Page 91 - Six Nations Community Plan 2019
P. 91

Key Challenges And Concerns


          • A lot of our care is telling people what they need to do, when what they really need are role models
          • Care providers are subjected to prescriptive policies that can restrict their ability practice in a nurturing way
          • Youth and elder care is limited with long wait lists, inadequate facilities and staff are overworked and underpaid
          • A lot of non-community members providing care without knowledge of the community, culture and trauma
          • Leaving the community for many care needs making transportation a barrier, and can face racism in hospitals
          • We are very reliant on western medicine approaches when a balance with traditional approaches is needed
          • Various care providers funded from different streams can hinder coordination and cause duplication of services

          Suggested Lead Partners


          • Health Services           • Ganohkwasra              • Birthing Centre           • Ogwadeni:deo
          • Social Services           • Daycares                 • Housing                   • New/emerging orgs


          Timeline


                            OBJECTIVES                                     STATUS IN 2019

                      Expand and coordinate land-           Ganohkwasra, Health Service and Social Services offering programming, coordination
                      based healing programs                and expansion required for more clients to access services.

                      Develop cultural safety training      Cultural safety training for care providers, from the community or not, to practice
                      for all care providers                trauma-informed care with respect for culture, community.
             SHORT
            (2019-2024)
                      Expand midwifery care                 Birthing Centre in need of more trained midwives, space, and transportation vehicles
                                                            to support more babies born in the community.

                                                            More spaces needed for child care and early years, and expanding existing services
                      Build more child care spaces
                                                            with more staff to provide before and after school care.
                      Coordinate community care             Model has been developed but resources required to facilitate collaboration among
                      under the Haudenosaunee               services and provide trauma-informed care across the continuum of care, preventative
                      Wellness Model                        intervention.

                      Create an urgent care/walk-in         Dedicated space and resources are needed to provide an all-hours care centre with a
                      clinic                                variety of medical professionals available.
            MEDIUM
            (2025-2029)                                     Need to provide dignified care for elders from assisted living to hospice care. Iroquois
                      Provide full Elder Care from          Lodge is at capacity and in desperate need of upgrades. Preliminary plans have been
                      assisted living to hospice care       developed to upgrade current building or rebuild. Land and finances are limited, more
                                                            trained staff needed.
                      Expand care for youth and             Jay Silverheels in need of upgrades and expansion, Ronatahskats Community Living
                      adults with special needs             requiring staff and resources.

                                                            Care can be supported more by family. Care providers could integrate into shared
                      Integrate community care and          housing to discuss wellbeing at the family level. Less intervention as children remain in
                      communal housing options              stable unit while parents heal. Eases transition from “client/provider” to ongoing role
             LONG                                           modeling relationships.
            (2030-2039)
                      Build a Traditional Wellness          Health Services providing various traditional approaches, but dedicated space to serve
                                                            the community and train practitioners needed. Unique land requirements for access to
                      Centre
                                                            medicines and land-based healing.


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