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Our Stories Told March 2010

Nova Scotia District Health Authorities. Tribal Organizations. AHTF Project. Mental Health

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Our Stories Told March 2010

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    1. “Our Stories Told” March 2010

    12. Links: AHTF Mental Health Projects Several AHTF mental health projects focusing on strengthened relationships between FN communities and DHAs (we’re not in this alone!) Evaluation team involved with all of them formally or informally Respecting everyone’s time by leveraging strength from multiple projects (shared evaluation tools, shared learning's, coordinators’ collaboration, etc.) Perhaps not surprisingly, common themes/issues emerging - but with each community presenting unique issues and needs

    13. Links: Discharge Planning Continuing Care Branch hosting AHTF project re: FN home care and discharge planning Completed evaluation of Cape Breton’s First Nations Discharge Planning Project pilot (document available) Drafted MOU to roll out the FN Discharge Planning model to rest of province (draft available) Extracted responses regarding discharge planning needs data from SWH, AVH, First Nation communities to inform our own needs assessment and evaluation (summary notes available)

    17. Create a forum to talk about mental health and discharge planning issues on Reserves Use that forum to gain a shared understanding of needs and capacities (at both the District and Community level) Formalize a mechanism to address issues so that access to services and outcomes are improved for FN patients, clients and families (mental health MOU, discharge planning protocols) Continue working together collaboratively on these and other health issues Our Objectives

    20. Information & Data Collection Strategies Used data & information collection process as an opportunity to build relationships and facilitate dialogue Added questions to Continuing Care AHTF community service profile instrument to collect local discharge planning needs information Used a combination of interviews and focus groups to collect mental health needs information Shared mental health instrument with Child and Youth AHTF project to develop a shared data platform

    22. . .

    23. Project Outcomes Formal Relationships Established between FN & DHA Service Navigation Charts for DHA’s & FN Communities Directory of Contacts for DHA’s & FN Staff Formal MOUs created and ready to be signed Linkages to other AHTF Projects Provincial Policy frameworks recognized and referenced in MOUs and formal relationships

    25. Where are we now? Relationships established between First Nation communities and District Health Authorities Champions within the District Health Authorities have advanced the First Nations’ health agenda First Nations communities are now collaborating with DHAs MOUs have been drafted & submitted for approval Joint Committees to oversee future health planning are being created

    27. Summary We are not in this alone. Lessons learned so far are consistent with findings from other AHTF mental health and discharge planning projects We have made strides in building trust Cultural safety is a two way street: District staff can feel as outside their comfort zone in relating the FN context as Aboriginal patients and families can feel entering the mainstream system We are not in this alone - we can share with, borrow and adapt from other AHTF projects Lessons learned so far are consistent with findings from other AHTF mental health and discharge planning projects We have made strides in building trust It’s all about relationships - they take time to build and need to be nurtured Cultural safety is a two way street - District staff can feel as outside their comfort zone in relating the FN context as Aboriginal patients and families can feel entering the mainstream system - everyone needs to feel safe and supported as we learn about each other and all become wiser as a result. We are not in this alone - we can share with, borrow and adapt from other AHTF projects Lessons learned so far are consistent with findings from other AHTF mental health and discharge planning projects We have made strides in building trust It’s all about relationships - they take time to build and need to be nurtured Cultural safety is a two way street - District staff can feel as outside their comfort zone in relating the FN context as Aboriginal patients and families can feel entering the mainstream system - everyone needs to feel safe and supported as we learn about each other and all become wiser as a result.

    28. Aboriginal Health Transition Fund

    30. WEL’ALIN THANK YOU

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