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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


  1. Aboriginal Health Network HNHB LHIN Board Education Ruby Miller, Chair – Aboriginal Health Network Wednesday February 22, 2012

  2. 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.

  3. 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

  4. 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 over 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

  5. 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, over 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.

  6. 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 order to meet shelter-related [housing] costs.  22% of the First Nations population sometimes or often did not have enough food to eat.

  7. 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

  8. Six Nations Chronic Conditions  Diabetes  Arthritis  Cancer  Heart Disease  Stroke  Addictions  Dialysis  Obesity

  9. 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.

  10. Aboriginal Health Network  Mandate: T o provide Aboriginal health and social service providers and the Local Health Integration Network the opportunity to work in collaboration to address the health needs and issues of the Aboriginal communities.

  11. 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.

  12. 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.

  13. 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

  14. 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

  15. 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.

  16. Successes of Member Organizations HOTINOHSIONI INCORPORATED Operating as Brantford Native Housing  founded in 1986 and is a non-profit charitable organization 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.

  17. 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.

  18. Six Nations of the Grand River

  19. Six Nations of the Grand River  Located in Southern Ontario 1.5 hours drive south of T oronto  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

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

  21. Dialysis Satellite Clinic 2010  Partnership Hamilton Health Sciences/St. Joesph’s Healthcare, HNHB LHIN, Six Nations of the Grand River

  22. Dialysis Satellite Clinic 2010 Minister Deb Matthews touring the Dialysis Clinic

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

  24. Iroquois Lodge – Nursing Home  50 bed facility

  25. Six Nations Mental Health Program  Psychriatrist (2)  MH Nurses (5)  Social Workers (3)  Supportive Housing  Crisis Line  T elemedicine

  26. New Directions - Addictions  Substance Free Cheerleading T eam Youth Drop In Counselling Anti Activities – Gambling, Smoking, Alcohol & Drugs Prescription Drugs

  27. Diabetes Education T eam  HNHB LHIN and Six Nations partnership Successful in obtaining Funding for 2 teams (CDE Nurses & Dieticians)

  28. Diabetes Education T eam

  29. Maternal and Child Centre  Opened 1996  Aboriginal Midwives  Births to date 785

  30. 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

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