This document is intended to supplement the BCCSU Guideline for the Clinical Management of Opioid Use Disorder with an overview of care principles and treatment options specifically pertaining to pregnant individuals*. This guideline recognizes persisting misconceptions about pregnant people who use substances as a primary barrier to accessing treatment for opioid use disorder during pregnancy, and emphasizes the need for a non-judgmental, trauma-informed and culturally safe approach to care that accommodates patients’ individual choices and circumstances. Within this framework, the present document recommends a holistic and integrated care plan with appropriate use of the full range of available long-term treatment options and harm reduction services. [from page 9]
Indigenous resilience, connectedness and reunification - from root causes to root solutions : a report on Indigenous child welfare in British Columbia : final report of special advisor Grand Chief Ed John.
By Special Advisor on Indigenous Children in Care, Grand Chief Ed John. Submitted to BC Minister of Children and Family Development on November 21, 2016.
Contents: I. Introduction: Grounding the work: a commitment to focus on resilience, connectedness and reunification; Meeting with Gwa’sala-’Nakwaxda’xw Nations, Kwakiutl Nation and Quatsino First Nation; Scope of the report.
II. Areas for focused action: 1. Direct support for Indigenous children, parents and families in all Indigenous communities 2. Access to justice and child and family services 3. A new fiscal relationship - investing in patterns of connectedness 4. Prevention services: keeping families together 5. Reunification and permanency planning 6. Nurturing a sense of belonging and prioritizing culture and language: care plans as a tool for building connectedness 7. Early years: early investment in establishing patterns of connectedness 8. Indigenous peoples and jurisdiction over child welfare 9. Existing policy framework: shifting towards patterns of connectedness 10. National strategy for Indigenous child welfare.