A First Nations–led, harm-reduction approach supporting wellness and safety

What is the Managed Alcohol Program?

The Managed Alcohol Program (MAP) is a harm reduction, evidence-based approach used by Keewatinohk Inniniw Minoayawin Inc. (KIM Inc.). MAP provides individuals with severe alcohol dependence with small, scheduled doses of mushkehke (alcohol as medicine) to prevent the dangerous effects of withdrawal.

MAP is not about encouraging alcohol use—it is about reducing harm, restoring safety, and rebuilding relationships. When delivered correctly, MAP prevents severe withdrawal symptoms and reduces the risk of unsafe drinking, injury, or medical crisis.

MAP is grounded in First Nations principles of healing:

  • Trauma-informed

  • Non-judgmental

  • Relationship-based

  • Focused on restoring dignity, trust, and connection

According to the MAP presentation, this model integrates health care and community connection, ensuring individuals are cared for holistically

Why is MAP Needed?

For many individuals, traditional treatment pathways—such as detox, abstinence-based programs, or access to primary care—are not accessible or acceptable. Many have also experienced multiple layers of trauma at the personal, family, and community level.

​Without support, people may turn to harmful drinking patterns, including:

  • Unsafe consumption (e.g., non-beverage alcohol such as hand sanitizer)

  • Criminalization and police involvement

  • Family conflict and breakdown

  • Life-threatening withdrawal symptoms

MAP offers a safer, culturally relevant alternative, meeting people where they are and supporting them in a way that honours their lived experiences.

How the KIM MAP Works

KIM’s harm-reduction clinicians assess each participant using clinical tools such as the Prediction of Alcohol Withdrawal Severity Scale (PAWSS) and the Brief Alcohol Withdrawal Scale (BAWS). If eligible, individuals receive a personalized health plan and carefully dosed amounts of mushkehke.

Participation is always voluntary.

​KIM staff monitor participants twice a day, seven days a week, ideally supported by peer workers and Red Response volunteers. This approach ensures individuals have consistent contact, safety checks, and relationship-building opportunities.