Gwiwenzemen SPRING 2015 | No. 2 {we will do good, we intend to do right} IN THIS ISSUE Year in Review Lacrosse Meet Dr. Champion Breastfeeding Benefits Prevent Colon Cancer Maple Syrup Benefits Barry Phillips Photo credit: NHBP Environmental Staff Prescription Savings ”We will be known forever by the tracks we leave.” - Dakota QUARTERLY HEALTH & WELLNESS MAGAZINE from the NOTTAWASEPPI HURON BAND of the POTAWATOMI M ESSAGE fro m t h e DIRECTOR Submitted by Rosalind Johnston, Director Since this is the first publication of 2015, we would like to take this opportunity to reflect on our accomplishments for 2014 and share our 2015 priorities. Expanded Programs In 2014, services were expanded by adding more physician and dental days. The Maternal Child Program was expanded with the funding from Inter Tribal Council of Michigan. A Memorandum of Understanding with the Department of Affairs for the provision of Tele-Mental Health Services for Tribal Veterans was signed. NHBP members and other federally-recognized Tribal Members increased their utilization of dental and medical services this past year, with the largest growth in utilization of dental services. Several events were delivered successfully including: Red Dress, Baby Celebration, and a 5K run. Electronic Health Records In 2014, the Health Department also worked toward improving administrative efficiency by adding additional personnel to support the Electronic Health Records system, implemented E-Prescribe to allow for the direct transmission of prescriptions to pharmacies and upgraded the scheduling software. The Office Manager’s job description was revised and duties separated between the business functions and the scheduling functions, resulting in the hiring of a Business Manager to increase, monitor and manage activities related to revenue generation from third party billing. In addition, a Community Health Team Lead was added to strengthen internal linkages among the community outreach activities, the clinics and other departments. 2. Conducting a health needs assessment and utilizing current health data to determine health trends and determine additional sub-specialty services and/or prevention programming needs for 2016 consideration. 3. Strengthening promotion of current services. 4. Improving existing Elder care services, and determining additional services required including assisted living. 5. Collaborating with other NHBP departments and partners in the development of an early childhood service system. Other key areas include: 1. Reviewing all Health Department policies and procedures to ensure they reflect current regulations and/or practice. 2. Developing social service systems to support the Tribal Codes that are or will be coming into effect. 3. Continuing to enhance and strengthen existing services. Feel free to contact our department for more information about the variety of services available to Tribal Members or with any concern regarding the delivery of services. Photo credit: Jaky Nay Year in Review Quality Assurance This past year we also increased quality assurance activities by appointing both physicians as medical directors at their respective clinics, hired an internal Compliance Officer to ensure that NHBP health services are compliant with federal, state and Tribal regulations, and completed an annual risk assessment. In addition, the department had a positive vaccine inspection by the state and facility inspection by Indian Health Services. 2015 Goals To address the Tribes strategic priorities, in 2015 we will focus on: 1. Developing traditional health and chronic pain management services as identified in the prior year’s goals. 01 Walk lightly in the spring; Mother Earth is pregnant. - Kiowa Rosalind Johnston, Director WEL L NESS EDUCATIO N America’s Oldest Game: Lacrosse Submitted by Justin Gephart, Health Educator Lacrosse is commonly called “America’s Oldest Game.” Origins are widely accepted as dating back to the 1600s. The roots this game has in the Tribal community run long and deep. Author of American Indian Lacrosse, Thomas Venuum Jr. states, “As can best be determined, the distribution of lacrosse shows it to have been played throughout the eastern half of North America, mostly by Tribes in the southeast, around the western Great Lakes, and in the St. Lawrence Valley area.” Not only does this game have roots in the Native community, but it has origin roots right here in the Great Lakes region. As spring approaches, check your local area for opportunities to try this traditional and dynamic sport! For more information on physical activity and programs at NHBP, contact Justin Gephart, Health Educator. The game has evolved tremendously over time and the current version has each team fielding ten players at a time: a goalie, three defensemen, three midfielders, and three attackmen. All players wear helmets, shoulder pads, arm pads, gloves, and mouthpieces. Lacrosse sticks have three main parts: the shaft, the head, and the pocket. The shaft is the actual stick part of a lacrosse stick. The head is the part of the stick that holds the pocket. A regulation lacrosse field is 110 yards long and 60 yards wide. The goals are six feet by six feet. Players may attempt to dislodge the ball from an opponent by hitting the stick or the hand on the stick. It is legal to body check a player in possession of the ball or within five yards of a loose ball. The check must be delivered below the neck and above the waist and the checking player must have both hands on his stick. The check may be from the front or side only. Not only is lacrosse an important part of Native American culture but it provides an excellent source of exercise. Playing the game provides countless benefits to increase or maintain overall health. Running around on a field of this size is a high-impact aerobic activity. According to the Mayo Clinic, a 160-pound person burns 533 calories per hour performing high-impact aerobics. A lacrosse match can last anywhere from one to two hours, allowing participants to burn hundreds of calories per game. Traditional hand-made lacrosse sticks Spring {Mnokwé} Pronounced: “minohkweh” Tobacco {Séma} Pronounced: “saymaah” East {Wéchmokek} Pronounced: “wehchmokuk” Baby/Child: {Penojék} Pronounced: “pinohjehk” Yellow {Wzawa} Pronounced: “wizaauwah” You already possess everything necessary to become great. - Crow 02 E MP LOYE E H I G H L IGHTS Meet Dr. Tandy Champion Submitted by Justin Gephart, Health Educator Q What are your three favorite movies? A Millions, Toy Story and Children of Heaven. Q What are your top life highlights? A Graduating from medical school and completing residency, holding each of my nieces/nephews for the first time, getting my pilot’s license, and taking my dad for a flight along the lakeshore two years ago. Q What do you like to do in your spare time? A Exercise, read, travel, mentor and volunteer. Q Do you have a favorite quote? A “It is hard work to fill one’s life with meaning. That I do not think you understand yet. A life filled with meaning is worthy of rest. I want to be worthy of rest when I am no longer here.” - Chaim Potok, The Chosen Photo credit: West Michigan Aviation Academy Q What is your position/title at NHBP? A I am the medical director at the Grand Rapids Clinic. Q What is something most people do not know about you? A I obtained a motorcycle license when I was in college so I could drive to work, and I have kept it active. And my first trip outside the U.S. was to Haiti when I was 7. My last trip was five years ago to Rwanda. Dr. Tandy Champion DENTAL C L I N I C Spring Cleaning Submitted by Dr. Chas Jensen The same holds true for your dental health. Regularly scheduled dental appointments allow your dentist to fix problems before they start causing pain. Once a cavity progresses to the size that it will cause a toothache, a simple filling will not take care of it. More invasive procedures such as root canals or extractions will be needed. Had the cavity been addressed earlier (prior to it causing pain), then likely a simple procedure like a filling would fix the problem. 03 As the temperatures begin to rise and it becomes easier to get around outside, make an appointment with your friendly dental team so a toothache won’t get in the way of you enjoying the warm spring sunshine to come! The one who tells the stories rules the world. - Hopi Photo credit: Jaky Nay As spring is knocking at our door and the snow is starting to melt, change is in the air. It is time for us all to get out of our winter hibernation mode, get outside and get active. How does the saying go…”An ounce of prevention is worth a pound of cure.” As in all facets of health care, prevention is the best medicine. A healthy, active lifestyle is paramount to both longevity and the management of chronic diseases such as high blood pressure and diabetes. Dr. Charles Jensen, Heidi Heers, Hygienist (center), Kendra Blaskowski, Dental Assistant N URS ING/P RIMARY CARE Don’t Take a Chance – Colorectal Cancer can be Prevented! Submitted by Jolane Conklin, Nurse Practitioner Colorectal cancer, a cancer found in either the colon (large intestine) or rectum is the second most common cancer among men and women in the United States, but it doesn’t have to be. If everyone aged 50 years or older had regular screening tests, at least 60% of deaths from this cancer could be avoided. Colon cancer can be found in both men and women, most commonly after the age of 50 and 90% of new colon cancers are diagnosed in those aged 50 and older. The risk does go up as you age and having other risk factors, like inflammatory bowel disease or a family history of colorectal cancer can increase your risk. On average, your chance of getting colon cancer is about 1 in 20 people, but can vary widely according to individual risk factors. While screening is the most important step you can take to prevent colon cancer, it is not the only one. Exercising daily, eating a healthy and well balanced diet, knowing your family history and not smoking are all things that you can do now to prevent colon cancer in the future. For more information on health screenings, contact the NHBP Health clinic at 269.729.4422. Source: Colon Cancer Alliance Colon cancer most commonly starts as a polyp (a growth that shouldn’t be there). Over time, some polyps can turn into cancer. These polyps and early cancer don’t always cause symptoms, especially at first. Screening tests, like a colonoscopy, can find these polyps so they can be removed before they turn into cancer. The good news is that screening for colon cancer has increased by 60% since 2010, however one in three adults ages 50-75 are still not being screened as recommended! There are several screening options available, including stool tests that are collected in the privacy of your home, to a colonoscopy which is recommended to be done every ten years starting at age 50. Please talk to your healthcare provider if you have any questions or to get a referral for a colonoscopy screening. Colon cancer COMMUNITY HEALTH RESOURCES Prescription Savings Tips Submitted by Chris Woodring, Community Resource Coordinator Prescription medications vary in price. You can save money by doing a little checking around. Computer access can help you find the best prescription drug prices or programs. All you need is your prescription name and dosage information. • Discount medications: A handy website for you to use is www.goodrx.com • Meijer Pharmacy has some reduced-cost and even free medications available. Please check the online link for updated information. http://www.meijer.com/pharmacy • Family Fare has many convenient locations and can help with most of your prescription needs. http://familyfare.spartanstores.com/pharmacy • Wal-Mart also has some low cost prescriptions. http://www.walmart.com/cp/Pharmacy If you don’t have computer access and would like help researching prescription prices, signing up for Medicaid or Health insurance through the Affordable Care Act website., contact Chris Woodring, Community Resource Coordinator at 616.249.0159, extension 3638. One finger cannot lift a pebble. - Hopi 04 DIABETES/ WE L L NESS Maple Syrup: A Natural Sweetener Submitted by Lysandra Vander Hart, Dietitian The USDA estimates that the average person consumes more than 22 teaspoons of added sugars per day. This overabundance of sweets has been linked to weight gain and the development of insulin resistance, fatty liver, type 2 diabetes and cardiovascular disease. Scientists have developed noncaloric (calorie free) artificial sweeteners in an attempt to satisfy a sweet tooth without stretching the waistline, but the safety and impact of these chemicals are debated. Although people are looking for more natural alternatives to the typical white granules we think of as sugar, the truth is that natural does not necessarily mean healthful. The recommendation for added sugar intake is 25 grams per day. That is only 6 teaspoons of sugar or 100 calories. Natural sugars in fruit (fructose) and milk (lactose) are not included. A healthy diet should include two servings of fruit and three servings of dairy per day. Other natural sweeteners such as honey and maple syrup are considered to be added sugars. Maple syrup is one of the most popular sweeteners on the market. Made by boiling down the sap of maple trees, this sweet syrup has been consumed by Native Americans for centuries. Depending on the grade, maple syrup is about 50% glucose and 50% fructose, like table sugar. Maple syrup contains more minerals than table sugar, particularly manganese and zinc. It also has small amounts of polyphenols, which are antioxidants that help reduce inflammation. This 100% natural sweeter may raise blood sugar more slowly than table sugar. Other natural sweeteners: Agave syrup: Processed by treating the nectar of agave plants with enzymes to break it down. Contains 1.5 times more calories than table sugar and contains 90% fructose which is higher than high fructose corn syrup. Stevia: an extract from the plant’s leaves is 200 times sweeter than table sugar and is bitter so it is almost always blended with dextrose (100% glucose), which adds calories. Date Sugar: Is simply dried dates ground into a fine powder so it has nutrients such as potassium, calcium, and antioxidants. It does not melt well but it can be used in baked goods. 05 Everything the power does, it does in a circle. - Lakota The key, as with so many things, is moderation. Just because an item is sweetened with an alternative does not mean it is good for the body. For people with diabetes, Stevia products can be used on special occasions when trying to satisfy a sweet tooth. However, just as only 100 calories of sugar is recommended per day, the equivalent of noncaloric sweeteners is recommended as well. For example, one four ounce serving of regular pop is 100 sugar calories so only one four ounce serving of diet pop sweetened with Stevia should be consumed each day. As a society, we have turned sugars into a staple rather than a treat. However, this does not mean that sweet tasting foods are off the menu. Most of the sweets in our diet are beverages or grain-based foods such as baked goods. By eating fruit we can get more nutrients and save on calories while leaving room for healthy complex carbs like sweet potato, oatmeal, wild rice, squash and corn. Changing habits to cut back on sweetened foods can help patients with diabetes meet their blood glucose goals. When choosing a sweetener, think natural. Maple syrup from the Pine Creek reservation is a great addition to your cupboard! Stay tuned to the Turtle Press for the 2015 sap harvesting events. Wellness Tips: 25 Grams of Added Sugar Serving Size Food Item 4 teaspoonsHoney 6 teaspoons Maple Syrup or Sugar 4 ounce Regular Pop 1 ½ cups Frosted Mini Wheats 1 Candy Bar 16 ounce Sports Drink 12 ounce Chocolate Milk 15 Milk Duds ¾ Cup Ice Cream 1 Muffin Maple Syrup Recipe Idea: Combine 5 cups of root vegetables with 2 T oil and bake on a cookie sheet for 20 minutes at 425. Mix 2 T maple syrup, 2 T mustard and 1 T diced garlic to drizzle over vegetables and bake until tender. For more information on nutrition please contact Lysandra Vander Hart at 269.729.4422. Photo credit: NHBP Environmental Staff DIABETES N7 SHOE P ROGRAM Maple sap running on the Pine Creek Reservation He who would do great things should not attempt them all alone. - Seneca 06 MATER NAL C H I L D HEALTH Breastfeeding {Noné ésha nétem shemyago} Traditional and Natural Submitted by Beth Moody, Community Health Nurse • Breastfed infants do not suffer from tooth decay as infants, which is a significant problem with bottle-fed infants. • Breastfed babies are easy to comfort at the breast. • Breastfed infants tend to have fewer speech problems than bottle-fed infants. • Breastfeeding enhances infant learning and breast milk fosters brain cell growth. • Breastfeeding promotes maternal and infant attachment. Secure attachment promotes infant mental health and enhances trust and self-confidence. • Breast milk is always available and at the right temperature. It eliminates the necessity for bottles, sterilization, and formula. • Nighttime feedings are easy. No warming of bottles in the middle of the night. • Working mothers who are breastfeeding miss fewer days of work, because their babies don’t get sick as often. • Prolactin is released during breastfeeding, promoting maternal relaxation and feelings of well-being. • There is a lower incidence of breast cancer among breastfed infants. Breast milk is our first traditional food. It is the first gift we can give our babies – our next generation. It provides all the nutrition our penojék (babies) need along with the bonding that occurs. We breastfed our babies until the era of commodities and the 1950s era of mass marketing and selling of formula. Women were told they had no breast milk for over an entire generation. With good support and encouragement most women can successfully breastfeed. Here at NHBP we have breast pumps available to borrow and utilize as long as necessary to provide this premium nutrition to our penojék (babies). Breastfeeding Benefits • Breastfeeding significantly reduces risk of Type 2 diabetes for both mother and infant. • Breastfeeding reduces a baby’s risk of obesity by about one third. • Breastfed babies don’t get constipated; formula-fed babies do, possibly from the iron in the formula or the protein in cow’s milk. Breast milk promotes the emptying of the colon with each feed. Formula or cow’s milk tends to slow gastric emptying, and the infant may not pass a stool every day. • Breastfeeding promotes postpartum weight loss in the mother. • Breastfed infants have fewer allergies than formula-fed infants. This is very important if the patient has a history of allergies. • The antibodies in breast milk protect the infant from upper respiratory infections, influenza, otitis media, asthma, and eczema. • Recent research suggests that breastfeeding may help prevent juvenile rheumatoid arthritis. • Research has also shown that there is a lower incidence of SIDS among breastfed infants. For more information on breastfeeding and our Maternal Child Health Program please contact Beth Moody at 269.729.4422. Sources: Maternal Weight-Loss Patterns During Prolonged Lactation Does Breastfeeding Reduce the Risk of Sudden Infant Death Syndrome? Breastfeeding and Brain Development (Cognitive Development) Oxytocin, Prolactin, Milk Production and Their Relationship With Personality Traits in Women After Vaginal Delivery or Cesarean Section Breast Cancer Risk Associations With Birth Order and Maternal Age According to Breastfeeding Status in Infancy Please save the date! Penojék Mawjeshnowen BABY C E L E B R AT I O N 2015 Saturday, April 11, 2015 Noon to 3 p.m. • Pine Creek Reservation Community Center Join us as we honor our next Seven Generations’ newest Tribal Members. We would like to invite mothers and families with children born April 11, 2014 - April 10, 2015, and interested community members, to come and celebrate these new little ones. RSVP to the Pine Creek Health Department: 269.729.4422 07 God gives us each a song. - Ute PROGRAMS & SERVICES NHBP Clinic Services are available to all Federally Recognized Tribal Members Programs Offered • Emergency Preparedness and Safety • CPR/First Aid/AED • Health Education Programs, Classes, and Competitions • Exercise Classes • Lunch & Learn PARENT ADVISORY BOARD Calling All Parents! We are actively seeking participants for two Parent Advisory Boards. Next Upcoming meeting date: • Nutrition and Weight Loss April 6 • Parenting Classes • Chronic Disease Self-Management • Healthy Start Visits • Access to Recovery • Fitness Centers • Contract Health Services 6 to 8 p.m. Pine Creek Community Center For questions please contact Martin Robinson, Young Child Wellness Coordinator at 269.704.8347 or [email protected] Health Services Offered • Comprehensive Primary Care for all ages • Wellness Exams and Physicals • Medical Management of Acute and Chronic Conditions • Routine Screenings and Diagnostic Procedures • Referral to Specialty Care • Comprehensive Dental Services • Diabetes Education and Case Management • Medication Review • Home Visiting • Asthma Management/Treatment • Point of Care Testing • Podiatry Services Behavioral Health & Social Services • Individual Counseling for all ages • Family and Couples Counseling • Alcohol/Substance Abuse Treatment • Talking Circles • Case Management • Elder Gift Card Program (for hospitalized Elders) • Child Care Development Fund (assistance for eligible families and child care providers) ELDERS GIFT CARD PROGRAM The Elders Gift Card Program was designed to help Tribal Elders by providing a $25 Wal-Mart gift card to Elders who are hospitalized with an overnight stay to help assist in purchasing needed items. Eligibility: Any NHBP Member who is 50 years of age or older and is admitted to a hospital facility for medical care requiring at least one overnight stay. Requests for Elder Gift cards need to be submitted no later than 30 days after the date of hospitalization to be eligible per policy. You may use this program two times per year. Contact Chris Woodring, Community Resource Coordinator, for more information: 616.249.0159 For a more detailed list of program and service offerings, please visit http://www.nhbpi.com and click on Health. Wisdom comes only when you stop looking for it and start living the life the Creator intended for you. - Hopi 08 PROGRAM H I G H L IGHT Gardening & Local Food Submitted by Emily Henning, Community Health Team Leader According to Michigan State University Extension: • Locally grown produce is full of flavor. When grown locally, the crops are picked at their peak of ripeness instead of being harvested early in order to be shipped and distributed to your local retail store. • Eating local food is eating seasonally. Even though we wish strawberries were grown year-round in Michigan, the best time to eat them is when they can be purchased directly from a local grower. They are full of flavor and taste better than the ones available in the winter that have traveled thousands of miles and picked before they were ripe. • Local food has more nutrients. Local food has a shorter time between harvest and your table, and it is less likely that the nutrient value has decreased. • Local food supports the local economy. The money that is spent with local farmers and growers all stays close to home and is reinvested with businesses and services in your community. • Local foods promote a safer food supply. The more steps there are between you and your food’s source the more chances there are for contamination. Food grown in distant locations has the potential for food safety issues at harvesting, washing, shipping and distribution. • Local growers can tell you how the food was grown. You can ask what practices they use to raise and harvest the crops. When you know where your food comes from and who grew it, you know a lot more about that food. The NHBP Environmental Department has several spring agricultural programs. The community garden on the NHBP reservation is roughly ½ acre and operates under the advisement of a Community Garden Task Force. The task force consists of Tribal Members, Staff Members, Tribal Elders and Tribal Youth and is always open to your suggestions and participation. The planting and harvesting of produce is primarily accomplished by NHBP Job Bank Workers and volunteers. The Environmental and Health Departments regularly partner together to provide garden food distribution during the weekly Lunch and Learn program throughout the growing season. You can also find famers markets in your area and give locally grown, fresh produce a try! 09 When a man moves away from nature his heart becomes hard. - Lakota Similarly to locally grown produce, local free-range eggs tend to not only have more nutrients than store bought eggs, but also tend to have lower cholesterol levels. The NHBP Environmental Department has a poultry program of 21 egg laying hens. Give local eggs a try and taste the difference! Earlier in this edition, we discussed the health benefits of pure maple syrup and how it compares to other sweeteners. The NHBP Environmental Department produces upwards of 35 gallons of maple syrup annually. If you are interested in tasting some for yourself, don’t miss the 9th annual Flap Jack Friday event on April 3! Wild rice is a healthy alternative to other more starchy forms of rice. When compared to brown rice, wild rice tips the scales in vitamin, mineral, fiber and protein content. Help the Environmental Department facilitate the restoration of the local wild rice beds by participating in a wild rice harvesting canoe trip. You will experience the traditional harvesting of an indigenous food source and get some exercise while you are at it! Take advantage of the healthy local food sources in your area this spring and summer, your health will thank you! For more information on healthy eating contact Lysandra Vander Hart, Registered Dietician at 269.729.4422. Photo credit: NHBP Environmental Staff With spring in the air, it is time to think about gardening and the health benefits of locally grown and home grown produce. Spring starts early at the NHBP Environmental Center PATIE NT SUCCESS STO RY Patient Success Story - Barry Phillips Submitted by Barry Phillips The Michigan Indian Family Olympics (MIFO) was my first point of connection with our health services here at NHBP. This competition with other Michigan Tribes is an annual event that I look forward to each year. I realized just how much these past two years when I couldn’t go! The Dental Clinic is a valuable resource to me and other Tribal Members. Prior to the Reservation dental clinic, my last visit to a dentist could very well have been when the dentist was also my barber. Anyway, it was a long time ago; perhaps when replacement teeth were made of wood. Surprisingly, my NHBP dental visits have given me more appreciation for our Tribe’s contributions to us! I had five teeth (or semblances thereof) removed and was amazed that my co-pay was zero! Since then, I’ve had fillings, cleanings, and other procedures with the professional efficiency and courtesy that keeps my Hollywood hopes alive. As the years and miles on my body take their toll, NHBP has played a vital role. A Bell’s Palsy episode encouraged me to seek treatment and sympathies. This condition, which mimics stroke-like symptoms, was dealt with quickly and seriously by NHBP which sent me to emergency providers. The prognosis was that it would heal itself. Several more events occurred that the fast-acting staff went to work and transported me to specialists and tests that resulted in my first ever hospital stay since the early days after my birth. I do indeed believe that were it not for the NHBP health team of professionals, my very existence would be different today! If anyone has concerns or conditions regarding health, do not hesitate to contact our Tribal clinic for top notch care and treatment!! You can thank or blame them for my being here today! Migwéch NHBP! Photo credit: Jaky Nay NHBP’s Health Department sponsors and organizes these trips to Mt. Pleasant (CMU) with great proficiency. My participation has been a healthy goal that has motivated my training each year. Other contests that are enjoyable and beneficial are the walking (steps) contests. The daily, weekly, and monthly measurements provide and demonstrate healthy accomplishments on a personal basis. We’re even provided with our own pedometer! Granted, it is a basic gadget, but who needs a gizmo to tell you how fast (slow) you’re going, your perspiration rate (check the sweat stains on your shirt) or your genetic deficiencies (a mirror is more than a hostile witness)? Lest we not seek reinforcements on our own, I’m able to attend Lunch & Learn sessions that offer information about health issues and conditions that make the hypochondriac in me a more accurate whiner at social get-togethers and dinner parties. Plus, I’m exposed to healthy tips and resources, too. The workout room is another asset from the Tribe that provides a safe and healthy venue to target specific parts of my physique that are shown to be lacking by younger, buffer, members of our community. Staff will also show me how to correctly use these facilities. I’m empowered by fewer faux pas that could cause my chastisement or banishment from the premises. I know now to wipe down a machine after use and that one should never put one’s fingers in harms way around the free weights! NHBP Elder Barry Phillips shares his wellness journey story A people without a history is like the wind over buffalo grass. - Sioux 10 BEHAVIORAL H E ALT H Talking Circle Submitted by Liz Morgan, Behavioral Health Therapist “It is a native tradition to sit in a circle and talk - to share what is in your heart.” -- John Peters (Slow Turtle), WAMPANOAG What is a Talking Circle? “The talking circle is also a listening circle. The talking circle allows one person to talk at a time for as long as they need to talk. So much can be gained by listening. Is it a coincidence that the Creator gave us one mouth and two ears? The power of the circle allows the heart to be shared with each other. What we share with each other also heals each other. When we talk about our pain in the circle, it is distributed to the circle, and we are free of the pain. The talking circle works because when the people form a circle, the Great Mystery is in the center.” - Elders’ Meditation, White Bison Who is it for? The Talking Circle is for anyone living with substance abuse. The group is open to males and females and open to any age group. How does it work? The group begins with smudging and an opening prayer. Refreshments are then served and group participants read 11 To touch the earth is to have harmony with nature. - Oglala Sioux the AA preamble, the promises, and a daily reflection. The group is then open for discussion. This time allows members to reflect on the reading for the day, to share where they are in their recovery, and to provide support to other group members. After the discussion, the group ends with a Native Prayer. When is the Talking Circle? The Talking Circle at the northern office alternates every Wednesday between 12:30 to 2 p.m. and 5:30 to 7 p.m. The Pine Creek group is at Tuesdays from 12:30 to 2 p.m. starting March 24. Please contact the Northern office for a schedule 616.249.0159 and Liz regarding any questions about the Talking Circle at Pine Creek 269.729.4422 ext 8337; [email protected]. Migwéch L AU NCH Triple P (Positive Parenting Program) Helps NHBP Families Submitted by Martin Robinson, Young Child Wellness Coordinator Our community continues to benefit from the activities of the Bodwéwadmi LAUNCH Consortium. We continue to build a strong system of care for Potawatomi children and families throughout southwest Michigan. Partnerships between the Nottawaseppi Huron Band Health Clinic, Behavioral Health and Head Start have resulted in increased and enhanced services for children in our community. then follow up with a Triple P facilitator by phone for three weeks. Parents who complete the program will earn a certificate of completion. There is no cost to attend and incentives are being offered. If you are interested in signing up for Triple P, please contact Martin Robinson at 269.729.4422. Families receive additional information about their child’s social emotional development during well-child visits through the use of social-emotional screenings such as ASQ: SE (Ages and Stages Questionnaires-Social Emotional) and Pediatric Symptom Checklist. Early literacy is also a regular part of the well-child visit through the implementation of Reach Out and Read. Children receive books and information about reading with their children through the Reach Out and Read Program at the Health Clinic. Head Start staff and LAUNCH staff were trained in the Family Connections model to provide wellness consultation for Head Start staff and families. Our Mental Health Consultant, Kristin Tenney-Blackwell, is working with our Head Start Staff and a local child care provider (Kid’s Time) to promote healthy growth in young children’s social and emotional development by guiding and supporting the caregivers and parents in the child’s life to recognize, understand and support social and emotional development. Kristin’s expertise in social and emotional milestones and support strategies will help identify and work in partnership with families and caregivers to remediate problems that surface. Our Home Visiting program is a part of family strengthening, and LAUNCH is providing support for this program through the purchase of materials and providing reflective supervision support to our home visitor from our mental health consultant. Over the past few months, Triple P (Positive Parenting Program) has been offered to NHBP families with children zero to eight years of age. Triple P is a program that has been proven to help parents build strong family relationships, manage child misbehavior, and prevent problems from occurring in the first place. Triple P is being offered at Pine Creek and Grand Rapids. Parents who participate will attend four group sessions and This program is free for NHBP families. Materials, support and supplies provided. Two locations: Pine Creek & Grand Rapids We are all one child spinning through Mother Sky. - Shawnee 12 SAVE THE DAT E! Don’t miss these great health and wellness opportunities Submitted by Emily Henning, Community Health Team Leader Tribe to Tribe Walking Challenge Lunch & Learn Wednesdays at Noon Pine Creek Community Center *Free to NHBP Tribal Elders. $3 for community members, visitors and employees. National Native HIV Awareness Day March 20, 9 a.m. to 3 p.m., 311 State St Grand Rapids *Geared toward middle and high school age students; open to all. Pine Creek Talking Circle May 2 to July 5 *Open to everyone who uses NHBP clinics. Diabetes PATH May 29 to July 10, Fridays 10 a.m. to 12:30 p.m. 311 State St Grand Rapids *Open to everyone who uses NHBP clinics. Geared toward patients with diabetes and caregivers. Michigan Indian Family Olympics July 17, Shepherd High School Shepherd, Michigan March 24, Tuesdays 12:30 p.m. to 2 p.m. Pine Creek Health Clinic *See the article on page 11 for more information. Matter of Balance July 24 to Sept. 11, Fridays from 10 a.m. to Noon 311 State St Grand Rapids *Open to everyone who uses NHBP clinics. Geared toward people with fall or balance concerns and caregivers. Winter Meltdown Program Ends March 27 Baby Celebration April 11, 11 a.m. to 3 p.m. Pine Creek Community Center *Open to NHBP babies (born April 12, 2014-April 11, 2015), their families, and NHBP community members. Back to School Program Community CPR Class Contact Martin Robinson for upcoming classes and for more information. *Open to LAUNCH consortium Tribal Members and descendants (NHBP, Gun Lake, Pokagon) April 18, 9 a.m. to 4 p.m. Pine Creek Community Center *Open to all. Free to NHBP Tribal Members, spouses, descendants. A $5 registration card fee will apply to all other attendees. Must call Mike Struwin to pre-register at 269.729.4422. July 27 to July 31, both NHBP Clinics *Open to NHBP Tribal Members. Triple P Parenting Class NOTE: Preregistration is required for all events and programs listed except Lunch & Learn. Please contact the NHBP Health Clinic for registration information at 269.729.4422. For more information on health events, programs, and eligibility please contact Emily Henning at [email protected] or 269.729.4422. 9th ANNUAL ! EE e R F as Plen us! joi FLAPJACK FRIDAY! Friday, April 3, 2015 Pine Creek Community Center 11 a.m. to 1 p.m. Drumming! Free Pancakes! Maple Syrup Sales! Transportation will be provided from 311 State Street, Grand Rapids 13 A good chief gives, he does not take. - Mohawk F REQU ENT LY AS KED QUESTIO NS Frequently Asked Questions Submitted by Sarah VanOostendorp, Health Office Manager Q Why do I need insurance when I have CHS (Contract Health Service)? A CHS is a federally funded grant program to assist Tribal Members as a payer of last resort for medical expenses referred outside of an I.H.S. or Tribal clinic. CHS funds are limited. Having other insurance will reduce your out-of-pocket expenses for these medical expenses. For more information, call 269.704.8349. Q If I need a ride, who do I call if it’s not health related? A If you are in need of transportation and it is not health related, NHBP Membership Services may be able to provide that to you. You can contact their department in either the Grand Rapids location or Pine Creek at 269.729.5151. Q Is the fitness center only open to NHBP Tribal Members? A The NHBP fitness centers are open to all adults eligible to use the NHBP clinic. The fitness center is also open to the 14-18 age group with some usage restrictions. Call the Health Department for more information at 269.729.4422. HE ALTH QU IZ Which of the following is a benefit of breastfeeding? a. Breastfeeding lowers the risk of type 2 diabetes in the infant b. Breastfeeding promotes weight loss in the nursing mother c. Breastfed babies have fewer allergies d. All of the above Colon cancer is the 5th most common cancer in the Which of the following is NOT a reason to eat locally grown food? a. Locally grown produce is full of flavor b. Local food has more nutrients c. Local food is available year around d. Local food promotes a safer food supply When it comes to dental health, prevention is NOT important. You should only see the dentist when there is a problem. a. True or False United States. a. True or False What is the recommended daily sugar intake for adults? a. 0 grams b.15 grams c. 25 grams d. 30 grams Please submit quiz answers by April 15, 2015 to be entered into a drawing for a $20 gift card to: Justin Gephart, Community Health Educator 1474 Mno-Bmadzewen Way | Fulton, MI 49052 [email protected] Take the Health Quiz and enter to win a $20 gift card! Name Address City State Zip Code There are many good moccasin tracks along the trail of a straight arrow. - Sioux 14 PRESORTED FIRST CLASS MAIL U.S. POSTAGE PAID 1 4 8 5 M n o - B m a d z e w e n W a y , F U LT O N , M I C H I G A N 4 9 0 5 2 Grand Rapids, MI Permit #1840 NHBPI.COM | 269.729.5151 Credits: We would like to thank Frank Barker, Gun Lake Band of the Pottawatomi Indians, for his guidance and language expertise in the creation of this publication, and NHBP Environmental Department staff for the cover photos of Tribal Maple Syrup (front) and growing strawberry plants (back). Migwéch! Gwiwenzemen {we will do good, we intend to do right} OUR MISSION The mission of the NHBP Health Department is to foster the independence of our community through professional, compassionate, inclusive and culturally integrated health care service. We commit ourselves in recognizing and nurturing self-reliance and empowerment through education and service to Tribal Members through the promotion of healthy lifestyle choices. CONTACT US Southern Clinic & Services Pine Creek Clinic.....269.729.4422 Toll Free: 1.888.729.4422 Pine Creek Behavioral Health.....269.729.4422 Toll Free: 1.888.729.4422 Contract Health.....269.704.8349 Pine Creek Dental....269.729.4422 Toll Free: 1.888.729.4422 Northern Clinic & Services Grand Rapids Clinic.....616.249.0159 Toll Free: 1.888.662.2808 Grand Rapids Behavioral Health.....616.249.0159 Toll Free: 1.888.662.2808 Grand Rapids Dental....616.249.0159 Toll Free: 1.888.662.2808 QUART E R LY H E A LT H & WE LLN E SS MAG A Z IN E fro m th e NOTTAWASEPPI HURON BAND o f the POTAW ATOMI
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