Aboriginal Health Network HNHB LHIN Board Education Ruby Miller, - - PowerPoint PPT Presentation

Aboriginal Health Network HNHB LHIN Board Education

Ruby Miller, Chair – Aboriginal Health Network Wednesday February 22, 2012

Objective

To provide an increased understanding of the Aboriginal population, the role of the Aboriginal Health Network (AHN) and success of Aboriginal Health Service Providers. This objective will be achieved by:

 sharing the history of the Aboriginal population that

provides a deeper understanding of the demographics related to the Aboriginal population.

 providing an overview of Aboriginal Health Status.  sharing success stories of Aboriginal Health Service

Providers.

 describing the role of the AHN and it’s priorities.

Our History

 The Elders teach us that “Before we can know who we

are as a people and where we are going we must first understand where we have come from”.

 There are five main cultural groups living in Ontario:

• Cree
• Anishnawbe (Ojibway, Pottawani, Chippewas,

Odawa, Algonquin, Mississauga)

• Haudensaunee (Mohawk, Onondaga, Oneida, Cayuga,

Tuscarora, Seneca, Six Nations of the Grand River)

• Métis
• Inuit

Slide Content from “Aboriginal Peoples” Presentation March 2011, Susan Barberstock, Executive Director Hamilton Regional Indian Centre

Aboriginal Population

 According to the 2006 Census (Statistics

Canada, 2006), Canada has more than a million people of Aboriginal ancestry, about 4% of the Canadian population profile.

 This is projected to increase by 405,200

• ver the next 16 years to 1,471,700 by
• 2017. This means that the annual increase

(1.8%) is more than double the rate projected for the total population of Canada (0.7%)

Slide Content from “Aboriginal Peoples” Presentation March 2011, Susan Barberstock, Executive Director Hamilton Regional Indian Centre

Aboriginal Health Status

 The demographic profile of First Nations people in

Ontario differs substantially from the non-First Nations

• population. The First Nations population has a younger

age structure, higher fertility rates, and is more mobile. (HNHB LHIN Health Atlas, June 2009)

 According to 2006 data from the Canadian Census,

• ver 21,000 people or 1.7% of the population reported

Aboriginal identity in the HNHB LHIN compared to 2.0% for the province as a whole.

 Hamilton had the highest number of people that

reported Aboriginal identity (7,625) and Brantford had the highest percent of the population with Aboriginal identity (3.9%).

 Six Nations has a membership of 24,000 with an on-

reserve population of approx. 14,000.

Sociodemographics

Data from Our Health Counts: Urban Aboriginal Health Database Research Project, April 2011

 13% of the First Nations population living in Hamilton

(N=555) reported being homeless, in transition, or “living in any other type of dwelling.

 Using the Statistics Canada definition of crowded

housing as more than one person per room, 73.7% of First Nations persons in Hamilton live in crowded conditions.

 63% of First Nations community members in Hamilton

had to give up important things (i.e. buying groceries) in

• rder to meet shelter-related [housing] costs.

 22% of the First Nations population sometimes or often

did not have enough food to eat.

Chronic Conditions

 The rate of diabetes among the Adult

First Nations Hamilton population is 15.6% - three times the rate among the general population in Hamilton despite a much younger First Nations population

 Hypertension, arthritis and Hepatitis C

rates are all higher among the First Nations population

Source: Our Health Counts - Urban Aboriginal Health Database Research Project, April 2011

Six Nations Chronic Conditions

 Diabetes  Arthritis  Cancer  Heart Disease  Stroke  Addictions  Dialysis  Obesity

Aboriginal Health Services

 LHIN currently provides funding to two

Aboriginal health service providers

• De dwa da dehs nye>s (The Aboriginal Health

Access Centre)

• Native Horizons Treatment Centre

 and to two First Nations

• Six Nations of the Grand River Territory
• Mississaugas of the New Credit.

 There are a number of other Aboriginal health

service providers in our LHIN, such as the three friendship centres, that are not eligible to receive funding from the HNHB LHIN.

Aboriginal Health Network

 Mandate: T

• provide Aboriginal health

and social service providers and the Local Health Integration Network the

• pportunity to work in collaboration to

address the health needs and issues of the Aboriginal communities.

Aboriginal Health Network

PURPOSE

 To create a forum that will harmonize the efforts of First Nations,

Métis and urban Aboriginal health and social service providers toward creating a health system that:

 Meets the holistic health needs of Aboriginal people across the region

from an Aboriginal perspective.

 Integrates traditional Aboriginal knowledge and healing systems for

healthy people and healthy communities.

 Commits to input from Aboriginal communities regarding present and

future programs and services.

 Improves the capacity of a broad range of stakeholders to contribute

to improved health outcomes of Aboriginal people.

 Liaises with the HNHB LHIN Board to ensure decisions are positively

impacting Aboriginal health status and access to services.

Aboriginal Health Network

MEMBERSHIP

 voluntary group that welcomes First Nations, Métis,

Inuit and urban Aboriginal health and social service providers within the HNHB LHIN.

 open and reflects the diversity in the region.  community members who hold traditional

perspectives and/or have other expertise will be invited at the discretion of the Network.

 two youth will be recruited from the community to

sit on the network.

 participants will have approval of their Councils or

Board of Directors or Supervisors to participate.

AHN Membership

Includes members from organizations such as:

 Six Nations Health Services  Southern Ontario Aboriginal Diabetes

Initiative

 Hamilton Regional Indian Centre  Six Nations Mental Health  Niagara Regional Native Centre  Youth Member/Mentor  Brantford Native Housing  De dwa da dehs nye>s  Niagara Chapter Native Women

Success of Member Organizations

Southern Ontario Aboriginal Diabetes Initiative (SOADI)

 Since 2010 SOADI has interacted with over a million First

Nations people through many resources, events and online publications.

All Statistics based on SOADI quarterly reports for 2010 and 2011

Successes of Member Organizations

 Koo gaa da win Manitou Housing Complex

(KMHC), Urban Native Homes Inc. Hamilton

 Currently, U.N.H. has 236 housing units throughout the

City of Hamilton and services are now extended to the non-Aboriginal community as well.

 Koo gaa da win Manitou Housing Complex is the newest

addition to UNH. It is a 24 unit Housing Complex that provides safe affordable housing for Aboriginal Seniors (50 years and older) who have experienced homelessness.

Successes of Member Organizations

HOTINOHSIONI INCORPORATED Operating as Brantford Native Housing

 founded in 1986 and is a non-profit charitable

• rganization whose main objective is to provide safe,

secure and affordable rental homes and support services for urban Native peoples living in the city of Brantford and Brant County

 own and manage 180 units in the City of Brantford -

waiting list is composed of many Native families in need - more than 200 applicants waiting for housing; having to wait up to 5 years to be housed. Most of the units are single family houses.

Success of Member Organizations

Niagara Chapter - Native Women Inc.

 offers a friendly connecting place for Native

women and their families. Ongoing support is provided though culturally specific programs and services.

Six Nations of the Grand River

Six Nations of the Grand River

• Located in Southern Ontario 1.5 hours

drive south of T

• ronto
• 24,000 membership
• Approx. 14,000 members and others

residing on reserve

• Largest land base First Nation reserve in

Canada

• Largest First Nation population in Canada

Health Services Department

 26 Health programs  289 employees  Approx. 17 million dollar budget

Dialysis Satellite Clinic 2010

 Partnership Hamilton Health Sciences/St.

Joesph’s Healthcare, HNHB LHIN, Six Nations of the Grand River

Dialysis Satellite Clinic 2010

Minister Deb Matthews touring the Dialysis Clinic

Family Health T eam

Minister Deb Matthews touring SN Family Health T eam Clinic T elemedicine

Iroquois Lodge – Nursing Home

 50 bed facility

Six Nations Mental Health Program

 Psychriatrist (2)  MH Nurses (5)  Social Workers (3)  Supportive Housing  Crisis Line  T

elemedicine

New Directions - Addictions

 Substance Free

Cheerleading T eam Youth Drop In Counselling Anti Activities – Gambling, Smoking, Alcohol & Drugs Prescription Drugs

Diabetes Education T eam

 HNHB LHIN and

Six Nations partnership Successful in obtaining Funding for 2 teams (CDE Nurses & Dieticians)

Diabetes Education T eam

Maternal and Child Centre

 Opened 1996  Aboriginal Midwives  Births to date 785

Long T erm Care/Home and Community Care

 Aging at Home  Community Support Services  Adult Day Centre  Personal Support Services  Meals on Wheels  Equipment Loan Cupboard  Foot Care Nurse  Supportive Housing

Therapy Services

 Physiotherapist & PT Assistants  Occupational Therapist & OT Assistant

Therapy Services

 Speech

Pathologist

 Communicative

Disorder Assistants

Ambulance Service

 Opened 2000  26 Paramedics

(full and part time)

Additional Services

 Healthy Babies/Healthy Children  Early Childhood Development  Community Health Representatives  Health Promotions – dieticians, lifestyle, child &

youth workers, Aboriginal Diabetes Initiative

 Maternal Child Health  School Nurses  Dental Services  FASD and Breastfeeding Coordinator  Medical Transportation

Aboriginal Health Network

 Held a retreat from January 6 through to

January 8, 2012 to complete intensive priority setting and planning

 AHN members and guests attended  Used “Results Based Accountability” to

guide the decision making at the Retreat

Aboriginal Health Network

Results Based Accountability included 6 Steps

 Step 1 Results – What are the quality of life conditions we

want for Aboriginal people in our LHIN?

 Step 2 Experience – What would these conditions look

like if we could see them?

 Step 3 Population Indicators – How can we measure

these conditions?

 Steps 4-6: Early Exploration, Full Exploration and Turning

the Curve

 Step 7 – Action Plan – What do we propose to do?

AHN Priorities

Action Idea 1 – Build on the relationship between the LHIN and the AHN Action Idea 2 – Reduce Youth Suicide, Strengthen services to support youth’s mental health Action Idea 3 – Reduce the Aboriginal rate

• f Diabetes and other chronic conditions

Action Idea 4 – Reduce Domestic Violence, Support strong stable responsible families

Questions?