AMC Demands Reform to NIHB Program and Accountability for Mental Health Services

November 5, 2024

Treaty One Territory, Winnipeg – The Assembly of Manitoba Chiefs (AMC) is calling on Indigenous Services Canada (ISC) to reform the Non-Insured Health Benefits (NIHB) program and to take full responsibility and accountability for the mental health providers and services offered to First Nations.

“The current system places the safety and trust of First Nations people at risk,” says Acting Grand Chief Betsy Kennedy, “It is not enough for ISC to rely on provincial licensing bodies; there must be direct federal oversight to ensure the protection and well-being of First Nations seeking mental health support.”

The AMC has recently been made aware that the NIHB program relies on provincial licensing as a requirement for eligibility. Additionally, the professional conduct of mental health counsellors and therapists falls under the jurisdiction of provincial and territorial regulators. This is particularly concerning in Manitoba, where counselling and therapy service providers are not regulated. The lack of oversight has led to serious allegations of unprofessional misconduct by mental health providers whose services are intended for First Nations.

A recent investigation by the Toronto Star, the Investigative Journalism Bureau, and TVO highlighted troubling cases where mental health providers with severe criminal and professional disciplinary records—including convictions for serious crimes such as murder, sexual relationships with former patients, and allegedly abandoning a suicidal patient—were providing mental health services to First Nations.

Further exacerbating the situation is the absence of mandatory cultural competency training for these providers. This lack of awareness leads to ignorance of the unique cultures, histories, and identities of First Nations, contributing to inadequate and potentially harmful interactions. The historic and ongoing impacts of colonial and assimilationist policies have deepened mental health disparities among First Nations, making it essential for individuals to feel safe and supported by their service providers.

“The safety and well-being of First Nations must be paramount,” said Acting Grand Chief Betsy Kennedy. “First Nations need to know that when they seek mental health services, they are met with professionals who are culturally competent, accountable, and have the qualifications necessary to provide safe, respectful care. It is unacceptable that there is no formal system in place for reporting or investigating complaints about mental health providers. ISC’s reliance on provincial regulatory bodies alone is negligent and continues to perpetuate harm in our communities and nations.”

The AMC is urging ISC to acknowledge its responsibility and address the current system’s failures. It is critical that ISC reform the NIHB program to ensure First Nations have access to qualified, culturally competent mental health professionals who can offer services aligned with First Nations values, traditions, and cultural practices. The reliance on provincial oversight without federal accountability fails First Nations and is indefensible.

First Nations recognize the importance of holistic wellness—encompassing mental, emotional, physical, and spiritual health—and deserve mental health services that respect and reflect these values. The AMC calls on ISC to take immediate action and lead necessary reforms to protect the well-being of First Nations across Canada.

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For more information, please contact:

Communications Team
Assembly of Manitoba Chiefs
Email:  media@manitobachiefs.com

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