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March 2020
https://www.bakersfieldaihp.org/
Bakersfield American
Indian Health Project
Jennifer Ruiz
Chief Executive Officer
Johnny Delgado
Administrative Assistant and
Human Resource Associate
Carrie Smith, BSN, PHN
Public Health Nurse
Rhonda Garone
Associate Marriage and
Family Therapist
Donna Cubit, CADCII
Substance Use Disorder Counselor
Monique Simmer
Youth Coordinator,
CHR and Domestic Violence
Jessica Valero
Community Health Representative,
Medical Assistant and
Transportation Specialist
Ventura Ruiz
Registration Clerk and
Transportation Officer
Brenda Renteria
CPS Technician
Penny Stuck
Bookkeeper
Sarah Gilani
Finance Assistant
We always welcome your feedback about our service and your in-office experience,
whether you found it friendly and helpful, or it fell short of your expectations.
Please fill out our survey and let us know. Scan the QR code or visit the website.
The strength of the team is each individual employee. The strength of each employee is the team.
2
INFLUENZA AND CORONAVIRUS (COVID-19) It is that time of year again, when the nasty flu virus rears its ugly head. Along with the regular forms of the flu, the world is dealing with the novel Coronavirus Disease (COVID-19). It is vital that you under-stand the simple steps you can take to protect yourself and others around you for both the Flu and Coronavirus. Get your flu shot early. As we age, our immune sys-tem gets weaker. People with heart disease, diabetes, and asthma/COPD and young children are at greatest risk for life threatening complications. It takes time for the body to build up immunity so the earlier you get the shot the bet-ter. Wash your hands often but especially before you eat. The flu virus can live up to 24 depending on the type of surface. The virus lives the longest on hard surfaces. Do not touch your face with your hands. Quarantine yourself when ill. Stay home except to get medical care. Restrict activities outside your home. A person is contagious beginning one day prior to symptoms and up to one week after. You remain contagious until your fever has been gone at least 24 hours. Separate yourself from other people and animals in your home. As much as possible, you should stay in a specific room and away from other peo-ple in your home. If possible, use a separate bathroom. Phone ahead to your medical provider before the appointment. Call the office and let them know ahead of time that you think you may have the flu. They may have special procedures to ensure others people are not infected or exposed. Sneeze and cough into your elbow or a tissue. This is a good practice to teach children beginning at a young age. Wash your hands frequently and im-mediately after using a tis-sue. Wear a face mask if you are sick and must be around other people i.e. sharing a room or vehicle
MEDICAL DEPARTMENT REMINDERS
IS IT A COLD OR THE FLU? SIGNS &
SYMPTOMS COLD FLU
Symptoms
onset
Gradual Abrupt
Fever Rare Usual
Aches Slight Usual
Chills Uncommon Fairly common
Fatigue,
weakness
Sometimes Usual
Sneezing Common Sometimes
Chest discomfort,
cough
Mild to moderate Common
Stuffy nose Common Sometimes
Sore throat Common Sometimes
Headache Rare Common
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Avoid sharing personal household items. Do not share dishes, drink-ing glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. After using these items, make sure to wash these items thor-oughly with soap and water. Disinfect surfaces frequently. Clean common surfaces such as door-knobs, handles on refrigerators, microwaves, light switches, remotes, phone receivers and faucets often. Drink water. Staying hydrated helps boost your immune system and washes out toxins. (www.cdc.gov)
What you need to know about the Coronavirus (COVID-29)
The coronavirus is a respiratory illness that can spread from person to person. It is a novel or new coronavirus first identified during an investigation into an outbreak in Wuhan China. It is spreading from person to person in parts of the United States and throughout the world. It is thought to spread mainly between people who are in close contact with one another (within about 6 feet) through respiratory droplets produced when an infected person coughs or sneezes. It can spread though contact with contaminated surfaces as well. There cur-rently is no vaccine to protect against COVID-19. The best way to prevent in-fection is to take everyday preventive actions as noted above. Illness range in symptoms from mild to severe which are similar to flu: Symptoms may appear 2-14 days after exposure*: Fever Cough Shortness of breath
For more information Please contact
Carrie L. Smith BSN PHN CLC 1617 30th Street
Bakersfield CA 93301 [email protected] Office (661) 327-4030 x205
Fax (661) 327-0145
MEDICAL DEPARTMENT REMINDERS
4
PREPARING FOR CORONAVIRUS
Dos and Don’ts When You Don’t Feel Well
DON’T touch your eyes, nose, and mouth. If you have somehow come into contact with the virus, touching your face can help it enter your body.
Do wash your hands for at least 20 seconds, several times a day. Use soap and water or a hand sanitizer with at least 60% alcohol: Before cooking or eating, After using the bathroom, After blowing your nose, coughing, or sneezing
DO consider taking extra precautions and stay-ing out of public places if you’re over 60 years old, or have a condition, as you have a higher risk of developing the disease. Note that as of now, the highest-risk groups appear to be seniors and people with pre-existing conditions like heart disease, chronic respiratory diseases, and diabetes.
DON’T travel if you have a fever. If you get sick on flight, tell the crew immediately. When you get home, contact a health professional. DO: Prepare by making sure you have supplies at home in case someone gets sick and needs to be quarantined. This would include prescription medications for anyone in the family, other health supplies such as over-the-counter pain relievers, and dis-infectants to clean household surfaces.
Studies suggest that coronaviruses can live on surfaces for a few hours or up to sev-eral days. Clean them regularly with a disinfectant to kill the virus.
While COVID-19 has not yet been declared a pandemic, a government web site also suggests keeping a 2-week supply of food and water in the case of a pandemic and having copies of electronic health records.
DO seek help early if you have a fever, cough, and a hard time breathing. But don’t just drop into the nearest urgent care clinic. Call your doctor to find out the protocol first, to make sure you won’t spread the disease to others. https://www.webmd.com/lung/news/20200228/preparing-for-coronavirus-dos-and-donts https://www.cdc.gov/coronavirus/2019-ncov/about/transmission.html www.cdc.gov
5
Behavioral Health Department Updates
Sleep Hygiene Routine
Set a schedule – Establish a regular sleep schedule every day of the week. Do not sleep in more
than an hour, even on your days off.
Use your bed only for sleep – If your body learns to associate your bed with sleep, you will start to
feel tired as soon as you lie down. Using your phone, watching TV, or doing other waking activi-
ties in bed can have the opposite effect, causing you to become more alert.
Avoid napping – Napping during the day will make sleep more difficult at night. Naps that are over
an hour long or those that are later in the day, are especially harmful to sleep hygiene.
Exercise and eat well – A healthy diet and exercise can lead to better sleep. However, avoid stren-
uous exercise and big meals for 2 hours before going to bed.
Avoid caffeine, alcohol, and nicotine – Consuming caffeine, alcohol, and nicotine can affect your
ability to fall asleep and the quality of your sleep, even if they are used earlier in the day. Re-
member, caffeine can stay in your body for up to 12 hours, and even decaf coffee has some
caffeine!
Sleep in a comfortable environment – It is important to sleep in an area that is adequately quiet,
comfortable, and dark. Try using an eye mask, ear plugs, fans, or white noise. Using a diffuser
with lavender essential oil can also help to set a relaxing atmosphere after a warm bath.
Do not force yourself to sleep – If you have not fallen asleep after 20 minutes, get up and do some-
thing calming. Read a book, draw, listen to meditation audio clip, journal your thoughts. Avoid
computer, TV, and phone screens, or anything else that is stimulating and could lead to be-
coming more awake.
Self-Care Tips Set aside time for yourself – Personal time usually is moved to the bottom of the list when things get
hectic. However, when personal time is neglected, everything else tends to suffer. Set aside time to
relax and have fun every day, without interruptions.
Exercise – Research has shown us that people who exercise regularly tend to be more resistant to
many mental illnesses. Exercise can help reduce current symptoms, and prevent future episodes.
What issues can exercise help reduce?
Depression
Anxiety
Substance abuse
Bulimia
Alzheimer’s disease
Sleep difficulties
Stress
Physical health
For more information contact
Rhonda Garone Associate Marriage and Family Therapist
Bakersfield American Indian Health Project
1617 30th Street Bakersfield, CA 93301
661-327-4030 Ext 213
6
LIKE FOLLOW LEARN
http://www.bakersfieldaihp.org
Open Instagram
Click on the magnifying glass
Click on the box
Scan the BAIHP nametag
Or search for our user name: baihp
Open twitter
Click on the magnifying glass
Search for BakersfieldAme1
Hit the follow button
User name: BakersfieldAme1
Open facebook
Click on the magnifying glass
Search for @the baihp
(the one with the one that has the white background behind the dream catcher)
Hit the “like” thumbs up icon
The user name is Bakersfield American Indian Health
The Youth Prevention program exposes youth to healthy lifestyles and cultural activities to build resilience through cultural identity development
and community connectedness. The Youth Services Department holds workshops and youth activity groups throughout the year and assists with
linking youth and families to other needed health services.
7
PREVENTIVE SUPPLIES PROVIDED
COME JOIN
Bakersfield American Indian Health Project
at the OVCDC 2020 Emergency Resource Spring Gathering
The focus of the project is to reduce deaths due
to OUD in California’s Urban Indian communities
through education, stigma reduction, MAT and
naloxone access expansion, and increased
access to culturally relevant recovery services.
8
NUTRITION CLASS
12:00 pm to 1:00 pm
March 18th 2020
3rd WEDNESDAY OF EVERY MONTH
A healthy lunch provided
Please call to add your name to the
attendance list.
Eating Right on a Budget Food, Nutrition
and Health Tips from the Academy of Nutrition
and Dietetics
Cook more, eat out less Eating out can be
expensive, and many foods can be prepared for
a lot less money (and healthier) at home. Pre-
packaged foods, like frozen dinners and pack-
aged pasta or rice mixes can also add up when
you calculate the cost per serving. It’s better to
find a few simple and healthy recipes that your
family enjoys and save convenience items and
eating out for special occasions.
Plan what you’re going to eat Deciding on
meals and snacks before you shop can save both
time and money. Review recipes and make a gro-
cery list of what ingredients are needed, then
check to see what foods you already have and
make a list for what you still need to buy. Plus,
when shopping with a list you will be less likely to
buy things that are not on it. To “Create a Grocery
Game Plan”, visit www.ChooseMyPlate.gov.
Decide how much to make or buy Making
a large batch by doubling a recipe will save time
in the kitchen later on. Extra portions can be used
for lunches or meals later in the week, or frozen as
leftovers in individual containers for future use.
Plus, purchasing ingredients in bulk is almost al-
ways cheaper.
Determine where to shop Check the local
newspaper, online and at the store for sales and
coupons, especially when it comes to more ex-
pensive ingredients, such as meat and seafood.
While at the store, compare prices of different
brands and different sizes of the same brand to
see which has a lower unit price. The unit price is
usually located on the shelf directly below the
product.
Watch portion sizes Eating too much of even lower cost
foods and beverages can add up to extra dollars and cal-
ories. Use smaller plates, bowls and glasses to help keep
portions under control. Fill half your plate with fruits and
vegetables and the other half with grains and lean meat,
poultry, seafood or beans. This is an easy way to eat a bal-
anced meal while controlling portions and cost. To com-
plete the meal, add a glass of fat free or low-fat milk or a
serving of fat-free yogurt for dessert.
Make your own healthy snacks Convenience costs
money, so many snacks, even healthy ones, usually cost
more when sold individually. Make your own snacks by pur-
chasing large tubs of low-fat yogurt or cottage cheese and
dividing them into smaller containers. For trail mix, combine
unsalted nuts, dried fruit and whole grain pretzels or cereal;
store small portions in airtight containers. Air-popped pop-
corn and whole fresh fruits in season also tend to cost less
compared to pre-packaged items.
For a referral to a registered
dietitian nutritionist and for
additional food and nutrition
information visit
www.eatright.org
9
BAIHP provides free transportation around Bakersfield, Lamont and Arvin.
Here are a few tips to make your trip with us an easy and enjoyable.
Tip #1 Respect transit staff - A friendly greeting and a thank you before you exit is kind and courte-
ous, just make sure you leave it at that. Long conversations may take up too much time and energy
for drivers and hold up the schedule for others.
Tip #2 Respect the vehicle - be responsible when you ride. Don’t litter, smoke, eat or drink, and of
course, don’t vandalize anything. Clean up after yourself if you do make a mess.
Tip #3 Please cover your mouth when you cough or sneeze—and sanitize anything you’ve touched.
Tip #4 Keep your electronics quiet- Blasting your music on speaker or so loud everyone can hear it
through your headphones is distracting. Respect the transporter by using headphones for your
phone, laptop, tablet, etc. and then ensuring the volume is appropriate.
Tip #5 Only take up the space you need- Keep your feet and belongings on the floor of the vehicle.
Tip #6 Keep your business to yourself - Keep conversations quiet, inoffensive, and short. The trans-
porter must focus on their safe driving without distractions.
Tip #7 If you are sick please notify the staff when you confirm your transport appointment so we can
accommodate you.
Tip #8 Watch your language. Please refrain from using foul language.
Tip #9 You are given a pick up time. Please wait for our drivers outside where you can easily be
seen.
Tip #10 Be prepared for your appointment. Please have paperwork ready before getting into the
vehicle.
El ig i ble BA IHP cl ients may rece ive
baby car seats , b icycle helmets , and smoke detectors
10
A great class for those who want to learn how to bead but dont know where to start
Material, Tools and Supplies provided
Step by step instructions
Learning simple techniques is the first step
in creating limitless unique pieces!
6pm to 8pm
BAIHP Multipurpose Room
1617 30th St.
Bakersfield, CA 93301
The IRS offers several free programs to help many taxpayers
prepare their tax returns, including the Voluntary Income
Tax Assistance (VITA) and Tax Counseling for the Elderly
(TCE) programs.
ITG’s webpage, Volunteer Tax Assistance Resources for Indi-
an Country, provides resources that can help taxpayers situ-
ated in or near Indian Country to prepare their income tax
returns.
The webpage also includes a VITA-Site Locater which identi-
fies some sites operating in or near Indian Country, which
typically are staffed with volunteers familiar with the unique
tax issues affecting Indian tribal members.
Indian Tribal Governments News
The federal tax return filing deadline for tax year 2019
April 15, 2020
11
AA 12 STEP Meeting
Monday Nights
6:00 pm
Red Road Recovery
Talking Circle
Smudge Sacred Sage
Open to everyone in
need of a life change.
Bring your family and friends
and be a part of our family.
Let’s support other
in their recovery.
Bakersfield American
Indian Health Project
Multipurpose Room
1617 30th St.
Bakersfield, CA 93301
661.327.4030
Friday Date: Location: Time:
Mar. 13th Bakersfield American Indian
Health Project
6pm - 7:30pm
Mar. 20th OVCDC
Potluck Everyone welcome
6pm - 7:30pm
Mar. 27th BAIHP 6pm - 7:30pm
April 3 OVCDC 6pm - 7:30pm
April 10 Jastro Park 2900 Truxtun Ave.
Eagle Heart Drum Group Reunion Potluck
6pm - 7:30pm
April 17 Jastro Park 6pm - 7:30pm
April 24 Jastro Park 6pm - 7:30pm
12
A Letter to Parents
You have probably heard a lot about the opioid crisis in the news lately. But what are opioids,
and what do they have to do with you as the parent of a teenager?
If your child has had a sports injury, dental work, or surgery, it is possible that he or she was pre-
scribed a pain reliever that contained an opioid. Opioids can be very effective at reducing
severe pain in the short term, such as after surgery, but they can be very addictive, especially if
they are misused.
Children and adolescents are at greater risk than adults of becoming addicted when exposed
to drugs. Particularly when used in treating children or adolescents, opioids should only be tak-
en to manage severe pain, when no other pain medicine works, and for the shortest time nec-
essary—and most importantly, only while under the careful watch of a trained health care pro-
vider.
In addition to opioids prescribed for treating pain, there are powerful opioids sold on the street
and used solely to get high, including heroin and illicit fentanyl. These are also highly addictive.
All opioids—particularly when misused to get high, when combined with other drugs like alco-
hol or tranquilizers, or when used for pain without proper medical supervision—can result in
deadly overdoses.
While opioid misuse in teens has been going down, the rate of opioid misuse increases signifi-
cantly after the age of 18, so it is critical to talk with teens early and frequently to protect them
from experimenting with opioids as they transition into adulthood. Talking to your kids about
drugs may not be easy, but it is important. Here at the National Institute on Drug Abuse(NIDA),
we developed this guide to help parents talk with their kids. We also have a companion book,
Opioid Facts for Teens, that you can share. Sometimes, just beginning the conversation is the
hardest part. I hope these booklets can help.
Nora D. Volkow, M.D.
Director National Institute on Drug Abuse
Did you know?
Opioid misuse can have lasting effects. When opioids are misused, they can have harmful effects on your brain, like
slowed breathing. Slowed breathing can then lead to short-and long-term health effects, including coma, brain
damage, and death. Some studies have shown that repeated opioid misuse also can affect people’s behavior, de-
cision-making, and responses to stressful situations. So, it’s important to be aware of any changes in your teen’s be-
havior.
Opioids can be addictive. Opioids are among the most addictive drugs. Over time, opioids can change the brain,
which leads to addiction. People who are addicted to opioids can feel a strong need to take the drug again and
again. They may also experience severe withdrawal symptoms in the absence of the drug. These negative withdraw-
al symptoms, coupled with the strong desire to use opioids, are why some people continue to use opioids, despite
negative consequences to their health and well-being.
Opioid use can affect every area of your teen’s life. Using drugs early in life can lead to poor grades and bad rela-
tionships with friends and family. Opioid use can alter judgment and make it more likely your teen could make risky
decisions like having unprotected sex or driving under the influence.1–3
1 Dahl RE. Adolescent brain development: a period of vulnerabilities and opportunities.
Keynote address. Ann N Y Acad Sci. 2004;1021:1-22. doi:10.1196/annals.1308.001
2 Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and
age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication.
Arch Gen Psychiatry. 2005;62(6):593-602. doi:10.1001/archpsyc.62.6.593
3 Thornberry TP, Krohn MD, eds. Taking Stock of Delinquency - An Overview of Findings.
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Follow us on social media
@the baihp baihp BakersfieldAme1
Bakers f ie ld Amer ican Ind ian Heal th P ro jec t
1617 30th Street
Bakersfield, CA 93301
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