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Deconstructing Disability: Definitions, Data, and Discussions from First Nations Child Welfare Agencies in Northern Saskatchewan Raissa Graumans, PhD Saskatchewan First Nations Family and Community Institute National Child Welfare Conference, Calgary October 24, 2018

Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

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Page 1: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Deconstructing Disability: Definitions, Data, and Discussions from First Nations Child Welfare

Agencies in Northern Saskatchewan

Raissa Graumans, PhDSaskatchewan First Nations Family and Community Institute

National Child Welfare Conference, Calgary October 24, 2018

Page 2: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Presentation Overview

1. Project Background & Research Approach

2. Partners & Participants

3. Methods & Results

4. Recommendations & Future Plans

Page 3: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

PURPOSE, AND OBJECTIVES

• SFNFCI is a non-profit that conducts research, policy development, trainingand supports to First Nations CFS agencies across the province

• SFNFCI is the primary applicant and coordinates the project in partnershipwith FNCFS agencies

• The Disability Research Partnership is a series of yearlong community-basedresearch projects

•Funded through the Disabilities Initiative of Indigenous and Northern AffairsCanada (INAC)/Department of Indigenous Services Canada (DISC)

•Develop a clearer understanding of the experiencesof children/youth living with disabilities on reserve

•Establish a culturally relevant definition of disability

•Identify service availability, gaps, and needs

•Develop a data collection instrument to gatherrelevant information from FNCFS case files

Page 4: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

LITERATURE REVIEW: KEY TOPICS

• The Canadian government discriminates against First Nations children by failing to provide

adequate funding for services

(Benjamin, 2018; First Nations Child and Family Caring Society of Canada et al. v. Attorney

General of Canada, 2016; Sinha & Kozlowski, 2013; Blackstock, 2011)

• First Nations children/youth are over-represented in the Child Welfare system (both in

Saskatchewan & Canada)(Sinha, & Orav-Lakaski, 2018; Kirmayer, Sheiner, & Geoffroy, 2016; Fallon et al., 2015; Barker, Alred, & Kerr, 2014; Statistics Canada, 2013)

• Children/youth with disabilities are more likely to experience neglect and abuse

(Perrigo et al., 2018; Helton & Cross, 2011; Stalker & McArthur, 2010; Jaudes & Mackey-Bilaver,

2008; Fuchs et al. 2007; Sullivan & Knutson, 2000)

• Lack of specific, reliable data on prevalence rates, functional impacts, and other key

information related to disabilities among Indigenous communities in Saskatchewan, Canada, and

around the world

(Di Pietro & Illes, 2016; Lightfoot, Hill, & LaLiberte, 2011; AFN, 2007; Wright, Hiebert-Murphy, &

Gosek, 2005; Gething, 1994)

Page 5: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

RESEARCH APPROACH

Page 6: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Y1 Y2

ACCFS 0 26

MLTCCFS 0 27

53

PARTNERS & PARTICIPANTS

2016-17 2017-18

Page 7: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Support from the 3 Chiefs and Councils in Athabasca: Chief Rudy Adam (Fond du Lac); Chief Coreen Sayazie (Black Lake); Chief

Bart Tsannie (Hatchet Lake) September 16, 2016

ACCFS Sub-Office, Big River First Nation:

Prevention Worker Interviews.

September 28, 2017

MLTCCFS Sub-Office, Key Informant Interviews. Buffalo Narrows,

SK. October 11, 2017

L-R: Jacqueline Hale, Joyce Roy, Doreen Sayazie, Rose

Mary Campbell October, 2016

Page 8: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

METHODS

QUALITATIVE:

ONE-ON-ONE-INTERVIEWS

QUANTITATIVE:

DISABILITY INFORMATION TOOL

Y1 Y2

Biological Parents 11 0

Foster Parents 0 3

CFS Workers 3 13

Service Providers 6 5

Band Leadership 3 0

23 21

41

Y1 Y2

ACCFS 0 26

MLTCCFS 0 27

53

Page 9: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

DEFINING DISABILITY

• Information on the ways that ‘disability’ is defined, conceptualized, and

enacted in Indigenous communities is limited (Sabatello & Schultz (Eds.), 2014).

• “The definition and perception of disability within the Aboriginal community is

different from that of mainstream Canada” (Dion, 2017)

• “Many Aboriginal people with disabilities do not recognise or acknowledge

they have a disability (as defined by government legislation)” Gething, 1994)

Unspecified Terms & Usage

Social & Functional

Impacts

Child-focused perspective

Page 10: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

QUANTITATIVE: Disability Information Tool (D.I.T.)

Six Key Sections:

1 •Demographics

2 •Child Welfare Information

3 • Health Condition

4 •Assessment, Diagnoses, & Services

5 • Functioning

6 • Contextual Factors

Page 11: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

4936%

97%

3324%

4029%

64%

137 instances (diagnoses,

assessment

referrals, suspected

cases)

D.I.T.: CONDITIONS

Page 12: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Placements

• Average number of

placements per child = 7.5

• Children with only 1

placement (never moved)

= 2

• Child who was moved

the most = 23 placements

(in 4 years)

• Number of children who

have moved 10 + times

while in care = 8

(15% of cases reviewed)

D.I.T: PLACEMENTS & ADDICTIONS/SELF-HARM

Page 13: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

QUALITATIVE: THEMATIC ANALYSIS

The systems that participants mentioned most often as not meeting their needs are:• Education • Health • Housing & Band Support • Mental Health Services • Social Programs

Page 14: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

QUALITATIVE: ROOT CAUSE ANALYSIS

Page 15: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

THE IMPACTS OF INADEQUACY

Y1 Y2

ACCFS 0 26

MLTCCFS 0 27

53

SOCIAL

“None of the families with kids with special

needs really go out – we just stay home.”

“I didn't want him to go down south, I didn't

want him to lose our culture, to miss his family.”

EDUCATIONAL

“She doesn't go to school because there is no

one to help teach her.”

“Almost every day they send him home and

every year he is growing and missing so much

important stuff. So he will be falling behind.”

ECONOMIC

“I can’t get a job because he has so many

appointments and is not in school.”

PHYSICAL

“Travelling is hard on both of us.”

“As she is growing up it is getting worse. It is

really so hard.”

EMOTIONAL

“I just didn't know where to go or what to do.

I just started to get counselling myself because

people started to push me away because of

my kid and I just didn't know what to do.”

Page 16: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

ACTIONS

YEAR 1Professional Training for ADCFS Staff

(FASD Network, Disability/Challenging Behavior)

(Stony Rapids, March 2017)

Group Home Disability Training, (Black Lake, May 2017)

Parent Workshops (FASD Network, Disability/Challenging Behavior)

(Fond Du Lac, Hatchet Lake, Black Lake; March, 2017)

Family Conference Presentations: (Fond Du Lac, Hatchet Lake, Black

Lake; Feb/Mar 2017)

YEAR 2

Caregiver Training (Exceptionalities and Therapeutic Interventions)

(MLTCCFS and ACCFS, Feb-Mar 2018)

Reaching in Reaching Out Resiliency Training Staff

(MLTCCFS/ACCFS, March 2018)

Information sessions by Onion Lake FASD Diagnostic Team

(MLTCCFS and ACCFS, Jan/Feb 2018)

Results Sharing Lunch and Learn

(MLTCCFS and ACCFS, March 2018)

Page 17: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

RECOMMENDATIONS

Page 18: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

Benjamin, C. (2018). Standing with First Nations children until the discrimination finally ends. Discrimination Against First Nations Children in Canada. Amnesty International. https://www.amnesty.ca/category/issue/discrimination-against-first-nations-children-canada

Blackstock, C. (2011). The Canadian human rights tribunal on First Nations child welfare: Why if Canada wins,

equality and justice lose. Children and Youth Services Review, 33(1), 187-194.

Dion, J. (2017). Falling Through the Cracks: Canadian Indigenous Children with Disabilities. International Human Rights Internships Program - Working Paper Series, 5, 12. Accessed September 13,

Di Pietro, N., & Illes, J. (2016). Closing gaps: strength-based approaches to research with Aboriginal children with neurodevelopmental disorders. Neuroethics, 9(3), 243-252.

Gething, L. (1994). Aboriginality and disability. Aboriginal and Islander Health Worker Journal, 18(3), 29.

Perrigo, J. L., Berkovits, L. D., Cederbaum, J. A., Williams, M. E., & Hurlburt, M. S. (2018). Child abuse and neglect re-report rates for young children with developmental delays. Child Abuse & Neglect, 83, 1-9.

Sabatello, M. & Schulze, M. (Eds.)(2014). Human Rights and Disability Advocacy. Philadelphia: University of Pennsylvania Press.

Sinha, V., Delaye, A., & Orav-Lakaski, B. (2018). Reimagining Overrepresentation Research: Critical Reflections on Researching the Overrepresentation of First Nations Children in the Child Welfare System. JL & Soc. Pol'y, 28, 10.

Sinha, V., & Kozlowski, A. (2013). The structure of Aboriginal child welfare in Canada. The International Indigenous Policy Journal, 4(2), 2.

Page 19: Deconstructing Disability: Definitions, Data, and ... Conf... · Presentation Overview 1. Project Background & Research Approach 2. Partners & Participants 3. Methods & Results 4

THANK YOU!

Raissa [email protected]

306-373-2874 x 223

SFNFCI.CA