Mino Ayaa Ta Win Healing Centre. Behavioural Health Services Fort Frances Tribal Area Health Services

Transcription

1 Mino Ayaa Ta Win Healing Centre Behavioural Health Services Fort Frances Tribal Area Health Services

2 Mino Ayaa Ta Win Healing Centre Medically-supervised Withdrawal Management (2), 4-7 days Residential Treatment (8), 28 days Family Program, once weekly Aftercare Services Providing services to individuals 17+: Members of the ten First Nations communities of Southern Treaty Three Community members in the Rainy River District A strengthened continuum of care: Providing wholistic support and supervision that includes addictions treatment, mental health counselling, cultural and community support services Our mission, vision and values are reflective of the teachings given through the Seven Grandfathers (Respect, Honesty, Wisdom, Bravery, Humility, Love and Truth)

3 Intake and Referral to BHS

4 Intake and Referral to BHS Single Point of Entry: Intake Worker Referral: One page process: includes basic identifying information, referral source, presenting issues/concerns Self, family member, community worker, service agency, helper, healer.. Anyone! Intake: Before admissions, intake worker will determine program suitability Complete a GAIN-SS (5-7 minute screener) or Cultural Equivalent (currently in development) on all participants with the exception of Cultural and Community Support Program Mental Health Service? Assigned a counsellor who will be in contact within 5 business days to set an appointment for care Withdrawal Management? Immediately redirected to the RPN Case Manager on duty, 7am-7pm service Residential Treatment? Intake appointment is scheduled with client. Will assist in determining upcoming treatment date, preparation for the treatment program (pre-admissions checklist) and upon acceptance will advise participant of their designated Case Manager/Facilitator

5 Anishinaabe Fasting Ceremony- A time of reflection, asking for help, spiritual journeying, ridding the physical body of toxins, ridding the mind of environmental influences, ridding our heart of resentment, anger, negative emotion, cleansing our body, mind and spirit, opening our spirit to newness, insight, inspiration, connection, good health Lori Flinders, MSW/RSW/CFNHM, Director of Behavioural Health Services

6 Fasting Model Each cycle within the model is approximately 4 days Cycle 1: Grounding, Peacefulness and Serenity -Circle of care assessments, medical assessments, isolation Cycle 2: Program Orientation -Introduction to staff, goal setting, treatment planning, journaling, teachings Cycle 3: Beginning our Journey -Healthy eating, active living, lifelines, personal stories Cycle 4: Reflection -Grief, family mapping, family roles, relationships

7 Fasting Model Con t Cycle 5: Working through our Addiction -Early recollection, self-esteem, understanding addiction Cycle 6: Learning Gratitude -Communication, action planning, parenting, family action planning Cycle 7: Feasting Relapse prevention, community resource building, personal and family goals, transition planning

8 Medically Supervised Withdrawal Management Service 24/7 observation, support and care monitored by medically trained staff. Includes a Nurse Practitioner, Registered Practical Nurses and Personal Support Workers Reflection of Ontario s withdrawal management services The primary goals of the program: Minimize the risks associated with withdrawal Providing the most appropriate level of support that allows for withdrawal to be done in a safe way. Participants work closely with team to determine the best ongoing management strategy. Client driven recovery process that is supporting, nurturing and aids in developing healthy coping skills 4-7 day detoxification and transition into residential treatment or other

9 WMS Program Guidelines On admission, client will work closely with Nurse Practitioner and RPN Case Managers to ensure detoxification is completed in the safest and most appropriate way Thorough medical examination- 4 aspects of self Screening Tools and Risk Assessments AWS (Alcohol Withdrawal Scale), COWS (Clinical Opiate Withdrawal Scale), SOWS (Subjective Opiate Withdrawal Scale), Cannabis Withdrawal Chart Service is delivered through bi-cultural best practices Rooted in Traditional healing, with the support of Western medicine Case Management Support Referral to residential treatment services Working closely with individual to integrate supports Motivational Interviewing

10 WMS Program Guidelines Staff are equipped to respond to withdrawal but cannot respond to acute care situations. Example: Chronic Alcoholism If there is a severe risks identified on intake, we will ensure participant is referred to the most appropriate care. PARTICIPANT SAFETY IS #1. Accept individuals on maintenance programs (Suboxone/Methadone) and set a clear treatment plan Admission is 7 days a week; 7:00am-7:00pm

11 Withdrawal Management Team Two withdrawal management beds Clinical lead: On-site Nurse Practitioner Medical assessments, monitoring, daily care, clinical supervision Clinical consults with MD s if necessary Clinical Staff: Registered Practical Nurses and Personal Support Workers Case Management services, 24/7 monitoring, daily care, medication management, ensuring safety and standards are abided

12 Residential Treatment -Model and Delivery Mino Ayaa Ta Win Fasting for the Good Life 28 Day Treatment Model Succession will not always be abstinence, harm reduction best-practices will also be utilized. Daily programming includes participation in; Group Therapy Sessions Traditional Teachings & Inductive learning (art therapy strategies) Lands-based activities Reflection and self-identification Family Visits weekly, Phone and access

13 Ensuring Readiness Readiness: What you will need before beginning your journey Expectations for participants includes: Pre-admission medical assessment FAQ Handout Pre-admissions checklist Legal, Financial, Dependents, Personal Needs, Prohibited Items Admissions Checklist 4 aspects of self intake package GAIN Q-3 (if necessary)

14 Treatment Program Guidelines Voluntary Service Will not be providing care to those mandated to participate. We don t want to set people up for failure. Case Management and wrap around service provision Accepting/Inclusive of: Maintenance Program Participants Individuals who have legal charges (pending rescheduling cases and severity or chargesafety of everyone) Individuals with complex cases

15 Family Wellness Program 4 week concurrent program being offered to adult family members of individuals participating in the program Each week of the program will be open to learning, sharing and connecting with other families who have relatable experiences. Context includes: Understanding addiction through a family lens Codependency Boundaries and Healthy Communication Individual and Family Celebration Context will follow what is being learned by participants in each week of the treatment program. Circle process, Wednesday evenings 6-9pm

16 Aftercare Services Ongoing service that is open to anyone interested in continuing to support their recovery. Existing programming includes: Women s Hand Drumming Bi-monthly Sweat lodge ceremony Life Skills Programming Breakfast buddies program

17 In the meantime New hires will be participating in an intense 16 week training program Education and prevention strategies (DBT/CBT, HIV, AIDS, Harm Reduction.) Treatment Program Screening, GAIN Traditional Practices Community-based Promotion Sessions Networking Meetings Ceremony

18 Continued Services Mental Health Counsellors (4): Community-based services and on-site therapist Crisis Support: Walk-in services Monday-Thursday 8:30-4:30, Fridays 8:30-4:00 Responding to the immediate crisis Suicide Risk Assessments, Debriefing Cultural and Community Support Worker (1) Community visits, engagement, brief service counselling, ceremonies, Traditional counselling Special Projects 5 year priority to address human trafficking in Southern Treaty Three project One time grants

19 Questions and Comments