Module 7: Aboriginal Community Health Services - PowerPoint Presentation

Slide1

Module 7:

Aboriginal Community Health ServicesSlide2

Welcome to

Aboriginal Community Health Services.

This course takes

45 minutes

to complete. There is a quiz at the end of each chapter and a link to handouts and resources at the end of the learning module.

Select the

arrow keys at the bottom of your screen to move forward and move back, or to stop and start the module.

There is a quiz at the end of each chapter and a link to handouts and resources at the end of the learning module.Slide3

Course Learnings

Aboriginal Health Access Centres

Aboriginal Community Health Services

Urban Aboriginal Health Services

In this learning module, you will learn about:

Ways to Leverage PartnershipsSlide4

Introduction

Over one-third of First Nations, Inuit and Métis (FNIM) communities are in remote, rural or isolated areas.

Some

people have to travel

over 90 kilometres to access health services, with specialized services accessible by travelling to an urban centre. Slide5

Introduction

There has been a rise of chronic conditions among FNIM people over the past several decades.

Although research is limited, existing studies show that cancer incidence has risen dramatically:

Cancer is now among the top three causes of death among FNIM people.

FNIM people are over-represented in under or never screened populations.

From Cancer Care Ontario surveillance data.

These issues, coupled with others have left access barriers to a variety of health care services.

These are covered in Module 1: Culture as a Determinant of Health

This is similar to the general Canadian population.

In each of the FNIM populations over the past few decades.

Cancer was nearly unknown a few generations ago.Slide6

In Ontario

, incidence rates for lung, colorectal, kidney, and cervical cancers are similar or higher among FNIM people.

Disparities in cancer screening exist due to factors such as language barriers and discrimination.

There is a rise of incidence rates of colorectal cancer in First Nations men above the general rate.

First Nations women are diagnosed at a more advanced stage of breast cancer on average than other women.Slide7

Health equity is an important component of the Cancer System Quality Index.

Let’s get started. Move forward to begin Part 1.Slide8

Part I: Health Access Centres As a Pillar of Community-Led Health Care

Part I of the course explores the Aboriginal Health Access Centres (AHACs) as a pillar of Aboriginal community-led heath care. It also examines the need for the AHACs, and the collaboration of different service offerings for FNIM people.Slide9

Chapter 1: Overview of the Aboriginal Health Access CentresSlide10

Aboriginal Health Access Centres (AHACs) Slide11

Established in 1995

AHACs were modelled after Ontario’s Community Health Centres (CHCs)

CHCs breadth of services and support became the preferred mechanism to improve the health and well-being of communities in Ontario facing various barriers in accessing health care.

AHACs are governed by the Association of Ontario Health Centres (AOHC).

The model, collaborations and structure of AHACs have become a leader for FNIM community health care programming. Slide12

AHACs by the Numbers

Number of AHACs in Ontario:

10

Registered clients accessing care and health programs:

92,678

Average number of clients per centre:

9,267

Registered clients receiving clinical care:

55,638

Average number of clinical visits per client, per year:

5.2Slide13

AHAC’s Importance

Historically, Indigenous/traditional healing was outlawed by governments.

Although, most practices have become lawful again over time, the effects to FNIM culture were felt.

Community leaders and elders have preserved the memory and practice of traditional ways that is grounded in the respect for all creation and the earth. Slide14

Health care and support at all AHACs are promoted and provided by health care

professionals,

some of whom are First Nations, Inuit or Métis by

descent. They have

an understanding of the inter-generational traumas that have affected FNIM people, and may have lived their own journeys to health and healing.Slide15

ACs provide a place where traditional healing and FNIM community strength are anchored.

Culture and traditional practices are at the core of all AHAC health, health care and community development practices.

FNIM clients have said that the AHACs offer a sense of safety, belonging and where they can find meaning.

Pictured: Smudging CeremonySlide16

Initiatives, including educational pieces are delivered under the model of health and wellbeing that the AHACs and CHCs collaborate together to help influence positive health care changes at the community level.

Collaborating To Deliver Improved Services and AccessSlide17

Attributes of the Model of Health and Well-being

Anti-oppressive and Culturally Safe

Accessible

Inter-professional, integrated and coordinated

Community-governed

Acknowledgment of the Social Determinants of Health

Grounded in a Community Development Approach

Population and Needs-Based

Accountable and Efficient

We will review each in more detailSlide18

Anti-oppressive and Culturally Safe

AHACs and CHCs provide services in anti-racist, anti-oppressive environments that are safe for people:Slide19

A place where there is no assault, challenge or denial of their identity, or who they are and what they need.

It is about

shared

respect, shared meaning, shared knowledge and experience of learning;

Living and working together with truth, respect, honesty, humility, wisdom, love and bravery.

The presence of people from various cultural and linguistic backgrounds is emphasized, resulting in their ability to control or influence the processes operating in their health services.Slide20

AccessibleSlide21

Inter-professional, integrated

and

coordinated

Salaried professionals work together to address people’s health and wellbeing needs.

Develop partnerships and integrate with health system and community organizations to:

Referrals include primary care, illness prevention, and health promotion.

Services: one-on-one, personal development groups, and community level interventions.

Facilitate the delivery of seamless and timely people- and community-centred health and appropriate referrals

CHCs and AHACs build inter-professional teams working in collaborative practice. Slide22

Community-governed Slide23

Acknowledgment of the Social Determinants of Health

The health of individuals and communities is impacted by the social determinants of health including:

income and employment

early childhood development and education

working conditions

food insecurity, and housingsocial exclusion and social safety networkhealth servicesgender, culture, race and racismdisabilitySlide24

Acknowledgment of the Social Determinants of Health

CHCs and AHACs strive for improvements in social supports and conditions that affect the long-term health of people and communities.

This is done through:

participation in multi and cross-sector partnerships and advocacy for the development of healthy public policy

within a population health framework.Slide25

Insert pop up exercise boxThis is a non-scoring exercise[Add in a pop-up: Choose one or two social determinants of health a FNIM patient might be impacted by and how you might be able to support them (no more than two sentences). Slide26

Grounded in a Community Development Approach Slide27

Population and Needs-BasedSlide28

Accountable and Efficient Slide29

Continued Strategies for Improvement

Forming strategic alliances and initiatives helps to further community health and wellbeing.

To influence positive health care changes, AHACs

work with other community agencies under the AOHC

including:CHC’s Community Family Health Teams (CFHTs)

Nurse Practitioner-Led Clinics (NPLs) Slide30

Health Public PolicySlide31

Their work on public policy is guided by two fundamental principles: Slide32

Poverty

In partnership, CHCs, AHACs, Community Family Health Teams (CFHTs) and Nurse Practitioner-Led Clinics (NPLs) and the anti-poverty movement, AOHC champions the eradication of poverty.

The connection between low income and poor health is well documented.

An estimated

60%

of the population’s health outcomes are determined by socio-economic, cultural and environmental conditions including income, education, working conditions and child development

Source: 2010 Annual Report of the Chief Medical Officer of Health of OntarioSlide33

High Performing Health Care System

To improve health outcomes and support healthcare sustainability, CHCs, AHACs CFHTs, and NPLs champion the transformation of primary health care.Slide34

They collaborate with partners to ensure:Slide35

Community Health Ontario

The AOHC (with CHCs and AHACs) formed a strategic partnership with the Ontario Community Support

Association, and

the Ontario Federation of Community Mental Health and Addictions to form the strategic partnership called Community Health Ontario (CHO). Slide36

T

hey

represent the majority of the not-for-profit home and community support, mental health and addiction and community-governed primary health care providers in Ontario

Move forward to start the quiz for this chapter.Slide37

Insert Quiz slide: Test for Part I, Chapter 1This chapter has one question.

Q: Name an AHAC strategy for health care improvement.

A:

__________________________Slide38

Chapter 2: Aboriginal Health Access Centres Slide39

Overview of Services Offered

AHACs are a key access point to overall FNIM family and community health and development. Slide40

Each AHAC offers offer a broad range of services that include primary care, health promotion and prevention, mental health services, traditional healing and youth empowerment to meet the diverse needs of the community(

ies

) they service.

We will provide an overview of some of the common programs and services.

There will be a link at the end of the learning module to each AHAC and their programming so you can determine what offerings the centre that services your community provides. Slide41

Primary Care/Clinical Services:Slide42

Some areas of focus include, culturally

sensitive primary health care and:

Treatment and monitoring of illnesses

Health promotion, screening

Lifestyle counseling,

pre and post-natal care

Diabetes management and preventionSlide43

Health Promotion & Education Services

The goal of the Health Education Program is to encourage healthy lifestyle choices for FNIM people.

Lifestyle

choices relate to all age groups and include topics such as chronic disease, eating habits, exercise, parenting, child safety, smoking cessation, and other related issues. Slide44

Some of the services offered by the program are:Slide45

Some of the services offered by the program are:Slide46

Diabetes Education

Presentations can be geared to a certain age group or

sector.

Lunch and learn sessions are available.

The program focuses on promotion.

They highlight wellness

strategies.

The goal is early

prevention.

Offer nutritional

guidance

and

referrals to additional

care.

For Example:

gestational diabetes, exercise and diabetes, lab and medication

review.Slide47

Advocacy

The goal of the advocacy program is to help members of FNIM communities ensure that they have access to culturally appropriate health-care services and programs, and to promote the empowerment of FNIM people in determining their own health care needs. Slide48

Areas of focus

include:

Assist with education, job training, income, diet, and housing.

Provide

patient advocacy in hospitals.

Lobby to ensure FNIM representation on:

Report discrimination to appropriate authorities.

H

ealth related decision making bodies, committees and boards.Slide49

Mental Health Services

AHACs administer a mental health program for FNIM people to ensure that they have access to culturally appropriate mental health services and

programs.

They

promote the empowerment of FNIM people in determining their own mental health care needs. Slide50

Areas of Focus Include:

Couple and family support

Counselling and outreach

services

Intake and assessments

Addictions and wellness plans

Referrals to

treatment and rehabilitation programs

Home visits to clientsSlide51

Areas of Focus Include:

Resource co-ordination and networking

Service co-ordination and referrals

Case management with other mental health

agencies / providers

Accompaniment to medical

appointments

E

ducation

for clients, families,

and

agencies

Other individual supports requiredSlide52

Traditional Healing

Traditional healing programs offered at the AHACs provide tools which help to heal the mind and spirit.

Variations

to healing program components are offered at different centres.Slide53

Healing Journey

Elders share the teachings of the seven fires as well as the seven steps to spirituality.

Participants are given a series of traditional teachings which help to connect them to their cultural identity.

One-on-one sessions are also offered using traditional teachings and methods.Slide54

Grief

Recovery

This

program is designed to facilitate recovery from loss.

Participants

are guided through the process of:awareness, acceptance,forgiveness, and moving beyond loss.Slide55

Attitudinal Healing

14 week

program that focuses on removing the blocks to the awareness of the presence of love within each person.

Participants and facilitators explore

12

spiritual principles (each principle has 10 tenants) in 14 sessions that are 2.5 hours each.

Tools such as visualization, spontaneous drawing, meditation and journaling are used to facilitate the process.Slide56

Sweatlodge

Ceremonies

Offered

four

times per year.

Sweatlodge teachings are offered in the morning and the Ceremony is in the afternoon. A potluck feast follows.Slide57

Healing Journey

14 week program that offers a series of teachings designed to

integrate:

Mind

Heart

Body

Spirit These

exercises allow the participant to experience the teachings rather than just receiving information.Slide58

Elder Mentorship

Program

This

program provides participants with traditional teachings.

Participants

then share the teachings with the FNIM and non-Aboriginal communities through partnerships with different organizations and schools. Slide59

Community Health

NursesThis program offers:

prenatal

classes, immunization,

HIV testing and counseling, diabetes teaching, smoking cessation programs, prenatal food vouchers, counseling and diagnostic clinics, home visiting for chronic diseases such as cancer, pre- and post-natal, health promotion, disease prevention, and infection control in the community. Slide60

Medical

Translators

Some AHACs offer medical translators for non-English speaking FNIM patients and assist doctors, nurses and other health care providers.

They

interpret from English to the required aboriginal language and vice-versa.Slide61

Fetal Alcohol Syndrome Disorder (FASD)

AHACs provide education and information on the consequences of alcohol consumption during pregnancy in group settings as well as one-one information sessions on:

Women's addiction support group

Teen groups

Fetal

Alcohol Syndrome/Fetal Alcohol Effects

Parenting classes/life skills

Education on nutrition

Aboriginal crafts

Breakfast for learning programs

Healthy living food boxSlide62

Home Care & Home Support

This support service in the home environment is available to all ages to meet health care needs.

This includes:

nursing staff, personal support workers, social workers, local medical doctors, appointment transportation, dietetic aid, foot care, equipment supplies coverage and lifeline services.Slide63

Locations and Communities ServicedSlide64

Locations Across Ontario

Cutler:

N’Mninoeyaa

Health Access Centre

Fort Frances:

Gizhewaadiziwin

Health Access

Centre

Thunder Bay:

Anishnawbe

Mushkiki

Hamilton and Brantford: De

dwa

da

dehs

nye

>s Aboriginal Health

Centre

Cornwall: Mohawk

Council of

Akwesasne

Little Current:

Noojmowin

Teg

Health Access

Centre

Sudbury:

Shkagamik-Kwe

Health Centre

London and

Muncy

: Southwest

Ontario Aboriginal Health Access Centre

Ottawa:

Wabano

Centre for Aboriginal Health

Kenora

:

Waasegiizhig

Nanaandawe’iyewigamig

Move forward to start the quiz for this chapter.Slide65

Insert Quiz slide: Test for Part I, Chapter 2

This chapter has one question.Q: Identify the services provided by AHACs: (Choose all that apply.)• Assisting with issues regarding speech therapy.• Culturally sensitive primary care.

• Prenatal classes.

• Traditional healing

.A: __________________________Slide66

Part II: Urban Aboriginal Health Services

Part II of the course explores Ontario’s urban FNIM health centres as one of the key supports.

Ontario’s urban Aboriginal health hubs include: The Ontario Federation of Indian Friendship Centres (OFIFC) and Aboriginal Health Outreach Workers (AHOW).Slide67

Chapter 1: The Ontario Federation of Indian Friendship CentresSlide68

The

Ontario Federation of Indian Friendship Centres’ aim is "to improve the quality of life for Aboriginal people living in an urban environment by supporting self-determined activities which encourage equal access to and participation in Canadian society and which respects Aboriginal cultural distinctiveness."

The Ontario Federation of Indian Friendship Centres (OFIFC) represents 27 Friendship Centres across Ontario. Friendship Centres represent one of the country’s key off-reserve FNIM service delivery infrastructures.

Source

: http://www.ofifc.orgSlide69

Overview of Services OfferedSlide70

We

will provide an overview of some of the common health and health-related programs and services.

There

will be a link at the end of the learning module to each Friendship Centre and their programming so you can determine what offerings the centre that services your community

provides.

This includes additional services that acknowledge the broader determinants of health – i.e. homelessness or legal, education or employment issues or abusive relationships. Slide71

H

ealth

Aboriginal Diabetes Program

It encourages healthy living through physical activity, and healthy nutrition workshops.

Workshops

teach about

the aspects of health that may contribute to the development of Type 2 diabetes.Monthly newsletters on diabetes prevention and management are distributed to Friendship Centres.

The program provides educational resources to prevent and manage Type 2 diabetes.Slide72

Addictions and Mental Health Programs

There are 16 addictions and mental health workers across Ontario that offer support to individuals of all ages.

It also

makes better connections between urban FNIM communities and non-Aboriginal health services.

This is done by educating non-Aboriginal staff about the specific needs of FNIM people

and:

O

ffer cultural space for people with mental health and addictions issues to support moving towards a healthier lifestyle.

C

reating

partnerships to connect them with the Friendship Centre.Slide73

Mental Health and Addictions Programs Offer:

These include, drumming circles, ceremonies, and feasts.Slide74

Life Long Care Program

P

rovides

services and care for people of all ages that have physical disabilities, serious health issues, or are elderly. The program assists participants in stabilizing their health.

Assistance

with the coordination of medical appointments, transportation, prevention of isolation through interaction and social activities, referrals and advocacy to access community supports. Services can be provided on a short-term or long-term basis and is determined through an intake and assessment process. Slide75

The Life Long Care Program assists with:

Preparing

forms and applications

Referrals

to community services

and FC programs

Medical

transportation

services and medical escorts

Congregate dining services (includes meal and activity)

Home visits/Friendly visits

Security checks (in person or over the phone)Slide76

The Life Long Care Program assists with:

Access to cultural activities,

ceremonies

, Elders

/Healers

Advocacy with community agencies

Caregiver Support services (respite and training)

H

ousing issues and locating a family doctor

Transitioning from ODSP to Old Age Pension

Obtaining

medical equipment and suppliesSlide77

Health

Urban Aboriginal Healthy Living Program

Community members can learn about healthy lifestyles and participate in active living activities.

They offer workshops, fitness training, nutrition

information

, and

cooking classes.The program supports youth to be healthy living leaders in their community. It also prepares youth for leadership roles through training, mentoring, and community event involvement.

The program promotes and supports healthier lifestyles for urban FNIM people.

Additionally, they offer smoking cessation support, sport and recreational activities.Slide78

Healing

Healing and Wellness Program

Healing and Wellness programs and services are available at all Friendship Centres, on a one-to-one basis or in a group setting with Healing and Wellness Coordinators and include:

family

violence support services

, andtraditional services and supports. Slide79

Healing

Health Outreach Program

The programs are

offered at 11 Friendship Centres, in areas that do not have Aboriginal Health Access Centres.

They ensure

that the health needs of community members are addressed in a cultural and holistic way that addresses the physical, mental, emotional, and spiritual aspects of individuals and provide services and support on a one-to-one basis or in a group setting.

There is more information on this program in the next chapter.Slide80

For Children and Youth

Aboriginal Healthy Babies Healthy Children (AHBHC) Program

The

AHBHC

Program improves

the long term health prospects of children aged 0-6 years. It ensures that all FNIM families and their children (prenatal to age six) who need assistance with physical, emotional, mental and social issues have access to effective, consistent, culturally appropriate and holistic early intervention services.

The program is open to any FNIM family who requests the service, starting at pregnancy through early childhood education. Slide81

For Children and Youth

The Akwe:go Urban Aboriginal Children’s Program

The

Program delivers culturally appropriate activities and services to FNIM

children, ages 7–12

years. Traditional cultural teachings and values are the guiding principles through client-based programming and individualized one-on-one supports that encourage healthy lifestyle choices.

It works to enhance skills, attitudes and values that demonstrate positive personal choices and develop awareness of the consequences of negative behaviours.Slide82

The program has five objectives:

Children in Care - increased access to culturally appropriate services.

Healthy and Physical Development - health impacts of poverty, diabetes and obesity.

Institutional Interventions

-

direct access to computers and literacy initiatives.

FASD - providing tutoring and mentoring, supervised physical activities and parent supports.

Social Supports - addressing self-esteem issues, victimization issues and peer pressure.Slide83

The Children’s Mental Health Project (CMHP)Slide84

Programs include one or a combination of:

Advocacy

on behalf of the client

Crisis intervention

Service

coordination

Referrals

Peer

counseling

One-on-one

activitiesSlide85

The CMHP

Both clients and family members are invited to join in workshops, presentations, healing circles, talking circles, tradition based activities and recreational activities that are offered by the program.

Five Friendship Centres offer the program:

Fort Frances

Thunder Bay

Cochrane

Sudbury Niagara Region Slide86

Locations and Communities Serviced

Brief History

Shortly after, London, Parry Sound and Red Lake opened up community centres to serve the growing FNIM population

Each centre

was to provide and identify resources

for food, shelter and clothing for FNIM people migrating to these areas.These centres were instrumental in the establishment of Friendship Centres in Ontario and are referred to as the “Original Six”.

L

ate 1950’s - early 1960’s, Aboriginal community centres in Ontario were established in

Kenora

, Thunder Bay and Toronto. Slide87

Present Day Friendship Centres (FCs)

There are 27

FCs located in urban centres across Ontario.

Every FC is managed independently from the OFIFC.

Offer programs and services and a place of acceptance and well-being.

FCs are located

in different areas where the needs of the community differ.

A list of all locations is available as a handout at the end of this learning module.

Move forward to start the quiz for this chapter.Slide88

Insert Quiz slide: Test for Part II, Chapter 1

This chapter has one question.Q: Identify the services provided by Friendship Centres: (Choose all that apply.)Medical

transportation services

Caregiver

Support services (respite and training)Advocacy with community agenciesAccess to cultural activities, traditional foods, ceremonies, Elders and HealersA: __________________________Slide89

Chapter 2: Aboriginal Health Outreach ProgramSlide90

Program DesignSlide91

Program Objectives

The program was created to:

I

dentify

ways to improve FNIM peoples’ access to, participation in and improve the quality of service which FNIM people experience in the Ontario health care system;

Identify ways to increase sensitivity of the Ontario health care system to FNIM health issues, needs and cultural traditions;

Articulate priorities of FNIM communities with respect to health services; and to

P

romote development

of FNIM designed health services in response to

articulated priorities.Slide92

Overview of Services

Offered

Primary Responsibilities

The

responsibilities of a Health Outreach Worker are to ensure that the needs of the FNIM community are addressed by undertaking health promotion, education, referrals and linking with FNIM cultural resource people and mainstream health providers.

Other responsibilities include client advocacy, making client referrals to appropriate health programs, services and institutions, and establishing linkages between the health care system and the FNIM community and agencies in order to promote holistic health approaches. Slide93

In the Community:

To promote, by programming and personal example, the development of positive role models in the community.

To initiate community development

activities to lead

to healthy families and

lifestyles.

To facilitate community events to promote healing, wellness, positive parenting and cultural awareness.To facilitate the positive re-establishment of families.

To coordinate children's, youth’s, men's and women's healing circles.Slide94

In the Community

To participate in the development of culturally sensitive services which address family healing and wellness.

To facilitate the involvement of elders and traditional people, who have undergone their own healing and wellness

journey.

To promote the Aboriginal Healing and Wellness

Strategy.

To promote positive family interaction and activities targeting disadvantaged and single parent families.Slide95

Locations and Communities

Serviced

There

are 14 Health Outreach Workers located across Ontario, 11 provided through Ontario Federation of Indian Friendship Centres (OFIFC) and three through the Ontario Native Women's Association (ONWA).Slide96

Through

OFIFC

Atikokan

Native Friendship Centre

Barrie Native Friendship Centre

CanAm Indian Friendship Centre of WindsorCouncil Fire Native Cultural Centre Inc. located in Toronto, ONDryden Native Friendship CentreFort Erie Indian Friendship CentreGeorgian Bay Native Friendship CentreIninew Friendship Centre located in Cochrane, ONNiagara Regional located in Niagara-on-the-Lake, ONNorth Bay Indian Friendship CentreRed Lake Friendship Centre

Through OWNAGreenstone, ONSioux Lookout, ONThunder Bay, ON

Move forward to start the quiz for this chapter.Slide97

Insert Quiz slide: Test for Part II, Chapter 2

This chapter has one true or false question.Q: The Aboriginal Health Outreach program members will be involved in continued program development, and the consideration of their physical, mental, emotional and spiritual needs._______________.

A:

 True  False

 Slide98

Chapter 3: Métis Nation of OntarioSlide99

Locations and Communities

Serviced

The Metis Nation of Ontario (MNO) Healing and Wellness Branch facilitates and coordinates activities to address the holistic needs of the Métis Nation in Ontario at the provincial, regional and local levels.

A wide array of programs and services are provided, funded by the provincial government through the Aboriginal Healing and Wellness Strategy (AHWS

).Slide100

MNO Programs and Services

Community Support Services (CSS) Program

Diabetes Awareness

Healthy Babies, Healthy Children

Pre-Post Natal Nutrition

Community Wellness Worker (CWW) Program

We will review each in some more detail.Slide101

Community Wellness Worker (CWW)

Program

CWWs in sixteen communities work to reduce family violence and to promote healthy lifestyles through culture-based programming.

They assist clients in identifying concerns and assist them in developing action plans to address the concerns.

This is achieved by sharing information with health and social agencies and through crisis intervention workshops, sharing circles and community outreach that educates and promotes cultural awareness and illness prevention.

Whenever possible Métis specific cultural approaches are integrated into the programs delivered.. Slide102

Additional Services Include:

R

eferrals

to emergency shelters or transitional housing

A

dvocacy

to support the securing of medical assistance services

Assisting

clients to access services

R

eferrals

to anger-management or treatment programs

Referrals

to the MNO Mental Health Program

Advocacy

for those dealing with the court systemSlide103

CWWs also:

P

rovide

participant-based services related to reducing family violence

through:

fitness and recreation, walking

groups, nutrition or foot-care clinics/workshops, andHealthy Eating/Community Gardens.

Information sharing is provided between FNIM and non-Aboriginal organizations, including mental health centres, shelters, and treatment centres to increase client access to local services.Slide104

Community Support Services Program (CSS)Slide105

Services Focus on:Slide106

CSS services are coordinated with other community based programs and may include referrals to other agencies for Meals on Wheels, Adult Day Programs, Nursing, and Home care. Slide107

Medical

Transportation Services

Assists clients who are facing financial hardship, meet the program criteria and are in need of assistance.

For clients who meet the criteria their transportation can be arrange via a volunteer driver, bus tickets, mobility bus services, via rail, Hope Air or other affordable means that are available to that community.

There are times when the family can do the transport but the issue is with being able to afford to do the transportation.

CSS assists in finding outside resources outside to in these instances..Slide108

Friendly Visits

Regular

visits and phone calls provide support for isolated or ill clients while ensuring their health and safety.

Regular

contact is made through visits by MNO staff or volunteers are arranged by CSS Coordinators.Slide109

Care

Giver Support Services

CSS provides advocacy services and information to assist an informal caregiver in the role, referrals for respite care and friendly visits to help reduce the isolation of the caregiver. Slide110

Community

Support Services

The CSS Coordinator is knowledgeable about all the services available to FNIM people in their area and provides information, referrals, advocacy and access to mainstream or other long-term care services such as Community Care Access Centres.

CSS also provides support with filling out forms, applying for old age security, Guarantee Income Supplement, etc.

When required, they advocate on a client’s behalf to help get the services needed.Slide111

Diabetes Awareness

Funding

through the Ministry of Health and Long Term Care is provided for educational workshops and free access to foot care services.

Additionally, people in

14 sites

across the province were provided with a basic health assessment along with diabetes related health education. Slide112

MNO Healthy Babies,

Healthy Children

The MNO Healthy Babies Healthy Children Program is a prevention and intervention strategy for families with children aged 0-6.

It includes preparation for parenting, prenatal and postnatal

care;

and assists families in providing healthy child development through home visits, service coordination and referrals.

The program, which provides support for children at risk, is voluntary and open to any FNIM family who requests the service. Slide113

Pre-Post Natal Nutrition

Canadian Prenatal / Postnatal Nutrition Program (CPNP) is a federally funded program that targets at risk FNIM children (0-6 months) and their families.

The program actively involves children, parents, families, community members and service providers in every aspect.

Decision-making and actions taken are community-based. The CPNP addresses:

prenatal

, infant and child nutrition and development, and

parenting and care giving skills.

Move forward to start the quiz for this chapter.Slide114

Insert Quiz slide: Test for Part II, Chapter 3

This chapter has one true or false question.Q: The Metis Nation of Ontario (MNO) Healing and Wellness Branch receives funding from the Aboriginal Healing and Wellness Strategy and the federal government through Health Canada._______________.A:

 True  False

 Slide115

Chapter 4: Tungasuvvingat Inuit Family Health Team

Since 1987,

Tungasuvvingat

Inuit (TI) has provided programs and services that are culturally appropriate and focused on Inuit valuesSlide116

TI's services include:

Diabetes

awareness

and prevention

Counseling for families, adults, youth and children

Addictions

and trauma treatment and continuing care

Healthy weight promotion

Employment

skills

and training

Family health primary care clinicSlide117

TI

established a medical centre dedicated to the Inuit community so the community has access to a team of medical practitioners, registered nurse, interpreters/case managers, Inuit midwifery consultation and complementary and traditional medicine.Slide118

TI established a medical centre dedicated to the Inuit community so the community has access

to:

medical practitioners,

registered nurse,

interpreters/case managers,

Inuit midwifery consultation, andcomplementary and traditional medicine.Slide119

Programs include:

Child development and nutrition

Parenting

and care-taking skills

Community development and healing

Healthy life choices - nutrition and physical activity

We will review some in more detail.Slide120

Health Promotion

ServicesDiabetes awareness and prevention

What is diabetes?

Seriousness of diabetes

Gestational diabetes

Warning signs

Is the client at risk?Slide121

Child and Family Programs

:

Community

Action Program for Children 0-6 years

oldAccess VisitsBook and Toy Lending Kits

Child Development ProgrammingCommunity KitchenCultural CraftsIndividual and Family SupportsMoms and TotsParent ReliefParenting Workshops, Groups

Special EventsSlide122

Pre-postnatal Program (prenatal moms and infants up to 18 months)

Birthing Supports

Community Kitchen

Individual Consultation

Infant Massage InstructionNutritional Lunch

Educational WorkshopsFitness GroupsSlide123

Part

III

:

Partnerships

In Part III, we will review ways to leverage and develop partnerships with FNIM community based services to help enhance the services provided to FNIM patients.Slide124

Partnerships with Key FNIM Community Staff ResourcesSlide125

Additionally,

the outcomes from the partnership can expand a non-Aboriginal health care provider’s patient base; and some of the learnings from new methods of holistic health and wellness can be implemented to further the healthy outcomes of other patients

.

We will use the cancer journey to demonstrate how partnerships can work.Slide126

Community Health Care Providers

If treatment

is needed at a facility, consult with community health care providers in the hospital and/or patient’s community centres to determine options if the patient cannot travel due to age, cost, wishes to remain in the community rather than travel or other reasons.

Additionally, they can help a non-Aboriginal health care provider understand the intricacies of navigating jurisdictional issues with the current health care system including funding, how to communicate to the FNIM patient based on unique language needs, etc. Slide127

FNIM health care providers can also support non-Aboriginal health care providers with obtaining translation for patients that speak limited to no-English, and support and educate on traditional healing and holistic

health about Cancer care. Slide128

Building partnerships with FNIM health care providers in the community(

ies) you service can increase the ability and likelihood that a FNIM patient will be able to attend recommended facilities for treatment options and follow treatment plans improving the chances for successful outcomes.

These valuable partnerships can even be called upon to quickly answer questions that a health care provider may not be able to answer.Slide129

Insert pop up exercise boxThis is a non-scoring exercise[Add in a pop-up: Write down a few ways you believe that a community health care provider can help you with a FNIM patient (no more

than two-three sentences). Slide130

Aboriginal

Patient Navigators

Consult with and connect the patient with an Aboriginal Patient Navigator (APN).Slide131

The role of the APN is to:Slide132

FNIM patient will better understand the health options available to them.

For

example:

The APN program at the

Juravinski Cancer Centre has been recognized as a leading best practice in cultural safe care. Guided by community consultation, collaboration with Cancer Care Ontario and an Aboriginal cancer care networking committee, this program works to support the cancer care needs of FNIM patients throughout their journey in the health continuum.

The program and Lee Styres-Loft, Juravinski’s APN, have been successful in working with health care providers and helping patients and their families understand what to expect during various aspects of the cancer journey.Slide133

Health Outreach Workers

The responsibilities of a Health Outreach Worker are to ensure that the needs of the FNIM community are addressed by

undertaking:

health

promotion, education

, referrals, and linking with FNIM cultural resource people and non-Aboriginal health providers.Slide134

Health Outreach Workers can support health care providers with enhancing the understanding of key requirements in prevention and early detection including why it’s important to do regular:

B

reast cancer screening,

C

olonoscopies for colon cancer

P

ap tests for cervical cancer

P

rostate examsSlide135

Partnering with a Health Outreach Worker can help a health care provider link to the appropriate FNIM cultural resources in different communities.

Move forward to start the quiz for this chapter.Slide136

Insert Quiz slide: Test for Part II, Chapter 4

This chapter has one question.Q: Select all options that are accurate as outlined in this chapter. Services offered by TI include:

Addictions and trauma treatment

Counseling for families, adults, youth and children

Diabetes awareness Family violence preventionHealthy weight promotionEmployment skills and trainingLegal supportHomelessness support including financial resources, nutrition support and life skillsFamily health primary care clinic

A: __________________________Slide137

SourcesAboriginal Cancer Strategy II, Cancer Care Ontario, 2012

A Complex Environment for Aboriginal Health, Health Canada’s 2012 First Nations and Inuit Health Branch Strategic Plan, A Shared Path to Improved Health.

Association of Ontario Health Centres, http://aohc.org/

Association of Ontario Health Centres Strategic Plan 2012-2015

Cultural Competency and Safety: A Guide for Health Care Administrators, Providers and Educator, National Aboriginal Health Organization, 2008Jurisdictional Profiles On Health Care Renewal: An appendix to Progress Report 2013 – Ontario, Health Council of Canada, 2013Our Health, Our Future, Aboriginal Health Access Centres, 2010 Annual ReportThe Ontario Federation of Indian Friendship Centres, http://www.ofifc.org/Websites from: Meno Ya Win Health Centre, Sioux Lookout

Weeneebayko Area Health Authority, James Bay and Hudson BayAkwesasne Health Keewaytinook Okimakanak Telemedicine Ontario Keewaytinook Okimakanak - Knet Chief’s CouncilMamaweswen, the North Shore Tribal Council Tyendiaga Home and Community Care Program and the Community Wellbeing Centre Wikwemikong Health Canadian Cancer Society Lakehead University Oneida Nation of the Thames Slide138

Thank you for your participation in this course.

Please click this link to download and save, or print your course handouts.

If you have any questions not addressed in this course or comments, please contact

accu@cancercare.on.ca , we will respond within three business days.