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TABLE of CONTENTS Chapter 5: Enhancing RQHR’S Capacity

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TABLE of CONTENTS Chapter 5: Enhancing RQHR’S Capacity ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ TABLE OF CONTENTS Chapter 5: Enhancing RQHR’s Capacity ......... 69 Infant Mortality ................................................ 70 Breast Feeding ................................................ 72 Acknowledgements ........................................... ii Hospital Admissions Of First Nations And Métis Infants And Children .............................. 72 Executive Summary ........................................... iii Continuity Of Care For First Nations And Métis Newborns And Their Families................ 73 Chapter 1: Introduction ..................................... 1 Healthy Infant And Child Development ........... 74 About The “Working Together Towards Food Security .................................................. 74 Excellence (WTTE) Project” ............................ 1 Teen Pregnancy And Sexuality ....................... 75 Accomplishments of the WTTE Project .......... 5 Diabetes .......................................................... 76 The RQHR’s Focus On Aboriginal Health & Dental Health .................................................. 77 Healing Services ............................................. 7 Home Care ...................................................... 77 A Vision For The Future .................................. 13 Mental Health And Addictions Services .......... 79 The Context Of This Planning Exercise .......... 14 First Nations And Métis Elders, Cultures And Conclusion ...................................................... 16 Spirituality........................................................ 81 Chapter 2: Best Practices .................................. 19 Education, Employment And Training ............. 83 Centres Of Excellence .................................... 19 The Need For Better Planning And Coordination .................................................... 85 Aboriginal Health and Healing Best Practices ......................................................... 23 Budget Summary And Next Steps .................. 88 The Community Development Approach ........ 30 Conclusion ...................................................... 90 Discussion ....................................................... 33 Chapter 3: Partnership Opportunities .............. 37 Appendices can be found on the The Opportunities For Partnership .................. 37 RQHR web site: www.reginahealth.sk.ca Appendix A External Advisory Committee Obstacles To Moving Forward ........................ 39 Members The Challenge ................................................. 46 Appendix B Centres Of Excellence: Best Conclusion ...................................................... 48 Practices Appendix C Aboriginal Health and Healing Chapter 4: Towards Collaboration ................... 51 Best Practices Starting With Common Values Appendix D Strategic Options: Background and Objectives ................................................ 51 Paper A Conceptual Framework For Collaboration ... 54 Appendix E Partnership and Funding Opportunities: Background Paper Who Should Be Involved? ............................... 58 Appendix F Aboriginal People in RQHR: How Will The Partners Work Together? .......... 61 Demographic Profile What Issues Will The Collaboration Appendix G RQHR: Profile Address? ......................................................... 62 Appendix H Analysis Of Internal Consultation Resources ....................................................... 63 Meetings Appendix I Key Provincial and Regional Implementing The Collaboration Framework... 64 Planning Documents Conclusion ...................................................... 67 Appendix J Analysis Of External Consultation Meetings Executive Summary i ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ ACKNOWLEDGEMENTS People are gathering in the morning. It is a new day. From diverse walks of life and the four directions, many people are shown coming together to a common meeting place. A circle of stones reminiscent of an The project team would like to express their ancient medicine wheel marks this good meeting place. appreciation to the many individuals and organizations whose important contributions made this project The Flying Eagle, the Fire, the Trees, the Hill, The possible. These contributions came in many forms. Path and the Lake Beyond are all familiar elements of Many individuals and organizations supplied us with the Saskatchewan landscape; and they are meaningful needed information, many participated in our symbols within the region’s First Nations and Métis consultations, many provided advice and feedback on peoples cultures and consciousness. our working papers and reports, and many provided encouragement. In this graphic, our readers see many different things. Trying to explain each symbol would be a lengthy and We would particularly like to express our appreciation perhaps limiting endeavor. In the spirit of Working for the advice and support of many Elders and cultural Together Towards Excellence, we invite you to explore the advisors - Phillip Auger, Roy Bison, Doreen Gabriel, symbolic meanings of these elements in discussion Larry McKay, Louis Whiteman, Lorraine Yuzicapi, with others. We hope that through such discourse, Sterling Brass, to the members of the Aboriginal we may all come to better understandings of the value, Health Initiative Internal Working Group and to the strength and harmony to be found in our diverse members of the project’s External Advisory visions, beliefs, hopes, values and aspirations. Committee (Appendix A), including the co-chairs Bev Poitras and Tyronne Fisher. These individuals About the Artist remained active throughout the project and their contributions were a very important part of the work Linda Anderson is a Métis woman and mother who we were able to complete. We also wish to acknowledge grew up in a large family in Regina. the leadership and support provided throughout the project by Patrick Dumelie, Senior Vice President of Linda has worked for many years in human resources. Health Services with RQHR. Our summer intern Alex Currently she provides cultural awareness training and Keewatin was also a big help and a joy to work with. other workshops across the province. Our fondest memories will be of the many friendships Art is very important to Linda. For her, drawing and and working relationships that were started or painting are essential forms of expression and strengthened through this work. In particular, the communication. Graphic art gives her the freedom hospitality and support shown by all those at Treaty 4 to say things that need to be said. She draws her and the File Hill’s Qu’Appelle Tribal Council made inspiration from her heritage, her life, her dreams and our work much more productive, and also much more her visits with Elders and close friends. enjoyable. About the Cover Art The graphic art on the cover aims to capture and communicate a sense of purpose and discovery that can be shared by people gathering in one place. The artwork honors knowledge and worldview of indigenous peoples. It also seeks to stimulate a sharing of understandings across cultures. ii Improving First Nations and Métis Health Outcomes: A Call to Collaborative Action ○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○○ EXECUTIVE SUMMARY growing District Aboriginal population. As a result, a strategic planning process was initiated to identify key areas where resources could best be directed to achieve improvements in Aboriginal health. An internal This is the final report of Regina Qu’Appelle Health working group comprised of District staff, as well as Region’s (RQHR) “Working Together Towards an external advisors group drawn from Aboriginal Excellence” (WTTE) project. This project, initiated leadership and human service providers, was formed in the Spring of 2002, is part of ongoing efforts to to complete this Aboriginal Health Initiative (AHI). explore how the Region, together with key internal and external partners, can improve health and social The AHI Report - June 2000 identified a number of outcomes for First Nations and Métis peoples. priorities for service enhancement. As a result, two strategies were pursued. The first involved proceeding The completion of the WTTE project marks a with the development and implementation of specific significant turning point in the Region’s approach to service enhancements to address the AHI’s addressing First Nations and Métis health outcomes. recommendations. The second involved working more While RQHR took the initiative in the completion of closely with other ○○○○○○○○○○○ the WTTE project, the report calls for a much more partners to address the ○○○○○ collaborative approach to future planning and action. determinants of First The completion of the First Nations and Métis governments, as well as other Nations and Métis organizations, must have the opportunity to join with health status, and to WTTE project marks a the Region, as equal partners, to address First Nations position the region as a and Métis health outcomes. leader in Aboriginal significant turning point health and healing. As a in the Region’s result, a new phase of work was initiated — approach to addressing History of the Project the “Working Together Towards Excellence” First Nations and Métis The history of the WTTE project dates back some (WTTE) project. ten years. In 1993, the former Regina Health District health outcomes held a public consultation with Aboriginal service During the past
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