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Interior Regional Health and Wellness Plan

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Interior Regional Health and Wellness Plan Interior Regional Health and Wellness Plan Interim Plan June 4, 2014 Acknowledgements The development of the interim Interior Regional Health and Wellness Plan was possible thanks to the wisdom, support and hard work of many: Thank you to the many Elders, Chiefs, Council Members, Health Directors/Leads, community health staff and community members who participated in the Nation Assemblies, meetings and other engagement sessions that contributed to the information and priorities included in this plan. Community Engagement Hub Coordinators Kevin Skinner – Dãkelh Dené Nation Shannon Girling-Hebert – Ktunaxa Nation Diane Whitehead – Ktunaxa Nation AJ Aspinall – Nlaka’pamux Nation Ursula Drynock, Virginia Peters & Theresa McIntyre – Nlaka’pamux Nation Cathy Speth – Nlaka’pamux Nation Vicki Manuel – Secwepemc Nation Ryan Day – Secwepemc Nation Sue Wilson Cheechoo – St’át’imc Nation Fabian Alexis – Syilx Nation Connie Jasper – Tsilhqot’in Nation Interior Region Nation Executive Chief Zach Parker – Dãkelh Dené Nation Gwen Phillips – Ktunaxa Nation Ko’waintco Michel – Nlaka’pamux Nation Kukpi7 Wayne Christian – Secwepemc Nation Chief Arthur Adolph – St’át’imc Nation Mic Werstuik – Syilx Nation Chief Bernie Mack – Tsilhqot’in Nation Interior First Nations Health Directors Association Representatives Jacki McPherson Teresa Johnny Colleen LeBourdais Interior Health Authority Bradley Anderson, Director, Aboriginal Health Danielle Wilson, Practice Lead Judy Sturm, Practice Lead Renee Hetu, Practice Lead Shawna Nevdoff, Practice Lead Amanda Parks, Health System Planning First Nations Health Authority Lisa Montgomery-Reid, Interior Regional Director Mary McCullough, Regional Health Liaison Mark Matthew, Strategic Advisor, Policy, Planning & Strategic Services Matthew Kinch, Senior Policy Analyst, First Nations Health Council Secretariat Trevor Kehoe, John Pantherbone and Davis McKenzie, Communications Unit Isabel Budke, Senior Advisor, Policy, Planning & Strategic Services Harmony Johnson, Director, Policy & Planning Unit Trish Osterberg, Policy Analyst, Policy & Planning Unit Adrienne Peltonen, Planner, Policy & Planning Unit i Executive Summary The interim Interior Regional Health and Wellness Plan is a joint plan developed through collaboration among the 7 Nations of the Interior - the Dãkelh Dené, Ktunaxa, Nlaka’pamux, Secwepemc, St’át’imc, Syilx and Tsilhqot’in - Interior Health Authority and the First Nations Health Authority. It establishes a common voice and perspective on health and wellness. It describes the Nations’ overall direction regarding their vision and guiding principles; who the Nations are; and their Regional and Nation health and wellness priorities. This plan describes how the Nations and their partners will work together based on the 7 Directives , the guiding principles outlined in the Indigenous Nations of the Interior Declaration of Unity (2010), the Interior Partnership Accord (2012) and the Nation Letters of Understanding with Interior Health Authority. The Interior Nations’ priorities focus on improving health programs and services, bringing financial resources and decision-making closer to home and strengthening, maintaining and aligning capacity with communities and Nations through a system that is deeply rooted in the values, principles and cultures of the 7 Nations of the Interior. Governance structures and processes continue to evolve to support implementation of this vision and the iRHWP describes the various entities that the 7 Nations will establish, in partnership with Interior Health Authority and the First Nations Health Authority, to support technical work and decision-making. The iRHWP also sets the intention to further refine communication and engagement processes to ensure that everyone receives the information they need and have opportunities for engagement and to provide input and direction to the work moving forward. Each of the 7 Nations have identified emerging health priorities and remain committed to developing Nation Health and Wellness Plans over the next year. Regional priorities, summarized below, have been identified based on the 7 Directives and the priorities shared among multiple Nations. In future planning cycles, Nation plans, which have been informed by community priorities, will be the basis of the Regional Health and Wellness Plan. This interim plan is a living document that will be revisited and revised to reflect the structures and processes being developed and the further planning work that will be done throughout the year by the 7 Nations. This work will lay the foundation for the 7 Nations to continue to operationalize the 7 Directives and Unity Principles, and to transform the health system serving their people to one that is based in their values, principles and cultures and best supports the health and wellness of the people of the 7 Interior Nations. Summary of Regional Priorities 1. Community-Driven, Nation-Based 1.1. Support each Interior community to have an up-to-date Community Health and Wellness Plan 1.2. Develop Nation Health and Wellness Plans in each of the 7 Nations 1.3. Conduct asset and service mapping and complete the Interior Region expenditure analysis to support planning processes ii 2. Increased First Nations Decision-Making and Control 2.1. Establish governance and technical structures and processes enabling regional and Nation-based decision-making 2.2. Identify and develop strategies and policies for topics that require a regional approach 2.3. Enhance regional data governance and processes ensuring data and research activities are conducted in accordance with Nation priorities, policies and protocols. 3. Improve Services 3.1. Improve the First Nations Health Benefits Program to better meet the needs of First Nations people 3.2. Promote mental wellness and reduce harmful substance use 3.3. Promote Elder wellness and increase supports enabling Elders to remain at home or close to home 3.4. Promote child and family wellness and improve services in collaboration with social service partners Additional service improvement goals related to holistic wellness, improving access to high quality health services and infrastructure are included in the full document. 4. Foster Meaningful Collaboration and Partnership 4.1. Build a collaborative relationship with Interior Health Authority based on the Partnership Accord and Nation Letters of Understanding 4.2. Align Interior Health Authority First Nations and Aboriginal planning and investment with the Interior Regional Health and Wellness Plan 4.3. Explore mechanisms to resolve the issues of Nations whose territories encompass more than one Regional Health Authority 5. Develop Human and Economic Capacity 5.1. Increase the number of First Nations health professionals and staff working in each of the Interior Nations 5.2. Improve recruitment and retention of health service providers in First Nations communities 5.3. Explore economic opportunities that will support sustainability and build First Nation health sector capacity 6. Be Without Prejudice to First Nations Interests 6.1. Establish processes for engaging Métis and urban Aboriginal groups that respect and reflect the inherent rights and interests of First Nations peoples 6.2. The Interior Caucus will consider avenues for supporting self-determination and jurisdiction interests of the Interior Nations 7. Function at a High Operational Standard 7.1. Establish clear, consistent communication and information-sharing among partners within the Interior Region 7.2. Strengthen Interior Region processes for reciprocal accountability 7.3. Develop indicators enabling Nations to report from the perspective of their values, principles and understandings of wellness 7.4. Explore the potential for more effective and efficient use of existing resources iii Table of Contents Acknowledgements ........................................................................................................................................ i Executive Summary ....................................................................................................................................... ii Table of Contents ......................................................................................................................................... iv Message from the Interior Region Nation Executive .................................................................................... 1 Introduction .................................................................................................................................................. 2 Vision and Guiding Principles ........................................................................................................................ 4 Declaration of Unity .................................................................................................................................. 5 Social and Cultural Context ........................................................................................................................... 6 Interior Nations ............................................................................................................................................. 7 Governance Structures and Processes...................................................................................................... 8 Communication and Engagement........................................................................................................... 10 Strategic Challenges and Opportunities ....................................................................................................
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