{"id":8002,"date":"2019-01-28T14:12:44","date_gmt":"2019-01-28T21:12:44","guid":{"rendered":"https:\/\/crism.ca\/?page_id=8002"},"modified":"2026-07-06T09:55:08","modified_gmt":"2026-07-06T15:55:08","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":"<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-2432ca48 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=\"2432ca48\" 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-100 elementor-top-column elementor-element elementor-element-3516feda\" data-id=\"3516feda\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&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-264bb2db 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=\"264bb2db\" 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-inner-column elementor-element elementor-element-57e683b2\" data-id=\"57e683b2\" 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-99066ab elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget elementor-widget-heading\" data-id=\"99066ab\" 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\">Opioid-Agonist Therapy (OAT) And Crystal Meth Guidelines For Community-Based And Residential Treatment Centres Who Serve First Nations Clients<\/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-74d6e671 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=\"74d6e671\" 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-66 elementor-top-column elementor-element elementor-element-3b948f68\" data-id=\"3b948f68\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4caadd67 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=\"4caadd67\" 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-e555b97\" data-id=\"e555b97\" 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-794af338 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"794af338\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Chercheur principal<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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-inner-column elementor-element elementor-element-241f61bd\" data-id=\"241f61bd\" 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-138d424b elementor-widget elementor-widget-text-editor\" data-id=\"138d424b\" 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><p>Carol Hopkins (Thunderbird Partnership Foundation, ON<br \/>Chris Mushquash (Lakehead University, ON)<\/p><\/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<div class=\"elementor-element elementor-element-109a9921 elementor-widget elementor-widget-spacer\" data-id=\"109a9921\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-510cb64c 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=\"510cb64c\" 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-e49aff5\" data-id=\"e49aff5\" 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-48ea8861 elementor-align-right elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"48ea8861\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Groupe de leadership<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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-inner-column elementor-element elementor-element-75741d0a\" data-id=\"75741d0a\" 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-7d0ae302 elementor-widget elementor-widget-text-editor\" data-id=\"7d0ae302\" 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 class=\"wpb_row vc_row vc_row-fluid jupiter-donut- mk-fullwidth-false  attched-false     js-master-row  mk-grid\" data-mk-stretch-content=\"true\"><div class=\"vc_col-sm-11 wpb_column column_container  jupiter-donut- _ jupiter-donut-height-full\"><div id=\"text-block-6\" class=\"mk-text-block  jupiter-donut-\"><ul><li>Amy Bombay (Dalhousie University, NS);<\/li><li>Colleen Dell (University of Saskatchewan, SK);<\/li><li>Julie Bull (CAMH, ON);<\/li><li>Renee Linklater (CAMH, ON);<\/li><li>Lindsey Farrell (UBC, BC),<\/li><li>Fatima Bukair (Thunderbird Partnership Foundation);<\/li><li>Amanda Perri (Thunderbird Partnership Foundation)<\/li><\/ul><\/div><\/div><\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-71a8b29a elementor-hidden-tablet elementor-hidden-mobile\" data-id=\"71a8b29a\" 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-8cb11b7 elementor-widget elementor-widget-image\" data-id=\"8cb11b7\" data-element_type=\"widget\" data-e-type=\"widget\" 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.jpg\" class=\"attachment-full size-full wp-image-14478\" alt=\"\" srcset=\"https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-scaled.jpg 1709w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-200x300.jpg 200w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-768x1150.jpg 768w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-1025x1536.jpg 1025w, https:\/\/crism.ca\/wp-content\/uploads\/2025\/08\/beautiful-handmade-dreamcatcher-1367x2048.jpg 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-c6e66a3 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=\"c6e66a3\" 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-100 elementor-top-column elementor-element elementor-element-7de20020\" data-id=\"7de20020\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&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-4512ae67 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=\"4512ae67\" 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-inner-column elementor-element elementor-element-7b1f1ef2\" data-id=\"7b1f1ef2\" 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-550e4bf6 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"550e4bf6\" 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\">Background<\/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<div class=\"elementor-element elementor-element-3907c929 elementor-widget elementor-widget-spacer\" data-id=\"3907c929\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-78e71529 elementor-widget elementor-widget-text-editor\" data-id=\"78e71529\" 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><p>Thunderbird Partnership Foundation is funded by CRISM to develop Opioid Agonist Treatment Guidelines for First Nations governed, community-based and residential treatment-based services. This project is guided by a working group comprised of First Nations Elders, subject matter experts, healthcare providers, etc. Due to community demand, the project has been expanded to include crystal methamphetamine as well as opioids.<\/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-17e0e8c 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=\"17e0e8c\" 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-100 elementor-top-column elementor-element elementor-element-45620e3e\" data-id=\"45620e3e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&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-1fd5a393 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=\"1fd5a393\" 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-inner-column elementor-element elementor-element-2a9fe60\" data-id=\"2a9fe60\" 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-4ea2877c elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"4ea2877c\" 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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-67a6a322 elementor-widget elementor-widget-spacer\" data-id=\"67a6a322\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-8b104cd elementor-widget elementor-widget-text-editor\" data-id=\"8b104cd\" 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-15\" class=\"mk-text-block jupiter-donut-\"><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?<span class=\"Apple-converted-space\">\u00a0<\/span><\/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?<span class=\"Apple-converted-space\">\u00a0<\/span><\/li><\/ul><\/div><\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20e3cae0 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=\"20e3cae0\" 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-100 elementor-top-column elementor-element elementor-element-2ec67ab5\" data-id=\"2ec67ab5\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&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-775301e 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=\"775301e\" 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-inner-column elementor-element elementor-element-72a38cc1\" data-id=\"72a38cc1\" 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-227cc986 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"227cc986\" 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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c54c87d elementor-widget elementor-widget-spacer\" data-id=\"1c54c87d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-89ab251 elementor-widget elementor-widget-text-editor\" data-id=\"89ab251\" 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>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d2ce0b4 elementor-widget elementor-widget-heading\" data-id=\"2d2ce0b4\" 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\">Literature Review\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1648d2f7 elementor-widget elementor-widget-text-editor\" data-id=\"1648d2f7\" 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=\"list-26\" class=\"mk-list-styles  mk-align-none  jupiter-donut- jupiter-donut-clear\" data-charcode=\"mk-icon-check\" data-family=\"\"><p>A review of existing literature to inform guideline development.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-047e463 elementor-widget elementor-widget-spacer\" data-id=\"047e463\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\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-c54dd41 elementor-widget elementor-widget-heading\" data-id=\"c54dd41\" 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\">Analyse de l\u2019environnement\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39b14bd elementor-widget elementor-widget-text-editor\" data-id=\"39b14bd\" 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=\"list-26\" class=\"mk-list-styles mk-align-none jupiter-donut- jupiter-donut-clear\" data-charcode=\"mk-icon-check\" data-family=\"\"><main id=\"jupiterx-main\" class=\"jupiterx-main\"><div class=\"jupiterx-main-content\"><div class=\"container\"><div class=\"row\"><div id=\"jupiterx-primary\" class=\"jupiterx-primary col-lg-12\"><div class=\"jupiterx-content\" role=\"main\"><article id=\"8002\" class=\"jupiterx-post post-8002 page type-page status-publish hentry\"><div class=\"jupiterx-post-body\"><div class=\"jupiterx-post-content clearfix\"><div class=\"wpb-content-wrapper\"><div class=\"wpb_row vc_row vc_row-fluid jupiter-donut- mk-fullwidth-false  attched-false     js-master-row  mk-grid\" data-mk-stretch-content=\"true\"><div class=\"vc_col-sm-11 wpb_column column_container  jupiter-donut- _ jupiter-donut-height-full\"><div id=\"list-27\" class=\"mk-list-styles  mk-align-none  jupiter-donut- jupiter-donut-clear\" data-charcode=\"mk-icon-check\" data-family=\"\"><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><\/div><\/div><\/div><\/div><\/div><\/div><\/article><\/div><\/div><\/div><\/div><\/div><\/main><\/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\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Opioid-Agonist Therapy (OAT) And Crystal Meth Guidelines For Community-Based And Residential Treatment Centres Who Serve First Nations Clients Principal Investigator Carol Hopkins (Thunderbird Partnership Foundation, ONChris Mushquash (Lakehead University, ON) 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) Background 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. Thunderbird Partnership Foundation is funded by CRISM to develop Opioid Agonist Treatment Guidelines for First Nations governed, community-based and residential treatment-based services. This project is guided by a working group comprised of First Nations Elders, subject matter experts, healthcare providers, etc. Due to community demand, the project has been expanded to include crystal methamphetamine as well as opioids. 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?\u00a0 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?\u00a0 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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