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KITIGAN ZIBI ANISHINABEG P.O. Box 309, Maniwaki, QC J9E 3C9 Tel: (819) 449-5170 Fax: (819) 449-5673

2nd Notice-Open to the Public

Application for Brush Cutting Foreman Position

The Natural Resources and Wildlife Department, under the Community Services Sector (Band Office), require a Production Brush Cutting Foremen.

Selection: Interviews will be held to select for the position. The following criteria will be taken into account:

1. mandatory and preferred requirements 2. prior work performance 3. attendance record on previous jobs 4. general health (selected workers must sign an attestation that they are

physically fit to carry out labour intensive work) 5. All KZA employees are obligated to sign a Work Code of Ethics form.

Deadline to Apply: May 23, 2018 at 12:00 a.m.

Production Brush Cutting Foreman

Mandatory Requirements: Must have own insured 4X4 truck and valid driver’s license Silviculture experience GPS training and extensive experience Experience with map and compass orienteering Knowledge of tree and plant species and their habitat requirements Must be able to stay in camps during the week

Preferred Requirements: Strong communication and leadership skills Be physically fit Able to work in poor weather conditions Able to work independently Knowledge of quality requirements for brush cutting on public land

2

Knowledge of safety and environmental requirements for brush cutting on public land

Organized, able to keep clear and detailed log book CSST First-Aid training Knowledge of ISO certification Knowledge of BNQ certification

If you are interested in becoming a production brush cutting foreman and you have the necessary experience, please submit a completed application to Janet Brascoupe at the Band Office, 1, Paganokomin Mikan, by May 23, 2018 at 12:00 a.m. If you have any questions please call Erik Higgins at (819) 441-2323 ext. 27 or Linda Dwyer-Commando at (819) 441-2323 ext. 21

3

Employment Application

Natural Resources and Wildlife Department Production Brush Cutting Foreman

DEADLINE TO APPLY: May 23, 2018 at 12:00 a.m. Name: ______________________________ Home Permanent Address: ______________________________ Mailing Address: ______________________________ (if different from home address) Telephone: ______________________________ Cell/2nd Number to leave messages: ___________________ Email: ______________________________ Resume Attached □ Yes Copy of Quebec Driver’s Licence □ Yes □ No Class(es) _________ Quebec Medical Card □ Yes □ No Note: A resume should be attached detailing all your relevant experience. If you do not have a resume: please provide all supporting documents and further information on a separate sheet of paper such as previous employers and year of employment.

*it is important to update your information when there are any changes to the information you provide on this application. The Kitigan Zibi Anishinabeg practices a preferential hiring policy. Please see our website www.kza.qc.ca and go to photos/policies then policies again.

_______________________ Date Received KZA_____________ Applicant’s Name _______________________ Applicant’s Signature

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The Pain Project

Volume 7 Issue 1 Spring/Summer 2018 ACTION Ontario Patient Advocacy Newsletter

Optimism and Understanding Creates Hope

OUCH OUCH

By: Michael Strange

A life time ago, I was a happily married, fifty-year old

guy, with two great kids and a dog. I was engaged in

a profession that I found highly satisfying and unique.

I work with a video camera. I like to call myself by a

British term – a lighting cameraman. I work for

Canadian, US, and other foreign television networks,

film studios and independent production companies. I

have had the privilege of traveling to many places,

and I have witnessed both great joy and hopeless

despair on faces of people, young and old, rich and

poor.

My life changed very quickly one fine summers day. I

sustained what I thought to be a very minor injury

somewhere in my lower back. It did not seem to affect

my movements, so I gave it little thought, but within a

week, I could no longer stand, walk, sit or crawl. Crawl-

ing was a feat gained after about two days of moving

somewhat like a snake on the floor.

After considerable thought, the surgeon decided to

wait before attempting an operation. Months later –

without an operation having taken place – two health

care therapists who were treating me, stated that they

were very surprised that an operation had not taken

place, given my medical records and condition. Re-

gardless, recovery continued slowly until I was involved

in an automobile accident. Back to square one…

That story goes back about 15 years now. Today, I

have the good fortune of being a patient of Dr. Angela

Mailis, a pain doctor working out of her own clinic in

Maple, Ontario. Dr. Mailis and her team of experi-

enced and caring professionals, have managed to put

me back together at the best I have been, since the

beginning of my journey with pain.

With such exceptional care and commitment to a

patient, I felt a desire to do something in return – out of

gratitude but also to guide others in need of help.

Relief from pain can be a re-birth of a life. I started to

talk about Dr. Mailis and her staff to my good friend

and colleague, Mark Wright. Mark is a film and

television

producer/

director, who

has many

credits to his

name, with a

wide scope

of subjects.

We started to

talk to Dr. Mailis about the idea of making a television

show about pain. The idea was to bring some hope to

patients with pain, explain pain in non-scientific terms

and to give a better understanding of what can be

done. We have combined our skills and talents to

produce a television documentary series that we call

“The Pain Project.” We hope it will help many of those

living in pain, to better understand their condition and

to offer new ideas for attaining the best possible life.

http://www.prismalight.com/client/pain/

At the end of the video, there is information for

contacting either Mark Wright or myself. We would be

pleased to hear your comments and suggestions.

Did You Know?

Are You in Need of

Psychotherapy or

Counseling But

Can’t Afford It?

Family Service

agencies in

Ontario provide

these services from

more than 120

storefronts in

Ontario cities to

more than 250,000

Ontarians every

year. Services are

in more than 20

languages on a

no- fee or income-

tied sliding scale

basis. Everyone

seeking help for

mental health,

trauma or addic-

tion issues receives

service regardless

of their ability to

pay. The agencies

treat children,

youth, adults, sen-

iors, couples and

families, are LGBTQ

friendly and acces-

sible to those with

physical disabilities.

Go to familyser-

viceontario.org for

a directory of the

storefront

agencies and hours

of operation.

Dr. Angela Mailis from The Pain Project

OUCH Page 2

Dear Readers,

You may be the only person left who

believes in you, but it’s enough. It takes

just one star to pierce a universe of

darkness. Never give up.” -

Richelle E. Goodrich, Smile Anyway

A question I was asked as a participant of a

Pain Symposium for medical personnel still

haunts me to this day. A well-known physician

in the audience asked me “How do we know

who the legitimate pain patients are and

which ones are here just looking for drugs?” I

was stunned and answered him with: “A legiti-

mate pain patient will do anything to make

their pain stop; they will take anything you tell

them to, they will listen to anyone they believe

will help them, they will do anything to just

make the pain go away. They are desperate

for relief and to know why they are experienc-

ing so much pain. They aren’t necessarily look-

ing for drugs.” My answer seemed to shock

him and the audience in its simplicity – and

truth.

This statement is so clearly represented by the

story of Casey James Djkanacose Cote featured

in this issue. Casey was willing to get himself

clean for the opportunity to see Dr. Angela

Mailis, a doctor who might be able to control

his pain. And he did find the strength to wean

himself off the street drugs he had come to

rely on and he did make it to Toronto for that

long awaited appointment and for the first

time in a very long time his future looked

bright.

In the end, lack of proper knowledgeable

care within his province and community may

have ultimately predicated his downfall and

death. To be sure, his death has not gone

unnoticed by those of us who met the bright-

eyed handsome young man with a ready

smile.

I’m not going to lie; this has been one of the

most difficult “Dear Readers” I have ever had

to write. I broke down in tears every time I sat

down at the computer or at my desk with pen

in hand. You see, with Casey’s story I relive

some of my own story and the story of so

many people I have met along this journey.

The doctors who either do not believe or un-

derstand our pain, or even believe that we

are in pain, in my case my own physician

father. This is out of ignorance, fear or what I

like to call “the myopic black blinders” – turn-

ing a blind eye to something they cannot see

or touch or understand. Not realizing that

what we really crave is a diagnosis, a compre-

hension of what is actually happening to us

and our bodies and why we are experiencing

so much pain.

It remains up to us, the pain community, to

keep this awareness alive. We do not have an

opioid crisis in our province and country, we

have an addiction crisis. The sooner this

addiction crisis is managed, the sooner legiti-

mate pain patients will stop being targets and

the representatives and bearers of all that is

evil in society.

Which brings me back to the conference from

the first paragraph, on either side of me sat

two young women who had been addicted

to opioids and blamed the physicians for pre-

scribing the medications. My larger question is:

“When did people stop being personally

responsible for their own lives?”

Thank you to Teresa Buckshot for sharing the

heartfelt story of your son. I know that it could

not have been easy to relive. Thank you also

to our other contributors, Michael Strange and

the Pain Project, Glen Hutzul, you always

provide some new tidbit of information to our

community. I would also like to extend a huge

thank you to my friend in pain and just a really

good friend ACTION PNP Chair Lisa Hooper.

You keep me motivated and grounded. And

of course our own Dr. Angela Mailis, without

whom none of this is possible.

Please like and follow us, ACTION

Ontario, on Facebook and

Twitter.

Have a safe, healthy and pain

free summer!

Best, as always

Janice Frampton

Editor OUCH

Inside this issue:

The Debate:

Dependence vs.

Addiction

3

Major Changes to

the Ontario

Disability Support

Program

3

Casey’s Journey—

Through His

Mother’s Eyes

4

Casey’s Journey 5

TAMPI—Providing

Seamless Care to

Chronic Pain

Patients

6

History of ACTION

PNP

6

Want to Live Your

Life to the Fullest?

7

The History of

ACTION Ontario

7

The Last Word—

New Initiatives in

Pain Funding,

More Needed

8

Dear Readers

OUCH is a publication of ACTION Ontario. All materials are the intellectual property of ACTION Ontario and cannot be reproduced without the expressed consent of ACTION Ontario.

Teresa Buckshot, Casey Cote, Janice Frampton,

Dr. Angela Mailis & other patient panelists at the

2009 ACTION Ontario Pain Symposium

Volume 7 Issue 1 Page 3

By: Glen Hutzul

I have had daily chronic pain for the past 15 years. After five

joint replacement or repair surgeries in the past 11 years, I have

been prescribed opiates such as morphine and hydromor-

phone. While participating in post-surgical physiotherapy, I

have encountered other patients who have refused these

medications. They were in great pain and their activities were

seriously curtailed because of that pain but they refused pain

medications because they were terrified of becoming ad-

dicted!

The difference between addiction and dependence can be

difficult to understand.

Physical Dependence is characterized

by tolerance or withdrawal symptoms. This can be a conse-

quence of using many drugs, such as pain medica-

tions, antidepressants and stimulants. It is a natural expected

physiological response to drugs such as opioids, benzodiazepi-

nes, antidepressants and corticosteroids. It is characterized by

withdrawal symptoms with the patient experiencing a number

of symptoms (anxiety, sweating, abdominal cramps, etc)

when the drug is stopped abruptly. If someone with drug de-

pendence detoxes, especially by slowly decreasing the

amount of the medication they take over a period of time,

they may suffer some withdrawal symptoms, but they can

gradually get rid of physical dependence.

Addiction, on the other hand, is a mental disease that includes

both physical and psychological dependence and is mani-

fested via behavioral symp-

toms, most notably continued

use of the substance in spite of

clear harmful effects on the

individual and their family. It is

not a predictable drug effect,

but rather a disease that oc-

curs in genetically, biologi-

cally, and psychosocially vul-

nerable individuals. When ge-

netics, environment, and drug

use overlap, addiction may

occur.

Addiction is characterized by the 4 Cs: impaired control, com-

pulsive use, continued use and craving. Signs of addiction,

rather than dependence, include drug-seeking behaviors,

cravings, preoccupation with obtaining the drug, an interfer-

ence with normal life functions, such as decreased productiv-

ity and motivation, relationship problems and continued use

despite negative consequences. Although someone with a

drug addiction can end their physical dependence on the

drug through detox, the mental component of the addiction

remains, and maintaining sobriety can be an ongoing struggle.

If you are concerned about the possible effects of taking one

of your prescribed medications, discuss your concerns with

your family doctor, nurse practitioner, surgeon or pain

specialist.

The Debate: Dependence vs. Addiction

www.actionontario.ca

Major Changes to the Ontario Disability Support Program

The Ontario Disability Support Program (ODSP) increased the exemp-

tion limits on compensation awards for loss or injury in order to allow

individuals to benefit more from these awards without reducing their

income support. Compensation awards for pain and suffering have

been increased from $100,000 and are now fully exempt as income

and assets for individuals receiving Ontario Disability Support Program

(ODSP). People with disabilities are now able to use their compensation

for day-to-day living expenses or to reduce any debt, not just for pre-

approved disability-related costs. This change was effective as of Au-

gust 1st 2017.

The Changes to ODSP

These changes are part of a larger set of social assistance improve-

ments that will be effective on September 1st, which include:

An increase in the monthly maximum deduction for disability-

related employment expenses under ODSP from $300 to $1,000.

Changes to health benefits available under the Transitional Health

Benefit to include batteries and repairs for mobility devices.

A full income exemption under ODSP of all donations received from

a religious, charitable or benevolent organization for any purpose.

The basic cash exemption limit for a single person will be increased

from $5,000 to $40,000

The basic cash exemption limit for a spouse included with the per-

son will be increased from $7,500 to $50,000

Payments from a trust fund, or segregated fund: gifts and other

voluntary payments will be increased from $6,000 for a 12 month

period to $10,000

Gifts to purchase a principal residence will be exempt as income

Gifts to purchase a Primary motor vehicle will be exempt as income

Gifts to pay the 1st and last month’s rent will be exempt as income

Glen Hutzul

Casey’s Journey

OUCH Page 4

By: Teresa Busckshot with Dr. Angela Mailis

I want to share with you the story of my son who suffered from

neuropathic pain for 10 long years. My son's name is Casey

James Djkanacose Cote. We are aboriginal, from the Kitigan Zibi

(Garden River) community, an Algonquin reservation located

about 1.5 hours north of Ottawa, ON.

Casey’s challenges started at the age of 12 when he lost his

father, his idol and best friend. Casey used

cocaine and alcohol since he was 14 to

soothe his emotional pains; a plague that

deeply affects our communities. However, his

life truly spiraled downwards after two serious

car accidents.

The first car accident happened in August of

2007, when he was 20. He suffered a ruptured

aorta, a broken femur, a broken elbow and a

shattered nose. As the days and months

passed, Casey suffered extensively from leg

pain. After long rehabilitation at La Ressouse in

Gatineau, QC, it was determined that physio-

therapy was of no use to him, and Casey was

released from the hospital with a year’s supply

of Oxycontin and little follow up. We had no

idea what pain medication would do to my

son with his pre-existing addictions to cocaine

and alcohol.

I was a single mother trying to make ends

meet. I had to leave the reserve to pursue

more education and eventually get a job, so

that I could care for my younger daughter.

Casey initially remained on the reserve and

was cared by my in-laws. Later on he moved

to his sister’s in the city. He wanted to be inde-

pendent, but he was frustrated having to use a cane to walk. His

life had changed dramatically; he could no longer work, and

needed others to help him.

In order for Casey to function in everyday life with his constant

pain, he was buying drugs from the street. This caused problems

with his sister and her boyfriend. Casey ended up on the streets,

homeless and dependent on drugs.

I was devastated; it hurt me to the core to know that my son was

homeless. Every day, at lunch hour, I would leave my work and

walk to Murray St. in Ottawa where the homeless gathered to-

gether. They began to know that I was Casey's mom, and they

would give me high-five when they would see me coming. Each

day I would ask the same question, "Did you see Casey today?"

While most days the response was no, one afternoon, this home-

less Native man said: "Yeah, I saw him this morning. He came to

get what he needed, and then he left. Man, was he in pain", as

he shook his head back and forth.

Casey would stay with family on the reserve some days and then

back and forth to the city, which he hated. I tried hard to find him

a doctor and this was a challenge since Casey was now a fully

blown drug addict who lived with severe chronic pain.

All the family dug into our medicine cabinets

to try and find pain medication for him. Doc-

tors in Ottawa were of no help to my son. Ca-

sey’s suicide attempts became frequent as the

system was failing him. No doctor truly under-

stood his pain, which was not only physical but

deeply emotional. We started going to walk-in-

clinics and emergency rooms to get pain

medication, eventually seeing over 11 different

doctors.

Uncontrollable pain, and addiction to sub-

stances (alcohol, cocaine) and opioids got

Casey in trouble with the justice system. Petty

theft and missed probation appointments

would see him locked in jail for short periods of

time. During those times, his pain medication

would be stopped and severe withdrawals

would send him to the hospital. Eventually Ca-

sey was put on methadone. Many overdoses

would occur due to the low dose and him try-

ing to get pain relief from street drugs.

It was in 2009 that I sat at my desk crying. I

knew Casey wanted to die every day. I didn't

know what to do anymore and decided to

research pain clinics. Many had long waiting

periods. I came across the Comprehensive Pain Program of the

Toronto Western Hospital. I decided in a desperate attempt to

write a brief e-mail pleading for help to the director of the Pro-

gram, Dr. Angela Mailis. It was perhaps my last attempt to try and

get help for Casey. To my amazement, I received a response to

my e-mail and Dr. Mailis agreed to take Casey under her wing as

long as he was willing to clean himself up and quit using street

drugs. I agreed and then I cried. At that time Casey was once

again back on the streets, but I found him the next day.

Casey was reluctant to come home with me as he had lost faith in

the health system and the doctors. I finally convinced him and he

came with me and his youngest sister to Toronto to meet the

(Continued on page 5)

OUCH is a publication of ACTION Ontario. All materials are the intellectual property of ACTION Ontario and cannot be reproduced without the expressed consent of ACTION Ontario.

—Through His Mother’s Eyes

Casey James Djkanacose Cote

Volume 7 Issue 1 Page 5

doctor. Dr. Mailis did a thorough examination and diagnosed him

with neuropathic pain due to sciatic nerve injury.

Finally, Casey was diagnosed properly! It was a good day for us, a

true celebration. It had been a long time since I saw Casey smile.

Afterwards, we went to the CN Tower and Casey and his little sister

were together in a good way. We were a family again. It was

clear that Casey had hope. Casey was comfortably prescribed

pain medication that went along with his methadone. Dr. Mailis

spoke to several addiction doctors in Toronto and Ottawa to con-

tinue Casey’s care as it was legally impossible for her to prescribe

his medications from such a distance.

Unfortunately, the doctor

from the Ottawa methadone

clinic did not agree to con-

tinue giving Casey metha-

done while he was on other

pain medication (despite the

suggestions of highly re-

spected addiction doctors in

Toronto), and cut him off cold

turkey from his methadone. I

later found out that doctors

who run methadone clinics

for addiction have no idea

how to treat addicts in pain.

Casey couldn't take it anymore; pain and withdrawals were too

much. Casey had a real connection with Dr. Mailis and felt aban-

doned and hurt. He was angry and lashed out at me. It was back

to square one again and the same story of street drugs and fen-

tanyl patches was repeated.

My family was doing everything we could to help him, but it was

not enough. In 2011, Casey was walking on the side of the road

when he was hit by a truck driven by a drunk driver who was also

texting. He was left there to die on a cold winter night. If it wasn't

for the lady across the road that heard his screams, he would

have frozen to death. Casey's injured leg broke again together

with both his wrists. The titanium rod in his leg from the first acci-

dent in 2007 was bent.

The doctors opted out of removing the rod because they were

fearful of damaging more nerves to the leg. His recovery was long

and slow complicated by infections.

When Casey returned home from the hospital, he required 24 hr

care to learn how to walk again while family was cooking, clean-

ing and transporting him to medical appointments. Extended fam-

ily members changed their living conditions to care for Casey's

needs. Infections and more surgeries were just the beginning of his

ordeal, while he was struggling with depression and suicidal

thoughts.

In 2013 Casey received a lump sum of money from his two acci-

dents. The amount was enough to build a new home for him. Con-

struction began in 2014, and he was living in his new beautiful

home by 2015. I just wanted him to have joy, to live out his dreams

of one day having a family. He wanted to learn how to garden, to

go back to school to further his education, to travel and find alter-

natives to pain medication. But the severe chronic pain would

trump all his dreams.

After Casey received his lump sum from the car insurance

(Quebec SAAQ), the insurance company deemed he was able to

work ignoring the severity of his injuries. His indemnities were cut off

and Casey had now to seek social assistance (just over $900/

month). I helped Casey by subsidizing his groceries and paying for

some of his bills. I requested a

Needs Assessment, so that my work

insurance could possible pay for in-

home care, which never hap-

pened. Casey could not stand

more than 20 minutes due to his

pain; he couldn't lift heavy objects

or bend to pick up items. He had

only use of one hand because in a

suicide attempt in 2013, he had

severed the nerves in his arm and

he couldn't even cut his own meat,

let alone do his own grocery shop-

ping or clean his home. His sister

tried her best to take care of her brother, but she also had her own

issues with drugs. I went home on weekends to clean his place,

but it took its toll on me too.

On Christmas Day 2017, Casey died in his sleep. His sister who was

sleeping on the couch found him dead in the morning. No au-

topsy was performed, as it was assumed he died from an over-

dose. To this date we still wait for the coroner's report to determine

the cause of death, despite several calls I have placed to the

coroner’s office.

Casey's frustration with an ineffective and convoluted health care

system was immense. He needed a multi-disciplinary team to at-

tend to his needs. His addiction caused him shame, and his pain

and anxiety crashed him. Casey needed a health care system

that would listen to him and help him with his addiction while treat-

ing his pain. Instead, he was judged and he had nowhere to turn.

He was truly an addict in severe pain from damaged nerves, bro-

ken bones, and shattered heart, and his biggest fear was being

cut off of pain medication and having to live in

pain for the rest of his life.

Now, he is in peace, but me, my family and my

peoples - many of whom face similar problems -

have to continue speaking and fighting, so that

Casey’s story is not forgotten.

(Continued from page 4)

www.actionontario.ca

Casey’s Journey

Unfortunately, the doctor from the Ottawa

methadone clinic did not agree to continue

giving Casey methadone while he was on

other pain medication (despite the suggestions

of highly respected addiction doctors in

Toronto), and cut him off cold turkey from his

methadone. I later found out that doctors who

run methadone clinics for addiction have no

idea how to treat addicts in pain.

TAPMI—Providing Seamless Care to Chronic Pain Patients

OUCH Page 4

To help people suffering from pain better manage their condition

and to streamline and accelerate access to service to specialized

care, Women’s College Hospital, the Centre for Addiction and

Mental Health, Sinai Health System, St. Michael’s Hospital and the

University Health Network have partnered to create the Toronto

Academic Pain Medicine Institute (TAPMI).W

The goal of chronic pain treatment is to improve your

ability to function and reduce your pain. There is no

magic pill or “cure” for chronic pain. Treatments will be

focused on practicing healthy habits, improving your

coping skills, reducing stress, and improving your sleep

so you can return to your activities.

Treatment plans that include the active participation of yourself,

and a variety of healthcare professionals such as doctors, nurses,

occupational therapists, pharmacists, physical therapists, psy-

chologists and social workers are the most effective way to re-

duce chronic pain and improving function.

Toronto Academic Pain Medicine Institute (TAPMI) is made up of

the five major teaching hospitals in downtown Toronto. Across the

five sites, we house leading experts in the field of chronic pain

management.

Patients are offered a wide variety of interdisciplinary treatment

options that are fully funded by OHIP, including:

Cognitive behavioural therapy

Chiropractic services

Occupational therapy

Physiotherapy

Social work

Patient referrals are processed centrally and patients

can expect to receive treatment at any of the five

TAPMI hospitals listed above, depending on their plan

of care. Our providers communicate about each case

to ensure patients are receiving the best care

possible.kno?

A referral from a Doctor or Nurse Practitioner is required

to be seen at TAPMI. They will assess if this service is appropriate for

our services. If you would like to be referred to TAPMI:I you would

1. Print off the referral form and give it to your family doctor or

nurse practitioner. They will assess if this referral is appropriate for

our services.

2. Your family doctor or nurse practitioner will need to fax the

referral to TAPMI Central Intake at 416-323-2666.

3. You will be contacted with an appointment by the site

directly, and your doctor will be notified once the appointment is

booked.

OUCH is a publication of ACTION Ontario. All materials are the intellectual property of ACTION Ontario and cannot be reproduced without the expressed consent of ACTION Ontario.

Approximately two years after its inception in 2005 the ACTION

Ontario board realized it needed not “a” voice, but “many”

voices to strengthen its mandate and represent its concerns to

government and the public at large. These voices had to be the

very people the Action Ontario board were trying to help – the

patients.

In their quest for patient volunteer representation, the Action On-

tario board sought the help of their fellow physicians and follow-

ing these physician’s recommendations the first meeting of AC-

TION PNP (People with Neuropathic Pain) was held in the dining

room of Trinity College at the University of Toronto in February

2007.

The initial mandate of the group was to establish its role within the

larger framework of ACTION Ontario in promoting the awareness

of Neuropathic pain.

In May 2007,

ACTION PNP

proudly unveiled

its banner for

the first time in

Ottawa after it

was invited to

participate at the Neuro Modulation Conference.

Since that time, ACTION PNP, under the umbrella of ACTION On-

tario, has established itself in the advocacy and pain community

as it continues to highlight the need for education, openness and

understanding for people suffering with neuropathic pain.

Action PNP works closely with other advocacy groups, such as

diabetes, has produced patient videos, been featured in newspa-

per, magazine and television articles and participated in govern-

ment sponsored initiatives.

The History of ACTION PNP—People with Neuropathic Pain

Volume 7 Issue 1 Page 7

Launched in 2005, ACTION Ontario is an innovative not-for-

profit organization. Its mandate is to advocate on behalf of

patients with Neuropathic Pain (resulting from injury or disease

of the nerves, the spinal cord or the brain), in order to secure

better and faster access to pain therapies. We operate as a

volunteer board comprised of doctors and other health care

professionals from nursing, psychology, physical therapy and

other disciplines. In addition to those working in the delivery of

health care, the board is rounded out with the inclusion of pa-

tient representatives and scientists researching pain mecha-

nisms. As volunteers with ACTION, each and every one of us is

committed to improving the lives of people managing with

Neuropathic Pain.

Recent studies in the United Kingdom estimate that up to 8% of

the total population may suffer from Neuropathic Pain, a num-

ber that is much higher than previously thought. If this is true for

Canada, it would mean that close to 2.5 million Canadians

may suffer from this condition, which dominates their every

waking hour. Neuropathic Pain destroys careers, relationships

and even the will to live. Its direct impact on health care costs,

is estimated to now exceed $250 million dollars annually with a

broader impact on lost income and productivity, estimated to

several billion dollars per year.

Neuropathic Pain is not well understood by either health care

providers or lawmakers and, as a result, the condition is under-

funded and under-treated in Ontario. ACTION Ontario intends

to change this. We believe that greater public awareness of

Neuropathic Pain will eventually result in the dedication of

additional resources to its treatment as part of a more tar-

geted, coordinated government response. In this way, we can

hope for a better life for the many people who suffer from

Neuropathic Pain.

ACTION Ontario is committed to working closely with different

levels of government, researchers, physicians and other

healthcare providers in order to achieve our goals of improved

access to pain therapies. Please join with us to build a better

future for those with Neuropathic Pain.

The History of ACTION Ontario

Many people with chronic pain experience significant changes in

their lives. These might include sleeplessness, anxiety, depression

and losses in employment, friendships, and even spouses.

The course “Living Life to the Full”, helps participants to

feel happier, more confident and worry less right now.

Would you like to learn new ways of dealing with what life

throws at you? Living Life to the Full offers you enjoyable

and interactive courses that will help you understand your

feelings, thoughts and behaviors, and what to do about

them!

In eight fun, friendly 90-minute sessions, Living Life to the Full helps

people make a difference to their lives. Each program includes a

booklet, handouts, exercises and discussions.

This CMHA flagship program has been operating in Canada since

2010 and is available in many communities across Ontario through

your Canadian Mental Health Association branches or through our

partner organizations. The program is usually free of

charge though occasionally, in some communities there is a small

fee.

The 8 topics included in the program are:

1. Why do I feel so bad?

2. I can’t be bothered doing anything.

3. Why does everything always go wrong.

4. I’m not good enough.

5. How to fix almost everything.

6. The things you do that mess you up.

7. Are you strong enough to keep your temper?

8. 10 things you can do to feel happier straight away

If you are unable to attend a course in your community or if you

prefer working on your own, you can also order the booklets. They

are easy to read, with lots of information, strategies and exercises.

They will help you make changes in your life and put you on the

path to feeling better. Visit www.livinglifetothefull.com to order

your booklets or to find the location of upcoming programs.

Living Life to the Full was developed by Dr. Chris Williams, UK psy-

chiatrist, and CMHA BC Division holds the exclusive license to the

program in Canada.

Want to Live Your Life to the Fullest?

www.actionontario.ca

OUCH Page 8

By: Dr. Angela Mailis-Gagnon

In response to Teresa’s heart breaking story, I must update all

as to what has been done in the province of Ontario over the

past three – four years. Clearly, whatever has been achieved

will not bring Casey back. However, it will keep us trying and

trying to get things moving, so Casey’s loss is not in vain.

As of 2014, the Ministry of Health and Long-Term Care

(MOHLTC), has provided 18 million dollars to the funding of

interdisciplinary chronic pain management programs across

five pediatric hospitals, 13 adult hospitals, and 1 community

chronic pain clinic (my program, the Pain and Wellness Centre

in Vaughan). The funding exclusively supports teams of allied

health professionals and administrative staff, so that more

Ontarians in chronic pain can be treated in a multidisciplinary

fashion, addressing their pain from the physical, emotional,

and socioenvironmental point of view.

MOHLTC has established several other initiatives

Pediatric and Adult Advisory Boards are charged to

develop a network system with a common information registry

and standard models of care.

The Ontario Project ECHO (Extension for Community

Healthcare Outcomes) connects primary care providers with

each other and with interdisciplinary pain specialist teams

via weekly video-teleconferencing sessions throughout the

province.

Patients are being called to join different Ministry and

hospital committees and provide their input.

Health Quality Ontario -HQO- (a 2-year old program

within the Ministry) has already developed three new quality

standards in regard to Opioid Prescribing and is currently

developing standards for Chronic Pain Management.

All these initiatives have resulted in increased number of visits

for chronic pain across Ontario; decreased average wait time;

attempt to streamline referral and intake processes for chronic

pain treatment; more than 150 primary care providers and 50

primary care sites have been connected with ECHO since its

launch in 2014; interdisciplinary pain teams have been hired

by all programs; while Holland Bloorview in Toronto is a new

pediatric hospital for intense inpatient and outpatient

treatment of children and teens with serious chronic pain. The

program has resulted in considerable savings from treating

patients in Ontario instead of sending them to the United

States.

Much more work, however, remains to be done. Examples are:

The two networks (pediatric and adult) are collaborating in

priority areas where gaps of care exist. An unmet need is

addressing chronic pain outside

the academic hospital core and

into the community. A common

information registry and patient

navigation system are needed,

while development and imple-

mentation of quality standards for

Chronic Pain is crucial.

Programs funded by MOHLTC

Pediatric Sites

Hamilton – McMaster Children’s

Hospital

London – Children’s Hospital

London Health Science Centre

Ottawa – Children’s Hospital of Eastern Ontario

Toronto – The Hospital for Sick Children, and Holland Bloorview

Kids Rehabilitation Hospital

Adult Sites

Hamilton – Hamilton Health Sciences and St. Joseph’s Health

Care

Kingston – Hotel Dieu Hospital

London – St Joseph’s Health Care

North Bay – North Bay Regional Health Centre

Ottawa – The Ottawa Hospital

Sudbury – Health Sciences North

Toronto – Centre for Addiction and Mental Health;

St. Michael’s Hospital; Sinai Health System; University Health

Network; and Women’s College Hospital

Thunder Bay - St. Joseph’s Care Group, and Thunder Bay

Regional Health Sciences Centre

Vaughan – Pain and Wellness Centre

Angela Mailis MD, MSc, FRCPC(PhysMed)

CIPP/UHN Consultant

Adjunct Clinical Professor, Dept. of Medicine,

University of Toronto

Chair, ACTION Ontario

Director, Pain & Wellness Centre

Dr. Angela Mailis-Gagnon

OUCH is a publication of ACTION Ontario. All materials are the intellectual property of ACTION Ontario and cannot be reproduced without the expressed consent of ACTION Ontario. JKF

The Last Word—New Initiatives in Pain Funding, More Needed

HIGH SCHOOL PUBLIC SPEAKING

May 7 & 8, 2018

SECONDARY I1st Place: Creed Commando2nd Place Shyne Cote-Ratt3rd Place Mercedes Cote

SECONDARY II1st Place Jake Tenascon2nd Place George Keyes-Thusky & Quincy Poucachiche-Racine 3rd Place Malia Herodier

SECONDARY III1st Place Abigail Beaudoin2nd Place Hunter McDougall & D’arcy Meness3rd Place Lance Dumont-Davis

SECONDARY IV1st Place: Angeleah Emmerson-Brazeau2nd Place: Gabriel Ottawa 3rd Place: Eva Racine& Julian Whiteduck-Bobb

SECONDARY V1st Place: Madison Roote 2nd Place: Dolcy Meness 3rd Place: Lenin Decontie

Kwey KZA Community Members, Tammy Cote niin dijnikaz, as a candidate for Council, I want to share a little bit about me and my life experiences. I grew up in Kitigan Zibi Anishinabeg on Paganakomin Mikan. I completed my pre-school, elementary and high school education within the community, from Congway School (now Pakinawatik) to Kitigan Zibi Kikinamadinan. I understand the economic hardships and the lack of job opportunities within the community. I struggled finding full time employment to support my family while living in KZA. The 6 months on vs 6 months off and the short term employment is a real challenge. Like many other community members, I decided to make a change and improvements to my family's financial situation. I moved to the city with my husband and children to pursue my education and to find full time employment. I now have a BA in Geography and 10 years of federal government work experience. While working at INAC, I’ve gained 5 years of experience as an Assistant Negotiator related to self-government negotiations. I was in need of a career change and two years ago I accepted a position with the Assembly of First Nations (AFN) as a Senior Policy Analyst to work on the housing and infrastructure file. I have a lot of work experience to share with the community. As an advocate for change, I consider myself a story teller but I make sure I understand our story before I share it. I strongly believe that community engagement is key to our success. I currently reside on our beautiful Algonquin Traditional Territory with my husband. And I'm happy that our community has expanded beyond the reserve boundaries. Our territory is what I call home. I have a strong passion for sports and recreation. I’m living up to ni dada’s teaching, to keep my connection and respect with nature. You can find me within the community enjoying our beautiful lakes, rivers and forest. Last year, I travelled from Big Cedar, to Little Cedar to Bitobi Lake by canoe and thank goodness I don’t have a fear of water snakes. This year, my goal is to paddle on all of our lakes within the community both big and small. Keeping active keeps our mind, body and spirit healthy which will lead us to a healthier community. I look forward to hearing more about you and your life experiences as sharing our stories will bring us closer together as a community. Meegwetch Tammy Cote – KZA Candidate for Council

ENQUIRE TODAY

PAUL MCDOUGALL RECENT SOCIALMEDIA POSTS

CANDIDATE FOR KITIGAN ZIBI ANISHNABEG CHIEF OR COUNCILLOR

I would like to hear from you. Please e-mail, call or text me:

paulrmcdougall@gmail.com (819) 334-1617 / (514) 830-7238

As a former police officer I've seen the impacts of the justice system on our people.

The Canadian justice system is a flawed system that, simply put, does not favour First

Nations peoples. It does not incorporate our traditional beliefs on justice in our

community or any First Nations community for that matter. Historically, First Nations

people have used restorative justice circles to resolve conflicts and restore peace and

harmony in their own respective tribes.

This is an incredible perspective on justice and has worked for thousands of years

among First Nations people. If elected, I plan on implementing a Restorative Justice

Program that will create a safe space for people to heal and work towards bettering

themselves for the community. Kitigan Zibi needs to find a pragmatic solution that

works towards a sustainable future. We have the potential to grow beyond our norm

and influence change in ourselves and others.

As Chief or Councillor, I would like to see our community have our own first

responders’ team that includes: ambulance, fire fighters, and even a cadet program.

Kitigan Zibi Anishinabeg can become a self-sufficient community. I envision our

community becoming independent in emergency services. Public safety has to be a

primary concern for all members.

Page 1 of 2

Doug Odjick for Councillor

Hi my name is Doug Odjick, first of all I would like to thank Bill

Ottawa for nominating me and Victoria Lynn Tenasco for

seconding the nomination and their confidence in me for a seat

on council.

Over the past few years I’ve been approached by several people

asking me to run for band council. This year I’ve accepted the

nomination on the basis that, we are at a crossroads when some

important decisions about our direction into the future, must be made. We must

ensure that our inherent rights as Anishinabe people are respected, retained and not

compromised, in any way. In this regard, I also believe my personal values, strong

work ethics and qualities such as, listening with full attention, respecting others,

helping when I can, whether work related or volunteering add to an understanding

of the issues and challenges we face as a community.

I have the time and experience to be part of the community council team possessing

a combination of experience, maturity, respect, strength and compassion which are

very important attributes required to be part of the Band Council.

I’ll share a bit about me. I am just a regular rez guy who’s lived life much like others. Many of us had our struggles, mishaps, misfortunes, accidents, troubles, wildlife, mistakes or whatever. My own life work experiences have been all related to construction in one way or another, including my first job at 10 years old making souvenir drums with my uncle Arthur(Archeer) Smith, I’ve worked since doing whatever I can, manual work, then education in construction and worked since.

- I’ve started a few construction businesses, renovations, new construction and

cabinetry, I am entrepreneurial in nature.

- At the Tribal council over the past 21 years in construction advisory services,

I’ve worked close with other councils, administrators including the regional

department (Indian Affairs now Indigenous Services Canada) team technical

advisors, to senior advisors and to the level of regional directors and

associates.

- I have a good understanding of the Department’s protocols and their

mentality to stay within their regional guidelines and budgets which we rely

on for major projects.

Page 2 of 2

- I have been involved directly with another Band’s confidence in me with the

department (INAC now ISC) to take on a 10 million$ infrastructure project, as

project manager. Over the past 2 years, in all I was involved securing over 11

million$ for their road and school project with good results, and recently

secure over 2 million $ for related projects to the school.

- Also helped secured a 1 million$ grant from the Secretariat Affaires

Autochtones (SAA), which have not yet been taken advantage of by that Band.

Conducted some private contract work for Health Canada, I have experience

and am comfortable working with funding departments.

- Having this background, I would like to contribute my time and energy for our

community as councillor which includes aiming at goals that may sound

unreachable due to our funding restraints; if another Band can trust me with

that level of funds, you can trust that I will try as hard for us.

- Where there’s a will there’s way by pursuing with; passion, persistence

patience and perseverance by addressing our counterparts at funding

departments constantly, until we’ve made our case is my motto.

- I realize as a newcomer in the political field, there would be much more to

learn in all the areas concerning our community’s programming and policies, I

am willing to put in the time and energy and be here for our community that I

love as one big family.

I wish everyone running for Chief and Councillors good luck, there are a lot of good

candidates for councillors; when you are voting, put your “X” next to my name. I aim

to being part of a team to keep our wheels rolling progressively forward. Making

good decisions with the goal of making our future bright for younger generations,

taking care of our seniors/elders, the disabled and unfortunate community members

needing help and that it be long lasting and not be depleted, (ex. Offer for specific

claims and launch of title case).

After all, a strong community makes a strong nation where ever you and/or your

family reside.

I’ll be around should you wish to know more about me, or write to elect.doug4council@gmail.com

Sincerely, Doug Odjick

INAC Specific Land Claim Offer and Trust Agreement

Kwey Kitigan Zibi Community Members,

Many community members - both on and off-reserve have been asking me where I stand on the Specific Land Claim Offer. As a candidate for Chief of Kitigan Zibi Anishinabeg, I feel it is important to share my thoughts and ideas on how the process will take after we accept or decline the offer.

GLOBAL SETTLEMENT OFFER

It was announced to the community that Indigenous & Northern Affairs Canada (INAC) made a Global Settlement Offer to Kitigan Zibi Anishinabeg for $116 million regarding a number of specific land claims.

KZA community members will have to decide whether to accept or decline the offer. The next step is to respond by July 11, 2018 whether the community is prepared to ratify the Global Settlement Offer, after which a Settlement Referendum Vote will be held for all registered KZA community members.

The Global Settlement Offer requires KZA to surrender 363 acres of land. The land being surrendered is a parcel of land in the town of Maniwaki. As part of the Global Settlement Offer, KZA will have the ability to add new parcels of land as Additions to Reserve (ATR) within our Algonquin Territory. The community will have to purchase the ATR land, with the monies that is received as part of the Global Settlement Offer.

QUESTIONNAIRE/SURVEY RESPONSE IN 2017

An informal questionnaire/survey was made in 2017 regarding a per capita distribution for the Specific land claim monies. The KZA community members who voiced their opinion prefered a 50/50 split, meaning $58 million would be distributed to all registered KZA community members ($58 million ÷ 3,500 approximate KZA community members = $16,571.43 per individual) and the remaining $58 million would be held in a Trust where it would build interest and investment income.

KZA TRUST AGREEMENT

The Trust will require a KZA Trust Agreement that spells out exactly what the purposes and/or interest monies can be used for. Common practice done in other First Nation communities, is that the TRUST DEVELOPMENT PROCESS engages the entire membership to get their input to define priorities, as well as determine what can or cannot be done with trust monies, including where any firm managing the monies on KZA’s behalf can or cannot invest. It can take 6 to 12 months to complete this process properly.

The Trust can be overseen by a Board of Trustees composed of people from the community. The most important role of the trustees is to ensure that the TRUST AGREEMENT is developed and ratified by the entire community and that monies are used only as stated in the TRUST AGREEMENT. Based on similar trusts established by other First Nation communities, it is my opinion that we have five members on the Board of Trustees, comprised of one KZA Councillor and four elected KZA community members who meet the specific qualifications. The Board of Trustees, ensures monies from the trust interest and earnings are being spent according to the priorities and conditions agreed upon by the community.

Continued on page 2...

Cell Phone: 613-890-3436 Email: dylanwhiteduck@gmail.com Website: www.dylanwhiteduck.ca

INAC Specific Land Claim Offer and Trust Agreement (Page 2)

EMERGING PRIORITIES

These are some of the ideas and needs that I have heard from the community and agree that we need to consider it as per how the Trust monies are spent:

● Set aside funds for elderly home services (grass cutting, tree removal, laying sand, gravel, trimming branches, moving furniture, etc.), ensure that we have the facilities for Elders who need chronic and long-term care; expand the Elders home, build mini suites, and build an additional 3-5 homes yearly;

● Elders (Monthly Elders Benefit) over the age of 65, be provided an additional $100/monthly to help pay for bills, food, gas, etc.;

● College & University students have received the same monthly rate for over 25 years. We need to support our students and provide a top over to meet the current inflation of the world economy;

● Funds should be set aside yearly for a sportsplex that includes a pool, rink and arena; and a facility that caters to the arts, music, film;

● Long-term health/social care programs that deal with deep-rooted intergenerational trauma, addictions, suicide, grief, etc.; and a safe place specifically for youth at risk;

● Reinvest funds for Economic Development opportunities using an Economic Development Corporation owned by KZA; and explore trust priorities for on & off reserve band members.

● Reinvest funds to help keep our language and culture strong, by continuing the Algonquin language program by offering nightly classes for employee’s and our people;

OUR NEXT STEPS

It will be the will of the people to either accept or reject the Global Settlement Offer. If the Offer is rejected that will be the decision for the community to make and we will honour and abide by it. As Chief of KZA, I would recommend to the newly elected Council that we provide these options to help guide us in making this decision:

1. Does the Kitigan Zibi Anishinabeg community accept the Global Settlement Offer? (YES or NO)

2. If YES, Please indicate your preference. Select only one option (Option A or Option B)

OPTION A: 50/50 (50% per capita distribution of monies to all registered KZA community members and 50% added for a Trust Agreement);

OPTION B: 30/70 (30% per capita distribution of monies to all registered KZA community members and 70% added for a Trust Agreement);

We need to support this process, accept the offer and If elected, I will support either option as stated above, which I believe both are fair and equal. However, the newly elected Chief and Council will always respect and honour the will of the community. As a KZA community member my vote is for option A.

Dylan Whiteduck - Candidate for Chief of Kitigan Zibi Anishinabeg

Cell Phone: 613-890-3436 Email: dylanwhiteduck@gmail.com Website: www.dylanwhiteduck.ca