We want to begin by acknowledging that the system is broken. While the Government of Canada offers 22 hours of counselling/therapy for Indigenous peoples per year (through Non-Insured Health Benefits - NIHB), this support is limited to those with Indian Status (a term itself that is synonymous with colonial harm). What’s more, NIHB is quite specific in the mental health practitioners it will approve to offer counselling/therapy, further limiting access to care. The approved providers are:
While there are many Registered Social Workers, Registered Nurses, and Registered Provisional Psychologists capable of providing outstanding mental health care, government gatekeeping prevents these providers from offering support via NIHB.
In addition to NIHB, the Government of Canada offers up to 60 hours of counselling/therapy for Indigenous people (and their family members) who have been impacted by residential schools, day schools, and missing and murdered Indigenous women and girls. Once again, mental health practitioners must be Registered Clinical Social Workers, Registered Psychiatric Nurses, or Registered Psychologists.
For Indigenous children and youth aged 17 and under, mental health care can be accessed through Jordan’s Principle. Ironically, care through Jordan’s Principle can be offered by any mental health practitioner, including Registered Social Workers, Registered Nurses, and Registered Provisional Psychologists, and unregulated mental health providers. Unfortunately, while Jordan’s Principle was once incredibly accessible, there is now a several-month wait for application approval.