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National Framework for Action To Reduce the
Harms Associated with Alcohol and Other
Drugs and Substances in Canada
Substance Abuse and Schools Forum
Presented by
Carolyn Franklin, Canadian Centre on Substance Abuse
November 17th, 2005
Health
Canada
Santé
Canada
Purpose

To inform you about progress on the National Framework for
Action To Reduce the Harms Associated with Alcohol Other
Drugs and Substances

To encourage you to support the Framework
Health
Canada
Santé
Canada
Contents
BACKGROUND
FRAMEWORK AT A GLANCE
THE NATIONAL FRAMEWORK IN ACTION
A National Alcohol Strategy
PRIORITY: FOCUSING ON CHILDREN AND YOUTH
Health
Canada
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Canada
Background - Calls For Action

Calls for federal leadership

Special Committee on Non-Medical Use of Drugs,
(December 2002), Report of the Senate Committee on
Illegal Drugs (September 2002), Office of Auditor General
of Canada (2001)

Clear message

Need for a national plan

Greater federal leadership and coordination needed in
addressing substance use and abuse issues

Renewal of Canada’s Drug Strategy, May 2003

Included $16.4 million over 5 years for leadership and
related activities
Health
Canada
Santé
Canada
Background - Answering The Call

April 2004, Health Canada with CDS partners join with the Canadian
Centre on Substance Abuse (CCSA) to lead a consultative, multistakeholder process to gauge level of support for developing a
National Framework for Action together

Envisioned a process where the development of a National
Framework For Action would generate dialogue to
 Articulate a vision, principles and goals for national action
 Set out strategic priorities and directions that allow coherent
planning, delivery and evaluation of activities
 Define and clarify the roles, responsibilities and accountabilities
of the different jurisdictions and stakeholders
 Provide mechanisms to ensure coordination and facilitate
collaboration and partnerships between jurisdictions and
sectors
 Create an environment within which funding can be leveraged
Health
Canada
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Canada
Considerations
 Need for federal leadership, not ownership
 Need for a national plan, not an expansion of Canada’s

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Drug Strategy
Ensure the contribution of many federal partners
Seek commitment from numerous provincial, territorial,
municipal, Aboriginal, and NGO stakeholders at various
stages of readiness, levels of trust and with potentially
very different philosophies
Get buy-in where there is no promise of new funding, only
the potential to better leverage existing funds
Gauge the right pace - process – key to success
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Canada
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Canada
National Framework Circle of Partners
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Canada
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Development Phases

Phase 1 Gauging Commitment
(May 2004 - June 2005)
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Health
Canada
Purpose
 To measure interest and begin identifying goals,
priorities for action, and guiding principles
Cross Canada Consultations
 Toronto, Edmonton, Winnipeg, Fredericton,
Whitehorse, Vancouver, Iqaluit, Montreal, Ottawa
(NGOs), Ottawa (Federal Partners)
Participants (450)
 Provincial officials in education, health, and Justice
ministries, NGOs, Aboriginal service providers and
policing/enforcement representatives
Santé
Canada

Phase 2
Focusing On Priorities
(November 2004 and ongoing)


Health
Canada
Purpose
 To drill down on priority issues and identify strategic
directions
Thematic Workshops
 Alcohol policy, youth on youth issues, police and
policing partners issues, Corrections, Addictions
Workforce Development, FASD, Research, and Crack
Cocaine and Hepatitis C Virus National Forum
 Future – pharmaceuticals, language, public
awareness, drug policy…
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Canada
 Phase 3
National Framework Development –
Reaching Consensus
(January 2005 – September 2005)
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Health
Canada
Wide consultation on a draft Framework document
Revised Framework validated at National Forum
(Montreal June, 2005) 100 key stakeholders from all
sectors
General consensus reached
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Canada
NATIONAL FRAMEWORK FOR ACTION TO REDUCE THE HARMS
ASSOCIATED WITH ALCOHOL AND OTHER DRUGS AND SUBSTANCES
IN CANADA
All people in Canada live in a society free of
the harms associated with alcohol and other drugs and
substances
Vision
Principles
Problematic Substance
Use is a Health Issue
Problematic Substance Use
Is Shaped by Social and
Other Factors
Successful Responses to Reduce the Harms
Associated with Alcohol and Other Drugs and Substances Reflect the Full range of Health Promotion,
Prevention, Treatment, Enforcement, and Harm
Reduction Approaches
Action is Knowledge-Based,
Evidenced-Informed and
Evaluated for Results
Human Rights are
Respected
Strong Partnerships are the
Foundation for Success
Responsibility, Ownership, and
Accountability are Understood
and Agreed Upon by All
Those Most Affected Are
Meaningfully Involved
Reducing the Harms Associated with Alcohol and
Other Drugs and Substances Creates Healthier
Safer Communities
To Create Supportive Environments that
Promote Health and Resiliency of
Individuals, Families and Communities
in Order to Prevent Problematic Use of Alcohol
and Other Drugs and Substances
Goals
To Address Specific Issues:
•
Priorities
•
•
•
•
Increasing Awareness and Understanding
of Problematic Substance Use
Reducing Alcohol-Related Harms
Preventing Problematic Use of
Pharmaceuticals
Addressing Enforcement Issues
Addressing Fetal Alcohol Spectrum
Disorder (FASD)
To Reduce the Harms Associated with Alcohol and
Other Drugs and Substances to Individuals,
Families, and Communities
Across Canada
To Build Supportive Infrastructure:
• Sustaining Workforce Development
• Improving Quality, Accessibility, and
Range of Options to Treat Harmful
Substance Use Including Substance Use
Disorders
• Implementing a National Research
Agenda and Facilitating Knowledge
Transfer
• Modernizing Legislation, Regulatory, and
Policy Frameworks
To Address the Needs of Key Populations:
•
•
•
•
Focusing on Children and Youth
Reaching Out to Canada’s North
Supporting First Nations, Inuit and Métis
Communities in Addressing Their Needs
Responding to Offender-Related Issues
Endorsement Process

Phase 4 Endorsement/Approval-in-Principle
(Fall 2005 – Fall 2006)
Health
Canada

All Stakeholders to seek endorsement from their respective
ministers, boards or governing bodies

Endorsement defined: approval, acceptance, support –a
commitment to move ahead, to take action

Complex multi-dimensional process involving
 NGOs
 Federal Departments – Health Canada, PHAC, Justice
and PSEPC
 Provinces, Territories and Municipalities– health,
enforcement, education
 Aboriginal Groups
 Private Sector
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Canada
Endorsement Process Cont’d
Health
Canada

Goal is to have endorsement phase significantly
complete for FPT Ministers’ meeting next fall

Health Canada and CCSA continue to act as informal
secretariat
 to manage evolution of Framework and assist
partners with endorsement process over the coming
year
 to develop future governance options
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Canada
Phase 5: Developing National Strategies for Identified
Priorities (On-Going)

Framework provides the umbrella under which strategies can be developed

Leaders already emerging to take on specific issues:
 Stigma and Public Awareness – Addictions Foundation of Manitoba
 Workforce Development – CCSA
 Alcohol – Health Canada, CCSA, AADAC
 FASD – Public Health Agency
 Pharmaceuticals - Health Canada
 Synthetic Dugs and Marihuana Grow Ops - PSEPC
 Research – Health Canada
 Language – Centre for Addictions Research of BC with Government of
BC

Strategy development involves key players and will recognize each role, including
federal level
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The National Framework in Action – Developing
a National Alcohol Strategy

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The Framework already providing significant impetus for action –
findings of the 2004 Canadian Addiction Survey confirms need and
Thematic Workshop held in November 2004
Jointly chaired by Health Canada, CCSA and the Alberta Alcohol and
Drug Abuse Commission with 25 NGOs and experts
Five key Strategic Priorities identified: screenings, policies to reduce
chronic disease, drinking context and targeted interventions, alcohol
taxes, culture of moderation
Deliverable: A National Alcohol Strategy, including short, medium
and long term recommendations within 6 months
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Canada
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Priority Area 3: Priorities to Address the Needs
of Key Populations
Focusing on Children and Youth
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Canada
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Considerations
Reality of adolescent substance use & Investments
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Health
Canada
Focus on children and youth
Messages: prevention and health promotion v. “glamour”;
factual, age-appropriate, accessible, meaningful
Youth engagement
Parental and family involvement
Long-term, sustained prevention and health school
programs
Availability of youth-specific treatment programs
Implementation of public policies
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Canada
National Framework for Action - Secretariat
Contacts
Carolyn Franklin, CCSA
(613) 513-3579
[email protected]
Marjorie Ward, Health Canada
(613) 948-4264
[email protected]
Health
Canada
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Canada