All Paths
Lead To
Wellness
Supporting people who use substances.
This model by the First Nations Health Authority (FNHA) holds up areas of strength, areas for growth, and specific priorities to support a person while also using a community-centered approach to healing.
Range of Use
No use / Ceremonial / Medicinal / Recreational Use / Misuse - Addiction
Harm
Reduction
Meeting people where they are at.
- Safe supply of drugs
- Compassion clubs
- Opioid agonist treatment (OAT), injectable OAT / Tablet injectable
- Overdose Prevention Sites (OPS) / Mobile OPS
- Harm reduction supplies
- Lifeguard app; Be Safe app
- Family safety plans
- Managed alcohol programs
- Inclusion in ceremony, cultural events, connection to land and culture
- Peer witnessing programs
- Ensuring basic needs i.e., food, shelter, access to healthcare
Range of Use
No use / Ceremonial / Medicinal / Recreational Use / Misuse - Addiction
Stabilization
Accepting who and where we are.
- No-barrier and low-barrier programs
- Safe spaces with no programs / safe spaces with programming
- Low-barrier housing and shelter
- Paid for beds for stabilization through health authority
- Aunties, uncles, families, friends, community and peers
- Counselling
- Land-based healing, inclusion in ceremony, cultural events, connection to land and culture
Family Journey
Healing / Grief / Education / Support / Long-Term Care
Programs
Learn about new skills, tips and tools while connecting and growing.
- On-the-land programming
- Teachings / cultural activities and programming
- Virtual programs
- In-community programs
- Health authority services
- Not-for-profit organizations
- Community addiction workers
- Support groups
- Outreach programs
- Peer programs
- Family focused programming
Family Journey
Healing / Grief / Education / Support / Long-Term Care
Recovery
Supports &
Aftercare
Ongoing supports and programs to hold people up.
- Alcoholics Anonymous
- Narcotics Anonymous
- Wellbriety
- SMART Recovery
- Inclusive ceremony
- Trauma programs
- Peer programs
- Community activities / community based programming / Elders / teachings
- Employment / education
Social determinants of health
Housing / Food security / Mental Health / Community / Culture / Employment
Treatment
Support for reducing or stopping use of all of some substances, and managing the harms of stopping.
- Treatment and healing centres
- Provincial and regional health treatment centres
- Private centres
- Land-based treatment
- In-community treatment programs
- Mobile treatment programs
- Out-patient programs
- Counselling
- Peer assisted programs
- Ketamine/psilocybin assisted therapies
- Compassion clubs
Social determinants of health
Housing / Food security / Mental Health / Community / Culture / Employment
Detox &
withdrawal
management
Intensive or focused healing options.
- Withdrawal from one drug or withdrawal from all drugs
- Mobile programs / in-home programs
- Medical detox programs
- Land-based programing
- Traditional medicines
- Alone / cold turkey
- Managed decrease of use / tapered use of medications
- Managed alcohol programs