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CBHSSJB Annual Report 2018-2019

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2018 2019 ᐋᔑᑯᒻ ᐱᐳᓐᐦ ᑎᐹᒋᒨᓯᓂᐦᐄᑭᓐ aashikum pipunh tipaachimuusinihiikin annual report ᒥᔪᐱᒫᑎᓰᐅᓐ ᐊᓈᓈᑭᒋᐦᑖᑭᓅᒡ miyupimaatisiiun anaanaakichihtaakinuuch cree board of health and social services of james bay YEAR AT A GLANCE SPRING April 20, 2018 – Official 40th anniversary Regional Assembly on Health and Social Services in Waswanipi Launch of Cree Medical app Expanded medical support at Espresso Expanded air charter service to Waskaganish and Whapmagoostui 2018 Annual CHR Training, Chisasibi 2019 SUMMER MSSS approves funding for three birthing homes ᐋᔑᑯᒻ ᐱᐳᓐᐦ Traditional birthing knowledge gathering, Chisasibi ᑎᐹᒋᒨᓯᓂᐦᐄᑭᓐ FALL aashikum pipunh Blessing ceremony for Midwifery Program tipaachimuusinihiikin Regional Suicide Prevention Conference NAN delegation visit to Chisasibi annual Social Workers’ gathering, Val-d’Or CPDP annual meeting, Val-d’Or report Hiring of Jordan’s Principle PPRO FNHMA National Conference Bush to Table training Nurses’ training ᒥᔪᐱᒫᑎᓰᐅᓐ Opening of Robin’s Nest Women’s Shelter in Waskaganish Conclusion of CERP hearings ᐊᓈᓈᑭᒋᐦᑖᑭᓅᒡ WINTER miyupimaatisiiun Launch of integration program for new managers anaanaakichihtaakinuuch Expanded pharmacy opening hours cree board of health and Launch of audiology services social services of james bay Suicide Prevention Conference, Chisasibi Waapimaausuwin Home Away from Home activity, Val-d’Or Launch of Alfresco electronic document management system Adoption of PIJ software by Youth Protection Launch of vocational program for Pharmacy Technical Assistants CBHSSJB 40 year timeline 1978-2018 1978 Foundation of the CBHSSBJ Chisasibi Hospital opens 1981 1985 Mercury Agreement Start of diabetes monitoring 1989 Start of Youth Healing Services 1995 and Mental Health ᒥᓯᓈ ᐱᔅᑭᐦᐄᑭᓐ Special misinaapiskihiikin Oujé-Bougoumou 1999 General Assembly Cover photo (Tatiana Philptchenko) — Cayde and Ela Snowboy, first two babies born under the care of midwives in Chisasibi—the beginning of the implementation of midwifery services that will eventually be available to women MSSS agreement on throughout the region. 2001 Non-Insured Health Benefits With the exception of all photographs, the information in this publication may be reproduced without charge or further Public Health Department created 2002 permission, provided that the CBHSSJB is identified as the source. Download a copy at: creehealth.org Editor — Katherine Morrow 2003 First Strategic Regional Plan Copy Editors — Patrick McDonagh, Alison Scott Layout & design — Alison Scott Design Start of Nituuchischaayihtitaau Cree-Québec Agreement 2005 Photography — Tatiana Philiptchenko, with the exception of the following: Aschii research project and Funding Framework Paul Brindamour — page 21 Opening of Multi-service Day Iain Cook — page 24 2006 Jason Coonishish — page 34 Centres (MSDCs) Marcel Grogorick — pages 17, 77, 85, 101 First regional election for Pauline Lameboy — page 59 2008 Joshua Loon — pages 39, 107 CBHSSJB Chairperson Mary Monger — pages 32, 36, 104, 108 Katherine Morrow — page 42 Creation of Nishiiyuu 2011 Wemindji CMC — page 44 Unknown — page 126 Launch of website 2013 www.creehealth.org Annual Report of the Cree Board of Health and Social Services of James Bay, 2018-2019 © 2019 CBHSSJB Launch of medical air charter Box 250, Chisasibi, QC J0M 1E0 service with Air Creebec 2015 ISSN 11929-6983 (Print) Biennial Regional Assembly to ISSN 1929-6991 (Online) 2016 define Strategic Regional Plan Legal deposit — 3rd trimester 2019 National Library of Canada Opening of inland Robin’s 2017 Bibliothèque et Archives nationales du Québec, 2019 Nest Women’s Shelter Launch of midwifery Biennial Regional Assembly 2018 services in Chisasibi on community partnerships contents ᐋᐦᑰ ᓃᔮᓐ aauuk niiyaan about us 8 ᐋᑎᔅᑳᑑᐦᒡ ᐋᐱᑎᓰᓲᐐᔨᒡ aatiskaatuuhch aapitisiisuuwiiyich organigram 10 ᐋᑎᔑᔨᒡ ᐄᔨᔨᐅᐎᒡ aatishiyich iiyiyiuwich population map 11 1 2 3 4 5 6 ᑳ ᐱᒥᐱᔨᐦᑖᑦ ᐱᒧᐦᑌᐦᐁᐤ ᓂᔒᔫ ᒥᔪᐱᒫᑎᓰᐅᓐ ᒥᔪᐱᒫᑎᓰᐅᓐ ᐋ ᐅᐦᒋ ᐱᒥᐱᔨᐦᑖᑭᓂᐎᒡ ᐋ ᒥᓯᓈᓱᑦ kaa pimipiyihtaat pimuhteheu nishiiyuu miyupimaatisiiun ᐋᐱᑎᓰᐎᓐ ᑳ ᐃᔅᐱᔨᑦ ᔔᔮᓐ miyupimaatisiiun aa uhchi pimipiyihtaakiniwich aa misinaasut kaa office of the chair pimuhteheu nishiiyuu Miyupimaatisiiun aapitisiiwin ispiyit shuuyaan Chair and Executive Director 14 Pre-Hospital Emergency miyupimaatisiiun Medical Affairs and Services 65 administrative financial Board of Directors 16 Services and Emergency AED Nishiiyuu DPSQA - Health 69 Measures 33 Miyupimaatisiiun 56 services statements Council of Nishiiyuu 17 Allied Health 72 Youth Healing Services 35 Human Resources 105 Breakdown of gross Executive and Senior Midwifery 74 expenses by program 117 Management 18 Youth Protection 36 Financial Resources 107 Psychosocial 76 CBHSSJB financial Corporate Services 19 Program Development Information Technology and Support 38 Chisasibi Hospital 77 Resources 108 statements 118 Council of Physicians, Dentists Specialized Services 81 and Pharmacists 20 Public Health 39 Material Resources 109 Council of Nurses 22 Community Wiichihiituwin Miyupimaatisiiun Centres (Cree Patient Services) 112 Service Quality and Complaints 24 (CMCs) 83 Population Health Profile 26 ᐋᐆᒃ ᓃᔮᓐ aauuk niiyaan About us 1978 ᑳ ᐄᒋᔅᑖᐦᒡ ᐊᔅᒌ ᐊᒋᐦᑖᓱᓐ ᐊᑰᐦᑦ ᐧᐄᔅᑳᒡ ᓂᔒᔫ, ᒥᔪᐱᒫᑎᓰᐅᓐ (ᒥᓯᐧᐋ ᐄᔨᔨᐤ ᐄᑕᐧᐄᓐᐦ Founded in 1978, the Cree Board of Health and In addition to CMCs, the CBHSSJB operates ᑳᐦ ᑎᑰᒡ ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ ᓂᑐᐦᑯᔨᓐ ᐋᐧᐄᐦᒡ ᑖᐱᑎᐧᐃᐱᔨᐦᐆᒪᑳᓐᐦ) ᐋᐧᐄᔨᒡ ᑭᓂᐧᐋᐱᐦᑖᑲᓄᐄᔨᒡ Social Services of James Bay (CBHSSJB) is the 29-bed Chisasibi Regional Hospital, three ᑭᓂᐧᐋᐱᐦᑖᑭᓅᒡ᙮ ᒥᓯᐧᐋ ᐋᐧᐋᓐ ᐋ ᐧᐄᒋᐦᑦ ᐆᑦ ᐄᔨᔨᐤ ᐋᐱᑎᓰᐧᐄᓐ ᑭᔮ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ᙮ ᐅ ᒫᒃ ᒥᓯᓂᐦᐄᑲᓐ responsible for the administration of health and homes for youth at risk, a Regional Public ᐊᔅᒌᔨᒡ ᐊᑰᐦᑦ ᐧᐋᒡ ᑭᓂᐧᐋᐃᐦᑖᑯᓯᑦ᙮ ᐊᓐ ᒑ ᐄᔥ ᐧᐋᓯᑕᑲᓅᐧᐄᔨᒡ ᓂᔮᔨᓐᐦ ᐱᔅᑭᑎᓯᓂᐦᐄᑭᓐᐦ ᐋᐧᐄᐦᑕᑯᒡ ᑖᓐ social services for all persons residing perma- Health Department and program planning unit, ᑭᐧᐋᐱᐦᑎᒫᔨᒡ ᐋᐱᑎᓰᐧᐄᓐᐦ ᑭᔮ ᒥᔪᐱᒫᑎᓰᐅᓐ ᒧᔮᒻ ᐋ ᑳ ᐄᔅᐲᔨᒡ ᐋᐱᑎᓰᐧᐄᓐᐦ ᐅᑦ ᒥᓯᓂᐦᐄᒐᑭᒥᑯᒡ᙮ nently or temporarily in Region 18, the adminis- Wiichihiituwin (formerly Cree Patient Services) trative region of the Ministry of Health and Social liaison offices in Chibougamau, Val-d’Or and ᐄᔥ ᒥᓯᓈᑖᐦᒡ ᑯᐹᒃ ᐧᐄᔔᐧᐋᐧᐄᓐᐦ᙮ ᐹᐊᓛ ᐹᑕᐧᐋᐱᓅ ᓃᑳᓂᔅᑭᒻ ᐊᓂᔮ ᒥᓯᓃᐦᐄᒑᐅᑭᒥᑯᒡ Services of Quebec corresponding to the Cree Montreal, and a recruitment office in Montreal. ᐊᓐ ᐅᒋᒫᐤ ᒥᓯᓂᐦᐄᒑᐅᑭᒥᒄ ᐊᑰᐦᑦ ᐊ ᑎᑰᒡ ᒥᔪ ᐱᒫᑎᓰᐧᐄᓐ ᑭᔮ ᓂᑐᐦᑯᔨᓐ ᐋ ᐧᐄᔨᒡ territory of James Bay. Our mandate is defined in The Head Office is in Chisasibi. Chapter S-5—An Act respecting health services ᐊᓂᑖ ᒋᓵᓰᐱᔨᒡ᙮ ᓃᔮᔨᓐᐦ ᐊᓂᐦᐄ ᒑᐧᑳᓐ ᐋ ᑭᓂᐧᐋᐱᐦᑖᑭᓅᐧᐄᔨᒡ, ᐊᑯᑦ ᐊᔅᑎᐱᐦᔨᒡ ᐊᓂᔮ ᑳ and social services for Cree Native persons. The CBHSSJB is governed by an elected ᐋᐱᑎᓰᔅᑕᑲᓄᐧᐄᔨᒡ ᐅᑦ ᒥᓯᓃᐦᐄᒑᐅᑭᒥᑯᒡ: ᐊᓂᒋ ᐲᐦᑕᓰᓂᐧᐋᑲᓅᐧᐄᔨᒡ ᒑ ᒋ ᒫᒨᐧᐄᔅᑖᐦᒡ ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ Board of Directors whose Chairperson is Bella ᒑᔅᑖᐱᑎᓰᔅᑖᐦᒡ ᒥᔪ ᐱᒫᑎᓰᐧᐄᓂᔫ ᒫᒧᐧᐃᐦᑕᐧᐃᒡ ᓂᑐᐦᑯᔨᓐ ᐋᐱᑎᓰᐧᐃᓐᔫ᙮ ᐊᓂᒌ ᒫᒃ ᑳ ᒫᒨᐧᐄᐧᐃᐱᔅᑖᐦᒡ In each of the nine communities of Eeyou Ist- M. Petawabano. Advisory Committees and ᐋ ᑭᓂᐧᐋᐱᐦᑖᐦᒡ ᐊᐱᑎᓰᐧᐄᓐᐦ: ᐱᒧᐦᑕᐦᐅ, ᒥᔪᐱᒫᑎᓰᐅᓐ ᑭᔮ ᓂᑑᑯᔨᓂᔫ ᐋᐱᑎᓰᐧᐃᓐᔫ ᐊᓐ ᑭᔮ chee, the CBHSSJB operates a Community Mi- Councils report directly to the Office of the ᐅᒋᒫᐤ ᑳ ᓈᑭᑎᐧᐋᔨᐦᑎᒃ ᐋᐦᐋᑳ ᓃᔅᑳᒑᔨᒡ ᐄᒧᐧᐄᓂᔫ yupimaatisiiun Centre (CMC), which is similar to Chair, as do the Service Quality and Complaints an Integrated health and social services centre Commissioner and the Medical Examiner. The ᑭᔭ ᐋᐱᑎᓰᐧᐄᓂᔫ, ᑭᔮ ᐊᓐ ᑳᓂᑑᒋᔅᒑᐄᐦᑎᐦᒃ (CISSS) elsewhere in Quebec. CMCs offer ser- Executive Director is Mr. Daniel St-Amour. ᓂᑐᐦᑯᔨᓂᔫ ᐋ ᐧᐄᔅᑖᐱᔨᐦᐧᐋᒡ᙮ ᑖᓂᔨᓪ ᓭᐁᓂᑦ - ᐋᐦᒨᕐ vices in general medicine, home care, dentistry, ᐋ ᐧᐄᐦᑰ ᐧᐋᒋᒫᐧᐄᑦ ᐊᓂᑖ ᒥᓰᓇᐦᐄᒐᐧᐄᑲᒥᑰᒡ᙮ social services and allied health. 8 9 aatiskaatuuhch aatishiyich iiyiyiuwich ᐋᑎᔅᑳᑑᐦᒡ ᐋᐱᑎᓰᓲᐐᔨᒡ aapitisiisuuwiiyich ᐋᑎᔑᔨᒡ ᐄᔨᔨᐅᐎᒡ EEYOU ISTCHEE POPULATION council of nishiiyuu JULY 2018 Puvirnituq council of physicians, dentists and pharmacists Chisasibi 4,843 board of Eastmain 849 directors council of nurses Mistissini 3,872 Nemaska 840 SERVICE quality and complaints Kuujjuak Oujé-Bougoumou 854 Waskaganish 2,473 Waswanipi 2,073 Wemindji 1,557 executive Whapmagoostui 1,031 direction CORPORATE SERVICES 18,394 Kuujjuaraapik Whapmagoostui Great Whale Caniapiscau nishiiyuu administrative pimuhteheu miyupimaatisiiun Radisson La Grande miyupimaatisiiun services Chisasibi Wemindji Eastmain 10 pre-hospital community medical affairs human resources 11 Eastmain Nemaska emergency services development and services and emergency complementary medicine financial measures services and resources Waskaganish Rupert Mistassini programs dentistry Oujé- Bougoumou youth healing pharmacy information services organizational technology Mistissini quality and nursing resources Chibougamau youth protection cultural safety Matagami evaluation and allied health material 109 Waswanipi 167 program accreditation resources St-Jean Amos 113 Distance from Montréal development and client midwifery Saguenay Whapmagoostui 1757 km support experience and wiichihiituwin Rouyn organizational Noranda 117 Chisasibi 1466 km disability services psychosocial (formerly cree performance patient services) Val-d’Or Wemindji 1394 km (special needs) 155 Québec Eastmain 1232 km chibougamau maanuuhiikuu Nemaska 1033 km 117 (mental health) chisasibi Waskaganish 1130 km Trois Mistissini 795 km community Rivières chisasibi miyupimaatisiiun montreal hospital Oujé-Bougoumou 732 km public health centres 40 va l- d’o r 105 15 Waswanipi 820 km awash (0-9 yrs) 50 Cree community Gatineau Montréal uschiniichisuu (10-29 yrs) chisasibi chisasibi Ottawa CBHSSJB office chishaayiyuu (30+ yrs) hospital eastmain hospital serc (surveillance, hospital mistissini evaluation, research, airport units communications) nemaska town/city There is approximately an additional 5% non-permanent clinical oujé-bougoumou residents
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    CREE NATION OF CHISASIBI LAW NO. * respecting access and residence rights WHEREAS the Cree Nation of Chisasibi has an obligation to ensure the well-being and safety of its members and public order in the community; WHEREAS the increased mobility of people within Eeyou Istchee and elsewhere makes it necessary to establish standards and rules for the exercise of rights of access and residence; NOW THEREFORE: PURSUANT to its inherent sovereign authority and to paragraphs 6.2(1)(f) and (g) and section 9.2 of the Agreement on Cree Nation Governance between the Crees of Eeyou Istchee and the Government of Canada, the Cree Nation of Chisasibi, acting through its Council at a meeting held on the ● day of ● 2020, hereby enacts the present Law No. 2020-●, respecting access and residence rights. SHORT TITLE 1.(1) This law may be cited as the Access and Residence Law. INTERPRETATION 2.(1) Unless otherwise indicated by express terms or necessary implication, the words and expressions in this law will have the same meaning as in the Agreement on Cree Nation Governance between the Crees of Eeyou Istchee and the Government of Canada and in the Constitution of the Cree Nation of Eeyou Istchee. 2.(2) In this law, “Agreement” means the Agreement on Cree Nation Governance between the Crees of Eeyou Istchee and the Government of Canada as given effect by the Cree Nation of Eeyou Istchee Governance Agreement Act, SC 2018, c 4, s 1, "applicant" means a person who makes an application under this law, “Chisasibi” means the settled areas of the Category IA land
  • Large Area Planning in the Nelson-Churchill River Basin (NCRB): Laying a Foundation in Northern Manitoba

    Large Area Planning in the Nelson-Churchill River Basin (NCRB): Laying a Foundation in Northern Manitoba

    Large Area Planning in the Nelson-Churchill River Basin (NCRB): Laying a foundation in northern Manitoba Karla Zubrycki Dimple Roy Hisham Osman Kimberly Lewtas Geoffrey Gunn Richard Grosshans © 2014 The International Institute for Sustainable Development © 2016 International Institute for Sustainable Development | IISD.org November 2016 Large Area Planning in the Nelson-Churchill River Basin (NCRB): Laying a foundation in northern Manitoba © 2016 International Institute for Sustainable Development Published by the International Institute for Sustainable Development International Institute for Sustainable Development The International Institute for Sustainable Development (IISD) is one Head Office of the world’s leading centres of research and innovation. The Institute provides practical solutions to the growing challenges and opportunities of 111 Lombard Avenue, Suite 325 integrating environmental and social priorities with economic development. Winnipeg, Manitoba We report on international negotiations and share knowledge gained Canada R3B 0T4 through collaborative projects, resulting in more rigorous research, stronger global networks, and better engagement among researchers, citizens, Tel: +1 (204) 958-7700 businesses and policy-makers. Website: www.iisd.org Twitter: @IISD_news IISD is registered as a charitable organization in Canada and has 501(c)(3) status in the United States. IISD receives core operating support from the Government of Canada, provided through the International Development Research Centre (IDRC) and from the Province
  • 2016-2017 Annual Report Cree Women of Eeyou Istchee Association

    2016-2017 Annual Report Cree Women of Eeyou Istchee Association

    P-208 2016-2017 ANNUAL REPORT CREE WOMEN OF EEYOU ISTCHEE ASSOCIATION Message from the President In the fiscal year 2016-2017, we found much reason to celebrate, especially as we moved forward boldly with our work towards being autonomous from the Cree Nation Government. The Cree Women of Eeyou Istchee Association (CWEIA) has a long history of responding to Eeyou Istchee’s greatest needs of life, healing, reflection and empowerment, and identity. Much has changed over time. Our efforts and initiatives have evolved from exclusively delivering lasting impacts through innovative projects that will not only empower people but also be imperative for Eeyou/Eenou people to return to our own customs, languages, and healing processes. This holds true especially for women and girls in allowing them to become agents of change within our communities. However, most of our work seeks long-term improvements in people’s lives by discovering what connects us to our ancestors and their experiences. CWEIA continues to strive for collective actions and a coordinated “voice” that advocates for active participation of women in the contemporary political life in Eeyou Istchee. CWEIA challenged the most fundamental law which was about to be adopted in Eeyou Istchee such as the Cree Governance Agreement and Constitution, which passed in May 30, 2017. We believed that the consultation process maintained the disempowerment of a women’s organization, where colonial impositions were embedded in the development. Before we can achieve self-government, our communities and nation need to be revitalized and our people have to be given an opportunity to grow and develop healthy lifestyles.
  • Nituuchischaayihtitaau Aschii

    Nituuchischaayihtitaau Aschii

    Nituuchischaayihtitaau Aschii MULTI -CO mm UNITY ENVIRON M ENT -AND -HEALTH STUDY IN EEYOU ISTCHEE , 2005-2009: FINAL TECHNICAL REPORT Public Health Report Series 4 on the Health of the Population Cree Board of Health and Social Services of James Bay September 2013 Nituuchischaayihtitaau Aschii MULTI -CO mm UNITY ENVIRON me NT -AND -HE ALT H STUDY IN EE YOU IS TC hee , 2005-2009: FINAL TE C H NICAL RE PORT Chisasibi Eastmain Mistissini Nemaska Oujé-Bougoumou Waskaganish Waswanipi Wemindji Whapmagoostui Public Health Report Series 4 on the Health of the Population Cree Board of Health and Social Services of James Bay September 2013 We would like to thank Evert Nieboer, Professor Emeritus at McMaster University, friend and colleague, for his perseverance and strong leadership over the past ten years, throughout the planning, field work and reporting of this study. He first became involved in Eeyou Istchee in 2002 when he was invited by the Cree Nation of Oujé- Bougoumou to be a co-investigator in the study of the health impacts from former mining developments in their traditional territory. After that study, he agreed to carry out a community consultation to plan the NA study and has continued his active leadership throughout the years to ensure the successful completion of this report. Nieboer E, Dewailly E, Johnson-Down L, Sampasa-Kanyinga H, Château-Degat M-L, Egeland GM, Atikessé L, Robinson E, Torrie J. Nituuchischaayihtitaau Aschii Multi-community Environment-and-Health Study in Eeyou Istchee 2005- 2009: Final Technical Report. Nieboer E, Robinson E, Petrov K, editors. Public Health Report Series 4 on the Health of the Population.
  • Decontie Remembering Why We Sit at the Table.Docx

    Decontie Remembering Why We Sit at the Table.Docx

    Remembering Why We Sit at the Table By Faith Decontie Hons, B.A., A thesis submitted to the faculty of Graduate Studies and Research in partial fulfillment of the requirement for the degree of Masters of Arts Department of Sociology and Anthropology Carleton University, Ottawa, Ontario April, 2017 © 2017 Faith Decontie DEDICATION To all the uhkumimaauch | kokoms and umushumimaauch | shomis (grandmothers and grandfathers) who will one day become our ancestors. Pauline Cote-Decontie 1942- 2016 2 ABSTRACT Québec has been the site of the development of First Nations health determinants within the context of forced systemic racism within the Canadian mainstream medical healthcare system. The Cree Nation of Chisasibi has created alternative administrative health approaches and wellness practices through their Land Based Healing Program that addresses delivery service gaps in the current medical healthcare system. In this thesis, I examine the historical development of healthcare systems for English-speaking First Nations living in Québec, while analysing how political legislation through the James Bay Northern Québec Agreement has transformed the Eeyou into practicing autonomous action towards health operations and wellness approaches. I analyse the importance of Eeyou teachings and healing methodologies practiced within the Land Based Program that are vital to providing optimal First Nations health and wellness in a way that the current mainstream medical healthcare systems cannot. [keywords: systemic racism, healthcare systems and land based healing] 3 ACKNOWLEDGEMENTS I want to sincerely thank the Cree Nation of Chisasibi who have allowed me to learn from their communi ty and lands. The Cree Nation of Chisasibi Chief and Council, the Chisasibi Mental Wellness Team (CMWT), Larry House, Eddie Pashagumskum and the hunting families.