Highlights
On September 11, 2023, Métis Nation BC (MNBC) signed a letter of understanding with the Provincial Health Services Authority (PHSA). The letter recognizes the common goals between the two organizations of providing equitable access to health services for Métis people, and improving health and wellness outcomes for Métis people within PHSA’s health services in B.C.; the letter also recognizes that MNBC Regional Governance Councils have the responsibility as elected officials of MNBC to provide guidance on the delivery of health services to Métis people, and commits MNBC and PHSA to ensuring that the planning and delivery of Métis health services are appropriate, culturally safe, and humble. MNBC has now signed or renewed letters of understanding with all provincial health authorities.
On December 7, 2023, MNBC and the Office of the Provincial Health Officer refreshed their letter of understanding.
The 2021 baseline report Taanishi Kiiya: Métis public health surveillance program monitors and reports on the health and wellness of Métis people over ten years, tracking indicators co-developed by the Office of the Provincial Health Officer and MNBC; interim reports are to be released every three years.
How are we working together?
MNBC and Ministry of Health representatives meet regularly to review and discuss issues impacting Métis health and wellness, and to explore opportunities to partner on health system priorities. MNBC and the Ministry of Mental Health and Addictions (MMHA) meet monthly to discuss priorities and opportunities to continue working towards the health and wellness priorities outlined in the October 27, 2021 letter of intent (supporting the mental health and wellness of Métis people in B.C., including exploring harm reduction and substance use programming), as well as additional priorities as they emerge.
In 2023, in support of the province-MNBC Métis relations working table, the Ministry of Health, MMHA, and MNBC established a Métis health, mental health and wellness, and harm reduction table.
Are there challenges?
MNBC has stated that funding supports are inadequate to address community needs or facilitate MNBC’s engagement in provincial initiatives and opportunities; current funding is from multiple partners, resulting in a heavy administrative burden.
Program continuity is at risk due to funding uncertainty. Métis health initiatives, such as the Métis counselling connection program, are at risk of not being able to continue if funding is not renewed. The program has exceeded capacity and is currently waitlisted.
The Ministry of Heath now provides $825,000 in annual funding for Métis health initiatives.
MMHA provides $375,000 to support capacity building on partnered mental health and wellness initiatives. In addition, MMHA has provided MNBC with $500,000 as part of the culture-based recovery and aftercare grants.
Sustainable funding for MNBC to meaningfully engage and participate in partnership initiatives is a challenge to this action. MNBC capacity to engage with multiple streams of work may delay development/implementation of specific initiatives and partnership opportunities.
Capacity issues may result in MNBC being unable to meaningfully engage and participate in the work. MNBC have stated that their reporting volume is exceeding capacity.
Discussions about the possibility for shared reporting between the Ministry of Health and MMHA to streamline reporting and reduce the administrative burden/redundancies. Funding and capacity – funding previously was renewed annually which posed challenges for MNBC to meet reporting and administrative requirements. MNBC has expressed a need for long-term funding that is stable and flexible, such as multiple year agreements, to reduce administrative burden and provide continuity for programming; The Ministry of Health and MNBC now have a multi-year funding arrangement in place through 2024-25 and will explore options for future funding.
Previous years’ progress
2022/2023 progress details
Highlights
In late 2022, the Ministry of Indigenous Relations and Reconciliation (MIRR), Ministry of Health (MoH) and Ministry of Mental Health and Addictions (MMHA) came together with Métis Nation British Columbia (MNBC) to develop a new Health, Mental Health and Wellness, and Harm Reduction Sub-Table, under the Métis Partnership Table. This sub-table brings together key system partners to explore ways to advance Métis health and wellness priorities, strengthen MNBC’s relationship with the Province and to explore opportunities to develop and promote Métis-specific health and mental health and wellness programming in the B.C. health system.
MNBC has made significant strides in strengthening their relationship with health system partners over the past year, through utilization of the increased MoH-MNBC funding resources. These resources, which include ongoing annualized funding, have supported the hiring of regional health co-ordinators and other regional-centred programming that help Métis people to access appropriate care, engagement in joint working groups and development of Indigenous children and youth health and wellness education and training modules.
Indicators
- Amount of funding provided: In 2022/23, MoH and MMHA provided MNBC with a total of $2.2 million ($1.2 million in annualized funding; $1 million grant) to support capacity building for engagements, partnership and activities to support Métis health, mental health and wellness.
- Strategic engagement underway: The Métis Health, Mental Health and Wellness and Harm Reduction Sub-Table was established.
How are we working together?
Partnership and collaboration forums include working groups, the In Plain Sight Task Team, monthly/bi-monthly executive meetings, a quarterly assistant deputy ministers (ADM) meeting and the newly established Health, Mental Health and Wellness, and Harm Reduction Sub-Table.
Are there challenges?
Challenges include limited MNBC capacity to engage on multiple streams of work which may delay development and implementation of specific initiatives and partnership opportunities.
MNBC has stated that funding supports are inadequate to address community needs and facilitate MNBC’s engagement in provincial initiatives and opportunities; as well, the current funding from multiple partners in numerous agreements is resulting in a heavy administrative and reporting burden.