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Health
Recommendation 7:
The review would also address the oversight issues not covered by the assisted living registry (e.g., tenancy and quality-of-care issues), the need for provincial regulations or protocols for information sharing, and the need for assessment processes to determine if assisted living is the appropriate level of care for a resident.
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Recommendation 21:
The Province, through responsible ministries, should provide dedicated funding to establish scholarships and mentorship programs to attract more People of African Descent to BC’s healthcare industry as well as studies in health-related fields. It is crucial that admission barriers for Black students are replaced with a reflexive system of admissions and support that accounts for the structural challenges faced by Black and People of African Descent in BC.
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Recommendation 5:
The PHWA illustrates that Western systems must be supportive and culturally safe in order to advance the health of First Nations. To do so, there is a need for unified, coordinated actions across diverse systems and organizations to remove systemic barriers to wellness. In particular, these collaborations must attend to First Nations connection to land, which is a foundation of wellness. We challenge health, social, and environmental sectors to work together in new and innovative ways.
Achieveing the targets set out within the PHWA requires both intra-organizational alignments and inter-organizational collaboration and partnership. First Nations organizations and collectives must continue to pursue alignment and support one another in collective efforts to nourish roots of wellness. BC’s Provincial Government must create internal mechanisms to collaborate effectively between ministries and make efforts to include ministries that influence First Nations’ connection to land.
Achieveing the targets set out within the PHWA requires both intra-organizational alignments and inter-organizational collaboration and partnership. First Nations organizations and collectives must continue to pursue alignment and support one another in collective efforts to nourish roots of wellness. BC’s Provincial Government must create internal mechanisms to collaborate effectively between ministries and make efforts to include ministries that influence First Nations’ connection to land.
- Federal and provincial governments must partner with First Nations organizations and collectives to collaborate efficiently across sectors with the goal of achieving the targets outlined in the PHWA.
- First Nations organizations and collectives and governmental bodies implicated in the following areas are key stakeholders in this intersectoral work: health, education, housing, justice, social development, poverty reduction, natural resources/climate change, economic development, and child welfare.
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Recommendation 3:
The Ministry of Social Development and Poverty Reduction should ensure that its commitment to develop and pass comprehensive accessibility legislation will go beyond physical notions of accessibility and ensure that people with invisible disabilities, in particular people with mental health or substance use-related disabilities, can fully participate in their communities.
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Recommendation 77:
The Ministry of Municipal Affairs should provide candidates of African Descent with the necessary resources, including dedicated mental health and counseling support, to allow them to navigate structural challenges and inequities they historically face during and post electoral campaigns.
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Recommendation 6:
The Ministry of Mental Health and Addictions, in partnership with the Ministry of Health and MCFD, should develop and implement a plan for mental health and substance use services for youth in care who are transitioning to adulthood. The plan should be developed in consultation with appropriate First Nations, Métis, Inuit and Urban Indigenous representatives as well as young people with lived experience.
This plan should be integrated into A Pathway to Hope. It should specifically address the needs of the population of young people leaving care and the specialized services they need due to the inequities, adversities and trauma they have experienced in their lives before and while in care. The plan and all services should be trauma-informed and give particular attention and priority to First Nations, Métis, Inuit and Urban Indigenous young people transitioning to adulthood.
The plan is to be developed by April 1, 2022, with full implementation being completed within the ensuing two years.
This plan should be integrated into A Pathway to Hope. It should specifically address the needs of the population of young people leaving care and the specialized services they need due to the inequities, adversities and trauma they have experienced in their lives before and while in care. The plan and all services should be trauma-informed and give particular attention and priority to First Nations, Métis, Inuit and Urban Indigenous young people transitioning to adulthood.
The plan is to be developed by April 1, 2022, with full implementation being completed within the ensuing two years.
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Recommendation 2:
The Ministry of Mental Health and Addictions and the Ministry of Health must improve the ability of BC hospitals to meet the needs of people living with the effects of substance use, mental illness, and/or homelessness by:
- auditing experiences in hospitals, beginning with an analysis of people’s experiences where they have been turned away from emergency rooms or discharged and where there have been negative health consequences;
- working with people with lived experience to audit provincial standards for effectively managing substance withdrawal in hospital settings;
- ensuring that all hospitals offer supervised consumption services to patients; and
- working with the Ministry of Municipal Affairs and Housing to create transitional housing options to ensuring that sick and injured people are not released from the hospital to the streets or to emergency shelter.
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Recommendation 24:
The Ministry of Mental Health and Addictions and the Ministry of Health must improve the ability of BC hospitals to meet the needs of people living with the effects of substance use, mental illness, and/or homelessness by:
- auditing experiences in hospitals, beginning with an analysis of people’s experiences where they have been turned away from emergency rooms or discharged and where there have been negative health consequences;
- working with people with lived experience to audit provincial standards for effectively managing substance withdrawal in hospital settings;
- ensuring that all hospitals offer supervised consumption services to patients; and
- working with the Ministry of Municipal Affairs and Housing to create transitional housing options to ensuring that sick and injured people are not released from the hospital to the streets or to emergency shelter.
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Recommendation 6:
That the Ministry of Health incrementally reduce wait times for complex developmental behavioural conditions (CDBC) diagnostic clinics, and also secure additional resources to provide for periodic follow-up assessments, at key development stages from infancy through to adolescence. The Ministry of Health to reduce wait times to nine months by March 31, 2022; to six months by March 31, 2023; to three months by March 31, 2024; and thereafter increase capacity to provide for follow-up assessments.
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Recommendation 18:
The Ministry of Health should work with regional health services, and professional the College of Physicians and Surgeons of BC, and The BC Nurses association to make reflective anti-Black racism and inter-cultural sensitivity training compulsory for all health professionals and students in health-related programmes.
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