# Presentation: 268029

## Partnership of Native Medicine & Western Medicine

- A Collaborative Journey with Innovations of Planned Care and the IHS Care Model
- Poster Session by
- Ursula Knoki-Wilson, CNM, MSN, MPH
- 2008 IHS Combined Councils Meeting, San Diego

## Before IHI/IHS Collaborative

- Mission of the IHS supports culturally appropriate health care services.
- 1998:  CSU, CEO appoints TNMC members charged to develop a partnership with native medicine and western medicine.
- 1999:  Harvard MPH students conduct feasibility study for partnership between TM & WM.
- CSU Administration approves funding of ONM.
- 2000:  Office of Native Medicine opens.

**Notes:**
CSU-Chinle Service Unit
CEO-Chief Executive Officer
TNMC-Traditional Navajo Medicine Committee
TM-Traditional Medicine
WM-Western Medicine
ONM-Office of Native Medicine

## ONM Staff
Johnson Dennison, MA, Coordinator
Gerald King, Navajo Practitioner
Larry Archie, Navajo Practitioner

- Johnson Dennison, MA, Coordinator
- Gerald King, Navajo Practitioner
- Larry Archie, Navajo Practitioner

**Office of Native Medicine**

- Division of Public Health

- Chinle Service Unit

## OFFICE OF NATIVE MEDICINE

***Vision:***
-       To promote a prosperous journey of healthy living for patients, staff, & communities through Native medicine services.
***Mission:***
-       To empower the partnership of native medicine with western medicine for health and wellness.

## OFFICE OF NATIVE MEDICINE

_***GOALS***_
- To sustain culturally appropriate care for patients using the TM/WM partnership model.
- To provide Native cultural education for employees.
- To develop, establish, and implement capacity building strategies of excellence for Native Medicine.
- To strengthen collaboration with the native practitioners.

## Traditional Healing/Counseling Services

- Diagnostic Services
- Native Counseling Services
- Short Protection Prayers
- Purification Ceremonies
- Ceremonial Advices
- Blessing Prayers
- Facility/Unit/House Blessings

**Notes:**
 Diagnostic Services at CCHCF, THC, & PHC
Services at CCHCF: ER, ACU, OCU, SCU, PCU, Out Patient, Native Healing Room, & Hogan

## During IHI/IHS Collaborative

- Native medicine services continue.
- Network with Native practitioners in the communities.
- Forums for dialog between community Native practitioners and WM providers.
- Strengthen collaboration between medical staff and native practitioners related to patient referrals and rounds.
- Policies and procedures enhanced.

## Traditional Healing Services provided for Patients 

**Notes:**
Total number of patients served for the months.  Includes referrals from primary care providers, walk-ins, and IPC panel.

## Months of Low Use ONM Services:implications for access to health care

- February:
-  Road condition challenges due to snow, rain & mud
- Winter ceremonies closing
- June:
- Planting season
- Lambing season
- Start of summer ceremonies
- August:
- Harvest season
- Tribal fairs begin
- Summer ceremonies

## 2007 In-Service Training Schedule

- January:
- “Navajo Creation Stories”
- February:
- “Diagnostic Ceremonies”
- March:
- 	“Dinétah Era (Navajo History)”
- April:
- 	“Navajo Literacy for Navajo Speakers”
- May:
- 	“Grief is Part of Life”
- June:
- 	“Navajo Clan System”

- July:
- 	“Diné Ceremonial System”
- August:
- 	“Navajo Concept of Positive Relationship”
- September:
- 	“Puberty Rites of Passage”
- October;
- 	“Domestic Violence, Navajo perspective”
- November:
- 	“Navajo Cultural Sensitivty”
- December:
- 	“Diné and Diabetes”

## 2007 Attendance of In-Services

**Notes:**
At Chinle Hospital, PHC & THC

## CSU Sweat Lodge Program

- Women

- Men

**Notes:**
Open to patients & staff & community members.  Schedules are advertised.  SW policy.

## Sweat Lodge Participation

## Success Stories

- Patient success stories
- Consultation on native medicine services to other I/T/Us.
- Navajo Area Traditional Medicine Committee established.
- Use of native medicine services part of comprehensive health care services.
- Staff native practitioners provide cultural information to staff, patients & communities.

**Notes:**
Patient success stories:  Improved access to care.  Improved compliance with medical plan and self management.  Improved patient satisfaction.

## Children Are HappinessProject

**Notes:**
Funded by the Diabetes mini-grant.
16 native practitioners from the community sponsored a conference in September, 2007 focusing on prevention of diabetes in children.

## ONM Future Activities

- Continue with Native healing services & cultural education
- Coordinate train the trainers for NAIHS Health promotion
- Collaborate with University of Arizona for the study of native medicine services at CSU
- Continue to collaborate with Navajo Medicine Men Association & Hataalli Association.
- Continue to expand services at THC & PHC

**Notes:**
THC-Tsaile Health Center, an ambulatory health care center, part of Chinle Service Unit
PHC-Pinon Health Center