Project Description

Miyo Machihowin translates as good health, the Miyo Macihowin department consists of the several health promoting programs. Through a collaborative coordinating approach Enoch Health Services continues to provide services to the members of our community. To achieve the Nation’s vision of being unified, prosperous, and self-sufficient, we have to break down barriers that exist and focus on building a healthy community that is connected, involved, and proud.

Department Overview

Enoch Health Services (Internal and External).

Enoch Cree Nation is a leader, although the health programs and services that Health Canada provides funding, this does not meet all the needs of the community. Enoch Cree Nation has recently entered in a Memorandum of Understanding (MOU) with Alberta Health, Alberta Health Services, Health Canada, which the first of its kind in Alberta. With the intent and commitment of addressing the service gaps within our community. This agreement was in no way binding and/or infringes on any treaty rights to health.

With health growing at a quick pace, and a priority to Chief and Council it was determined that there was a great need to streamline both internal health services and external health partnerships.

Goals

  • Developing a health board in new year, draft terms of reference are currently being looked at. The intent of the health board is to foster community engagement and bring together expertise that will strengthen Enoch Cree Nation’s capacity to improve health outcomes.
  • Working on a comprehensive community health needs assessment (currently underway).
  • Enoch Cree Nation is looking the health department accredited through the Canadian Accreditation Council. For some, accreditation can create unknowns, but be reassured that for our Health Department it will create accountability and excellence that our members deserve.

Enoch Health Services is undergoing substantial renovations. Please be patient with us. We are keeping our closures to a minimum to ensure ongoing access to services and programs.

Brighter Futures Initiative

The goal of the Brighter Futures Initiative is to encourage and support the well-being and health of children, individuals, and families through a community holistic and culturally determined approach

To provide and cost share with other health programs for the following immunization clinics:

  • Preschool Clinic
  • Santa Clinic
  • Halloween Clinic
  • Easter Clinic & other school clinics
  • Provide funds for incentives and food that will attract families to attend health clinics
  • Mental Health Activities in collaboration with other health departments/programs, to cost share

Contact Information

Mandy Thomas  – Brighter Futures Coordinator

Building Healthy Communities

The Department of Building Healthy Communities works towards providing support and resources for the people of Enoch Cree First Nation. It is our belief that when individuals are given the supports of their community to address and aid in their mental health, they will then be able to heal and continue on with a positive and healthy life.

What is Mental Health?

Mental Health deals with the emotional, psychological and social well-being of a person. Just like the body, your mental health can get sick. When it is, it is very important that those suffering receive the supports they need to get through their tough times.

Mental health can affect any person, at any age or time in their life. It determines how we handle life events, stress, and even in the choices we make. With the right support, those who are suffering have a greater chance in healing and continuing on to live a healthy, fulfilled life.

Community Mental Health Program

The Community Mental Health Program is programmed to support community members who suffer from past trauma or are in any current state of crisis. Through Intervention and Advocacy, we help those who are feeling suicidal or have attempted suicide.

Referrals and Counselling Services are provided and encouraged for those who may benefit from the extra support we all sometimes need in life. It is our mission to address the mental health of our community so we can continue to build a strong and proud Nation.

Services Provided

As mentioned above, members of the Band are able to access referrals and counselling services that are needed.

Workshops and day programs are available to those who wish to participate. Sponsorship is also available for workshops.

Contact Information

Shelley Morin – Manager and Program Coordinator
Location

Box 449
Enoch, AB
T7X 3Y3

Doctor’s Office

We follow nehiyaw wiyasiwewina (Cree Laws), including manachitowin,
“Respect – be gentle, kind and do not hurt anyone’s feelings.”

Dr. Leung is on Mondays from 9:00 a.m. to 12:00 p.m. First come first served, sign up sheet.

Dr. Makokis is on Wednesday through Friday, tentatively from 9:30 a.m. to 4:30 p.m. For appointments please contact Joanne Robertson @ 780-470-5440.
Medical Services provided:

  • Family Medicine across the life span
  • Minor surgical procedures including:
    • Lumps/Bumps removal
    • Laceration repairs (Sutures/Stitches)
    • Ingrown toenails
  • Family Planning including IUD insertions
  • Wart removal with Cryotherapy (“Freezing”)
  • Some joint injections

Dr. McBeath is on Fridays only. For appointments please call her office @ 780-735-4512.

Lisa Nider, Massage Therapist,

  • Monday – Tuesday. Insurance benefits service. Call 780-914-4803 to book.

Clair Golda, Physiotherapist,

  • Wednesday. YTC without benefits. Call 780-470-5440 to book.

Joanna Parnell, Massage Therapist

  • Friday. YTC without benefits. Call 780-470-5440 to book

Contact Information

Joanne Robertson  – Medical Office Administrative

Enoch Diabetes Program

This program assists with providing comprehensive Diabetes Management for the Enoch Community through our specialty diabetes management resources.

Through education of healthy lifestyle choices, we aim to reduce Type 2 diabetes among the community and to help those with Diabetes manage their disease in the healthiest way possible. Success will be found through the support of health promotions and primary prevention activities and services.

Life with Diabetes

While Type 2 diabetes is a serious health concern, if addressed and managed correctly, individuals can live a long and healthy life. According to Diabetes Canada, this can be achieved by:

  • Eating healthy meals and snacks
  • Enjoying regular physical activity
  • Monitoring blood sugar
  • Aiming and maintaining a healthy body weight
  • Taking medications needed
  • Managing stress effectively

Services Provided

Working with your health-care team and accessing the supports here are encouraged. We are here to help and we do this through a variety of ways:

  • Monthly clinics with Internal Medicine Specialist for Diabetes Management
  • Monthly Podiatry clinics for screening and foot care
  • Provide education and support to community members in managing diabetes and other chronic conditions
  • Arranging cooking classes and individual counselling sessions with Dietician
  • Monthly Cardiology clinics for screening and assessments by Cardiologists
  • Planning gatherings for socialization and stress reduction for families that are affected by chronic illness
  • Community promotion of physical activity and other healthy lifestyle choices

Did you know?

Enoch Cree Nation’s Department of Health Services Medical Transportation is there for members to get to and from any medical appointments that are not available in our community? If you need transport to anything medical related, our team is there for you!

Contact Cheryl Morin for more information. She can be reached by:

Contact Information for the Diabetes Program

Susan McGillis – Manager and Diabetes Coordinator

Healthy Families Mentorship Program

The sweetgrass lodge (Wihkask-o-kamik) program aims to prevent FASD (Fetal Alcohol Spectrum Disorder) births in the community. We work with women 18 years and up that live a high-risk lifestyle. Although it is hard to turn away those under this age group, we will offer them support and resources with self – referred or by an agency.

We offer women and their children support and programs for a healthy prenatal experience and those who need the support for a baby or child with FASD. If child welfare is involved, our goal is to help keep their children at home by supporting them to meet their conditions. Transportation is also available to get parents to their appointments such as with a doctor, lawyer, court, shopping, and cultural/ceremonies.

The in-home mentoring program is designed to help babies, their parents/care givers and the community who are coping with effects of prenatal exposure to alcohol. We are proud advocates for the families we work with and refer them to resources in and outside the community. This includes but is not limited to:

  • treatment
  • parenting programs
  • immunization
  • housing
  • counseling services and therapy
  • school registration
  • subsidy services
  • food bank

Programs and Activities

Clients will be given the opportunity to participate in several programs and activities:

  • One on One in Home Mentoring
  • Recreational activities
  • Addictions counselling
  • Cultural concepts
  • Elder’s teachings
  • Arts and crafts
  • Retreats and campout workshops
  • Care giver/family gatherings

Our Goals

Wihkask-o-kamik Services is designed to work together to enhance babies’ quality of life and to eliminate the disability through public awareness, education, supports and advocacy.

  • Understanding and working with FASD
  • Parenting with FASD
  • Prevention of FASD
  • Families and substance abuse
  • Dads make a difference too
  • Addictions and FASD
  • Youth at risk
  • Support group
  • Research
  • Resources to other Agencies
  • Partnerships
  • Referrals
  • Spirituality
  • Traditional teachings
  • Birth control clinics

Sweetgrass Circles

Sharing, Caring and Healing
The circles are a way to develop peer support and to promote growth and healing. Individual and family counselling is also a part of this program. This is available for men, women and children.

Contact Information

Sandi Thomas
Location

The sweetgrass lodge program is located at the Enoch Counselling Services.

Health Aid & Relief – Benefits Program

The Program covers a range of health benefits to meet medical needs not covered by Alberta Health Services, Non-Insured Health Benefits or other third party health plans or if coverage has been exhausted. In essence, the Health, Aid and Relief Program is the funder of last resort.

Objectives

The program objectives are to provide benefits to eligible recipients in a manner that:

  • Is suitable to their unique health needs
  • Is cost effective
  • Will maintain health, prevent disease and assist in managing illnesses, injuries or disabilities

Benefit Coverage

A benefit is considered for coverage when:

  •  The item or service is not on a NIHB Program benefits list or NIHB schedule
  • Prior approval/predetermination is obtained
  • It is not available through any other federal, provincial or private health care program
  • The item or service is medically necessary and prescribed by a Doctor, dental care provider or other health professional licensed to prescribe
  • The item or services is provided by a recognized provider
  • Costs are reasonable and customary

Selection Criteria

In order to access services from the Health, Aid and Relief Program the recipient must be identified as a member of or residing on the Enoch Cree Nation and one of the following:

  1. Low or fixed income
  2. Dependent child
  3.  Senior (over the age of 60)

Contact Information

Jolene R. Morin — Program Manager

Talon Ward-Morin — Administrative Assisstant

Location

Box 60
Enoch, AB
T7X 3Y3

Health Aid & Relief – Health Care Assistance Program

The program provides services for Enoch Cree Nation band members as well as community members who live on the Nation. Individuals who are eligible for the program are those who experience multiple, severe impairments of their ability to accomplish the tasks of daily living necessary to live independently in a community due to health and medical problems. Examples of these tasks of daily living would include housekeeping, shopping, meal preparation, laundry, simple home maintenance and medication management.

The program is a service provider of last resort. Family members are expected to provide all the necessary help to the client that can be reasonably expected. The program will not duplicate existing services that are accessible to the client. The program will provide referrals for existing services that have not yet been accessed.

Program Guidelines

The following principles provide guidance to the program when providing services to individuals:

  • Clients are assessed as individuals with their own unique set of needs;
  • The level of assistance provided depends on the clients’ level of need;
  • Clients are encouraged to maintain as much independence as possible;
  • Family have the primary responsibility of meeting the needs of the client;
  • Assistance will be provided only if the client is incapable of doing it themselves;
  • Assistance will be provided only when all other interventions that might enable independence have been tried (i.e., assistive equipment, home adaptations, etc.);
  • Clients will receive services only as long as they are required; client needs should be reassessed periodically;
  • Services will be delivered in the most cost-effective manner possible; the program should be periodically evaluated to ensure there is no unnecessary waste.

Contact Information

Jolene R. Morin — Program Manager

Talon Ward-Morin — Administrative Assistant 

Location

Box 60
Enoch, AB
T7X 3Y3

Enoch Home Care

Access to proper medical attention and care is essential for our physical health and well-being. When individuals need the extra support in the comfort of their house; Home Care can help.

Home Care involves the work of skilled Nurses and Health Care Aides in the homes of Enoch Cree Nation. They provide medical assistance to clients under the provision of their family doctors, for the purpose of promoting and/or maintaining health or minimizing the effects of illness or disability in the home.

What We Do

To promote the health and physical well-being of individuals, we provide the services of several health care professionals. These professionals are able to provide their services in the comfort of one’s home.

Home Care Nurses
Registered nurses and licensed practical nurse will visit clients in the home, providing hands on care for a variety of health concerns and needs. They will also educate the client and family on their own selfcare and prevention.

Health Care Aides
Workers who provide respectful personal care assistance and basic health services directly to the clients under the supervision of the nurses.

Occupational Therapist
They will come to a home to assess on home safety and equipment and orders equipment as needed for the patients in their home.

Services Include:

  • Monitoring Vital Signs
  • Blood Glucose Monitoring
  • Wound Care
  • Medication administration and Monitoring
  • Equipment Assessments & Provision
  • Home Safety Assessment
  • Case Management
  • Medical Referrals
  • Liaison with Doctors
  • Personal Care Assistance
  • Delivery of Supplies
  • Accompany on Appointments
  • In Home Visits
  • Assist with Teaching pre and post op

Our Team

Holly Calliou – Home Care Coordinator
Susan McGillis – Registered Nurse
Lori Ward – Licensed Practical Nurse
Darlene Savard, Jeanine Morin – Health Care Aides
Jessie Redcrow – Occupational Therapist

Contact Information

Enoch Health Services Medical Transportation

Medical Transportation is provided to Band Community members who are in need of transportation to and from their medical appointments that are not in the community.

Client Eligibility

Must be a Canadian resident and registered or eligible to be registered under a provincial or territorial health insurance plan and have the following status:

  • Registered Indian according to the Indian Act; or
  • An infant less than 18 months old whose parent is a registered First Nations person
  • Must be living on reserve
Medical Transportation can be provided to access the following services:
  • Appointments with a Dentist, Doctor, Mental Health Therapist, etc.
  • Hospital admissions and day surgery
  • Hospital Discharge
  • Alcohol, Drug, Solvent abuse and rehabilitation treatment
  • To receive any lab work that is needed such as Ultrasound, X-Ray, Blood work, etc.
  • Traditional Healer

Rules and Regulations for Medical Transportation

Clients who require assistance MUST be accompanied by an escort*. This includes clients that are having day surgery and will require assistance after their procedure.

Any client under the age of 18 MUST also be accompanied by an escort. The escort must be able to sign consent forms or be able to provide patient history.

An escort should not require assistance for his or her own needs during the trip.

*Escort may include:

Medical Escort

  • Physician
  • Registered Nurse
Non-Medical Escort
  • Parent
  • Legal Guardian
  • Family member
Clients who have children that do not have appointments must find childcare prior to their trip. Extra passengers will not be allowed to ride in the Medical Transportation vehicle.

Parents must also provide the appropriate car/booster seat for their children that are attending medical appointments.

Transportation Hours

Monday to Friday 8:30am – 4:30pm.

Transportation needed for early mornings, evenings and weekends may be arranged with proper notice.
Clients should give at least 24 hour notice for their appointments and must cancel 24 hour ahead to avoid being placed on our no show list.

For all other questions or to find out what other trips may or may not be covered, contact Medical Transportation Coordinator Cheryl Morin.

Contact Information

Cheryl Morin – Medical Transportation Coordinator

A Brief Introduction to the Opioid Epidemic

Opioids: the term used to refer to all drugs of the opiate family and includes natural, synthetic, and semi-synthetic medications. This includes substances like morphine, Oxycodone, Percocets, Fentanyl, Carfentanil, and heroin (among many others).

In Alberta, 733 people died of opioid poisoning (an overdose) in 2017 alone. In 2016, an average of 16 Canadians were admitted to a hospital every day as a result of opioid poisoning while an average of 8 Canadians died every day as a result of opioid poisoning.

Alberta and British Columbia make up a total of 56% of national fatalities attributed to opioid poisoning.
Over 80% of fatal Fentanyl poisonings in Alberta involved other substances (most often Cocaine and Methamphetamines).

At a Supervised Injection Site in Vancouver, Fentanyl test strips identified Fentanyl in over 80% of the substances tested

Opioid Poisoning

Opioid poisoning is always a medical emergency. If you suspect that someone is suffering from opioid poisoning, call 9-1-1 as soon as possible and administer Naloxone.

Naloxone is a opioid antagonist drug, and the only thing that can reverse opioid poisoning. Naloxone kits are free at your local pharmacy or the Enoch Health Centre without prescription. Naloxone training is available for free through the Enoch Health Centre.  If you or anyone you care about use opioids (medically or non-medically) or any substances that could be contaminated with Fentanyl (anything that was procured through illicit channels), you should carry a Naloxone kit and learn how to use it.

Signs and Symptoms of Opioid Poisoning

  • Blue lips or nails
  • Shallow, irregular, or no breathing
  • Slow, erratic, or no pulse
  • Choking, gurgling, or snoring sounds
  • Loss of consciousness
  • Limp body
  • No response to touch, sound, or pain stimulation
  • Vomiting
  • Seizures
  • Skin feels cold and clamm

Harm Reduction Strategies for Opioid Users

  • Always have a Naloxone kit
  • Try not to use when you are alone or in a secluded place (try and use the “buddy system” with someone you know & trust)
  • Always follow the recommended dosage on prescription opioid medications and be careful not to mix with other substances
  • Always “test” a small portion first to gauge potency and tolerance
  • Always use sterile needles and injecting equipment and never share with another user

Harm Reduction

Harm reduction means that we want to lessen the negative consequences of opioid abuse. We aim to do this through education, support, and resilience. By educating our community on the opioid crisis, every community member can make informed decisions about their health and wellness. We aim to support our community through innovative outreach, genuine conversations about the needs of community members, and strengthening our resources.

Our goal is to promote community resiliency against opioid use, misuse, and dependency while fostering an inclusive, intersectional space for healing.

Contact Information

Tracy Sharphead – Opioid Coordinator

Program Description

As a Registered Psychiatric Nurse (RPN), my area is focused on mental health, mental health disorders, assisting people living with a mental illness or mental health challenges, and to provide a wide variety of nursing services to clients for the purpose of promoting, maintaining, and/or restoring health and mental health. As part of my role I will teach, counsel, and advocate on behalf of patients and take necessary steps to ensure safety and well-being. This program/service is dedicated to build better mental health, and mental health care for individuals and families in the community.

Services Provided

Community based mental health services such as:

  • Individual therapy
  • Family counselling
  • Treatment plans
  • Administration of depot injections
  • Ongoing support and advocacy for clients
  • Referral/connection to appropriate mental health services and support
  • Community awareness and education
  • Mental health crisis support
  • Compassionate holistic care in the best interest of the individuals
  • Interactive mental health groups and activities

Contact Information

Jacqueline Bruno – Psychiatric Nurse
Location

Box 60
Enoch, AB
T7X 3Y3

Community Health

Community health goals are to promote health across the lifespan from conception to the elderly. We aim to prevent and control chronic diseases, injuries and to control infectious disease. We also prepare for and respond to public health emergencies in partnership with Enoch’s disaster services.

We offer Communicable disease prevention, pre and postnatal program, well baby clinic, animal bite safety, school health, environmental health inspections, and emergency preparedness to prevent spread of disease.

Services Include

Communicable Disease Control (CDC)

  • Routine  immunization program (Infant/child and adult)
  • We offer seasonal influenza clinics usually mid Oct to April/May depending on the severity of influenza
  • Notifiable diseases/outbreak management including communicable diseases emergency planning and infection control.
  • Prevention for Blood-Borne Pathogens and Sexually Transmitted Infections (BBP/STI).
  • Tuberculosis control.

Environmental Public Health Services

  • Environmental Health Officers (EHOs) provide public health risk assessments, inspections and recommendations to Chief and Council and community members.
  • EHOs provide public health inspections of food facilities, public and social housing as well as wastewater and solid waste disposal.
  • The Drinking Water Safety Program monitors the quality of water supplies in the community.

School Health

  • We offer mandatory immunization program as per national guidelines for grade 6 & 9, and update preschool age children as well.
  • We work in collaboration with Kitaskinaw school to prevent the spread of disease.
  • We are a resource for health information for individuals, families, and school staff.
  • We provide pre school screening for K5 students entering grade one this includes vision screening, growth measurements,  developmental screening, speech and language assessment, dental and nutrition screening.

Maternal and Newborn Health

  • We support and strengthen the developing mother-baby, father/support partner and family relationship within a cultural context.
  • We offer prenatal and postnatal classes regularly and we also offer 1:1 classes to accommodate the client’s schedule.
  • We offer prenatal vitamins.
  • With prenatal registration we offer weekly food coupon for North on 60 and we continue to offer for up to a year for breastfeeding mothers.
  • We include a variety of fun activities, moss bag making with teachings, baby moccasins, seasonal crafts, sewing baby items, baby food making, canning, and big batch cooking.
  • We also promote injury prevention which includes car seat refund program and education.
  • We provide labour and delivery education and support which includes doula support during labour.
  • We offer many incentives for attending and completing classes this includes a layette package, breastfeeding bags, long pillow for mom, yoga package or swim passes.

Contact Information

Dorothy Janetzki – Nurse in Charge
Megan Ward – Community Health Worker

Department Leaders

Lyle Morin
Lyle MorinCouncil Division Lead
lyle.l.morin@enochnation.ca
Ron Morin Sr
Ron Morin SrCouncil Division Lead
ron.a.morin@enochnation.ca
Lynn Generoux
Lynn GenerouxInternal Executive Director
lynn.generoux@enochnation.ca
Colleen McDonald
Colleen McDonaldExternal Executive Director
colleen.mcdonald@enochnation.ca