SERVICES Department

1. SERVICESDepartment 2013 Annual General Membership Meeting, Keller, WA Alison J. Boyd-Ball, Ph.D. Services Director Health, Education, Social services

2. 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)

3. Centralized Medical Billing • Quality Assurance • Referral • Consents • Assessment • Diagnosis • Treatment plan • Therapy sessions • Discharge • Coding • Data Management • RPMS

4. Tribal Health Programs • 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

5. 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

6. Diabetes ProgramDiabetes 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)

7. Wellness Centers • Goal: increase the health & wellness of the CCT membership on the reservation: • Cultural/spiritual • Mental • Emotional • Physical • Services • Community outreach • Promote healthy activities • Host healthy events • Plan and implement on-going programs to promote wellness

8. Health coalitionPurpose: help determine Health priorities • 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

9. 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

10. 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

11. 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

12. EDUCATION • CTEAP/Higher Education • Library • Employment & Training • 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

13. 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

14. 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

15. 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)

16. 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

17. 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

18. 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

19. Social Services • Area Agency on Aging • Child Support Enforcement • Children & Family Services • Donable Foods • Social Services • Veterans program

20. 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

21. Children & Family Services • Tribal standards & state standards • Tribal court & state court • Prevent removal of child from home • Reunify child with parent

22. 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

23. 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 Stand-down for veterans and their families • Outreach: various governmental agencies and resources • Support Honor/Color Guard activities • Future goals: more outreach & services

24. 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