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