Professional Documents
Culture Documents
Wellness Continuum
Framework
Summary Report
Health Canada is the federal department responsible for helping the people of Canada 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.
© Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2015
This publication may be reproduced for personal or internal use only without permission provided the source is fully acknowledged.
Moving Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Conclusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Culture
The cultural values, sacred knowledge, language, and
practices of First Nations are essential determinants
First Nation languages, culture,
of individual, family, and community health and
and teachings are tied to the past,
wellness. Despite the impacts of colonization, many
the present, and the future—they are the
First Nations people have maintained their cultural
stepping stones to a brighter tomorrow.
knowledge in their ways of living (with the land
First Nations individuals, families, and
and with each other) and in their language. These
communities have a wealth of knowledge
foundations have ensured First Nations people have from which to draw to know how to live in
strength, laughter, and resilience. Cultural knowledge balance, to care for themselves and others,
about mental wellness does not narrowly focus on and to restore balance when it is lost.
“deficits”. Rather, it is grounded in strengths and
resilience. Culture is the foundation for a “good life”,
and the knowledge contained within culture applies
across the life span and addresses all aspects of life.
Culture as Foundation—Elders; Cultural Practitioners; Kinship Relationships; Language; Practices; Ceremonies; Knowledge; Land; and Values.
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Key Themes
During regional discussion sessions, the National A list of Implementation Opportunities has been
Gathering, the federal discussion, and the National created which will provide guidance to communities
Validation and Implementation Session, several key and partners at the community, regional, provincial,
themes emerged that have shaped the Framework and territorial, federal, and national level on concrete
the Continuum. These themes are: strategies and activities for each theme. This evergreen
• Culture as Foundation document will be continually updated as progress
is made towards completion of implementation
• Community Development, Ownership,
opportunities and as new opportunities emerge.
and Capacity Building
• Quality Care System and Competent
Service Delivery
• Collaboration with Partners
• Enhanced Flexible Funding
First Nations leadership, youth, community members, and Priorities for Action:
Elders have made it clear that culture must be at the centre • Responding to the Diversity
of mental wellness. Culture must not only guide our work, of First Nations Communities
it must be understood as an important social determinant • Defining Culture
of health. Culturally specific interventions are holistic; they
• Valuing Cultural Competency,
attend to the spirit, mind, body, and emotions simultaneously.
Cultural Safety and Indigenous
Culture as a foundation implies that all health services and
Knowledge
programs related to First Nations go above and beyond
creating culturally relevant programs and safe practices. As • Understanding the Role of
such, culture as a foundation means starting from the point Language in Mental Wellness
of Indigenous knowledge and culture and then integrating
current policies, strategies, and frameworks.
Enhancing First Nations mental wellness requires strategic Priorities for Action:
action that goes beyond the mandate of the First Nations and • Defining Clear Roles and
Inuit Health Branch. It involves other federal government Responsibilities
departments, provincial and territorial governments, and • Establishing Leadership
First Nations communities and requires supports and
• Creating Partnerships and
services that cross the health, justice, employment, and social
Networking
service sectors. These partners must work collaboratively and
cooperatively to ensure that a coordinated, comprehensive • Developing System Navigators,
continuum of mental wellness services is available to those and Case Managers
who require it. Currently, although it is recognized that • Providing Advocacy
there are shared roles and responsibilities, these roles and • Raising Awareness–Reduction of
responsibilities are not always clear. Stigma and Protection of Privacy