Debates of Oct. 18th, 1994

This is page numbers 333 - 364 of the Hansard for the 12th Assembly, 6th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library.

The word of the day was services .

Topics

Members Present

Item 1: Prayer

Nunavut Municipal Lands Referendum

Provision Of Services To People With Special Needs

Fort Simpson Municipal Election

Yellowknife Municipal Election

Inuvik Municipal Election

Municipal Elections

Travel Of Unilingual Medical Patients

Health Services For Residents Of Baffin South

GNWT Achievements In Iqaluit

Appreciation To Taloyoak Residents

Item 4: Returns To Oral Questions

Responsibility For Pre-school Children With Special Needs

Program For Treatment Of Special Needs

Departmental Definition Of Special Needs

Categorization Of Special Needs Students

Special Needs School Survey

Procedure For Arranging Assessment And Treatment For Special Needs

Responsibility For Therapeutic Treatment For Children

Support For Special Needs Adults

Study On Fetal Alcohol Syndrome

Access Of Speech Therapy Services By Children

Responsibility Of Speech Therapy For Children

Funding For Speech Therapy Services Outside Of The Nwt

Intention Of Health And Social Service's Mou

Treatment Of Dyslexia/fetal Alcohol Syndrome

Municipal Land Allocation

Policy For Unilingual Medical Patients/escorts

Policy For Patient Referrals

Time Frame For Cabinet Submission Re Indigenous Games

Support For Victims' Assistance Programs

Revert To Item 5: Recognition Of Visitors In The Gallery

Written Question 7-12(6): Teacher's Aides And Special Needs Students In The NWT School System

Written Question 8-12(6): Costs Associated With Special Needs Persons In The Nwt

Written Question 9-12(6): Definition Of Special Needs In The NWT School System

Written Question 10-12(6): Speech Therapist Services And Private Practices

Item 10: Replies To Budget Address

Committee Report 12-12(6): Status Report - Response To Standing Committee On Finance Recommendations

Item 14: Tabling Of Documents

Bill 13:

An Act To Amend The Motor Vehicles Act

Bill 14:

An Act To Repeal The Public Service Vehicles Act

Bill 15:

An Act To Amend The Legislative Assembly And Executive Council Act

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Committee Report 9-12(6): Investing In Our Future, October 1994

To Adopt Recommendation 1

To Adopt Recommendation 2

To Adopt Recommendation 3

To Adopt Recommendation 4

To Adopt Recommendation 5

To Adopt Recommendation 5, CarriedCommittee Report 9-12(6), Investing In Our Future, October 1994, Is Concluded. Do We Agree That This Report Is Concluded? Mr. Pollard.

Item 21: Report Of Committee Of The Whole

Item 23: Orders Of The Day

Members Present

Mr. Antoine , Hon. Silas Arngna'naaq , Mr. Ballantyne , Hon. Nellie Cournoyea , Mr. Dent , Mr. Gargan , Hon. Stephen Kakfwi , Mr. Koe , Hon. Jeannie Marie-Jewell , Hon. Rebecca Mike , Hon. Don Morin , Hon. Richard Nerysoo , Mr. Ng , Mr. Ningark , Mr. Patterson , Hon. John Pollard , Mr. Pudlat , Mr. Pudluk , Hon. John Todd , Mr. Whitford , Mr. Zoe

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---Prayer

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Item 1: Prayer

Item 1: Prayer

Page 333

The Speaker

Jeannie Marie-Jewell

Good afternoon. Item 2, Ministers' statements. The honourable Member for Baffin Central , Ms. Mike .

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Minister's Statement 27-12(6): Nunavut Municipal Lands Referendum

Item 2: Ministers' Statements

Page 333

Rebecca Mike

Baffin Central

(Translation) Madam Speaker, I am pleased to announce that preparations are now under way to hold a municipal lands referendum in each Nunavut community in April 1995.

The lands referendum, Madam Speaker, is a requirement under the Nunavut Land Claims Agreement Act, which provides for the devolution of public lands administration to Nunavut communities. The Department of Municipal and Community Affairs will see to the turnover of fee simple title to all municipal lands by July 9, 1996.

As owners of municipal lands, Nunavut communities will have control of the allocation of land in their communities. This is a responsibility communities have sought for many years.

Before the municipalities can dispose of municipal lands, however, it is a requirement of

article 14 of the land claims legislation that voters in each community decide on the level of authority the local community council should have.

Each community is to hold its own separate referendum on whether the local community council should have the choice to sell any of its municipal lands, or whether the council should be prohibited from selling lands and only be able to grant leases and permits.

I am pleased to advise Members that a key first step has been taken with an agreement with Nunavut Tunngavik Incorporated, (NTI), on the details of the community referendum. The date of April 10, 1995 has been set, and the referendum question has also been finalized.

The question will read as follows, Madam Speaker. "Do you want the Town of Iqaluit to be able to sell municipal lands"? All voters are eligible to vote in their local referendum, which will be decided by a simple majority vote.

---Applause

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Minister's Statement 27-12(6): Nunavut Municipal Lands Referendum

Item 2: Ministers' Statements

Page 333

The Speaker

Jeannie Marie-Jewell

Thank you. Item 2, Ministers' statements. Item 3, Members' statements. The honourable Member for Yellowknife Frame Lake , Mr. Dent .

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Provision Of Services To People With Special Needs

Item 3: Members' Statements

Page 333

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. Madam Speaker, I rise today on behalf of the Ordinary Members' Caucus to talk about a group of people who need the support of both government and their communities. These are the children, teenagers and adults who have a special need. There are many types of special needs, ranging from FAS related disorders to blindness, from brain disorders to dyslexia, from autism to speech disorders.

Madam Speaker, the Special Committee on Health and Social Services identified a number of pressing concerns in the provision of services to people with special needs. The more we can support and encourage these people to reach their full potential, the less they must rely on social assistance and other government programs. We should be doing the best we can as a society to help special needs individuals become, to the best of their ability, accepted and functioning members of society.

Madam Speaker, as an example, recently in this House I and other Members have been asking questions regarding respite care for the families of those with special needs. Respite care would give some well deserved time off to these care givers, allowing them to be refreshed in working with their special needs family members.

Members of the OMC still have many outstanding concerns in the area of special needs. These include assessment, treatment services, support structures, early intervention and appropriate budgeting. Members also find the various roles of the departments involved in providing services or programs for special needs, confusing. We are sure families with special needs individuals also share our confusion.

Madam Speaker, during question period today, Members will try to find answers to some of the outstanding issues concerning the services and support for special need individuals. Thank you, Madam Speaker.

---Applause

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Provision Of Services To People With Special Needs

Item 3: Members' Statements

Page 334

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Nahendeh , Mr. Antoine .

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Fort Simpson Municipal Election

Item 3: Members' Statements

Page 334

Jim Antoine

Nahendeh

Mahsi, Madam Speaker. I rise today to offer my congratulations to the mayor and council of the village of Fort Simpson on their successful election last night.

Madam Speaker, I feel there is a good mix of people on the new council which should make for a smooth transition period. I would like to congratulate Ray Michaud for being re-elected mayor.

---Applause

My congratulations also go out to the following councillors-elect: Andy Norwegian, Tom Wilson, Hilda Antoine, Lindsay Waugh, Robert Hanna, Ken Brown, Stella Gargan and Owen Rowe on their election as village councillors.

---Applause

As the incumbent mayor and councillors on the village council know, Madam Speaker, I am available to work with the village council in Fort Simpson in representing them on territorial matters.

My congratulations also go out, Madam Speaker, to the newly elected members of the community education council. Best wishes go to Ernest Cazon, Hilda Gerlock, Betty Hardisty, John Hazenburg, Marie Lafferty, Anne McKee, Doug Robertson and Albertine Rodh.

The next three years in the term of the village council will be very challenging. There are many important issues to be dealt with at the community, regional and territorial level. The municipal government is there to represent everyone in the community, not only just a small group of residents. The village council must work with the band council and the Metis local of that community. The reality, Madam Speaker, is that there are many common issues, problems and concerns. While there may be a difference of opinion on how to resolve some of these issues, it should not jeopardize the spirit of cooperation in the community.

I look forward to working in the future with them. Thank you.

---Applause

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Fort Simpson Municipal Election

Item 3: Members' Statements

Page 334

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Yellowknife South , Mr. Whitford .

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Yellowknife Municipal Election

Item 3: Members' Statements

Page 334

Tony Whitford

Yellowknife South

Thank you, Madam Speaker. Madam Speaker, today I rise to congratulate our new city of Yellowknife mayor and aldermen.

Yesterday evening ended a very exciting and trying time for the six mayoralty candidates, 24 aldermanic candidates and for over 16,000 Yellowknifers.

Like some things is life, not all things end up even. There are those who won't earn enough votes to win first place, but they are not losers because by placing their name on the ballots and putting their ideas and talents forward we are all the beneficiaries.

I want to congratulate mayor-elect Dave Lovell on his successful campaign, and say thank you to candidates: Beaumont, Brooks, Byrne, Debogorski and Cyr for their efforts. I also extend congratulations to the alderpersons elected: Blake Lyons, Trevor Kasteel, Jo MacQuarrie, John Dalton, Vi Beck, Ruth Spence, Dick Peplow, Merlyn Williams and to the school boards because their campaign, Madam Speaker, was kind of down-played during this mayoralty and alderpersons' election.

The successful persons in the school board I wish to congratulate are: Edwin Castillo, Dennis Crane, Peter Groenen, Jane Haley, Steve Hill, Fred Nowicki, Noel O'Sullivan; public school, Wendy Bisaro, Debra Jepson, Gary Black, Dave Turner, Joan Lovlin, Terry Brooks and Barb Bilodeau. True, Madam Speaker, the election is over, but now the work begins. I wish all the best and offer my support for their work.

Madam Speaker, this morning, being a public person, I went around to many of the places in Yellowknife where people meet and talk. I was around some of the arenas of public opinion and I heard the same old complaints: the grumbling and the whining, as people have their coffee, about who won and who lost. People with all the answers to all of the problems have an opinion on everything, but, Madam Speaker, we never see their names on any of the ballots or any of their hands...My time has run out. I seek unanimous consent to continue.

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Yellowknife Municipal Election

Item 3: Members' Statements

Page 334

The Speaker

Jeannie Marie-Jewell

The honourable Member is seeking unanimous consent to continue. Are there any nays? Proceed, Mr. Whitford .

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Yellowknife Municipal Election

Item 3: Members' Statements

Page 334

Tony Whitford

Yellowknife South

Thank you, Madam Speaker. I was on a roll there, now if I can continue...

---Laughter

People with all the answers to all of the problems have an opinion on everything, but, Madam Speaker, we never see their names on ballots or their hands at the task of helping candidates carry their ideas forward. To them I say they either lead, follow or get the heck out of the way. Put your name forward, put your money forward, put your knowledge where your mouth is. Don't just stand there criticizing. At least we've had 50 candidates willing to do just that and to them I say thank you. They are all winners.

---Applause

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Yellowknife Municipal Election

Item 3: Members' Statements

Page 335

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Inuvik , Mr. Koe .

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Inuvik Municipal Election

Item 3: Members' Statements

Page 335

Fred Koe

Inuvik

Mahsi, Madam Speaker. I too would like to congratulate the winners who were elected in the Inuvik municipal election yesterday. The mayor who was re-elected is Tom Zubko. The councillors who were re-elected are Richard Barnes, Alan Davis, Dennie Lennie, Floyd Roland and Bob Simpson. And the newly elected councillors are Vivian Hunter, Harry Joujan and Julian Tomlinson.

I would like to congratulate these elected people, and I would like to congratulate the other people who ran and who weren't successful. But the spirit of democracy is still alive and well, and people still get a chance to put their X on ballots to choose the people they wish to represent them for the next few years.

I would also like to congratulate the appointees to the community education council. They provide a valuable service to the community of Inuvik and I wish them all well.

Again, I want to continue the work that I've been doing with the Inuvik town council and hope that our relationships prosper and Inuvik prospers with us. Mahsi cho.

---Applause

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Inuvik Municipal Election

Item 3: Members' Statements

Page 335

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Kitikmeot , Mr. Ng .

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Municipal Elections

Item 3: Members' Statements

Page 335

Kelvin Ng

Kitikmeot

Thank you, Madam Speaker. On behalf of my constituents, I, too, would like to congratulate all the successful candidates elected in the tax-based municipal elections yesterday. Mayor Tom Zubko and councillors-elect in Inuvik, Mayor Ray Michaud and councillors-elect in Fort Simpson, Mayor Jack Rowe and councillors-elect in Hay River, Mayor Dennis Bevington and councillors-elect in Fort Smith, Mayor Max Melnyk and councillors-elect of Norman Wells and, finally, Mayor Dave Lovell and aldermen-elect of Yellowknife.

At this time I would also wish to formally congratulate Mayor Joe Kunuk and councillors elected in Iqaluit last month, and all education and school board members elected in the tax-based municipalities. They are the individuals who are often overlooked due to the higher profile of municipal council elections. However, their job in dealing with educational issues are just as important as those dealt with by municipal councils.

Finally, I would like to congratulate all the unsuccessful candidates for letting their names stand for public office. We all know it's not an easy decision to consider running for public office and we can all attest it's an even tougher job once you get elected. Thank you.

---Applause

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Municipal Elections

Item 3: Members' Statements

Page 335

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Natilikmiot , Mr. Ningark .

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Travel Of Unilingual Medical Patients

Item 3: Members' Statements

Page 335

John Ningark

Natilikmiot

Thank you, Madam Speaker. Madam Speaker, last month an elderly lady by the name of Agnes Iqquqaqtuq escorted her six-year-old adopted daughter from Pelly Bay to Edmonton for a medical check-up. There is nothing out of the ordinary here, Madam Speaker; a mother escorting a child from a small northern community to a big city except, of course, Agnes Iqquqaqtuq is unilingual. Neither the flight staff on board her flight, nor the airport employees in Yellowknife or Edmonton spoke or understood Inuktitut. Bernadette, her daughter, was too young to interpret for her.

There are other situations I've heard about and we have been lucky so far that nobody has been lost permanently. Will it take a tragedy before we fix the problem? Madam Speaker, I will be pursuing this matter with the appropriate Minister at question period. Thank you.

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Travel Of Unilingual Medical Patients

Item 3: Members' Statements

Page 335

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Baffin South , Mr. Pudlat .

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Health Services For Residents Of Baffin South

Item 3: Members' Statements

Page 335

Kenoayoak Pudlat

Baffin South

(Translation) Thank you, Madam Speaker. I stand today on behalf of my constituents, particularly to represent Sanikiluaq and Cape Dorset patients who come here for health services. Many times they have not been picked up at the airport upon arriving for medical services. Although I am not aware of all the incidents, I do know of a few that have actually occurred and like myself, they are unilingual, Madam Speaker. This covers the medical services for Cape Dorset and Sanikiluaq. Especially this past year, a lot of the patients have had to come to Yellowknife because of tuberculosis. I will pursue this further with the appropriate Minister during question period also. Thank you.

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Health Services For Residents Of Baffin South

Item 3: Members' Statements

Page 335

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Iqaluit , Mr. Patterson .

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GNWT Achievements In Iqaluit

Item 3: Members' Statements

Page 335

Dennis Patterson

Iqaluit

Thank you, Madam Speaker. Being in a kinder, gentler mood this week, Madam Speaker, I looked hard for good things to say about the government. I had to wrack my brain. No, I'm just kidding.

---Laughter I rise today, Madam Speaker, to report on four wonderful accomplishments that have dealt with significant problems in my constituency.

---Applause

I'd like to also say there was a crisis that arose this summer over relocation, availability of housing and reasonable rents for staff of the soon-to-open Baffin treatment centre. I'm pleased to say that houses were made available, funds were identified for relocation and rents were reviewed to ensure they were affordable considering the wages of the treatment centre staff.

I'd like to thank the Honourable Nellie Cournoyea , Minister of Social Services and the Honourable Rebecca Mike , Minister of Personnel for this achievement.

---Applause

Next, much was made in this Assembly, Madam Speaker, of the plight of families who were living on the beach in Iqaluit. I'm pleased to report that last year, an alternate unit was constructed and made available to one family. This year, two units are, at this moment, being constructed and will be made available to two other families who are living in that situation for which the Honourable Don Morin deserves credit.

---Applause

Finally, Madam Speaker, and I don't know if I'm going to have time to outline this one, I have ranted and raved in this Assembly about the lack of married students' housing for students at Nunatta Campus. Although no long-term solution is in sight yet, an opportunity arose this summer. I'm afraid I will have to ask for consent to conclude. Thank you.

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GNWT Achievements In Iqaluit

Item 3: Members' Statements

Page 336

The Speaker

Jeannie Marie-Jewell

Thank you. The honourable Member is seeking unanimous consent to continue. Are there any nays? There are no nays. Please proceed, Mr. Patterson .

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GNWT Achievements In Iqaluit

Item 3: Members' Statements

Page 336

Dennis Patterson

Iqaluit

Thank you, Madam Speaker and honourable Members. As I was saying, an opportunity arose this summer. Due to the unexpected number of GNWT employees who were either moving out of staff housing or building their own units, some vacancies arose in the government's complement of staff housing units in Iqaluit. At the same time there were married students with families who had applied for Arctic College and were ready to pursue their careers in Arctic College, but could not do so for lack of housing.

I'm very pleased to report, thanks to the Honourable John Pollard , in his capacity as Minister of FMBS and with help from the Honourable Richard Nerysoo , 25 surplus units were dedicated to married students. This will allow that number of students to go to college after all.

Madam Speaker, I would like to say I recognize these achievements and accomplishments. There have been prompt responses to what I'd like to think were practical suggestions to make lives better for my constituents and I'm grateful for that. Thank you.

---Applause

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GNWT Achievements In Iqaluit

Item 3: Members' Statements

Page 336

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. The honourable Member for Deh Cho , Mr. Gargan .

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Appreciation To Taloyoak Residents

Item 3: Members' Statements

Page 336

Samuel Gargan

Deh Cho

Thank you, Madam Speaker. I also have a thank you statement, but it's not to the Ministers.

---Laughter

Madam Speaker, on September 23rd, I had the pleasure of travelling to Taloyoak to take

part in the meeting of the Advisory Committee on Social Housing. As Members know, this is Mr. Ningark 's constituency. Mr. Ningark made a special effort of telling everyone in the community to be friendly if they saw us. This special effect was very much appreciated, as it made us feel very welcome.

Mr. Ningark was also smart enough not to invite us for supper at any of the hotels. After seeing the cost of a sandwich, I will no longer complain about the restaurant prices in Fort Providence.

---Laughter

I also had the pleasure of presenting Mr. Ningark with a set of moosehair tuftings, in honour of him having served as a Minister of Renewable Resources in days gone by. The committee spent three days in Taloyoak discussing the concerns and recommendations made by the community delegates during the Housing Corporation's district consultation meeting.

On arrival, Madam Speaker, the committee Members were unsure of the direction the meeting was going to take. But thanks to the MLAs and the hard-working staff of the Housing Corporation, who worked in the evenings and over the weekend and who also provided excellent briefing material and responses to our questions, the meetings were very productive.

As co-chairman of the committee, I will be making a statement on the result of the meeting later in the session. However, I wanted to make a special point of again thanking Mr. Ningark for inviting us to his community. Also a very special thank you to the residents of Taloyoak for making us feel welcome. I'm sure that the positive energy of the community of Taloyoak contributed, in a great way, to the success of our deliberations. Mahsi cho.

---Applause

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Appreciation To Taloyoak Residents

Item 3: Members' Statements

Page 336

The Speaker

Jeannie Marie-Jewell

Thank you. Item 3, Members' statements. Item 4, returns to oral questions. Madam Premier .

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Return To Question 105-12(6): Policy For Mammography Screening

Item 4: Returns To Oral Questions

Item 4: Returns To Oral Questions

Page 337

Nellie Cournoyea

Nunakput

Madam Speaker, I have a return to an oral question asked by Charles Dent on October 12th regarding mammography screening for breast cancer.

Madam Speaker, at this time, a policy for mammography testing for the Northwest Territories has not been developed. A policy is not practical in an evolving field which may require rapid changes to medical practice.

The department's position is that mammography screening should be offered every one to two years to women ages 50 to 69. This is the only age group for which there is good and compelling scientific evidence that routine screening, coupled with clinical breast examination, can actually reduce mortality by 33 per cent from breast cancer. These guidelines have been endorsed by a growing number of authoritative bodies around the world.

Experts do not agree on the role of routine mammography screening for women ages 40 to 49. British Columbia is the only province in Canada that includes this group of women in a screening program for breast cancer.

Screening is an intervention aimed at individuals who are free of signs or symptoms of disease. It should not be undertaken unless a clear benefit can be shown. To date, no benefit has been shown scientifically for women under the age of 50 years.

The Department of Health and Social Services also recognizes the need for further public and professional education in this complex area. Mammography is only one component of a successful screening program against breast cancer. Another is clinical breast examinations.

The advanced nursing skills in-service program includes training for clinical breast examination to ensure that appropriate expertise will be available in all health centres in the Northwest Territories. Thank you, Madam Speaker.

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Return To Question 105-12(6): Policy For Mammography Screening

Item 4: Returns To Oral Questions

Item 4: Returns To Oral Questions

Page 337

The Speaker

Jeannie Marie-Jewell

Thank you. Item 4, returns to oral questions. The honourable Member for Kivallivik , Mr. Arngna'naaq .

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Return To Question 78-12(6): Compensation To Hunters For Damaged Equipment

Item 4: Returns To Oral Questions

Item 4: Returns To Oral Questions

Page 337

Silas Arngna'naaq

Kivallivik

Thank you, Madam Speaker. I have a return to an oral question asked by Mr. Pudlat on October 7, 1994 regarding compensation to hunters for damaged equipment.

The Department of Renewable Resources has a disaster compensation program which allows harvesters to receive compensation for loss of equipment or cabins, due to natural disasters such as storms, floods or forest fires. The Department of Renewable Resources does not have a program that provides compensation for damage to equipment caused by polar bears or for other reasons where the harvester could take steps to reduce risk of damage. Thank you, Madam Speaker.

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Return To Question 78-12(6): Compensation To Hunters For Damaged Equipment

Item 4: Returns To Oral Questions

Item 4: Returns To Oral Questions

Page 337

The Speaker

Jeannie Marie-Jewell

Thank you. Item 4, returns to oral questions. Item 5, recognition of visitors in the gallery. Item 6, oral questions. The honourable Member for Yellowknife Frame Lake , Mr. Dent .

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Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. Madam Speaker, my question is to the Minister of Health and Social Services. Madam Speaker, across the Northwest Territories there are many pre-school children with special needs. These needs range from severe disorders caused by fetal alcohol syndrome to impairment such as speech and mobility problems. Is the Department of Health and Social Services responsible for working with these pre-school children?

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Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Social Services , Madam Premier .

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Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

Nellie Cournoyea

Nunakput

Madam Speaker, I believe the honourable Member related to small communities. I will just relate to that because in many small communities we use health centres. If I had a child who had some problems and difficulties on an ongoing basis, I would take that child to the health centre to be looked at by the clinical nurse at that centre. The nurse will further discuss the problems I am having with that child. Every health centre has a well-baby clinic they hold on a regular basis to help families identify and see a child through the pre-school age development.

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Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Dent .

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. Madam Speaker, I wanted confirmation that the Department of Health and Social Services has responsibility for providing these services to special needs children under school age. I can take it from the Minister's answer, I believe, that her department does have responsibility and she has indicated that the services are provided in the communities by the health centres.

Once this need for early intervention has been identified, it usually involves assessment or treatment. She has indicated in her answer that the assessment is done at the health centre. Is there a program which covers the costs of treatment for pre-school children?

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 337

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

Nellie Cournoyea

Nunakput

Madam Speaker, the start of entry for community needs on any health issue is at the local health centre. A child is brought to the health centre, perhaps with the parents, to take

part in the well-baby clinics. If it is established that a child has a requirement for further treatment or assessment, the nurse at the health centre would identify some of the areas and would probably consult with a doctor. In the communities, there are regular trips made by doctors into the communities whereby if the condition is severe or is anticipated to be, then the nurse would have on file that the doctor would have to see these certain children. Thank you, Madam Speaker.

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Dent .

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. There needs to be some special tools for some of this assessment and treatment. The Minister has advised that there are travelling specialists. When assessment is not available in the NWT, who makes the decision on whether an assessment is to take place in the south?

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Madam Premier .

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

Nellie Cournoyea

Nunakput

Madam Speaker, if a child is assessed by a nurse needing extra treatment, the nurse would normally refer to one of the visiting doctors. The doctor may determine that the child needs some special attention. So that child, depending on the circumstances, could be referred to a regional centre where specialists may be available. If that service is not available in a regional centre, that individual child could be referred to some of the referral centres that are available in the Northwest Territories.

The specialists who do come to a regional centre, could very well refer an individual patient to a more specialized facility in southern Canada. Thank you, Madam Speaker.

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Final supplementary, Mr. Dent .

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. The Minister just referred to referrals in southern Canada. Does the Department of Health and Social Services provide any specific guidelines for referring physicians regarding assessment centres outside the NWT?

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Supplementary To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

Nellie Cournoyea

Nunakput

Madam Speaker, the guidelines say to the nearest centre. Thank you.

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Further Return To Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Question 157-12(6): Responsibility For Pre-school Children With Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for North Slave , Mr. Zoe .

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Question 158-12(6): Program For Treatment Of Special Needs

Item 6: Oral Questions

Page 338

Henry Zoe

North Slave

Thank you, Madam Speaker. My question is to the Minister of Health and Social Services. Part of making early interventions effective for special needs children is providing a consistent program. In other jurisdictions, parents are given training which allows them to carry on when specialists are not available, something which is a common occurrence in our communities. For example, Saskatchewan has used, It Takes Two to Talk, a speech therapy training package for parents whose children are waiting for regular speech therapy.

Does the department have a program of parent and/or community training in various treatments which would allow the treatment to continue after the departure of the specialist from the community? That's my question to the honourable Minister. Thank you.

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Question 158-12(6): Program For Treatment Of Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Minister of Health and Social Services, Madam Premier .

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Return To Question 158-12(6): Program For Treatment Of Special Needs

Question 158-12(6): Program For Treatment Of Special Needs

Item 6: Oral Questions

Page 338

Nellie Cournoyea

Nunakput

Madam Speaker, the normal procedure that is carried out once a patient has been analyzed and is determined to require a certain treatment, generally if it's at all possible, is to try to have the parent involved with the assessor and also with what can be realistically done at home. Thank you, Madam Speaker.

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Return To Question 158-12(6): Program For Treatment Of Special Needs

Question 158-12(6): Program For Treatment Of Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Nahendeh , Mr. Antoine .

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Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 338

Jim Antoine

Nahendeh

Mahsi, Madam Speaker. My question is to the Minister of Education, Culture and Employment . Over the last 10 years, the Minister's department, the Department of Education, has been pursuing the philosophy of inclusion. This means that children with special needs are included as part of the regular school system. However, people have different

definitions of special needs. In fact, some say that all children have special needs. Can the Minister explain how his department defines special needs? Mahsi.

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Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 338

The Speaker

Jeannie Marie-Jewell

Thank you. Minister responsible for Education, Culture and Employment , Mr. Nerysoo .

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Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 338

Richard Nerysoo

Mackenzie Delta

Thank you, Madam Speaker. I think that there's no one particular definition of special needs.

The honourable Member has just pointed out that in circumstances, depending on what they are, the basis by which we provide special needs education is addressed in dealing with the individual. What is occurring, Madam Speaker, is that the education system is intended to enhance the learning of all students. The integration or inclusion of students in regular classrooms has, in fact, allowed us to ensure that all students' educational needs are addressed.

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Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Antoine .

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Supplementary To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

Jim Antoine

Nahendeh

Supplementary, Madam Speaker, for the same Minister. The Minister has said that there is no one definition of special needs, so it will be difficult to deal with this issue here. We have now boards of education that are required to deal with special needs. I would like to ask the Minister, how are the boards of education dealing with special needs issues if there is no one definition for it. Thank you.

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Supplementary To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education , Mr. Nerysoo .

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Further Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

Richard Nerysoo

Mackenzie Delta

It's too bad, Madam Speaker, that people don't pay attention to the issues and the individuals, because what you have is situations where there are hearing impaired, where you have handicapped situations, where you have fetal alcohol syndrome. These are all different circumstances that require different ways to address specific needs. However, there's also a broader general issue of providing educational programs to all students. So what we have to look at in providing services is how we develop educational programs as a collective.

We provide education funding for each individual, plus we provide special needs additional funding to address specific educational requirements. What has happened in the past is that everyone has addressed only the special needs funding and not all educational funding that is identified for the student him or herself.

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Further Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Antoine .

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Supplementary To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

Jim Antoine

Nahendeh

Thank you. I would like to ask the Minister a final question. Are all boards of education required to use the same definition of special needs? Thank you.

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Supplementary To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Minister of Education , Mr. Nerysoo .

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Further Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

Richard Nerysoo

Mackenzie Delta

Thank you, Madam Speaker. All boards are required to utilize the inclusive student policy, but each individual has to be addressed in terms of their needs.

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Further Return To Question 159-12(6): Departmental Definition Of Special Needs

Question 159-12(6): Departmental Definition Of Special Needs

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Iqaluit , Mr. Patterson .

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Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

Dennis Patterson

Iqaluit

Thank you, Madam Speaker. My question is to the Minister of Culture and Employment , further on defining special needs students. Madam Speaker, I understand that in attempting to categorize students with special needs for the purposes of budgeting, those students requiring the most support were referred to as "level I needs." However, Madam Speaker, I understand the use of that term has now been discontinued. My question to the Minister is, could he explain why the department no longer uses this method of categorization. Thank you.

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Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education , Mr. Nerysoo .

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Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

Richard Nerysoo

Mackenzie Delta

Madam Speaker, maybe it was because there was a situation where people were creating an impression among themselves, among peers where people needed additional support and were being categorized and separated from their peers, from their families in some cases, to a point to the detriment of their education. It's our view, at least from an educational perspective, that all children can learn. If the honourable Member wants us to go back to his old definition of separating children, then I'll certainly consider that recommendation.

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Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Patterson .

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

Dennis Patterson

Iqaluit

Madam Speaker, with respect to the honourable Minister, I did not ask him why they're weren't going back to a former system, I asked him simply if he could explain why that method was no longer used.

My supplementary, Madam Speaker, is that I understand that it's perhaps undesirable to label students, but my supplementary, Madam Speaker, is I suggest that in order to identify the financial resources required there must be a way to somehow identify the students who need special assistance, especially those students who will require a great deal of attention and financial resources. So I would like to ask the Minister if categories are no longer used, then how does the Minister and his department determine the number of special needs students in developing appropriate budget estimates? Thank you.

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 339

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education , Mr. Nerysoo .

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

Richard Nerysoo

Mackenzie Delta

Thank you, Madam Speaker. What has occurred is that the department has completed a substantive assessment report for every region and every school across the Northwest Territories. It includes those that need the most support, those that need the least support. It includes the issue of whether or not it's alcohol related and whether or not it's other matters that have affected that individual. Special needs also must be considered in the context of sexual abuse and family abuse. Those are the kinds of considerations that have to be made. The report has been provided to me, and the basis upon which we are now considering the assessment is on that information.

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Patterson .

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

Dennis Patterson

Iqaluit

Thank you, Madam Speaker. I'm pleased to hear that the department has done a community-by-community, school-by-school assessment of the costs of the needs of each student in that jurisdiction. What I would now like to ask the Minister, Madam Speaker, is now that this information is in hand, does the department have a method to provide specific funding for the boards of education and each school in their jurisdiction, based on the information and the database they have about the number of special needs students the department must provide support to? Thank you.

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Minister of Education , Mr. Nerysoo .

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

Richard Nerysoo

Mackenzie Delta

Thank you, Madam Speaker. We are still using the per capita formula arrangement. Also, if you review the formula, there is consideration for those who require additional support. That is all presently part of the formula. What I can say to the honourable Member is that my colleagues have reviewed the whole issue and are in favour of addressing future needs.

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Final supplementary, Mr. Patterson .

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

Dennis Patterson

Iqaluit

Thank you, Madam Speaker. Madam Speaker, I suspect that the Minister would agree that per capita funding is a rather imperfect method of ensuring there are adequate resources available to fund the special needs of each student in our system. The preferable method would be to target the funding based on the actual needs, as the department has now determined. I would like to ask the Minister, in this final supplementary, whether we have a chance of seeing the new, specifically targeted, special needs funding formula in place for the coming fiscal year when we review his department's main estimates this winter? Thank you.

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Supplementary To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education , Mr. Nerysoo .

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

Richard Nerysoo

Mackenzie Delta

No, Madam Speaker. I think the honourable Member is asking for a formula without considering all the other funding arrangements that are available to the people of the Northwest Territories. You cannot deal with special needs in isolation of federal funding for Brighter Futures. You can't deal with special needs funding without addressing the whole issue of Head Start. These are all part of the funding arrangements, which have to be part of an overall response.

My honourable colleagues knows that the one region in the Northwest Territories that has taken a very positive approach to using Brighter Futures funding for educational reasons is the Baffin region. It is the only one. They are getting very good results from it. None of the aboriginal leaders in the north, other than from that region, have considered that. It is very important.

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Further Return To Question 160-12(6): Categorization Of Special Needs Students

Question 160-12(6): Categorization Of Special Needs Students

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Yellowknife Frame Lake , Mr. Dent .

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Question 161-12(6): Special Needs School Survey

Item 6: Oral Questions

Page 340

Charles Dent

Yellowknife Frame Lake

Thank you, Madam Speaker. Madam Speaker, the Minister of Education, Culture and Employment just referred to a special needs school survey that was recently done. Madam Speaker, I would like to ask the Minister if he will be tabling that survey in this House?

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Question 161-12(6): Special Needs School Survey

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Question 161-12(6): Special Needs School Survey

Item 6: Oral Questions

Page 340

Richard Nerysoo

Mackenzie Delta

Thank you. No, I haven't decided that. I will ask my colleagues whether or not that information could be made available.

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Question 161-12(6): Special Needs School Survey

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Item 6, oral questions. The honourable Member for High Arctic , Mr. Pudluk .

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Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 340

Ludy Pudluk

High Arctic

Thank you, Madam Speaker. To the Minister of Education, Culture and Employment , Madam Speaker, often teachers are able to define specific therapies for students, such as speech therapy. Once this identification has been made, is there a procedure for schools to make sure that these needs are identified, and assessment and treatment is arranged? Thank you.

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Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 340

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Return To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

Richard Nerysoo

Mackenzie Delta

Thank you. I can indicate to the honourable Member that there has never been a specific procedure. But, since I've assumed the responsibility of Minister and since we've signed the memorandum of understanding with Health and Social Services, we are developing a procedure whereby this particular matter can be addressed. But, generally speaking, the recommendation was normally made to health officials.

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Return To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Pudluk .

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Supplementary To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

Ludy Pudluk

High Arctic

Thank you, Madam Speaker. Which Minister is responsible for ensuring appropriate assessment occurs? Thank you.

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Supplementary To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Further Return To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

Richard Nerysoo

Mackenzie Delta

Normally, Madam Speaker, it is the Department of Health and Social Services that deals with the assessment matters.

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Further Return To Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Question 162-12(6): Procedure For Arranging Assessment And Treatment For Special Needs

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Item 6, oral questions. The honourable Member for Deh Cho , Mr. Gargan .

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Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Samuel Gargan

Deh Cho

Thank you, Madam Speaker. My question is for the Premier , the Minister of Health and Social Services. Madam Speaker, for school-aged children, which Minister is responsible for the provision of treatment such as speech therapy, occupational therapy and psychotherapy?

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Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Health and Social Services, Madam Premier .

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Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Nellie Cournoyea

Nunakput

Madam Speaker, a child would make, hopefully, continued visits to a nursing station with the initiative of the parents. Or, if a teacher is aware, they would probably talk to the parents and they would, in turn, approach a nursing station to establish the extent of the requirements. Depending on the situation or the individual need, this would be referred to a medical professional, a doctor. Whether it would be a touring doctor would depend on the circumstances. Or, they would be referred to a regional centre and these assessments would be made. These referrals would take place according to need. Thank you.

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Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. Supplementary, Mr. Gargan .

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Samuel Gargan

Deh Cho

Madam Speaker. To the Premier , is there a policy which covers the provision of this treatment?

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Nellie Cournoyea

Nunakput

Madam Speaker, if any individual patient is determined to need further care, it is the responsibility of the professional people handling that individual to continue to refer that patient, as the need is identified. Thank you, Madam Speaker.

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Gargan .

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Samuel Gargan

Deh Cho

Does this apply to all the communities?

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Nellie Cournoyea

Nunakput

Madam Speaker, regarding the referrals for health care matters, communities have health centres. Health centres have a certain degree of expertise, supplemented by visiting medical doctors. If the care cannot be given at that level, they refer it on. All the communities, except for three very small communities, have a health centre. Thank you, Madam Speaker.

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Final supplementary, Mr. Gargan .

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Samuel Gargan

Deh Cho

Thank you. Madam Speaker, again to the Premier , are there any differences in access to treatment, depending on the child's ethnicity at age of diagnosis. Let me just rephrase the question. Is there any difference in treatment depending on whether the child is native or non-native?

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Supplementary To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

Nellie Cournoyea

Nunakput

Madam Speaker, once a certain condition has been identified, in terms of treatment, according to whatever is required for that individual patient...Once a treatment is identified, there would not be any differentiation. The only differentiation would be who pays for it. Thank you, Madam Speaker.

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Further Return To Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Question 163-12(6): Responsibility For Therapeutic Treatment For Children

Item 6: Oral Questions

Page 341

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Inuvik , Mr. Koe .

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Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Fred Koe

Inuvik

Thank you, Madam Speaker. Madam Speaker, a lot of the questions have been directed at pre-school and school-aged children. Once they reach the age of majority at 19, they become adults and they're adults with special needs. My question to the Minister of Health and Social Services is, is the Department of Health and Social Services responsible for providing support to special needs adults.

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Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Health and Social Services, Ms. Cournoyea .

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Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Nellie Cournoyea

Nunakput

Madam Speaker, I don't know if the Member wants me to repeat myself. At the point of entry, a person, for their own purposes -- because I presume once a person is 19, they would be making decisions for himself or herself -- would report to a health station or a health centre in a community and discuss the problems they might be having. Then they would take the same process in accessing medical care either from a visiting doctor, depending on the circumstances, or being referred to a regional centre or to a further specialist whether they're at a regional centre or a point of referral. Thank you, Madam Speaker.

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Return To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Koe .

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Supplementary To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Fred Koe

Inuvik

Mahsi, Madam Speaker. I'm asking the question so I assume the Minister responsible will answer. Whether she has to repeat herself or not is her prerogative. My supplementary to the Minister is what specific programs are available to assist special needs adults or the families who support them.

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Supplementary To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Nellie Cournoyea

Nunakput

Madam Speaker, it's really dependent on the particular condition that individual finds himself in and what is being prescribed or suggested as they go through the process. Thank you, Madam Speaker.

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Further Return To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Koe .

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Supplementary To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Fred Koe

Inuvik

Mahsi, Madam Speaker. What has the government done to encourage communities to take more responsibility for providing services for special needs adults?

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Supplementary To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Further Return To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

Nellie Cournoyea

Nunakput

Madam Speaker, in terms of special areas of needs and also conditions, we try to make sure the community is informed about the various areas of health care that is available to them. I know certainly if you read the statistics and number of people who access health care centres and are referred, when a person is of age, I would assume we do expect that individual to make more decisions for themselves and access the services we have in those communities.

For example, in terms of the community health representatives in many of our communities, one of their functions is to work in the preventative health care area where people have knowledge. For example, for a child who is nursing from a bottle, there is a great deal of effort to make parents more aware of not having their children sucking on a bottle that has a degree of sugar, in feeding that child. The awareness part of the community delivery system is very important.

I know the nurses who are in the community try very hard to make sure as much of their time can be spent in the schools, with the cooperation of the schools. I know there are posters put up in the schools to try to bring awareness of certain things like AIDS or fetal alcohol syndrome. All these types of things are bringing knowledge to people so they, in turn, can begin their process of trying to link up with the services that are available, whether they're available in the community or at a larger regional centre or elsewhere. Thank you, Madam Speaker.

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Further Return To Question 164-12(6): Support For Special Needs Adults

Question 164-12(6): Support For Special Needs Adults

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Nahendeh , Mr. Antoine .

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Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 342

Jim Antoine

Nahendeh

Thank you, Madam Speaker. The question is for the Minister of Health and Social Services. The Minister mentioned fetal alcohol syndrome. There have been dire predictions of the level of FAS and the fetal alcohol effect, as well, to be found amongst the north's young people today. The Special Committee on Health and Social Services recommended gathering baseline clinical information on fetal alcohol syndrome and fetal alcohol effect in the Deh Cho region as a start to help us understand the extent of the problem and to begin to determine ways to deal with it. The question for the Minister is, has such a baseline study been undertaken. Thank you.

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Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Health , Madam Premier .

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Return To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 342

Nellie Cournoyea

Nunakput

Madam Speaker, I believe the gathering is in process at this time. Thank you.

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Return To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 342

The Speaker

Jeannie Marie-Jewell

Supplementary, Mr. Antoine .

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Supplementary To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 343

Jim Antoine

Nahendeh

Thank you, Madam Speaker. I'd like to ask the Minister, where is this gathering of information taking place.

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Supplementary To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Supplementary To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 343

Nellie Cournoyea

Nunakput

Madam Speaker, to be specific, I will have to take that question as notice. Thank you.

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Supplementary To Question 165-12(6): Study On Fetal Alcohol Syndrome

Question 165-12(6): Study On Fetal Alcohol Syndrome

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Natilikmiot , Mr. Ningark .

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Question 166-12(6): Access Of Speech Therapy Services By Children

Item 6: Oral Questions

Page 343

John Ningark

Natilikmiot

Thank you, Madam Speaker. Madam Speaker, my question is directed to the honourable Minister for Health and Social Services. The Stanton Yellowknife Hospital generally has two speech therapists on staff. On occasion, there is an additional therapist-in-training on staff. The staff is responsible for speech therapy across the western Arctic and up to the Kitikmeot area. Stanton has discontinued therapy for school-aged students unless they were diagnosed prior to entering school.

Can the Minister explain why school-aged children cannot access speech therapy services at the Stanton Yellowknife Hospital? Thank you.

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Question 166-12(6): Access Of Speech Therapy Services By Children

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Health and Social Services, Madam Premier .

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Question 166-12(6): Access Of Speech Therapy Services By Children

Item 6: Oral Questions

Page 343

Nellie Cournoyea

Nunakput

Madam Speaker, I'm not aware that they cannot so I'll have to take that question as notice.

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Question 166-12(6): Access Of Speech Therapy Services By Children

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Yellowknife North , Mr. Ballantyne .

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Question 167-12(6): Responsibility Of Speech Therapy For Children

Item 6: Oral Questions

Page 343

Michael Ballantyne

Yellowknife North

Thank you, Madam Speaker. My question is to the Premier . Studies have shown that children with speech difficulties can have problems both academically and socially which impact on their future as well-adjusted, functioning members of society. It's quite important that these difficulties are addressed and treated. My question to the Government Leader is which ministry is providing speech therapy services for school-aged children.

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Question 167-12(6): Responsibility Of Speech Therapy For Children

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Madam Premier .

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Return To Question 167-12(6): Responsibility Of Speech Therapy For Children

Question 167-12(6): Responsibility Of Speech Therapy For Children

Item 6: Oral Questions

Page 343

Nellie Cournoyea

Nunakput

Madam Speaker, through the Department of Health. Thank you.

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Return To Question 167-12(6): Responsibility Of Speech Therapy For Children

Question 167-12(6): Responsibility Of Speech Therapy For Children

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Item 6, oral questions. The honourable Member for Yellowknife South , Mr. Whitford .

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Question 168-12(6): Funding For Speech Therapy Services Outside Of The Nwt

Item 6: Oral Questions

Page 343

Tony Whitford

Yellowknife South

Thank you, Madam Speaker. Madam Speaker, I have a question I would like to direct to the Minister responsible for Health , our honoured Premier . Madam Speaker, when speech therapy services are not available in the hospital setting, parents often have to go out of their way to find other ways of addressing their children's needs. Is the Department of Health and Social Services currently funding any school-aged children in the western Arctic to receive speech therapy services outside of the Northwest Territories?

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Question 168-12(6): Funding For Speech Therapy Services Outside Of The Nwt

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. I just want to caution Members about the amount of information asked for that can be considered detailed, when posing questions to Ministers. Madam Premier , you may want to answer this. Minister of Health and Social Services, Madam Premier .

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Question 168-12(6): Funding For Speech Therapy Services Outside Of The Nwt

Item 6: Oral Questions

Page 343

Nellie Cournoyea

Nunakput

Madam Speaker, that's a detail that I could not express knowledgeably at this time, so I will take the question as notice.

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Question 168-12(6): Funding For Speech Therapy Services Outside Of The Nwt

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. May I remind honourable Members that when posing questions to Ministers, detailed questions are to be asked under written questions. Item 6, oral questions. The honourable Member for Kitikmeot , Mr. Ng .

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Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 343

Kelvin Ng

Kitikmeot

Thank you, Madam Speaker. My question is the Minister of Education, Culture and Employment . Earlier, he alluded to an MOU with the Department of Health and Social Services. I would like to ask the Minister, is that intended to clearly define the responsibilities for special needs students and to eliminate any possible overlap between the two departments? Thank you.

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Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 343

Richard Nerysoo

Mackenzie Delta

It is also the intention to develop a number of procedures to deliver specific services, eliminating fragmentation and to establish a process to coordinate the areas of responsibility in our respective departments. That is the need.

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Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 343

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Ng .

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Supplementary To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

Kelvin Ng

Kitikmeot

Thank you, Madam Speaker. Earlier the Minister also mentioned that special needs issues have to be addressed in conjunction with federal government programs as well, such as Brighter Futures. I would like to ask the Minister how his department is coordinating or assessing that information in dealing with the special needs issue. Thank you.

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Supplementary To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Further Return To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

Richard Nerysoo

Mackenzie Delta

Madam Speaker, actually, I want to maybe provide additional information to the Member. But, when the first dollars were being provided to the First Nations in the Northwest Territories, I tried to get the opportunity, as a Minister, to meet with the leaders. That did not happen. In fact, I was told that it was really none of my business. That was too bad, because I think we are all interested in dealing with these issues. What we are now trying to do is have the departments involved and work once again with our colleagues in the federal Department of Health.

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Further Return To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

The Speaker

Jeannie Marie-Jewell

Thank you. Supplementary, Mr. Ng .

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Supplementary To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

Kelvin Ng

Kitikmeot

Thank you, Madam Speaker. I would like to ask the Minister what the status is with the MOU, and when he anticipates completing it. Thank you.

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Supplementary To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

The Speaker

Jeannie Marie-Jewell

Thank you. Minister of Education, Culture and Employment , Mr. Nerysoo .

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Further Return To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

Richard Nerysoo

Mackenzie Delta

Thank you, Madam Speaker. The MOU has been signed by the respective Ministers. What we are now doing is working out the details to put in place all the issues of concern. In some cases, we have made joint assessment reports, which has never been done before. We are now working together to develop the outlines of responses to some of the issues raised here by my colleagues.

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Further Return To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

The Speaker

Jeannie Marie-Jewell

Thank you. Final supplementary, Mr. Ng .

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Supplementary To Question 169-12(6): Intention Of Health And Social Service's Mou

Question 169-12(6): Intention Of Health And Social Service's Mou

Item 6: Oral Questions

Page 344

Kelvin Ng

Kitikmeot

Thank you, Madam Speaker. I would like to ask then, if the MOU has been signed off with the Department of Health and Social Services, in the MOU, which department is the lead department for individuals to come to in order to address the special needs of their children?

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