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Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it going”

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Page 1: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee is Fostering Futures

Kepaemehtonenaw

“We all support it and will keep it going”

Page 2: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Tribal Clinic

Faye Dodge RN, CDE

Community Health Director

Diane Hietpas, BA

Trauma Informed Care Coordinator

Scott Krueger RD, CD, CDE

DPP Coordinator

Patricia Burr, RN, CDE

SDPI Coordinator

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Page 3: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

History of Building Our Trauma Informed Community

• SDPI Conferences and Dr. Bullock’s presentations on the effects of chronic stress and repetitive trauma

• Menominee County identified as the unhealthiest county in the state of Wisconsin

• Menominee County also the poorest County in the state of Wisconsin

• Menominee County population on latest census 82% Native American

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Page 4: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

“Bridges Out of Poverty” Trainings

• Initially designed for Menominee Indian School District staff

• District leadership invited community partners to attend

• Dr. Ann Bullock provided key presentations into trainings and other community events

• Community member presentation on Understanding Menominee’s Historic Trauma

• What We Learned: We all share the challenges, we all have a stake in finding solutions

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Page 5: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Community Engagement Workgroup

• Started in 2011 with 9 community partners

• By 2016 it has grown to 100 attendees including:

• Clinics, Schools, Tribal Housing, Law Enforcement, Youth Workers, and more...

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Page 6: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Recognition by Robert Wood Johnson Foundation

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Page 7: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Building a System to Improve the Health of the Menominee Community

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Page 8: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Start With What’s Simple and Safe

• Increase community awareness of trauma

• Provide training and workforce development with a trauma focus

• Increase accountability

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Page 9: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Trauma Informed Care (TIC) Education

• Historical Trauma

• ACEs

• Brain Development

• Secondary Trauma

• Resiliency

• Principles of TIC

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Page 10: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Collaboration with the Schools

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Page 11: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Resiliency • Provided consistent resiliency

materials to:

• Clinic and school behavioral health providers

• Menominee Tribal Social Services

• Menominee County Human Services

• Materials from Children’s Resilience Initiative

• http://www.resiliencetrumpsaces.org/

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Page 12: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Integration with Medical and Behavioral

Health Departments

• Screening for families with infants

• Adapted Safe Environment for Every Kid (SEEK) screen

• Johns Hopkins University Pediatric Integrated Care Collaborative

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Page 13: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Trauma Informed Newsletter

• Distributed monthly to 25 local agencies

• Helps us spread the word about trauma informed efforts occurring in the community

• Helps agencies realize this TIC is here to stay and not another passing program

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Page 14: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Collective Impact at Work

• Menominee Head Start Program

• Keshena Primary School

• Birth To Three Program

• Community Engagement Workgroup

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Page 15: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Indian School

District

Culture

Tradition

Language

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Page 16: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Community Organizing:

“Grassroots at it’s finest”

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Page 17: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Participation of the Diabetes Prevention Program

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Page 18: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Wellness Initiative Strategic Plan

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Historic Preservation

Garden

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Page 20: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Gardening Initiatives

• Indoor Hydroponic Growing Tower

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Page 21: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Gardening Initiatives

(cont.)

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Page 22: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Diabetes Relay

• Largest Wellness Event on the reservation

• 16 Years of Tradition

• Family-based

• Multigenerational

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Page 23: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

We’ve Come a Long Way

• First relay had 34 people

• Track was a safety hazard

• Worked with local agencies to get track resurfaced

• Several community fitness events held each year

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Page 24: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Tied to Be Fit Walk

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Walking Trail

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Page 26: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Gardening Project

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Page 27: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Menominee Tribal Clinic Diabetes Program

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Page 28: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Education & Prevention Efforts • Community Presentations

• Exercise Events

• Health Fairs

• Education in schools

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Page 29: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Exercise Events

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Page 30: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

School Education & Health Fairs

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Page 31: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Our Community Partners • Menominee Indian School District

• Menominee Casino

• Recreation Center

• Community Resource Center

• Woodland Boys & Girls Club

• CBRF

• Conservation Department

• Food Distribution Program

• Menominee Head Start

• Historic Preservation

• Menominee Tribal Police Department

• Maehnoweskiyah

• College of Menominee Nation

• Menominee County Health & Human Services

• Language and Culture Commission

• Aging Division

• Tribal Day Care

• Veteran’s Agency

• Menominee Tribal Enterprises

• 2 Community Senior Centers

• Menominee Tribal School

• Menominee Youth Development Outreach

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Our Vision for a Health Community

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Page 33: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Some parting words…

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Page 34: Menominee is Fostering Futures - Indian Health Service › MedicalPrograms › Diabetes › ...Menominee is Fostering Futures Kepaemehtonenaw “We all support it and will keep it

Thank You!

Faye Dodge

[email protected]

715-799-5440

Diane Hietpas

[email protected]

715-799-5429

Scott Krueger

[email protected]

715-799-5443

Patricia Burr

[email protected]

715-799-5759

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