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Health Services

Mission Statement:
 The Lac La Ronge Indian Band Health Services will provide health services program which meets the distinct needs of the membership of the Lac La Ronge Indian Band.

 A holistic health services program of education prevention and follow-up will focus on healing and strengthening the mental, emotional, physical and spiritual needs and abilities of each member.

 The Health Services Department provides health services in La Ronge, Hall Lake, Sucker River, Little Red River, and Grandmother's Bay. The service centres include the central office, which houses the administration and support staff, and the health clinics in Sucker River, Grandmother's Bay, Hall Lake, and Little Red River, which is shared with the Montreal Lake Health Services staff.

 Our central office, located in the Lac La Ronge Indian Band Office, has a total of 7 dedicated staff- including four relief workers providing Community Health Services, Home and Community Care Services and Community Support Services for members residing in Kitsaki and La Ronge. A total of 17 staff provide the operational and management support satellite offices. Program support provides direct service delivery and is shared with each of the communities in Nursing, Home Care, Mental Health, Addictions, Community Health, Pre-Natal Nutritian, Water/Lab Technician, and Health Information Data Entry.

 Each of the health centres are staffed at a minimum of five dedicated staff to provide direct service delivery from the community in the areas of Home Care, Community Health, Addictions, Full-time Secretary/Transportation clerk, and Night Watchman.

 In pursuit of providing quality health services, the Lac La Ronge Indian Band entered into a Health Services Transfer Agreement on May 11, 1993. This agreement was signed for three years with subsequent revisions and extensions to March 31, 2001. This agreement allowed for the provisions of second and third level services to our Nation members under a multi-community model. Our current agreement expired on March 31,

 The programs provided through Health Services to our members continue to be well received and managed properly as evidenced through our Health Transfer Evaluation that was completed in February 2001. The evaluation involved input from our membership, program staff, Chief and Council as well as external agencies. The input from our membership involved gathering of 825 surveys representing 79% of our on-reserve households, to assess the performance of the following health programs and provides recommendations for improvement of future delivery of health services to our membership; Financial Performance; Consumer Ratings; Health Status Indicators; Mandatory Requirements; Staffing, Structure and Organization. On an overall basis the membership is positive about the services they are receiving under the health transfer.

 An overview of the recommendations includes: expansion of Nursing services, Home Care, CHR and Addictions services. As well, community members identified a need for community-based Elders homes, programs for our Elders, and volunteer "meals on wheels" initiatives. In terms of health education, diabetes education was considered to be a priority by our membership. The areas of concern for our membership include teen pregnancy, drugs and alcohol abuse problems and gambling. One of the major tasks of our health department is to follow through with the implementation of these recommendations and, most importantly, to provide ongoing feedback to our membership regarding this process.

 New programs and initiatives were made available on a National basis including proposal-driven funding. The Nursing Program as well as Nursing and Home Care accessed funding to support programming for the Home and Community Care Program. Pre-Natal Nutrition Program, The Aboriginal Diabetes Programs, and the Health Information System. The Coordinators continue to work very hared to ensure all new initiatives and/or opportunities for extra funding are accessed on behalf of our membership.

 In terms of Governance, Health Committees for all five communities were elected including our K.H.A.B Board. We would like to welcome all members to our health team and we look forward to working with them to the face the challenges we shall meet in the year ahead. A special thanks to all the staff, committee members, board members, and Chief and Council for your hard work and your commitment to continuing to word with us as a team to strive towards our goal of providing the best possible services for our membership.

PROGRAM OVERVIEW:

 Community Health Nursing Program The Community Health Nursing consists of prenatal and postnatal care, child health clinics, school program and communicable disease program, The nurses provide these programs to the Lac La Ronge Indian Band communities of Kitsaki, Grandmother's Bay, Hall Lake and Sucker River. The support staff assist the nurse with the delivery of the above services. These staff include the Community Health Representatives and secretaries in all the communities, in addition to the TB worker and prenatal worker located in Kitsaki.

 A Community Health Nurse is assigned to an outlying community and delivers all required community health programming to that community. In Kitsaki, due to the high population, all the Community Health Nurses are assigned to oversee each of the community health programs and share holding child care clinics. Program delivery has been more efficient with this delegation.

 The Community Health Nurses have also linked with district health staff in order to provide consistent health promotion and disease prevention education. This is apparent in the partnership of implementing prenatal classes together three times a year. The good partnerships developed the provincial nurses and band nurses helped expediently exchange information when the clients are transient.

 Overall the delivery of the community health programs to the above Lac La Ronge Indian Band Communities has been better than it bas been in years. The retention of professional and support staff is vital to continued improvement. The nurse will continue working to enhance the delivery of the services in the coming year.

Home & Community Care Program:
 The Home and Community Care Program continued to grow throughout the year of 2002-2003.

 We added a Diabetes Nurse Educator, two licensed practical nurses and one registered nurse. All positions are full-time. We developed an Elders program for each community, managed by Margaret Beament. We have increased services to Elders and the disabled in our communities and expanded our program immensely. We are thankful for the low staff turnover and are looking forward to an even more exciting year in 2003-2004 with further development of our program.

 Community Health Representatives
 CHR's provide services such a the following in each of their communities: health promotion, health education in the areas of maternal and new born care, child care, human sexuality and common illnesses, and mental and emotional well being. There are 5.5. CHR's. Certified CHR's are based in Sucker River and La Ronge.

 Community Support Workers help elders and young mothers with food supplies by hunting and fishing, as well as general maintenance like hauling and cutting wood. They also refer clients to Mental Health as needed. They have seasonal cultural and traditional activities i.e.-putting on cultural camps and taking people out berry picking and fishing.

 Medical Transportation Non-insured Health Benefits are coordinated by half-time workers in Grandmother's Bay, Hall Lake and Sucker River and two full-time workers in La Ronge. They coordinate medical trips for clients' in and out of town appointments, arranging accommodations, meals and taxis.

Mental Health Program
 Our department consists of two therapists: Selim Anwar, Senior Mental Health Therapist, Wood, Psychologist. We provide a number of services to our Band Members. For example, we provide individual, couples, family, and group therapy, and deal with a broad range of emotional and behavioural difficulties, Further, we offer the New Choices for Men program, and assist Saskatchewan Justice staff in running a sex offender treatment program.

 As well, we helped to plan and organize a Men's and Women's Wellness Conference, and offer health psychology workshops at the Band's annual Diabetes Conference. Also, we offer anger management and parents skills training for the Northlands College Stepping Stones program. Finally, we have recently begun developing positive parenting and non-violent conflict resolution promotional materials.

Addictions The Addictions program strives towards reducing problems of alcohol and drug abuse in the communities of La Ronge, Grandmother's Bay, Sucker River, Hall Lake and Little Red River.

 The Addiction Workers provide: counselling assessments to identify appropriate treatment for individual clients and families; referrals to appropriate resources or treatment facilities; and presentations and workshops in the schools and communities on information on how alcohol and drugs affect the body. Self help groups are monitored or run by workers in the communities. All Addiction Workers work closely with Mental Health and Probation.
 Transportation and support is provided for some clients. Short term training is ongoing for all workers. Workers help out at wakes and funerals in the communities. Home visits are done for follow up clients, elders and some clientele.

Water Quality Monitoring Program  Program Activities

  • Monitoring drinking water quality by collecting samples at randomly selected sites in the LLRIB communities.
  • Testing samples for Coliforms, E-coli and recently Chlorine residuals.
  • Doing follow-up and re-testing sites as required.
  • Insect and pest identification/extermination requests have been down this yea compared to last.
  • Concerns about mould and home mould inspections have also gone down. There has been a lot of cooperation put forward to assist alleviating air quality problems.

    Current Project/ Future Projects
     Ensuring cistern tanks and wells continue to be cleaned/shock treated where required.
     Ensure resealing holding tanks is completed where necessary. Fourteen tanks, which required work, have been identified to date.
     For the Future, hand washing demonstrations in schools will be done again for younger children.

    Health Services Staff
    La Ronge
     Health Director - Mary Carlson
     CHR/CSW Coordinator - Annie McKenzie
     Addictions Coordinator - Louisa Sanderson
     Senior Mental Health Therapist - Selim Anwar
     Home Care Coordinator - Marg Beament
     Water Quality Technician - Wendy McKenzie
     Dental Therapist - Wanda McKenzie
     Finance Officer - Rhonda Vancoughnett
     Secretary/Receptionist - Francis Ratt
     Indian Health Receptionist - Rose McKay
     Data Entry Clerk - Debbie Charles
     Mental Health Therapist - Lyla Wood
     Youth Addictions Worker - Chris Jobb
     Addictions Worker - Dennis Sanderson
     Community Support Worker - Daryl Halkett
     Community Health Nurse - Wilma Buchanan
     Community Health Nurse - Shauna Hubel
     Community Health Nurse - Susan Whiteman
     Diabetes Nurse Educator - Gloria Ratt
     Home Care Nurse - Margaret Irving
     Home Care Nurse - Jean Hogan
     Community Health Representative - Daryl Ratt
     Community Health Representative - Eva Roberts
     Prenatal Worker - Angie Sanderson
     Home Care Worker - Charlotte Bernatchez
     Home Care Worker - Frances Charles
     Home Care Worker - Bertha Hegland
     Medical Transportation Worker - Robert Charles
     Medical Transportation Worker - Virginia Johns
    Hall Lake:
     Secretary/Receptionist - Nora Bell
     Youth Addictions Worker - Daniel Halkett
     Addictions Worker - Vicki Pedersen
     Community Health Representative - Caroline Ross
     Community Support Worker - Sampson Ratt
     Home Care Worker - Susan Berry
     Night Watchman - Rene Bird
    Sucker River:
     Secretary/Receptionist - Nora Roberts
     Addictions Worker - Freida Venne
     Community Health Representative - Rachel McLeod
     Community Support Worker - Floyd Brown
     Home Care Worker - Annie S. Ratt
     Home Care Worker - Lois Ratt
     Night Watchman - Russell Ratt
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