Governance
The Board of Directors of the Blood Tribe Department of Health (BTDH) are responsible for the governance of the Health Department working in partnership with the Blood Tribe Chief and Council.
BTDH Board of Directors consists of elected and appointed directors as follows:
• Three Directors (“Class B”) who are members of the Blood Tribe Council appointed by the Council for a term coinciding to the term of this office;
• Three Directors (“Class A”) who are members of the Blood Tribe elected to represent members of the Blood Indian Reserve for a term of 4 years; and
• One Director who is appointed by the Board for a term of approximately 1 year.
In Loving memory
In March 2024, we mourned the loss of former BTDH Board Member, Rod First Rider. Rod was a passionate champion for Kainayssini, and served on the Board from November 2019 to November 2023. He brought wisdom and compassion to his role, and always advocated for the best interests of our community members.
Rod's service extended beyond the Health Board; he also served on our Blood Tribe Chief and Council as a Councillor for many years, demonstrating his deeprooted dedication to the betterment of the Blood Tribe. He leaves a lasting legacy in our community.
The officers of the Corporation (Board of Directors) are Chairperson, Vice Chairperson, and Secretary Treasurer who are appointed by Ordinary Resolution of the Board. Current BTDH Board of Directors:
• Ponokaiksiksinam Martin Heavy Head, Chairperson
• Taatsiikiipoyii Charles Weaselhead, Vice Chairperson
• Piinaakoyim Tailfeathers, Secretary Treasurer
• Iitoominnimaakii Maria Russell
• Akok Piitah’komii John J. Little Bear
• Aapiksisskstakiaakii Crystal Day Chief
• Tsuaakii Shannon Wells
Matoomohkitopi
Message from Chief Executive officer and Board Chair
It is with great honour and pride that we share the accomplishments, and stories of the Blood Tribe Department of Health (BTDH) for the 2023-2024 Year. This report is a reflection of our collaborative efforts as a team in our mission to provide comprehensive health and wellness services to Blood Tribe members.
The past is not just a place from which we have come, but a lens through which we see the present and chart our future. It is imperative we remember the foundations of healthcare that has brought us to where we are today. When Treaty 7 was signed in 1877, our people were promised rights to medical services and healthcare for as long as we live. We believe that this promise was all-inclusive under the term “medicine chest.” This commitment was understood to provide doctors, nurses, and other medical professionals to care for us when we faced illnesses and new sicknesses that our own medicine people could not handle.
In 1893, the first hospital on the Blood reserve was established by the Grey Nuns, Catholic missionaries who managed healthcare facilities on the reserve. Anglican missionaries also developed their own infirmaries in residential schools. Tuberculosis was prevalent among children, with infection rates ranging from 50 to 100 percent in southern Alberta in 1909, necessitating treatment in residential schools by federally appointed medical officers and school matrons.
A significant milestone was achieved in 1928 when a modern hospital was built for the Blood population, funded by the federal government and staffed by Grey Nuns nurses. The Blood Indian Hospital remained operational until the Kainai Continuing Care Centre was established in 1999. Under the leadership of the Blood Tribe Department of Health, we now provide comprehensive Health and Wellness programming and services for Blood Tribe members.
During this reporting year, BTDH surpassed the requirements of the Qmentum Accreditation Program, and we were rewarded Accreditation with Commendation demonstrating our dedication to continuous quality improvement.
Our participation in the Accreditation Canada Qmentum program helps us strengthen our quality improvement efforts by identifying our strengths and areas for
improvement. This achievement is a mark of pride and a testament to our commitment to creating a strong and sustainable culture of quality and safety.
The Blood Tribe Department of Health employs approximately 700 full-time and part-time employees. Our programs offered to the Blood Tribe Community include:
• Health Administration
• Facility Operations
• Emergency Services
• Community Health
• Wellness
• Client Services
• Bringing the Spirit Home
• Non-Insured Health Benefits
• Lethbridge Wellness Shelter
As we look forward to the coming year, we remain committed to our mission of delivering culturally competent, holistic, and accessible healthcare services. Together, we will continue to build a healthier and stronger Blood Tribe community.
Sincerely,
Paahtsi’kayiiksao’kaasimm
Derrick Fox CEO,
Blood Tribe Department of Health
Ponokaiksiksinam
Martin Heavy Head
Chairman, Blood Tribe Department of Health
Chief Operating officer
Kash Shade, RN, BN, MHSM
The Chief Operating Officer (COO) provides leadership, day-to-day management, and general oversight of the organization’s clinical and administrative operations as directed by the Chief Executive Officer (CEO). The COO works closely with our program leads to ensure quality health care services are available to meet the needs of community members. While also supporting further program expansion and development, the COO assists the CEO and Board of Directors to implement the organization’s strategic plans and special projects
The Chief Operating Officer (COO) has been approved for Canadian College of Health Leaders membership and plans to pursue Certified Health Executive training. Kash has also completed the First Nations Principles of OCAP® training. His current roles include serving as Co-Chair of the Health Co-Management NIHB Subcommittee alongside First Nations Inuit Health Branch Co-Chair Kimberley Loh, as well as participating as a member of both the Alberta Health Services Four Winds/Indigenous Patient Navigator Steering Committee and the U of C/U of L Southern Alberta Medical School Working Group.
On-going projects include:
• The Blood Tribe Recovery Community project
• The 50-Bed Post-Detox/Pre-Treatment project
• The BTDH Continuing Care Expansion project
• The Intravenous Community Therapy project
• Alberta Kidney Care (AKC) and Alberta Health Services Community Dialysis project
• Derm Gen/Wound Care Study project
COO Activities on behalf of BTDH
University of Calgary Haskayne School of Business: Participated as Guest Speaker for Sustainable Development with Indigenous People course
Maskwacis Cultural College: Participated as Field Supervisor for student’s practicum evaluation
Lethbridge Chamber of Commerce Friend-raiser Luncheon
Wellness Program’s 100th Day Treatment Celebration Good Samaritans Interview Panel
Moving Forward
• COO continues to participate in internal and external community engagements, media requests, and partnership opportunities as directed.
• COO continues to serve as a contracted Advisory Panel Committee Member for Health Canada’s Non-Insured Health Benefits Medical Supplies and Equipment Advisory Committee.
Final Remarks
Work is on-going to update the current Chief Operating Officer Quality Improvement Workplan in support of activities related to all BTDH programs and services.
BTDH services continue to operate to meet the health needs of community members with partnerships continuing to be developed at all levels in hopes of improving access to and awareness of available health benefits and services.
Administration
accreditation
Office Manager
The Office Manager provides efficient, effective and timely services to ensure quality support for the CEO, COO, and Board of Directors. The Office Manager ensures the delivery of quality initiatives in the Integrated Quality Management Framework. The Office Manager is Shannon Day Chief.
Finance
The Finance Team oversees budgeting, financial planning, and resource allocation to ensure the efficient use of funds for healthcare services and programs. They also ensure compliance with financial regulations and reporting requirements, while supporting the long-term financial sustainability of BTDH operations. The Finance Director is Crystal Mountain Horse.
Nurse Practitioner Services
Nurse Practitioner (NP) Services provide comprehensive healthcare services, including diagnosis, treatment, and management of various medical conditions. NP Services also provides training and development of other healthcare workers, helping to improve the overall quality of care through hands-on guidance, knowledge sharing, and collaborative practice. The Nurse Practitioner is Suzanne Buchanan.
Communications and Public Relations
The Communications and Public Relations Specialist manages internal and external communications, including public health campaigns, media relations, and community engagement, to keep members informed and connected. The Communication and Public Relation Specialist is Brent Scout.
Quality Control
The Quality Control Manager supports the development, coordination, implementation and evaluation of quality improvement, analytics, patient safety and process improvement throughout the entire organization. Ensuring each program is prepared and enabled to meet and maintain the requirements of BTDH’s Accreditation status. The Quality Control Manager is Janetta Soup.
Since 2002, the Blood Tribe Department of Health has been an Accredited Health Facility under the Accreditation Canada Qmentum program. Participating in the Qmentum program involves developing and regulating evidence-informed standards, tools, resources, and guidance for health care and social services organizations in their journey to excellence. Demonstrating accountability for quality health care and services involves a comprehensive four-year cycle accreditation process.
Following Accreditation Canada’s Qmentum program involves a rigorous evaluation process and is one of the most effective ways to consistently examine and improve the quality of our services. Receiving accredited recognition marks a milestone in our organization’s continued journey of excellence.
The most recent on-site survey visit was held in April 2023. This earmarked the 6th Accreditation Cycle and it is with great pride that our organization has exceeded the requirements of the Qmentum accreditation program with 13 site locations now Accredited with Commendation. This particular milestone is significant based on the following achievements:
• First time our organization has received Accreditation with Commendation recognition in comparison to previous Accreditation cycles.
• First time a recipient was awarded the Aboriginal Substance Misuse standard for an On-Reserve Community – with a 100% standard result
• First time a series of programs/sites matched a 100% standard result with Governance
Partnerships and future developments
Steet Medicine Program Pilot Project
The Blood Tribe Department of Health with funding from City of Lethbridge initiated a Street Medicine Program Pilot Project. The project focused on medical outreach and was funded by the City of Lethbridge from July 4, 2023 to October 31, 2023.
The Street Medicine Program was initiated to addres identified gaps such as:
1. Physicals: the majority of people could not remember the last time they were seen by a doctor.
2. Mental Health: homelessness has been associated with poorer mental health outcomes and may trigger or exacerbate certain types of disorders.
3. Alcohol, drug and tobacco use: a remarkable number of homeless people have been drinking alcohol and using drugs during encounters, or admit to using alcohol and drugs frequently.
The team worked with the City of Lethbridge and other partnerships to provide medical outreach on a call out basis. The Pilot Project was a great success and well received by the unsheltered population in Lethbridge. The team enjoyed being able to be on the front lines and assist those in need of medical care and support.
Blood Tribe Recovery Community
Reconnection to self, spirit and community is at the heart of Blood Tribe Department of Health’s vision to improve the health of Kainai.
After careful planning and coordination, the Blood Tribe Department of Health and its partners have started construction on a 75-bed recovery community for Blood Tribe members.
Situated west of Moses Lake along Alberta Highway 5, this facility is a crucial component of the Alberta Recovery Model and will provide holistic and long-term treatment for Blood Tribe members and Albertans.
Expansion of Lethbridge Wellness Shelter and Stabilization Unit
In February 2024, the Blood Tribe Department of Health and the Government of Alberta committed to focusing on culturally appropriate supports for those who are Indigenous and experience homelessness in Southern Alberta. The expansion of the existing building will enable us to increase our shelter capacity to over 200 spaces and provide at least 30 stabilization spaces.
The expanded shelter will not only provide a safe haven for those in need but will also offer enhanced supports, including social benefits, health care, addiction treatment, and housing connections.
Diagnoses on admission
Health Services provided (wound care, EMS, Medical form etc.)
supports
to shelter (ask everyone)
obtained (verbal or written)
(naloxone given)
Non Indigenous
The Sokkinakia’pi Collaborative Project
The Blood Tribe Department of Health and the University of Lethbridge Board of Governers have partnered in a Memorandum of Understanding agreement to explore and co-create pathways that focus on enhancing opportunities for education, research, data collection, governance modelling and other professional training for the Blood Tribe.
The Blackfoot name for the project, Sokkinakia’pi, bestowed upon at a Saapihtsimaani (offering prayers with the pipe ceremony) a naming event held in Standoff on February 6th, 2024, is an “all-encompassing term that includes everything that has to do with health,” explains Martin Heavy Head, Elder and Blood Tribe Department of Health Board of Directors Chair. “The word Sokkinaki is the verb ‘to heal or doctor’, and a’pi means ‘all that has to do with’. The full meaning of the word is ‘all that has to do with healing or health’,” says Heavy Head.
The purpose and aim of the Sokkinakia’pi Collaborative Project in Phase I & II is to build upon the existing Kainai Health Services Plan (2016 – 2025) to identify and/or reconfirm the health needs and resources for the Blood Tribe over the next 10 – 11 years (2024 – 2035).
The Kainai Health Services Plan sets out a vision of how and where the Tribe will develop its land and community supports/advancements based on data collection methods that will be led by the first all-Kainai research team within the Faculty of Health Sciences at the University of Lethbridge.
Addressing the Social Determinants of Health and honouring the Truth and Reconciliation Commission Calls to Action will be integral components of this work. Ensuring community members are involved in identifying needs as well as participating in both the planning and delivery of service care will help facilitate the process. The purpose and aim of Phase III is to apply and nurture
the teachings, recommendations and actions brought forward in Phase I & II and work towards growth and sustainability as it relates to the health service provision for the Blood Tribe.
The overarching goal of the project is to expand capacity on the Blood Reserve to support access to high quality health care and health services, and to do so by increasing and creating new pathways for educating, training and preparing health professionals within the Blood Tribe community.
Areas of focus throughout all three phases will concentrate on:
• Self Determination/Reliance
• Governance
• Capacity Building
• Educational & Training Opportunities
• Research & Innovation
The intention of this collaborative approach is to cocreate a translatable model that infuses Siksikaitsitapi cultural notions and strengthens the voice and recommendations by and for community members to enable and align the creation/expansion of providing Federal and Provincial health mandates on the Blood Reserve.
Entrenched by a shared commitment, the Blood Tribe Department of Health and the University of Lethbridge partners envision this journey of co-creation to be rooted in shared values of humility, respect, honesty, kindness, collaboration and strength.
Human resources
Director: Kara Tailfeathers
The Human Resource Program empowers employees to fully understand the principles, from which the Blood Tribe Department of Health operates to implement fair and effective policies, maintain a safe and healthy work environment, and ensure quality in employees’ roles and responsibilities.
Highlights:
• From January to March 2024, a total of 1451 individuals applied for a position with BTDH.
• Between April 2023 and March 2024, 19 Clinical Policies were updated and approved. There were four policy committee meetings throughout the year.
Casual Hires
• Alberta Health Services: Continuing Care Health Service Standards Project
• University of Lethbridge: Partnership with the Faculty of Health Sciences-Aboriginal Health practicum placement opportunities.
• Lethbridge College: Justice and Human Services Child and Youth Care program
• CDI College: Addictions and Community Services
• Blood Tribe Employment and Skills Training: Employed a number of students ranging from postsecondary to high school students.
260-Majority were hired for both Standoff and Lethbridge Shelters.
Resigned/Dismissal 73-Numerous programs
Retired 6-LTC, MT, NIHB, FO
Promoted 91-Majority were staff at Lethbridge Shelter
Interviewees 86-Various Programs
Performance Appraisals Received 64-To identify challenges and goals, performance appraisals are completed yearly.
177 event reports submitted
These reports serve as a record for the organization, helping inform decision-making, track progress, and ensure accountability within the team or department.
• ADP Time and Attendance: Partnered with ADP payroll services to configure Time and Attendance.
• Canada Life: Met with representative to review new provide, and address employee related concerns.
• Career Fairs attended: Blood Tribe Employment and Skills Training, University of Lethbridge spring and winter fairs and SAAMIS Employment
• University of Lethbridge Niitsitapi Circle of Excellence: This committe aims at identifying barriers for Indigenous students and finding the necessary assistance.
Client Services
Director: Sandra Shade
Client Services oversees Home Care services, the Continuing Care Centre and Long Term Care to ensure standard of care is achieved to continually meet our requirements with Accreditation Canada.
Highlights
• A gastrointestinal outbreak was declared in Long Term Care on Jan. 2, 2024 and lifted Jan 15, 2024.
• The Program Managers have been excellent in meeting their program goals throughout the year in spite of interruptions they may have experienced, i.e., staffing shortages, COVID-19 restrictions and/or funding.
• The addition of the Wound Care Specialist has made a positive impact on the programs. This discipline has a major contribution to the community, client/ residents, and caregivers/families.
• The need for a Medical Social Worker and Clinical Educator has been identified and addressed with ongoing position postings.
• Client Services will continue to strive for excellence with the expertise in each program.
hours focused on enhancing client-centered care, collaboration, strategic planning, and policy development within BTDH throughout the year
Wound Care
The Wound Care Specialist is a Nurse who specializes in Wound, Ostomy and Continence Canada (NSWOCC). The tri-specialty of wound, ostomy and continence nursing is unique, and strive to improve the lives of those with challenges in wound, ostomy and continence.
Home Care
Manager: Nicole Long Time Squirrel
The Home Care program offers services to help Blood Tribe Community members with daily living activities and medical needs. This type of care is typically aimed at individuals who require assistance due to age, illness, disability, or recovery from surgery.
#
Our program includes several key services, each tailored to meet the unique needs of our clients.
Occupational Therapy (OT): OT is a privately contracted service and includes: medical equipment repairs, fitting and applying for Client’s medical equipment needs, ramp applications, admissions, and arranging rental equipment. OT see’s an average of 124 Clients per month.
Physiotherapy (PT): PT is contracted service from Alberta Health Services and offers assessments and treatment including exercises, acupuncture, and assisting clients with mobilization. PT maintains an average of 21 Clients per month.
Foot Care: The Foot Care program has clinics twice a week (Tuesdays in Levern, & Wednesdays in Stand-off) for the Blood Tribe community, and the Home Care nurses also provide foot care in home to the clientele. Foot Care clinics see an average of 26 Clients per month in clinic.
Health Care Aide (HCA) Program: The Whirl Pool program is overseen by the HCA Supervisor who supervises the HCA’s and Medical Driver’s. This service maintains an average of 90 clients monthly. Services include in home and in personal care assistance with showering or bathing.
Average number of clients receiving services per month. The majority of clientele age group is between 65-74 years old.
Medical Drivers: Home Care Medical Drivers deliver supplies to the clientele, provide transportation for clients to the whirl-pool and/or foot care programs. They also ensure the maintenance of the Home Care vehicles. Medical Driver’s perform an average of 69 pick up’s per month. Service
61/65
Average score from 36 client satisfaction surveys during the reporting year. These surveys provide the team with feedback to ensure we are meeting our goals and to improve our services.
Continuing Care Centre
Manager: Veronica Oka-Wells
The Continuing Care Centre is a 25-bed Long Term Care facility. We offer support for individuals of all ages with functional limitations and chronic illnesses.
Assistance is provided to residents if needed to perform daily routine activities including:
• Bathing and dressing
• Maintaining a healthy diet
• Administering medication
Recreational Therapy
Recreational Therapy is a form of therapy that uses recreational activities to improve the physical, emotional, cognitive, and social well-being of individuals with various health conditions or disabilities. These activities, which can include cultural activities, arts and crafts, games, music, and outdoor activities, are designed to enhance or restore a person’s functional abilities, foster independence, and promote overall quality of life.
Cultural activities include traditional cleansing and face painting with Staff and Residents, storytelling, smudging, Napi with drummers (two visits), and hand games. Other activities included a tour of the new Red Crow Community College, BBQs, musicians, outings, crafts, birthdays, and coffee time.
Nutrition Services
Nutrition Services continues to provide food service delivery to the Continuing Care Centre Residents and the Clients of Bringing the Spirit Home (BTSH) by following the Canada Food Guide with a three-week menu rotation. The Residents are served one traditional meal per week. Daily food temperature logs averaged 80% indicating hot meals are consistently served to Residents.
Percent of residents participate in Recreational Therapy activities. 59% of the
activities.
Long Term Care
Manager: Renate Goodstriker
The Long Term Care Centre is a licensed facility at the centre of our community providing comprehensive health services in a culturally sensitive environment interconnected with all agencies and Alberta Health Services.
Long Term Care is committed to caring for individuals with complex, unpredictable medical needs who require 24-hour onsite Registered Nurse assessment and/or treatment. We provide safe, quality care, and emphasize culturally appropriate practices to enhance the quality of life for our residents.
We strive to maintain a home-like environment for our residents. Our team of professionals include:
• Registered Nurses
• Licensed Practical Nurses
• Health Care Aides
• Medical Doctors
• Recreation Therapists
• Nutrition Services
• Dietitians
• Physiotherapists
• Occupational Therapists
We incorporate western and traditional practices to address the resident’s needs and to enrich the health of the residents.
Alberta Health Services Contracted Partners Meetings
Alberta Health Services
Provide support for Continuing Care operations and Infection Control support.
Provide support to reach compliance with the Continuing Care Health Service Standards and Safety Coach discussions
Alberta Health Services Quality Monitoring Audit Audits conducted regarding Continuing Care Health Service Standards
Restraint CareRx Restraint meetings and medication reviews.
Preventative Maintenance conducted. This includes cleaning and disinfecting, logs of equipment, bath tub temperatures and ario tub cleaning in the Otter and Horse Wing.
Community Health
Director: Lori Healy
Community/Public Health encompasses a wide variety of mandatory, core and supportive funded programs on reserve that provide holistic health care through the life span of Blood Tribe members. Mandatory Programs include
• Immunization
• Communicable Disease
• Environmental Public Health. Core Programs (Health Promotion) include
• Infant/Maternal Child Health
• Preschool
• School
• Adult Health
Supportive funded programs:
• Kainai Diabetes Program
• First Steps for Healthy Babies (FASD/MCH)
• Canadian Prenatal Nutrition Program
• Children’s Oral Health Initiative. Immunization
Immunization is provided to on-reserve schools and the data is exclusive to on-reserve preschool, school and adult populations.
• Preschool immunization rates continue to increase after COVID-19 and due to the efforts of the staff.
• The school immunization program experienced low participation rates, which can be attributed to issues such as school attendance, challenges in obtaining parental consent, and a shortage of Community Health staff. Similarly, provincial immunization rates remain low
• COVID-19 immunization rates for the 5 to 14-yearold population remain low, this is noted all across the south zone on and off reserve schools.
• Adult Tetanus/Diphtheria/Pertussis (dTap) numbers are up from the 2022-23 reporting period by 140% in the 2023-24 reporting period.
• 961 influenza immunizations have been administered during the influenza vaccine season.
22 un-provoked 14 provoked
Communicable Disease
• There were zero active cases of Tuberculosis in this reporting period.
• The total number of animal bites reported in 202324 is 36 compared to 20 in 2022-23. Animal bites remain a potential risk for injury and/or death.
• A total of 19 Notifiable Disease Reports in the 2023-24 reporting period; an increase from the 12 in 2022-23.
• A STBBI organization wide committee worked hard to launch the STBBI Program this year led by Community Health in partnership with the Mobile Medical Unit, Bringing the Spirit Home and local physicians under umbrella of Medical Officer of Health, Indigenous Services Canada and in collaboration with Provincial STBBI program.
Environmental Public Health
• The water sampling percentage from April 2023 to March 2024 nearly reached 100%. We commend the efforts of Community Based Water Monitors sampling compliance. There were only two exceptions: February 18-25, 2024, with a 96% rate, and March 17-24, 2024, with 84%. The decrease to 84% for the sole week of March was due to unexpected weather conditions.
Kainai Diabetes Program (KDP)
• The newly introduced KDP Kidney Check Program for the early detection of kidney disease increased clientele by over 300% for the 2023-24 fiscal year.
First Steps for Healthy Babies (FSHB)
• There was a total of 88 births for the 2023-24 reporting period with 32 living off reserve as of March 31 2024 compared to 83 deliveries in 20222023.
• First Steps for Healthy Babies active clients for 2023-24 averages around 36 to 49. FSHB changed their name to Maaksikowattsimaani (setting or guiding the path for a person). The male mentorship program, Asksisstowa’pssinni (having initiative or being aggressive in a good way, looking for opportunities), was initiated this year.
Children’s Oral Health Initative
The Children’s Oral Health Initiative (COHI) is an early childhood tooth decay prevention program aimed at children aged 0 to 11, their caregivers and pregnant women living on-reserve or accessing on-reserve resources.
Wellness Screenings
In 2023, blood pressure stats at the Men’s Wellness Event indicated that out of 29 men screened, 10 had high blood pressure. There is a need for more heart health education for Blood Tribe men.
Emergency Services
Director: Travis Coleman
The Blood Tribe Department of Health Emergency Services (BTES) provides a safe, professional and courteous team that strives to exceed the community’s expectations and our organization. We are dedicated to protecting life, property and the environment by providing emergency response and community education. Prevent, Protect, Preserve and Respect.
In 2023, BTES experienced a highly successful year marked by numerous valuable training courses and a diverse array of calls, keeping the team consistently busy. Our dedicated staff are more committed than ever to serving the Blood Tribe community and have demonstrated exceptional performance and retention rates.
Overdoses that Blood Tribe Emergency Services responded to. 22 event reports were submitted in 2023-2024
Partnerships
Alberta Health Services: training, opioid Response, PCR’s, medical
ATCO: community funding, projects, Emergency Management training etc.
Blackfoot Confederacy: training and funding
Indigenous Services Canada: training and funding
Surrounding Hospitals: training and communication
Blood Tribe Administration: budgets, opioid response, interagency, fire updates etc.
Blood Tribe Police Services: training, interagency, opioid response Fire prevention education for schools
Bringing the Spirit HOme - detox Program
Director: Ellie Oka
The Bringing the Spirit Home (BTSH) program provides hope for those who are fighting drug and/or alcohol addiction. Alongside a team of medical professionals, paramedics, counsellors, peer support workers and elders, the client’s path to recovery is carefully monitored based on their individual needs. Every effort is made to remove barriers to accessing services.
Services include:
• Medically supported detoxification
• Medical personnel in two (2) detox sites, BTSH and Foothills Detox Center
• Post Detox, Pre-Treatment program
• STBBI, Hepatitis-C, HIV testing and treatment onsite/off-site
• Outreach services
385 total admissions to Btsh in 2023-2024
Successes
• BTSH continues to provide medical support to the Foothills Detox Centre in Fort Macleod, a partnership that has shown continuous growth since 2020.
• Successful Alberta Health Compliance Audits, license renewal.
• BTSH has strengthened relationships and collaborations with BTDH-Wellness Program, Kainai Transition Centre Society, Blood Tribe Harm Reduction Project, and Kainai Healing Lodge.
• The Blackfoot Elders and Knowledge Keepers continue to provide cultural support at the Bringing the Spirit Home and Pre-Treatment trailers.
• Wellbriety teachings incorporated with Blackfoot culture, traditions, and values, provides the foundation for successful recovery and healing for body, mind, and spirit.
• Funding obtained for a 20-bed expansion of the Bringing the Spirit Home for ‘Post-Detox, PreTreatment’ programming. Many clients/participants share their hardship of continuing sobriety in triggering environments. This expansion will allow for clients/participants to continue programming while awaiting their treatment date.
• Psychiatrist available within BTDH to help support clients.
• On a given day, the team interacts with approximately 100-250 Individuals
• The BTSH STBBI RN recognized the increase in the statistics and need for prevention, and education in STBBI, Hepatitis-C, and HIV. The RN provides dried blood spot testing on outreach, and attends various conferences, departments, and entities to share products and information.
Facility Operations
Director: Josh Weaselhead
The Facility Operations Department plays a crucial role in ensuring a safe and comfortable environment for residents, visitors, and staff across the six health facilities.
Facility Operations perform engineering/maintenance, housekeeping, material management, and security duties for the Kainai Continuing Care Centre, Community Health Services, Health Centre, Emergency Medical Services, Kainai Wellness Centre and Levern Clinic facilities, consistent with preventative maintenance measures.
Accomplishments:
Maintenance
• Electrical system maintenance has been completed by on-site electrician to make sure no hazards are present in electrical rooms.
• Completed trip hazards paver and roadway repairs at BTDH main parking lot. Also installed fluorescents bumper guides for electrical parking pedestals
• Managing all material management requisitions while BTDH is in rapid expansion. Included all Departments in Material Managers Schedule.
• All buildings are inspected yearly and have passed , fire alarm, sprinkler system, kitchen, environmental health & safety and generators
• 16 rooms in Continuing Care renovated with new flooring and paint.
• Upgraded hallway lighting in Continuing Care to LED lights that provide better lighting coverage and electrical costs savings
• Red Crow Monument: Landscape team transformed space by installing new benches and drough tolerant plants.
• Plumber repaired mechanical chill water piping in Home Care.
Security
• All Security personnel completed security training level 1 & 2. Security uniforms were upgraded including work shirts and winter coats.
• Hired 15 casuals for Pre-Treatment and BTSH.
• 25 security cameras were installed to cover BTDH property.
Capital Funding Projects
Additional space added to BTDH Parking lot: $163,200 West drive lane and additional 33 new parking stalls on West and North Standoff parking lot. New paint to all BTDH parking lot
New flooring in Continuing Care Centre:$72,000
Accommodation standards for Long-Term Care required to change all flooring in residents’ rooms, as rooms are becoming weathered and could cause a tripping hazard
Continuing Care Centre resident’s kitchen renovation: $26,800
New kitchen cabinets, counter tops, fridge and Marmoleum Flooring
The Facilities operations staff have shown great commitment to the BTDH. Housekeeping, Security, Maintenance and Material Management have shown how hard we work for our Blood Tribe members as essential workers. we have not shut down or been on modified hours in the past few years.
Wellness Program
Director: Dr. Terri-Lynn Fox
The Blood Tribe Department of Health Wellness Program offers a variety of services and programs to meet the mental health needs of the Blood Tribe Community. The population serviced by the Wellness Program ranges from children to older adults, families to groups and the community. While implementing innovative modes of health and healing, our program infuses both Western methods and Siksikaitsitapi ways of knowing and being into service delivery.
Programs and Services
• Mental Health Counselling, including Client Case Coordinators
• Clinical Psychologist
• Addictions Counselling (National Native Alcohol and Drug Abuse Program NNADAP)
• Crisis Intervention Program & Mental Wellness Crisis Response Team
• Interagency, Brighter Futures Initiative, & Prevention of Family Violence
• Community Engagement and Elder Program
• Honouring Life (National Aboriginal Youth Suicide Prevention Strategy)
• Indian Residential School, Indian Day School, & Day Scholar Support Program (Trauma Informed Funding
• Missing and Murdered Indigenous Women and Girls & Men and Boys (MMIWGMB)
• Standoff White Calf Shelter
Standoff White Calf Shelter
The White Calf Standoff Shelter provides temporary accommodation and support services to individuals in need, often serving those who are homeless, experiencing substance use disorder, or facing other crises.
Mental Health and Addictions:
Mental Health services include individual, couple and family counselling sessions. The clinical team is able to safely support community members in need of counselling for: mental health issues, addiction issues, and other areas in relation to healing the impacts of historical, intergenerational, and individual trauma. The following trends were captured for the 2023-24 reporting period.
• Age range of clients: six (6) to 72 years of age
• Alcohol is still reported as the most frequent substance being used
• Client support for substance abuse is higher than client support for mental health
• Equal numbers of referrals (incoming/outgoing) for both on- and off-reserve programs
• Decreased mandated clients accessing counselling compared to 2022-2023
• Increased male clients utilizing services compared to the previous fiscal year
• Primary substances being used: alcohol, opioids, crack/cocaine and crystal meth
White Calf Shelter Food Support and Overnight Stays
Day Treatment Program
The Day Treatment Program (DTP) offers an opportunity for individuals who are unable to attend a residential treatment program, are uncertain about their decision to seek treatment, or are seeking additional support on their recovery journey. The program provides education, awareness, and support for those struggling with illicit substance use and/or alcohol use disorders.
The following were identified as highlights within the Day Treatment Program:
• Client participation is approximately 20+ individuals per session
• Clients are willing to attend versus being mandated
• Family members are attending, learning, and healing together
• Elder teachings are being documented and archived for future use
• Graduates of the DTP are now volunteering and participating in other Wellness Program events
“My mental health is very important today, of course I get overwhelmed, tired restless etc. I’m learning so much about myself and how to cope with my everyday life, I can honestly see me today dealing with my obstacles, because my mental health is looking better and better in my eyes! Thanks.”
- Day Treatment Participant
Community Support Groups
Wellness Program’s weekly group Isspomaanitapiiysinni (Being Helpful to Others) is open to community members who are seeking support in a group setting for areas related to emotional well-being. Support groups alternate weekly for men and women.
Mental Health and Community Engagement
The Mental Health and Community Engagement worker supports all areas in Wellness Program. Education and awareness sessions include holistic health, self-care, the importance of healing from losses, and provided cultural support to individuals and groups requesting understanding of our Blackfoot/Kainai cultural ways of knowing and being.
Culture is Our Immune System – Nipaitapiiyssinni Gathering
Weaving the theme throughout the event, the Culture is Our Immune System—Nipaitapiiyssinni Gathering was attended by over 1200 delegates throughout the 3-day event in December 2023.
Siksikaitsitapi ways of knowing, being and doing were overarching mechanisms throughout the gathering, while also incorporating other Indigenous teachings, such as:
• Health and Healing
• Botany and Daily Plant Usage
• Elders’ Knowledge and Stories
• Food Systems
• Youth and Entrepreneurs
• Fashion, Art and Music
• Yoga and Wellness
• Entertainment throughout the Gathering
Crisis Intervention
The Crisis Intervention Team responds to community needs and provides guidance during emergencies or crises to effectively support and coordinate response activities. A strong partnership has been established with the Blood Tribe Department of Health Emergency Services, Blood Tribe Police, other on-reserve organizations, and local hospitals in Cardston, Fort Macleod, and Lethbridge.
On-site supports include providing immediate emotional support and guidance to survivors and family members in a state of acute mental health crisis brought on by trauma such as overdoses from opioids and sudden deaths. They provide referrals to the appropriate program or agency for assessments to ensure that follow-up services are provided by the clinical team and for cultural supports. In addition, transportation services are provided for clients seeking detox services and family violence shelters, and shelters in general.
Brighter Futures Initiative
Successes
• Funding has been received for a Mental Wellness Crisis Response Team, that would assist in further supports for members during critical events. The MWCRT works collaboratively across the region, and engages in training for Treaty’s 6, 7 and 8, while also attending or providing training within the Treaty 7 area.
• Wellness Program Crisis Intervention team is now a part of the Treaty Seven Crisis Response and will coordinate our services to help community members in distress or experiencing crises.
• We have expanded our services to help community members with a quick response supports such as: gift cards, care packages, emergency kits, water, toiletry products and lunches for wake services.
• We also provide supports to families who are in dire need of assistance with funeral costs, elder supports and immediate counselling supports.
Prevention of Family Violence
This program works to reduce domestic violence utilizing traditional methods, healing circles, community and elder resources and strives to restore harmony in the family and throughout the community.
The Interagency/Brighter Futures Initiative works to liaise with all agencies, departments and entities to establish a rapport with existing resources to improve the delivery of services and programs for all agencies. This program is proposal driven and accepts proposals from community groups. In order to secure funding under the BFI, each proposal must focus on one or more of the following BFI components which include: Mental Health, FAS/FAE – Alcohol Related Brain Injury, Child Development Injury Prevention, Parenting Skills, Community Wellness and Healthy Babies.
Inter-Agency
The Inter-Agency initiative aims to strengthen community and organizational connections to better serve and deliver programs and services to Blood Tribe members in Southern Alberta. The inter-agency meetings provide a platform for sharing information, collaboration, and the development of new partnerships while fostering existing ones.
Honouring Life
The foundation of the Honouring Life program is to promote suicide prevention through educational workshops and activities that decrease the indicators for suicide and/or suicidal tendencies in children and youth. The Honouring Life program is funded by Alberta Health Services (AHS).
Crisis Intervention Response Data
Indian Residential School Resolution Support and Community Engagement Program
The Indian Residential Schools Resolution Health Support Program provides mental health, emotional and cultural support services to eligible former Indian Residential School students and their families throughout all phases of the Indian Residential School Settlement Agreement, including: Common Experience Payments, Independent Assessment Process, Truth and Reconciliation Commission events and commemorative activities.
• Cultural Support is a specific service chosen by the victim including healing ceremonies, teachings and dialogue.
• Emotional Support is to safely address issues related to the negative impacts of the Indian Residential Schools; support workers listen, talk and provide support to the victims.
• Other supports as deemed necessary for client wellness.
Form filling services are provided for both the Gottfriedson Day School class action and the MacLean Day School class actions. Continuous support for applicants in all class action suits, namely Day School and Day Scholar. Additionally, on-going family support to all Blood Tribe members.
Honouring Our Ancestors: Practicing Our Siksikaitsitapi Traditions Through Innovation and Vision Project
This project aimed to connect participants through ceremony as a means of knowledge transfer, fostering a culturally safe space to address systemic gender norms and barriers. The project included a ceremony and Knowledge Transfer workshop in August 2023, where traditional activities were used to strengthen ancestral identity and understanding of gender roles.
The Closing Gathering event in March 2024 continued these efforts by addressing gender equality through Siksikaitsitapi knowledge and promoting healing and decolonization. Participants benefitted from enhanced cultural awareness and personal growth. The project was funded by Women and Gender Equality Canada.
Missing and Murdered Indigenous Persons
The Wellness Program provides mental health supports to families and those affected by MMIWG. They also coordinate MMIWG honouring and awareness events. The MMIWG committee meets regularly to plan community awareness activities and consists of Wellness Program employees and family members of MMIWG.
On going efforts will ensure education of the historical context of MMIWG is at the forefront to empower and promote individual, family and collective healing as we journey towards truth and reconciliation together.
Non-Insured Health Benefits
Director: Craig Day Chief
The Non-Insured Health Benefits (NIHB) Program provides comprehensive healthcare services to clients, including access to the NIHB Navigator, Medical Transportation, Mobile Medical Unit, and Clinical Services.
NIHB Navigator
The NIHB Navigator provides medically-necessary coverage under the NIHB Federal Program to eligible First Nations clients for a limited range of benefits and services for both insured and un-insured clients.
Mobile Medical Unit
The Mobile Medical Unit provides a range of health services and referrals to ensure comprehensive care for the Blood Tribe community.
Transportation
The Medical Transporation program provides direct transport to medical appointments, reimbursement for eligible expenses, and coordination of meals, accommodations, and taxi services for long-distance or overnight travel.
Clinical Services
Clinical Services are offered in two locations on the Blood Tribe in the Standoff and Levern communities. Clinical Services include access to physicians, laboratory and x-ray services.
Dr. Tailfeathers
Dr. Eagle
Dr. Fox
Dr. Adelmann
Dr. MacIntyre
12,075
in clinic, phone consult and walk-in appointments at Standoff and Levern Clinics for the 2023-2024 fiscal year.
Lethbridge wellness shelter and stabilization unit
Director: Suzanne Buchanan
The Lethbridge Shelter and Stabilization Unit (LWS-SU) provides a safe and trusting environment for shelter guests. Staff provide housing and recovery-focused interventions, providing pathways for our most vulnerable members. The LWS-SU acknowledges Matpaii akaipoiyi (the People have spoken), and vows to stand strong and resilient in the face of substance use disorder. We support all people who come to the Wellness Shelter and Stabilization Unit seeking safe, nonjudgmental, and holistic care.
Successes
• LWS-SU received provincial funding for an expansion of existing facility. Announcement made February 2024.
• LWS-SU will transfer from City of Lethbridge to Lethbridge Housing Authority in May 2024. This transition was announced February 2024.
• The Lethbridge Nursing students in the Stabilization Unit have crafted a series of health educational programming based on client-identified needs. The students working with the Program Facilitators have collaborated with the Blackfoot Resource Hub to create mindfulness activities prior to their arrival and have consulted with the facilitators to incorporate cultural aspects into their educational program delivery.
• Partnerships continue to expand with program needs assessment. Partners include Medical Mercy Canada, Interfaith Food Bank, Streets Alive, AHS, Soup Kitchen, LPS, EMS, City of Lethbridge, Lethbridge Family Services, Lethbridge Housing Authority. To continue to raise awareness of homelessness, health inequity’s and needed services.
• Creation of Medication Assistance Program Binder as per Alberta Legislation requirements and implementation of this tool onto the Stabilization unit through NP services and MMU nurses
• Accreditation preparation to start and aim for Stabilization to go through accreditation in 2027.
OUR vision Blood Tribe department of health
Blood Tribe Members To Be Living In A Holistic Lifestyle In Healthy Communities
OUR MISSION
To Improve, Promote and Deliver Accreditted Health Services on the Blood Reserve and support Chief and Council in Ensuring the Protection of Treaty Health Rights
Kainayssini Traditional Values
