SERVICES
DEPARTMENT
2013 Annual General Membership Meeting, Keller, WA
Alison J. Boyd-Ball, Ph.D.
Services Director
HEALTH, EDUCATION, SOCIAL SERVICES
HEALTH PROGRAMS
Centralized Medical Billing
Convalescent Center
Diabetes Program
Tribal Health Programs
Behavioral Health Programs/Mental Health
and Chemical Dependency
• Community Centers (Wellness & Fitness:
Inchelium, Keller, Omak, Nespelem)
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CENTRALIZED MEDICAL BILLING
• Quality Assurance
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Referral
Consents
Assessment
Diagnosis
Treatment plan
Therapy sessions
Discharge
Coding
• Data Management
• RPMS
TRIBAL HEALTH PROGRAMS
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Health Program Management
Community Health Nursing
Community Health Representatives
Health Education
Registered Dietitian
Speech Language Pathologist
Women, Infant and Children (W.I.C.)
Suicide Prevention
Tribal/Public Health Emergency Preparedness and
Response
MENTAL HEALTH & TRIBAL HEALTH
• Suicide Coalition – “Life is Sacred” activities
Life is Sacred Prayer Day, November 1, 2013
Developing a Crisis Plan – mental health
Crisis response team – mental health
Grief & Loss 5-day workshop, Nov 4-8, 2013, Omak
Building Bridges for our Future Generation: Training for
Program Services on identifying & working with high risk
clients, October 22 & 23, 2013
• Changing grant to respond to suicide state of emergency
by tribe
• Healthy Lifestyles for Adolescents – December, 2013
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DIABETES PROGRAM
DIABETES SELF-MANAGEMENT EDUCATION & DIABETES
PREVENTION PROGRAM
• Eligibility: IHS, diagnosed with pre-diabetes or with diabetes
• DSME Services:
• Certified Diabetic Educator/Registered Dietician (CDE/RD) at each clinic
every week.
• Chronic Disease Self Management Classes – Annually in each community
• Diabetes Clinics in each community
• Medical Nutrition and Therapy by a (CDE/RD) upon referral by a health
provider
• Dental to promote annual exam
• Glasses to promote annual exam
• Shoes to promote walking and healthy feet
• DPP Services: 16 week Healthy Lifestyle Balance Classes
• Promote 7% weight loss by: 150 minutes of physical activity a week, Eat
healthy and reduce fat intake
• Receive tools while attending classes to promote exercise and healthy
eating
• One-on-One Coaching by a Physical Activity Lifestyle Specialist (PALS)
• Ongoing support through the end of the program (currently 2014 and 2015)
WELLNESS CENTERS
• Goal: increase the health & wellness of the CCT
membership on the reservation:
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Cultural/spiritual
Mental
Emotional
Physical
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Community outreach
Promote healthy activities
Host healthy events
Plan and implement on-going programs to promote
wellness
HEALTH COALITION
PURPOSE: HELP DETERMINE HEALTH PRIORITIES
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Area Agency on Aging (AAoA)
Behavioral Health Program (BHP)
Colville Tribal Convalescent Center (CTCC)
Diabetes Prevention Program (DPP)
Emergency Medical Services (EMS)
Indian Health Services (IHS)
Lake Roosevelt Health Center (LRHC) Inchelium and
Keller Clinics
Medical Billing
Services Director
Tribal Health Programs
Community Members
HEALTH COALITION
ACCOMPLISHMENTS
• Retreat to identify strengths, challenges, and solutions to
barriers in providing quality health services
• Established a core team to ensure leadership
• Established and strengthened collaborative efforts
among health related entities, including community
• Developed a work plan to address health needs
• Comprehensive Health Needs Assessment
• Conduct health survey to determine health needs
• Hire temporary Research Assistants to collect archival date from
Tribal programs
• Develop a comprehensive report that will help identify Colville
Tribal Health Priorities for 5 years using the health survey, community
focus groups, and archival data
HEALTH
• AFFORDABLE CARE ACT:
• Certification: 2 sessions (on-line & in-person)
• 16 Tribal Assisters Certified & 7 partial certified:
Convalescent Center, Tribal Health, Natural Helpers, LRHC,
Indian Health Service, Behavioral Health, Area Agency on
Aging, Community Centers, Corrections, Social Services
• Quail Orr, CHR, Lead Tribal Assister, ph no. 422-7441
FUTURE DIRECTION FOR HEALTH
PROGRAMS
• Goal: “Grow a Healthy Colville”
• Motto: instead of client fit the treatment model, we
are pushing for “treatment to fit the client” model
• Enhance our cultural traditions and incorporate into
our models of treatment
• Explore tribal:
• Values, beliefs, traditions, practices
EDUCATION
• CTEAP/Higher Education
• Library
• Employment & Training
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Attendance
Daycare
JOM
Inchelium Childcare Language Nest Project
Head Start, Early Childhood Program
Language Program
Tribal Assistance for Needy Families (TANF)
Vocational Rehabilitation (Voc Rehab)
Tribal College
Paschal Sherman Indian School
EDUCATION & EMPLOYMENT
• Eligibility requirements
• Services:
• Employment: career planning, on-the-job-training, work
experience, direct placement, hiring hall system
• Education: basic & remedial education, vocational training,
running start program for students, college/university program
• Economic development: assist new businesses & expansion to
provide employment opportunities for tribal members
• Childcare services: childcare, language immersion, after school
program, economic development for new child care facilities
• Welfare assistance (GA)
• Youth Services: after school work experience
COLVILLE TRIBAL LANGUAGE
PRESERVATION PROGRAM
• Inception 1988
• Includes 3-band or tribal languages: nselxcin
(Okanogan and/or Arrow Lakes), nxa?amxcin
(Moses-Columbia), and nimipu (Nez Perce)
• Past: approximately 25 elder speakers, 8-20 were
considered fluent elder speakers
• Current: 3 fluent elder speakers remaining, 6 are
considered “semi-fluent”
• Preservation efforts: tapes, videos, written materials
• Future direction: include revitalization efforts that will
help in the creation of new speakers
TEMPORARY ASSISTANCE FOR NEEDY
FAMILIES (TANF)
TANF primary goal is to help families become self-sufficient
by:
• Provide work experience (WEX) to gain the experience
needed to acquire a job
• Provide on-the job-training (OJT’s)
• Assists clients with education, whether it’s GED or higher
education to obtain successful employment
• Assists clients in Individual Development Accounts (IDA’s)
where the client saves funds for any of the 4 allowable items
• 1. House; 2. Education; 3. Small business; 4. Vehicle. TANF will
match client funds saved at a rate of 3 to 1, for every $1 the client
saves; TANF will match $3 up to a total of $10,000.
• You must be eligible for TANF (not necessarily on TANF but eligible)
and a way to save money (it can’t come from your TANF grant)
VOCATIONAL REHABILITATION
• Goal: to provide culturally appropriate services to
Native Americans with disabilities that have
functional limitations that interfere with obtaining,
maintaining, or regaining employment
• Disability: physical, psychological, developmental,
sensory
• Progress: have served 90 clients with 27 successfully
employed
HEAD START PROGRAM
• 4 sites, 1 in each district
• Part-time, center based classrooms, mix of 3 and 4
year olds students
• Tribal commitment: tribe funds more than ½ the cost
• This year a 3rd classroom will be added to increase
enrollment by 17-20 children served
• Currently there are 115 children being served, with
30 staff
FUTURE DIRECTION
• Educate and/or orientate potential clients about
eligibility and criteria to services
• Develop program policies, procedures & practices
that enhance consumer satisfaction
• Create culture based services
• Build leadership in K-12 education
• Develop a stronger pipeline from school to work
• Model best practices in Indian Country
SOCIAL SERVICES
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Area Agency on Aging
Child Support Enforcement
Children & Family Services
Donable Foods
Social Services
Veterans program
AREA AGENCY ON AGING
• New Program Director: Brian Nissen
• Services: nutrition, access, information & assistance,
legal assistance, visiting & telephone reassurance,
family caregiver support program, in-home services,
disease prevention & health promotion, elder abuse
prevention, case management & nursing services,
social & respite services
• Caseload ranged from 95-104 clients, with a decline
in caseload
• 2,395 seniors age 60 and older who live on the
reservation, with approximately 741 identified as
Colville or other Indian
CHILDREN & FAMILY SERVICES
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Tribal standards & state standards
Tribal court & state court
Prevent removal of child from home
Reunify child with parent
WOOD/FOOD DISTRIBUTION
PROGRAM
Services:
• Food distribution
• Food bank
• Tribal emergency food vouchers
• Salmon/beef/buffalo, etc.
• Clothing bank
• Senior heating program
• Low income home energy program
VETERAN’S RESOURCE PROGRAM
• Serve 96 veterans
• Services: emergency food, medical transportation,
assist in veteran benefits coordination
• Events: 2nd annual veterans symposium at Coeur
d’Alene Resort & Hotel, Okanogan Armory Standdown for veterans and their families
• Outreach: various governmental agencies and
resources
• Support Honor/Color Guard activities
• Future goals: more outreach & services
FUTURE DIRECTION FOR SERVICE PROGRAMS:
BUILDING EXCELLENCE WITHIN SERVICE
PROGRAMS
• Building a supportive structure: providing internal
training based on needs, supervision, managing
multiple locations, conflict resolution, corrective
action planning, individual program policies,
procedures, & practices
• Strengthening collaboration among programs
• Consumer satisfaction – positive atmosphere, staff
competency, community orientation of programs