In 2019, the Downtown Eastside Women’s Centre published the report entitled “RED WOMEN RISING: Indigenous Women Survivors in Vancouver’s Downtown Eastside” and written by Carol Muree Martin (Nisga’a – Gitanyow) and Harsha Walia. This report is the first comprehensive project with Indigenous women survivors in the DTES figuring at the very centre of community research, rather than as a secondary statistic.
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Health, wellness and services
Recommendations for Indigenous women’s wellness in the DTES
Culturally safe healthcare
Recommendation 193: More Indigenous patient navigators and Indigenous medicine people in hospitals to bridge between Indigenous patients and the Western medical system.-
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Recommendations for Indigenous women’s wellness in the DTES
Culturally safe healthcare
Recommendation 194: More Indigenous healing spaces and sacred spaces in hospitals and hospices.-
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Recommendations for Indigenous women’s wellness in the DTES
Culturally safe healthcare
Recommendation 195: Social workers in hospitals need to ensure wrap-around support, including financial, housing, and social support, before discharging Indigenous women from hospitals.-
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Recommendations for Indigenous women’s wellness in the DTES
Culturally safe healthcare
Recommendation 196: Hospitals including security guards need to be welcoming and supportive—not judgmental and criminalizing—in their interactions with Indigenous patients.-
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Recommendations for Indigenous women’s wellness in the DTES
Culturally safe healthcare
Recommendation 197: Security guards and all emergency room healthcare providers and staff must receive mandatory training in cultural sensitivity, mental health, and de-escalation.-
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Recommendations for Indigenous women’s wellness in the DTES
Expanded health services
Recommendation 202: Ensure timely, culturally safe, and evidence-based mental health and addiction services in the DTES, ranging from prevention, early intervention, treatment, crisis care, home visits, and aftercare.-
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Recommendations for Indigenous women’s wellness in the DTES
Expanded health services
Recommendation 203: Guarantee a 24/7 mental health and addictions counselling program that is low-barrier, drop-in based, available on demand, and includes overnight street-based counselling in the DTES.-
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Recommendations for Indigenous women’s wellness in the DTES
Expanded health services
Recommendation 204: Declare the opioid crisis a national public health emergency that disproportionately impacts Indigenous women, and expand funding for immediate health-based solutions for the opioid crisis that focus on the specific needs of Indigenous women. This includes:- Full spectrum of recovery supports including immediate access to Indigenous women’s detox-on-demand and treatment centres.
- Indigenous-run treatment centres that use culture as treatment with Indigenous healing methods and land-based practices.
- More indoor overdose prevention sites and consumption sites, including culturally safe sites for Indigenous women only.
- Decriminalization and access to safer drug supply.
- Opioid-assisted therapy programs and full spectrum of substitution treatment options.
- Longer-term funding for range of culturally safe treatment programs.
- Provincial regulation and oversight over all recovery programs and facilities.
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