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Suicide Among Aboriginal People in Canada - Institut universitaire ...

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Chapter 6Plann<strong>in</strong>g and Coord<strong>in</strong>ationA comprehensive suicide prevention program requires a central coord<strong>in</strong>at<strong>in</strong>g group to ensure that there areno gaps <strong>in</strong> the system and there is no duplication. This group should <strong>in</strong>volve representatives from majorsectors of the community: youth, respected Elders, caregivers, professionals (from health, social services,and education), local government, and others. Inter-agency collaboration should be encouraged <strong>in</strong> order tofully utilize the strengths of all concerned, result<strong>in</strong>g <strong>in</strong> a comprehensive strategy responsive to the chang<strong>in</strong>gneeds of <strong>in</strong>dividuals and the community. Together they may create or adapt programs that reflect the truenature of the community. The immediate effect of such collaboration will be a coord<strong>in</strong>ated response tosuicide prevention. The long-term effects will be the strengthen<strong>in</strong>g of the community and cultural identity,as well as the emergence of local control that will improve the health of both <strong>in</strong>dividuals and communities.This coord<strong>in</strong>at<strong>in</strong>g group should also l<strong>in</strong>k with and supervise a research team who can help design andcarry out evaluations on the prevention activities and programs.PreventionPrimary suicide prevention strategies for <strong>Aborig<strong>in</strong>al</strong> communities should <strong>in</strong>clude the activities listed below:1) Peer counsell<strong>in</strong>g <strong>in</strong> which a group of youth are tra<strong>in</strong>ed <strong>in</strong> basic listen<strong>in</strong>g skills and are identified as resourcepeople for other youth <strong>in</strong> crisis.2) A school curriculum that <strong>in</strong>corporates learn<strong>in</strong>g about positive mental health, the recognition of suicide,substance use, and other problems as serious mental health issues, as well as cultural heritage as a sourceof ways of healthy cop<strong>in</strong>g.3) Recreational and sports programs for children and young people to combat boredom and alienation,and to foster peer support and a sense of belong<strong>in</strong>g.4) Workshops on life skills, problem solv<strong>in</strong>g, and communication for children and young people; much ofthis can be given by youth counsellors who could provide positive role models.5) Family life education and parent<strong>in</strong>g skills workshops for new parents and adults.6) Support groups for <strong>in</strong>dividuals and families at risk (e.g. young mothers, recover<strong>in</strong>g substance abusers,ex-offenders who have returned to the community after serv<strong>in</strong>g time).7) Cultural programs and activities for the community at large (e.g. record<strong>in</strong>g and transmitt<strong>in</strong>g thetraditions of elders, camp<strong>in</strong>g on the land, ceremonial feasts, <strong>Aborig<strong>in</strong>al</strong> language courses).8) Collaboration between community workers <strong>in</strong> health, social services, and education to promote <strong>in</strong>tegrationof services.9) Tra<strong>in</strong><strong>in</strong>g <strong>in</strong> mental health promotion and suicide risk factor awareness for lay and professional helpers.10) Open<strong>in</strong>g l<strong>in</strong>es of communication by creat<strong>in</strong>g opportunities for community members to express theirconcerns and <strong>in</strong>terests (e.g. town council or community meet<strong>in</strong>gs and gather<strong>in</strong>gs).107

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