{"id":8002,"date":"2019-01-28T14:12:44","date_gmt":"2019-01-28T21:12:44","guid":{"rendered":"https:\/\/crism.ca\/?page_id=8002"},"modified":"2026-09-30T12:59:22","modified_gmt":"2026-09-30T18:59:22","slug":"oat-guidelines-first-nations","status":"publish","type":"page","link":"https:\/\/crism.ca\/fr\/oat-guidelines-first-nations\/","title":{"rendered":"Lignes directrices sur le traitement par agonistes opio\u00efdes et la m\u00e9thamph\u00e9tamine en cristaux \u00e0 l\u2019intention des Premi\u00e8res Nations"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8002\" class=\"elementor elementor-8002\" wpc-filter-elementor-widget=\"1\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4676fe7d elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"4676fe7d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31449dac\" data-id=\"31449dac\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-324d42d6 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"324d42d6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-26d4b443\" data-id=\"26d4b443\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48023a4c elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"48023a4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Implementation<br>Science Progam<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ddd64cf elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"4ddd64cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prairies Node<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-13b2ff5e\" data-id=\"13b2ff5e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19cd093 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"19cd093\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OAT and Crystal Meth Guidelines for First Nations<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-651d8e2e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"651d8e2e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-34ef5f9 elementor-invisible\" data-id=\"34ef5f9\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-aa3835e elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"aa3835e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4dba259b\" data-id=\"4dba259b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-409301cc elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"409301cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f4c6989 elementor-widget elementor-widget-heading\" data-id=\"7f4c6989\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Principal Investigators<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a2c888b elementor-cta--skin-cover elementor-cta--valign-middle elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"5a2c888b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/crism.ca\/wp-content\/uploads\/2026\/09\/team_member_portrait_hopkins_carol_320w.jpg);\" role=\"img\" aria-label=\"team_member_portrait_hopkins_carol_320w\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item elementor-animated-item--grow\">\n\t\t\t\t\t\tCarol Hopkins\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item elementor-animated-item--grow\">\n\t\t\t\t\t<a class=\"elementor-cta__button elementor-button elementor-size-\" href=\"https:\/\/thunderbirdpf.org\/bio-carol-hopkins\/\" target=\"_blank\">\n\t\t\t\t\t\tabout\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-676d0dc elementor-cta--skin-cover elementor-cta--valign-middle elementor-animated-content elementor-bg-transform elementor-bg-transform-zoom-in elementor-widget elementor-widget-call-to-action\" data-id=\"676d0dc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url(https:\/\/crism.ca\/wp-content\/uploads\/2026\/09\/ChrisMushquashPhotoIndspire.webp);\" role=\"img\" aria-label=\"Chris+Mushquash+Photo+(Indspire)\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h2 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item elementor-animated-item--grow\">\n\t\t\t\t\t\tChris Mushquash\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__button-wrapper elementor-cta__content-item elementor-content-item elementor-animated-item--grow\">\n\t\t\t\t\t<a class=\"elementor-cta__button elementor-button elementor-size-\" href=\"https:\/\/www.lakeheadu.ca\/55\/profiles\/list\/node\/65633\" target=\"_blank\">\n\t\t\t\t\t\tabout\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-49f64b97\" data-id=\"49f64b97\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-625bd98c elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"625bd98c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bd303c0 elementor-widget elementor-widget-heading\" data-id=\"2bd303c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Leadership Group<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d40096f elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"5d40096f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><strong>Amy Bombay<\/strong> (Dalhousie University, NS);<\/li><li><strong>Colleen Dell<\/strong> (University of Saskatchewan, SK);<\/li><li><strong>Julie Bull<\/strong> (CAMH, ON);<\/li><li><strong>Renee Linklater<\/strong> (CAMH, ON);<\/li><li><strong>Lindsey Farrell<\/strong> (UBC, BC),<\/li><li><strong>Fatima Bukair<\/strong> (Thunderbird Partnership Foundation);<\/li><li><strong>Amanda Perri<\/strong> (Thunderbird Partnership Foundation)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d2eeab7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"3d2eeab7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bdbeca6 elementor-invisible\" data-id=\"bdbeca6\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7168f1b0 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7168f1b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50580035 elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"50580035\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Research Question<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-53414f4c elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"53414f4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"text-block-18\" class=\"mk-text-block jupiter-donut- \"><p>What are the OAT practices (protocols\/standards\/strategies), including the use of medical cannabis, for First Nations clients in community-based and residential treatment centres?<\/p><div class=\"clearboth\">\u00a0<\/div><\/div><div id=\"list-19\" class=\"mk-list-styles mk-align-none jupiter-donut- jupiter-donut-clear\" data-charcode=\"mk-icon-check\" data-family=\"\"><p><strong>Additional Questions<\/strong><\/p><ul><li>Who is the workforce and what resources are required to support them?<\/li><li>Who are the partners who support OAT \u2013 including addictions specialists and Elders \/ cultural practitioners, and how do they practice OAT in a First Nations environment?<\/li><li>What are the knowledge and skills needed to support OAT in a First Nations environment?<\/li><li>What are the additional cultural and psychological supports needed to address intergenerational trauma, and at what point in treatment is this most effective?<\/li><li>What are the cultural protocols for supporting OAT?<\/li><li>What are the indicators used to measure outcomes of OAT?<\/li><\/ul><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-14b57732\" data-id=\"14b57732\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6edec20d elementor-invisible elementor-widget elementor-widget-image\" data-id=\"6edec20d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:1,&quot;sizes&quot;:[]},&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1709\" height=\"2560\" src=\"https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-scaled.webp\" class=\"attachment-full size-full wp-image-14480\" alt=\"\" srcset=\"https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-scaled.webp 1709w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-200x300.webp 200w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-768x1150.webp 768w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-1025x1536.webp 1025w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled-1367x2048.webp 1367w\" sizes=\"(max-width: 1709px) 100vw, 1709px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cc693b3 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"cc693b3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d3a5060 elementor-invisible\" data-id=\"6d3a5060\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7d47a625 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7d47a625\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79d78b49 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-heading\" data-id=\"79d78b49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Context<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10881354 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"10881354\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Opioid misuse has become a public health concern in Canada and has emerged as a critical issue for Indigenous peoples. For Indigenous peoples, opioid misuse and other wellness challenges are a direct result of the lasting impacts of the attempted destruction of cultures, language, connection to land, and family (colonization); and, the trauma that has been facilitated through institutions of colonization such as the Indian Act, reserve system, Indian Agents, Residential Schools, and Child Welfare, that are passed down from grandparents to parents and to youth (intergenerational trauma). These factors combined with health and wellness access and availability barriers have the potential to put First Nation peoples at a greater risk than the general Canadian population for opioid misuse.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4f4f3a88 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no\" data-id=\"4f4f3a88\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-644edb0a elementor-invisible\" data-id=\"644edb0a\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44285748 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"44285748\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f2712eb elementor-widget-tablet__width-inherit elementor-widget elementor-widget-heading\" data-id=\"f2712eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Project Components<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51e8ac05 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"51e8ac05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Two project steps are underway to inform the development of guidelines for the treatment of opioid and crystal methamphetamine use disorders in Indigenous treatment centres. Both of these project components are complete, and the guidelines are under final review.<\/p><p><strong>Literature Review<\/strong><\/p><p>A review of existing literature to inform guideline development.<\/p><p><strong>Environmental Scan<\/strong><\/p><p>TPF travelled to several First Nations-governed, community-based services and 10 NNADAP\/NYSAP residential treatment centres to understand how these programs can assist First Nations clients who use opioids. These conversations were guided by the questions above and focused on the collaboration between conventional OAT and First Nations culture-based practices<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>ImplementationScience Progam Prairies Node OAT and Crystal Meth Guidelines for First Nations Principal Investigators Carol Hopkins about Chris Mushquash about Leadership Group Amy Bombay (Dalhousie University, NS); Colleen Dell (University of Saskatchewan, SK); Julie Bull (CAMH, ON); Renee Linklater (CAMH, ON); Lindsey Farrell (UBC, BC), Fatima Bukair (Thunderbird Partnership Foundation); Amanda Perri (Thunderbird Partnership Foundation) Research Question What are the OAT practices (protocols\/standards\/strategies), including the use of medical cannabis, for First Nations clients in community-based and residential treatment centres? \u00a0 Additional Questions Who is the workforce and what resources are required to support them? Who are the partners who support OAT \u2013 including addictions specialists and Elders \/ cultural practitioners, and how do they practice OAT in a First Nations environment? What are the knowledge and skills needed to support OAT in a First Nations environment? What are the additional cultural and psychological supports needed to address intergenerational trauma, and at what point in treatment is this most effective? What are the cultural protocols for supporting OAT? What are the indicators used to measure outcomes of OAT? Context Opioid misuse has become a public health concern in Canada and has emerged as a critical issue for Indigenous peoples. For Indigenous peoples, opioid misuse and other wellness challenges are a direct result of the lasting impacts of the attempted destruction of cultures, language, connection to land, and family (colonization); and, the trauma that has been facilitated through institutions of colonization such as the Indian Act, reserve system, Indian Agents, Residential Schools, and Child Welfare, that are passed down from grandparents to parents and to youth (intergenerational trauma). These factors combined with health and wellness access and availability barriers have the potential to put First Nation peoples at a greater risk than the general Canadian population for opioid misuse. Project Components Two project steps are underway to inform the development of guidelines for the treatment of opioid and crystal methamphetamine use disorders in Indigenous treatment centres. Both of these project components are complete, and the guidelines are under final review. Literature Review A review of existing literature to inform guideline development. Environmental Scan TPF travelled to several First Nations-governed, community-based services and 10 NNADAP\/NYSAP residential treatment centres to understand how these programs can assist First Nations clients who use opioids. These conversations were guided by the questions above and focused on the collaboration between conventional OAT and First Nations culture-based practices<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"folder":[],"wf_page_folders":[370],"class_list":["post-8002","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>OAT And Crystal Meth Guidelines for First Nations - CRISM<\/title>\n<meta name=\"description\" content=\"CRISM OAT guidelines for First Nations treatment centres, supporting culturally informed opioid agonist therapy protocols, standards, and best practices.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crism.ca\/fr\/oat-guidelines-first-nations\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"OAT And Crystal Meth Guidelines for First Nations - 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