health, education, social services services department 2013 annual general membership meeting,...
TRANSCRIPT
HEALTH, EDUCATION, SOCIAL SERVICES
SERVICESDEPARTMENT
2013 Annual General Membership Meeting, Keller, WA
Alison J. Boyd-Ball, Ph.D.Services Director
HEALTH PROGRAMS
• Centralized Medical Billing• Convalescent Center• Diabetes Program• Tribal Health Programs• Behavioral Health Programs/Mental
Health and Chemical Dependency• Community Centers (Wellness &
Fitness: Inchelium, Keller, Omak, Nespelem)
CENTRALIZED MEDICAL BILLING
• Quality Assurance• Referral• Consents• Assessment• Diagnosis• Treatment plan• Therapy sessions• Discharge• Coding
• Data Management• RPMS
TRIBAL HEALTH PROGRAMS
• Health Program Management• Community Health Nursing• Community Health Representatives• Health Education• Registered Dietitian• Speech Language Pathologist• Women, Infant and Children (W.I.C.)• Suicide Prevention• Tribal/Public Health Emergency Preparedness and
Response
MENTAL HEALTH & TRIBAL HEALTH
• Suicide Coalition – “Life is Sacred” activities• Life is Sacred Prayer Day, November 1, 2013• Developing a Crisis Plan – mental health• Crisis response team – mental health• Grief & Loss 5-day workshop, Nov 4-8, 2013, Omak• Building Bridges for our Future Generation: Training for
Program Services on identifying & working with high risk clients, October 22 & 23, 2013
• Changing grant to respond to suicide state of emergency by tribe
• Healthy Lifestyles for Adolescents – December, 2013
DIABETES PROGRAMDIABETES SELF-MANAGEMENT EDUCATION & DIABETES
PREVENTION PROGRAM
• Eligibility: IHS, diagnosed with pre-diabetes or with diabetes
• DSME Services: • Certified Diabetic Educator/Registered Dietician (CDE/RD) at each clinic
every week.• Chronic Disease Self Management Classes – Annually in each community• Diabetes Clinics in each community• Medical Nutrition and Therapy by a (CDE/RD) upon referral by a health
provider• Dental to promote annual exam• Glasses to promote annual exam• Shoes to promote walking and healthy feet
• DPP Services: 16 week Healthy Lifestyle Balance Classes • Promote 7% weight loss by: 150 minutes of physical activity a week, Eat
healthy and reduce fat intake• Receive tools while attending classes to promote exercise and healthy
eating• One-on-One Coaching by a Physical Activity Lifestyle Specialist (PALS)• Ongoing support through the end of the program (currently 2014 and
2015)
WELLNESS CENTERS
• Goal: increase the health & wellness of the CCT membership on the reservation:• Cultural/spiritual• Mental• Emotional• Physical
• Services• Community outreach• Promote healthy activities• Host healthy events• Plan and implement on-going programs to promote
wellness
HEALTH COALITIONPURPOSE: HELP DETERMINE HEALTH PRIORITIES
• Area Agency on Aging (AAoA)• Behavioral Health Program (BHP)• Colville Tribal Convalescent Center (CTCC)• Diabetes Prevention Program (DPP)• Emergency Medical Services (EMS)• Indian Health Services (IHS)• Lake Roosevelt Health Center (LRHC) Inchelium
and Keller Clinics• Medical Billing • Services Director• Tribal Health Programs• Community Members
HEALTH COALITION ACCOMPLISHMENTS
• Retreat to identify strengths, challenges, and solutions to barriers in providing quality health services
• Established a core team to ensure leadership• Established and strengthened collaborative efforts
among health related entities, including community• Developed a work plan to address health needs• Comprehensive Health Needs Assessment
• Conduct health survey to determine health needs• Hire temporary Research Assistants to collect archival date from
Tribal programs• Develop a comprehensive report that will help identify Colville
Tribal Health Priorities for 5 years using the health survey, community focus groups, and archival data
HEALTH
• AFFORDABLE CARE ACT: • Certification: 2 sessions (on-line & in-person)• 16 Tribal Assisters Certified & 7 partial certified:
Convalescent Center, Tribal Health, Natural Helpers, LRHC, Indian Health Service, Behavioral Health, Area Agency on Aging, Community Centers, Corrections, Social Services
• Quail Orr, CHR, Lead Tribal Assister, ph no. 422-7441
FUTURE DIRECTION FOR HEALTH PROGRAMS
• Goal: “Grow a Healthy Colville”• Motto: instead of client fit the treatment model,
we are pushing for “treatment to fit the client” model• Enhance our cultural traditions and incorporate
into our models of treatment• Explore tribal:• Values, beliefs, traditions, practices
EDUCATION
• CTEAP/Higher Education• Library
• Employment & Training• Attendance• Daycare• JOM• Inchelium Childcare Language Nest Project
• Head Start, Early Childhood Program• Language Program• Tribal Assistance for Needy Families (TANF)• Vocational Rehabilitation (Voc Rehab)• Tribal College• Paschal Sherman Indian School
EDUCATION & EMPLOYMENT
• Eligibility requirements
• Services: • Employment: career planning, on-the-job-training, work
experience, direct placement, hiring hall system• Education: basic & remedial education, vocational training,
running start program for students, college/university program• Economic development: assist new businesses & expansion to
provide employment opportunities for tribal members• Childcare services: childcare, language immersion, after school
program, economic development for new child care facilities • Welfare assistance (GA)• Youth Services: after school work experience
COLVILLE TRIBAL LANGUAGE PRESERVATION PROGRAM
• Inception 1988• Includes 3-band or tribal languages: nselxcin
(Okanogan and/or Arrow Lakes), nxa?amxcin (Moses-Columbia), and nimipu (Nez Perce)• Past: approximately 25 elder speakers, 8-20 were
considered fluent elder speakers • Current: 3 fluent elder speakers remaining, 6 are
considered “semi-fluent”• Preservation efforts: tapes, videos, written
materials• Future direction: include revitalization efforts that
will help in the creation of new speakers
TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF)
TANF primary goal is to help families become self-sufficient by:• Provide work experience (WEX) to gain the experience
needed to acquire a job • Provide on-the job-training (OJT’s) • Assists clients with education, whether it’s GED or higher
education to obtain successful employment• Assists clients in Individual Development Accounts (IDA’s)
where the client saves funds for any of the 4 allowable items• 1. House; 2. Education; 3. Small business; 4. Vehicle. TANF will
match client funds saved at a rate of 3 to 1, for every $1 the client saves; TANF will match $3 up to a total of $10,000.
• You must be eligible for TANF (not necessarily on TANF but eligible) and a way to save money (it can’t come from your TANF grant)
VOCATIONAL REHABILITATION
• Goal: to provide culturally appropriate services to Native Americans with disabilities that have functional limitations that interfere with obtaining, maintaining, or regaining employment• Disability: physical, psychological,
developmental, sensory• Progress: have served 90 clients with 27
successfully employed
HEAD START PROGRAM
• 4 sites, 1 in each district• Part-time, center based classrooms, mix of 3 and
4 year olds students• Tribal commitment: tribe funds more than ½ the
cost• This year a 3rd classroom will be added to
increase enrollment by 17-20 children served• Currently there are 115 children being served,
with 30 staff
FUTURE DIRECTION
• Educate and/or orientate potential clients about eligibility and criteria to services• Develop program policies, procedures & practices
that enhance consumer satisfaction• Create culture based services• Build leadership in K-12 education• Develop a stronger pipeline from school to work• Model best practices in Indian Country
SOCIAL SERVICES
• Area Agency on Aging• Child Support Enforcement• Children & Family Services• Donable Foods• Social Services• Veterans program
AREA AGENCY ON AGING
• New Program Director: Brian Nissen• Services: nutrition, access, information & assistance,
legal assistance, visiting & telephone reassurance, family caregiver support program, in-home services, disease prevention & health promotion, elder abuse prevention, case management & nursing services, social & respite services
• Caseload ranged from 95-104 clients, with a decline in caseload
• 2,395 seniors age 60 and older who live on the reservation, with approximately 741 identified as Colville or other Indian
CHILDREN & FAMILY SERVICES
• Tribal standards & state standards• Tribal court & state court• Prevent removal of child from home• Reunify child with parent
WOOD/FOOD DISTRIBUTION PROGRAM
Services:•Food distribution•Food bank•Tribal emergency food vouchers•Salmon/beef/buffalo, etc.•Clothing bank•Senior heating program•Low income home energy program
VETERAN’S RESOURCE PROGRAM
• Serve 96 veterans• Services: emergency food, medical
transportation, assist in veteran benefits coordination• Events: 2nd annual veterans symposium at Coeur
d’Alene Resort & Hotel, Okanogan Armory Stand-down for veterans and their families• Outreach: various governmental agencies and
resources• Support Honor/Color Guard activities• Future goals: more outreach & services
FUTURE DIRECTION FOR SERVICE PROGRAMS: BUILDING EXCELLENCE WITHIN SERVICE
PROGRAMS
• Building a supportive structure: providing internal training based on needs, supervision, managing multiple locations, conflict resolution, corrective action planning, individual program policies, procedures, & practices• Strengthening collaboration among programs• Consumer satisfaction – positive atmosphere,
staff competency, community orientation of programs