MINNIE’S HOPE SOCIAL PEDIATRICCENTRE

IN KUUJJUARAAPIK-WHAPMAGOOSTUITESTIMONY FOR THE VIENS COMMISSION

KUUJJUARAAPIK-WHAPMAGOOSTUI

NOVEMBER 16, 2018

P-953

PLAN1. Introduction and context2. Description of Minnie’s

Hope3. Testimony of a board

member of the Board of Directors of MH

4. Testimony of a MH educator/clinical assistant

5. Testimony of a communitypartner

6. Testimony of an organizational partner

7. Testimony of a parent8 Conclusion

THE AVIGNONBRIDGE

THE AVIGNONBRIDGE

FAMILY PHYSICIANS (2011)(RATE FOR 10,000 INHABITANTS)

• Nunavik: 37.1

• Québec: 10.5

NURSES (FTE)(RATE FOR 10,000 INHABITANTS)

• Nunavik: 119.6• Québec: 55.1

Nunavik in Figures 2015

1990 TO 2018

• En route towards the regional or southernhospital

CHALLENGES

• Ignorance of ignorance of cultural gap

• Suboptimal hearing of clients’ concerns

• Medical problems compoundedby complex social issues

• Southern-like hierarchicalinstitutional environment

• Suboptimal inter-organizationalpartnership

TRANSCULTURAL INTERACTION

Source : Introduction to clinical cultural competence. Clinical Cultural Competency Series. Courtoisie du Centre for Innovation & Excellence in Child & Family Centred Care, The Hospital for Sick Children

ChisasibiHospital

OUR QUESTIONS, OUR WORDS, OUR TOOL....

For how long have you been sick?

How often does this happen?

You have tried this treatment. How much have you taken, for how long, how did it help?

Where exactly is the pain, wheredoes it radiate to?

Are your symptoms linked to meals, are they worse at night?

…..Photo credit: CFWE Radio.

« YOU NEED TO LISTEN TO US, TO HEAR US! »

Elashuk Pauyungiefrom Salluit Québec

HOUSEHOLD CROWDINGDefinition: more than one person per roomNunavik 48.8% vs 6.8% for Canada(1)

• Little change in Nunaviksince1991(2)

It is not rare to have 12 or 15 persons in a single dwelling, including 3 or even 4 generations

(1) Statistiques Canada 2011

(2) Portrait de santé du Nunavik 2015. Régie de la santé et des services sociaux du Nunavik

(3) Photo fournie par résidente de Salluit et diffusée par

• Work in partnership

WHAT IF??

What if we could dreamup a new concept, a new approach to non urgent healthcare?What if we tried?What would it be like?

It has been demonstrated that funds invested at the youngest age in prevention represent significant savings compared with the cost of life long needs in rehabilitation, mental health or social issues

MINNIE’S HOPE SOCIAL PEDIATRICSCENTRE

• Recognized by the Fondation du Dr. Julien

MINNIE’S HOPE’SMISSION

To help each child of the community reach his/her potential

regardless of their situation

or

any physical, developmental or social challenges

they may be facing.

IN A HOME-LIKE, COMFORTABLE, WELCOMING ENVIRONMENT

Non-judgmental, inclusive and relationship based intervention

PHOTO CREDIT: IVA ZIMOVA

Our approach is based on social pediatrics models with a proven effectiveness in helping children achieve their potential.

MINNIE’S HOPE IS INSPIRED BY THE WORK OF DR. JULIEN AND IS RECOGNIZED BY THE FONDATION DU DR. JULIEN

The approach encourages partnership and brings together all available resources for the benefit of the children and their families

MINNIE’S HOPE SOCIAL PEDIATRICS CENTRE

CURRENT ACTIVITIESPreventive

• Pre and postnatal group activities

• After school program for 8-12 years old with goal of increasing protective factors

• Group stimulation activities• School readiness summer

camp• Stimulation groups for

children not attending daycare

Therapeutic• A social pediatric clinic

(following over 140 children, so far)

• Evaluations in Speech therapy, occupational therapy, developmental pediatrics)

• 1:1 developmental stimulation

• Sand play therapy; psychotherapy; (psychoeducation)

• Connecting mom/dad and child in placement

HEAD START PROGRAM• Stimulation groups for 3-

5 year old children not attending daycare

• twice a week

• Includes:• transportation, • circle time, • fine motor activites• snack

SCHOOL READINESS SUMMER CAMP

• For children about to enter pre-K or K and who are not attending daycare

• For 3 weeks in the summer

• Has been running for 4 years now

CULTURAL ACTIVITIES

• For example:

• Walking out ceremonies for smallCree children

photo credit Iva Zimova

SOCIAL PEDIATRICS CENTRE

• Currently following about 140 children and their families• Meets the standards set by the Fondation Gilles Julien:

• Warm welcome• Core team: 3 individuals. Pediatrician/family physician

and Social worker/HRA + a Cree or Inuk educator/clinical assistant for cultural safety

• Invited partners: extended family, foster and biologicalparent; educators, teachers, DYP, SW….

• EEDA (Establishing, Exchanging, Decoding, Action)

CURRENT CORE TEAM

• Director and HRA

• Clinical Assistants/Educators: Cree and Inuit

• Pediatrician (9 weeks a year) + adolescent medicine pediatrician(4 weeks per year) + Famiy physician to join soon (5 weeks a year) = soon to be for a total presence of 18 weeks per year

COMPLEMENTARY SERVICES

• Sand play therapy (non verbal therapy)

• Speech therapists (from the Cree Health Board and KativikIlisarniliriniq): 3 visits per year

• Occupational therapists (from the CHB and Nunavik HealthBoard):

• Developmental pediatrician: one visit per year

ACTIVITIES WE WOULD LIKE TO DEVELOP

• After school programs for children from at-risk families

• Parenting skills for DYP and at-risk families including a baby-Kangaroo program

• Elder-child activities aimed at the preservation of language and culture

• Land-based healing activities

• Art-therapy, music therapy…

• We wish to partner with :• both Health Boards (including medical care, social services and

Youth Protection), • both schools and school boards,• both daycares • community organizations• Cree Nation of Whapmagoostui• Northern village of Kuujjuaraapik• the airlines (Air Inuit/Air Creebec)• justice department• La Fondation du Dr. Julien• The Montreal Children’s Hospital• McGill Chair of Social Pediatrics • Private foundations• NRBHSS Brighter Futures• KRG Employment and Training• Local organizations

• We are all striving to offer good services to the children

• What if…. we could unite our forces, put all our resources together!!

• In a culturally safe environment

OUR STRENGTHS

• Diverse multidiscplinary team

• Strong support from Cree band

• Strong support from Cree HealthBoard

• Strong support from Head Start

• Strong support from Ungaluk(Makivik’s crime preventionprogram)

• Board mostly with Cree and Inuit people

• Local educators

• Professionals with over 30 years of involvement in community (one living in community)

• Recognized by the Fondation du Dr. Julien

OUR GOALS FOR THE FUTURE

• Be sustainable

• Remain independant and community driven

• Aim to replicate the model in other Cree and Inuit communities

• Aim for Minnie’s Hope to become a mentor center for emerging centers

OUR CHALLENGES

changes according to program specificity

• We are far. There is no road access.• Professionals and material

need to be flown in• We work in a transcultural

context• Very few people volunteer• There are very little community

resources• In other words, we need…we

t

Come and visit!You are welcome!!

The door is open and tea is ready!!