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Canadian Public Health Association Conference June 3,2008 Presenters: Gail Baikie & Barbara Guy

Vertical and Horizontal Integrated Management of the Labrador Innu Comprehensive Healing Strategy (LICHS). Canadian Public Health Association Conference June 3,2008 Presenters: Gail Baikie & Barbara Guy. Purpose.

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Canadian Public Health Association Conference June 3,2008 Presenters: Gail Baikie & Barbara Guy

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  1. Vertical and HorizontalIntegrated Managementof the Labrador Innu Comprehensive Healing Strategy (LICHS) Canadian Public Health Association Conference June 3,2008 Presenters: Gail Baikie & Barbara Guy

  2. Purpose • Evolving model of Integrated Management in the Labrador Innu Comprehensive Healing Strategy (LICHS) • The LICHS context – federal/provincial/Innu relationships

  3. Context Labrador Innu – Mushuau (pop. 800) and Sheshatshiu (pop.1800) • Nomadic and geographically isolated until 1960s • Under Terms of Union with Newfoundland (1949) Innu did not come under the Indian Act • Initial crisis 1990s – leading to Mushuau Innu Relocation Agreement (MIRA) • Mushuau Innu relocate from Davis Inlet to Natuashish in 2002 • 2000 youth gas sniffing crisis in both communities • LICHS (2001-2005) 5 components: community policing, programs and services, relocation of Davis Inlet to Natuashish, reserve creation and registration under the Indian Act and community health • Current LICHS (2005 – 2010)

  4. LICHS 2001- 2005 Integrated Structures and Initiatives • Main Table – tri-partite collaboration, negotiation and info-sharing • Steering committee • LICHS formative evaluation 2003 • First design of IM office • Sub-committees of MT • Operational LICHS and community level • Operations Committee

  5. Focus: Horizontal Integrated Management Capacity Development (Governance & Services) Physical Infrastructure Health/Social/Education Programs Current LICHS (2005-2010)

  6. First Nation Determinants of Health LICHS Phase II Objectives Enhancing Innu Governance Building a Physical, Social, Health Foundation for Healing & Development

  7. Integrated Management:Current Structure • Chief Federal Negotiator Lead on LICHS & Land Claims Maintables • Supported by Director of Integrated Management & Senior Federal Negotiator • LICHS Maintable (tripartite) with sub-committees (Health & Healing, Education, Child Youth & Family Services) • Federal Interdepartmental Integrated Management Committee Building Horizontal & Vertical Cooperation and Coordination • Improved relationship and scope of action in federal relationship with Innu and Province • Building relationships across sectors (NGO, Universities….) • Director of Integrated Management – Joint HC & INAC Office (Sept 2007 - ) • Supports Vertical Collaboration between local, regional and national (service delivery, operations, policy)

  8. Outcomes • Role of Director: Non-administrative; Functional reporting relationships; Diverse Perspective and Skill Set (Breadth expertise and opposed to depth expertise); A ‘Federal’ Vs ‘Departmental’ perspective • Major initiatives: Capacity Building; Intoxicant Bylaw; Education and Child Youth Family Services Devolution • short term: responsiveness has increased, formal avenue for discussion and direction • long term: stronger structure to support linkages. E.g. comprehensive community planning (INAC) to community health planning (HC) • Benefits to federal government – perception, opportunities, coordinated efforts • Benefits to Innu – mobilized efforts on priorities; one window access • Challenges: Incompatible Administrative Systems; Maintaining the Vision for Integration (and Collaboration); Building Relationships (informal) but require formal; Relationships are tenuous • Building on the Past – Responding in the Present – Preparing for the Future

  9. Results - Policy implications • The lack of a joint program framework, with a comprehensive understanding of roles and potential impact, affected the timeliness of integration work – A ‘Will’ Without the ‘Way’ • Conceptual policy work to support programming and planning linking Innu stated vision for healthy communities, literature on healing and community development, and LICHS goals and programs – From Reactionary to Strategic • Health and healing are central to the work, are shared objectives, and can be affected by more than programs. Integration has furthered this understanding – From ‘Your’ Responsibility to ‘Our’ Responsibility

  10. Questions

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