Gathering Wisdom for a Shared Journey - health.gov.bc.ca€¦ · 11/04/2007 · The First Nations Health Forum: Gathering Wisdom for a Shared Journey was the first dialogue session

contents

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introduction & background

In March 2005, the Province of British Columbia and First Nations leaders agreed to enter into a New Relationship guided by princi-ples of trust, recognition and respect for Aboriginal rights and title. The New Relationship focuses on closing the gaps in quality of life between First Nations and other British Columbians.

In November 2005, the Province of British Columbia, the First

Nations Leadership Council, and the Government of Canada signed

a historic agreement entitled the Transformative Change Accord.

The Accord recognizes the need to strengthen relationships on a

government-to-government basis, and affirms the Parties’ com-

mitment to close social and economic gaps in health, education,

housing and infrastructure, and economic opportunities through a

comprehensive 10-year implementation strategy.

As per the Accord, the First Nations Leadership Council and the

Province of British Columbia developed a 10-year plan for health

– the Transformative Change Accord: First Nations Health Plan – in

late 2006. The Government of Canada, through Health Canada,

supports this Plan, and entered into a First Nations Health Plan

Memorandum of Understanding with the First Nations Leadership

Council and the Province of British Columbia on November 27,

2006.

These two key documents – the Transformative Change Accord:

First Nations Health Plan and the First Nations Health Plan Memo-

randum of Understanding – identify priorities for action to close the

health gap between First Nations and other British Columbians and

are intended to guide efforts to address the critical challenges that

must be overcome in order to deliver on the joint commitments

to improve the health and well-being of First Nations peoples and

communities.

A key deliverable of the tripartite First Nations Health Plan Memo-randum of Understanding is the development of a tripartite BC First Nations Health Plan by May 2007. This tripartite health plan is to be informed by the Transformative Change Accord: First Nations Health Plan, and will include additional action items designed to close the gaps in health. In order to successfully develop, com-plete, and implement the tripartite BC First Nations Health Plan, the First Nations Leadership Council, Province of BC and Health Canada agreed that discussions with First Nations communities and other health professionals must take place, and be an ongoing effort. The First Nations Health Forum: Gathering Wisdom for a Shared Journey was the first dialogue session in pursuit of this important goal.

objectives of the forum

The forum was hosted to engage leadership and health providers at the First Nations, Provincial and Federal level in a dialogue on how to pursue the Tripartite First Nations Health Plan. The objec-tives of the dialogue were to have participants begin to:

1. Establish a shared understanding on the purpose and content of

the First Nations Health Plan

2. Identify the key challenges, content and process for managing

change in the health of First Nations

3. Contribute to the development of a collaborative 10 year plan of

action to pursue and measure the change

4. Explore how we will communicate on an ongoing basis

5. Establish next steps including preliminary ideas for the follow-up

gathering

This report on the 2007 Forum will provide a synopsis of the event, including:

• Summaries and excerpts from each of the speakers

• Thematic results from the small group discussions

• Summary of priorities for action as identified by the partici-

pants

• Future steps

A summary of opportunities and recommendations for change with-in the First Nations Health Plan are included in Appendix A. These recommendations came from the First Nations participants through involvement in large group discussions, small group dialogues and a short survey.

A list of participants is included in Appendix B, contact informa-

tion for the speakers is in Appendix C. Appendix D acknowledges

the significant contribution of the volunteer table hosts and note

takers that assisted with the group discussion on the second day

of the forum.

The First Nations Leadership Council would like to thank all the

participants that made this forum a success.

gathering wisdom for a shared journey

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conference proceedings

welcoming remarks

Grand Chief Ed John, First Nations Summit Health Lead, First Nations Leadership Council

Grand Chief John began the forum by expressing appreciation for the participants, acknowledging the work of his fellow members of the First Nations Leadership Council, the First Nations Chiefs’ Health Committee, and the Union of Brit-ish Columbia Indian Chiefs Social

Development Committee and by welcoming representatives from the provincial and federal governments, “your attendance here to-day signals a new era in cooperation and collaboration.”

Grand Chief John provided an overview of the two historic docu-

ments: the Transformative Change Accord: First Nations Health Plan

and the First Nations Health Plan Memorandum of Understanding.

In closing, Grand Chief John emphasized that the purpose of the

forum is to access the wisdom of the communities through dia-

logue with the participants. He encouraged participants to provide

honest feedback on the Plan, the action items and priorities for

action. Throughout his remarks, Grand Chief John emphasized the

intention of the First Nations Health Plan to be community-driven

and responsive to community needs.

Excerpts:

“In the spirit of the new relationship, we engaged the Province with the plan to close the gap.”

“Over the past years, we realize that we are indeed in a shared journey.”

opening comments

Premier Gordon Campbell Province of British Columbia

Premier Campbell expressed the Province’s commitment to close the health gap between First Na-tions and other British Columbi-ans. As a concrete action towards this commitment, the Province is providing $9.5 million to the First Nations Leadership Council to as-sist in the implementation of the

Transformative Change Accord: First Nations Health Plan.

Excerpts:

“Failure is not an option. The future of our province and our young people depends on our ability to fill these gaps. We have to try, on good days and bad, we need to keep going towards these goals. The gap is unacceptable, undeniable and it has to stop.”

“It is my hope that we could meet again in one year and see what progress we have made.”

opening comments

Assistant Deputy Minister Ian Potter First Nations Inuit Health, Health Canada

Assistant Deputy Ministry Ian Pot-ter expressed his support for the gathering and the partnerships on behalf of Health Minister Tony Clement and the federal govern-ment. The First Nations Health Plan Memorandum of Understanding al-

lows partners to work together to create a fundamental change, focusing efforts to close the health gap.

Excerpts:

“Health Canada strongly endorses this agreement.”

“Your vision and your leadership will really make the difference.”

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committing to a plan for change

PANEL CONVERSATION

Grand Chief Ed John, First Nations Summit

Grand Chief Stewart Phillip, Union of BC Indian Chiefs

BC Regional Chief Shawn Atleo, BC Assembly of First Nations

Assistant Deputy Minister, Ian Potter, First Nations and Inuit Health, Health Canada, Government of Canada

Minister George Abbott, Ministry of Health, Province of British Columbia

Panel members shared their per-spectives on the Transformative Change Accord: First Nations Health Plan and the First Nations Health Plan Memorandum of Understand-ing, as well as the process for de-veloping a Tripartite First Nations Health Plan. Speakers all agreed that the forum represented an his-toric moment, signifying a new era of collaboration and commitment. The panel expressed a shared com-mitment to a community driven, responsive and adaptive health plan.

Responses from the audience

included support for the efforts

and success that had led up to the

forum. Through the discussion, the

audience and the panel acknowl-

edged a need to have an inclusive dialogue that addressed the

concerns of on and off reserve people, urban and rural populations

as well as the diverse needs of large and small communities.

Excerpts:

Grand Chief Ed John: “The foundation of this work is the com-munities, their health plan and their priorities”.

BC Regional Chief Shawn Atleo: “The best of our teachings as First Nations is to listen to our people. Our people are resilient.”

Minister George Abbot: “To move forward, we are going to engage in an unprecedented partnership between First Nation leadership, communities, healthy authorities and critical partners in all of these areas if we want to see improvement.”

Assistant Deputy Minister Ian Potter: “This is a historic event, one that we hope our children and children’s children will reflect on.”

Grand Chief Stewart Phillip: “What has kept us together is that we were always reminded that we must keep the children in the centre of the room. We must reflect on the people in our home communities. We must develop a health plan that will serve the interests of our people and have an impact on the tragic statistics that are part of our experience.”

a shared understanding of the first nations health plan

GOVERNANCE AND RELATIONSHIPS:Chief Alan Claxton and Chief Fabian Alexis First Nations Health Council

Chief Alan Claxton and Chief Fabian Alexis reviewed the history of the development of the BC First Nations Health Council, as well as its draft Terms of Reference. Each participant received a copy of the draft Terms of Reference. Speaking notes for this presentation are available from http://www.bcfirstnationshealthforum.ca.

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FIRST NATIONS HEALTH ADVISORy COMMITTEE, HEALTH PARTNERS GROUPAssistant Deputy Minister Andrew Hazelwood, Ministry of Health

Assistant Deputy Minister Andrew Hazelwood emphasized the col-laborative intent of the plan, rec-ognizing that healthy populations are embedded in the social deter-minants of health. In a discussion

of reciprocal accountability, the Assistant Deputy Minister acknowl-edged that no one party assumes all the responsibility to make the plan work. Multiple parties commit accountability to one another in partnership. The presentation is available from http://www.bcfirst-nationshealthforum.ca/

NEw GOVERNANCE CONCEPT FOR FIRST NATIONS HEALTH Catherine Lappe, Health Canada

Ms. Lappe began the conversation by emphasizing that the Tripartite First Nations Health Plan is in draft form and is intended as an en-abling document. She encouraged feedback from each of the partici-pants so that we may begin to de-velop a common vision that will us

to work together. This is meant to be a framework that is flexible over time and responsive to changing needs. Her presentation is available from http://www.bcfirstnationshealthforum.ca/

CLOSING THE GAP:Dr. Perry Kendall Provincial Health Officer, British Columbia

Dr. Perry Kendall reviewed relevant findings from the Aboriginal Health Status report and expanded on the implications of those findings as well as current trends. His presen-tation is available from http://www.bcfirstnationshealthforum.ca/

BRIEFING ON THE PLANDr. David Martin First Nations and Inuit Health, BC Region, Health Canada

Dr. David Martin provided a brief-ing on the Tripartite First Nations Health Plan, including the overall structure and specific action items. Each participant received a copy of the Transformative Change Accord: First Nations Health Plan, the First

Nations Health Plan Memorandum of Understanding and the First Nations Health Blueprint for British Columbia as part of their reg-istration package. Dr. Martin’s notes are available from http://www.bcfirstnationshealthforum.ca/

a changing relationship: indigenous people within a responsive health system

VISION FOR THE FUTURE OF FIRST-NATIONS HEALTHDr. Evan Adams

Aboriginal Health Physician Advisor Office of the Provincial Health Officer

Dr. Adams opened the second day of the forum with messages of en-couragement and hope for First Nations health. Throughout his keynote speech, Dr. Adams empha-

sized the idea of wellness with a strong desire to support people in their strengths, their successes and their resilience. Instead of solely attempting to address illness, Dr. Adams encouraged people to pursue their own wellness, the wellness of their families, their communities and all Aboriginal people. Dr. Adams’ remarks are available at www.bcfirstnationshealthforum.ca/

Excerpts

“Mere survival is not a sufficient end-point. A better goal is when all Aboriginal people flourish and prosper; when we nurture excellence, strength and resilience.”

“Our feet in both worlds is our strength not a weakness. We can look forward and outward. We can look for spiritual and cultural competence in our health care workers. We can ask for higher levels of knowledge and attainment.”

“We must expand the foundations on which we build our healthy communities. How we develop and advance professionally. The ways we protect our wellness, environment, children and elders.”

“I wish for success for you individually and collectively. I am look forward to hearing of your successful collaborations, how you have persevered…I know that this is hard; there are many times that I wish I was smarter, faster. Let us try together today….It gave me great peace to know that I had the good will of many of you today. We are here to give hope today, hope for a better future.”

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gathering the collective wisdom: discussion summary

As part of the forum, participants were invited to engage in a dialogue based on the draft First Nations Health Plan and the Tri-partite Agreement. In this process, participants had an opportunity to engage in five different conversations about action items within the draft plan (see Appendix F for the list of table topics) Conversa-tions were in small groups, each of which had an assigned host and note taker. In addition to the assigned questions, three tables were designated as “open space” conversations with no specific topic. The following themes emerged from the participants’ own writings during the conversations and the verbatim transcriptions as recorded by the note takers at each table.

Through these conversations, participants discussed best prac-

tices, shared their success stories and engaged in dialogue about

how to move forward in First Nations health. These rich conver-

sations have been transcribed into a document that reveals the

wealth of collective wisdom present at the forum. This document

will be a reference for future planning.

Specific recommendations that relate to the action items within

the First Nations Health Plan are included in Appendix A.

common themes

In a review of the conversations that occurred during the forum, it is immediately apparent that the action items in the health plan are interrelated. Themes that emerged throughout the second day include:

1. Common challenges

2. A desire for a common vision of “wellness”

3. A cultural, holistic approach to health

4. Community driven process

5. Need for communication

Challenges

An identified lack of resources was a common challenge that spanned all four action areas. Recruitment and retention of quali-fied workers, sufficient funding for sustainable programs and/or in-frastructure and financial resources to address transportation were common themes within each of the discussion rooms.

The fundamental importance of the social and economic deter-

minants of health was also a prevalent theme within each of the

discussions.

Vision of “wellness”

Conversations reflected a positive approach to wellness, rather than a consistent emphasis on illness. This idea of wellness is expansive and inclusive, embracing the physical, spiritual, mental, economic, emotional, environmental, social and cultural wellness of the individual, family and community.

In this desire to establish a common vision, there was an em-

phasis on relationship building, the establishment of trust and de-

veloping partnerships across sectors.

A CULTURAL, HOLISTIC APPROACH TO HEALTH

A holistic approach to health involves more than a seamless con-nection of service. It is also more than viewing the individual in terms of heart, mind and spirit. This perception of health views the individual in the context of his or her family and community. Concepts of the individual, family, community and land were in-terwoven within all of the conversations. A cultural approach to health encompasses this idea of holism in a familial and com-munity way. It is more than simply expressing cultural respect and understanding. It is an entire paradigm shift that is distinct from the Western medical model of health. As one participant stated, “culture is health”.

This need for a culturally-based, culturally-sensitive and cul-

turally-centred health system was a prevalent recommendation

throughout the day. This included a call for cultural competency

within the system, reclaiming of traditional practices and the ex-

pression of traditional values. Throughout the conversations, the

cultural diversity between Nations was acknowledged.

An emphasis on family-focused services was an important part

of this theme of cultural values. In addition, participants were call-

ing for the input of youth and elders into this process. In the same

theme of inclusiveness, equitable representation was requested for

women, men, people with disabilities, people on and off reserve,

rural and urban populations.

As part of the cultural approach to health, participants empha-

sized that health is a concept that expands beyond the “health

system”. Partnerships across jurisdictions and sectors were a com-

mon recommendation. Many participants expressed hope that the

Tripartite First Nations Health Plan was an important first step to-

wards a more holistic system.

COMMUNITy DRIVEN PROCESS

Participants agreed that this Tripartite First Nations Health Plan must be community-driven. This includes supporting what is al-ready working in communities, building program development and

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evaluation capacities as well as increasing connections between communities.

While some participants expressed that the action items should

be specific and measurable, a significant number expressed that

action items should be broad enough to allow each community

to establish their own priorities. There is a tension between de-

scribing the action items with enough specificity to demonstrate

accountability and leaving enough flexibility within each item to

allow communities to determine their own priorities.

NEED FOR COMMUNICATION

Throughout the day, participants were sharing their success stories from their own communities. This desire to share information, learn from one another and consolidate best practices was a common request throughout all of the conversations. Many participants re-quested some kind of clearinghouse of information as a forum to continue to share resources and strategies.

Communication strategies were also cited as the way to sup-

port one another professionally and personally towards the com-

mon vision. This included communication between service provid-

ers and community members as well as opportunities to develop

communities of practice among service providers.

Transparent and easily accessible communication was the most

often cited success strategy for the implementation of the Plan.

health promotion, disease and injury prevention

PREVENTION AND PRIMARy CARE ON RESERVE

The conversation on primary care reflected an emphasis on well-ness. Transportation, geographical remoteness, lack of human re-sources and difficulty accessing funding were common challenges. The Plan represents an opportunity to move away from a medi-cal model of disease to a more culturally grounded definition of health. The discussion of on-reserve primary care leads to discus-sion on the partnerships between on reserve services and neigh-boring health organizations.

opportunities/recommendations for the plan

• Define primary health as it relates to this Plan.

• Support community driven programs.

• Women and children’s health should be a stand-alone action

item.

• Address primary care across the lifespan, including babies, chil-

dren, youth, adults and elders.

• Re-establish language and culture as part of the primary care

initiative.

• Meaningful roles in community are part of the primary care initia-

tive.

ABORIGINAL ACTNOw BC (NUTRITION/PHySICAL ACTIVITy)

Lack of access to recreation, financial barriers to purchasing healthy food and insufficient youth involvement were all listed as chal-lenges in maintaining nutrition and activity. Participants expressed great interest in accessing research that is relevant to their own communities in order to help with program planning.


• Support community driven programs. The needs of each com-

munity are different.

• Create a forum where communities can share their success sto-

ries, best practices and resources.

• Remove barriers to participation in healthy recreation (fees,

transportation) as part of the scope of this action item.

• There should be an emphasis on family and family programs.

• Support programs across the lifespan (youth, adults, elders).

• Need for community based and community initiated research to

assist with program planning.

ABORIGINAL ACTNOw BC (TOBACCO/HEALTHy PREGNANCy)

There are already many successful programs being employed by communities to address tobacco use and to encourage healthy pregnancy. Flexibility in funding would allow communities to be creative in their programming. For example, some communities have started a breakfast club with success. Funding for food would allow for more emphasis on nutrition, feasting and traditional prac-tices that address healthy pregnancy.

Some participants felt that urban populations are not well rep-

resented in this action item or throughout the Plan.


• Building on strengths that already exist in the community, com-

munities need to make decisions and set guidelines.

• Develop traditional practices in this area.

• Highlight existing best practices within First Nation communities

and share with others.

• When addressing healthy pregnancies, participants suggest a

holistic approach that encompasses the whole family and com-

munity, not just mother and baby. Currently, funding structures

put too many restrictions on the programs.

• Aboriginal people to be hired to work in ActNow, need mentors

and leaders in this field.

HEARING AND VISION SCREENING

Travel and transportation to appointments were cited as a signifi-cant challenge, especially for remote communities and during win-ter months. Early Childhood services are still quite new and while there are a variety of services available, families have difficulty accessing them. There needs to be culturally specific education that promotes the importance of early screening and the impact of hearing and vision problems on development.

While it is a goal to have screening services closer to the com-

munity, there are a limited number of appropriate facilities. The

human resources strategy is a critical component of this action

item, as there is a shortage of qualified professionals.


• Some participants felt that this action item was too narrow. Sug-

gestions include broadening this item to include screening for

Fetal Alcohol Syndrome. Others suggested allowing communities

to develop their own priorities for screening.

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• Develop better communication between screening facilities and

home communities. Families and community based health pro-

viders need to know results of screening assessments.

• Address transportation issues to appointments as part of the

action item.

• Need follow-up after initial screening.

INJURy PREVENTION (SEATBELTS AND SAFE DRIVING)

The prevalence of poverty greatly affects this action item. Inability to pay for driver training, license, safe vehicles or car seats for chil-dren all influence injuries related to motor vehicle accidents.

For some communities, seat belt and road safety are not top

priorities. Reframing this action item to include other injuries will

allow communities and regions to focus on priority issues identi-

fied by communities.


• Community to lead decisions about seatbelt use and safe driv-

ing campaigns within their communities. This includes designing

social marketing campaigns.

• Expand action items to include other high rate injuries.

• Weave injury prevention awareness into all prevention programs

to increase knowledge of risk taking behaviour in general.

• Do an environmental scan of all communities and approaches to

reduce injuries.

• Share best practices between communities.

• First Nations Health Council could look at developing a policy

framework that set the context for partners to address road

safety.

DENTAL SCREENING AND TREATMENT

Dental screening is considered an important part of health pro-motion. There is much support for more community based dental services. In urban communities, people are having difficulty paying upfront for services and then waiting for reimbursement. In all situ-ations, financial barriers to proper dental hygiene are a challenge.


• Emphasis on prevention and health promotion, not just screen-

ing and treatment.

• Partnership with educational dental training facilities to develop

dental health programs within communities.

• Elders also have significant dental problems. Consider allowing

communities to broaden this action item and identify their own

dental intervention priority.

• Need baseline data to do assessment and phase in plan for

dental care.

MENTAL HEALTH AND ADDICTIONS

“There’s an opportunity in this plan to create a comprehensive mental health program that brings culture and spirituality”.

Throughout this discussion, participants were calling to reframe

the language and the way health is approached. Positive terminol-

ogy that embraces these services as part of a wellness plan was

more welcome than terms such as “mental illness” or “treatment

centres”.

These ideas of wellness, self-esteem and self-worth were con-

sidered foundational to all the other action items. “If I don’t feel

good about who I am, do you think I am going to the dentist?”. The

Plan needs to allow for this more holistic approach to wellness and

not have an over-emphasis on crisis intervention.


• Develop range of services that address health promotion and

wellness as well as crisis intervention.

• Funding structures that allow development of family based sup-

ports.

• Establish a BC Centre for Excellence that allows communities to

share their best practices.

• Create more Safe Spaces in communities.

• Develop system for confidential sharing of information to im-

prove treatment planning.

yOUTH SUICIDE

Lack of follow-up services, difficulty with assessment at the com-munity level and the impact of poverty are all significant challeng-es when addressing youth suicide. Through the discussion, there seemed to be a real opportunity to support a more family and community centred approach to youth suicide. The Plan provides a venue to develop a comprehensive, holistic system that frames youth suicide within all the other action items.


• Training and support for families, peers, teachers. This is to help

with prevention efforts, but also to provide support for people

that have witnessed suicide.

• Fund programs that have already been shown to be successful.

• Support programs that provide youth with access to Elders and

provide meaningful roles within the community. There is a need

to evaluate these programs to ensure that they are providing the

intended results.

• Youth suicide is not an issue in some communities. Provide op-

portunities to share success stories and best practices.

• Have youth involved in program planning and in setting priori-

ties for this action item.

• Consider reframing this action item to reflect suicide at all ages.

Suicide among adults impacts the entire community and influ-

ences youth.

ADDICTION BEDS

This conversation on addiction beds gravitated towards a contin-uum of care for people with addictions. People are experiencing a scarcity of resources from prevention, to detox, to treatment, to follow-up. Each aspect of care appeared to be important to the participants.

The amount of stigma associated with the terms “addiction

beds” and “treatment centres” was highlighted as a barrier.

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• The amount of cultural diversity within the nations makes it very

challenging to define standards for culturally appropriate care

that would span the Province. Allow Regions to dictate their own

standards of culturally appropriate care. Involve Elders in these

decisions.

• Consider reframing the term “addiction beds” to a more positive

term. This could include having this action item be part of a

commitment to more wellness programs/centres.

• Many participants felt that programming needs to be family fo-

cused. Participants suggest that the scope of this action item

reflect the diversity in programming options that address the

continuum of care.

CORONER’S REPORT AND RECOMMENDATIONS

Many of the participants came to this conversation to learn more about the coroner’s report and to understand the implications for their own communities. Many of the delegates had not read or accessed the report. Much of the conversation centred on the role of the coroner in providing much needed information for families following a death.


• Make the British Columbia Coroners Service Child Death Review

Report (2005) report easily available to communities.

FIRST RESPONDER PROGRAMS

Many of the First Responder Programs rely on volunteer resources. This makes recruitment and retention difficult. With a high rate of turnover, communities are finding that they are constantly investing in training. Band members are reluctant to provide First Response services to their own community members. Privacy and confidenti-ality are issues when providing service within your own community. Participants note that there is a discrepancy in standards between rural and urban services.


• Pandemic planning could be considered within the scope of this

action item.

health services

CHRONIC DISEASE SERVICE AND MANAGEMENT

Participants expressed a strong desire to provide good care for their community members with chronic illnesses. Communication between health service providers was an important theme as “com-munication is a huge issue. It makes it difficult to track who is coming home” when there is poor communication between com-munities and the health authorities. Communication with commu-nity members about sensitive health issues was also difficult in some situations.


• The Plan should not just focus on introducing programs for

chronic health conditions, but also include supporting programs

that already are working.

• The phrase “chronic disease” could be modified to something

more positive and wellness focused.

ABORIGINAL HEALTH EDUCATION

When discussing the opportunity to improve access, participation and success of Aboriginal learners in post-secondary health care programs, delegates took a systemic view. Implementation rec-ommendations encompassed the entire educational system from children to adults. Suggestions ranged from widespread cultural competency training to changes in the adult learning funding mod-els. Delegates did not have specific recommendations for the ac-tion item, but did identify opportunities for connections with other items.


• Include the input of youth into this action item.

• Opportunity for partnership with Tele-health technology to im-

prove access, participation and success of Aboriginal learners in

post-secondary health care programs.

INTEGRATED CLINICAL TELEHEALTH NETwORK

Much of the conversation around the telehealth network sought to clarify the current status of the project. Barriers include issues around privacy and data sharing. Access continues to be a chal-lenge in rural and urban areas. Participants also had many ques-tions about the sustainability of the funding for telehealth.


• Support the Nations involved in telehealth as centres for excel-

lence.

• Access continues to be an issue in both urban and rural areas.

• Consider broadening this action item to include “e-health”.

MATERNITy CARE ACCESS PROJECT

Transportation was considered a significant challenge for pregnant women in rural communities. This impacts the birthing process, as well are pre and post natal care. In this conversation, there were many operational recommendations about how to bring birth closer to the community, but also how to bring the community closer to the birth as the situation requires. Ideally, birth should be closer to home and involve the community as well as the tra-ditional practices.


• The model for the Maternity Care Access Project must have

enough flexibility to allow communities to implement in a man-

ner that works for the community. The action item should reflect

this flexibility.

• Clarify that Maternity Care Access Project refers to services across

the lifespan, including preconception, education and post-natal

support

.

HEALTH AUTHORITy STAFFING ISSUES

Even for people who want to work, barriers to employment exist in each phase from recruitment, to application to retention. The system needs to shift to become an attractive place for a First Na-tions person to work. There are many untapped opportunities to increase employment, including available training opportunities.

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Opportunities/Recommendations for the Plan

• While participants are supportive of creating authentic oppor-

tunities for Aboriginal people in the regional health authorities,

they caution against creating a competition for human resources

between the communities and the health authorities. There is

a lack of professional and skilled trades First Nations in health

professions in communities as well.

• This action item is closely linked with the intention to increase

the number of Aboriginal learners in post-secondary health care

programs.

ROLE OF PHySICIANS IN ABORIGINAL HEALTH AND HEALING

CENTRES

Participants are calling for a holistic, cultural and wellness focused perspective from physicians working in Aboriginal health. Physi-cians need to know about existing health services, be part of a team that includes traditional perspectives and bring health knowl-edge back to the communities. Physicians are ultimately account-able to the community.


• There is an opportunity to not only enhance physician participa-

tion in healing centres, but also to promote continuity of excel-

lent care and teamwork. This action item could consider not only

partnership with Nurse Practitioners, but also other members of

interdisciplinary team, including traditional healers.

ROLE OF NURSE PRACTITIONERS

Participants support the idea of finding opportunities for Nurse Practitioners. As with other health professionals, Nurse Practitio-ners must display cultural competency. Currently, Nurse Practitio-ners require a physician “sponsor” and participants considered this a significant challenge. Developing trust and teamwork is a high priority.

governance, relationships and accountability

FIRST NATIONS HEALTH COUNCIL

The First Nations Health Council has the responsibility of repre-senting a diverse group of communities. As such, there should be diversity within the Council itself. To help with clarity in commu-nication, the Council needs to be clear when government should communicate with the Council and when government should be communicating directly with the communities. A clear and transpar-ent communication plan will help with the interface between the communities and the Council and between the Council and the government.


• The communication plan should be a priority for the First Na-

tions Health Council. The Council needs a way to access the

communities for reciprocal information sharing.

• The First Nations Health Council could play a significant role in

pandemic planning. This could be stated more clearly in the ac-

tion item.

• The First Nations Health Council could also play a role in change

management to increase the chance of successful partnerships.

• The First Nations Health Council has the responsibility to repre-

sent a diverse group of communities. An effective communica-

tion plan is one strategy to assist with this role. Having a di-

verse representation on the Council is another strategy (women,

youth, elders, people with disabilities). The current make-up of

the Council appears “politically top-heavy”.

REGIONAL HEALTH AUTHORITy AND FIRST NATIONS ABORIGINAL

HEALTH PLANS

Participants agree that communities need to design and direct their own health plans. Some were questioning what level of support communities could expect when developing the plans. The com-munication process, including accessing the community voice, was an important consideration within the conversation.


• Some participants are concerned that the wording “each health

authority will involve First Nations in collaborative decision-mak-

ing regarding delivery of Health services for Aboriginal people”

does not reflect a true partnership. Any planning should be done

jointly with equal representation of the two partners, based on

a relationship of mutual respect. The term “involve” does imply

a true partnership.

FIRST NATIONS HEALTH ADVISORy COMMITTEE

The Committee will need to make a conscious effort to represent the interest of the diverse remote, rural, on-reserve, off-reserve and urban communities. There were many questions about the Committee’s ability to access information and connect with front-line workers. Some participants suggested that Health Directors should be involved with the Advisory Committee. Other partici-pants encouraged the Committee to maintain diversity in its mem-bership, including ensuring the involvement of women, elders and youth. With respect to governance, participants asked to whom this Committee is accountable and the processes for dispute resolution will be.


• The First Nations Health Advisory Committee seems to be top-

heavy with decision makers. There must be a way for the Com-

mittee to access the voice of communities.

• First Nations Health Advisory Committee could have a role in

pandemic planning.

• Where is the legislation to support the work of the First Nations

Health Advisory Committee?

• Many participants suggest that a communication plan is a pri-

ority for the First Nations Health Advisory Committee and the

Health Partners Group.

HEALTH PARTNERS GROUP

Participants see the Health Partners Group as an opportunity for a non-political body to share information, success stories and best practices. This communication will reduce the duplication of ser-vices and allow for efficient use of resources. This is especially true for issues that cross many sectors, such as pandemic planning.

10


• Opportunity for a wide range of partners in the Health Part-

ners Group to address the social and economic determinants of

health.

• Through a relationship with Colleges and Universities, the Health

Partners Group can support participatory action research within

the communities.

• The Health Partners Group and the communities need to be

able to share information. This will help in setting priorities for

research and sharing best practices.

• Participants are requesting more clarity and a copy of the Terms

of Reference for the Health Partners Group. A chart that visu-

ally depicts the relationship between the various Councils and

Groups would be helpful.

RECIPROCAL ACCOUNTABILITy FRAMEwORK

From a First Nations perspective, the principle of accountability includes a degree of responsibility to ancestors and generations yet to come. Ideally, the framework will provide clear expectations about goals, outcomes and accountability. An independent body, such as an ombudsman, could augment this process.


• The presentations earlier in the Forum addressed some of the

perspectives on the meaning of “reciprocal accountability”. The

Plan needs to be clear about what “reciprocal” means to all par-

ties.

ROLE OF ABORIGINAL HEALTH PHySICIAN ADVISOR

Participants expressed a great deal of support for the role of the Aboriginal physician health advisor. In terms of implementation, participants wanted to be sure that appropriate structures were in place to ensure the success of the role. This may include an advisory group, realistic expectations and a transparent commu-nication plan.

Opportunities/Recommendations for the Plan

• There is potential for a very large and over-whelming range of

duties that could be assigned to this role. Once there has been

more time to establish the scope, a communication to the com-

munities would help manage expectations.

• The Aboriginal Health Physician Advisor may have a role in pan-

demic planning.

performance tracking

ABORIGINAL HEALTH STATUS REPORT

The Aboriginal health status report must be useable for the com-munities. This includes the ability to access local information for comparative purposes. Communities also need to know how to meaningfully interpret the information to assist with their plan-ning.


• This item ranked as a high priority, but much of the table conver-

sation was seeking out more information about what the report

actually contained and how it could be used. Many people had

not read the report. Information dissemination strategies could

be part of the Plan.

TRIPARTITE AGREEMENT AND OCAP PRINCIPLES

Issues of trust and information sharing were important themes in this conversation. There is a great deal of diversity in the Nations with respect to values and languages. While there are likely to be common principles, these differences may result in different issues around data sharing. The Province needs to be prepared for this diversity. Participants explored possibilities to work together with off reserve organizations, even though they are not included in the tripartite agreement.


and implemented by all parties. This should be part of the renewed

tripartite agreement.

PROVINCIAL HEALTH SERVICES

AUTHORITy SURVEy

Participants agreed that access to information helps with health planning. Many expressed a desire to increase the capacity of com-munities to collect their own information. However, participants acknowledged the dilemma of preserving privacy if people are surveying their fellow community members about sensitive health issues.


• Who will be doing the actual surveying for the Provincial Health

Services Authority? Phone surveys do not work well in rural com-

munities. There are issues of trust and access. Communities

could build capacity in doing there own data collection, provided

they could manage issues of privacy and confidentiality.

• We need to think about what kind of information we value. Oral

history is a strong tradition in Aboriginal communities.

• There is an opportunity to create partnerships. Developing a

central committee that consolidates research projects would re-

duce “survey fatigue”.

• Participants strongly encourage information seekers to build on

data that already exists through other sources. Leaders are en-

couraged to look at other data sharing models that have been

successful.

• The Survey could contribute to shared capacity building in pan-

demic planning.

open tables

At the “open tables”, participants had the opportunity to direct the conversation to any topic and were not limited to one action item. Funding and limited resources was a common theme across the open table conversations. A request for greater emphasis on youth and the urban population was made several times. The relationship of social determinants to health and the wide reaching impact of economic development were also common conversations.


• Increase emphasis on social and economic determinants.

11

• Increase emphasis on children and youth. Consider a stand

alone action item for the health of women and children.

• Explicitly address the urban population.

priorities for action

Throughout the discussion, there was a great deal of interest in the topics related to governance. This suggests that issues of gover-nance are of great importance to the participants.

Participants had an opportunity to fill out a survey, ranking

their top five priorities for action within the draft First Nations

Health Plan. This additional tool provided another avenue for par-

ticipants to express themselves.

In total, 79 people filled out the survey. Of these respondents,

53 (67%) identified themselves as First Nations.

The priorities for action revealed through this survey were:

• Establish the First Nations Health Council

• Regional Authorities and First Nations in their service delivery

area will develop Aboriginal Health Plans

• Aboriginal Mental Health and Addictions Plan

• Aboriginal Health Status Report

• Primary health service programs and patient self-management

programs for people living with chronic health conditions

• Prevention and primary care for people on-reserve to meet or

exceed those services provided to off-reserve populations by the

health authorities

Through the survey, participants also had the opportunity to

add suggestions for new action items. Some suggestions that were

supported by at least two participants included:

• Add pandemic planning as an action item

• Consider a stand-alone action items for children’s health and

women’s health.

future steps

Throughout the forum, many participants acknowledged the posi-tive steps that have been taken towards improving First Nations health. There were expressions of hope and encouragement as the partners move forward with this Plan and this process. In general, this was felt to be a good beginning towards a transformative change in First Nations health.

As part of the survey, the First Nations Leadership Council col-

lected information from participants about their preferred commu-

nication medium. This will inform a communication plan that will

support the continued dialogue.

12

HEALTH PROMOTION, DISEASE AND INJURy PREVENTION

n Define primary health as it relates to this Plan.

n Support community driven programs.

n Women and children’s health should be a stand-alone action item.

n Address primary care across the lifespan, including babies, children, youth, adults and elders.

n Re-establish language and culture as part of the primary care initiative.

n Meaningful roles in community are part of the primary care initiative.

n Support community driven programs. The needs of each community are differ-ent.

n Create a forum where communities can share their success stories, best prac-tices and resources.

n Remove barriers to participation in healthy recreation (fees, transportation) as part of the scope of this action item.

n There should be an emphasis on family and family programs.

n Support programs across the lifespan (youth, adults, elders).

n Need for community based and com-munity initiated research to assist with program planning.

n Building on strengths that already exist in the community, communities need to make decisions and set guidelines.

n Develop traditional practices in this area.

n Highlight existing best practices within First Nation communities and share with others.

n When addressing healthy pregnancies, participants suggest a holistic approach that encompasses the whole family and community, not just mother and baby. Currently, funding structures put too many restrictions on the programs.

n Aboriginal people to be hired to work in ActNow, as we need mentors and leaders in this field.

n Some participants felt that this action item was too narrow. Suggestions in-clude broadening this item to include screening for Fetal Alcohol Syndrome. Others suggested allowing communi-ties to develop their own priorities for screening.

n Develop better communication between screening facilities and home commu-nities. Families and community based health providers need to know results of screening assessments.

n Address transportation issues to ap-pointments as part of the action item.

n Need follow-up after initial screening.

n Community to lead decisions about seatbelt use and safe driving campaigns within their communities. This includes designing social marketing campaigns.

n Expand action items to include other high rate injuries.

n Weave injury prevention awareness into all prevention programs to increase knowledge of risk taking behaviour in general.

n Do an environmental scan of all com-munities and approaches to reduce inju-ries.

n Share best practices between communi-ties.

n First Nations Health Council could look at developing a policy framework that set the context for partners to address road safety.

n Emphasis on prevention and health promotion, not just screening and treat-ment.

n Partnership with educational dental train-ing facilities to develop dental health programs within communities.

n Elders also have significant dental prob-lems. Consider allowing communities to broaden this action item and identify their own priority.

n Need baseline data to do assessment and phase in plan for dental care.

n Develop range of services that address health promotion and wellness as well as crisis intervention.

n Funding structures that allow develop-ment of family based supports.

n Establish a BC Centre for Excellence that allows communities to share their best practices.

n Create more Safe Spaces in communi-ties.

n Develop system for confidential shar-ing of information to improve treatment planning.

n Training and support for families, peers, teachers. This is to help with prevention efforts, but also to provide support for people that have witnessed suicide.

n Fund programs that have already been shown to be successful.

n Support programs that provide youth with access to Elders and provide mean-ingful roles within the community. There is a need to evaluate these programs to ensure that they are providing the in-tended results.

n Youth suicide is not an issue in some communities. Provide opportunities to share success stories and best practic-es.

n Have youth involved in program plan-ning and in setting priorities for this ac-tion item.

n Consider reframing this action item to reflect suicide at all ages. Suicide among adults impacts the entire community and influences youth.

n The amount of cultural diversity within the nations makes it very challenging to define standards for culturally appropri-ate care that would span the Province. Allow Regions to dictate their own stan-dards of culturally appropriate care. In-volve Elders in these decisions.

n Consider reframing the term “addiction beds” to a more positive term. This could include having this action item be part of a commitment to more wellness programs/centres.

n Many participants felt that programming needs to be family focused. Participants suggest that the scope of this action item reflect the diversity in programming options that address the continuum of care.

n Make the British Columbia Coroners Ser-vice Child Death Review Report (2005) report easily available to communities.

n Pandemic planning could be considered within the scope of this action item.

HEALTH SERVICES

n The Plan should not just focus on intro-ducing programs for chronic health con-ditions, but also supporting programs that already are working.

n The phrase “chronic disease” could be modified to something more positive and wellness focused.

n Include the input of youth into this ac-tion item.

n Opportunity for partnership with Tele-health technology to improve access, participation and success of Aboriginal learners in post-secondary health care programs.

n Support the Nations involved in tele-health as centres for excellence.

n Access continues to be an issue in both urban and rural areas.

n Consider broadening this action item to include “e-health”.

n The model for the Maternity Care Access Project must have enough flexibility to allow communities to implement in a manner that works for the community. The action item should reflect this flex-ibility.

n Clarify that Maternity Care Access Proj-ect refers to services across the lifespan, including preconception, education and post-natal support.

APPENDIx A:

OPPORTUNITIES AND

RECOMMENDATIONS FOR

ACTION ITEMS IN FIRST

NATIONS HEALTH PLAN

13

n While participants are supportive of creat-ing authentic opportunities for Aboriginal people in the regional health authorities, they caution against creating a compe-tition for human resources between the communities and the health authorities. There is a lack of professional and skilled trades First Nations in health professions in communities as well. This action item is closely linked with the intention to in-crease the number of Aboriginal learners in post-secondary health care programs.

n There is an opportunity to not only en-hance physician participation in healing centres, but also to promote continuity of excellent care and teamwork. This ac-tion item could consider not only part-nership with Nurse Practitioners, but also other members of interdisciplinary team, including traditional healers.

GOVERNANCE, RELATIONSHIPS AND

ACCOUNTABILITy

n The communication plan should be a pri-ority for the First Nations Health Council. The Council needs a way to access the communities for reciprocal information sharing..

n The First Nations Health Council could play a significant role in pandemic plan-ning. This could be stated more clearly in the action item.

n The First Nations Health Council could also play a role in change management to increase the chance of successful part-nerships.

n The First Nations Health Council has the responsibility to represent a diverse group of communities. An effective com-munication plan is one strategy to assist with this role. Having a diverse represen-tation on the Council is another strategy (women, youth, elders, people with dis-abilities). The current make-up of the Council appears “politically top-heavy”.

n Some participants are concerned that the wording “each health authority will in-volve First Nations in collaborative deci-sion-making regarding delivery of Health services for Aboriginal people” does not reflect a true partnership. Any planning should be done jointly with equal rep-resentation of the two partners, based on a relationship of mutual respect. The term “involve” does imply a true partner-ship.

n The First Nations Health Advisory Com-mittee seems to be top-heavy with deci-sion makers. There must be a way for the Committee to access the voice of communities.

n First Nations Health Advisory Committee could have a role in pandemic planning.

n Where is the legislation to support the work of the First Nations Health Advisory Committee?

n Many participants suggest that a com-munication plan is a priority for the First Nations Health Advisory Committee and the Health Partners Group.

n Opportunity for a wide range of partners in the Health Partners Group to address the social and economic determinants of health.

n Through a relationship with Colleges and Universities, the Health Partners Group can support participatory action research within the communities.

n The Health Partners Group and the com-munities need to be able to share infor-mation. This will help in setting priorities for research and sharing best practices.

n Participants are requesting more clarity and a copy of the Terms of Reference for the Health Partners Group. A chart that visually depicts the relationship between the various Councils and Groups would be helpful.

n The presentations earlier in the Forum addressed some of the perspectives on the meaning of “reciprocal accountabil-ity”. The Plan needs to be clear about what “reciprocal” means to all parties.

n There is potential for a very large and over-whelming range of duties that could be assigned to the role of the Aboriginal Physician Health Advisor. Once there has been more time to establish the scope, a communication to the communities would help manage expectations.

n The Aboriginal Health Physician Advisor may have a role in pandemic planning.

PERFORMANCE TRACKING

n This item ranked has a high priority, but much of the table conversation was seeking out more information about what the report actually contained and how it could be used. Many people had not read the report themselves. Information dissemination strategies could be part of the Plan.

n OCAP principles need to be agreed upon and implemented by all parties. This should be part of the renewed tripartite agreement.

n Who will be doing the actual surveying for the Provincial Health Services Authority? Phone surveys do not work well in rural communities. There are issues of trust and access. Communities could build capacity in doing there own data collection, provided they could manage issues of privacy and confidentiality.

n We need to think about what kind of information we value. Oral history

is a strong tradition in Aboriginal communities.

n There is an opportunity to create partnerships. Developing a central committee that consolidates research projects would reduce “survey fatigue”.

n Participants strongly encourage information seekers to build on data that already exists through other sources. Leaders are encouraged to look at other data sharing models that have been successful.

n The Survey could contribute to shared capacity building in pandemic planning.

OPEN TABLES

n Increase emphasis on social and economic determinants.

n Increase emphasis on children and youth. Consider a stand alone action item for the health of women and children.

n Explicitly address the urban population.

SUGGESTIONS FOR ADDITIONAL ACTION ITEMS

(from conversations and survey results)

n Women’s health, including violence against women.

n Children’s health, early childhood development.

n Economic development as its own agenda item.

n Fetal alcohol syndrome.

n Aboriginal people with disabilities

n Elder’s health

n Off-reserve populations

n Emergency response and pandemic plans

n Environmental health issues

14

Abbott Debbie ..................................................................Executive Director .......................................................................................Nlaka’pamux Nation Tribal Council Abbott Debbie ..................................................................Social Development Committee ................................................................Union of BC Indian Chiefs Abbott. George The Hon .......................................................................................................................................................................Minister of Health Adam, Catherine ..............................................................Executive Director .......................................................................................Health Canada First Nations and Inuit Health Adam, Warner ..................................................................Executive Director .......................................................................................Carrier Sekani Family Services Adams, Dr. Evan ..............................................................Aboriginal Health Physician Advisor ...........................................................Ministry of Health Alec, Elaine ......................................................................Honour Your Health Challenge ...................................................................Dancing Spirit Consulting Alexis, Chief Fabian .........................................................Committee Member FNCHC .......................................................................FNCHC Alexis, Thomas ................................................................Chief ..........................................................................................................T’laz’en Nation Alfred, Ruth .....................................................................Elder Support Worker ................................................................................Pacific Assoc. of First Nations Women Ali, Yousuf ........................................................................Regional Director .......................................................................................Health Canada - BC First Nations & Inuit Allbeury, Jean ...................................................................Health Technology Coordinator .................................................................FNCHCAnderson, Keith ...............................................................President and CEO (Interim) .....................................................................Fraser HealthAnderson, Marie ..............................................................Executive Director .......................................................................................Hey-Way’-Noqu’ Healing Circle for AddictionsAnderson, Marie ...............................................................President ...................................................................................................Assoc. of BC First Nations Treatment ProgramsAnderson, Shirley ............................................................Head Start Coordinator .............................................................................Sexqeltqin Health Center Andrews, Karen J. ............................................................Health Director ..........................................................................................Ft. Nelson First NationAntoine, Carol ..................................................................Prevention Supervisor ...............................................................................Nil/tu,o Child and Family Services Atleo, Regional ................................................................Chief Shawn ..............................................................................................BC Assembly of First Nations First Nations Leadership CouncilAugust, Dorene ................................................................CHR ............................................................................................................Neskonlith Indian BandBachmann, Linda .............................................................Dir., Health Promotion & Prevention .........................................................Fraser HealthBarrett, Valerie .................................................................Comm. Mngr ..............................................................................................INACBartleman, Lucia ..............................................................Community Health Rep/Supervisor ............................................................Pauquachin NationBekker, Deanna ...................................................................................................................................................................................BC Ministry of HealthBelanger, Neil ..................................................................Board of Directors .....................................................................................Gitxsan Health SocietyBenoit, Amada .................................................................Health Director/CHR ...................................................................................Daylu Dena CouncilBird, Jackie .......................................................................Councillor ..................................................................................................Sumas First NationBlaney, Chief Darren ........................................................Chief ..........................................................................................................HomalcoBloomquist, Laucette .......................................................Executive Director ......................................................................................Tla’Amin Community Health ServicesBob, David .......................................................................Board of Director .......................................................................................Inter Tribal Health AuthorityBob, Leonard ...................................................................ACHAC (VCH) .............................................................................................Sliammon First NationBobb, Jennifer ..................................................................Chief ..........................................................................................................Spuzzum First NationBonneau, Linda ...............................................................Patient Travel & Non-Insurable Benefits Worker .......................................Okanagan Indian BandBradfield, Thomas ...........................................................Director, Aboriginal Health ........................................................................Vancouver Island Health AuthorityBraker, Colin ........................................................................................................................................................................................Aboriginal Leadership CouncilBrooks, Kim .....................................................................Department Head, Health ..........................................................................Squamish NationCamille, Marilyn ...............................................................Health/Social Program Manager ................................................................Canoe Creek Indian BandCampbell, Gordon ............................................................Premier .......................................................................................................Province of British ColumbiaCarswell, Betty .................................................................Health Director ..........................................................................................Qwemtsin Health SocietyCase, Agnes .....................................................................Community Health Rep. ............................................................................Alexis Creek Indian BandChristian, Chief Wayne .....................................................Chief ..........................................................................................................Splatsin First NationChristilaw, Jan ...................................................................VP Medicine ..............................................................................................BC Women’s HospitalClarmont, Warren ..............................................................Policy Analyst ............................................................................................BCAAFCClaxton, Chief Allan ...........................................................Committee Member ...................................................................................FNCHC First Nations Chiefs Health CommitteeCole, Donna ......................................................................Executive Assistant ....................................................................................BC Assembly of First NationsCook, Harriet .........................................................................................................................................................................................MusqueamCorfield, Michelle ..............................................................Vice President ...........................................................................................Nuuchahnulth Tribal CouncilCrema, Pamela ..................................................................CHN/Health & Social Teamleader ..............................................................Lower Similkameen Indian BandCurrier, Janet .....................................................................Health Canada - ........................................................................................BC Region First Nations and InuitDavidson, Terrie ................................................................Manager ....................................................................................................Boothroyd BandDawson, Robin..................................................................Housing / Capital Projects Manager ..........................................................Tsawataineuk First NationDay, Irene ..........................................................................Director of Operations ...............................................................................BC Centre for Excellence in HIV/AIDSDay, Linda .........................................................................Program Co-ordinator ................................................................................BC Aboriginal Capacity and Developmental Research EnvironmentsDeGroot, Michelle .............................................................Director ......................................................................................................FNCHC First Nations Chiefs Health CommitteeDemerais, Lou ...................................................................Executive Director ......................................................................................Vancouver Native Health SocietyDo, Solange ......................................................................Program Administrator ..............................................................................First Nation and Inuit Health Canada Integrated Agreements UnitDobmeier, Teresa ..............................................................Injury Prevention Manager ........................................................................Interior Health AuthorityDokis, Laurie .....................................................................Nurse Consultant .......................................................................................Inter Tribal Health AuthorityDore Jr, Joseph ..................................................................First NationsYouth Peer Educators Circle Male-Chair..................................Assembly of First NationsDouglas, Chief Sidney .......................................................Chief ..........................................................................................................Cheam First NationDuddy, Janice ....................................................................Manager, HIV/AIDS Program ......................................................................Provincial Health Services AuthorityDumas, Maruse .....................................................................................................................................................................................Health Canada - BC Region First Nations and InuitDuncan, Josh .....................................................................First Vice Chair ..........................................................................................Kwakutl District CouncilEaton, Gavin .....................................................................A/Director of First Nations Telehealth ........................................................BC Ministry of HealthEdenshaw, Toni .................................................................Contract Manager ......................................................................................Vancouver Island Health AuthorityEichstaedt, Carol ...............................................................Health Director Hagwilget .........................................................................Village CouncilEnns, Charmaine ...............................................................Medical Health Officer ...............................................................................Vancouver Island Health AuthorityEve, Doni ..........................................................................Healthy Aging Manager .............................................................................Ministry of HealthFairburn, Russell ...............................................................Manager, Business Planning .....................................................................BC Ministry of HealthFleming, Debbie ................................................................Program Assistant .....................................................................................Health Canada FNIHB e-Health SolutionsFosbery, Patrick .................................................................A/Manager of Community Services ...........................................................Westbank First NationsFox, Terry ..........................................................................Executive Director ......................................................................................Inter Tribal Health AuthorityFrank, Dawn ......................................................................Integrated Services Manager .....................................................................Nil/Tu,O Child & Family Services SocietyFraser, Tonya .....................................................................Health Careers Coordinator .......................................................................FNCHC First Nations Chiefs Health CommitteeGeber, Joan .......................................................................Director, Women’s, Maternal & Children’s Health ......................................Ministry of HealthGeorge, Leonard ...................................................................................................................................................................................Tsleil-Waututh NationGeorge, Michelle ...............................................................Executive Director ......................................................................................Red Road HIV/AIDS NetworkGeorge-Wilson, Leah .........................................................Chief ..........................................................................................................Tslei’l-Wautntz First NationGirouard, George ...............................................................Human Resources Aboriginal Planning Coordinator .................................Interior HealthGladstone-Brown, Vanessa ...............................................Health Board Member ...............................................................................Hailika’as Heiltsuk Health CentreGoertzen, Myrtle ...............................................................Board of Director .......................................................................................Gitxsan Health SocietyGohn, Judith ......................................................................Health Director ..........................................................................................Ts’ewulhtun Health CentreGood, Sandra ....................................................................Health Administrator / Councilor ...............................................................Snuneymuxw First NationGoodwater, Donna ............................................................Social Development Vision Manager .........................................................Okanagan Indian BandGosnell-Myers, Ginger .......................................................Researcher .................................................................................................Centre for Native Policy and ResearchGrant, Teena ......................................................................Health Services Coordinator ......................................................................Kitamaat Village CouncilGray, Lynda .......................................................................Executive Director ......................................................................................Urban Native Youth AssociationGreene, Sandra .................................................................Community Health Worker ........................................................................Pacifica Association of First Nations WomenGreenwood, Margo............................................................Scientific Director ......................................................................................NCCAHGregg, Judy .......................................................................Health Director ..........................................................................................Ulkatcho First NationGroves, Juniper ..................................................................Communications ........................................................................................Squamish NationGuram, Kamaljeet .............................................................Project Officer ............................................................................................Health Canada First Nations and Inuit HealthHamilton, Margaret ...........................................................Health Director Soowahlie .........................................................................First NationHanki, Paul .......................................................................Regional Manager, Mental Health and Addictions ....................................Northern Health AuthorityHanley, Sue .......................................................................Coordinator ...............................................................................................First Nations Technology CouncilHanna, Rosalin ..................................................................Executive Director ......................................................................................Aboriginal Women’s Health & Healing ResearchHasselback, Paul ...............................................................Interim Senior Medical Health Officer .......................................................Interior Health AuthorityHazlewood, Andrew ..........................................................Assistant Deputy Minister .........................................................................Ministry of HealthHelin, Sharon ....................................................................Regional Leader ........................................................................................Vancouver Coastal HealthHenderson, Priscilla ..........................................................Acting Health Director ...............................................................................Kwakiutl District CouncilHenderson, Shelley ...........................................................Home & Community Care Coordinator ......................................................Kwakiutl District Council Health OfficeHerbert, Elaine ..................................................................Director of Operations ...............................................................................Aboriginal Peoples Family AccordHerman, Matt ....................................................................Injury Prevention Manager ........................................................................Ministry of HealthHill, Robert ........................................................................Chief Councillor .........................................................................................Hartley Bay Village CouncilHilson, Michael .....................................................................................................................................................................................Health Canada - BC Region First Nations and InuitHoard, Patricia ..................................................................Health Director ..........................................................................................West Moberly First NationHogg, The Hon. Gordon ........................................................................................................................................................................Minister of State for ActNow BCHollett, Gran .....................................................................Director, Planning & Community Engagement ..........................................Vancouver Island Health AuthorityHolte, Pamela ...................................................................Pre-med Student .......................................................................................Ulkatcho First NationHome, Dr. Digby ..............................................................Medical Health Officer Thompson .............................................................Cariboo Shuswap Interior Health AuthorityHoward, Anne ...................................................................Executive Director ......................................................................................Gitsegukla Health Programs & ServicesHunt, Megan .....................................................................Special Projects Coordinator .....................................................................Carrier Sekani Family ServicesHunt-Jinnouchi, Fran .........................................................Committee Member ...................................................................................Chiefs Health CommitteeIsaac, Karen ......................................................................Executive Director ......................................................................................BC Aboriginal Child Care SocietyIvand, Karin. .....................................................................Forum Coordinator ....................................................................................Bay House Group IncJackson, Stuart ..................................................................Councilor ...................................................................................................Lower Nicola BandJacobs, Krisandra ..............................................................Communications / Councillor ....................................................................Squamish NationJoe, Paul ............................................................................Board Member ...........................................................................................Twewulhtun Health Centre

APPENDIx B:

REGISTRANTS LIST

BC FIRST NATIONS HEALTH

PLAN FORUM

APRIL 10-11, 2007

(302 REGISTRANTS)

Name Position Organization

15

John, Edward .....................................................................Executive Director .......................................................................................FNS Task Force First Nations Leadership CouncilJohn, Simon ......................................................................Band Counsellor ........................................................................................Tl’azt’en NationJohnson, Suzanne .............................................................A/Regional Nutritionist & ADI/CPNP Program Manger ...............................First Nations & Inuit HealthJohnstone, Ryan ................................................................Policy and Program Analyst ......................................................................Health CanadaJorgensen, Lily ..................................................................Government Representative ......................................................................Nisga’a Ts’amiks Vancouver SocietyJoseph, Bianca .................................................................Band Member Emergency Officer 1 ...........................................................Squamish NationJoseph, Chief Robert .........................................................National Advisor ........................................................................................Indian Residential School Survivors Society)Joseph, Jordan ...................................................................Executive Assistant ....................................................................................FNCHC First Nations Chiefs Health CommitteeJoseph, Karen ..................................................................Director, Aboriginal Health Human Resource Initiatives ............................Aboriginal Health Branch Ministry of HealthJoseph, Vincent .................................................................Health Director ..........................................................................................Tl’azt’en NationJules, Pamela ....................................................................Councillor ..................................................................................................Skeetchestn First NationKelly, Leona ......................................................................Health Portfolio Holder .............................................................................Shxw’owhamelKendall, Dr. Perry ..............................................................Provincial Health .......................................................................................Officer Ministry of HealthKnipe, Ian .........................................................................Sr. Advisor,Policy & Strategic Planning .....................................................First Nations and Inuit Health Health CanadaKnowles, Mary ..................................................................Transfer Projects ........................................................................................Health CanadaKnox-Guimont, Mary .........................................................Health Advocate ........................................................................................FNCHC First Nations Chiefs Health CommitteeKrause, Murry ....................................................................Executive Director ......................................................................................Central Interior Native Health SocietyKruger, Lynn ......................................................................Health Programs Manager .........................................................................Penticton Indian BandLacerte, Paul .....................................................................Executive Director. ......................................................................................Ass. of Aboriginal Friendship Centres of B.CLampreau, Simone ............................................................Health Manager .........................................................................................Simpcw Health ProgramsLappe, Catherine ...............................................................Regional Director General, ........................................................................BC Region Health CanadaLawrence, Cindy ................................................................Health Director ..........................................................................................Blueberry River First NationLawrence, Richard .................................................................................................................................................................................Health Canada - BC Region First Nations and InuitLayton, Kerry.....................................................................Health Director ..........................................................................................Nazko First NationLeBourdais, Chief Micheal ................................................Committee Member ...................................................................................FNCHC First Nations Chiefs Health CommitteeLecoy, Denise ....................................................................Prov. Coordinator Honour Your Health Challenge .....................................Ministry of Health, Aboriginal Health BranchLee, Jennifer ......................................................................Program Assistant .....................................................................................Health CanadaLeslie, James .....................................................................Consultant .................................................................................................Chehalis Health and Family ServiceLinger, Rick .......................................................................Board Member ...........................................................................................Southern Stl’atlimx Health SocietyLouie, Feddie ....................................................................Health Director ..........................................................................................Iskut Valley Health ServicesLouie, Mabel .....................................................................Health Director ..........................................................................................Carrier Sekani Family ServicesLouie, Matthew .................................................................Youth Advocate .........................................................................................Cowichan TribesLouie, Theresa ..................................................................NOT ON REG FORM ...................................................................................NOT ON REG FORMLouis, Doris .......................................................................Volunteer - Patient Laison .........................................................................Stella’ten First NationLouis, Fraser C. .................................................................Elder ..........................................................................................................Stella’ten First NationLulua, Patrick ....................................................................Health Director ..........................................................................................?Eniyud Health ServicesMaas, Judy ........................................................................Aboriginal Liaison, ....................................................................................Okanagan Health Service Area Interior HealthMacbeth, Gail ........................................................................................................................................................................................Health CanadaMack, Wilma .....................................................................Health Director ..........................................................................................Gwa’Sala-’Nakwaxda’xw NationMacKenzie, Blair ...............................................................Advisor ......................................................................................................BC Aboriginal Network on DisabilitiesMarkin, Lorne ........................................................................................................................................................................................Health Canada - BC Region First Nations and InuitMarkin, Lorne ....................................................................Manager, Integrated Unit ...........................................................................Health CanadaMartin, Chief Willard .........................................................Committee Member ...................................................................................FNCHC First Nations Chiefs Health CommitteeMartin, Dr. David ...............................................................Program Medical Officer ............................................................................Health Canada - BC Region First Nations and InuitMartin, Willard .................................................................Chief Councilor/First Nations Health Council .............................................Lax_galts’ap Village GovernmentMartiquet, Paul .................................................................Medical Health Officer ...............................................................................Vancouver Coastal HealthMcColgan, Karen ..............................................................CDC Nurse ...................................................................................................Health Canada First Nations and Inuit HealthMcCormack, Brenda ..........................................................Program Officer .........................................................................................Health CanadaMcCullough, Mary .............................................................Health Director ..........................................................................................Three Corners Health Services SocietyMcGuire, Ray ....................................................................Health Advisor ...........................................................................................TseycumMcIntyre, Sherry ................................................................Health Director ..........................................................................................Fraser Canyon Health ProgramMcLaughlin, Gladys ..........................................................Program Officer, Integrated Agreements Unit, ...........................................Health Canada First Nations and Inuit HealthMedd, Lorna......................................................................Medical Health Officer ...............................................................................Northern Health AuthorityMichell, Tracey J. ...............................................................Policy Analyst, ............................................................................................Children and Families First Nations SummitMiles, Barbara ...................................................................A/Senior Policy Analyst ..............................................................................Aboriginal Health Branch Ministry of HealthMillar, Dr. John ..................................................................ED, Population Health Surveillance & Disease Control Planning ...............Provincial Health Services AuthorityMiller, Diane ......................................................................Executive Director ......................................................................................Fraser HealthMiller, Laura ......................................................................A/Health Director .......................................................................................Kitsumkalum BandMiller, Shauna ...................................................................Senior Policy Analyst, ................................................................................Ministry of Health Aboriginal Health BranchMiller, Susan .....................................................................Manager of Health and Social Services ....................................................Tsawwassen First NationMitchell, Cheryl .................................................................Program Officer .........................................................................................FNIHMitic, Wayne .....................................................................Manager, Chronic Disease Prevention Evaluation .....................................Ministry of HealthMonk, Cynthia ...................................................................RN ...............................................................................................................Lake Babine NationMontaner, Julie ..................................................................Centre Director ..........................................................................................BC Centre for Excellence in HIV/AIDSMontgomery-Reid, Lisa .....................................................Council Member ........................................................................................Lower Similkameen Indian BandMoore, Tania .....................................................................Program Assistant .....................................................................................Health Canada First Nations and Inuit HealthMorison, Leslie .................................................................Senior Policy Analyst .................................................................................Ministry of Health Aboriginal Health BranchMorrison, Rose ..................................................................Board of Director .......................................................................................Gitxsan Health SocietyMuldoe, George ................................................................Board of Director .......................................................................................Gitxsan Health SocietyMuldoe, Myrtle ..................................................................Board of Director .......................................................................................Gitxsan Health SocietyNahanee, Joanne ...............................................................A/Treatment Manager ................................................................................Health Canada - BC Region First Nations and InuitNanayakkara, Seth ............................................................Program Consultant ...................................................................................Health Canada First Nations and Inuit HealthNault, Tara .........................................................................A/Director, Strategic Initiatives ..................................................................Ministry of Health Aboriginal HealthNed, Lester........................................................................Health Director ..........................................................................................Southern Stl’at’imx Health SocietyNelson, Joanne ..................................................................FASD Program Manager ............................................................................Health CanadaNeufeld, Carolyne..............................................................Health and Social Development Manager .................................................Seabird Island BandNikal, Juanita .....................................................................Assistant Administrator .............................................................................Moricetown Band CouncilNorth, Patricia B. ..............................................................Community Health Rep. ............................................................................Toquaht First NationNye, Lisa ...........................................................................Executive Director ......................................................................................Ministry of Aboriginal Relations & Reconciliation - Intergovernmental & Community Relations BranchO’Donaghey, Dolores ........................................................Chief ..........................................................................................................Boston Bar First NationO’Sullivan, Erin .................................................................Manager: Maternal-Women’s Health ..........................................................BC Ministry of HealthPalmantier, Emma Northern BC ........................................Chair/Coordinator ........................................................................................Aboriginal HIV/AIDS Task ForcePasco, Chief Bob...............................................................Chief ..........................................................................................................Oregon Jack Ck BandPassmore, Sylvia ...............................................................A/Manager Post Transfer Agreements Uni .................................................FNIH, BC Region, Health CanadaPatrick, Betty ....................................................................Chief ..........................................................................................................Lake Babine NationPatterson, Katharina .........................................................Director, Health Authority Partnerships .....................................................Aboriginal Health, Ministry of HealthPeters, Virginia ..................................................................Manager, Health & Family Services ...........................................................Chehalis Health & Family ServicesPeters, Virginia ..................................................................Health Director ..........................................................................................Lytton First NationPhillip, Grand Chief Stewart ..............................................President ...................................................................................................Union of BC Indian ChiefsPittman, Charlene .............................................................Health Director ..........................................................................................Ashcroft Indian BandPlasway, Colette ................................................................Aboriginal Project Coordinator ..................................................................Northern Health AuthorityPlummer, Lorraine .............................................................Program Officer .........................................................................................Health CanadaPoint, Elizabeth .................................................................Acting Director of Health Services ............................................................Sto:lo NationPorter, Dave ..........................................................................................................................................................................................FNS Task Group First Nations Leadership CouncilPotter, Ian .........................................................................Assistant Deputy Minister .........................................................................Health Canada First Nations and InuitPower, Verna .....................................................................Councillor ..................................................................................................Lake Babine NationPrice, Chief Lynda .................................................................................................................................................................................First Nations Leadership CouncilPtolemy, Marcy..................................................................Nursing Manager of Community Health ....................................................Southern Stl’atl’imx Health SocietyPynenburg, Margaret ........................................................Transfer Nursing Manager .........................................................................Health Canada First Nations and InuitQuipp, Rick .......................................................................Councillor ..................................................................................................Cheam First NationQuock, Geraldine .............................................................Health Director ..........................................................................................Tahltan Health & Social ServicesRamsden, Murray ..............................................................CEO ............................................................................................................Interior HealthRead, Simon .....................................................................Director Community & Human Services ....................................................Nuu-chah-nulthRichmond, Valerie .............................................................Ministerial Assistant ..................................................................................ActNow BCRivers, Audrey .......................................................................................................................................................................................Squamish NationRobinson, Jennifer ...........................................................Healthy Medication Coordinator ................................................................Healing Our SpiritRogers, Jim ........................................................................Regional Dental Officer .............................................................................Health CanadaRogers, Lisa ......................................................................Child Health Manager ................................................................................Ministry of Health Population, Health & WellnessRosal, Assunta ..................................................................Health & Social Development Advisor ......................................................Okanagan Nation AllianceRowland, Paula .................................................................Facilitator ...................................................................................................SunStone


16

Rowlandson, John ............................................................Telemedicine Consultant ...........................................................................Inter Tribal Health AuthorityRyan, Nicole ......................................................................A/Director, Policy and Planning .................................................................Aboriginal Health Branch Ministry of HealthSandford, Judy ......................................................................................................................................................................................Health Canada - BC Region First Nations and Inuit HealthSayers, Chief Judith ...............................................................................................................................................................................First Nations Summit Task Group First Nations Leadership CouncilScott, Lori .........................................................................Program Assistant .....................................................................................Health Canada First Nations and Inuit HealthSellars, Lori .......................................................................HIV/AIDS Coordinator ................................................................................BC Aboriginal HIV/AIDS SocietyShin, Nina .........................................................................Program Administrative Assistant ..............................................................Health CanadaShintah, Chief Robert ......................................................Vice-President ............................................................................................Union of BC Indian Chiefs First Nations Leadership CouncilShirey, Vanessa .................................................................Health Director ..........................................................................................Gitanyow Human ServicesShirley, Tara ..........................................................................................................................................................................................Premier’s OfficeSidhu, Kelly .......................................................................Transfer Program Administrator - FNIH .....................................................Health Canada First Nations & Inuit HealthSim, Rhonda .....................................................................Executive Director ......................................................................................BC Assembly of First NationsSmith, Frazer .....................................................................President BC ..............................................................................................Aboriginal Network on Disability Society (BCANDS)Smith, Stephen ................................................................Manager, Blood Borne Pathogens Communicable Disease & Addictions .......BC Ministry of HealthSommerfeld, Mark ............................................................Manager Community Development, Informatics, Research (CDIR) .............Inter Tribal Health Authority (ITHA)Sorensen, Marg .....................................................................................................................................................................................Ministry of HealthSpringinotic, Carla ...........................................................Coordinator Vision Screening ....................................................................Ministry of HealthSrour, Leila ........................................................................Director of Health Protection ....................................................................Health CanadaStanger, Elizabeth .............................................................Regional Coordinator ................................................................................Vancouver Coastal HealthStarr, Bill ...........................................................................Board of Director .......................................................................................Gitxsan Health SocietyStarr, Chief William ...........................................................Committee Member ...................................................................................FNCHC First Nations Chiefs Health CommitteeStein, Judith ......................................................................Acting Clinical Resource Nurse Mental Health Planning ...........................Health Canada First Nations and Inuit HealthStevens, Babs ...................................................................Band Manager ...........................................................................................Skidegate Band CouncilStewart, Bev .....................................................................Executive ...................................................................................................Nisga’aStewart, Penny ......................................................................................................................................................................................Health CanadaSwain, Lerinda ..................................................................Nurse Clinician, Acting Program Co-ordinator ...........................................BC Women’s Aboriginal Health ProgramSwendson, Mary ...............................................................Health Director ..........................................................................................Moricetown Health Centre Moricetown Band CouncilTabobondung, Lisa, .........................................................Aboriginal Health Executive Director ..........................................................Northern HealthTallio, Bill ..........................................................................Health Director ..........................................................................................Nuxalk NationTarbell, Harold ..................................................................Lead Facilitator ..........................................................................................Gaspe Tarbell AssociatesTaylor, Denise....................................................................IH - Aboriginal Health ................................................................................Lead Interior HealthTeegee, Mary .....................................................................Director of Child and Family Services .......................................................Carrier Sekani Family ServicesTerbasket, Pauline ............................................................Executive Director ......................................................................................Okanagan Nation AllianceThevarge, Dion ..................................................................Injury Prevention Coordinator ...................................................................Healing Our Spirit BC Aboriginal HIV/AIDS SocietyThomas, Ethel ...................................................................Councillor ..................................................................................................Spallumcheen BandThomas, Leonard ..............................................................Chief ..........................................................................................................Nakazdli BandThomas, Mary ...................................................................Health Director ..........................................................................................Canim Lake First NationThornton, Faye ..................................................................Provincial Assistant ...................................................................................Aboriginal Infant Development Programs of BCTrifonova, Diana ................................................................Health Systems Planning Advisor .............................................................Vancouver Coastal HealthUlrich, Cathy .....................................................................VP, Clinical Services/Chief Nursing Officer .................................................Northern HealthVan Somer, Meaghan ........................................................Social & Health Manager ..........................................................................Mcleod Lake Indian BandVarley, Leslie .....................................................................Consultant .................................................................................................Ministry of Health ServicesVeerapen, Richard ...........................................................Health Director ..........................................................................................Tsawout First NationVlahos, Peter ....................................................................Leader, Community Engagement, Aboriginal Communities .......................Vancouver Coastal HealthVolpel, Rick .......................................................................Administrator .............................................................................................Namgis Health CenterWaldner, Howard ...............................................................President and CEO ....................................................................................Vancouver Island Health AuthorityWalkus, Chief Paddy .........................................................Chief ..........................................................................................................Gwa’Sala-’Nakwaxda’xwWalkus, Willie ...................................................................Community Representative .......................................................................Gwa’Sala-’Nakwaxda’xwWard, Kevin ..........................................................................................................................................................................................Aboriginal Leadership CouncilWardman, Dr. Dennis ...........................................................................................................................................................................Health Canada - BC Region First Nations and Inuit HealthWaters, Shannon ..............................................................Family Physician .........................................................................................Weget, Alvin ......................................................................Board of Director .......................................................................................Gitxsan Health SocietyWeyhe, Maureen ...................................................................................................................................................................................Douglas First NationWheeler, Roger..................................................................Public Health Administrator ......................................................................Interior Health AuthorityWhite, Chief Clifford ..........................................................Chief ..........................................................................................................Gitxaala NationWhynot, Elizabeth .............................................................President ...................................................................................................BC Women’s Hospital & Health CentreWilliams, Amanda FNCHC First ..........................................Temp Receptionist ......................................................................................Nations Chiefs Health CommitteeWilliams, Amie ..................................................................Licensed Practical Nurse ...........................................................................INFO NOT ON REG FORMWilliams, Gary ...................................................................Chief Councillor .........................................................................................Gitwangak Band CouncilWillie, Louisa ....................................................................Health Director ..........................................................................................Heiltsuk Health CentreWilson, Chief Dora B. ........................................................Chief ..........................................................................................................Hagwilget Village CouncilWilson, James D. ...............................................................Chairman ...................................................................................................Kwakiutl District CouncilWilson, Margaret ...............................................................Manager, Aboriginal Health .......................................................................Fraser Health AuthorityWilson, Margaret D. ..........................................................Manager, Aboriginal Health .......................................................................Fraser Health AuthorityWilson, Martha ..................................................................Board of Director .......................................................................................Gitxsan Health SocietyWilson, Rosalie .................................................................Policy Analyst ............................................................................................Union of BC Indian ChiefsWilson, Rupert ..................................................................Council .......................................................................................................Kwakwilth First NationYork, Jean ..........................................................................Manager ....................................................................................................Heskw’en’scutxe Health ServicesYork, Victor .......................................................................Mental Health/Cultural Coordinator ...........................................................Heskw’en’scutxe Health ServicesYoungchief, Amber ............................................................Health Director ..........................................................................................Kitasoo Xai’Xais HealthYow, Charlene ...................................................................Aboriginal Community Engagement Coordinator ......................................Interior HealthYu, Jeffrey .........................................................................A/Program Manager ...................................................................................Health Canada FNIHB e-Health Solutions

Grand Chief Ed John First Nations Summit, Health Lead, First Nations Leadership Council

Premier Gordon Campbell Province of British Columbia

Grand Chief Stewart Phillip Union of BC Indian Chiefs

BC Regional Chief Shawn Atleo BC Assembly of First Nations

Ian Potter Assistant Deputy Minister, First Nations Inuit Health Health Canada, Government of Canada

Minister George Abbott Ministry of Health, Province of British Columbia

Chief Alan Claxton First Nations Health Council

Chief Fabian Alexis First Nations Health Council

Andrew Hazlewood Assistant Deputy Minister, Ministry of Health, Province of British Columbia, First Nations Health Advisory Committee and Province Wide Health Partners Group

Yousuf Ali Regional Director, First Nations Inuit Health, Health Canada, Government of Canada

Dr. Perry Kendall Provincial Health Officer, Province of British Columbia

Dr. David Martin Regional Programs Medical Officer, First Nations Inuit Health, B.C. Region, Health Canada, Government of Canada

Dr. Evan Adams Aboriginal Health Physician Advisor, Office of the Provincial Health Officer


APPENDIx C:

FORUM PRESENTERS

17

1. HEALTH PROMOTION, DISEASE & INJURy PREVENTION

TABLE NAME ROLE

1a. Tara Nault Room Host

1b. Kamaljeet Guram Transcriber

Prevention and PC 2a. Karen McColgan Table Host

2b. Judy Sandford Note Taker

ActNow 3a. Denise Lecoy Table Host

3b. Barb Miles Note Taker

ActNow 4a. Suzanne Johnson Table Host

4b. Solange Do Note Taker

Hearing and Vision 5a. Joan Geber Table Host

5b. Carla Springinotic Note Taker

Injury Prevention 6a. Matt Herman Table Host

6b. Colette Plasway Note Taker

Dental 7a. Jim Rogers Table Host

7b. Cheryl Mitchell Note Taker

Open Space 8a. Wayne Mitic Table Host

8b. Brenda McCormack Note Taker

2. HEALTH PROMOTION, DISEASE & INJURy PREVENTION

TABLE NAME ROLE

1a. Katharina Patterson Room Host

1b. Seth Nanayakkara Transcriber

Mental Health 2a. Margaret Wilson Table Host

2b. Deanna Bekker Note Taker

Mental Health 3a. Denise Taylor Table Host

3b. Tracey Michell Note Taker

Youth Suicide 4a. Paul Hanki Table Host

4b. Jordan Joseph Note Taker

Addiction Beds 5a. Joanne Nahanee Table Host

5b. Stephen Smith Note Taker

Coroners Report 6a. Russell Fairburn Table Host

6b. Leslie Morison Note Taker

First Responders 7a. Lorne Markin Table Host

7b. Charlene Yow Note Taker

Open Space 8a. Lezlie Varley Table Host

8b. Lisa Rogers Note Taker

3. HEALTH SERVICES

TABLE NAME ROLE

1a. Karen Joseph Room Host

1b. Jennifer Lee Transcriber

Chronic Disease 2a. Judith Stein Table Host

2b.MaryKnox-Guimont Note Taker

Health Education 3a Jennifer Robinson Table Host

3b. Tonya Fraser Note Taker

Telehealth 4a. Gavin Eaton Table Host

4b. Jean Allbeury Note Taker

Maternity Access 5a. Penny Stewart Table Host

5b. Erin O’Sullivan Note Taker

Health Authority Staffing 6a. Elizabeth Stanger Table Host

6b. Diana Trifonova Note Taker

Physician Participation 7a. Dr. Evan Adams Table Host

7b. Shauna Miller Note Taker

Nurse Practitioner 8a. Margaret Pynenburg Table Host

8b. Kelly Sidhu Note Taker

Open Space 9a. Joanne Nelson

4. GOVERNANCE & RELATIONSHIPS

TABLE NAME ROLE

1a. Ian Knipe Room Host

1b. Gail MacBeth Transcriber

Establish Health Council 2a. Michelle DeGroot Table Host

2b. Amanda Williams Note Taker

Health Plans 3a. Sylvia Passmore Table Host

3b. Sharon Helin Note Taker

Advisory Committee 4a. Peter Vlahos Table Host

4b. Rosalie Wilson Note Taker

Partners Groups 5a. Marg Sorenson Table Host

5b. Ryan Johnstone Note Taker

Accountability Framework 6a. Catherine Adam Table Host

6b. Doni Eve Note Taker

Role of Health Advisor 7a. Tom Bradfield Table Host

7b. Toni Edenshaw Note Taker

5. PERFORMANCE TRACKING & OPEN SPACE

TABLE NAME ROLE

1a. Dr. David Martin Room Host

1b. Lori Scott Transcriber

Aboriginal Health Report 2a. Nicole Ryan Table Host

2b. Tania Moore Note Taker

Tripartite Agreement 3a. Donna Cole Table Host

3b. Sue Hanley Note Taker

PHSA Survey 4a. Dr. John Millar Table Host

4b. Nina Shin Note Taker

Open Space 5a. Dr. Dennis Wardman Table Host

5b.Micheal Hilson Note Taker

STANDBy TABLE HOSTS AND NOTE TAKERS

NAME Linda Bachman Note Taker

Theresa Dobinger Note Taker

APPENDIx D:

TABLE HOSTS AND

NOTE TAKERS

18

APPENDIx E:

AGENDA


PLAN FORUM

VANCOUVER, BC

APRIL 10-11, 2007

To engage leadership and health providers at the First Nations, Provincial and Federal level in a dialogue on how to pursue the Tripartite First Nations Health Plan. During this dialogue the participants will begin to:

• Establish a shared understanding on the purpose and content of the First Nations

Health Plan;

• Identify the key challenges, content and process for managing change in the health

of First Nations;

• Contribute to the development of a collaborative 10 year plan of action to pursue and

measure the change;

• Explore how we will communicate on an ongoing basis; and

• Establish next steps including preliminary ideas for the follow-up gathering.

7:30 Registration

9:00 Convening of the Conference - Conference Ballroom

Conference MC Harold Tarbell

9:05 Opening Prayer

Elder Leonard George - Tsleil-Waututh Nation

9:15 welcoming Remarks

Grand Chief Ed John, First Nations Summit, Health Lead, First Nations Leadership Council

9:30 Opening Comments

Premier Gordon Campbell, Province of British Columbia

9:50 Opening Comments

Assistant Deputy Minister Ian Potter, First Nations Inuit Health, Health Canada

10:00 Health Break

10:30 Committing to a Plan for Change

Grand Chief Ed John, First Nations Summit

Grand Chief Stewart Phillip, Union of BC Indian Chiefs

BC Regional Chief Shawn Atleo, BC Assembly of First Nations

Assistant Deputy Minister Ian Potter, First Nations and Inuit Health, Health Canada, Government of Canada

Minister George Abbott, Ministry of Health, Province of British Columbia

12:00 Lunch

1:30 A Shared Understanding of the First Nations Health Plan

Governance and relationships component of the Plan

First Nations Health Council Chief Alan Claxton & Chief Fabian Alexis

First Nations Health Advisory Committee and the Province wide Health Partners Group

Assistant Deputy Minister Andrew Hazlewood, Ministry of Health

A new governance concept for First Nations Health

Catherine Lappe, First Nations and Inuit Health, BC Region, Health Canada

Reciprocal Accountability

First Nations Health Council, Ministry of Health and Health Canada

CONFERENCE OBJECTIVES

DAy ONE – TUESDAy, APRIL 10, 2007

19

3:00 Health Break

3:30 A Shared Understanding of the First Nations Health Plan (continued…)

Health Initiatives component of the Plan

Closing the Gap

Dr. Perry Kendall, Provincial Health Officer, BC

Briefing on the plan

Dr. David Martin, Regional Programs Medical Officer,

First Nations and Inuit Health, BC Region, Health Canada

5:00 Closing Prayer

Elder Audrey Rivers – Squamish Nation

6:00 Reception and Entertainment - M’Girl Aboriginal women’s Ensemble

9:00 Opening Prayer

Elder Audrey Rivers – Squamish Nation

9:05 Summary of Day One - Conference Ballroom

Conference MC Harold Tarbell

9:15 A Changing Relationship: Indigenous People within a responsive

Health System

Vision for the Future of First Nations Health

Dr. Evan Adams, Aboriginal Health Physician Advisor, Office of the Provincial Health Of ficer

10:00 Health Break

10:30 Gathering the People’s wisdom – Break out groups

Health Promotion/Disease and Injury Prevention - Nelson Room

Health Promotion/Disease and Injury Prevention - Denman Room

Health Services - Comox Room

Performance Tracking –Gilford Room

Governance, Relationships and Accountability – Barclay Room

12:00 Lunch

1:30 Gathering the People’s wisdom (continued…)

Health Promotion/Disease and Injury Prevention - Nelson Room

Health Promotion/Disease and Injury Prevention - Denman Room

Health Services - Comox Room

Performance Tracking – Gilford Room

Governance, Relationships and Accountability – Barclay Room

3:00 Health Break

3:30 Completing the Circle – Continuing the Dialogue, Conference Ballroom

Report on Key Messages

Next Steps

4:30 Closing Prayer

Elder Harriet Cook - Musqueam

DAy TwO – wEDNESDAy, APRIL 11, 2007

20

A) HEALTH PROMOTION, DISEASE AND INJURy PREVENTION: NELSON BALLROOM

1. Prevention and Primary Care On-Reserve

2. Aboriginal ActNow BC (Nutrition/Physical Activity)

3. Aboriginal ActNow BC (Tobacco/Healthy Pregnancy)

4. Hearing and Vision Screening

5. Injury Prevention (Seatbelts & Safe Driving)

6. Dental Screening & Treatment

7. Open Space

B) HEALTH PROMOTION, DISEASE AND INJURy PREVENTION: DENMAN BALLROOM

1. Mental Health & Addictions

2. Youth Suicide

3. Addiction Beds

4. Coroners Report and Recommendations

5. First Responder Programs

6. Open Space

C) HEALTH SERVICES: COMOx BALLROOM

1. Chronic Disease Services and Management

2. Aboriginal Health Education

3. Integrated Clinical Telehealth Network

4. Maternity Access Project

5. Health Authority Staffing Issues

6. Role of Physicians in Aboriginal Health and Healing Centres

7. Role of Nurse Practitioners

D) GOVERNANCE, RELATIONSHIPS AND ACCOUNTABILTy: BARCLAy ROOM

1. First Nations Health Council

2. Regional Health Authority and First Nations Aboriginal Health Plans

3. First Nations Health Advisory Committee

4. Health Partners Group

5. Reciprocal Accountability Framework

6. Role of Aboriginal Health Physician Advisor

E) PERFORMANCE TRACKING: GILFORD ROOM

1. Aboriginal Health Status Report

2. Tripartite Agreement & OCAP Principles

3. Provincial Health Services Authority Survey

4. Open Space

APPENDIx F:

TABLE TOPICS


PLAN FORUM

VANCOUVER, BC

APRIL 10-11, 2007

grand chief ed john

first nations summit

premier gordon campbell

province of british columbia

grand chief stewart philip

union of bc indian chiefs

bc regional chief shawn atleo

bc assembly of first nations

ian potter, asst. deputy minister

first nations inuit health, health canada

george abbott, minister

ministry of health, british columbia

chief alan claxton

first nations health council

chief fabian alexis

first nations health council

andrew hazlewood, asst. deputy minister

ministry of health, british columbia

catherine lappe

health canada

dr. perry kendall

provincial health officer, bc

dr. david martin

first nations inuit health, health canada

dr. evan adams

office of provinical health officer, bc

leonard george, elder

tsleil-waututh nation

22

Documents

Gathering Wisdom for a Shared Journey - health.gov.bc.ca€¦ · 11/04/2007 · The First Nations Health Forum: Gathering Wisdom for a Shared Journey was the first dialogue session