1. NNAPF’s Renewal Project on
Cultural Aftercare Practices: Case
Study
Kitigan Zibi Health and Social Services
Maniwaki, Quebec

2. Introduction
• The following slides will be answers from the
community (Kitigan Zibi Health and Social
Services in Maniwaki, Quebec) that completed
the questionnaire regarding cultural aftercare.

3. Could you describe what your community/
organization is currently doing?
• The NNADAP program in community provides
services in prevention, intervention, and
aftercare to members.

4. How do you link aftercare service(s)
with the client’s community?
• It is an extension of treatment where individuals can access one on one
counselling, support, referrals, and participate in culturally relevant
activities.
Support Referrals
Aftercare Client’s
Services Community
One on one Participate in
counselling culturally
relevant
activities

5. What are the programs and services being
offered, the goals, and how they are being
offered?
• Working with an aftercare plan or
Aftercare Plan
adapting plan to meet person’s
needs. I do counselling sessions
related to relapse prevention. The
goal is to keep person focused on
their recovery by meeting with Family Client’s Counselling
sessions
related to
them on a regular basis, weekly, Support
Need relapse
prevention
every couple weeks, or monthly
depending on their needs.
Group Support

6. What resources are needed for these
programs and services?
• Access to mental health services and employment, education.
Mental
Health
Services
Cultural Aftercare Employment
Activities Services
Education

7. How are the physical, emotional, spiritual, and
mental aspects of the clients being addressed?
• After a person completes a treatment program, a report is usually
provided by the treatment centre that gives us specific areas to work on.
They can recommend for example, a person that suffers from ptsd would
benefit from additional therapy from a psychologist.
Client
Treatment Aftercare
Report
Program Services

8. What are the aftercare activities the client
are referred to?
• AA/NA support meetings, Al-ANON, Family Resource Centre which offers
men’s talking circle, adult drop-ins, workshops on financial management,
cooking classes, language class, which are offered in the community and
catchment areas
AA/NA support meetings
Al-ANON
men’s talking circle
Family Resource Aftercare adult drop-ins
Centre Activities workshops on financial
management
cooking classes
language class

9. Who are the range of community resources
available to the clients?
• Health centre programs, adult ed., nurses, psychologist, therapist, doctors
once or twice a week, career counselor
Education Programs Health Centre Programs
Nurses
Adult
Education Psychologist
Doctors
Career
Counsellor
Therapist

10. Do you provide relapse prevention
programming? What is the nature of your
relapse prevention program(s)?
• Yes. One on one counseling I do lessons or session on planning for
holidays, dealing with urges and triggers, healthy relationships, honesty in
recovery, self-care, grief and loss in recovery, role modeling for children,
HALT recovery strategies, dealing with pressures to use, planning for
holidays when new in recovery, how to take responsibility of yourself,
spirituality

11. What department(s) or community
member(s) do you collaborate with to
provide aftercare services (i.e., clinical
services, cultural practices)?
• Ode Widokazowin is a Family Resource Centre, Health Centre, KZA Band
Administration.
• For cultural activities we did workshops on birch bark canoe building,
drum making, sweats, rattles, attended career and job fairs, hunting
excursions, paddling carving, ice fishing.
• We use our local cultural people in community to teach traditional skills.

12. How do you engage family members and
other people with substance use issue who
are close to the clients?
• In a person’s recovery plan I identify supportive people in their family that
can assist their relative in their recovery. I do not coerce myself unto
others unless they’re ready.
Recovery Plan
Supportive
family

13. What are the community and technology-
based models of peer support (i.e., use of
internet, phone or video)?
• Facebook and other social media has become extremely popular in the
community. They make friends in treatment and continue to stay in
contact with each other after treatment.
Client Client
Client
Client
Client
Picture taken from:
http://www.business2community.com/social-
Client
media/social-media-marketing-strategy-
inbound-marketing-vs-traditional-marketing-
0258002

14. Are there ongoing check-ins (i.e., recovery
management) by the service providers and
support networks?
• I do home visits and try and stay connected with individuals that I’ve
worked with in the past.
Community Home visits
Worker
Picture taken from:
http://www.kwmortgagebroker.com/accoun
t/2c1c930635ca3d7c/pages/100530_2.gif

15. Do you have any other information that we
may have not asked that may assist in
learning more about your aftercare services?
• Aftercare maintenance is new for us and we
are still working and learning. It is a positive
resource that is definitely needed in helping
people in recovery from substance abuse.
Aftercare
Services
Picture taken from: http://img.forministry.com/8/83/83844BD3-FD8A-4614-
8627D07EDD153C77/33474EFE-BE79-4B05-8A3B7EF253236712.jpg

16. How does your community / organization
address any conflict with the communities
acceptance / non-acceptance of culture?
• We do not force anything on anyone.
It is the person’s choice whether they
want to know or accept culture. We
see the after effects and conditioning
of residential schools that still
resonate generations after, but we
want to promote and instill pride in
our people.
NNAPF’s System’s Approach

17. Next Steps
• What else would you like to know?