pdf download - First Nations Health Council
pdf download - First Nations Health Council pdf download - First Nations Health Council
22 • Need to identify policies and regulations in the system that inhibits creative ways of addressing mental health and addictions issues (e.g. Folks on mental health medication cannot enter addictions treatment programs). • Needs and capacity of communities vary greatly and there needs to be the flexibility for tailoring an approach to mental health services as well as support to the community to even develop what they think they need (the program needs to fit the community not the community fit the programs). Key Components • Need to find a way to capture the wisdom and traditions of our aging elders, more value needs to be placed on traditional medicine and practices (culture/tradition = mental health) • Need to put in place better process (wrap around services) for when individuals are discharged from hospital of treatment programs. • Need to address the ability of rural communities to access qualified mental health staff and resources. • Need to address the mental health knowledge/ awareness of family members, community members and staff from many other social programs who often end up with mental health clients (e.g. maternal health staff work with pregnant mom with a mental health issue). Access for People with Disabilities Advocates have consistently urged that the needs and circumstances of Aboriginal peoples living with disabilities be included in the discussions and strategies, in not only health, but in all aspects of life. A specific discussion table was convened to examine how to ensure that people with disabilities aren’t overlooked in the work to improve the health outcomes of First Nations people. How to ensure they’re not overlooked? • Give persons with disabilities a forum to give input on what they require • Support/create advocacy and build capacity for self-advocacy • Provide more thorough and consistent criteria – provide better definitions around disabilities • Create community “hubs” for people to come together for information on disabilities and activities How to incorporate into TFNHP? • This topic needs to be addressed by chiefs and council • Give the disabled a FORmAl voice –someone at the governance table who specifically speaks for true disabled community members Universal ECD Supports Both the federal and provincial governments have been engaged in initiatives to support Aboriginal Early Childhood Development. While the 2005 and 2006 federal budgets announced significant investments in First Nations early learning and child care there has been a consistent concern that funding and other supports are inadequate to address the level of need, particularly for children with special needs, in on and off-reserve First Nations communities. In the area of ‘universal ECD supports’ the FNHC is analyzing current ECD programs and services as part of determining the minimum standards for programs and services that are needed to allow First Nations children reach their full potential. Participants examined what aspects of ECD need to be addressed by the FNHC within the TFNHP: Issues and Considerations Status is an issue – some services are not funded for non-status • On reserve/off-reserve (e.g. would be good to be able to amalgamate) • Training and education for educators, families and communities • Reconsider subsidy cutoff level and level of support • Cannot only focus on children – need to support family with basic necessities - need a variety of programs accessible to families and kids How can FNHC support work of universal ECD? • FNHC could advocate for ECD funding, especially for smaller communities. • FNHC could encourage communities and create awareness of benefits so communities would include this in health plans and lobby for programs. Preventative potential is huge. II SECONd ANNUAl FORUm
Dental The First Nations Regional Longitudinal Health Survey (RHS) identified that dental treatment is “The number one reason for day surgeries for children in B.C. (and that) First Nations Children are four times more likely to require such treatment than non-First Nations children. The TFNHP sets out to address the financial and access barriers to dental services, particularly at the community level, and to ensure that every Aboriginal child on and off reserve receives dental (as well as vision and hearing) screening through the province’s Vision, Hearing and Dental Screening Initiative. The input provided at both Gathering Wisdom forums will continue to help shape the roll out of this initiative. Priority Areas • Lack of coverage • Dentists who do not accept NIHB clients • Ineffective appeal process • Administrative process needs improvement. Currently it results in delayed treatment or deteriorated oral health • Need for more oral health education in the community Innovative Dental Services • Increase the Health Authority’s ability to provide public health dental programs and/or encourage Health Authority collaboration with FNIH • Utilize patient health advocates • FNHC advocacy including FNHC setting standards for claims processing & influence policy change • Utilize incentives for dentists to work with First Nations • Encourage community members to become oral health practitioners • mobile dental service Open Space Responses • Respectful workplaces for staff and community members where leadership, administration and clients are involved and aware of policies, procedures and consequences • Better access to crisis funding and support services such as adequate training – culturally appropriate and peer support (crisis intervention) • Mental health issue – Prime Minister’s apology - How do we support our people through this? Common viewing space – food, counseling • I heard Health Canada is going to phase out CHR positions. So, with all the training we’ve done, what are we supposed to do? I’m too old to train to be a LPN • Include education about homosexuality in all health policies (in tripartite) • Please invite Aboriginal nurses to the health table • We need to get aboriginal treatment centres to begin dealing with core issues o Sexual abuse/historical abuse o Trauma o Child sexual abuse and incest • Need for more Elders services including reconnecting with youth and respite services in communities • Develop partnerships with colleges and associations to provide respite education and training needed for frontline workers in communities • As I sat at the mental health issues circle – I saw how close minded the workers were. So hung up on their titles and trying to “fix” a person with MENTAL HEALTH problems - Out of this, if I may, I would like to suggest that the “health services plan” take away the label “mental health services” because that title alone slams the door on a lot of people who want help but not under that term. • www.fnwaccb.ca (First Nations Wellness/ Addictions Counsellor Certification Board • Harm reduction should be in every community – needle exchange/free condoms/testing/pipe exchange. 23 VANCOUVER, bC • mAY 20 - 21 , 2008
- Page 1: Second Annual Forum Vancouver, BC
- Page 5 and 6: INTRODUCTION On may 20 th - 21 st-
- Page 7 and 8: THE REPORT ON THE 2008 FORUM This n
- Page 9 and 10: Dr. Adams spoke of the importance o
- Page 11 and 12: At the 1 st Annual Forum, a number
- Page 13 and 14: spoke to the minimum standards for
- Page 15 and 16: DAY TWO: THURSDAY, MAY 22, 2008 OPE
- Page 17 and 18: CLOSING KEYNOTE SPEAKER Dr. Martin
- Page 19 and 20: FINAL WRAP-UP Dr. Evan Adams, Abori
- Page 21 and 22: APPENDIX A: BREAKOUT GROUP DISCUSSI
- Page 23 and 24: any event/access (i.e., leisure acc
- Page 25: HEALTH SERVICES The underlying goal
- Page 29 and 30: • Develop our own research polici
- Page 31 and 32: PROFESSIONAL DEVELOPMENT WORKSHOPS
- Page 33 and 34: This interactive forum theatre faci
- Page 35 and 36: # OF RESPONSES “Getting a sense o
- Page 37 and 38: “The one thing I liked the best w
- Page 39 and 40: “Experimental learning on getting
- Page 41 and 42: Delegate Cross, Nicole Laxgalts'ap
- Page 43 and 44: VANCOUVER, bC • mAY 20 - 21 , 200
- Page 45 and 46: Delegate Rosal, Assunta Health and
- Page 47 and 48: Note Taker Springinotic, Carla Acti
- Page 49: II Second Annual Forum Vancouver, B
Dental<br />
The <strong>First</strong> <strong>Nations</strong> Regional Longitudinal <strong>Health</strong><br />
Survey (RHS) identified that dental treatment is<br />
“The number one reason for day surgeries for<br />
children in B.C. (and that) <strong>First</strong> <strong>Nations</strong> Children are<br />
four times more likely to require such treatment<br />
than non-<strong>First</strong> <strong>Nations</strong> children. The TFNHP sets<br />
out to address the financial and access barriers<br />
to dental services, particularly at the community<br />
level, and to ensure that every Aboriginal child on<br />
and off reserve receives dental (as well as vision<br />
and hearing) screening through the province’s<br />
Vision, Hearing and Dental Screening Initiative. The<br />
input provided at both Gathering Wisdom forums<br />
will continue to help shape the roll out of this<br />
initiative.<br />
Priority Areas<br />
• Lack of coverage<br />
• Dentists who do not accept NIHB clients<br />
• Ineffective appeal process<br />
• Administrative process needs improvement.<br />
Currently it results in delayed treatment or<br />
deteriorated oral health<br />
• Need for more oral health education in the<br />
community<br />
Innovative Dental Services<br />
• Increase the <strong>Health</strong> Authority’s ability to<br />
provide public health dental programs and/or<br />
encourage <strong>Health</strong> Authority collaboration with<br />
FNIH<br />
• Utilize patient health advocates<br />
• FNHC advocacy including FNHC setting<br />
standards for claims processing & influence<br />
policy change<br />
• Utilize incentives for dentists to work with <strong>First</strong><br />
<strong>Nations</strong><br />
• Encourage community members to become<br />
oral health practitioners<br />
• mobile dental service<br />
Open Space Responses<br />
• Respectful workplaces for staff and community<br />
members where leadership, administration<br />
and clients are involved and aware of policies,<br />
procedures and consequences<br />
• Better access to crisis funding and support<br />
services such as adequate training – culturally<br />
appropriate and peer support (crisis<br />
intervention)<br />
• Mental health issue – Prime Minister’s apology<br />
- How do we support our people through this?<br />
Common viewing space – food, counseling<br />
• I heard <strong>Health</strong> Canada is going to phase out<br />
CHR positions. So, with all the training we’ve<br />
done, what are we supposed to do? I’m too old<br />
to train to be a LPN<br />
• Include education about homosexuality in all<br />
health policies (in tripartite)<br />
• Please invite Aboriginal nurses to the health<br />
table<br />
• We need to get aboriginal treatment centres to<br />
begin dealing with core issues<br />
o Sexual abuse/historical abuse<br />
o Trauma<br />
o Child sexual abuse and incest<br />
• Need for more Elders services including<br />
reconnecting with youth and respite services in<br />
communities<br />
• Develop partnerships with colleges and<br />
associations to provide respite education<br />
and training needed for frontline workers in<br />
communities<br />
• As I sat at the mental health issues circle – I saw<br />
how close minded the workers were. So hung<br />
up on their titles and trying to “fix” a person<br />
with MENTAL HEALTH problems - Out of this, if<br />
I may, I would like to suggest that the “health<br />
services plan” take away the label “mental<br />
health services” because that title alone slams<br />
the door on a lot of people who want help but<br />
not under that term.<br />
• www.fnwaccb.ca (<strong>First</strong> <strong>Nations</strong> Wellness/<br />
Addictions Counsellor Certification Board<br />
• Harm reduction should be in every community<br />
– needle exchange/free condoms/testing/pipe<br />
exchange.<br />
23<br />
VANCOUVER, bC • mAY 20 - 21 , 2008
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