The document outlines the Suboxone Treatment Policy for the Bearskin Lake First Nation community. It details the vision, mission, goals and values of the treatment program, which aims to help community members overcome drug addictions and build a drug-free community. The policy provides an overview of the inpatient detoxification and treatment program, covering intake procedures, patient rules and responsibilities, visitation guidelines, and potential consequences for violations. The goal is to deliver quality substance abuse treatment through a structured 30-day program incorporating medication, counseling, daily routines and community support.

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Suboxone Treatment Policy for the Bearskin Lake First Nation
Revised Wednesday April 25, 2012

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TABLE OF CONTENTS
1.0 VISION Page 3
2.0 MISSION Page 3
3.0 GOALS Page 3
4.0 VALUES Page 3
5.0 PRESENT AND FUTURE NEEDS FOR SUBOXONE TREATMENT PROGRAM Page 4
6.0 OVERVIEW OF SUBOXONE TREATMENT PROGRAM Page 5
7.0 PROCEDURES FOR INTAKE Page 6
8.0 PROCEDURES FOR PATIENTS IN THE SUBOXONE TREATMENT CENTRE Page 7
9.0 SERIOUS VIOLATIONS/DISMISSAL FROM TREATMENT PROGRAM Page 9
10.0 TREATMENT CENTRE STAFF RULES Page 10
11.0 APPENDIX Page 13

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Suboxone Treatment Policy for the Bearskin Lake First Nation
1.0 VISION
Our community will be healed and free from drug abuse, become a safe community, and will be
spiritually healthy in Christianity.
2.0 MISSION
We will provide quality services to help our people overcome drug addictions and to live a good
life that builds our community which is free from drug abuse.
3.0 GOALS
1. To identify and help persons who are struggling with oxycodene and other opiade drug
addictions.
2. To ensure that the Bearskin Lake First Nation community members are drug free.
4.0 VALUES
 We flourish in our faith in God.
 Each of us is to be treated with respect and caring.
 Self-respect, self-sufficiency, free from dependencies, are keys to a happy life.
 Every client is expected to be contributing member of our community.
 Being a good parent, knowing how to raise children is a cherished value, for all of us.
 We respect both Michikan Inishininawak and non-Native language and traditions.
 Elders are active in life-long education and spiritual growth, guiding us in maintaining
our traditions and values.
 Our community members will value education, value a drug free lifestyle, and
contribute for the betterment of our community and future generations.

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5.0 PRESENT AND FUTURE NEEDS FOR THE SUBOXONE TREATMENT CENTRE
This is included in the policy as part of the vision, mission, and values of the front line
workers of the Suboxone program from the Chief and Council to the local community
resources. This shows what the program should have and this policy is a work in progress of
which is subject to revision. In order to deliver quality services, the needs identified are:
1. Board of directors: 6 board of directors, quorum of 4
2. Policies and procedures
3. Organizational structure
4. Program Coordinator – awaiting funding from Health Canada
5. Coordinator Assistant – awaiting funding from Health Canada
6. Counsellors X 4 – awaiting funding from Health Canada
7. Information package for clients – Norm Barratt, Dilico,
8. Consent forms – already developed.
9. House rules under policy
10. Personnel: Guards, cooks, maintenance, volunteers
11. Employee/volunteer contracts
12. Staff training and development
13. Conflict resolution: complaints/issues/concerns
14. Telephone logs
15. Medical records/confidentiality
16. Clinical treatment policies
a. Admission requirements

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b. Screening
c. Consent for treatment
d. Length of stay
e. Patients’ rights
f. Belongings: search, safekeeping, unauthorized items (i.e. cellphones)
g. Patient/client emergencies
h. Family days/outings
i. Roles of doctors and nurses
17. Vehicle usage
18. Family involvement and protocol for shopping
19. Post treatment activity
20. Need for clocks
6.0 OVERVIEW OF THE BEARSKIN LAKE SUBOXONE TREATMENT PROGRAM
1. The Suboxone Treatment Centre is a detoxification and treatment centre, which is an
inpatient program. One week is set aside for detoxification. The patient must detox on
his or her own for one day and night. The program lasts for thirty days.
2. The doctors and nurses do the induction. The process starts when a client receives their
first dosage of medicine. A half dose is administered to see the reaction before more
dosage is administered.
3. The patient is to have an escort to help with the detoxification.
4. The program need better planning for the graduates of each intake.
5. The maintenance dosage will continue for six months after the intake.

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6. The patient must also be taught how to relapse as there are doctors and nurses who are
not familiar with the effects of the drug.
7. The Suboxone Treatment Centre staff, clients, and members residing in the Bearskin
Lake First Nation are expected to be free from any form of illegal drug use for the
purpose of intoxication. This includes any form of alcohol that is consumed, all persons
are expected not to consume alcohol and be positive role models within the community.
7.0 PROCEDURES FOR INTAKE
1. The patient must recognize within his or her self that they need help to break the
addiction to oxycodene and similar opiate based drugs.
2. The patient should contact the NNDAP worker to subscribe to the Suboxone Treatment
program.
3. The patient must make an appointment with the doctor to determine if they are eligible
to partake in the program.
4. If the patient is eligible, the patient must make personal arrangements for family
matters including bills, baby sitters, courts, medical appointments, etc.
5. If the patient is employed under the Bearskin Lake First Nation or subdivisions, they
need to submit a letter in writing after they are confirmed to partake in the program to
their employers.
6. The employee/patient will be eligible to use the available sick days. Afterwards, the
employee/patient will apply for social assistance for financial support.
7. If the doctor determines that the patient is not ready to return to work after the 30
treatment/detoxification program, he or she should get a doctor’s letter.

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8. The patients must respect the rules as outlined in this policy.
8.0 PROCEDURES FOR PATIENTS IN THE SUBOXONE TREATMENT CENTRE
1. There are to be no cell phones allowed by patients. This includes other electronic
equipment like texting devices, iPods, laptop computers, iPads, and internet electronic
communication devices. Breach of this rule will result in disciplinary action, even removal
from the treatment program.
2. There will be no phone calls from the outside be it their families or friends while they are
in the treatment program.
3. The phones will be controlled by the Suboxone Treatment Center worker or security only.
There will be no long distance telephone calls allowed.
4. Any messages will be screened by the Suboxone Treatment Center staff and security
workers.
5. There will be a designated smoking area but it will be closed to the outside public who are
not a part of the treatment program. There is no hanging out allowed in front of the
building or at the side. The doors shall be locked at all times. Refusal to comply will result
in disciplinary action such as loss of privileges, more chores, or whatever is suitable.
6. Clients will be assigned daily chores.
7. Clients will be issued times to sleep and to wake up.
8. If there are conflict of interests with staff members who have family members in the
Suboxone program, the Suboxone staff members should try to avoid contact with their
own family members.

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9. Television privileges have yet to be finalized. Because each group have different
preferences, discretion will be used per intake and the volume must not interfere with
other patients, it must be controlled.
10. There will be no television or movies during the week except for addiction related
programming. On Saturday night, there will be a movie night from 8 p.m. to 10 p.m.
Movies must be appropriate and movies that are excluded are ones with sexual content,
extreme violence, and glorified drug use.
11. Patients are allowed to attend church but must remain in the company of the Suboxone
staff once the service is completed. Church attendance is allowed for the last two Sundays
of the duration of the program.
12. All clients must be respectful to each other and to the Suboxone Treatment Centre staff.
13. Use only the required medication as prescribed by a doctor or a nurse. Any other drugs
that are not prescribed and are suspected to be used as an intoxicant will result in
dismissal from the Suboxone Treatment Program.
14. There are no visitors allowed within the first two weeks of the program and that includes
no outside communication with other persons who are not in the program.
15. Visiting privileges will be allowed after the second Sunday of the intake of which time slots
will be allotted to visitors. On the second Saturday, clients will be issued ten minutes on
the telephone to make arrangements for visitors.
16. All visitors must be drug free and any visitor who is suspected to be using Oxycodene or is
a dealer will not be allowed to enter the premises.

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17. All clients are allowed to prepare a shopping list that will be completed once a week. The
purpose is to ration your needs and to develop organizational skills.
18. Lights out will occur at 11 p.m. on a weekday and wake up will be at 8 a.m. These times
will be strongly enforced in the second week of the intake. On weekends, lights out will be
at 12 a.m. (midnight) and wake up will be at 9 a.m.
19. Respect other people’s belongings by not taking them without consent, ask for
consent/permission before taking a belonging that is not yours.
20. Complete all the required assignments and attend all counselling sessions.
21. The kitchen will be locked after the evening cleanup. Nightly snacks and drinks will be
available outside of the kitchen.
22. Clients must be respectful to other clients and be supportive in their individual recovery.
23. Clients are to be punctual in the attendance of counselling be it individual or group
settings.
24. All clients are expected to complete the treatment program.
9.0 SERIOUS VIOLATIONS/DISMISSAL FROM TREATMENT PROGRAM
1. If you are caught using any drug for which there is no prescription for the purpose of
being intoxicated, you will be asked to leave the Suboxone Treatment centre
immediately and be expelled from the program.
2. If you are caught trying to deal Oxycodene or similar types of drugs, you will be asked to
leave the program.
3. If there are rumours or assumptions that you are using non-prescribed drugs or
controlled substances as identified in the Criminal Code of Canada for the purpose of

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being intoxicated, you will be subject to a drug test. If the test is positive, you will be
dismissed from the program.
4. If you assault other clients and/or staff, you will be expelled from the program and
charges of assault will be laid under the Criminal Code of Canada.
5. If you deliberately destroy property and materials that is considered to be a serious act
of disrespect to the First Nation, the clients, and the staff, you will be expelled from the
program. Also, the police could be notified and charges of mischief and vandalism may
be laid against you pending on the value and seriousness of the infraction as listed in the
Criminal Code of Canada.
6. Inappropriate behavior that involve sexual acts are not to be tolerated among clients.
Respect must be shown to each other and for the other clients. Any persons caught in
serious inappropriate action will be expelled from the program.
7. Sexual harassment will not be tolerated from client to client or staff to client and vice-
versa. Any breach of what is considered sexual harassment may lead to expulsion from
the program.
8. This policy will be used in conjunction with the Bearskin Lake First Nation employment
policy, if applicable, and Health Canada policies that are applicable to the Suboxone
Treatment program.
10.0 TREATMENT CENTRE STAFF RULES
1. Staff members of the Suboxone program must be professional at all times and are
not to develop personal relationships with any clients. Any infractions will result in
disciplinary action. Repeat offenses will result in termination of employment.

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2. All staff will monitor clients at all times.
3. There will be no interference to the amendment of these rules.
4. Staff are to ensure that the building is secure at all times.
5. Staff are to enforce the rules of the treatment centre as outlined in this policy.
6. All staff must take appropriate action where there are infractions committed as
identified and report to their immediate supervisor. The immediate supervisor will
also prepare a report to submit to the Chief and Council or designate of the
infraction and actions taken.
7. Staff members are expected to check all shopping bags or any other baggage or
luggage, or box which conceals and check for any items that are not allowed in the
Suboxone Treatment centre as identified in this policy.
8. All staff are to be respectful to all clients at all times. Staff are not expected to make
any comments that hurt the clients in any way.
9. Staff are expected to fill out incident reports as they arise and submit them to their
daytime program supervisors.
10. Staff are to enforce wake up and lights out times.
11. All messages are to be screened by the staff on shift.
12. Staff must be punctual.
13. Staff members must ensure that the clients get to their group and individual
counselling sessions on time.

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14. Staff members are not permitted to visit clients in their rooms. If there is any
suspicious activity in a client’s room, the staff must notify their program supervisors
and complete incident report forms.
15. Staff must be responsible for all rules of the treatment centre. If a staff member
breaks any of these rules identified in this policy or as listed in the Bearskin Lake
First Nation employment policy, the staff member will be terminated from
employment.
16. All Suboxone Treatment Centre staff who are employed by the Bearskin Lake First
Nation will be subject to the policy guidelines as stated in the Bearskin Lake First
Nation employment policy.
17. Sexual harassment or sexual interference to another staff member or client in any
form will lead to automatic dismissal to staff member that does this.

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11.0 APPENDIX
(2011). Guidelines for medically supervised community based opiate detoxification.
Sioux Lookout Zone Opiate Advisory Committee. Sioux Lookout, ON: Menoyawin
Health Centre