West Region Treaty 2 & 4 Health Services (WRTHS) 1
West Region Treaty 2 & 4 Health Services Gambler First Nation Keeseekoowenin First Nation Rolling River First Nation Ebb & Flow First Nation O-Chi-Chak-Ko-Sipi First Nation Pine Creek First Nation Skownan First Nation 2
West Region Treaty 2 & 4 Health Services Vision Statement To reclaim the health of Anishinaabe by opening doors to healthy living for present and future generations Mission Statement To support West Region Anishinaabe to enhance and sustain healthy communities of today and tomorrow 3
WRTHS Administers Programs & Services on behalf of Member Communities Programs: Mental Health Crisis Intervention Counselling Services o Counselling Service Providers o Clinical Supervision Addiction Services Program o Direct Client Services o Advisory Mental Wellness Team Pilot Project Tribal Nursing Program o Community Health Nurses Home and Community Care o HIV/AIDS Education, Awareness, and Prevention National Aboriginal Youth Suicide Prevention Strategy (NAYSPS) Indian Residential School Resolution Health Support Program 4
WRTHS Administers Programs & Services on behalf of Member Communities (cont d) Brighter Futures/Building Healthy Communities Environmental Health Water Safety; Inspection Services Tribal Diabetes Coordinator Project o Aboriginal Diabetes Initiative Health Services Integration Fund Services: Elder Advisory Service Critical Incident Response On-Call Service Optical Service Foot Care 5
West Region Treaty 2 & 4 Health Services 6
To share what we know and how to work together for what we want 8
MWT History Fall 2009: o the former WRTC Health Department initiated its three year MWT Pilot Project with funding from FNIHB Project Goals: o To address gaps in mental health services and increase access to mental health services, as identified by First Nation members o To provide individuals and families with access to a continuum of community based, core wellness services o To ensure care providers are trained and supported to provide services at the community level 9
MWT (cont d) Basic Model: Community External Individual and Family Culture 10
AMMA Background o o MWT (cont d) 2009 the former WRTC Health Department contacted First Nation communities to identify mental health issues, needs, and gaps Partnerships formed including the former Parkland and Assiniboine RHA s, now amalgamated as Prairie Mountain Health; other agencies; service providers; and organizations AMMA Tribal Team o Established in 2010 o Provides support to the AMMA Community Teams o Provides a continuum of coordinated services that combines traditional, cultural, and mainstream approaches to mental health and wellness issues o A multi-disciplinary team of professional/paraprofessional service providers with expertise in prevention & healing; treatment; education & training; family development; and community development 11
MWT (cont d) AMMA Tribal Team (continued) o Present representation includes: Doctor/Psychiatrist Clinical Supervisor WRTHS staff Prairie Mountain Health staff o Future representation to include: Justice Addictions Foundation of Manitoba InSight Mentoring Program Others as identified 12
MWT (cont d) AMMA Tribal Team (continued) o Spiritual Advisor Serves as Cultural Advisor, teaches and facilitates traditional practices, e.g. smudging, sweat lodge, and traditional medicines Available to the AMMA Tribal Team, AMMA Community Teams, and individuals upon request via the established referral process Opens and closes meetings Representation may include a female Spiritual Advisor in the future 13
MWT (cont d) Traditional Teachings 14
AMMA Community Teams Community teams formed in 2010 to provide individuals, families and communities with resources necessary to achieve & maintain a healthy lifestyle o Multi-disciplinary approach (includes family) o Community owned, defined, and driven o Culturally safe o Enhances collaboration between community and external service providers o Services from prevention to aftercare o Family/community supports o Case Management approach 15
AMMA Community Teams (cont d) Goals: Increase access to a range of services including outreach, assessment, treatment, ceremony, counselling, case management, and referral Increase community engagement on mental wellness issues Increase peer supports, clinical supports and supervision to prevent front-line worker burnout through caseload sharing Improve treatment outcomes resulting from improved collaboration, better continuity of care, more appropriate and better quality services, and improved access to care Increase surveillance to detect mental illness and substance abuse issues 16
MWT Progress to date Partnerships PMH, PMHPC, MDAM, CMHA, CODI Elder involvement in programs and services Terms of Reference Crisis Service Procedures Manual Community Resource binders; pamphlets; display boards Regular AMMA Tribal and Community team meetings Client Files training forms, processes, statistics AMMA Wellness Gatherings and Elders Gathering National conferences 17
AMMA Wellness Gathering November 2013 Guest Speaker: Dr. Martin Brokenleg, Reclaiming Youth International 18
MWT Progress to date (cont d) Program Delivery: Community Elder gatherings Ebb & Flow, Pine Creek Assist with immediate response to critical incidents Participate with NAYSPS Live Forward youth events Community training e.g. Mental Health First Aid, Substance Abuse Subtle Screening Inventory (SASSI), Brief Intervention Training (BIT) Community events participation in health fairs, school wellness days, and powwows 19
MWT Progress to date (cont d) Elder Gathering Live Forward II Youth Event 20
MWT Progress to date (cont d) National MWT Conference Victoria, BC 21
MWT Progress to date (cont d) Project Evaluations Interview process Identified challenges and potential solutions to apply to the project Process Evaluation completed October 2011 Evaluated the success of planning processes and community engagement Assessed whether the project was implemented as planned Immediate Outcome Evaluation completed August 2012 Evaluated the accomplishments achieved and identified lessons learned Provided recommendations that contribute to forward Tribal and Community level decision making for mental wellness programs and services 22
Community events 23
NEXT STEPS Continue to build and strengthen partnerships Further develop a network of resources Continue AMMA Tribal and Community Team meetings Continue AMMA Wellness Gatherings and Elder Gatherings Increase Elder and youth representation on the community teams 24
Next Steps (Cont d) Continue to identify applicable training for the AMMA Tribal and Community Teams Continue to participate in community events Strengthen and support the community Crisis Response teams Plan meetings with community groups such as Elders, youth, schools, and families 25
MWT Summary: Networking; developing and maintaining partnerships Education and training to increase capacity Mental health promotion Team building Information sharing through presentations Serve as an advocate for individuals and families on mental health issues, as identified by the First Nation communities 26
Contact Jan Dewar-Catagas, B.A. Mental Wellness Team Coordinator West Region Treaty 2 & 4 Health Services Unit 16 2 nd Floor, 317 Main Street N. Dauphin, Manitoba R7N 1C5 T (204) 622-9400 ext. 2240 F (204) 622-9449 C (204) 648-7247 27