1 Quebec First Nations Social Services Forum Jan 28-30th 2014 Prevention & Support Services Kahnawake Shakotiia’takehnhas Community Services Presented by: Terry Young -Manager of Prevention Services Kathy Jacobs – Manager Support Services Pauline Solari – Clinical Supervisor Youth Protection

Quebec First Nations Social Services Forum Jan 28-30th Before we begin…. KSCS is about providing support and care to Kahnawa'kehró:non. It is about working hand in hand with the community. Information on what services are available in regards to Prevention and Support and how to access these services. KSCS is about promoting positive lifestyles and the maintaining of healthy relationships with individuals and their families.

Quebec First Nations Social Services Forum Jan 28-30th Who exactly is “K.S.C.S.” KSCS = Youth Protection? Not so, this is only one facet of a group of services offered to the community of Kahnawake. Shakotiia’takehnhas translates into “they are helping the people help themselves”, which really is our primary purpose for the community; Our actual mission statement is “Our goal, with the assistance of a team of caring people, is to encourage a healthier lifestyle through promotion, prevention and wellness activities that strengthen pride, respect and responsibilities of self, family and community as Mohawks of Kahnawake” Our role is not intended to replace or remove the responsibilities of the family unit; however, sometimes it’s necessary for families to take a break and to be supported effectively in order to learn how to move forward.

Quebec First Nations Social Services Forum Jan 28-30th Who exactly is “K.S.C.S.” Shakotiia’takehnhas Community Services has gone through many stages of growing pains, triumphs and tribulations. We have had many changes in how we operate and what types of services we offer. Today, one could say that we offer tailor made services to the needs of the community. We pride ourselves as being a client driven organization whose main priority is to provide quality care in all aspects of health and social services within the Circle of Care model: Promotion, Prevention, Treatment and Aftercare.

Quebec First Nations Social Services Forum Jan 28-30th Overview Operate with a prevention mindset: –Primary prevention: to provide education and awareness to community members before a problem exists –Secondary prevention: to provide support to clients when a problem exists but has not reached a crisis stage –Tertiary prevention: to intervene in crisis situations in order to support a family to resolve their challenges Operate with Tsi Niionkwarihotens (Our Way) in mind: –To integrate our own Mohawk culture, values and beliefs within each component of service delivery –To operate in a holistic spectrum to ensure associated problems are also addressed besides the presenting problem

Quebec First Nations Social Services Forum Jan 28-30th Overview As one of Kahnawake’s largest service organizations, KSCS now has ten programs under its administration with approximately 170 staff members within K.S.C.S. 4 Main Areas of Family Services (today’s presentation focuses on the first 2 areas): –Prevention Services –Support Services –Home and Community Care Services –Assisted Living Services We operate within a multi-disciplinary team model, whereby cases are shared between appropriate professionals and transparency of information exists to ensure best possible service is maintained

Quebec First Nations Social Services Forum Jan 28-30th Current Structure Networking and collaborative work is necessary. P&SS has established working protocols with the Kahnawake Education System (including Step by Step), the Kahnawake Peacekeepers, the M.C.K. Social Development Unit, the KMHC (and established a Mental Health Team). External networks include the Batshaw C.J. (for group homes), Montregie C.J. (for legal support and referrals), the FNQLHSSC, the “Clinical Committee”, the First Nations Child and Family Caring Society, the surrounding hospitals, and continued networking with various treatment centers, the Douglas, specialist schools, etc.

Quebec First Nations Social Services Forum Jan 28-30th Prevention And Support Services Prevention and Support Services –It is modeled to be a single team, but the variety of service delivery areas, amount of staff members, complexity of issues and high workload demanded that the services be divided into 2 management areas, “Prevention” and “Support” (P&SS) –To work in a multi-disciplinary format and to work together to provide best possible service to individuals and their families.

Quebec First Nations Social Services Forum Jan 28-30th Current Structure Prevention Services Promotion and Education Services (Communications) Primary Prevention Services (including M.A.D. Group, Our Gang Group, FASD education, Healthy Sex and Sexuality awareness, Suicide Prevention, Addictions Prevention and Violence Prevention) Secondary Prevention Services (supportive 1 on 1 counseling, therapeutic, support as well individual skills building sessions) Family Wellness Center – Parenting and Family programs and our Traditional Services component

Quebec First Nations Social Services Forum Jan 28-30th Support Services Team Social Services: –Social Services includes intake, full range of Youth Protection Services, supportive counseling, referral and assessment, Placement & review process –Support a wide variety of social issues Psychological Services: –Psychology Services (including psychological assessment, referral, contract facilitation, service planning, quality control and report drafting)

Quebec First Nations Social Services Forum Jan 28-30th Support Services Team Addictions Response Services: –Addictions Response Services includes “pre” and “post” treatment services, outpatient services, collaboration with mental health services, referral and collaboration with detox and in- patient services, education and individual counseling –Current trends indicate that cases are becoming more complex as we receive new intakes –Multi-disciplinary, poly-drug, more difficult drugs to treat, co- morbidity or dual diagnosis (mental health issues and addictions issues) and more interventions with family members

Quebec First Nations Social Services Forum Jan 28-30th An Illustration of Multi-Disciplinary Care Now to see how it all comes together, I will provide an example of a “typical” case at KSCS. Bear in mind, this case is one of the more complex ones, however it is an example that provides many areas for collaboration. –See diagram on Illustration of a Multi- Disciplinary Case

Quebec First Nations Social Services Forum Jan 28-30th

Quebec First Nations Social Services Forum Jan 28-30th Implementation of the Process

15 Quebec First Nations Social Services Forum Jan 28-30th 2014 Nia:wen