Current Activities:
The Treatment and Support Services Project is a phased approach:
Phase I: Comprehensive Needs Assessment
Phase 2: Implementation of strategic recommendations and follow-up.

Treatment Services:
The program can offer a 20 day Outpatient Program followed by a 12 week Aftercare Program.

Prevention Activities:

Photo Voice:

There were two Photo Voice Projects with elders and youth. Two videos were developed and presented and given to the community.

4 C' s Day Care :
Working with the 4C's Daycare a calendar with messages relating to substance abuse from a child's perspective where the children were featured.

Youth Leadership:
Provided an opportunity for youth to participate in youth conferences, leadership activities, public speaking, and incentives to complete the 1 week project.

Cultural Program:
A program is being provided that utilizes community members to facilitate cultural activities for

the community. The Outreach worker provides the opportunity for individuals to attend ceremonies, activities, and teachings that are available.

Community Development:
Ongoing strategies to address the existing addictions that exist in the community are being developed .

Addictions Gatherings:
Gatherings are ongoing to provide the community a time to get together and hear from individuals that are willing to share their transition from active addictions to a better way of life for them- selves and their families.

Twelve Step Groups:
Wednesday evening from 8:00—9:00 pm an Alcoholics Anonymous (A.A.) meeting is held at the Treatment and Support Services Building, Wednesdays starting at

7:00 pm.
Thursday evenings from 7:30—8:30 pm a Narcotics Anonymous (N.A.) is held at the Treatment and support building.

A total of 108 surveys were completed:
43 Males & 65 Females

Of the 108 surveys:

• 74% identified that alcohol abuse is problematic; -91% identified illegal drug abuse is problematic; -94% identified prescription drugs is problematic;
• 94% were in support of a residential treatment facility for addictions;
• 59% agree that traditional programs are important as mainstream programs;
• 82% agreed that the struggles facing Couchiching are similar to other First Nation communities; -94% agreed in the importance to carry out the project no mater what outcomes may emerge;

Illegal Drugs Abused:

76% Marijuana
75% Cocaine
52% Crack Cocaine

Prescription Drugs Abused:

95% Opiates (oxycontin)
65% Codeine
45% Morphine

Statistical information gathered indicates an addiction problem exists and needs to be addressed. Addictions to prescription drugs and in particular opiates and oxy's is at 95 percent, Codeine Tylenol 2, 3, 4 are at 65 percent indicates the most abused followed by Ritalin, Morphine, and Valium ranging from 32 to 45 percent. Diet pills, sedatives and sleeping pills are being abused as indicated in range from 11- 21 per- cent. Illegal drugs pose a serious addiction problem and all are being abused in the range from 28 percent to 76 percent. These drugs include marijuana, cocaine, crack cocaine, LSD, ecstasy and crystal meth. The data indicates that these drugs are available on Couchiching. Over-the-counter medications are a concerning problem as well. The data indicates a range of 18 percent abuse of cough medicine, 25 percent abuse of Gravol, and 38 percent abuse of Tylenol 1. Alcohol abuse continues to be prevalent in our population and individuals that prefer to drink alcohol will abuse other drugs if alcohol is not available and vice versa for drug users.

Couchiching Community Care Program reports that the Child Welfare caseload has increased from 13 children in care in 2005 to 38 children in care in January 2008.

Couchiching Program staff and members agree that the drug dealers are known but that we do nothing to change this.

Treaty 3 Police report that their calls to Couchiching are overwhelmingly related to drugs, break-ins, and individuals having had their prescription drugs stolen.

Elders in the community were given cameras and asked,"What has influenced you to use or not use alcohol or drugs throughout your lifetime?"

Youth in the community were given cameras and asked, "What has influenced you to use or not use alcohol or drugs throughout your high school career?"