs Other Full-Time Part-Tim e 47
62 Aboriginal Health Human Resources in Ontario: A Current Snapshot Remote Isolated Semi- Isolated 236 Non- Isolated Full-time Part-time 48
63 Results From First Nation Community-Specific Questionnaires 49
64 Aboriginal Health Human Resources in Ontario: A Current Snapshot Administration 27.5 Nursing 33.0 Mental Health HCC Care Special Programs Other
65 Results From First Nation Community-Specific Questionnaires 51
66 Aboriginal Health Human Resources in Ontario: A Current Snapshot Admin 10 Nursing 21 Other 12 Mental Health 8 Special Programs 8 HCC Care 17 52
67 Results From First Nation Community-Specific Questionnaires Administration Nursing Mental Health Home and Special Other Supports More than 2 Years Total # Employed 53
68 Aboriginal Health Human Resources in Ontario: A Current Snapshot Non-Isolated Semi-Isolated 325 Isolated Remote 47 Total # Employed More Than 2 Years 54
69 Results From First Nation Community-Specific Questionnaires First Nations Non-First Nations Administration Nursing Mental Health HCC Care Special Programs Other 55
70 Aboriginal Health Human Resources in Ontario: A Current Snapshot 56
71 Stakeholder Survey 57
72 Aboriginal Health Human Resources in Ontario: A Current Snapshot 58
73 Stakeholder Survey 59
74 Aboriginal Health Human Resources in Ontario: A Current Snapshot 60
75 Stakeholder Survey 61
76 Aboriginal Health Human Resources in Ontario: A Current Snapshot 62
77 Stakeholder Survey 63
78 Aboriginal Health Human Resources in Ontario: A Current Snapshot 64
79 Stakeholder Survey 65
80 Aboriginal Health Human Resources in Ontario: A Current Snapshot 66
81 Stakeholder Survey 67
82 Aboriginal Health Human Resources in Ontario: A Current Snapshot 68
83 Stakeholder Survey 69
84 Aboriginal Health Human Resources in Ontario: A Current Snapshot 70
85 Stakeholder Survey 71
86 Aboriginal Health Human Resources in Ontario: A Current Snapshot 72
87 Stakeholder Survey 73
88 Aboriginal Health Human Resources in Ontario: A Current Snapshot 74
89 Stakeholder Survey 75
90 Aboriginal Health Human Resources in Ontario: A Current Snapshot 76
91 Stakeholder Survey 77
92 Aboriginal Health Human Resources in Ontario: A Current Snapshot 78
93 Summary 79
94 Aboriginal Health Human Resources in Ontario: A Current Snapshot 80
95 Summary 81
96 Aboriginal Health Human Resources in Ontario: A Current Snapshot 82
97 Summary 83
98 Aboriginal Health Human Resources in Ontario: A Current Snapshot 84
99 Summary 85
100 Aboriginal Health Human Resources in Ontario: A Current Snapshot 86
101 Summary 87
102 Aboriginal Health Human Resources in Ontario: A Current Snapshot 88
103 Summary 89
104 Aboriginal Health Human Resources in Ontario: A Current Snapshot 90
105 Summary 91
106 Aboriginal Health Human Resources in Ontario: A Current Snapshot 92
107 Summary 93
108 Aboriginal Health Human Resources in Ontario: A Current Snapshot 94
109 References 95
110 Aboriginal Health Human Resources in Ontario: A Current Snapshot 96
111 References 97
112 Aboriginal Health Human Resources in Ontario: A Current Snapshot 98
113 References 99
114 Aboriginal Health Human Resources in Ontario: A Current Snapshot 100
115 Appendix A 101
116 Aboriginal Health Human Resources in Ontario: A Current Snapshot 102
117 Appendix A 103
118 Aboriginal Health Human Resources in Ontario: A Current Snapshot 104
119 Appendix B 105
120 Aboriginal Health Human Resources in Ontario: A Current Snapshot 106
121 Appendix C 107
122 Aboriginal Health Human Resources in Ontario: A Current Snapshot 108
123 Appendix C 109
124 Aboriginal Health Human Resources in Ontario: A Current Snapshot 110
125 Appendix C 111
126 Aboriginal Health Human Resources in Ontario: A Current Snapshot 112
127 Appendix C 113
128 Aboriginal Health Human Resources in Ontario: A Current Snapshot 114
129 Appendix C 115
130 Aboriginal Health Human Resources in Ontario: A Current Snapshot 116
131 Appendix C 117
132 Aboriginal Health Human Resources in Ontario: A Current Snapshot 118
133 Appendix C 119
134 Aboriginal Health Human Resources in Ontario: A Current Snapshot 120
135 Appendix C 121
136 Aboriginal Health Human Resources in Ontario: A Current Snapshot 122
137 Appendix C 123
138 Aboriginal Health Human Resources in Ontario: A Current Snapshot 124
139 Appendix C 125
140 Aboriginal Health Human Resources in Ontario: A Current Snapshot 126
141 Appendix C 127
142 Aboriginal Health Human Resources in Ontario: A Current Snapshot 128
143 Appendix C 129
144 Aboriginal Health Human Resources in Ontario: A Current Snapshot 130
145 Appendix C 131
146 Aboriginal Health Human Resources in Ontario: A Current Snapshot 132
147 Appendix C 133
148 Aboriginal Health Human Resources in Ontario: A Current Snapshot 134
149 Appendix D 135
150 Aboriginal Health Human Resources in Ontario: A Current Snapshot 136
151 Appendix D 137
152 Aboriginal Health Human Resources in Ontario: A Current Snapshot 138
153 Appendix D 139
154 Aboriginal Health Human Resources in Ontario: A Current Snapshot 140
155 Appendix D 141
156 Aboriginal Health Human Resources in Ontario: A Current Snapshot 142
157 Appendix D 143
158 Aboriginal Health Human Resources in Ontario: A Current Snapshot 144
159 Appendix D 145
160 Aboriginal Health Human Resources in Ontario: A Current Snapshot 146
161 Appendix D 147
162 Aboriginal Health Human Resources in Ontario: A Current Snapshot 148
163 Appendix D 149
164 Aboriginal Health Human Resources in Ontario: A Current Snapshot 150
165 Appendix D 151
166 Aboriginal Health Human Resources in Ontario: A Current Snapshot 152
167 Appendix D 153
168 Aboriginal Health Human Resources in Ontario: A Current Snapshot 154
169 Appendix D 155
170 Aboriginal Health Human Resources in Ontario: A Current Snapshot 156
171 Appendix D 157
172 Aboriginal Health Human Resources in Ontario: A Current Snapshot 158
173 Appendix D 159
174 Aboriginal Health Human Resources in Ontario: A Current Snapshot 160
175 Appendix D 161
176 Aboriginal Health Human Resources in Ontario: A Current Snapshot 162
177 Appendix E 163
178 Aboriginal Health Human Resources in Ontario: A Current Snapshot 164
179 165 Appendix E
180 Aboriginal Health Human Resources in Ontario: A Current Snapshot 166
181 167 Appendix E
182 Aboriginal Health Human Resources in Ontario: A Current Snapshot 168
183 169 Appendix E
184 Aboriginal Health Human Resources in Ontario: A Current Snapshot 170
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