TSINIKSSINI special publication 2015 special publication 2015 Published by Blood Tribe Administration COMMUNICATIONS Department The Blood Tribe Administration Review entitled ‘TSINIKSSINI’ is dedicated to the sharing of information for the people of the Blood Tribe. The magazine format features news, stories, articles and an array of items as our way of sharing what is occurring on the Blood reserve and beyond. We hope you enjoy your magazine and invite any suggestions you may have in improving our coverage on any number of events and activities. The magazine will be printed on a monthly basis and will be distributed to various locations on-and-off the reserve. The magazine is free of charge. The magazine is published by the Blood Tribe Communications department and is printed by Graphcom Printers (2011) of Lethbridge. The collection of information, photographs and layout of the magazine is from the Blood Tribe Communications department. Reproduction of any story or use of photographs must be requested in writing and addressed to the Blood Tribe Communications department. Any unauthorized use of stories and photos of TSINIKSSINI or from the Blood Tribe Communications department may infringe on tribal copyright laws. We would like to acknowledge the Blood Tribe Chief & Council and the people of the Blood Tribe for your support. Rick Tailfeathers: Communications Director Tom Russell: Communications Writer Myron Fox: Layout Graphic Design Sarah Sweet Grass Photos/Stories Published by the authority of Blood Tribe Chief & Council Box 60 Standoff, AB T0L 1Y0 ph: (403) 737-3753 FAX: (403) 737-2785 visit our website for more... www.bloodtribe.org TABLE OF CONTENTS 3 CHIEF AND COUNCIL MESSAGE 4 DR. TAILFEATHERS 5 GAYLE CHASE 6 BLOOD TRIBE POLICE REPORT 7 WHAT DOES AN OVERDOSE LOOK LIKE 8 ATTENTION COMMUNITY MEMBERS 10 WHAT ARE OXY 80’S 11 OPIOID ADDICTION AND OVERDOSE FACTS 12 DR CHERYL CURRIE 14 BLOOD TRIBE ASSET MAPPING 15 BAND COUNCIL RESOLUTION 16 EVENTS OF THE DRUG CRISIS 17 SAIPOYII SCHOOL POSTER CONTEST 18 DETOX AND TREATMENT PLAN STRATEGY 19 PAM LITTLE BEAR 20 EMERGENCY HOTLINE Many tribal members are taking part in creating awareness and showing their support in battling illicit and prescription drug abuses. A number of meetings in each community on the reserve have a purpose in sharing news and information. PHOTO CREDIT: Rick Tailfeathers CONTRIBUTING PHOTOGRAPHERS: Mason Wolfchild 2 TSINIKSSINI special publication 2015 CHIEF AND COUNCIL MESSAGE Oki, Blood Tribe Chief & Council would like to commend the earnest efforts of the prescription drug abuse core group and the Blood Tribe community in creating awareness in the danger of Oxy 80 and other illicit street drugs. Since the passing of a Band Council Resolution (BCR) and the call for a local state of emergency, the Blood Tribe community has come together working collectively in the prevention of drug overdose. An alarming rate of deaths related to overdose has impacted the tribe immensely. This call for action has connected the community, our professionals and outside agencies, in the development of a strategy to combat the epidemic head on. Our sincerest condolences to the families who have lost loved ones in recent months. Our focus is to understand and provide support and outreach to those who are in need. In the early part of April, Blood Tribe Administration (BTA) hosted a two-day asset mapping facilitation. This exercise included all departments and entities that provided an inventory of what services and supports the tribe currently has. Where there are gaps, Chief & Council will be discussing with both federal and provincial governments the shortfall and expediting access to any resources available. We must not forget that we are a proud nation. Now is the time for all of us to come together and provide support for one another. Through awareness and understanding we can all enjoy a quality of life and provide safety for the Blood Tribe. Chief Charles Weasel Head On behalf of Blood Tribe Chief & Council 3 TSINIKSSINI special publication 2015 DR. ESTHER TAILFEATHERS Blood Tribe doctor continues battle against illicit drug abuse Dr. Esther Tailfeathers continues her fight to free tribal members addicted to illicit drugs and prescription pill abuse. She is offering her support in bringing people together to map out plans in stopping this deadly activity. Tailfeathers said she began to notice an increase in overdoses last year from alleged Fentanyl abuse. Since then, Fentanyl, used as an ingredient in an illegal drug known on the streets as Oxy 80, has been blamed for a number of deaths and overdoses. “We’re all affected, whether we’re addicted or a family member is addicted, or from someone who has died from Oxy 80,” she said. “As physicians, we’ve become very concerned about that and we’ve started discussions on what is our role in all of this.” breathing and almost died.” That incident with Oxy 80 began the process in researching and understanding what Oxy 80 is and the extreme danger to someone who is taking the illegal drug. “The problem with Oxy 80 is that it is a street drug,” she said. “There are people out there who are manufacturing these pills and they’re throwing anything into the pills. They don’t measure how much Fentanyl they put into them, so any one of those pills people take can have 10 micrograms or 100 micrograms of Fentanyl. That’s why we’re hearing that people taking it for the first time are overdosing. People don’t know what they’re taking and it’s killing them on the spot.” Tailfeathers was successful in obtaining Naloxone training kits and has provided training to identified service providers, emergency responders and concerned tribal members. Her fight to seek healthy alternatives for her people continues today. “This is a huge problem. It’s overwhelming.” Tailfeathers said her first incident with Oxy 80 was a suspected overdose she witnessed in the parking lot of a department store in Lethbridge. Once the ambulance arrived on the scene, they revived the individual with Narcan. Another incident was a young woman who was brought into the hospital who was overdosing. Tailfeathers said that was the first time she seen an actual Oxy 80 pill. “I was in the emergency room and they brought in a lady who had stopped breathing. She had no history of heart problems,” she said. “So we immediately gave her Narcan. She sat up and started breathing again.” Tailfeathers said they later pulled the nasal gastric tube from the back of the lady’s nose and in the back of the tube was a green pill. She asked the young woman what the pill was. “She said this is Oxy 80 and ‘it’s the first time I used it.’ The first time she used it, she stopped Dr. Esther Tailfeathers providing Naloxone training to community members. 4 TSINIKSSINI special publication 2015 GAYLE CHASE Prescription drug strategy core group hires new coordinator A job was created in an effort to streamline the various roles and responsibilities of the growing number of health care providers, organizations and departments, including the local law enforcement and partnering agencies. A core group made up of professionals both on-and-off the reserve decided that, due to the enormity of the tasks and duties involved in developing a strategy in dealing with the drug crisis, an individual would be the contact point in keeping the flow of information moving toward its intended destinations. Gayle Chase, who has an extensive background in the mental health environment, was employed on April 1, 2015, as the Prescription Drug Strategy Project Coordinator. She will work closely as a member of the Prescription Drug Strategy Project to coordinate all activities in evaluating the various aspects and plans according to the direction of the core project group. “I would like to commend the Blood Tribe for taking on the initiative to address prescription drug abuse,” she said. “I believe the focus now is looking at the whole issue around detox that is needed in the community. I will be working with the core group and helping to implement the action plan that has been drafted by the core group.” Chase, who has a Master’s Degree in Social Work and brings with her over 25 years of experience in the area of addictions, is already becoming deeply involved with the core group as they move toward implementing the plans into action. “There’s been a lot of work done and now it’s the implementation and action plans that we are working on,” she said. “The asset mapping work being performed now will bring the service providers Prescription Drug Strategy Project Coordinator, Gayle Chase, brings with her over 25 years experience in the area of addiction together to share their resources to address a common issue.” The Prescription Drug Strategy Project Coordinator’s office is situated at the Family & Community Support Services building where Chase and assistant Sandra Curly Rider can be contacted. Chase understands the responsibilities of her duties and is looking forward in how the community members can be reached in creating awareness and educating on other alternatives to drug abuses. “We need to focus on prevention and our family structures,” she said. “I commend Pam Little Bear for stepping forward and sharing her experiences with drug abuse. We need more people like her to step forward in helping others.” Chase understands the enormity of her role and looks forward to the day when the people of the Blood Tribe can live in 5 a healthy, productive environment. “We need to strengthen the cultural aspect; we need to bring that back,” she said. “We need to utilize our elders, cultural practices and elders in helping to develop our family structures. We really need to focus on family healing and the support that is so important. We need to provide support to the families and not just on the person with the addiction.” “I believe the focus now is looking at the whole issue around detox that is needed in the community” TSINIKSSINI special publication 2015 The Blood Tribe Police Service Crime Reduction Unit Chief of Police Lee Boyd The purpose of the CRU team is to provide ongoing support and intervention in the community to reduce gang violence, crime recidivism and youth involvement. There are four elements to the structure of the CRU Unit. 1. CRU - three officer team of investigators and intervention specialists. Liaise with community groups such as foot patrol and neighborhood watch regarding ongoing community public disorder issues. 2. One Crime Prevention coordinator to work with the community and the police to facilitate communication and youth programming. 3. Engagement of Victim Services coordinator and volunteers – ongoing assistance to victims and witness management to assist in building community confidence and its perception of safety. 4. Crime Analysis – constant review and analysis of police calls for service and crimes in the community. The CRU team was established in January of 2015 and is currently comprised of: • Two constables as investigator/intervention specialists • Supervised by the member in charge of Operations • Victim Services on an as needed basis • Crime Analysis as supplied via the provincial ALERT team out of Lethbridge. We have recently been informed that a Crime Prevention Position has been approved for the police service and will be initiated within the next six months. Our team has been very active in enforcement and disruption tactics in tackling the Oxy 80 problem in the community. They also spearhead our message to the community about the dangers of drug abuse and its related issues such as violence, break and enters and thefts. If you have information about who is dealing illegal drugs let our investigators know by e-mailing oxy@ bloodtribepolice.com 6 TSINIKSSINI special publication 2015 What does an overdose look like? An overdose looks different depending on the drug you take, like if it’s an ‘up’ or a ‘down’ Your body can go crazy and you can do the “funky chicken” If you took ‘up’, your heart may be going really fast, you might get sweaty, and you can have lots of bad seizures. If you took ‘down’, your breathing & heart rate slows then stops altogether If your heart or breathing really slows down or stop, you will have cool skin and turn blue. OVERDOSE - OPIOIDS /DEPRESSANTS FEELS AND LOOKS LIKE: • • • • • • • • • Person cannot stay awake Can’t talk or walk Slow or no pulse Slow or no breathing, gurgling Skin looks pale or blue, feels cold Pupils are pinned or eyes rolled back Vomiting Body is limp No response to noise or knuckles being rubbed hard on the breastbone. WHAT DO I DO IF I SEE SOMEONE OVERDOSE??? Just because someone overdoses, doesn’t mean they will die... they just need the right help. STEP 1: Call 9-1-1 if the person isn’t waking up or isn’t breathing, is having seizures, or has chest pains. STEP 2: Roll the person into the ‘recovery’ position. STEP 3: Stay with the person (if you can) until help arrives. PREVENTION Overdose is most common when: • Your tolerance is lower: you took a break, were in detox/ treatment or jail, or you are a new user. • You have been sick, tired, run down, dehydrated or have liver issues. • You mix drugs: prescribed or not, legal or illegal. • The drugs are stronger than you are used to: changes in supply, dealer or town TO PREVENT OVERDOSE: • Know your health status and your tolerance • Do not mix drugs and alcohol. If you do mix, choose to use drugs before alcohol • Be aware: using drugs while on prescribed medications can increase overdose risk • Don’t use alone. Leave door unlocked. Tell someone to check on you • Do testers to check strength. Use less. Pace yourself • Talk to an experienced person or a trusted healthcare provider about reducing risk • Know CPR and get trained on giving naloxone • Choose a safer route of taking drugs Naloxone: When you overdose on an opiate (like morphine or heroin) your breathing slows down and can stop. Naloxone is a drug that can wake you up AND save your life! Even though you wake up, the opiate is still in your body. CALL 9-1-1! And don’t take another hit... you can OVERDOSE again. 7 TSINIKSSINI special publication 2015 ATTENTION COMMUNITY MEMBERS WHAT IS OXY 80? • ALL Oxy 80s are fake. It is not from a doctor. • The criminals making it use a pill press and food coloring to make it look like a prescription pill. • It is not a prescription. This drug is made by criminals. • Most fake Oxy 80 pills contain Fentanyl. WHAT IS FENTANYL? • Fentanyl is a very strong drug that slows your body down. • Fentanyl is toxic. Very small amounts of Fentanyl can stop your breathing. • If you use drugs with Fentanyl, like fake Oxy 80s, you will become addicted very quickly. • Once you are addicted, the cravings are extreme. It will be very hard to get off the drug. • It is very easy to overdose on Fentanyl. • Fake Oxy 80s have different amounts of Fentanyl in every pill. Some could have a very deadly dose. 8 TSINIKSSINI special publication 2015 • One fake Oxy 80 pill can have a deadly dose and can kill you. Don’t be the next victim. WHAT IS CAUSING SO MANY OVERDOSES IN OUR COMMUNITY? • Fentanyl in fake Oxy 80s is what is causing the deaths in our community. All Oxy 80s are fake. • Don’t be the next victim. • Using fake Oxy 80s is like playing Russian roulette. • Mixing Oxy 80s with other drugs or alcohol increases your chances of an overdose and you can die. CALL 911 – EARLY OVERDOSE SIGNS • Severe sleepiness • Slow heartbeat • Trouble breathing • Slow, shallow breathing or snoring • Cold, clammy skin • Trouble walking or talking 9 TSINIKSSINI special publication 2015 WHAT ARE OPIOIDS, OXYCONTIN (OXY80) AND THE DANGERS What are opioids? • Opioids are medications that relieve pain. • They are also called pain killers. • Opioids are oxycodone, fentanyl, Percocet, Vicodin, morphine, and codeine. • Opioids slow the functions of the body down. • Your body can become addicted to opioids quickly Are opioids dangerous? • Yes. Opioids can be dangerous. • All opioids slow the body down. • If too much is taken, a person can stop breathing and die. • Some opioids like fentanyl slow the body down a lot, and breathing can stop even if only a little is taken. What is OxyContin? • OxyContin was an opioid that no longer exists in Canada. • OxyContin was replaced by OxyNEO. • OxyNEO contains the same ingredients as OxyContin, but OxyNEO is hard to crush, and becomes a gel if liquid is added. • If you can easily crush a pill claiming to be Oxy80 - you know it some other drug. • Fake Oxy80 pills are usually green with oxy80 stamped on them. • Fake Oxy80 usually contain unknown quantities of fentanyl, mixed with other harsh chemicals. What is Fentanyl? • Fentanyl is a very strong opioid. • Very small amounts of fentanyl can stop breathing. • It is very easy to overdose on fentanyl • If you use drugs with fentanyl you will become addicted very quickly. • Once you are addicted, the cravings are extreme. It will be very hard to get off the drug. Cut back on opioids if you have a cold, asthma or, snore a lot • Overdose deaths are more likely to happen if you take opioids and have a chest infection (bronchitis, pneumonia), chronic obstructive pulmonary disease (COPD), or emphysema. • If you are coughing up phlegm, it may be harder for you to recover from the slow breathing (respiratory depression) that comes with taking too much opioid. Unusual snoring after taking opioids can be a sign of an overdose. Mixing opioids with alcohol is dangerous •Mixing opioids with alcohol can lead to fatal levels of the opioid being released all at once. • This is sometimes called “dose dumping” and it increases the likelihood of overdose. • This isn’t a high worth chasing. Don’t wash down opioids with alcohol. Some opioid pills contain dangerous amounts of Tylenol • Taking Tylenol every day for weeks can damage your liver. • This can be very serious if you have hepatitis C, are drinking alcohol a lot, or have liver problems. • Brand name opioids with Tylenol are: Tylenol 1 to 3, Vicodin, Percocet, Tylox, Lorcet, Lortab, Norco, Darvocet and Ultracet. • If you are concerned, ask your doctor to prescribe you something without Tylenol. •If you can’t see a doctor and are treating your own pain, try to find painkillers that don’t have “acetaminophen” or “APAP” written on the label. 10 TSINIKSSINI special publication 2015 These are what the fake oxycontin pills look like. The Oxy 80 pills are highly damaging and cause death to the user. OPIOID ADDICTION & OVERDOSE FACTS: What happens if I stop taking an opioid & then start again? • If you use opioids regularly you will develop tolerance • Tolerance means more and more of the drug is needed for the same effects • If you stop taking the drug for days or weeks, you will lose tolerance. • If you start using again, and use the same amount you took before you stopped, the risk of overdose is extreme. What should I do if I think I am addicted to an opioid? • This needs to be decided by the community —a plan is needed for those struggling with addiction to ensure success. • This should include treatment for the physical addiction AND treatment for the psychological addiction. People need help so they do not turn to another addiction (or relapse) when there is no more high to rely on to deal with psychological trauma. What does an opioid overdose look like? 1. Slow breathing — less than 10 breaths per minute 2. Loud snoring or gasping for air 3. Skin colour is blue or gray around lips or fingernails 4. You can’t wake them up. 11 TSINIKSSINI special publication 2015 DR. CHERYL CURRIE Prescription drug misuse presentation decribes Fentanyl as very harmful drug more to get the same effect. But once you get clean, your body’s ability to handle the drug goes down. If you relapse, you must take a smaller dose, or your chance of overdose will be very high. Even after a week of being clean, if you relapse, take a smaller dose to keep yourself safe.” Dr. Cheryl Currie shares her expertise in bringing people together during this time of crisis. At the Asset Mapping Workshop Dr. Cheryl Currie gave a presentation that provided an overview of prescription drug misuse in Canada and other countries. Dr. Currie is an Assistant Professor at the University of Lethbridge. Her presentation described the rapid increase in prescription drug abuse occurring worldwide. She noted that in the past 2 decades the US has experienced a 250% increase in prescription drug misuse. She notes Canada has now become the second largest consumer of narcotic prescription drugs in the world - the silver medal winners! Although it is not much of a prize - with increasing prescription drug use comes more abuse, addiction and overdose, said Dr. Currie. countries in Europe, like Estonia, have been struggling with fentanyl problems for years. Addicts describe feeling trapped, the cravings are so strong, people need medical help to get off this drug.” Avoiding Overdose Currie also described the symptoms of prescription drug addiction and overdose. “An overdose occurs when a person takes more of a drug than the body can handle. The body loses control over basic functions of life like breathing and keeping the heart beating correctly,” she said. Currie noted that people are at greatest risk for overdose if they Dr. Currie described fentanyl as get clean, then relapse. “Your body a particularly harmful drug. “It builds up a tolerance to a drug over is extremely addictive. Wealthy time, so that you need more and 12 Currie also highlighted the work of Dr. Esther Tailfeathers and others to prevent overdose. “Overdose kits containing Narcan saves lives,” she said. Kainai is the first community in Canada to train the public to use these life saving kits. It is exciting to see Kainai lead the way. I expect you will soon see other communities, both Aboriginal and non-Aboriginal, following your lead. TSINIKSSINI special publication 2015 A Model for Success Aboriginal and non-Aboriginal cases of addiction if less pain killers Canadians do together to improve are prescribed.” Dr. Currie presented a model to the situation?” The final part of the framework is tackle prescription drug misuse developed by the Chiefs of Ontario. The second part of the Take a treatment. “Drug addiction can be The Take a Stand Framework Stand Framework is focused on difficult to overcome,” said Currie. highlights 4 strategic areas to reduce living a healthy life. This means “Reaching out for help is important. having work you feel proud of, It is not a matter of will power. the problem. having opportunities to engage Addiction is a brain disease. Does The first is promoting healthy in healthy recreation, and having it make sense to use your brain to relations in the community. Some time to engage the spiritual sides overcome it?” Currie described Aboriginal scholars describe of self. Research all over the world, the role of detox programs, treatment, and mental illness - including addiction including Alberta, has shown that psychological when Aboriginal people return to aftercare to heal from prescription - as a spiritual illness and more specifically a ‘soreness of the spirit’ Aboriginal traditions and values drug addiction. She noted that caused by the separation from addictions go down dramatically for some, an opiate replacement, kinship and family due to residential and people feel better - more like Suboxone or Methadone, can schools and colonization. Programs connected - at a number of levels in reduce cravings so people can stay clean and go through psychological that encourage individual, family their life. treatment. “It is important to work and community healing are needed The third part of the framework with your doctor to determine if to restore balance. Currie also outlined how racism addresses the number of pills in full medical detox or an opiate impacts health and feelings of the community by working with replacement is best for you,” she self-worth. Research by Currie doctors and educating patients. said. Once formal treatment is and others has shown that when “Sometimes people need help with complete aftercare support can people experience high levels of physical pain,” said Currie, “but a help reduce relapse. “It is like racism addictions go up. “People pill isn’t always the answer.” Currie helping someone up steps,” said sometimes struggle to cope with highlighted traditional therapies Currie. “Aftercare is that final step these experiences, or escape them, like yoga that can be effective. “The - an essential step– to help people with drugs,” she said. Currie evidence is strong - yoga practice can find work, rebuild relationships, outlined her research in Alberta help with many forms of pain. Yoga and work through any legal issues – which suggests Aboriginal is more than 1000 years old - and it’s caused by their addiction. Aftercare Canadians experience very high fun too! Dr. Susan Christenson is helps people find a meaningful levels of racism. “Racism is a toxic introducing yoga classes in Kainai place in the community again.” stressor. It affects health. It affects for people in physical pain. It is a wellbeing. It affects a person’s great idea, and it could reduce new ability to find work and support their family,” said Currie. She notes that to tackle this problem, a shift in thinking is needed in Canada: “It’s as though the non-Aboriginal population has been holding a mirror up and telling Aboriginal people to look at themselves and make changes. What we need to do at this point is turn the mirror around. What are non-Aboriginal people doing to perpetuate the problems and obstacles that Aboriginal people continue to face? What can 13 TSINIKSSINI special publication 2015 CORE GROUP Blood Tribe takes inventory of current support services through asset mapping Overview: for strategic planning, community mobilization and economic Asset Mapping is a capacity development. Mapping ultimately inventory of existing community identifies service relationships. agencies and/or services. A community asset mapping assists with creating positive partnerships with existing community agencies, helps identify key stakeholders and will assist with identifying Over the course of two days the overlapping of services. It is a asset mapping session entailed process that mobilizes a community community agency collaboration, to use its assets to develop a networking and strategizing action plan to solve its problems and plans to tackle the epidemic within improve residents’ quality of life the Blood Tribe. This organic (Kretzmann, John P. and John L. process included various agencies McKnight. 1993). This process does of upper management. Agencies not remove the need for outside brainstormed inventory of services, resources but provides a detailed ranking of what was most valued inventory of what is presently in within the community and rational the community. It will assist current of the value of these identified assets. service providers with building A grass roots initiative formed from current capacities and provide these sessions as agencies began to strategies on addressing community strategize solutions with the current issues. The mapping process will services that are available within the promote service relationships Blood Tribe. which will build the foundation The overall goal of the two days Asset Mapping 2 Day Session was to build the foundation for a comprehensive strategic plan to involve the engagement of community service providers. This initiative was supported by Chief & Council which included a “Band Council Resolution”. Numerous agencies that were involved in this two day process included: Communication, Education, Human Resources, Lands, Public Works, Healing Lodge, Social Development, Health, Blood Tribe Police, Tribal Government, FCSS, Recreation, and BTEST. Each department participated in the process of the collaboration and commitment to identified action plans. This initiative consists of committment plans that agencies took upon themselves to address with “next steps” action plans to be completed by May 8, 2015. Blood Tribe departments and entities, “core group” busy developing and implementing drug problem strategies. 14 TSINIKSSINI special publication 2015 The following is the Band Council Resolution from the Blood Tribe Chief and Council WHEREAS the Chief and Councillors (“Council”) of the Blood Tribe act for and on behalf of the Blood Tribe members; AND WHEREAS Council has a growing concern about the serious problems of drug abuse in the Blood Tribe community and believes that there is an escalating problem with respect to the use of the street drug Oxy 80 and other opiates; AND WHEREAS there are a growing number of deaths in the Blood Tribe community as a result of the consequences of drug use and abuse; AND WHEREAS Council has worked with concerned community members, including members of Council, Blood Tribe Administration Departments and entities and professionals within the public service and health agencies and are actively working on an organized plan to provide services to the community but in the interim the harm to the health and welfare of community members is escalating on a daily basis; AND WHEREAS the Blood Tribe has partnered with the Faculty of Health Sciences, University of Lethbridge and has endorsed an Asset Mapping Project wherein an assessment will be conducted that shall compile an inventory of existing community agencies and services and assist with creating positive partnerships among those services as a means of addressing the problems of drug use; AND WHEREAS Council believes that the concerns relating to the unlawful drug use has reached a crisis point and is in the state of an emergency and actions and resources further to the ones already being undertaken are immediately required; NOW THEREFORE BE IT RESOLVED THAT that the Blood Tribe Police is directed to take immediate action and to ensure that a priority is given to combatting the growing unlawful drug sales and the growing use of opiates, including Oxy 80, in the Blood Tribe Community; AND BE IT FURTHER RESOLVED that the Blood Tribe shall actively seek federal health funding and all other funding and related resources to combat this growiing concern of drug use and dangers to the health and welfare of Blood Tribe members. 15 TSINIKSSINI special publication 2015 CHRONOLOGICAL EVENTS OF DRUG CRISIS • Dr. Esther Tailfeathers begins to notice a rise of overdoses in July 2014. The illicit drug Oxy 80 is pulled from the nasal cavity of a patient she is treating; confirming her initial fear of a more potent drug containing Fentanyl being sold on the Blood reserve. • December 2014 Dr. Esther Tail Feathers writes to Blood Tribe Chief & Council informing them of the dangerous oxy 80 drug. • December 11, 2014 Chief & Council issue an Community Alert on the Dangers of the Illicit Drug Oxy 80. • Blood Tribe Police issued a Media Release stating the arrest of a non-tribal member who was charged with three counts of Possession of a Controlled Narcotic for the Purpose of Trafficking contrary to section 5(2); and two counts of Possession of a controlled Narcotic for the purpose of Trafficking contrary to section 4(1) of the Controlled Drug & Substance Act. • Chief and Council organized a Core Team in January 2015 to bring awareness of illicit street drug Oxy 80 & Prescription Drug Abuse. This group will also prepare and distribute overdose prevention kits and to improve treatment options for the community. • The Blood Tribe Police Service launched a “Crime Reduction Unit” in January 17, 2015, which two officers are assigned to deal exclusively with drug investigations. They are currently seeking additional officers from the RCMP. • A series of awareness walks beginning on January 19, 2015, in the Moses Lake community, in Stand Off on January 20th and a community meeting at the Multipurpose building on January 22nd highlight the dangers of the Oxy 80 crisis and alleged cause of a number of deaths. • A Public Announcement is distributed to the Blood Tribe members concerning Naloxone training beginning in Levern on March 3, in Moses Lake on March 4 and at the Multipurpose building on March 5, 2015. • On March 4, Chief and Council declared a local state of emergency and ordered in 47 kits of the drug naloxone, known to counter effects of an opioid overdose. • Blood Tribe police reported four suspected fentanyl overdoses on Friday, March 20, 2015; two of them fatal. • On March 20, 2015, three members of the Blood reserve are charged with Trafficking a Controlled Substance contrary to section 5(1) of the Controlled Drug and Substances Act; Causing death by Criminal Negligence contrary to Section 220 of the Criminal Code of Canada; and Causing Death by Criminal Negligence contrary to Section 220 of the Criminal Code of Canada. • On Friday, March 20th, Blood Tribe Chief & Council issue a warning. Dr. Esther Tailfeathers tells Blood Tribe Officials, “Potency of this new influx of Fake Oxy80 is higher and deadlier than ever before and is now combined with other drugs including ecstasy.” • Blood Tribe has engaged in numerous awareness events in the community, including the Door-to-Door Campaign on Sunday March 22, 2015. • The Door-to-Door Campaign included representatives from Council, elders, volunteers, and youth. Education flyers on the fake Oxy 80 were distributed. • The reserve has seen 16 confirmed fatal overdoses linked to fentanyl since doctors began screening for the drug in late August, early September, according to Dr. Esther Tailfeathers, who works at a Stand Off clinic and Cardston emergency room. Two suspected cases could push the total to 18. • The Naloxone training sessions continue on April 1, 2015, at the Multipurpose building. • The Blood Tribe is fast tracking a 24-hour EMERGENCY HOTLINE, which will offer information and mental health support for users. The number to the EMERGENCY HOTLINE is 403.737.HELP / 403.737.4357 • The Crisis Core group is continuing their efforts in bringing awareness to the dangers of illicit and prescription drug abuses on the Blood reserve. 16 TSINIKSSINI special publication 2015 COMMUNITY POSTER CONTEST Pam Little Bear brought children from the community together and challenged them to a poster contest. Here are a few of the children’s creations and their messages of illegal and prescription drug abuses. The parents of the children who created these posters were also involved in sharing their thoughts and feelings as the children designed their creations. These children are our future; protect and honor them. 17 TSINIKSSINI special publication 2015 DETOX AND TREATMENT PLAN STRATEGY 1. Kainai Wellness Centre - Mental Health/Addictions Services have acquired two detox beds from the Foothills Detox - Fort Macleod. These beds are being used on a continuous basis. 2. Renfrew Detox Centre - Calgary, has beds available. These beds are on a first-come, first-serve basis. The client must call by 7am on the day of arrival and the bed will be held until the client arrives. If Renfrew does not receive this call, the bed will be given to the next person on the waiting list. 3. There are 2 AADAC workers that are providing service to Blood Tribe members. They are located at the Standoff Clinic. These workers are available on Tuesdays and Thursdays. If the client is requesting treatment services, they are then referred to the Wellness Centre. 4. Kainai Wellness Centre - Mental Health/Addictions Services provide counselling and referrals to NIHB approved treatment centres in Alberta, as well as a male specific treatment centre in BC. 5. Due to the increase of individuals requesting treatment, AADAC treatment centres are accepting our clients based on approval from NIHB. These individuals must go through Mental Health/Addictions Services for pre-treatment counselling and referral to appropriate treatment centres. Mental Health/Addictions will not cover any private treatment centres. 6. We are seeing a high demand for a medical detox facility. The numbers have increased dramatically for detox services. This shortage is evident across the Alberta region. 7. A transition program is needed to support the client once they have completed detox and are waiting to enter treatment. Once treatment is completed these clients should ideally enter an Aftercare program to assist the individual on the road to recovery. Presently we are exploring options on the Transition and Aftercare phases of the Treatment continuum. 18 TSINIKSSINI special publication 2015 PAM LITTLE BEAR Community member shares her story of survival A tribal member who has been deep in the heart of prescription drug abuse is stepping forward to share her life as an addict. Pam Little Bear, a wife and mother of eight, made the decision to free herself from addictions and is showing her courage in helping others realize just how destructive and dangerous prescription and illegal drugs affect the abuser and their families. Ever since she made the decision to stop abusing drugs, Little Bear is now speaking at gatherings and awareness walks to share how terrible the abuse of drugs affected her and her loved ones. “I’m so glad I’m free from this nightmare,” she said. “I would never want anyone to become a pill-popper. What these drugs did to me took away my money, job, health, my memories, the love of my family and my life. My health was so poor that I would rather take the pills than eat.” Her journey into the destructive and dangerous world of prescription drug abuse endangered the lives of those most precious—her children. “One of these pills fell and my son put it into his mouth,” she said. “He became drowsy and his head was dropping. His eyes started rolling back, he was lifeless. We floored it to the hospital; I was crying, but at the same time, I was checking to see if my pills were still there. The doctor told me what he took, and I eventually had to tell them what he took so that the doctors would know how they could treat him. The pills controlled my life because that next day, instead of quitting, I went back to Lethbridge to get more pills, instead of thinking of my family and what happened to my son. That’s how bad addictions are.” Today, Little Bear is a strong advocate in the fight against prescription and illegal drug abuse. She credits her Husband, friends and professionals for doing an intervention that helped her on a path to regain a healthy lifestyle. Little Bear is also taking the initiative to help a growing Pam Little Bear addressing community members of her struggle to overcome prescription drug abuse number of people who want to begin life once again that is free from addictions. Little Bear is a courageous, strong Blackfoot woman who is taking a stand in fighting addictions by sharing her story. She prays and hopes others will realize how much more fulfilling and healthy their lives will be, to be among others who choose to live without drugs and alcohol in their lives. “One of these pills fell and my son put it into his mouth,” she said. “He became drowsy and his head was dropping. His eyes started rolling back, he was lifeless.” - Pam Little Bear 19 OVERDOSE PREVENTION EMERGENCY HOTLINE SAVE A LIFE The Blood Tribe is currently setting up an EMERGENCY HOTLINE to help those seeking information regarding prescription and illicit drug abuses. The number will be: (403)737-HELP (403)737-4357
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