P02-03P03P0101 Winnipeg Exhibit 13 Clark
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Acknowledgements The Roos-Remillard Consulting Services team is grateful to all the individuals who contributed their expertise and time to this project. Project Team Helen Roos Principal Consultant Rachel Michael Project Officer and Bilingual Logistics Coordinator Dr. Jacqui Linder Clinical Treatment Advisor, Child Abuse Specialist and Traumatologist Courtney Henderson Child Protection Advisor Jack Hicks Social Researcher Project Coordinator and Client Kylie Aglukark Executive Director, Arctic Children Youth Foundation Umingmak Child Youth Protection Centre (UCYPC) Steering Committee Sgt. Yvonne Niego RCMP “V” Division Sgt. Jean-Guy Lalonde RCMP “V” Division Margaret Wormell Family Services Jeannie Bishop Family Services Ebony Rutko Mental Health Jule Massicotte Nurse Practitioner Myriam Girard Public Prosecution of Canada (PPSC) Rachel Clow Justice Barb Tierney Justice Sunday Thomas Community Justice Dr. Amber Miners Qikiqtani General Hospital Kylie Aglukark Arctic Children & Youth Foundation Project Sponsors Recognition and thanks are extended to the federal Department of Justice, Victims Fund for their financial contribution to the ACYF to undertake this project. A warm thanks is also extended to Canadian North for the in-kind contribution to support travel to hear the voices of community members for this project. Several local organizations, businesses and agencies also contributed in-kind contributions to support the local delivery of community consultations. A particular thanks to Nunavut Research Institute (NRI), Iqaluit Court of Justice/Courts Administration, Celina Kalluk, Inuksuk High School, City of Iqaluit, Tim Hortons and the Cambridge Bay Wellness Centre for their support of this initiative to improve the lives of children, youth and families in Nunavut. 1 Table of Contents Executive Summary ..................................................................................................... 5 Background .................................................................................................................. 8 • Purpose of the Feasibility Study ....................................................................................... 8 • Study Methodology ........................................................................................................... 8 Framing Child Protection in Nunavut ........................................................................ 11 • Policy Hierarchy on the Rights of the Child .................................................................... 11 • Territorial Legislation ...................................................................................................... 13 • Effectiveness of Child Welfare Policies and Services .................................................... 15 • The Rate of Child Maltreatment in Nunavut ................................................................... 16 • Charge Data for Nunavut ............................................................................................... 19 • Community Perceptions of Violence Against Children and Youth .................................. 27 • Lack of Reporting of Abuse ............................................................................................ 30 • The Role of Alcohol in Victimization ............................................................................... 33 • Civil Cases ..................................................................................................................... 35 • Other Socio-Economic Indicators ................................................................................... 36 • The Impact of Historic Trauma/Common Pain ............................................................... 37 • Inuit Strength and Resiliency .......................................................................................... 39 Child Advocacy Centre Models .................................................................................. 43 • What is a Child Advocacy Centre (CAC)? ...................................................................... 43 • What Need Does a CAC Address? ................................................................................ 44 • Variations Among CACs ................................................................................................. 45 • Phases of Development ................................................................................................. 46 An Overview of Selected CACs .................................................................................. 47 • Canadian ........................................................................................................................ 47 • International .................................................................................................................... 60 Standard Core Elements of a CAC ............................................................................ 69 • What are the Standard and Core Elements of a CAC? .................................................. 69 • The Governance Model .................................................................................................. 70 • The Multidisciplinary Team ............................................................................................. 73 • A Coordinated Approach ................................................................................................ 78 • The Facility – The Child-Focused Setting ...................................................................... 81 • Forensic Interviewing ..................................................................................................... 86 • Child and Family Advocacy and Support ....................................................................... 88 • Specialized Medical Evaluation and Treatment ............................................................. 93 • Specialized Trauma-focused Mental Health Services .................................................... 98 • Cultural Competency and Diversity .............................................................................. 118 • Case Review and Data Tracking .................................................................................. 122 2 • Organizational Capacity ............................................................................................... 126 • Training and Education for Professionals ..................................................................... 128 • Community Education and Outreach ........................................................................... 132 • Financial Considerations .............................................................................................. 136 • Staffing Considerations ................................................................................................ 143 Proposed Model for Nunavut ................................................................................... 149 Bibliography .............................................................................................................. 159 Consultation List ....................................................................................................... 166 Acronyms .................................................................................................................. 171 Annexes ........................................................................................................... See Tabs 1. Project Consultation Guide for Interviews 2. UCYPC General Survey Report 3. UCYPC Frontline Worker Survey Report [redacted] 4. Imagine Canada Charitable Funder Search Lists 5. Sample Information Sheets – Public Education 6. Sample Brochure – Public Education 7. Sample CAC Organizational Chart - Governance 8. Sample Joint Memorandum of Understanding - Governance 9. Sample Joint Inter-Agency Protocol Development Process – Governance 10. Sample Multidisciplinary Team Partner Service Agreement – Governance 11. Sample Protocol for Joint Investigations of Child Physical and Sexual Abuse: Guidelines and Procedures for a Coordinated Response to Child Abuse - Administration 12. Sample Common File Form – Administration 13. Sample Statistical Report Form – Administration 14. Sample Paediatric Sexual Assault/Domestic Assault Documentation Forms – Administration 15. Sample Initial Counselling Form – Administration 16. Saakvitne and Pearlman/Traumatic Stress Institute Self-Care Assessment Figures .................................................................................................................... Page Population by Sex and Years of Age, Nunavut, 2012 .................................................................................. 12 Percentage of Children and Youth Receiving Services by Region, Nunavut, 2014 .................................... 16 Children and Youth Receiving Placement Services by Region, Nunavut, 2014 .......................................... 17 Children and Youth Placement Types, Nunavut, 2014 ................................................................................ 17 Sexual Violations Against Children and Youth ............................................................................................ 19 Sexual Violations Against Children and Youth by Incident Type, Nunavut, 2008-2012 .............................. 20 Charges Laid, Nunavut, 2012 ...................................................................................................................... 21 Breakdown of Sexual Assault Charges, Nunavut, 2012 .............................................................................