Healthy Living in the North

Reflecting the communities we serve: Northern Health’s Aboriginal Self-ID Initiative

An Aboriginal Self-ID graphic is shown. It says, "A workplace that supports the community supports a culturally safe health care system for everyone!"

A culturally safe health care system is a top priority for Northern Health.

Making sure that the health care system is culturally safe for Indigenous Peoples is one of Northern Health’s (NH) top priorities.

What is cultural safety?

The goal of cultural safety is for all people to feel respected and safe when they interact with the health care system.

Culturally safe health care services are free of racism and discrimination. Cultural Safety means that people have support to draw strengths from their identity, culture, and community.

What is the Aboriginal Self-ID Initiative?

One of the ways that NH is working to make the health care system more culturally safe is through our Aboriginal Self-ID Initiative, which asks NH employees to identify as Aboriginal or non-Aboriginal. The goal of the initiative, which first began in 2016, is to see if the NH workforce is representative of the people that we serve.

To achieve this goal, we need an ongoing understanding of what our workforce looks like. This will help us make informed decisions, to remove any barriers that may exist, and to promote inclusion. It also helps us set realistic goals around recruiting and retaining Indigenous professionals.

The Aboriginal Self-ID Initiative and Truth and Reconciliation

Northern Health’s Aboriginal Self-ID initiative aligns with the Truth and Reconciliation Commission (TRC).

The TRC is a part of the Indian Residential School Settlement Agreement and its mandate was to inform all Canadians about the truth of what happened in residential schools. In 2017, the TRC released ninety-four Calls to Action, seven of which are specifically related to the field of health care.

These seven recommendations range from addressing gaps in health between Aboriginal and non-Aboriginal Canadians to bringing change within the health care system. Two sub-recommendations address all levels of government, pointing out the need to:

  1. Increase the number of Aboriginal professionals working in health-care.
  2. Ensure retention of Aboriginal health care providers in and serving Aboriginal communities.

This work is guided by the Northern Partnership Accord, which was signed in May 2012 between NH, Northern First Nations, and the First Nations Health Authority. One of the main purposes of this agreement is to involve First Nations leadership in the planning, delivery, and monitoring of health services that impact First Nations peoples and communities in the Northern region.

Where do staff self-ID?

Completing the Self-ID form is simple and staff can complete it in five short steps:

  1. Log into i-Site
  2. Navigate to the left-hand menu and click “Request/Change My Information”
  3. Select “Change Aboriginal Identity”
  4. Choose between: “Aboriginal”, “Non-Aboriginal”, or “No Response” from the drop-down menu
  5. You’re done! Go grab a coffee!

Is asking someone to self-ID discriminatory?

Sometimes people wonder if being asked to self-ID is a discriminatory act.

Under the Canadian Human Rights Act, it’s not a discriminatory practice to collect information if it’s intended to be used to eliminate discrimination of certain groups of individuals.

NH understands that the act of identifying can be uncomfortable for a variety of reasons. The Aboriginal Self-ID Initiative is voluntary and your status can be changed at any time. Self-identifying will not affect employment with NH.

Learn more:

If you have any questions or concerns about the Aboriginal Self-ID initiative, please reach out to the Indigenous Health, Northern Health team at: Indigneous.Health@northernhealth.ca

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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Looking back at Orange Shirt Day: photo round up

This Monday marked the seventh annual Orange Shirt Day.

Orange Shirt Day is a day to remember, to witness, and to honour the healing journey of residential-school survivors and their families, and to demonstrate a commitment to processes of reconciliation.

NH staff and physicians were out in full-force, wearing their brightest orange shirts to show support for residential school survivors. Check out the photos below to see who participated!

Four women stand in front of an office building, wearing orange shirts.

Northern Health staff, in Prince George, pose for Orange Shirt Day (left to right: Anne Scott, Regional Manager, Corporate and Program Communications, Corporate Communications; Shelby Petersen, Coordinator, Web Services, Indigenous Health; Sanja Knezevic, Communications Advisor, HR, and; Bailee Denicola, Communications Advisor, Primary & Community Care and Clinical Programs.

Staff wear their orange shirts, standing on a stair case in a hospital.

Staff of Xaayda Gwaay Ngaaysdll Naay – Haida Gwaii Hospital and Health Centre wear orange to help mark the seventh annual Orange Shirt Day.
(left to right: Jackie Jones, Cleaner/Laundry Worker/Housekeeper/Cook, Housekeeping/Food Services; Louis Waters, Health Information Clerk, Patient Registration; Laurie Husband, Team Lead, Interprofessional Team 1; Abby Fraser, Cleaner / Laundry Worker, Housekeeping / Laundry + Linen; Patti Jones, Forbes Pharmacy; Gwen Davis, Charge Technologist, Multi-Function Lab; Nadine Jones, Administrative Assistant; Ashley Beauchamp, Medical Lab Aide, Multi-Function Lab; Magdalena Saied, Forbes Pharmacy; Kerry Laidlaw, Site Administrator, Northern Health – NW.)

A woman and child proudly wear their orange shirts.

Prince Rupert Regional Hospital Aboriginal Patient Liason (APL) Mary Wesley and her granddaughter Hannah Lewis pose for Orange Shirt Day.

A woman smiles, wearing her orange shirt.

Victoria Carter, Lead for Engagement and Integration, Indigenous Health, poses in Prince Rupert, British Columbia.

 

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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September 30 is Orange Shirt Day

A middle-aged woman wearing an Orange Shirt Day shirt that says "every child matters" holds an orange frame and a sign. The sign also says, "every child matters."

Victoria Carter, Lead Engagement and Integration
Indigenous Health, at the Kitsumkalum Orange Shirt Day in 2016.

You may notice more people than usual wearing orange shirts today!

It’s Orange Shirt Day – a day to remember, to witness, and to honour the healing journey of residential-school survivors and their families, and to demonstrate a commitment to processes of reconciliation.

The day celebrates the resilience of Indigenous Peoples and communities and provides an opportunity for all people in Canada to engage in discussions or provide acknowledgement and support in addressing the brutal legacy of the residential school system.

Orange Shirt Day was born out of Phyllis’ story. In 1973, when Phyllis (Jack) Webstad was six years old, she was sent to the Mission School near Williams Lake.

Phyllis’ story reminds us everyday of the children that were taken from their families and sent to residential schools. Orange Shirt Day is an opportunity to set the stage for anti-racism and anti-bullying policies for the coming school year.

Residential schools are a dark part of Canadian history and learning about them can be hard for many people. As hard as it may be for some to learn about residential schools and our shared colonial history, it’s critical to acknowledge and recognize these topics in a spirit of reconciliation and for future generations of children.

If you’re interested in learning more about residential schools, here are some helpful resources:

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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Creating Visual Narratives of Care and Cultural Safety with Lisa Boivin

Lisa Boivin and her art is pictured.

Lisa Boivin shown with some of her colourful and vibrant art.

Lisa Boivin, a member of Deninu Kue First Nation in the Northwest Territories, completed her Doctoral Studies at the Rehabilitation Sciences Institute within the University of Toronto’s Faculty of Medicine. Her upcoming workshop called Creating Visual Narratives of Care and Cultural Safety is coming to Prince George.

Lisa started drawing four years ago to help her get through her classes. During an interview with CBC’s Unreserved, Lisa remarked that her introduction to art isn’t as romantic as one would assume.

“There really is no long, romantic history of longing to learn how to paint – it was literally just hating what I was studying.”

After one of her professors expressed concern that her doodling was disruptive to the class, Lisa began to use digital painting apps on her computer – creating her signature style of using bright, vibrant colours on a black backdrop.

As a Sixties Scoop survivor, art soon became an even greater refuge for Lisa. The Sixties Scoop is a part of Canadian history when Indigenous children were taken from their families and adopted out to white families – some as far away as Europe.

As Lisa learned about colonialism, cultural displacement, and intergenerational trauma in the classroom, she was also reconnecting with her father and processing her own personal history. When it came time to submit an assignment, Lisa found that words were not sufficient to express what she had to say. Instead, Lisa asked if she could hand in an arts-based project. Feedback was positive from her professor. So, she continued using painting as a teaching tool.

Today, Lisa works as an arts-based health care educator. Using image-based storytelling (an Indigenous teaching style), Lisa educates current and future health care professionals on the obstacles that Indigenous patients face as they navigate the Canadian health care system.

Lisa’s presentation can be broken down into three sections:

  • The first section provides a personal account of Canada’s colonial history as it relates to the health outcomes of Lisa and her family.
  • The second and third sections include reflexive, arts-based exercises that use image-based story telling to explore nation building in the workplace and to create a visual narrative of the clinical and personal self.

The afternoon of learning will begin with a tour of the Two Rivers Gallery REDRESS exhibit, followed by a lunch for participants and Lisa’s three-section workshop.

Organized by the Health Arts Research Centre, with help from the National Collaborating Centre for Indigenous Health and Northern Health (NH), this free afternoon workshop takes place on Friday, October 4, 2019 from 12:00 pm to 4:00 pm at the Two Rivers Gallery. NH staff and physicians are welcome to register, but space is limited! Before registering, NH staff should discuss attending with their manager if this event takes place during regular work hours, or if coverage or travel would be required.

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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Language leads the way to an improved health care experience: New Gitxsan phrasebook helps doctors and patients communicate

A person's legs are in the foreground, wearing moccasins, and traditional leggings. More similarly dressed people are blurred in the background.

Photo: Nathan Combs, Wolf & Water Photography & Creative Framing

This article first appeared in Northern Health – Health and Wellness in the North, Summer 2019.

Think back to your last visit to your family doctor – did someone greet you in your own language? If you couldn’t easily talk with the doctor, how would you have felt?

Language doesn’t just help us communicate; it’s how we create cultural history, traditions, and memories.

In 2015, Northern Health signed a commitment to help everyone feel respected and safe when they interact with the health care system. Having good access to health care is important, but so is having a positive experience, and hearing your own language is an important part of this.

A page of the phrasebook teaches readers words for parts of the hand on the top, and has a picture of a woman on the bottom.

A page from the booklet; Nikat’een is one of the Elders who provided input.

Recognizing this, Northern Health’s Northwest East (Smithers and area) Indigenous Health Improvement Committee released the Gitxsan Phrasebook for Health Care Providers in 2017. The project tried to answer the question, “How can Hazelton make health care more accessible for the local Indigenous population?”

The same team has now released a follow up booklet with specific health care phrases in Gitxsan, plus common symptoms and names of body parts.

“More than anything, the resource was created to teach people who don’t speak Gitxsan some basic phrases and help them communicate with native speakers,” says Angie Combs (Wii Sim Ts’aan) who helped organize both projects. Combs is an Aboriginal Patient Liaison at Wrinch Memorial Hospital in Hazelton.

She says the process started with a few people interested in learning the language and grew from there.

Creating the two volumes wasn’t easy: Gitxsan is considered an endangered language, with only about 1,000 speakers left.

Not one to shy away from a challenge, Combs met with local Elders and Knowledge Holders (many of whom are featured in the booklet) to collect words and phrases, and to gain insights on how health care can be improved from the Indigenous perspective.

A man and three women all display the new phrasebook.

Staff at Wrinch Memorial Hospital are happy to have this new resource. (Left to right: Doug Eftoda, Maintenance Manager; Linda Bonnefoy, Lifeskills Worker; Maureen den Toom, Manager, Patient Care Services; Jessica McFaul, Administrative Assistant)

Combs notes that while many community members can understand English, hearing your doctor say something as simple as “Hindahl wila win?” (“How are you?”) in Gitxsan “really makes you feel good.”

Combs and the Northwest East Indigenous Health Improvement Committee have given the booklet to health care providers at Wrinch Memorial Hospital to honour and support their ongoing commitment to cultural safety for everyone in the community. The booklet is pocket-sized, making it easy for doctors to use when talking to their patients.

To help non-Gitxsan-speakers feel more confident, the booklet spells out words and phrases phonetically alongside their English translations.

As well, Hazelton health care facilities will soon display posters featuring Gitxsan health care phrases. You can also get digital copies of the phrase book through Northern Health’s Indigenous Health website.

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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Aboriginal/Indigenous Health Improvement Committees: what are they and how do they impact health care in the North?

The Local Cultural Guide guide is pictured. The cover features a stunning image of a totem, as well as a wood building with Indigenous art on it.

The Local Cultural Resources Guide, created by the A/IHICs, supports health practitioners’ understanding of Indigenous community cultures, histories, and contexts.

Aboriginal/Indigenous Health Improvement Committees (A/IHICs) are action oriented groups of people who work together to support health and wellness for Indigenous people, families, and communities in Northern BC.

The A/IHICs began in 2005 and there are now eight across the Northern Health (NH) region:

NH is committed to partnering with Indigenous peoples and communities, and to building a health care system that honours diversity and provides culturally safe services.

The A/IHICs are made up of many different types of people, including local representation from Indigenous communities and organizations, the First Nations Health Authority, Northern Health, and other sectors.

A/IHICs provide opportunities for new connections and stronger relationships and cultural understandings between diverse communities and sectors working for the health and well-being of Indigenous people and communities.

The members of each A/IHIC bring perspectives and experiences from people who live in their communities and access health care. Through the A/IHICs, Indigenous peoples’ perspectives inform local priorities and solutions!

The work of the A/IHICs is driven by three key questions:

  1. If I was a new practitioner coming to your community, what would you like me to know about you so that I could serve you better?
  2. What is it that you need to know so that you can be the best practitioner that you can be?
  3. What is it that we need to know to be the very best partner that we can be to communities and other organizations?

The A/IHICs operate with the principle that Indigenous health is holistic and seeks balance. At the heart of this view is an understanding that all things – land, water, air, animals, individuals, families, and communities – are connected and in relation to one another. Holistic health is a process that demands a broad and inclusive perspective for addressing health issues.

Over the years, the A/IHICs have undertaken many different projects, including mapping patient journeys across Northern BC. Patient journey and process maps are an opportunity for communities to bring their voice into the health care system and identify opportunities for change in health services, as well as to identity local solutions and concrete actions that can be taken at the local level. The gaps and challenges that were identified can be collaboratively addressed through local strategies and solutions.  If you want more information on this project, you can read the full Mapping Summary Report.

Each A/IHIC has also worked to create local cultural resources that support health practitioners’ understanding of Indigenous community cultures, histories, and contexts. Check out the Local Cultural Resources booklet (produced by NH’s Indigenous Health department) for more details.

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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One year later: the journey to create the UHNBC welcome sign and beyond

A picture of the welcome sign, which reads, "We welcome you to our traditional territory." The Lheidli T'enneh logo is in the bottom right. The image is of faceless-yet-friendly people, painted with bright, vibrant colours.

The Welcome Sign, first unveiled at UHNBC, recognizes and acknowledges that the hospital is on the traditional land of the Lheidli T’enneh, and welcomes people to it.

The winter of 2018 saw the unveiling of a special work of art that acknowledges the traditional territory of Lheidli T’enneh and welcomes Indigenous and non-Indigenous people to the University Hospital of Northern BC (UHNBC).

The vision for a welcome sign/art installation for UHNBC was born in 2015. UHNBC is located on Indian Reservation #1 (IR#1) and on the territory of the Lheidli T’enneh. So, it was decided that the sign should be an acknowledgement and welcoming to the Lheidli T’enneh territory, and that the sign would be in Carrier (the traditional language of the Lheidli T’enneh).

To begin this project, the PG and Area Aboriginal Health Improvement Committee (AHIC) created a sub-committee to lead and guide the project. With guidance from Lheidli T’enneh chief and council, the sub-committee began planning the steps to create an art installation that would be placed prominently in the hospital.

After a call for Indigenous artists was issued, Carla Joseph, a Métis artist, born in Prince George, with Cree roots in Green Lake, Saskatchewan, was selected to create the sign. Carla created the design with Darlene McIntosh and Mary Gouchie, two Lheidli T’enneh Elders.

“Painting the sign was a great opportunity for me,” says Carla. “I wanted to do a piece that represented community and family. [The people on the sign] have no faces to show that it can be anybody. Making time for each other is so very important. Being an artist, I know art can be healing and inspirational.”

The sign is intended to recognize and acknowledge Indigenous peoples in health care facilities and to acknowledge the traditional territory of the Lheidli T’enneh. It’s also an opportunity to offer a learning experience to non-Indigenous peoples entering the hospital.

The welcome sign was officially unveiled on February 23, 2018.

Over a year later, the sign has had a tremendous impact on patients and health care providers alike. Shortly after the unveiling, the PG and Area AHIC voted to purchase additional signs to be distributed in health care facilities across the city.

For patients who access multiple health care facilities in Prince George, the signs acknowledge Lheidli T’enneh territory, provide continuity, and prioritize cultural safety.

Here are some of the locations where you can find a welcome sign, along with community members’ thoughts about the impact they’ve had on each facility:

Positive Living North

“When I go to a location that has one of the welcome signs, I immediately feel more comfortable walking in as a stranger to provide presentations.” – Kyla Turner

The Welcome Sign hangs on a white wall that also features Northern BC locations written in an inter-linking pattern.

The Welcome Sign hangs at the BC Cancer Centre for the North.

BC Cancer Prince George Centre for the North

“The welcome sign helps to set the tone when you walk into the facility and shows that cultural safety is a priority. The sign also provides a sense of continuity of care as BC Cancer Centre is linked to the University Hospital of Northern BC, where the larger presentation of this artwork originates.” – Carolyn Jacob, practice leader, patient and family counselling, and Laura Nordin, Indigenous cancer care counsellor.

Aboriginal Housing Society

“The sign is a symbol of our relationship, acknowledging Lheidli T’enneh traditional territory, and that we are thankful as visitors that we can live in and do our work on Lheidli T’enneh territory.” – Christos Vardacostas

Two women are posing with the Welcome Sign.

Erin Anderlini and Maria Rossi pose with the welcome sign at Prince George Native Friendship Centre.

Prince George Native Friendship Centre

“This sign is very meaningful to us, as it represents our working relationship with Lheidli T’enneh, which, for me, has been fostered by being part of the AHIC.” – Erin Anderini

PG Divisions of Family Practice & Blue Pine Primary Health Care Clinic

“We have had many comments on how beautiful the ‘Welcome’ picture is. When I think of the meaning it brings to our clinic, the theme of beauty comes to mind. We are fortunate to walk on the land of the Lheidli T’enneh. The welcome is a reminder to be mindful and respectful of the people and land of this territory.” – Submitted as a group quote.

Foundry Prince George

“The sign speaks to the importance of holding, in the work that we do, the history of this community and honoring territory. It brings forward agendas that bring healing. There is also a continuity from the bigger sign in the hospital – and people recognize that.” – Toni Carlton

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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What are Aboriginal Patient Liaisons and what do they do?

Lloyd McDames smiles at the camera. Text highlights what Llyod, an Aboriginal Patient Liason at Mills Memorial does and provides his phone number: 250-638-4085.

Llyod McDames is the APL for Terrace and Kitimat at Mills Memorial Hospital. The contact information for your community’s APL is available on the Indigenous Health website. It’s also on posters and screens at your local hospital.

Maybe you’ve seen their smiling faces on a TV screen at one of our hospitals or maybe you’ve heard the term “APL,” but you’re still not sure what exactly Aboriginal Patient Liaisons are, much less what they do. Let’s find out!

So, what are Aboriginal Patient Liaisons (APLs) and what do they do?

There are 10 APLs across the North. They work to make sure Indigenous patients, clients, residents, and their families have access to high quality, culturally safe care. They also help close gaps between Western and traditional medicine, ensuring a holistic health approach.

Lloyd McDames is the APL for Mills Memorial Hospital, which serves communities in and around the Terrace and Kitimat areas. In Lloyd’s role, no two days are the same.

“When I reflect on my role as an APL at Mills Memorial Hospital I find my role is that of: a travel coordinator, a comforter, a family researcher, a cultural awareness educator, a support person, an advocate, an outreach worker, a facilitator, a mediator, a problem solver, a community liaison, a social worker, and my favourite: a telephone-tag player,” says Lloyd.

Lloyd and the other APLs across the region work with a diverse group of community members and health care providers. They must learn to adapt quickly to make sure each unique individual receives culturally safe care.

Northern Health created the APL program because we are committed to:

  • Partnering with Indigenous peoples.
  • Building a health care system that honours diversity and provides services in a culturally relevant manner.

The program runs in partnership with community agencies in Prince George and Smithers (Carrier Sekani Family Services and the Dze L K’ant Friendship Centre Society respectively).

Northern Health’s Indigenous Health team supports the APL program by:

  • Providing training opportunities and mentoring.
  • Supporting a community of practice.
  • Developing communications materials and resources.
  • Collaboratively planning, developing and evaluating the program.

What can an APL assist you with?

Indigenous health is holistic and seeks balance. At the heart of this view is an understanding that all things are connected and in relationship to one another – land, water, air, animals, individuals, families, and communities. Holistic health is a process that demands a broad and inclusive perspective for addressing health issues.

Here are some of the ways that APLs can work to make sure your health care experience is holistic:

  • Arrange for translation services.
  • Help patients understand the health care process, procedures, and terminology.
  • Help to ensure admission and discharge planning goes according to patient needs.
  • Assist with advanced health care planning.
  • Facilitate communication and cultural understanding between patient and care providers.
  • Assist patient with end-of-life resources.
  • Coordinate spiritual/cultural advisors.
  • Support and comfort family and friends.
  • Assist with referrals within Northern Health and to community agencies.
  • Help link patients to non-insured health benefits.
  • Assist with transition to and within long-term care.

How can you get in contact with an APL in your community?

There are 10 APLs throughout Northern Health in the following communities:

Contact information for each area can be found on the Indigenous Health website. Patients are invited to reach out to their APL directly or ask their health care provider for a referral.

Whether you are a health care provider or a patient seeking care, the team of APLs is here for you.

Shelby Petersen

About Shelby Petersen

Shelby is the Web Services Coordinator with Indigenous Health. Shelby has over five years of experience working in content development and digital marketing. After graduating with a degree in Political Science from UNBC, Shelby moved to Vancouver where she pursued a career in digital marketing. Most recently, Shelby was the Senior Content Developer and Project Manager with a digital advertising agency in Vancouver, British Columbia. Born and raised in Prince George, Shelby is thrilled to be back in the community and spending time outside enjoying everything that the North has to offer.

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Foodie Friday: Supporting culturally safe environments with traditional First Nations foods

As a member of the Aboriginal Health team at Northern Health, it’s really important to me to support culturally safe health care environments. When health care settings are inclusive of Indigenous cultures and traditions, they become more culturally safe for Indigenous people. That is why I was excited to learn how Northern Health staff are making traditional First Nations foods available to patients and residents!

Cook with Hugwiljum (fish soup)

Offering traditional First Nations foods in health care environments is an important step in creating an inclusive, welcoming, and culturally safe health system for Indigenous peoples.

In Hazelton, cooks Anita Lattie and Armin Wesley are excited to make traditional First Nations foods available to residents and patients at Wrinch Memorial Hospital. Both Armin and Anita are Gitxsan; Anita is from Gitanmaax and Armin is from Sik-E-Dakh.

“When patients and residents see foods they are familiar with, they enjoy it more,” said Anita about the response to the menu additions.

“I have been waiting for this,” said a resident about the Hugwiljum fish soup and bannock he was eating for lunch.

The process of adding new foods to the Northern Health menu repertoire involves putting the recipe in a consistent format, testing it with ten people, and then submitting it for approval and further testing. Support services coordinator Deana Hawkins explained to me that once the recipes are approved, they are added to the core menu across Northern Health so other sites can also serve them.

In the northwest, Mills Memorial Hospital, Terraceview Lodge, and Kitimat General Hospital now offer the Hugwiljum fish soup and bannock. Anita has just finished testing a salmon patty recipe to send for approval this week. “All the staff in the Wrinch Memorial kitchen are Aboriginal and it makes us feel good about our jobs to be able to do this,” said Armin. According to BC Stats, in Hazelton, 56.5% of the urban population is Aboriginal.

In Prince Rupert, dietitian Arlene Carlson works with Elders at the Gitmaxmak’ay Nisga’a Society and Friendship House to organize traditional feasts twice a year for residents of Acropolis Manor, the local long term care facility. The feasts include locally prepared, seasonal foods such as fish chowder, moose soup, and kelp on roe. Local First Nations cultural entertainment is a highlight of the feasts. “These feasts are really popular with First Nations and non-First Nations residents alike,” said Arlene. This work has helped create a policy within our organization of bringing in food for social functions and cultural events. Other policies are in place to support families to bring in food for their loved ones in long term care.

On Haida Gwaii, traditional foods are offered in both hospitals. In the south, the Haida Gwaii Hospital and Health Centre – Xaayda Gwaay Ngaaysdll Naay serves local fish regularly on the menu and the Meals on Wheels program brings traditional food to Elders in the hospital on a weekly basis. In Masset, Northern Haida Gwaii Hospital & Health Centre residents are offered a special occasion meal once per month. Meals feature local and traditional ingredients such as fish, clams, deer, and locally grown vegetables. On Haida Gwaii, Shelly Crack and Tessie Harris are part of a national movement to incorporate sustainable food into the health care system; including more traditional foods.

Cultural safety is a priority for Northern Health. In July 2015, all BC Health Authority CEOs signed a declaration demonstrating their commitment to advancing cultural humility and cultural safety with their organizations. The goal of cultural safety is for all people to feel respected and safe when they interact with the health system. Culturally safe health services are free of racism and discrimination. People are supported to draw strengths from their identity, culture, and community. One of the features of a culturally safe health system is ensuring physical environments reflect local Indigenous communities and cultures.

Offering traditional First Nations foods in health care environments is an important step in creating an inclusive, welcoming and culturally safe health system for Indigenous peoples.

Hugwiljum (fish soup)

Makes 4-5 portions

Ingredients

  • 2 cups potatoes
  • 1 medium onion (diced)
  • 3 salmon loins
  • 1 tbsp curry
  • 1 tsp salt
  • 1 litre water

Instructions

  1. Bring all ingredients to boil. Reduce heat and simmer until potatoes are tender and salmon cooked.

 

Victoria Carter

About Victoria Carter

Victoria works in Northern Health's Aboriginal health program as the lead for engagement and integration. She is an adopted member of the Nisga’a nation and was given the name “Nox Aama Goot” which means “mother of good heart.” In her work she sees herself as an ally working together with Aboriginal people across the north to improve access to quality health care. She keeps herself well by honouring the mental, emotional, physical and spiritual aspects of her life through spending time with her friends and family, being in nature and working on her own personal growth.

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Orange Shirt Day

Two women dressed in orange

Marking Orange Shirt Day in Kitsumkalum.

I was honoured to be invited to Kitsumkalum’s Orange Shirt Day by Charlene Webb, the community health director. Although I got to wear a beautiful locally designed orange shirt, enjoy yummy orange food, and visit with many people, this event has a sad undertone.

What is Orange Shirt Day?

September 29th is Orange Shirt Day – a day of remembrance and recognition of residential school survivors and those who did not survive.

It is a day each year to acknowledge the harm done by the residential school system to children’s self-esteem and well-being and to remember that every child matters. Orange Shirt Day grew out of Phyllis’ story. In 1973, when she was 6 years old, Phyllis attended the Mission school. On her first day of school, her clothes (including a special, brand new, shiny orange shirt) were taken from her and replaced with a uniform. Orange Shirt Day is an annual opportunity to engage in a discussion on all aspects of the residential school system.

Residential schools

September is when children go back to school and it is therefore timely to remember the Indigenous children in Canada who were taken from their families and travelled long distances to attend residential schools. Instead of being nurtured and supported, many suffered emotional, physical, and sexual abuse there.

Residential schools are a dark part of Canadian history that make me very sad. As a 6th generation Canadian white woman with First Nations children, I have struggled with this part of Canada’s history. I first learned about residential schools when I was pregnant with my first child. I was devastated that such a thing could happen. As a parent, I cannot imagine a more heart wrenching and devastating experience than having my children forcibly removed and taken far away where I cannot protect them or care for them.

Woman wearing "Every Child Matters" shirt

Orange Shirt Day is a day each year to acknowledge the harm done by the residential school system to children’s self-esteem and well-being and to remember that every child matters.

Learning more

As hard as it is, we need to acknowledge that this tragedy occurred and learn more about it so that it never happens again. I encourage you to explore several resources:

Cultural humility

Part of healing from this difficult history in Canada involves all of us developing our cultural humility – our ability to be respectful, self-aware, and lifelong learners when it comes to the experiences of others.

I encourage you to join me and participate in the First Nations Health Authority social media campaign to engage all of us in advancing cultural safety and humility in the health system. In my daily life, I strive to do my part to help create an environment in Northern Health where people feel safe from racism and discrimination. Make a pledge today and share it on social media. Together we can make a difference.

Victoria Carter

About Victoria Carter

Victoria works in Northern Health's Aboriginal health program as the lead for engagement and integration. She is an adopted member of the Nisga’a nation and was given the name “Nox Aama Goot” which means “mother of good heart.” In her work she sees herself as an ally working together with Aboriginal people across the north to improve access to quality health care. She keeps herself well by honouring the mental, emotional, physical and spiritual aspects of her life through spending time with her friends and family, being in nature and working on her own personal growth.

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