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THUNDER BAY REGIONAL HEALTH SCIENCES CENTRE
SHONATH KAJORINNE, R.N. Regional Injury Prevention Lead TBRHSC P.A.R.T.Y. Program Coordinator 25 + years working in the Emergency Department
- TBRHSC is a level 4 Trauma Centre services a catchment area of >250,000. - Almost 50% of Northwestern Ontarians live outside the 1 hour catchment area of a lead trauma center. - City of Thunder Bay has a population of 110,000. Approx 18% of which are Indigenous People.
133 Ontario First Nation Communities LHIN 14 North Western Ontario 69 First Nation Communities Semi – isolated Isolated Remote Isolated Non-isolated No road access No scheduled flights Road access Accessible by road Scheduled flights No road access > 90 K to physician < 90 k to physician Good telephone Minimal telephone services services service and radio service 45 communities 24 communities
Party program has been running at TBHRSC since 2010 Local high schools public, catholic and french Includes Indigenous high school Dennis Franklin Cromarty and Matawa Indigenous Learning Centre
P: PREVENT A: ALCOHOL R: RISK-RELATED T: TRAUMA Y: YOUTH
HIGH RISK POPULATIONS Youth - Grade 7-12 61% report drinking alcohol in last 12 months Offender populations People with concurrent disorders Street youth Homeless First Nations Experiencing stress, discrimination Older adults
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First Nations Seven Youth Inquest
First Nations Seven Youth Inquest Held in Thunder Bay Sept 2015 until June 2016 Involved hundreds of testimonies and expert witnesses Subpoenaed to testify as a expert witness in Phase 2 of the inquest in regards to working with indigenous youth and injury prevention Formal recommendations were passed in June of 2016 TBRHSC PARTY Program Coordinator received 5 formal recommendations
#88-V IN CONSULTATION WITH P.A.R.T.Y. I NTERNATIONAL , DEVELOP A PROGRAM WITH A FOCUS ON ADDRESSING THE SPECIFIC NEEDS OF A BORIGINAL YOUTH Recommendation #84.4 develop an indigenous youth harm reduction program specific to meet the needs of the youth In collaboration with Sunnybrook Hospital in Toronto (P.A.R.T.Y. International) currently developing Indigenous P.A.R.T.Y. Program
Sunnybrook Health Sciences Centre
In collaboration with Sunnybrook Identified and defined specific challenges and concerns both locally and within our region. Develop a relevant and adapted version of P.A.R.T.Y. Program in a time sensitive and cost effective manner Summarized a 5 year time line outlining initial phases, implementation and evaluation.
INDIGENOUS P.A.R.T.Y. PROGRAM
INDIGENOUS P.A.R.T.Y. PROGRAM This program is both relatable and relevant for the needs of indigenous youth . The program will be delivered locally and regionally by presenters in two distinct ways: • In hospital/school • Via OTN/KO networks 20
In Hospital/school schedule P.A.R.T.Y. Program 2017- 2018 21
RELEVANT AND RELATABLE
INTERACTIVE
DENNIS FRANKLIN CROMARTY HIGH SCHOOL
Clinical Reality Education Make smarter choices Minimize risks Interactive, hands on Skill building
MATAWA LEARNING CENTRE
Sample in Hospital Program 28
INJURY SURVIVOR
TRAUMA ROOM
MORGUE
IN HOSPITAL RESOURCES INDIGENOUS NAVIGATORS 32
INDIGENOUS NAVIGATORS Provides advocacy, navigation, & translations services for all Indigenous people, includes First Nations, Inuit, & Metis Provides education on Emergency & Trauma Services department to Indigenous people while they are waiting to be seen Provides education on NIHB benefits to frontline staff, registered nurses, doctors, & management Ensures patients & families understand their prognosis, medical condition, & treatment Provides assistance within the Emergency & Trauma Services department
INDIGENOUS NAVIGATOR Works with community leaders to ensure that patients and family members are provided with assistance Works with TBRHSC staff to ensure that communication between staff and patient is consistent Valuable resource to all staff working to improve relationships with Indigenous persons Promotes and assists staff with knowledge and skills for building a healthy, strong understanding of unfamiliar terms and traditions of Indigenous persons
Spiritual Care 35
INTERPRETING SERVICES 1-855-554-HEAL (4325) Services in Ojibway, Oji-Cree and Cree 24 hours a day 7 days a week
OTN/KO schedule 2017/2018 37
e-Health poster advertising 38
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STUDENT COMMENTS AFTER ATTENDING P.A.R.T.Y. PROGRAM “Made me think twice” “WOW” “Scary, interesting and fun” “Fun, yet full of info” “A one -of-a- kind experience” “I learned from situations like this and will know better” “At first I thought it would be boring, but I liked it!”
“WHAT WOULD YOU DO DIFFERENTLY?” “Make wiser choices” “Change my life” “Try not to drink that much” “Think twice before doing something I’m unsure of” “I’m going to try to plan better” “Cut down on alcohol”
WHAT MESSAGE WOULD YOU SHARE? “Stop drinking!” “The injury survivor story” “The videos” “Stay safe” “Talk to someone about suicide” “Take it easy on the drinking” “I learned how to be responsible” “Life is too precious to alter it in any way from alcohol or drugs”
“Go to the PARTY program”
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