Annual Activity Report 2014-2015

advertisement

GOAL

To reduce the incidence of preventable diseases.

OBJECTIVES

To provide mandatory immunization according to

Protocol d’Immunization du Québec to infants and school age children.

To obtain the highest possible rate of immunization (95-100%).

KANESATAKE HEALTH CENTER

INTEGRATED ACTIVITY REPORT

April 1, 2014 – March 31, 2015

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES

Provided information on immunization during prenatal and newborn visits.

Provided community with information regarding changes in immunization schedule, updates on new vaccines, or outbreaks of preventable diseases.

OUTCOME MEASURES

100% of new parents were made aware of the need for their child to be vaccinated at prenatal well baby clinics. Vaccine information and promo materials provided by the FNIB (calendars, booklets, blankets, etc) were given to each parent.

Brochures posted in waiting room, treatment room and doctors office at the

Health Center.

38% (5/19) of new mothers refused immunization for babies born in 2014.

Identified vaccine hesitancy and refusal as largely related to information from web-based groups against vaccines and its dissemination through social media causing mistrust and fear among the new mothers.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

1 | P a g e

GOAL

(continued...)

To reduce the incidence of preventable diseases

OBJECTIVES

(continued....)

To provide mandatory immunization according to

Protocol d’Immunization du Québec to infants and school age children.

To obtain the highest possible rate of immunization (95-100%).

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES OUTCOME MEASURES

Requested and received funding for a

Health and Wellness Fair that included an Infant Immunization Booth.

Provided well baby clinics, including immunizations once a week or as needed.

Parents were informed about the vaccines and possible side effects, and the care of the child after a vaccination.

200 participants attended the Health and

Wellness Fair. 150 flu vaccines given.

CHN set up an Immunization Booth with poster board display, pamphlets and video presentation to address truths and myths related to vaccines. Only one of the targeted mothers attended the Fair.

Immunization Poster board was displayed at well baby clinics and used in seven (7) one-on-one sessions to discuss myths and truths about vaccines. Brochures and reliable websites were recommended.

35% (2/7) of mothers with vaccine hesitancy chose to immunize their children.

90% (9/10) of infants born in 2013 completed the recommended series of seven (7) vaccines by twelve (12) months.

87% (13/15) of infants born 2012 completed the recommended series of ten

(10) vaccines by two (2) years old. Two

(2) mothers refused immunization.

Two premature infants were provided with 5 doses each of Synagis against

RSV during the flu season.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

CHN

2 | P a g e

GOAL

(continued...)

To reduce the incidence of preventable diseases

OBJECTIVES

(continued....)

To provide mandatory immunization according to

Protocol d’Immunization du Québec

to infants and school age children.

To obtain the highest possible rate of immunization (95-100%).

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES

Provided vaccination clinic in the elementary and high school for all missing vaccines for every student .

Provided vaccines for adults.

OUTCOME MEASURES

All parents of school children received a written notice indicating which vaccines were missing according to our records.

All vaccines were given with the informed consent of parents for children under 14 years old

100% (6/6) of seven year olds have complete coverage ( 11 vaccines).

100% (3/3) of Grade 4 students received complete immunization for Hepatitis

A&B and HPV.

100% (12/12) of seventeen year olds in school in Kanesatake have complete immunization coverage (14 vaccines)

More than half of our students are immunized by CLSC in schools off the territory.

Assessed immunization status of all adults seen in the clinic with injuries and tetanus boosters given as indicated

Referred travellers to travel clinics for immunization

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

CHN

CHN

3 | P a g e

GOAL continued...)

To reduce the incidence of preventable diseases

OBJECTIVES

MANDATORY IMMUNIZATION PROGRAM

(continued....)

To provide mandatory immunization according to

Protocol d’Immunization du Québec

to infants and school age children.

To obtain the highest possible rate of immunization (95-100%).

To offer the influenza vaccine to all the population ages 6 months and over; and the pneumococcal vaccine to all adults 65years and older.

To refer all other vaccinations to CLSC

Jean Olivier St-Eustache or Ste-

Justine’s Hospital.

ACTIVITIES OUTCOME MEASURES

Offered TB testing for clients registering for special programs i.e. treatment centers, PABs

Distributed notices in the fall to community members informing them of the flu vaccine program. The clinic was administered at the Health and Wellness

Fair .Vaccines were also available at the health center by appointment as needed.

Refer children, who could be at high risk for allergic reaction, have contraindications to vaccine, and any other special cases to CLSC or MD

Provided immunization review and vaccines for stagières as requested

There was no requests for testing in this fiscal year.

Two hundred and ninety (290) children and adults were vaccinated against flu.

This is a 16.5% (290/249) increase over last year. Six (6) pneumovax vaccines were administered. A very high coverage of elders over 65 for pneumovax was noted.

No referrals were necessary.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

4 | P a g e

GOAL

To reduce the incidence of preventable diseases

(Continued…)

OBJECTIVES

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES OUTCOME MEASURES

To reduce morbidity and mortality associated with communicable diseases

Ensured reporting of preventable disease outbreaks and adverse reactions to Public

Health.

Maintained appropriate documentation of all acts pertaining to immunization.

Maintained system of surveillance of immunization status of the children

Consults with Dr Grenier, Public Health, were made regarding a small outbreak of chickenpox and gastro.

Ten (10) cases of varicella began with three (3) unvaccinated children with contacts in Day Care and Elementary

School. The seven (7) previously vaccinated children who contracted the disease had only mild symptoms.

Six (6) staff and ten (10) children of

Daycare contracted gastroenteritis.

Three (3) known cases of shingles in the community.

CHN wrote article in the Kariwi:ios to address FAQs about chickenpox and shingles and risks for pregnant mothers

Documentation of vaccines were maintained and all acts were followed in regards to immunizations.

Vaccines were documented in charts and health booklets. Health files were maintained for all clients.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

CHN

CHN

5 | P a g e

GOAL

(continued...)

To reduce the incidence of preventable diseases

OBJECTIVES

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES OUTCOME MEASURES

(continued...)

To reduce morbidity and mortality associated with communicable diseases

Day Care children & students were assessed with possible communicable diseases and other illness. Staff and parents were given information re prevention or care. In some cases they were referred to physicians for diagnosis and treatment.

Nineteen (19) children were assessed one or more times by the CHN as requested by the Daycare staff for various health concerns: rashes; possible ear infections, respiratory or gastric illness; roseola; conjunctivitis; strep (2 children, 1 staff); and chickenpox (3 cases); hand, foot and mouth disease (1 diagnosed, 5 with symptoms) etc. Individual consults with parents regarding health and parenting issues. Children referred to doctor as indicated.

Worked with multidisciplinary team in the collaboration and management of a special needs child.

General observation/screening of

Daycare children by CHN on visits.

 Reviewed the ‘Sick Policy’ with Daycare staff. Offered opportunity to parents to review their child’s vaccine records.

One hand washing presentation to children of Day Care.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

6 | P a g e

GOAL

To control communicable disease.

A.

OBJECTIVES

To reduce the incidence of sexually transmitted infections

(STIs) and AIDS within the community.

MANDATORY COMMUNICABLE DISEASE PROGRAM

ACTIVITIES OUTCOME MEASURES

Provided immunization for HPV in the schools and the clinic for eligible females.

Provided individual counselling and teaching on contraception and sexual health, including STI prevention in the clinic and high school.

Coordinated services of CLSC nurse and

KHC doctor for STI screening (including

PAP tests) on site at KHC. Promoted and increased awareness of STI screening available at KHC through

Health and Wellness Fair, community flyer, and individual contacts.

100% of girls in Grade 4 (3 girls)and Sec

3 (7 girls) received their complete series of HPV vaccines. Each received teaching on sexual health.

Provided twenty five (25) individual counseling sessions on STI prevention and/or contraception for seventeen (17) women. This included nine (9) high school students or seventy five (75%) percent of the female high school population over 14 years old. Prescribed hormonal contraception to five (5) teen woman and provided follow up as indicated in the collective prescription.

Eight (8) clients were referred for STI screening and follow-up appointments at the KHC with the CLSC STI nurse.

Clients reported positively about being able to receive the services at the KHC.

CLSC STI Nurse provided pamphlets and information to 20-30 individuals about the STI screening services at the

Health and Wellness Fair and had appointments following.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

7 | P a g e

GOAL

(continued...)

To control communicable disease.

OBJECTIVES

MANDATORY IMMUNIZATION PROGRAM

ACTIVITIES

(Continued...)

 Promoted new woman’s health doctor offering services at KHC and St Joseph

To reduce the incidence of Clinic.

Sexually transmitted infections

(STI’s) and AIDS within the 

Hormonal contraception was prescribed

Community. according to the collective prescription.

 Provided free condoms to community members.

Provided 2 day training on sexual health, including STI prevention

Purchased training kits on contraception, intimacy, your body belongs to you, consent Canada, “I can’t wait” video.

OUTCOME MEASURES

Full clinic days and waiting list for women seeking services of female doctor for gynecological and perinatal services.

Eight (8) women (including five (5) high school students) were prescribed hormonal contraception after assessments were completed by a nurse.

Free condoms are provided at the Health

Center washrooms; KYOT Youth

Center, & at the High School

Provided a 2 day S.A.R training for

Youth Worker & Family Support Worker on Sex Ed.

Five (5) training kits were purchased from Sexpressions to aid in providing sex education

HUMAN

RESOURCES

CHN

CHN

CHN

Trainer -

Stephanie

Middleman/

Program

Manager

CHN/HIV program

8 | P a g e

GOAL

To control communicable disease. (cont.)

OBJECTIVES

B.

To increase community

C.

D.

substance abusers for

MANDATORY COMMUNICABLE DISEASE PROGRAM awareness and knowledge on sexually transmitted infections.

To target high-risk groups such as youth, young adults, and

HIV/AIDs and communicable disease prevention and control.

To respect Québec public health regulations regarding the reporting requirements of communicable diseases.

ACTIVITIES OUTCOME MEASURES

Provided sexual risk assessment & education routinely to all prenatal clients, youth and adults coming to the clinic for contraception, pregnancy tests or prenatal follow-up

Provided free, voluntary and anonymous

HIV antibody screening and pre and post-test counselling was offered.

Support was provided to families and persons living with HIV/AIDs.

Reported any communicable disease to the CLSC/DSC and act as an extension of the CLSC/DSC in contact tracing, and follow-up of communicable disease.

Approximately fifty (50) youth or adult women were seen for gynecological and sexual health reasons and received sexual risk assessment and education from CHN or women’s health doctor.

 Communicable diseases, STI’s and HIV were discussed when pregnancy testing was requested.

21 pregnant women were assessed by a nurse for possible communicable diseases. These were followed up by a physician and routine blood work was done.

The referrals to the visiting CLSC nurse, an expert in STIs, ensured pre and post counselling in the event of a person living with a partner with HIV.

CLSC nurse reported as indicated

CHN

CHN

HUMAN

RESOURCES

CHN

CHN

CHN

9 | P a g e

GOAL

Healthy homes – healthy environment. (Con’t)

OBJECTIVES

A.

To promote and maintain good health by ensuring a high quality of water in community public and private residences.

B.

To promote and maintain good health by identifying potential environmental health risks (air quality, home maintenance requirements, etc.) in community public and private residences.

(con’t.)

MANDATORY ENVIRONMENTAL HEALTH PROGRAM

ACTIVITIES OUTCOME MEASURES

Ensured that the drinking water quality meets with the guidelines for Canadian

Drinking Water.

Educated the community through pamphlets, information sessions, etc. on the signs and symptoms of water contamination.

Water testing of public beaches was performed during the seasonal peaks.

Assisted the E.H.O evaluate the environmental health quality in community private residences and public buildings.

Assisted the E.H.O in providing followup visits to homes and public buildings to evaluate potential reoccurring health risks.

142 water analyses for bacteria were taken, using the colilert method at the

Kanesatake laboratory

97 chemical analyses, 15 samples of quality control and 5 THM were taken and sent to the Health Canada laboratory.

All clients received a written report of the results and the appropriate corrective measures to be taken.

475 households received information on signs and symptoms of water contamination published in our bimonthly newsletter.

Community public beaches were tested during the summer and fall months and the results were found satisfactory and posted at the appropriate places.

11 homes and 21 public building inspections were completed for mould, and health & safety issues. 7 inspections for septic/weepers, and drainage problems

Written reports and recommendations to the appropriate resources were made for each inspection; as well as follow-up visits were made to verify the corrections.

HUMAN

RESOURCES

E.W.T

E.W.T

E.W.T, EHO

E.W.T

E.W.T, E.H.O

E.W.T, E.H.O

E.W.T, E.H.O

10 | P a g e

GOAL

To maintain and improve well being.

A.

years.

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six

ACTIVITIES

Provided fertility awareness and preconception counselling

Provided prenatal screening for risk factors and assessments throughout pregnancy

Provided lifestyle and nutrition counselling; food coupons; and prenatal vitamins to pregnant and breastfeeding mothers.

OUTCOME MEASURES

Four (4) women, including women with previous miscarriages or high risk lifestyles, received 8 (eight) sessions of preconception counselling including preparing for parenthood.

Twenty-one (21) pregnant women were followed during the fiscal year. Twelve

(12) women first received prenatal services in 1 st

trimester; one (1) first received services in 2 nd

trimester; two (2) in 3 rd trimester; and six (6) after giving birth. Those seen after birth 0 – 6 months included two (2) foster children; and two (2) women who moved into the community.

Seventeen (17) women received two (2) to fourteen (14) individual prenatal assessments and counselling. This included an emphasis on nutrition screening and education.

Seventeen (17) women received 144 food coupon booklets and were offered prenatal vitamins from 12 weeks gestation to 12 months breastfeeding.

CHN

CHN

HUMAN

RESOURCES

CHN

CHN

11 | P a g e

GOAL

(continued...)

To maintain and improve well being.

OBJECTIVES

PHYSICAL COMPONENT OF HOLISTIC HEALTH MODEL

(continued...)

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six years.

ACTIVITIES

Provided home visits to families with newborns to assess newborn health and weight gain and provide support and health information re infant care.

OUTCOME MEASURES

Of the sixteen (16) mothers whose pregnancies concluded in the reporting year, 81% (13/16) had one or more of the following risk factors:

socio-economic factors (62% or 9/16); less than 20 years (32% or 5/16 were 17-

19 years old); over 35 yrs (1/16); smoking (3/16); alcohol use (3/16 before knowledge of pregnancy only); marijuana use; medical risks (3/16 including gestational diabetes, hypertension and hypothyroidism.

Of the sixteen (16) babies born in the reporting year, 75% (12/16) were healthy full term babies.

There were three (3) preterm babies and one full term low weight baby. 75%

(3/4) had at least 3 risk factors, including

50% (2/4) who were smokers.

100% of families who gave birth received home visits within 24-48 hours either by KHC or CLSC.

A kangaroo sling was given to new mothers to encourage attachment.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

12 | P a g e

GOAL

(continued...)

To maintain and improve well being.

OBJECTIVES

PHYSICAL COMPONENT OF HOLISTIC HEALTH MODEL

ACTIVITIES

(continued...)

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six years.

Families with infants 0-6 months received support re infant care, infant nutrition and infant stimulation.

Encouraged exclusive breastfeeding for six (6) months and up to two years and beyond as per the BFI recommendations

Provided specialized support and resources for breastfeeding mothers with challenges.

OUTCOME MEASURES

Twenty five (25) families with infants 0-

6 months received follow-up by the

CHN in home and/or clinic. All families were given a Parent Child Activity

Calendar and the Invest in Kids

Parenting Kit and were instructed in their use.

100% (16/16) of women initiated breastfeeding. Of the ten (10) infants who turned six months in the reporting year, 80% (8/10) breastfed for longer than 6 months, an increase of 26% over previous year; 20% (2/10) breastfed for less than three months.

30% (3/10) of breastfed infants born in

2011 breastfed 2 years and beyond.

25% (4/16) of breastfed infants born in

2012 breastfed 2 years and beyond.

10% (1/10) of breastfed infants born in

2013 breastfed 2 years and beyond.

Six (6) of the eight (8) mothers (75%) who breast fed for 2 years and beyond, completed one or two 12-hour

Breastfeeding Peer Support Trainings in

2011 and 2012.

All mothers were offered the aid of peer support and/or family support workers through personal contact or social media.

HUMAN

RESOURCES

CHN, FSW,

CHN, FSW,

FSW

CHN

CHN

CHN, FSW

CHN, FSW

13 | P a g e

GOAL

(continued...)

To maintain and improve well being. (Continued…)

(continued...)

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six years. (con’t.)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

Purchased and offered certificates for free consultation visits by a Lactation

Consultant

Provided well-baby and immunization clinics for all infants 0 – 18months.

Families with children 0-6 years old received home or clinic visits to provide health promotion and prevention activities or clinical assessments and primary care services.

Coordinated and collaborated follow-up with pediatrician at twice monthly visits.

CHN provided support through visits and clinic follow-up. Expertise of a lactation consultant was sought when needed. A total of 10 certificates were purchased for mothers who need a lactation consultant and 5 gift certificates were purchased for follow up appointments.

One certificate for a 3 hour lactation consultation visit was used for a mother with challenges.

Weekly well baby clinics were scheduled for immunization and growth and developmental screening at 2, 4, 6, 12 and 18 months. Provided anticipatory guidance re: infant stimulation, nutrition, safety, parenting issues, etc. at each visit.

Thirty six (36) infants 0-18 months were followed in the reporting year by CHN for multiple well baby and sick visits and phone consultations.

Case management and follow-up of clients newborn to 17 years in collaboration with the pediatrician.

Immunization by CHN was offered to all children at pediatrician visits.

Promoted early literacy by giving books at each pediatrician visit.

HUMAN

RESOURCES

CHN/FSW

Lactation

Consultant

CHN

CHN

CHN,

Pediatrician

CHN,

Pediatrician

CHN,

Pediatrician

14 | P a g e

GOAL

(Continued…)

To maintain and improve well being.

(Continued…)

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six years. (Continued……)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

Offered the COHI program to all children in the community 0 – 7 years old.

Assisted and managed the dental hygienist appointments to children and their care takers.

Provided regular visits to Day Cares in the community to promote healthy habits and assess other clinical needs.

COHI was promoted for all eligible clients and dental hygienist appointments were available at pediatrician visits.

A total of sixty (60) families with children 0 – 6 year olds had two (2) to four (4) contacts each at the clinic. A total of 61 children at the local Day

Care, Learn N Play program and local elementary school were seen.

61 Children were assessed and parents received health promotion, prevention and education for medical reasons such as communicable diseases; constipation; insect bites; lacerations; rashes and; respiratory, gastric, bladder, ear, throat or eye infections.

Three (3) families received services of a multidisciplinary team and have had the involvement of Youth Protection. Two

(2) families have the services of the

CLSC SIPPE Program.

Regular visits were made to the Daycare; on a average of three per month.

Provided info to staff on childhood illnesses, rashes and guidelines for sick children.

Information letters were sent home as indicated for childhood illnesses as needed.

CHN

CHN

CHN

HUMAN

RESOURCES

Dental

Hygienist/

FSW

Dental

Hygienist/

FSW

CHN

15 | P a g e

GOAL

(Continued…)

To maintain and improve well being.

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(Continued……)

To promote physical wellbeing and to minimize infant morbidity and mortality among children ages newborn to six years.

 Promoted and maintained weekly Dad’s

Mom’s and Tot’s group: to provide health promotion and prevention information; parenting skills workshops and a network of peer and professional support for families of young children.

Ten (10) families benefited from participation at Parents and Tots group.

There were predominantly four (4) families that attended regularly, including a dad who was the primary caregiver.

CHN provided programming an average of once per month including info sessions/discussions on: nutrition; parenting; sun safety; water safety, immunization; chickenpox and childhood diseases; attachment, sleep challenges for infants and toddlers; medicine wheel - spiritual dimension/care.

CHN provided up to five (5) individual consults per visit to the group on a variety of health issues such as contraception, breastfeeding, childhood sickness, normal growth and development and parenting.

Members of the breastfeeding peer support were present in the group with their children, role modelling and dialoguing with other parents.

HUMAN

RESOURCES

FSW

CHN

CHN

CHN,FSW,

Peer support

16 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES

B. To promote physical well-being of children and adolescents aged

6 to18 years of age.

ACTIVITIES

Designed and administered a Healthy

Schools Survey for completion by

Provided workshop to all elementary and

Provided a booth at Elementary School

Classes on Allergies and Anaphylaxis, teachers to assess high school student health education needs. high school staff including cafeteria and support staff on Allergies and

Anaphylaxis, Training in Use of Epipen,

Asthma and Treatment and Importance of Hand washing.

Parent and Teacher Open House to educate and promote a Peanut Free

School and Training in Use of Epipen

OUTCOME MEASURES

Health survey completed by staff and reviewed at the School and Health Center

Collaborating Committee.

Twenty five (25) school staff participated in workshop and were provided brochures and memory aids for emergency response. The school nurse’s role and the services of the Health Center were described.

Reviewed treatment of asthma with teachers of asthmatic students.

Provided support to school secretary for protocol of peanut free school.

Engaged parents and students in discussion about allergies and anaphylaxis and the promotion of a

Peanut Free School with the use of a pamphlets and a display bulletin board with peanut free snacks.

Three (3) hands-on interactive classes for

Nursery/Kindergarten, Grade 1/2, and

Grade 3 -6 were given on peanut allergies and use of Epipen.

HUMAN

RESOURCES

CHN

CHN

CHN

CHN

CHN

CHN

17 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(Continued…..)

To promote physical well-being of children and adolescents aged 6 to18 years of age.

Meeting of School and Health Center

Collaborating Committee for planning and provision of health services.

FLS established the Child, Youth and

Family Joint Services Committee

Provided ad hoc first aid to students.

Ensured that both elementary and high school were equipped with first aid supplies.

Provided school or clinic visits to 6 – 18 year olds for various health issues.

Provided the support of a multidisciplinary team to high risk students.

School and Health Center Collaborating

Committee met bi-monthly April to

December (four times) at the high school.

This included principal, guidance counsellor, KHC program manager, director of education and school nurse.

This resulted in increased knowledge and access to services of KHC by the school.

The School and Health Center

Collaborating Committee were replaced by an expanded network to include

Crime Prevention and Community

Action leaders for the purpose of collaborative and complementary services to children and youth. The

Committee met once in the reporting year

(March).

Three students were referred to CHN for first aid treatment. Replenished 3 First

Aid kits.

Provided twenty (20) high school students with approximately sixty (60) school or clinic visits.

Worked together as a multidisciplinary team for four students with mental health issues – school counsellor, pediatrician and/or art therapist.

HUMAN

RESOURCES

CHN

CHN/FLS

Manager

CHN

CHN

CHN

18 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

C.

To promote physical well-being of adults and elders.

Provided home support visits to ensure that elders and the infirmed are receiving appropriate health care and advice.

Assisted elderly clients in daily/ monthly activities (assisted living) reading mail, planning activities health & social, payment plans, filling forms, making medical appointments, arranging transportation and transporting, referrals to other related resources, medical cards, accompanying the clients, arranged foot care by a specialist. Assisted in follow up to maintain independence at home for safety features/equipment. Advocated and linked the elderly to the appropriate professional services.

New Horizons project offered 6 month weekly activities to the elderly such as beading, moccasin making and Mohawk

Gospel Hymn singing

Thirty four (34) Elderly clients received home visits for various health & safety reasons. A total of (363) home visits were made throughout the year based on

5 clients a week at times 2 home visits a week for weekly medication delivery and monitored seven (7) clients weekly with their medication.

Networked with the pharmacy one to two times per week to ensure clients are receiving the proper medications.

Provided services for (6) clients on a weekly or sometimes daily basis. In collaboration with the Home &

Community Care Program (144) case consultations were made to provide ongoing quality care.

Assisted (30) clients to receive information/education/translation support/referrals to resources, medical appointments, accompaniment and assisted with their medical treatment plan and the development of their diagnosis

A total of 4 to 22 elders and youth attended weekly for beading & moccasin making. Mohawk Gospel Hymn singing group was attended by 5 - 10 people weekly.

Provided support to elders at the Elders luncheons.

HUMAN

RESOURCES

Elders

Community

Worker

Elders

Community

Worker

Elders

Community

Worker

Elders

Community

Worker

Elders

Community

Worker/New

Horizons

Project

Elders

Community

Worker

19 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(continued.)

To promote physical well-being of adults and elders.

Accompanied clients when necessary to access health services for translation purposes.

Provided emergency life line home systems to elders, whose health has diminished, living alone or with disabilities.

Provided training for frontline workers working with elders in “Fall Prevention” presented by the Canadian Center for the

Ageing.

Home and Community Nurse provided a

1 day Falls Prevention presentation to elders and adults to aid in preventing falls

Created an elders 2015 calendar based on what brings the elders happiness. Pictures and brief messages were inserted in the calendar

A gathering was planned to bring together elders and youth to provide sharing of cultural & traditional presentation and activity.

Accompanied and transported ten (10) clients to their medical appointments.

Maintained annual emergency Life Line maintenance of pendants for 18 clients

Assisted (4) clients for re-application for income security.

Organized and coordinated a trip to visit elders in Akwesasne (8) people attended.

A total of two 4 day training on “Falls

Prevention” was provided for the ageing with a total of 14 participants.

Home and Community Nurse provided a

1 day Falls Prevention for elders. A total of 13 elders and adults attended the presentation. Sixty-four pamphlets from

Societe de l’arthrite division du Quebec were purchased and handed out.

Elders Community calendar 490 mailed out in the community

Provided a 1 day cultural & traditional presentation on the “Wampum Reading”.

A total of 107 youth, adults and elders attended.

 A Christmas gathering “Gift of Giving” with 14 Elders at our local senior’s home along with 34 elementary school children sang Mohawk Christmas carols for our elders. Supper and Christmas gift exchange took place.

HUMAN

RESOURCES

Elders

Community

Worker

Elders

Community

Worker

Program

Manager/

Trainer

HCC

Nurse/New

Horizons

Project

Program

Manager/

Communic ations

Technician/

New

Horizons

Project

Program

Manager/

Communic ations

Technician/

New

Horizons

Project

20 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES

D. To provide information and

 awareness on the physical effects of substance and solvent abuse and prescription drug abuse.

Provide an alcohol & drug free event to promote sobriety and addictions free activities.

Provided education and monitored the following health issues:

Respiratory diseases

ACTIVITIES

Provided individual counseling to clients experiencing substance abuse addictions and/or issues associated with addictions

Sensitized the community through pamphlets, information sessions, etc. to the effect of prescription drug abuse and solvent abuse.

For National Aboriginal Addictions

Awareness Week, a documentary presentation “Hungry Heart” was presented on the lives of those dealing with opiate addictions

Provided a one day alcohol & drug free event to families to enjoy and promote sobriety and addictions free activities.

Provided an outdoor winter activity

(Snow sliding hill) for families to enjoy as an activity free from any drugs & alcohol.

Provided community service employees a one day workshop on” Restorative

Practice Framework”

Provided anti-smoking information at the

Health Fair Spring 2015 the community.

OUTCOME MEASURES

Provided one (1) youth individual counselling sessions and referred to outside resource.

The yearly solvent abused prevention calendar was delivered to 490 homes in the community

A total of 44 info packages were delivered to students in the high school

A total of 74 participated in the opiate documentary presentation.

Animated twice (2) a week an afterschool program “Kids Zone” program with twenty-four (28) children attending regularly. The program provided physical activities, arts and crafts, info-sessions, healthy snacks and a safe environment for children ages 5 – 12 to attend.

A total of 200 participated in the one day family event at “Disney on Ice show”

Several families took the initiative to use the snow sliding hill this winter

A total of 52 participants from community services attended the framework on Restorative Practice

87 information pamphlets were handed out on health risks of smoking. Several community members have reduced their smoking and are gaining motivation needed to quit smoking

HUMAN

RESOURCES

Program

Manager

Communications

Tech.

Program

Manager

KHC/Detox center

Brighter Futures

Worker/Family

Support Worker

Program

Manager

Brighter Futures

Program

Manager/MCK

Brighter Futures

Worker

21 | P a g e

GOAL

To maintain and improve well being (cont’d)

E. Provided education and

 monitored the following health issues:

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES

Diabetes mellitus and other nutritional problems.

ACTIVITIES OUTCOME MEASURES

Provided Yoga classes to our local elementary school aged children twice a week in aid of reducing stress and maintaining balance and well-being.

Provided weekly adult & elders Yoga classes in aid of reducing high blood pressure and lower sugar levels.

Provided a weekly healthy luncheon for elders to aid in providing a healthy balanced meal and to decrease isolation

Provided education and foot care treatment to persons living with diabetes

Provided healthy meals for Parents &Tots program

Provided healthy snacks at Day Care

Provided 28 weeks of Yoga classes twice a week at our local elementary school for children ages 4 – 12 with a total of 36 participants per class.

Provided a weekly Yoga classes for 28 weeks to adults and elders with a total of

23 participants.

Provided 1 day for 6 weeks Elders Yoga at our local Riverside Elders Home. A total of 14 elders participated along with

3 elders visiting the center

Provided one Cabane a Sucre activity for

Elders with 29 elders in attendance.

Provided 15 – 30 elders a healthy balanced meal once a week

Provided Foot Care to clients living with diabetes.

Provided a weekly meal for parents and tots program with approximately 15 participants.

A total of 16 children received healthy snacks daily

HUMAN

RESOURCES

Yoga

Instructor/Sports

& Leisure project

Yoga

Instructor/ADI

Program

Yoga

Instructor/New

Horizons

Program

Manager/New

Horizons

ADI/ESW

HCC Nurse/

ADI

ADI/FSW

ADI/Day Care

22 | P a g e

GOAL

To maintain and improve well being (cont’d)

Provided education and monitored the following health issues:

Diabetes mellitus and other nutritional problems (con’t)

Respiratory diseases

Pre and Post-natal health issues

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES

Provided financial support to purchase goalie equipment and encouragement for youth to participate in sports and recreational activities in keeping physically active.

Provided a workshop on Motive

Nutrition to provide tools in regards to eating healthier and education on Canada

Food Guide selections and recipes.

Provided a 2 day Diabetes Prevention

Workshop to provide awareness and education about the detriments of diabetes and preventing diabetes.

Provided frontline workers Home

Support Exercise Program training from the Canadian Center for the Ageing.

Provided anti-smoking within the community, also provided smoking cessation program.

Provided prenatal assessments, teaching and group classes to women and their partners and/or support.

Informed prenatal mothers of COHI

Program

ACTIVITIES OUTCOME MEASURES

Provided financial aid with registrations, transportation and equipment to support children & youth ages 5 – 30 who actively participate in our local Lacrosse league. A total of 100 plus participated.

A total of 27 participants attended

A total of 45 participants attended the 2 day workshops.

A total of 7 participants attended the

Home Support Exercise.

MCH Nurse provided counsel and support to all pregnant mothers who smoke for harm reduction or smoking cessation. One of three mothers quit smoking during pregnancy.

Biweekly to monthly individual clinical assessments and teaching were offered to all pregnant women. Provided timely prenatal vitamins, food coupons, blood work and glucose testing.

Prenatal group classes were offered in the

Fall and Spring. A total of sixteen (16) classes were provided to seven (7) women, four (4) partners and three (3) support persons. An additional four (4) women and two (2) partners received individual childbirth education in clinic.

HUMAN

RESOURCES

ADI/Sports &

Leisure project/Program

Manager/Youth worker

ADI/Dietician

ADI/Educator

ADI/Trainer

CHN

CHN

CHN

23 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

F. To promote, protect and support

Provided families with Des Laurentides breastfeeding as a natural magazine as resource to all services method for feeding and nurturing an infant children and families throughout

Kanesatake.

Provided prenatal breastfeeding teaching and support to families across the generations.

Provided postnatal support all breastfeeding mothers

.

Promoted breastfeeding in the community anytime, anywhere as the

BFI KHC policy

Provided For me, as a parent program -

To give parents support and tools they need as a parent

Referred all mothers to COHI. Provided

450 magazines to the community

21l prenatal clients received teaching to promote breastfeeding in clinic prenatal visits, prenatal classes, and Parents and

Tots group.

One (1) Intergenerational Breastfeeding

Support Gathering was held winter 2015 with a total of 10 participants. This included 2 pregnant mothers, one new mother, one father, three grandmothers, one sister, one support friend and the doctor of the three mothers. All mothers received a gift bag which included breastfeeding pamphlets/resources, nursing T-shirt etc. The feedback for was very positive and resulted in more understanding and ongoing support of breastfeeding by the mother’s entourage.

All breastfeeding mothers received food coupons for as long as they breastfed – up to 12 months. Hand pumps were given as requested and electric breast pumps were used by nine (9) mothers.

Mothers have been comfortable to breastfeed their babies in the reception room or in the designated rooms for private use.

Presented once a month at parents n tots program with a total of 3-5 participants a month. Also provided 1 on1 sessions or group sessions with a total of 10 one on one session and 6 participants at group session. Three ( 3) by appointments.

HUMAN

RESOURCES

FSW

CHN

FLS Family

Support

Worker

MCH Family

Support

Worker

KHC

Women’s

Doctor

CHN

CHN

FSW

24 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(continued…)

To promote, protect and support breastfeeding as a natural method for feeding and nurturing an infant

Provided promotion and to create awareness in the community on “For Me

As A Parent” program available to support parenting skills.

Provided the community with various breastfeeding wellness information in the bi-monthly newsletter Karihwi’:ios and provided monthly info-sessions to encourage community members to support and improve breastfeeding families

 Advertised “For Me As A Parent” once a month on our local radio station and wrote 3 articles on parenting information in bi- monthly kariwiios newspaper. Also created a brochure for parents who would like quick information on “For Me As A

Parent”

Provided information on breastfeeding bi-monthly in our local newspaper

Kariwiios and provided 10 info-sessions with 4 – 5 participants at each sessin.

 breastfeeding a toddler

 latching

 how to support your breastfeeding peers

 waba “keeping the circle strong”

 weaning; when’s it time?

 breastfeeding difficulties

Breastfeeding myth

Baby wearing

Sling demo

Skin to skin

HUMAN

RESOURCES

FSW

FLS

25 | P a g e

GOAL

To maintain and improve well being (cont’d)

PHYSICAL HEALTH COMPONENT OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(Continued…)

To promote, protect and support breastfeeding as a natural method for feeding and nurturing an infant

Participated in the WABA (world breast feeding week)

BFI translation & development of module, tools & DVD

Creation of protocols for electric breast pump loan, inventory and loan agreement forms.

Breastfeeding peer support group members share experiences, breast feeding tips and offer support.

Three (3) mothers and one (1) father attended WABA activity. The Health

Center was awarded a certificate of participation for maintaining

Breastfeeding initiative accreditations

Networked with producer for design and translation of packaging and production of breast feeding initiative DVD, 1 in

English, 1 in French. Also networked with translator for translation of breast feeding initiative training module, 1 in

English, 1 in French (BFI) DVD.

Developed an electric breast pump protocol and forms to make sure electric breast pumps are accounted for, person is responsible for EBP while on loan.

Maintenance and inventory sheet lets us keep track of the EBP. Just waiting for approval of the policy from the B.O.D.

Offered support to 5 mothers who are breastfeeding and basic parental questions and support once a month at

Parents & Tots program. This has created new partnerships with new mothers and maintains community breastfeeding rates.

HUMAN

RESOURCES

FSW/FLS

Manager

FSW/FLS

Manager/76662

09 Canada Inc.

Video

Productions

FSW (2)

FSW (2)

26 | P a g e

GOAL

1.

To support mental, emotional and spiritual well-being.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES

A.

To promote and strengthen the balance and harmony of the mind, body and spirit.

B.

To offer support and skill building to parents, educators and staff working with children in the community.

C.

To provide parents and extended family of 0 -18 month children a context that encourages infant attachment and stimulation and skills to survive and thrive early childhood.

Promoted and encouraged early childhood reading with parents & children ages 4 months to 6 years old.

Provided a three day Learn N Play group for ages 2 – 5 years to promote life skills development & fine & gross motor skills

Provided Learn N Play program and

Parents & Tots program activity updates in our local newsletter Kariwiios including a monthly activity calendar to keep all families informed.

Created ads to promote parents n tots program in our local bi-monthly newsletter kariwiios.

Developed a multidisciplinary team to assist in program and service development and facilitation for pre-natal and families with children 0-6 yrs of age.

Developed a healthy work environment committee to encourage staff appreciation and staff socializing during seasonal activities including Christmas luncheon.

Created a poster board for staff to post and read positive work environment posts and health lifestyle posts.

Distributed a Community Health Survey for a Needs Assessment for Health

Planning.

ACTIVITIES OUTCOME MEASURES

One story book was given to each child at each well child exam done by the pediatrician and to encourage parents to read with their children. (264 children)

Ten (10) children attend the learn and

play program three times a week.

Four (4) articles were written in our local newsletter regarding activities that took place at the Parents n Tots program. Two (2) ads were submitted in the newsletter promoting our Learn N

Play program.

Placed three (3) ads in our bi-monthly newspaper and placed two (2) local radio ads

Three multi disciplinary meetings was held; ongoing

14 staff participated in the seasonal potluck activities and 17 attended

Christmas luncheon.

Continuous upkeep of the healthy life style board is maintained once a month and some staff have pinned positive messages for viewing.

442 surveys were collected, information obtained was used for our health planning.

HUMAN

RESOURCES

MCH Nurse

FSW

FSW

FSW

Program

Manager, FSW, workers, CHN

FSW/FLS

Manager/Nurse

Staff

FSW/FLS

Manager/Staff

FSW/Simon

Management

27 | P a g e

GOAL

To promote safety in households and daily living.

D.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES

To offer different workshops and reading materials on various safety issues.

ACTIVITIES

Provided all schools and daycares with bags of tooth brushes along with

Halloween safety tips and reflectors

Provided Learn and Play program with pool safety take home materials.

Provided an information booth demonstrating safety and injury prevention at the annual emergency preparedness day event.

Provided a welcome home BBQ for

Kanesatake Youth Athletes who were selected to play for Team Quebec

Lacrosse in Alberta

Provided five (5) CPR courses to students and various service providers in the community

Provided a community 2 day vet clinic

Provided human resources, equipment and financial support to our annual

Kanesatake Pow Wow.

OUTCOME MEASURES

One hundred and fifty (150) youth received bags of tooth brushes and

Halloween safety materials. All youth and staff were given bags.

All 10 students were given safety tips and take home materials to help with the safety around swimming pools.

A total of 177 participants attended the

Emergency Preparedness & Prevention event. Door prizes were raffled

Hundred three (103) attended the welcome home BBQ.

In total, fifty five (55) people participated in the 5 CPR courses and obtained certification.

On July 3 rd,

10 th

2014, 54 dogs and 31 cats in the community were vaccinated against rabies and distemper

Over 500 in attendance throughout the 2 day Pow Wow

HUMAN

RESOURCES

Brighter

Futures/Crime prevention

Brighter Futures

Brighter

Futures/

Program

Manager/Crime

Prevention program

Brighter Futures

Brighter Futures

/CPR Instructor

Brighter Futures worker, Dr.

Floyd, Vet,

Communication

Technician

Brighter

Futures

28 | P a g e

GOAL

1.

To support mental, emotional and spiritual well-being.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

A.

To promote and strengthen the balance and harmony of the mind, body and spirit.

B.

To offer support and skill building to parents, educators and staff working with children in the community.

C.

To provide parents and extended family of 0 -18 month children a context that encourages infant attachment and stimulation and skills to survive and thrive early childhood.

Provided monthly info sessions related to parenting and children at the parents n tots program.

Provided a Health Fair in November

2014

Provided Summer Fun physical & recreational activities and BBQ for Tot’s and young children ages 12 months – 5 years old and families at Mom’s & Tots program.

Provided a Tots Winter Carnival 1 day community event with indoor recreational activities

Provided an annual 1 day community physical & recreational activities during

March break

Provided our local elementary school students two (2) carnival activities at a recreational center .

Training: Early childhood training QC.

Mental health 101 Youth –Nov 2014

Sexations training – June 2014

Helping children trauma training Nov

2014

Offered (10) monthly info-sessions at

Parents & Tots program. A total of four

(4) parents regularly attended the once a month info sessions. Topics were;

Parent and child activities

FASD awareness

Children seeking negative attention

 Importance of play

Fathers time

2 x Group led discussion, Q&A

Child anxieties

Parent modeling

Christmas vacation activities at home

A total of 200 participated in the

Health Fair.

Completed all trainings and received certificate of completion

A total of 23 participated in the

Summer Fun event

22 tots ages 12 months – 5 years old participated in the winter tot’s carnival

117 children with families attended the March Madness event

A total of 72 children attended the two activities.

HUMAN

RESOURCES

FSW

FSW/Health staff

FSW (x5)

FSW

ADI/FSW

Program

Manager

Program

Manager/

School

29 | P a g e

GOAL

2.

To respond to and support the mental health intervention needs of the community.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES

A.

To promote and strengthen the balance and harmony of the mind, body and spirit.

B.

To offer support and guidance to individuals and families struggling to cope with mental health problems (for all age groups).

C.

To provide education, awareness, and prevention strategies for suicide, post-traumatic stress disorder (PTSD), substance abuse, and depression.

D.

To provide support to individuals in learning how to find safe and constructive ways to express and share feelings.

ACTIVITIES OUTCOME MEASURES

Provided a 2 day Cultural & Spiritual workshops “Re-awaken, Re-build, Reconnect the Mind, Body and Spirit “ to increase mental, physical and emotional awareness.

Provided a five (5) day Life Skills

Workshop. This positive and interactive session inspires and equips participants with information and exercises designed to assist with moving forward positively on life’s journey.

Provide continuous visits & support via home/office/telephone to community members.

Provided drug & alcohol counseling and support to clients in preparation for residential treatment.

Sought Services for individuals and families who are affected mentally, emotional and spiritual by their loved ones addictions.

Provided support and assessed the impact of loss or illness and provided bereavement/solace baskets to families and individuals.

A total of 27 youth & adults combined participated in the two trainings which encouraged their continuation of revealing their culture & identity.

A total of 23 youth and young adults attended the Life Skills Workshop

A total of 189 home/office visits were made for 105 clients.

Supported and referred (8) clients to residential treatment for substance abuse

Assisted (2) individuals to obtain shelter due to homelessness.

Assisted (2) individuals access facility for basic hygiene needs.

Accompanied (3) clients to obtain assessments and follow up at detox centers.

Provided counselling support to 4 clients for suicide ideation (5), domestic disputes (5) and 3 individuals with critical incidents.

Two (2) solace baskets were presented to community members. 7 assessments & referrals were made for those stricken as a result of grief and loss .Ongoing support.

HUMAN

RESOURCES

Program

Manager/Trainer

/NAYSP project

Program

Manager/Trainer

/NAYSP

Mental Health

Worker/

Program

Manager

Mental Health

Worker/ outside agency/Program

Manager

Mental Health

Worker

Mental Health

Worker/Program

Manager

Mental Health

Worker/

Program manager

Mental Health

Worker

30 | P a g e

GOAL

(Continued....)

To respond to and support the mental health intervention needs of the community.

Continued......

C.

To promote and strengthen the balance and harmony of the mind, body and spirit.

D.

To offer support and guidance to individuals and families struggling to cope with mental health problems (for all age groups).

E.

To provide education, awareness, and prevention strategies for suicide, post-traumatic stress disorder (PTSD), substance abuse, and depression.

F.

To provide home visits to ensure that the Elderly and the infirmed are receiving appropriate health care and advice.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES

ACTIVITIES

Provided information to community members on various mental health issues

Provided information during holiday closure of Health Center Services for outside resources.

Provided home visits to ensure that elders and the infirmed are receiving appropriate health care and to deal with isolation, neglect, loss of spouse, advocacy needs, mental, physical, emotional and spiritual needs.

Provided support at the Youth Protection

Court and Family court.

OUTCOME MEASURES

Provided 7 bereavement support & outreach to grieving families.

Held an annual grief support talking circle (0) participants.

Two (2) Articles were published in our bi-monthly newsletter Karihwiios addressing mental health issues Ami

Quebec calendar of events and one article of Vigil for Missing and Murdered

Aboriginal Women.

Calendar of Events Stigma and Mental

Health Survey approx 100 participants received information and 30 surveys completed on lessening stigma

Verified and updated info for Christmas holiday resources for support, residential school deadline dates and events & resources.

Provided home visits to four (4) elderly clients at local Elders Residency.

4 (Four) Survivors received information retaining to their specific claims and clarification of entitlement on healing and reconciliation through the /

Education Credit / Renewed deadline date Residential School Compensation

 Assessment of Survivor’s entitlement to

Individual Assessment Process.

Language / training compensation

Accompanied twelve (12) clients to court on separate occasions to offer support

HUMAN

RESOURCES

Mental Health

Worker

Mental Health

Worker

Mental Health /

Communication

Technician

Mental Health

Worker

Mental Health

Worker outside

Legal agency

Mental Health

Worker/Elders

Worker

Mental Health

Worker

Mental Health

Worker

31 | P a g e

GOAL

(continued... )

To respond to and support the mental health intervention needs of the community.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

G. To provide support to individuals in learning how to find safe and constructive ways to express and share feelings.

H. To identify those presenting as a threat to themselves or others and provide appropriate support.

 Registered for the “Reserved Activities” under Bill B21.

Provided support and crisis intervention when necessary to clients in hospital.

Provided crisis intervention and one on one counselling and when necessary referrals were offered.

Co-ordinated bi weekly anger management counselling sessions

Received request for services not accessible through Health Center ie; legal counsel or services

Renewed registration for the “Reserved

Activities” under section 3.6.7 of the

Ordre of Social Workers. Photocopied and faxed certificates /attestations for accumulated hours of requested trainings

Accompanied and provided support to three (3) hospitalized clients.

Responded to thirteen (13) situations requiring crisis intervention for family violence, risk assessment/suicide, critical stress management debriefing. Provided twenty-two (25) assessments & counselling support.

Total of (26) referrals were made to the

Health Center Psychologist and 8 referrals were made to exterior

Psychologists and 3 referrals for couple counselling.

79 in/out referrals made to Anger

Management Counselling, Social

Services and 20 referrals were made to other various professionals.

 F our (4) r eferrals made to Art Therapist.

 P rovided approx 12 clients with transportation & support for Mental

Health Services, legal aid & food banks

HUMAN

RESOURCES

Mental Health

Worker

Mental Health

Worker

Mental Health

Worker

Mental Health

Worker/Program

Manager.

Mental Health

Worker/Program

Manager

Program

Manager

Mental Health

32 | P a g e

GOAL

(continued....)

To respond to and support the mental health intervention needs of the community.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

I. To work as part of an

Interdisciplinary team in managing complex and potentially life threatening community members

Attended multi-disciplinary team on a one on one basis when needed.

Distributed information on Mental Health

Events through use of website and local radio station. Shared information with colleagues on resources pamphlets and booklets

Sought out Cancer Support Resources for individuals and family who are dealing with the stresses of this illness and long term affects of aftercare and treatment.

Provided 2 trainings for front line workers on Mental Health 101 – Adult and Mental Health 101-for people working with youth.

Provided Health Center Managers a 10 day certificate in “Leaders & Managers” course

Five meetings were held to discuss shared clients or referrals with nurses from Home & Community Care Program

Implemented a Mental Health promotion via radio interview to attract viewers to website and provided an info booth on

Mental Health and Wellness information and resource contacts were dispersed to local radio listeners.

Upon request provided support for one individual who was diagnosed with cancer. Sought out appropriate requested resource

A total of 30 employees from various services participated in both Mental

Health training.

Eight (8) Managers attended the 10 day course and successfully obtained certificates.

Attended case management upon request

HUMAN

RESOURCES

Mental Health /

HCC

Mental Health

Worker/

Communication

Technician / radio general population

Mental Health worker/ Cancer support worker outside agency

Program

Manager/Mental

Health 101

Trainers

Achieve inc./Health

Center Managers

Mental Health

Worker/Program

Manager

33 | P a g e

GOAL

(continued....)

To respond to and support the mental health intervention needs of the community.

MENTAL-EMOTIONAL SPIRITUAL HEALTH PROGRAMS OF HOLISTIC HEALTH MODEL

OBJECTIVES ACTIVITIES OUTCOME MEASURES

(continued....)

To work as part of an interdisciplinary team in managing complex and potentially life threatening community members

Distribution information on laws pertaining to matrimonial real property and impacts of potential implication increasing stress on individuals families

Attend and completed all trainings certificate attained.

Attended a regional update on mental

Health resources programs

Participated in multi service planning with Social Services for client follow-up

Distributed Information via website ie.

Ami Quebec support groups and calendar of events

2 Meetings with Band Council Chiefs, 1 meeting Lands Manager to discuss the impacts of law 21 Matrimonial real property and its implication / recourse protection to individuals and families in event of separation divorce or relation rupture

Attended 3 intensive Trauma Training for Frontline Workers Certification

Attended 3 meetings with regional resources for multi planning / intervention and clients service delivery

Assisted 5 clients in understanding the requirements in filing their applications .

Community members and surrounding areas received info and services that provide info on Mental Health and decreasing stigma. Ongoing initiative and presently working with the Ratihente

High school to implement awareness and discussions. School calendar will be developed outlining time frames sessions within the schools.

HUMAN

RESOURCES

Council Chiefs

Lands Manager .

Centre for excellence personnel

Hincks Delcrest

Instiute . Health center sponsored

Mental Health worker

Mental Health

Mental

Health/local school

34 | P a g e

GOAL

Accreditation Qmentum

OBJECTIVES

To ensure a standardized level of quality and safety in health planning, management and delivery of health services.

Promote and support continuous quality improvement using predetermined standards of excellence; ensuring that policies, processes and procedures are documented and communicated.

ACCREDITATION SCHEDULE

ACTIVITIES OUTCOME MEASURES

Ongoing quality improvement efforts to integrate the requirements of the standards into daily activities.

Organization profile information and team members names entered into

Received our Accreditation Primer

Award on October 27, 2014.

All pertinent profile information has been entered.

Organization Portal

Regular communication with our

Accreditation Specialist to help facilitate

On June 18, 2014 teleconference with

Helene Tasse

Regular telephone communication this process. regarding the review and preparation of our priorities.

The development of annual work-plans in order to focus on attainable goals and targets for annual monitoring.

Each staff member had clear goals and objectives for their program.

The Board of Directors reviewed and approved the 21 new policies/ procedures on June 11, and June 19 th ,

The K.H.C has a defined and integrated quality management system to manage risk, assess performance and improve quality.

2014

The Health and Safety/Quality

Improvement Committee met 12 times to review and monitor incidents/accidents/inspection reports in order to identify, evaluate and recommend the necessary corrective actions to the Executive Director.

HUMAN

RESOURCES

B.O.D

Executive Director

Accreditation

Coordinator

Accreditation

Coordinator

Accreditation

Coordinator

Helene Tasse

Health center staff

Executive Director

Accreditation

Coordinator

B.O.D, Health center staff

Executive Director

Accreditation

Coordinator

Operations &

Administration

Manager, Nurse in

Charge , Executive

Director and Staff

Members concerned.

35 | P a g e

GOAL

Accreditation Qmentum

ACCREDITATION SCHEDULE

OBJECTIVES

The health center leaders promote the well-being and work life balance of staff

Promote and support continuous quality improvement using predetermined standards of excellence; ensuring that policies, processes and procedures are documented and communicated.

ACTIVITIES OUTCOME MEASURES

A healthy work environment committee was developed to encourage and appreciate staff members .

A poster board for staff to post and read positive messages for healthy life styles

The Kanesatake Health Centers leaders supports continuous Education for

Professional Development and Best

Practices.

14 Staff members participated in the seasonal potluck activities and 17 attended the Christmas Luncheon..

Team members receive regular education and training to improve the delivery of community services. The following are some of the training staff and community members received:

April 16, 2014 Certificate of Training –

Transportation of Dangerous Goods (12 staff)

June 13, 2014 CPR Training (a total of 55 people attended 5 different courses)

Sept 2014 a one day work shop on

Restorative Practice Framework.(52 people attended)

Sept 16, 2014 two day training for front line workers in "Falls Prevention" (14 attended)

Sept 18, - 20th, 2014 ADOBE INDESIGN 1 training (Communications Technician)

Sept 18, - Oct 15, 2014 Digital

Illustration1(Communications Technician)

Oct 2014, two day "Cultural & Spiritual workshop "Re-awaken, Re-build, Reconnect the Mind, Body and Spirit (27 people attended)

Oct 23, 2014 Ethical Dilemmas in Clinical

Practice: Building Collaborative Strategies

Nov 2014, Mental Health 101(15 people attended)

Nov 2014, Helping Children trauma training. (5 people attended)

HUMAN

RESOURCES

Healthy Work

Environment

Committee and all staff

Health Canada

CPR Instructor

International Institute for Restorative

Practices Canada

Canadian Center for the Aging.

Concordia University

Concordia University

Emmy Mitchell,

Traditional Teacher

McGill University

Robert Marcheterre

CTRI

36 | P a g e

GOAL

Accreditation Qmentum

OBJECTIVES

Promote and support continuous quality improvement using predetermined standards of excellence; ensuring that policies, processes and procedures are documented and communicated.

ACCREDITATION SCHEDULE

ACTIVITIES

The Kanesatake Health Centers leaders supports continuous Education for

Professional Development and Best

Practices.

OUTCOME MEASURES

Dec 5, 2014 FNIB Infection Prevention &

Control and Enhanced Personal Protective

Equipment Training for Ebola Virus Disease

Feb 16-20th, 2015, 2x5 Basic training in

First Nations Early Childhood Development.

(2 people attended)

Feb 23, 2015 Mental Health 101 Youth(15 people attended)

Feb 2015, one day workshop on "Motive

Nutrition" (27 attended)

Feb 10, 2015, one day Falls Prevention training for Elders and Adults (13 people attended)

Feb 2015, two day Diabetes Prevention workshop, education and awareness. (45 people attended)

March 2015, two day training on "Sexual

Health, including STI prevention". (3 people attended

March 2015, five day training on "Life

Skills"(23 people attended)

HUMAN

RESOURCES

FNIB

FNQLHSSC

Chad Diabo

Vanessa Perrone,

Dietician

Home Care Nurse

Lorie McClean,

Educator in Diabetes

Stephanie

Middleman

Susan Buchanan -

Clarior Consulting

37 | P a g e

Download