LISTUGUJCOMMUNITY HEALTH SERVICES

Donna Metallic, Director of Health

“Three Migma’q Nations in Health and in harmony with the earth that both surrounds us and

supports us…a holistic approach-drawing from traditional and modern wisdom.”

Mission of the Listuguj Community Health Services

OUR VISION…

Listuguj First Nation is now in control of their health care system. We can now respond and adapt to the needs of the people. The goal of improved health is achieved, in part by the way in which our health approach is delivered. Our services are based on deep and objective understanding of Listuguj Community members.

To effectively manage the promotion and prevention funding received from Health Canada and INAC through the development and delivery of programs and services to meet the health needs of all Listuguj (on reserve) community members.

OUR MANDATE…

OVERVIEW OF COMMUNITY PROGRAMS

Community Programs – Child and YouthAboriginal Head Start Tina

MartinPrenatal Nutrition Program Jennifer CaplinFetal Alcohol Spectrum Disorder Bonnie IsaacMaternal Child Health Tracey MetallicDrug Strategy Bonnie Isaac

Community Programs – Mental Health and AddictionsBuilding Healthy Communities

-Brighter Futures Wanda MetallicCommunity Wellness Sommer BarnabyCrisis and Life Promotion Corey Metallic

OVERVIEW OF COMMUNITY PROGRAMS (CONT’D)

Community Programs – Chronic Disease and Injury Prevention

Aboriginal Diabetes Initiative Nursing StaffCommunity Health Representatives Patsy Gray, Monica Barnaby

Health Protection – Environmental Health and Research

Drinking Water Safety Program Roger Metallic

Primary Health CareFirst Nations Home and Community Care Maureen MitchellCommunity Oral Health Initiative Monica Barnaby

Health BenefitsMedical Transportation Jennifer Barnaby

Listuguj Community Health Services

Welcome!

EMPLOYEES OF THE LCHS

Program EmployeeMaternal Child Health Tracey MetallicCommunity Wellness Sommer BarnabyCrisis and Life Promotion Corey MetallicDrug Strategy/FASD Bonnie IsaacC.H.R Patsy Gray C.H.R Monica BarnabyBrighter Futures Wanda MetallicBuilding Healthy Communities Debbie DedamReceptionist Beverly MartinHospital Liaison Elizabeth “Betty” Metallic

EMPLOYEES OF THE LCHS

Program EmployeeNursing Lynn LaBillois R.N.Nursing Leila Swasson R.N.Nursing Mary Lou Labillois R.N.Nursing Francoise Gedeon R.N.Nursing Madeline Morrisette R.N.Nursing Jennifer Caplin R.N.Nursing Dolores Isaac L.P.NNursing Caroline Jacques L.P.N

EMPLOYEES OF THE LCHS

EMPLOYEES OF THE LCHS (CONT’D)

Program EmployeeJanitor Bridget “Dolly” IsaacManagement Cindy IsaacManagement Audrey BarnabyManagement Donna MetallicMedical Transportation Jennifer BarnabyMedical Carrier Lyman MitchellMedical Carrier Donnie MitchellMedical Carrier Mae BriskDietician Manon St.Germain

EMPLOYEES OF THE LCHS

EMPLOYEES OF THE LCHS (CONT’D)

Front Line Prevention Tanya Barnaby B.S.WFront Line Prevention Sarah IsaacFront Line Prevention Christine Gwen MetallicParticipation Luke MorrisonHealth Portfolio Patricia Martin and Brenda Gedeon-Miller

Program EmployeeWater Monitoring Roger MetallicHead Start Tina MartinHead Start Stacey BarnabyHead Start Valerie Jacques

EMPLOYEES OF THE LCHS

Full Time Home Personal Home Care workers (Part Time 16) Pauline Brisk

Theresa MartinJoanne MethotBernice MartinJuliette BarnabyMaggie MartinDelphine Wilmot

Program EmployeeIn-Home Care Maureen MitchellIn-Home Care Isabelle ClementIn-Home Care Tasha DoironIn-Home Care Samantha BarnabyIn-Home Care Chi Metallic

EMPLOYEES OF THE LCHS

Listuguj Community Health Services Organizational Chart

Special Funded Projects-Aboriginal Health Transition Fund-Water Impact Study-Maternal Child Health Program-Aboriginal Diabetes Initiative-HIV/AIDS Program-Families First Support Services

Coordinator: Bonnie Isaac

FASD/ DRUG STRATEGY PROGRAM

The goal of the FASD Program is to provide education and support to families to prevent FASD affected births and to improve the life for those affected by FASD. The goal of the Drug Strategy Program is to achieve a healthy and well community.

Coordinator: Luke Morrison

PARTICIPATION/RECREATION

The goal of the Participation Program is to promote healthy and active living by getting more people to participate in current programs and sports teams.

NURSING

Nursing Supervisor: Lynn LaBillois

The goal of the Nursing Program is to deliver appropriate information to every member of the community, determine where knowledge gaps do exist and fill them. As well as to provide youth with information to promote healthier lifestyles and increase active living and healthier lifestyle choices.

Coordinator: Corey Metallic

LISTUGUJ CRISIS AND LIFE PROMOTION

The goal of the Listuguj Crisis and Life Promotion program is to provide services to those individuals who are experiencing a crisis and are unable to cope and to provide community awareness of suicide prevention programs and eliminate the idea of suicide as an option.

HOSPITAL/HEALTH LIAISON

Coordinator: Betty Metallic

The goal of the hospital liaison is to ensure that all patients from Listuguj receive quality care while hospitalized and that all patients understand and comprehend all medical procedures as explained by the medical professional as well as assist clients with updating Medicare cards and NIHB reimbursement forms and provide in-home services as a liaison between clients and external service providers.

COMMUNITY HEALTH PLANNING AND PROGRAMMING

Coordinators: Patricia Gray and Monica Barnaby

The main objective of the CHR is to administer a program that enhances the health and well being of First Nation’s People living in the community. Along with the many facets of duties include that both private and public establishments respect the sanitary guidelines prescribed by the Federal Government and Health Canada.

BRIGHTER FUTURES

Coordinator: Wanda Metallic

The goal of the Brighter Futures program is to encourage and support the well being of children, individuals and family through community approach. To improve the access to quality physical activity programs within the community level , and to create a healthy family and community environment.

COMMUNITY WELLNESS

Coordinator: Sommer Barnaby

The goal of the Community Wellness program is to offer encouragement and support to clients dealing with an addiction, to create events for the youth who wish to remain drug and alcohol free and to promote a healthy mind through community awareness.

HOME AND COMMUNITY CARE

Coordinator: Maureen Mitchell

The goal of the Listuguj Home and Community Care program is to provide quality care in a manner that is well administered, supportive and flexible to community members. The services aim to improve the overall general health of client’s served.

ABORIGINAL HEAD START ON-RESERVE

Coordinator: Tina Martin

The goal of the Head Start program is to offer educational, health, nutritional and social provisions to enrolled children and to instil a sense of pride in children through culture related activities through an age appropriate curriculum. As well as to support parenting skills and improve family relationships.

COMMUNITY ORAL HEALTH PROGRAM

Coordinator: Monica Barnaby

COHP is a dental program designed to prevent and control tooth decay in young First Nations and Inuit children and to set the stage for a lifetime of healthy teeth.

IRS RESOLUTION HEALTH SUPPORT PROGRAM

Coordinators: Monica Barnaby, Patsy Gray & Betty Metallic

The objectives of the IRS RHSP are to ensure that eligible former IRS students and their families have access to emotional health and wellness issues. Specifically, the IRS RHSP provides support in the form of Cultural Support (provided by Elders and Traditional Healers), Professional Counseling, Emotional Support (provided by Resolution Health Support Worker).

SPECIAL PROJECTS FUNDED THROUGH LISTUGUJ COMMUNITY HEALTH

SERVICES

MATERNAL CHILD HEALTH

Coordinator: Tracey Metallic

The MCH Program provides resources to increase support to First Nations families living within the community during family planning , pregnancy, infancy and early childhood (0-6 years old). Our mandate is carried out through home visiting, case management, breastfeeding support, developmental screening, post-partum depression screening, one-on-one counseling and referrals.

Maternal Child Health 2009-2010

ABORIGINAL HEALTH TRANSITION FUND

Consultant: Colleen LaBillois

The main objective of the AHTF is to improve access to health care services in Listuguj, Quebec and New Brunswick. It’s goals are to strengthen and broaden existing partnerships between the LMG, its Directorates and the provincial and federal health agencies. To identify and create partnerships between these bodies in the best interest of serving the health needs of Listuguj and to address and/or eliminate barriers that prevent community members from accessing complete medical services.

MEDICAL TRANSPORTATION

Coordinator: Jennifer Barnaby

The goal of the Medical Transportation program is to provide safe transportation and accommodation arrangements for community members to the nearest qualified service provider.

WATER IMPACT PROJECT

Coordinator: Roger Metallic

In June 2008, the government of Canada mandated the University of British Columbia to monitor potable drinking water in First Nations communities. Four communities were chosen and Listuguj was among them. The community was based on our water testing capabilities. The impact project was completed in January of 2010. The report will be forwarded to the community of Listuguj from the University of British Columbia upon completion.

COMMUNITY BASED DRINKING WATER MONITORING PROGRAM

Coordinator: Roger Metallic

The goal of this program is to ensure that both private and public establishments respect the sanitary guidelines set by the federal government.

Coordinator: Tanya Barnaby

FAMILIES FIRST SUPPORT SERVICES

The goal of the Families First Support Services is to promote and strengthen early intervention with children and parents and support the implementation of least disruptive measures and preventive services for the well being of children and their families of Listuguj. To prevent and reduce the incidence of crisis situations, and child reporting and placement rates.

ADMINISTRATION PROGRAMS

Building Healthy Communities

Snow Removal ContractsHandicapped RampsWorkshops & Seminars

Community Projects Elders LifelineSummer Student ProgramBreakfast Program

• Professional ServicesConsultingGym PassesContingency

• OperationsEquipment LeasingHeating and LightsInsurance LiabilityMaterial & SuppliesRepair & Maintenance

• ManagementSalaries

Administration Programs

NEW DEVELOPMENTSApril 1st cash flow payment schedulesCreation of a Health Advisory CommitteeC/A renewal 2010 2012Community Health PlanFlexible fundingO.T.C medicationProtection and advocacy for individuals with mental illnessCritical Incident Response TeamSafety in the WorkplacePre-Natal and Asthma Clinics

NEW DEVELOPMENTS (CONT’D) :

-Long Term Care Facilities-Respite Facilities-Assisted Living Facilities

Interim mid-range measure until

Listuguj Care Unit built

-Youth and Adults Partnerships with Provincial Organizations for Addictions (Narcotics and Gambling)- Accreditation for the LCHS

TRAINING PLAN 2010-2012Nursing UpgradingYouth Addiction Prevention Training ProgramMi'gmaq ClassesCultural SensitivityCPR/First AidHealth Advisory Committee PreparationCertification of all Home and Community Care workers

GOALS 2010-2012

Prevention & Promotion

PREVENTION PROGRAM:

Family Circle (Maternal Child Health) Diabetes/Education Sessions Breast Health Awareness Flu Campaign Multi-disciplinary Approach to Obesity Front-line Prevention External Resources (Referrals to CLSC & RHA)

Prevention & Promotion

GOALS 2010-2012

PROMOTION PROGRAM:

Over-the-Counter Medication Heart Disease Sexual Health Phase II Asthma (Promotion Awareness Initiative)

Prevention & Promotion

GOALS 2010-2012

ADMINISTRATION PROGRAM:

Accreditation of Health Center Elders Facility Community Health Plan Flexible Funding Revamp Home Care Program Health Advisory Board Community Profile

STRATEGIC DIRECTIONS, FOCUS AREAS AND OBJECTIVES FOR 2011-2016

Build organizational capacity to ensure we have the necessary funding, resources, structures and systems in place to support a strong organization and health programs and services

Identify systemic gaps within the LCHS organizational structure that directly impact service delivery

Strengthen the governance capacity of the LCHS through the implementation of a Community Health Advisory Committee

Develop a 2 year community Health Projection Plan for Health Canada to meet flexible funding needs

Review/prioritize/implement recommendations from Health Canada evaluation/analysis of existing LCHS structures/systems related to flexible funding agreements

Address the funding and resource needs of the LCHS Strengthen the LCHS human resources through the development of skills and retention of

resources Develop a volunteer program

Build a culture of performance measurement and accountability demonstrating excellence in all that we do at LCHS

Enhance our evaluations systems (program and personnel) to ensure regular monitoring and performance reporting

Investigate/obtain ISO 9004:2000 Certification, Quality Management System for Health Service Organizations

Strengthen data collection mechanisms and develop internal policy relating to ownership and use of data in line with OCAP principles

Strengthen service delivery to best serve our clients and community

Explore opportunities to expand the full range of services we provide to our community members Assimilate Frontline Prevention Services throughout existing LCHS to promote social development Address the most critical barriers for our clients in accessing needed service Development of a community Mental Health protocol including advocacy and crisis response to

meet the special needs of clients/community members Adopt a management strategy that ensures that impacts of proposed changes are well

understood, addressed and implemented

Strengthen our community partnerships and other forms of collaboration to build community capacity and best serve our clients

Strengthen our partnerships with non-First Nations Health Service providers

Improve accessibility to services in line with the FNQLHSSC direction Collaborate with the LMG Directorates and other partners to identify

ways of strengthening the broader health care services and programs Develop and implement measures to support the AFN’s position

relating to the Jordan Principle Work in partnership with FNQLHSSC and AFN to determine impact on

services as a result of the McIvor Decision/Bill C-31 relating to membership

•Improve Accessibility to Health Services•Fight Effectively against High prevalence diseases•Encourage the development, diversification and takeover of Social Services•Prioritize Children’s Health Development•Upgrade the infrastructures and take advantage of new technologies•Promote Social Development•Encourage the development of special needs services in the areas of income and security and pre-employment•Implement levers contributing to FN Self Government•Strengthen human capital as well as research and development•Consolidate commission organization according to the Blueprint priorities

FNQLHSSC STRATEGIC DIRECTIONS, FOCUS AREAS AND OBJECTIVES FOR 2010-2014

•5 year (2009 – 2014) flexible funding Contribution Agreement with Health Canada•Program Renewal with FNIHB

1.AHTF2.AHHRI3.Children and Youth Programs4.Aboriginal Diabetes Initiative5.E-Health6.First Nation Health Managers7.Food Security8.HIV/AIDS

9.Home and Community/Continuing Care10.Injury Prevention11.IRS Health Supports12.Jordan’s Principle13.Mental Wellness and Addictions14.NIHB15.Patient Wait Times Guarantee16.Pandemic Planning (H1N1)17.Tobacco18.Tuberculosis and Lung Health

AFN STRATEGIC DIRECTIONS, FOCUS AREAS AND OBJECTIVES IN THE AREA

OF HEALTH

LCHS 2010-2011 PROGRAM BUDGET

Transfer Agreements$1,604,427.90Contribution$1,215,090.00Other $ 500,000.00Amendments $ 32,000.00

TOTAL$3,351,517.90

Strategic Health

plans of LCHS

Assembly of First Nations

Strategic health plans of FNQLSS

C

Wela’lin!