Crystal Meth Reference Guide - "Remember Your Spirit"
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Native Courtworker Native Courtworker and Counselling Association of British Columbia and Counselling Dear Reference Guide User, unprotected person. A house that once contained a lab can no longer Association Methamphetamine, also known as “Meth,” “Speed,” “Crank” or “Ice,” be lived in because the gases are absorbed by the house and release is a powerful and highly addictive over a long period of time. of British Columbia stimulant that affects the central nervous system. Meth is a syn- This reference guide will be used thetic drug produced or sold as pills, to inform Aboriginal Courtworkers, capsules or powder that can be many of whom often work alone smoked, snorted, injected, or swal- across the country, of the precau- lowed. tions they should take when inter- acting with a client on Crystal Meth. This drug represents a clear dan- Our thanks goes to the Government ger to our aboriginal communities of Canada and the Department of that we have never seen before. Justice for providing the funds to As a neurotoxin, Meth damages make this reference guide possible. the nervous system. Its use can cause dependence and addiction, The drug’s low cost makes it an psychosis, stroke, dangerously high easily accessible poison to all of body temperature, and cardiac ar- our peoples. Our goal is to prevent rhythmia. Withdrawal often results Crystal Meth from having a chance in severe depression and paranoia. to destroy whole communities. That Long term users become aggres- is why we’ve also provided a list TM sive and violent. of resource organizations in each province and territory. “A Helping Hand To Justice” Crystal Meth is unlike other drugs because its production can put com- Use the guide to help our people. The Native Courtworker and Counselling Association of British munities at high risk of contamina- Columbia provides culturally appropriate services to aboriginal tion, explosion, injury and death, among other things. This reference people and communities consistent with their needs. Our service Darlene Shackelly guide was created as a front line Executive Director, NCCABC is accomplished through access to counselling and referral services weapon for fighting this drug and its to clients with substance abuse and detox support issues; advocacy effects on individuals, families and service for aboriginal family and youth; and to facilitate and enhance whole communities. access to justice by assisting clients involved in the criminal justice The guide can also be used to help system. local organizations and/or Chief and Councils recognize and deal Our dedicated employees are responsive to the needs of the with the presence of Crystal Meth community by providing quality, innovative and educational options use or production in their com- where people are treated with dignity and respect. munities. The toxic gases created during the “cooking” of the chemical cocktail can kill, injure or burn an Phone: 604-985-5355 Fax: 604-985-8933 Email:nccabc@nccabc.net www.nccabc.ca
Table of Contents *This Crystal Meth Reference Guide was funded by the Programs Branch, Department of Justice Canada. The What is Meth...............................................................Page 6 views expressed herein are solely those of the author and How is Meth Made...................................................Page 8 do not necessarily Represent the views of the Department What are the effects of Justice Canada. of Meth on the Body ..........................................Page 10 How common is Meth Use................................Page 12 Aboriginal people and Meth...........................Page 14 *Meth Lab photos courtesy of Drug Awareness section Child Endangerment/ ‘E’Division. Meth and Ecstasy....................................................Page 18 Info Sources:Royal Canadian Mounted Police, PBS, Prevention..................................................................Page 19 Health Canada, Narconon, Crystal Recovery.com How to Spot a Meth User..................................Page 20 How to Spot a Meth Lab....................................Page 22 Disclaimers: None of the commercial products shown in Why is Meth Production Dangerous...........Page 26 photographs are meant to imply that the companies en- Tips for Dealing With dorse the use or production of illegal methamphetamine. Someone on Meth..................................................Page 28 How your Community can Fight Meth.....page 30 Special Thanks, to the R.C.M.P. “E” Divsion for provid- Community Action Plan....................................Page 32 ing real samples of Crystal Meth and MMDA to be photo- graphed. Particular thanks to Cst. Richard De Jong for his assistance. Resource Guide Section Special Thanks to Tina Keepers office for providing the (Pages 34-82) photo for the rear cover. Canada British Columbia Cover Photo Elders:Margaret Harris and Sylvester Green. Alberta All photos, graphics, layout and Saskatchewan design, by Conrad Desjarlais Manitoba for Abostar Publishing. Ontario www.abostar.ca Quebec Research and writing Nova Scotia by Conrad Desjarlais. Prince Edward Island NorthWest Territories Yukon Nunavut
What is Meth? under the skin. Long-term use may result in anxiety, insom- Methamphetamine -- its nia, and addiction. After meth- slang terms include ‘crystal,’ amphetamine use is stopped, What is Meth? ‘jib,’ ‘crank,’ ‘Jenny Crank,’ several withdrawal symptoms ‘ice,’ ‘speed’ and ‘Tina’ -- is a can occur, including depression, powerful, addictive synthetic anxiety, fatigue, paranoia, ag- stimulant that causes the brain gression, and an intense craving to release a surge of dopa- for the drug. Psychotic symp- mine, creating a high that lasts toms can sometimes persist for from six to 24 hours. It can be months or years after use has smoked, snorted, orally in- ceased. gested, and injected. It is avail- able in many different forms and may be identified by colour, which can range from white to Chronic abuse can lead yellow to darker colours such as red and brown. Methamphet- to psychotic behaviour amine comes in a powder form including intense para- that looks like granulated crys- noia, visual and audi- tals and in a rock form known as “ice,” which is the smokeable tory hallucinations, version of methamphetamine. Side effects of using meth include convulsions, danger- ously high body temperature, stroke, cardiac arrhythmia, stomach cramps, and shak- ing. Chronic abuse can lead to psychotic behaviour including intense paranoia, visual and auditory hallucinations, and out- of-control rages. Chronic users develop sores on their bodies from scratching at “crank bugs” which describes the common delusion that bugs are crawling 6 7
How is Meth Made? Making methamphetamine is a multi-step cook process. The How is Meth made? key ingredient is ephedrine or its cousin, pseudoephedrine. Both are chemicals found in over-the-counter cold, cough and allergy medicines. Ad- ditional chemicals are used to isolate the ephedrine or pseu- doephedrine, cook it into meth, and process it into a form for consumption. These chemicals can be cheap, everyday house- hold items like ammonia, lye, and red phosphorus scraped from matchbook covers. Start to finish, the cook process takes about 48 hours and can be haz- ardous because at one or more stages, the solution needs to be heated, producing toxic fumes and the chance of explosion. Examples of toxic chemicals may include: • acetone • lithium batteries • iodine • rubbing alcohol • drain cleaners containing sulfuric acid or muriatic acid • ether (engine starter) • paint thinner • kerosene (These products are only a small portion of 8 the dangerous chemicals that go in to making meth.)
What are the effects of poor judgment and dangerous, hyperactive behavior. For Meth on the body? instance, many addicts have What are the effects of committed petty and violent Methamphetamine causes the crime when high on the drug, body to release large amounts of and even for casual users the Meth on the body? dopamine, a neurotransmitter, drug can increase the libido and resulting in a prolonged sense lead them to engage in risky, of pleasure or euphoria for the unprotected sex. Long-time us- user; however, over time, this ers have been known to develop causes severe side effects. With symptoms of psychosis, includ- repeated use, meth depletes the ing paranoia. brain’s stores of dopamine and actually destroys the wiring of Source:pbs.org the dopamine receptors. This is a major reason why users become so addicted to the drug; This is a major reason without it they are no longer why users become so able to experience pleasure (a addicted to the drug; condition known as anhedonia), and they usually slip into a deep without it they are no depression. Although dopamine longer able to experience receptors can grow back over pleasure (a condition time, studies have suggested known as anhedonia), that chronic meth use can cause other permanent brain damage, such as declines in reasoning, judgment and motor skills. In addition, meth is a powerful stimulant that causes the heart to race and the blood vessels to constrict, which can lead to a number of serious medi- cal problems, including heart attack, stroke and even death. During these energy-fueled meth “runs,” which can last (Pipe used to smoke crystal meth) days, users generally exhibit 10 11
How common is Meth Information, such as hospital use? admissions, shows that the num- General population surveys ber of people seeking treatment on alcohol and other drug use for Meth problems is growing. are often done by telephone How common is Police have also uncovered interviews. You may have even more clandestine laboratories participated in surveys done producing Meth. They have through questionnaires at your Meth use? also seized greater quantities of school. These studies show a Meth. All these factors point to low rate of Meth use in the gen- increasing Meth use, particular- eral population. ly in British Columbia, Alberta, For example, a major recent Ontario and Quebec. survey, the Canadian Addictions *Source Health Canada Survey 2004 (CAS), asked peo- ple about their use of “speed”, standard surveys and an informal term that covers all amphetamines, including Meth. interviews in the general The CAS showed that 0.8% of population likely miss Canadians reported using speed hard-to-reach people at least once in the previous 12 such as street youth. months. That doesn’t seem like a big FINALLY BE IT RE- percentage so why the big deal? SOLVED that the National Firstly, 0.8% of Canadians 15 Chief call for a strong em- year and older equals about phasis on the crystal meth two hundred thousand people epidemic among First Nations so, while that number is much youth and the need for support smaller than some other sub- to address this issue and other stances, it’s still significant. emerging addictions, during Also, standard surveys and the September 2006 Interna- interviews in the general popu- tional Conference on Harm lation likely miss hard-to-reach Reduction from Substance people such as street youth. Abuse in Vancouver. Information from other sources Excerpt of the Assembly of suggests that Meth use is much First Nations Motion on Meth higher among this group. 12 13
Urban Aboriginal Aboriginal People Meth was first known in Canada as a Downtown Eastside Vancou- ver problem. It has quickly spread to other Urban centres such as: Kamloops, Prince George, Grande Prairie, Edmonton, Calgary, and Meth Prince Albert, Regina, Saskatoon, and Winnipeg. Ontario, Que- bec, and now the Maritimes also face serious issues with Meth. The increase of Aboriginal meth users from west to east has seen a gradual and steady increase. The connection between Urban Aboriginal and on-reserve meth use is tremendous. Due to the por- tability of “Meth labs” the drug is as likely to occur in an Urban setting as well as a rural or on reserve setting. On and Off Reserve It was reported in a Toronto Sun column from August 20, 2006, by Christina Blizzard that” Crystal meth is manufactured in homes on the reserves and is rapidly becoming a headache for community workers”. In 2005 at an Aboriginal Health conference it was also reported that *“Crystal Meth wreaks havoc on reserve”. Crystal meth use in the Fort Macleod area has become higher, per capita, than in Har- lem, a Mount Sinai neurologist told a Blood Tribe conference. “I moved back to Alberta to raise quarter horses, thinking I was leaving the meth problem back in Harlem and the Bronx,” Dr. Wil- liam Tatton told the crowd of about 200. “I was wrong. This drug, unchecked, will destroy a generation of young people, and people had better wake up to it.” *Source: Métis Centre-National Aboriginal Health Organization (NAHO) 14 15
Aboriginal amphetamine, highlights youth and aboriginal people as the two Aboriginal recommendations from Communities: groups that are at particular risk. the Premier’s Task Force on Crystal A Quick Snapshot Manitoba has their our own Meth in Alberta: Meth Strategy, it includes; British Columbia has been very measures to restrict the sup- • The Government of Alberta should work with the Government of active in supporting Aboriginal ply and production of the drug, Canada to ensure that Aboriginal children, youth and young people communities in the fight to stop have access to any prevention, treatment, and healing programs it pro- promote collaboration between vides for crystal Meth addiction. Meth. The Union of B.C. Mu- policing and other agencies, nicipalities has funded various develop public awareness of the • The Government of Alberta should direct its departments that work Aboriginal workshops and pre- dangers of meth, and deal with with Aboriginal communities to build and implement drug prevention vention programs. While hav- the consequences of meth use and education strategies for Aboriginal youth and young adults. ing done a fair job in engaging with additional resources for Aboriginal youth participation the treatment of meth and other • The Government of Alberta should support Aboriginal community and the Aboriginal community addictions. mobilization initiatives that build strong relationships, promote safe as a whole. and healthy families, and focus on helping children, youth and young Ontario formed The Crystal people develop their full potential through a Meth-free future. Alberta has the most compre- Meth Working Group to develop hensive action plan and rec- • The Government of Alberta should work with the Government of a provincial response to deter- Canada to support Aboriginal communities that are committed to a ommendations than any other mine the scope of the problem Meth free future by ensuring that they have access to existing Govern- province in Canada. Although in Ontario, look at what is done ment of Alberta programs and services, including treatment, healing other western provinces have in other jurisdictions to fight and after care programs and services, family and youth supports, and dedicated resources and are still meth and what the provincial drug and crime prevention initiatives. dedicating serious resources to government could do to assist the Crystal Meth epidemic, Al- communities, health care pro- • The Government of Canada should rescind its policy of requiring Ab- berta’s taskforce on Meth is the fessionals, educators and police original people to return to their home reserve for treatment services. most recent and fleshed out plan services in dealing with the use This would allow Aboriginal people to choose treatment where they for Aboriginal people. These and production of the drug. want it while still receiving federal government financial support. recommendations are universal in nature and could be adopted • The Government of Alberta, through AADAC, should establish after See the reference section care facilities for Aboriginal youth and young people who are mov- by British Columbia and the of the guidebook for more ing back to their community after treatment so they can receive the rest of Canada. The full recom- detailed information on appropriate life skills training and support in an environment that is mendations are highlighted on Canada and a province by connected to their Aboriginal community and culture. the next page. province breakdown on resource contact information. Source: Premier’s Task Force on Crystal Meth Saskatchewan government’s recent strategy report on meth- 16 17
Child Endangerment Prevention Child Children are growing and developing physically and mentally. Endangerment Children in homes where people are cooking Meth will likely have It is important to direct attention to resources that prevent Ab- longlasting or permanent damage to their bodies and brains. In original youth and young Aboriginal adults from using metham- some meth labs, children’s food and beds were found right beside phetamine. By ensuring they never start and by intervening early, Children are growing and minimizing the harm resulting from meth use. the chemicals and equipment used to make Meth. developing physically and mentally. Children in Here are examples of two interesting prevention strategies using The recently released Premier’s Task Force on Crystal Meth Report homeswhere people are video. calls on the federal government to toughen its approach to Meth, cooking Meth will likely such as making “child drug endangerment” a Criminal Code of- have longlasting or perma- • DEATH BY JIB speaks directly to the hearts and minds of fence. nent damage to their bod- viewers to convey a powerful and emotional message warning ies and brains. In some teenagers and young adults about the harsh realities of Crys- Crystal Meth and Ecstasy? meth labs, tal Meth. This graphic video pulls no punches as teen addicts children’s food and beds describe the horror of addiction to Jib. The important mes- were found right beside sage regarding sexual exploitation of youth on Crystal Meth the chemicals The RCMP andofequip- say that some the drugs seized at parties or dances is handled in a straightforward and honest manner. To buy a ment used to make Meth. that were sold as ecstasy were, in fact, crystal meth. As well, the copy, call 1-800-263-6910, or e-mail: info@kineticvideo.com police say that some dealers give out “free samples” at parties or in the dance scene, in hopes of hooking new customers. • First Nations youth will benefit from a new partnership project • Ecstasy pills often contain or consist solely of crystal meth. between the RCMP and Cape Breton University. The RCMP, (RCMP [Vancouver] Drug Awareness Service). through their Crime Prevention Funds, is providing $5,000 towards a crystal meth prevention video tentatively entitled, • 58% of ecstasy-like pills contain Methamphetamine (RCMP “Healing Through Expression Video on Crystal Meth”. The [Vancouver] Drug Awareness Service). project, led by CBU’s Integrative Science team, is expected to be shown to First Nations youth around the Island this fall by RCMP. The video on crystal meth, made by and starring Mi’kmaq First Nations young people can have a positive effect by telling the story, presenting the facts, and highlighting the extreme life threatening consequences of crystal meth usage in an engaging and meaningful way. Through its message, some young people may be deterred from trying the drug and being Ecstasy/MMDA tablets laced with Meth seriously harmed or killed. 18 19
How to Spot a Meth User? There are several ways of identifying a meth user. Listed below is How to Spot a Meth User? a generalized list of symptoms of a meth user, keep in mind that just because a person is experiencing the symptoms listed below does not automatically mean that they are using meth. Users may experience: agitation, excited speech, decreased appe- tites, and increased physical activity levels (Other common symp- toms include dilated pupils, nausea and vomiting, diarrhea, and elevated body temperature). Occasional episodes of sudden and violent behaviour, intense paranoia, visual and auditory hallucina- tions, and bouts of insomnia. A tendency to compulsively clean and groom and repetitively sort and disassemble objects such as cars and other mechanical devices. Other symptoms may include: • increased heart rate, blood pressure, and respiration • flushed or tense appearance • dilated pupils • bloodshot eyes • a chemical odour on their breath • excessive sweating • rapid speech • inability to sleep or eat • severe weight loss • rotting teeth • scars and open sores • paranoia • hallucinations (often times auditory) • repetitive behaviour • memory loss • depression • psychosis • teeth grinding • restlessness • tremors source: Narconon 20 21
How to Spot a Meth Lab ? There are numerous signs that could suggest that a house is be- ing used to manufacture methamphetamine. If a residence in your area has several of the suggested indicators, do not approach or investigate further yourself. Instead call your local police service or Crime Stoppers (1-800-222-TIPS) and let them know of your suspicions. Indicators can be: • Home has windows blackened or curtains always drawn. • Chemical or other odours emanating from the house or apart- ment, garage or detached building. Odours from clandestine labs are often described as smelling similar to nail polish re- mover, “rotting garlic fish” or “concentrated cat urine”. • Garbage frequently has numerous bottles and containers in- cluding: Toluene Muriatic Acid Red Phosphorus Ephedrine Pseudoephedrine Veterinary products Methanol Rubbing alcohol Sodium hydroxide Ether Paint thinner Ammonia • Metal drums and boxes with labels removed or spray painted over. • Residents set out their garbage in another neighbour’s collec- tion area. • Dead animals and birds, resulting from drinking contaminated water from waste chemicals. This photo of a Meth Lab is from a bust by the R.C.M.P in the Lower Mainland of British Columbia. 22 23
Why is Meth production dangerous? A major hazard in the Meth production process occurs when the (Above is the toxic sludge from a meth lab busted in labs are not properly ventilated. For example, Meth producers of- British Columbia) ten store anhydrous ammonia improperly, a situation that can lead to explosions when the containers decay. Not only are the pieces of the exploding container deadly, a vapour is released that is poison- A minimum of 5 to 7 pounds of ous. Breathing it may lead to illness or death. As well, anhydrous ammonia is extremely cold and can cause severe frostbite if it comes into contact with skin. Also, acids used to make Meth can cause serious burns. chemical waste is produced Speaking of poison, some of the chemical by-products of the Meth production process are toxic. Phosphine gas may be released, for each pound of something so explosive that it can ignite when it comes into con- tact with air. Phosphine has a fish- or garlic-like odour and can meth manufactured. cause deadly reactions such as heart attacks and pulmonary edema (where your lungs fill up with fluid.) The Meth production process has led to several deaths and many poisonings in the US. 24 Source:Health Canada 25
The chemicals used Fires and The end products of cooking Meth are also very dangerous to in Meth production, METH HOUSES ARE Explosions people,buildings and the envi- as well as the toxic ronment, and Meth producers fumes produced, POISONOUS Cooking Meth is a fiery explo- don’t properly dispose of the sion waiting to happen. Because garbage they create. soak into floors, the chemicals can so easily walls, carpets, and burst into flames, Meth produc- furniture. Some tion is a huge risk not just to the Hazards to the homes are so badly producers their children, and Environment contaminated that all their home, but to all the homes the walls, including and people in the community. If the flames used in Meth pro- It takes an enormous quantity the supporting studs, of chemicals to make meth. duction get out of control, an must be removed explosion can wipe out the en- In fact,every pound of meth and replaced. Given tire home and spread the fire to produced results in five to ten the dangers of the nearby buildings. An explosion pounds of toxic meth waste. also spreads toxic fumes over Meth producers are often too chemicals involved the whole community, poison- paranoid to dispose of this in producing Meth, waste through normal means ing the air we breathe. you should never like garbage pickup. Instead, enter a building that large amounts of waste pile up has recently been The Impact of Meth in storage sheds or yards. Meth used as a Meth lab. Production on People, producers also pour waste down Also you should Buildings and the En- the toilet or tub, or they dis- pose of it in empty lots, sewers, never, ever, enter a vironment campgrounds, wooded areas, or place that was ever by the side of the road. used as a Meth lab, Most of the individuals who are All of these methods poison our producing Crystal Meth have unless it has been natural spaces and waterways. limited knowledge of chemis- These kinds of disposal also processed by pro- try. Many of them will be high endanger community members, fessionals trained in while cooking up Crystal Meth. including our children and our handling hazardous And making Meth is an ex- pets. Coming into proximity materials. Never try tremely dangerous process, with this toxic waste can cause to clean a house that combining caustic, toxic, and stinging eyes, rashes, and burn- flammable chemicals with open has been used as a ing lungs. flames. lab. 26 27
For Aboriginal 4. Slow your move- ments. This will de- Courtworkers crease the odds that the meth user will misinter- pret your physical ac- and Organizations tions. Six Safety Tips for dealing with 5. Keep your hands vis- ible. If you place your someone on Meth hands where the meth user cannot see them, he might feel threatened 1. Keep a 7-10 ft. distance. Coming too close can and could become vio- be perceived as threatening. lent. 2. Do not shine bright lights at him or her. The meth user is already paranoid and if blinded by a bright 6. Keep the meth user light he is likely to run or become violent. talking. A meth user who falls silent can be extremely dangerous. 3. Slow your speech and lower the pitch of your Silence often means that voice. A meth user already hears sounds at a fast his paranoid thoughts pace and in a high pitch. have taken over reality, and anyone present can become part of the meth users paranoid delu- sions. 28 29
How Can You and Your Community Fight Meth? How Can You and Your Community Fight Meth? How can you fight crystal meth? Learn about meth. Learn how dangerous it is to use meth. Learn what it looks like when someone is using meth. Regina, Vancouver, Learn how to identify a meth lab. Learn about the re- sources in your community to fight meth use and pro- Toronto, Winnipeg W , duction. And help other people learn these things. As a member of the community,you have a tremendous power Edmonton, onton, Calgary, Calg to fight meth. Brandon, ndon, Quebec City, Encourage children, youth,and educators to take meth education seriously. The Internet, school curriculum,and Kamloops, mloops, Prince Albert, Albe recreational programs all offer opportunities for raising meth-resistant children. Moose Jaw, Victoria, Help organize meth education forums for the whole com- Grande Prairie, munity. Make sure that your community knows about meth use and production,and also knows the local re- On reserve,Off eserve,Off rese reserve, sources to combat meth. Create an expanded comprehen- sive resource guide especially for your community. Work Rural, Montreal, Halifax, with local business owners and help them start a meth watch for purchases of meth ingredients. Help expand or Whitehorse, Hay River, establish treatment programs,making sure that detox and treatment services are specifically targeted at meth use. 30 31
A Suggested Community Action Plan to Fight Meth 1. Prevention 3. Education • Provide to parents and youth a list of Web sites that offer • Prepare and distribute factual information trusted information about crystal meth • Initiate media advertising campaign • Support drug education in school curricula • Hold public forums at which experts provide general • Utilize schools as a base for a wide array of addictions • information and advice for members of the public programs from health promotion and prevention to on-site • Develop program supports that build resilience in vulner- counseling able, at risk students and out-of-school youth • Develop a database of addictions services for workers to • Engage Elders in the development of treatment and pre- use across the province vention programs to reconnect Aboriginal peoples with- 2. Treatment traditional teachings, values and cultures 4. Reduce Drug Availability • Provide funding to regional health authorities for inpatient and outpatient services • Use existing legislation, to target meth lab sites. • Provide funding for care of high-risk children and youth • Involve a broad cross-section of justice system profes- who need protection and specialized treatment sionals to better integrate day-to-day operations fighting • Offer programs that integrate mental health and drug drug production and trafficking. abuse services, recognizing the strong link between men- • Use expertise of federal drug units at local levels of law tal illness and drug abuse enforcement • Develop and use detox and treatment protocols that are • Increase scrutiny of the sale of products used to produce appropriate for crystal meth crystal meth and, if necessary, make their purchase more • Offer outreach programs to assist families of children with difficult substance abuse issues • Encourage the federal government to modify its legisla- • Increase skills of service providers tion to control access to and movement of products used • Research and develop a framework to identify and evalu- to create crystal meth ate best practices for prevention and treatment • Encourage the federal government to strengthen legal • Support conferences that share best practices to engage penalties around methamphetamines communities in fighting crystal meth • Support provincial networks that are a cross-section of Source: A Strategic Plan for Crystal Meth and Other Amphet- professionals who deal with drug abuse amines in Saskatchewan • Create a community resource guide 32 33
Canada Aboriginal Youth Network Services: CCSA provides Crystal Meth By Mail: objective, evidence-based Box 34007 Kingsway Mall PO information and advice to help Edmonton, AB reduce the health, social and T5G 3G4 economic harm associated with Resource Guide In Person: substance abuse and addictions. Nechi Institute CCSA provides three core ser- #1 Poundmaker Rd, St. Albert, vices: information and reference T8N 1M9 service, research and policy, and CanadaWide Tel: 780-459-1884 Toll Free: 1-800-459-1884 Fax: 780-458-1883 training and workforce develop- ment. --------------------------------------- Provinces Website: www.ayn.ca Services: AYN is a network Centre for Addiction and Mental Health Territories that runs across Canada (and 33 Russell Street beyond) connecting allAb- Toronto, ON original youth. AYN provides M5S 2S1 information and quizzes about Tel.: 416-979-4250 meth,other drugs, and addiction Fax: 416-595-6881 in the Health Centre section of Website: www.camh.net their website. Fax: 416-595-6881 They also provide a listing of Website: www.camh.net treatment centres serving youth Services: CAMH is Canada’s (http://www.ayn.ca/health/ad- leading addiction and mental dictionstreatment.aspx). health teaching hospital. --------------------------------------- CAMH succeeds in transform- Canadian Centre on Sub- ing the lives of people affected stance Abuse by addiction and mental illness, 75 Albert Street, Suite 300 by applying the latest in scien- Ottawa, ON tific advances, through K1P 5E7 integrated and compassion- Tel: 613-235-4048 ate clinical practice, health Fax: 613-235-8101 promotion,education and re- Email: info@ccsa.ca search. Website: www.ccsa.ca 34 35
Canada Canada National Addiction Awareness National Native Alcohol and Crystal Meth Anonymous immediate, confidential and anonymous, bilingual and Week Drug Abuse Program Website: www.crystalmeth.org. staffed byprofessional coun- Jeanne Mance Building, Tun- Services: Crystal Meth Anony- sellors. Kids Help Phone also c/o Nechi Training, Research & ney’s Pasture Ottawa, ON mous is a 12 step fellowship for offers public education projects Health Promotions Institute K1A 0K9 those in recoveryfrom addiction and a Student Ambassador Box 34007 Email: fnihb-dgspni@hc-sc.gc. to crystal meth. There are no program for young people to Kingsway Mall P.O. ca dues or fees for membership. develop their volunteer and Edmonton, Alberta Website: www.hc-sc.gc.ca/fni- Membership in crystal meth leadership skills through train- T5G 3G4 hb-dgspni/fnihb/cp/nnadap/in- anonymous is open to anyone ing in team building, citizenship Tel: 780-460-4304 dex.htm with a desire to stop using crys- and public speaking, and to Toll Free: 1-800-459-1884 ext. tal meth. Find a local meeting at promote the Kids Help Phone. 430 Services: www.crystalmeth.org. --------------------------------------- Fax: 780-460-4306 The National Native Alco- --------------------------------------- Narcotics Anonymous Website: www.naaw.net hol and Drug Abuse Program Kids Help Phone (NNADAP) is an example of Website: www.na.org a Health Canada program now 300-439 University Avenue Services: Narcotics Anonymous Services: largely controlled by First Toronto, Ontario is an international, community- National Addictions Awareness Nations communities and orga- M5G 1Y8 based association of recovering Week (NAAW) was conceptual- nizations. It helps First Nations Tel: 416-586-5437 drug addicts with more than ized and developed by Nechi and Inuit communities set up Toll Free Kids Help Phone: 1- 33,500 weekly meetings in over Training, Research & Health and operate programs aimed at 800-668-6868 116 countries worldwide. Their Promotions Institute (Nechi) in reducing high levels of alcohol, Fax: 416-586-0651 online meeting locator can 1989 to promote activities at the drug, and solvent abuse among Email: info@kidshelp.sym- be found at http://portaltools. national level. The purpose of on-reserve populations. patico.ca na.org/portaltools/MeetingLoc/. NAAW is to provide informa- NNADAP supports a national Website: www.kidshelpphone. tion, materials and to promote network of 52 residential treat- ca activities in both of the official ment centres, with some 700 Services: languages (English and French) treatment beds and 550 preven- Kids Help Phone is committed that will serve to raise aware- tion programs with preven- to improving the well-being of ness of addictions which affect tion, intervention and aftercare Canada’s children. Kids Help people across Canada. activities. Phone offers phone and online counselling for Canadian youth 24 hours a day, 365 days a year. The services are free, 36 37
Canada Royal Canadian Mounted Police British Columbia Abbotsford Community Services Aboriginal Shield Program 2420 Montrose Avenue Abbotsford, BC Program Coordinators in all provinces V2S 3S9 (see website for contact info in your area) Tel: 604-850-5106 Website: http://www.rcmp-grc.gc.ca/das/contacts_e.htm Fax: 604-850-5492 Website: www.abbotsfordcommunityservices.com Services: The Aboriginal Shield Program is a substance abuse prevention Services: initiative Provides individual, couple, family, and group counselling for al- designed specifically for Aboriginal youth. Police officers may use cohol and drug issues. Offers adult and youth services, skill build- this ing groups, outreach to schools, alcohol/drug recovery groups, and culturally-specific education package to educate Aboriginal youth groups for affected friends and family. Offers education and as- about sistance to the community in the development of prevention activi- substance abuse issues. ties. Services also available in French, Punjabi, Hindi, and Urdu. The resource material consists of four teaching modules pertaining Aboriginal Wellness Program to Aboriginal culture, substance abuse, prevention, and informed Vancouver Coastal Health Authority and responsible decision-making. An “Officers’ Training Guide”, 255 East 12th Avenue and “Officers’ Educational Cultural Reference Manual” are also Vancouver, BC included. As of April 1996, twenty training workshops were de- V5T 2H1 livered to Aboriginal and non-Aboriginal police officers, commu- Tel: 604-875-6601 nity leaders, health care workers and education specialists serving Fax: 604-875-6609 Aboriginal communities across Canada. Services: Provides culturally-safe mental wellness and addiction programs free of charge to Aboriginal adults. Services include one-to-one and group counselling, individual support, outreach, and educa- tion. Offers a men’swellness group, women’s wellness group, and elders’ support group. Dual diagnosis support circle provides sup- port around mental wellness and/or addiction issues for men and for women. 38 39
British Columbia Association of BC First Nations Treatment Programs British Columbia BC Partners for Mental Services: Health and Addictions Infor- The CSFS Addiction Recovery Head Office mation Program is made up of two Box 429 Cedarvale-Kitwanga Road 1200-1111 Melville Street distinct processes that enhance Kitwanga, BC Vancouver, BC each other. The first is to sup- V0J 2A0 V6E 3V6 port members with addictions Satellite Office Tel: 604-669-7600 through cultural healing and #2, 3003 -29th Avenue Toll Free: 1-800-661-2121 western therapies provided in a Vernon, BC Fax: 604-688-3236 camp setting at Ormond Lake, V1T 1Y9 Email: bcpartners@heretohelp. a sacred meeting place where Tel: 250-503-1135 bc.ca participants attend workshops Fax: 250-503-2473 Website: www.heretohelp.bc.ca about addictions issues and Email: abcfntp@shawcable.com Services:Feeling confused? have an opportunity to attend Website: www.firstnationstreatment.org Alone? Want information you traditional healing practices Services:We aim to provide a First Nations forum that promotes can trust for you orsomeone you such as a sweat, letting go cer- culturally relevant best practices to enhance, excel and advance care about? We provide find emonies, and begin the process the continuum of care in addressing addictions. Our vision is to quality information, personal of balancing ones life. The four enhance First Nations traditions and cultural practices that pro- stories of hope, and resources aspects of life are addressed in mote healing, wellness, balance and harmony, where addictions you can use to make better all session, physical, mental, programming exists in each community as an integrated, holistic decisions about mental health or emotional and spiritual. This approach towards health and wellness and where there is an open- substance use issues. takes place for six months of ness to addictions programming as prominent part of the healing of ------------------------------------ the year – from May to October individuals, families and communities. Carrier Sekani Family Ser- – and there are different groups --------------------------------------------------------------------------------- vices (Najeh Bayou) using the camp based on either BC Alcohol and Drug Information and Referral Service sex or age. The other six months 1112 -6 Avenue is to work directly in the com- Tel: 604-660-9382 Prince George, BC munities providing outreach 24 Hours Toll Free: 1-800-663-1441 V2L 3M6 type programming, supporting TTY: 604-875-0885 Tel: 250-562-3591 the NNADAP workers in the Website: www.vcn.bc.ca/isv/adirs.htm Fax: 250-562-2272 community, and following up Services: Addiction support workers respond to enquiries on all Email: arp@csfs.org with clients from camp or any aspects of alcoholand drug use and misuse. They provide informa- Website: www.csfs.org walk in clients that need help tion on, and referralto a variety of resources including counselling with addictions. services, detox centres,residential treatment centres and self-help groups. 40 41
British Columbia British Columbia Crossroads Treatment Centre Cwenengitel Aboriginal Society 13321 -108 Avenue 123 Franklyn Road Surrey, BC Kelowna, BC V3T 2J7 V1X 6A9 Tel: 604-588-5561 Tel: 250-860-4001 Fax: 604-588-5591 Toll Free: 1-866-860-4001 Email: wally@cwenabso.org Fax: 250-860-2605 Website: www.cwenabso.org Email: info@xrdstc.net Services: Cwenengitel Aboriginal Society is an organization that Website: www.xrdstc.net provides safe,central, suitable housing for homeless Aboriginal Services: We approach treatment from a non-judgmental, holistic men while helping them break the cycle of substance abuse and perspective and encourage clients to take responsibility for their alcohol. We also provide cultural and spiritual guidance, skills own lives and recovery. Our goal is to meet the client where they building, educational mentoring and counselling services for our are at on the road to recovery and provide the tools that they need residents with an aim to reintegrating them into mainstream soci- to move further along this continuum. We emphasize self-deter- ety. Our long term goal is to expand our facilities to house more mination, personal responsibility and encourage our clients to residents, to help more drop-ins and eventually to open a Woman’s re-write their life stories in a motivational, supportive environment. Centre. Crossroads has various different programs, all of which are tailored --------------------------------------------------------------------------------- to meet individual client needs: Residential Treatment Program, D.E.Y.A.S Youth Detox Program Private Pay Residential Treatment Program, Detox – Withdrawal 49 West Cordova Street Management Unit, and Supportive Living Program. Vancouver, BC --------------------------------------------------------------------------------- V6A 1K3 Crystal Meth Task Force Strategies Society Tel: 604-251-7615 Fax: 604-254-9923 Tel: 604-476-3333 Email: youthdetox@deyas.org Email: info@ crystalmethtaskforce.com Website: www.deyas.org Website: www.crystalmethtaskforce.com Services: The Youth Detox provides withdrawal management Services: The Task Force, centred in Maple Ridge, has been able to services for young people between 13 and 21 years in a home-like, substantially increase the level of community awareness about the 24hr, 7-day a week residential facility. The Youth Detox meets horrors of crystal meth, have established a Meth Watch program youth ‘where they are at’ when they are ready to try overcoming (the first in Canada), have put into place several municipal by- their substance addiction. Staff are caring and non-judgmental. For laws, have reduced the waiting time for meth addicts’ rehabilitation about 450 young people each year, we strive to provide physical, and have identified resources still lacking. The Crystal Meth Task social and emotional support during the physical aspects of with- Force Strategies Society’s three-pronged strategy is to educate, drawal, as well connecting the youth to other services they need. enforce, and provide treatment. 42 43
British Columbia Family Services of Greater Vancouver British Columbia Four Eagles Family Circle 1616 West 7th Ave Vancouver, BC Combatting Addiction through Recovery and Education (CARE) V6J 1S5 Queens Court, 623 Agnes Street Tel: 604-731-4951 New Westminster, BC Fax: 604-733-7009 V3M 5Y4 Email: streetyouthdetox@fsgv.ca Tel: 604-517-6120 Website: www.fsgv.ca Fax: 604-517-6121 Services: FSGV provides a community-based, voluntary residential Services: Provides culturally appropriate services to First Nations program providing detoxification and stabilization for high-risk families of the lower mainland. Support is offered through an el- youth ages 13 to 21 and information and referral regarding ad- der’s council, a women’s personal development support group, and diction issues, and case plans for post-detox services. No fees for Combatting Addiction through Recovery and Education (CARE) service. support group. Self-referral for all programs. --------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Foundation House Haisla Support and Recovery Centre 536 Cecelia Road Box 1018 Haisla Post Office Victoria, BC Kitamaat Village, BC V8T 4T7 V0T 2B0 Phone/Fax: 250-480-1342 Tel: 250-639-9817 24 Emergency Pager: 1-800-454-7668 Fax: 250-639-9815 Email: foundationhouse@shaw.ca Email: mgreen@sno.net Website: www.foundationhouse.org Services: Assessment, counselling, treatment. Services: Foundation House is a supportive recovery home for men who are healing from the effects of alcohol and drug dependency. Operated by a nonprofit charitable society, Vancouver Island Ad- diction Recovery Society(VIARS), we provide residents with a stable and safe living environment and facilitate community devel- opment by assisting men in establishing a longer-term network of support. The length of stay at Foundation House is flexible accord- ing to the individual needs, generally anywhere from 3 months to 1 year. We have a total of 16 beds. The cost to residents is accessible to those in receipt of social assistance. This cost includes: meals, a shared room, utilities, internet access and recreational activities. 44 45
British Columbia British Columbia Hey’-Way’-Noqu’ Healing Circle For Addictions Ktunaxa / Kinbasket Wellness Centre Society Head Office #401, 1638 East Broadway Rural Route. 2, # 5A, Highway 21 Vancouver, BC Creston, BC V5N 1W1 V0B 1G2 Tel: 604-874-1831 Tel: 250-428-5516 Fax: 604-874-5235 Fax: 250-428-5235 Email: heywaynoqu@telus.net Email: kkwc@kootnay.ca Website: www.firstnationstreatment.org/heywaynoqu.htm Services: A holistic approach to assist urban Native and Metis Services: The primary Mission of the Ktunaxz/Kinbasket Wellness individuals and families through their healing journey from chemi- Centre Societytreatment program is to promote and strengthen First cal addictions and codependencies. We aim to help restructure their Nations people and other Aboriginals to live holistic lives. Services lifestyles to maximum functioning, in a culturally relevant way that include assessment, counselling, and treatment. enhances individuality, continual independence and uniqueness. --------------------------------------------------------------------------------- Programs include: outpatient family-based program, long term pro- Namgis Treatment Center gramming for families, intensive day treatment for adult females Post Office Box 290 and males, and relapse prevention support. Alert Bay, BC --------------------------------------------------------------------------------- V0N 1A0 Kakawis Family Development Centre Tel: 250-974-5522 Box 17 Meares Island 24 Hours On Call: 250-974-8015 Tofino, BC Fax: 250-974-2736 V0R 2Z0 Email: PatD@namgis.bc.ca Tel: 250-725-3951 Website: htwww.firstnationstreatment.org/namgis.htm Fax: 250-725-4285 Services: Assessment, counselling, treatment. Email: kakawis@kakawis.org --------------------------------------------------------------------------------- Website: www.kakawis.org Native Courtworker and Counselling Association Services:KFDC offers a program that promotes a balanced lifestyle Alcohol and Drug Outpatient Services and a renewed sense of cultural identity and pride to First Nations 50 Powell Street families whose lives have been affected by alcohol or drugs. Ka- Vancouver, BC kawis Family Development Centre Society is dedicated to a holis- V6A 1E9 tic approach to individual and family recovery, healing and growth. Tel: 604.687.0281 We provide an environment for physical, emotional, mental and Services: Provides outpatient alcohol and drug addiction services spiritual healing using the power of the circle guided by the ener- anddetox support services to help clients achieve a healthy and sat- gies of our Higher Spiritual Power. Recovery from alcohol and isfying lifestyle, free from alcohol and drug use and misuse. drug abuse and other addictive behaviours is a life long process. 46 47
British Columbia British Columbia Nenqayni Treatment Centre Society Phoenix Centre Post Office Box 2529 Williams Lake, British Columbia Kamloops Society for Alcohol & Drug Services V2G 4P2 922 -3rd Avenue Tel: 250-989-0301 Kamloops, BC Fax: 250-989-0307 V2C 6W5 Website: www.nenqayni.com Tel: 250-374-4634 Toll Free: 1-877-318-1177 Services: Fax: 250-374-4621 The Nenqayni Family Drug & Alcohol Program facility was Email: ksad@phoenixcentre.org officially opened August 23,1991 and commenced programs in Website: www.phoenixcentre.org September 1991. The Family Program is a six-week culturally Services: based residential program. Alcohol and drug awareness is acquired The Phoenix detox program operates 24 hours a day, seven days a through individual and group counselling for the entire family. week providing a medically safe program for clients to detox from alcohol and other drugs. The program includes assessment, crisis intervention counseling, referral information and referral to sup- portive recovery as needed. Phoenix Centre also provides alco- hol and other drug counselling and additional services to young North Wind Healing Centre (Treaty 8 Healing Centre) people, incarcerated adult males, and others. Phoenix Centre is involved in community alcohol and other drug prevention services. Box 2480 Station A Dawson Creek, BC --------------------------------------------------------------------------------- V0C 4T9 P.L.E.A Youth Detox Program Tel: 250-843-6977 Fax: 250-843-6978 3894 Commercial Street Email: t8heal@pris.bc.ca Vancouver, BC V5N 4G2 Tel: 604-708-2616 Services: Assessment, counselling, treatment. Services: Non-medical detox offers 24-hour support and supervision in a home-like setting and family atmosphere. We accept only volun- tary placements, through self or other referral. 48 49
British Columbia British Columbia Tsow-Tun Le Lum Treatment Centre Round Lake Treatment Centre Box 370 -699 Capilano Road Rural Route #3. Comp 10, Grandview Flats North Lantzville, BC Armstrong, BC V0R 2H0 V0E 1B0 Tel: 250-390-3123 Tel: 250-546-3077 Fax: 250-390-3119 Fax: 250-546-3227 Email: info@tsowtunlelum.org Email: rltc@roundlake.bc.ca Website: www.tsotunlelum.org Website: www.roundlake.bc.ca Services:Tsow-Tun Le Lum means “helping house.” We provide Services: programs that address the issues of addictions and substance abuse, Round Lake Treatment Centre is an accredited 36-bed alcohol and that support the survivors of trauma and residential schools. and drugabuse treatment facility located on the Okanagan Indian Our mission is to strengthen the ability of First Nations people to Reserve near Vernon in British Columbia’s Okanagan Valley. Pro- live healthy, happy lives and to have pride in their native identity. grams in addictions treatment are offered to clients from through- Tsow-Tun Le Lum is a registered non-profit society operating a out the province, with a focus on holistic healing and First Nations’ fully accredited treatment centre in Lantzville, on Vancouver Is- culture. It is situated in a private, park-like setting on the edge of land, British Columbia. Our facility is located on five acres of land scenic Round Lake. over looking Nanoose Bay, leased from the Nanoose First Nation. --------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Three Bridges Community Health Centre Urban Native Youth Association 1640 East Hastings St., 1292 Hornby Street Vancouver, BC Vancouver, BC V5L 1S6 V6Z 1W2 Tel: 604-254-7732 Tel: 604-736-9844 Fax: 604-254-7811 Services: Email: Email: unyainfo@unya.bc.ca Offers the Crystal Clear Peer Project to provide education, aware- Website: www.unya.bc.ca ness and access to resources about crystal meth. As well, we offer Services:UNYA offers group alcohol and drug counselling sessions training, information sharing, peer support, skill-building opportu- throughout East Vancouver. Individual sites are developed once nities and outreach to street-involved youth. youth have indicated a desire to have this resource in a specific East Vancouver area. The groups are established in partnership with community organizations who contribute to the program by providing space for the meetings, helping to identify Native youth who can benefit by participating in the meetings, and by advertis- ing the program. The two Alcohol and Drug Counsellors also offer limited individual counselling 50 51
British Columbia British Columbia Victoria Youth and Family Services Wilp Si’ Satxw House of Purification Box 429 Cedarvale -Kitwanga Road #12-1560 Church Ave. Kitwanga, BC Victoria, BC V0J 2A0 V8P 2H1 Tel: 250-849-5211 Tel: 250-721-2669 Fax: 250-849-5374 Fax: 250-721-3408 Email: wilpchc@navigata.net Services: Website: www.wilpchc.ca For youth ages 12-19 with a problematic substance addiction. Services:Wilp Si’Satxw Community Healing Centre believes that Programs include group therapy, individual counselling, family people who are chemically dependent can gain control over their therapy and artistic self-exploration programs. dependency. We also believe that individuals learn, change and --------------------------------------------------------------------------------- grow with the most long-lasting effects when they decide and ex- Watari Research Association perience for themselves. The process of healing in Wilp Si’Satxw begins with the understanding that each of us is responsible for Youth Day Treatment Program Our-self and that self-healing is a personal choice. Our goals are 251a East 11th Avenue to: share knowledge of traditional native values; demonstrate a Vancouver, BC model of self-awareness and self-esteem; share knowledge of ad- V5T 2C4 diction and addictive Tel: 604-438-3755 --------------------------------------------------------------------------------- Fax: 604-438-3745 Young Eagles Healing Lodge Email: dayprogram@watari.org Circle of Eagles Lodge Society Website: www.watari.org 1470 East Broadway Services: The Watari Youth Day Treatment Program is a 7 week Vancouver, BC voluntary alcohol and drug day treatment program for youth aged V5N 1V6 13-24 in the Vancouver area. The goal of the program is to facili- Toll Free: 1-888-332-6357 tate positive change for at risk children, youth and families through Fax: 604-327-5244 the development and delivery of innovative services. The Day Pro- Email: youngeagleslodge@hotmail.com gram runs from Tuesday to Friday from 12:30-4pm in a facilitated Website: www.circleofeagles.com group counselling format. Participants can explore and develop Services: Young Eagles Healing Lodge designs, delivers, and skills in the following areas, within the context of substance abuse: evaluates programs and services which support and empower court identity and self-awareness, relationships, communication and adjudicated Aboriginal youth, ages 13-18 years old, that want social skills, decision making, exploring and managing problems, to make healthy informed choices; while maintaining culturally emotions, recreation and community support,creative expression, appropriate care. Young Eagles program is a 16 week residential and ongoing care. program for court adjudicated Aboriginal youth dealing with Drug and Alcohol addictions 52 53
Alberta Alberta Aventa Addiction Treatment for Women Alberta Alcohol and Drug Abuse Commission 610 – 25th Avenue Southwest Toll Free Help Line: 1-866-33AADAC Calgary, AB 1-866-332-2322 (Alberta only) T2S 0L6 Website: www.aadac.com Tel: 403-245-9050 Services: Fax: 403-245-9485 As an agency of the Government of Alberta, AADAC (Alberta Al- Email: info@aventa.org cohol and Drug Abuse Commission) operates and funds informa- Website: www.aventa.org tion, prevention and treatment services to help all Albertans with Services: alcohol, tobacco, other drug and gambling problems. AADAC also We develop programs based on the concept that addiction is a provides funding for programming and services specific to Ab- holistic illness and requires change in four specific areas: physi- original people. These include crisis services, outpatient treatment, cal, emotional, social, and spiritual. Through treatment, education short-term and long-term residential treatment, priority access and support, we offer women with addictions the opportunity for a for pregnant women, information, prevention, community educa- healthy life and a new direction. tion and addictions-related training programs. AADAC also offers --------------------------------------------------------------------------------- alcohol, other drugs, tobacco and problem gambling information, Beaver Lake Wah Pow Detox and Treatment Centre support, and referral services to callers accessing our toll-free, 24 Box 1648 hour, and confidential help line. Lac La Biche, AB --------------------------------------------------------------------------------- T0A 2C0 Action North Recovery Centre Tel 780-623-2553 Box 872 Fax: 780-623-4076 High Level, AB Email: wahpowme@telusplanet.net T0H 1Z0 Services: Assessment, counselling, treatment. Tel: 780-926-3113 --------------------------------------------------------------------------------- Fax: 780-926-2060 Bonnyville Indian Métis Rehabilitation Centre Email: intake@actionnorth.org PO Box 8148 Website: www.actionnorth.org Bonnyville, AB T9N 2J4 Services: Tel: 780-826-3328 Action North offers a variety of programs which provide safe, Fax: 780-826-4166 respectful environments where clients can work on issues. In addi- Email: bimrcsrc@mcsnet.ca tion to the main program, the 28-day Treatment Program , we offer Services: Bonnyville provides a 26-bed residential treatment facil- a 14-day Follow-up Program, a Long-term (90 day) Treatment ity and offers a 28-day intensive treatment program that includes Program and Specialized Mobile Programs on a variety of issues, individual and group counselling, information sessions, recreation provided at the centre or brought to your community. activities, an introduction to self-help groups, and exposure to Ab- 54 original culture (including workshops with an Elder). 55
You can also read