National Native Alcohol And Drug Abuse Program (NNADAP) - General Review 1998 - Final Report

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Table of Contents

1. Introduction
   
   
2. Background Information
   
   
   • NNADAP Review General
   • NNADAP Design Elements
   • The Original Contextual Environment
     
     
3. Results of the NNADAP Review
   
   
   • NNADAP Funding
     • Treatment
     • Prevention, Maintenance and Training
     • Research and Development
     • Management and Support
       
       
   • Stakeholder Expectations
     • Perceptions on the level of addictions problems
     • Alcohol
     • Illegal Drugs
     • Bingo
     • Prescription Drug Abuse
     • Gambling
     • Solvent Abuse
     • Incidence and Prevalence Tracking
     • Expectations for the NNADAP
     • Importance of the program to the community
     • Expectation for program emphasis in prevention areas
     • Areas of treatment emphasis in communities
     • Coordination with other agencies
     • Treatment Centre Networking
     • Effectiveness of networking activities
     • Context of Health and Social Programs
     • Interest in joint training
     • Support to communities
     • Work in other related healing areas
     • Effectiveness of community-based NNADAP Workers
     • Use of land and traditional culture
       
       
   • Related Concerns
     • Privacy and Confidentiality
     • Impacts of Transfer
     • Federal - Provincial Relations
       
       
   • Specific Treatment Center Findings
     • General
     • Treatment Center Capacity and Funding
     • Outpatient Capacity
     • Primary Client Groups
     • Financial
     • Addiction Models
     • Client Catchment Areas
     • Cultural Programs
     • Client Discharges
     • Treatment Activity Reporting System (TARS)
     • General Treatment
       
       
   • Training
     • Developing A Resource Pool of Trained Workers
     • Treatment Centers as training centres
     • General NNADAP Training
     • Related Training Needs
       
       
   • Systems Approach for NNADAP
     
     
   • Integration Opportunities
     • Integration of addiction efforts within Health Canada
     • Integration of Community Based Healing Planning
     • Achieving a balance between mental health and addictions workers
     • Good team requires a good two-way flow of information
     • Suggested Approach for Integration of Community-Based Programs
     • Integrated Health Services Delivery Systems -- Community Level
     • Integration of Treatment Centers into healing approach
     • The tertiary nature of Treatment
     • Impact of Changes to Non-Insured Health Benefits
     • Suggested Approach for Integration of Treatment Centers
       
       
   • Research and Development
     
   • Information Systems
     
   • Program Evaluation
     
     
4. Discussion Of General Trends
   
   
   • North-South Issues
     
   • Focus on Treatment
     
   • Impact of other health and social cutbacks
     • Federal
     • Provincial
     • Federal and Provincial
       
       
   • Summary and opportunities for advancing issues
   • Evolution of Aboriginal Self Government
     
     
5. Summary
   
   
6. Recommendations