Referral Information & Application Process

Eligibility, Case Management, Process, Forms

This program is intended to provide treatment for severely impaired chronic solvent abusers. To ensure that the program does admit target individuals the following criteria must be met.

Eligibility Criteria

  • Client must be Canadian First Nation Males and between the ages of 18 and 30 years.

  • Client must be solvent-free for the past 5 days.

  • Client must be medically stable.

  • Client must not use the program as an alternative to incarceration or probation.

  • Client must have a voluntary commitment to the healing process.

  • Client must be willing to participate in a traditional /spiritual approach to the healing process.

  • Client’s abuse of solvents must have become habitual - 5 years in duration.

  • Client must not exhibit a progressive history of violent behaviour.

  • *Note: We are wheelchair accessible.



The client does not meet criteria if they are impaired through the use of solvents to the extent that the individual:

  • Cannot walk or sit up properly;

  • Has severe peripheral neuropathies;

  • Is unable to carry out activities of daily living; and

  • Exhibits bizarre, or disruptive behaviour

Case Management

Primary Counsellor
The Primary Counsellor is a residential counsellor assigned to the clients, and will assume the responsibility of ensuring that all of the components of the clients’ treatment plan are completed and implemented. Other program staff, who respond to clients’ requests, must ensure that the Primary Counsellor are kept up-to-date on all client activities.

The key role for the Primary Counsellor includes the clients’ transition from the community to Ka-Na-Chi-Hih. The Primary Counsellor will maintain contact with the referring agency and the community thus ensuring that the appropriate discharge plan and aftercare follow-up.

Additional to the success of the program, the Primary Counsellor will:

  • Organize the greeting and celebration of the client’s arrival.

  • Coordinate liaison with referring agencies.

  • Coordinate visits by consulting professionals.

  • Contact with the client prior to placement.

  • Act as the primary contact for the client’s home community.

  • Coordinate with the assessment testing.

  • Work with the client to assess progress and set new goals.

  • Develop Case Plans.

  • Coordinate admissions and discharges.

  • Initiate and implement discharge plan.

  • Ensure after care follow-up.

  • Ensure appropriate re-admission capacity.

  • Provide individual counselling.

  • Monthly progress reports



  • 1) - Initial contact will likely be through a verbal inquiry. At this point, sufficient information should be exchanged to determine whether there is a match between the client’s needs and the Centre’s program. If it seems that the client meets the eligibility criteria and that they could benefit from the program, then the Referral and Intake Information forms will be sent to the referring agency/individual for completion.

  • 2) - The referring agency/individual will be advised if there is a waiting list, and given an estimation of the date of admission.

  • 3) - The Referral and Intake Information forms will be completed and forwarded to the Centre. A preliminary assessment will be based on the information in the referral form. If the client clearly meets the criteria, the referring agency/individual will be advised of the estimated waiting period.

  • 4) - If there is any question of the client meeting the criteria, the referring agency/individual will be advised of the areas in question, and further information will be sought prior to making a final decision. If there is still question upon receipt of additional information, an on-site assessment will be arranged.

Referral Forms


Download the referral package below, fill out completely and email to or fax to (807) 623-5588:  

Ka-Na-Chi-Hih Referral Package

Youth Services Intake Form
Medical History
Voluntary Program Participation Agreement
Pre-Admission Agent Agreement
Authorization for Release of Information
Client Medical Information