SIX NATIONS CRISIS SERVICES or

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CLIENT ORIENTATION PACKAGE CLIENT ORIENTATION PACKAGE SIX NATIONS CRISIS SERVICES 1-866-445-2204 or 445-2204 CRISIS SERVICES New Directions Group, Six Nations Child and Family Services, Six Nations Early Childhood Development Program/ FASD, and Six Nations Mental Health Services have formed a partnership to provide 24 hours, 7 days a week crisis coverage. Six Nations Crisis Service can be accessed by phoning the numbers above. 12 Telehealth Ontario Police, Fire, Ambulance Ganohkwasra Brant Crisis Response Crisis Assessment & Support Team of Haldimand-Norfolk St. Joseph s Hospital EPT CONTACT INFORMATION White Pines Wellness Centre 2nd Floor 1745 Chiefswood Road Ohsweken, Ontario N0A 1M0 Alternate crisis services available. AGENCY AVAILABLE PHONE Website: www.snhs.ca Tel: (519) 445-2418 Fax: (519) 445-0368 1-866-797-0000 911 519-445-4324 1-866-811-7188 1-866-487-2278 1-905-522-4941 Health Services Administration (519) 445-2418

2 Six Nations Health Services is a department of Six Nations Council. adults and our aging populations. We thank you for choosing to use our services. As we continually strive to improve our programs and facilitate needs within our community, we need to hear back from you not see a client survey openly posted, please ask your health provider for one. We appreciate all comments. When you access services from our health programs, you will be assigned a health provider. That health provider will be happy to answer any questions or concerns you may have regarding your care. If at any time you have concerns regarding the care you are receiving, please review the Complaints Process for Service Provision section of this booklet for instruction on how to address such concerns. Your health provider for Program Name is. APPOINTMENT CANCELLATION When you need to cancel or reschedule an appointment with any of our health providers, 24 hour notice is requested. Cancelling appointments another individual that needs to be seen. CONFIDENTIALITY of harm or threats of harm to self, others or children. DEPARTMENT LISTING LONG TERM CARE...519-445-0077 Adult Day Care Community Support Services Home & Community Care Jay Silverheels Complex Personal Support Services Program Professional Services MENTAL HEALTH TEAM...519-445-2143 Case Management Early Intervention in Psychosis Mental Health Educator Psychiatric Consultation Rehabilitation Services Release from Custody Supportive Housing NEW DIRECTIONS GROUP...519-445-2947 Addiction Counselling Addiction Outreach Worker Animal Control Community Health Representatives HEALTH RESEARCH...519-445-2226 SIX NATIONS MATERNAL AND CHILD CENTRE...519-445-4922 Aboriginal Midwives Breastfeeding Coordinator Children s Health Services FASD Coordinator NURSES School Nurses...519-732-1141 Services Available in all schools 519-717-5981 Sexual Health Nurse...519-445-2672 11

DEPARTMENT LISTING AMBULANCE...519-445-4000 DENTAL SERVICES...519-445-2221 MISSION Six Nations Health Services/Department is dedicated to building a healthy O:gweho:we community, where each individual is respected, valued and provided with continued excellence in health care. EARLY CHILDHOOD DEVELOPMENT...519-445-0339 FAMILY HEALTH TEAM...519-445-4019 Primary Health Care HEALTH ADMINISTRATION...519-445-2418 Director Administrative Support Finance Medical Transportation HEALTH PROMOTION & NUTRITION SERVICES...519-445-2809 Activity Programs Diabetes Education Healthy Lifestyles Nutrition Counselling HEALTHY BABIES/ HEALTHY CHILDREN...519-445-1346 VISION Six Nations Health will continue to lead in the provision of advanced, wholistic community health care. VALUES Six Nations Health Services operates in accordance with the highest standards in all relationships and service delivery with the Six Nations community. Six Nations Health Services fosters an environment that encourages innovation, diligence, growth, safety. IROQUOIS LODGE...519-445-2224 10 3

ACCREDITATION AND ABORIGINAL COMMUNITIES Accreditation health care organizations choose Accreditation Canada as their accrediting body because of holistic framework applied to the accreditation standards, cultural relevance, the use of Aboriginal surveys program. and provides an organization with access to valuable advice from other health care professionals. By participating in accreditation organizations demonstrate to clients, communities, stakeholders, and partners, their commitment to quality. APPEALS PROCESS The appeals process provides the client with the opportunity to Clients may appeal the decisions made by Six Nations Health Services Ineligibility to receive a particular service Exclusion of a particular service from the treatment plan The amount of a service in the individual service plan Termination of a particular service Quality or choice of service provided by or arranged by Six Nations Health Services Alleged violation of the consumer s rights as referenced in the Client Bill of Rights under Bill 173 Get the Facts Get Ready 3 YEAR CYCLE Make Ongoing Improvements Self-assessment Use the Report Plan and Have the Survey STAGES 1. Internal Service Review Process The Six Nations Health Services shall receive appeals and provide an acceptable decision through an approved procedure. 2. External Service Review Process Process, the client shall be informed of the external review process. resources. Six Nations Health Services has been accredited by Accreditation Canada Consumers shall be kept informed throughout the process. Appeals management is the second phase of managing appeals and deals with unresolved appeals related to service decisions. 4 9

CLIENT ORIENTATION PACKAGE CLIENT ORIENTATION PACKAGE TERMINATION OF SERVICE Six Nations Health Services will terminate services in the following situations: When all previous mutually agreed upon goals have been met, as outlined in your Plan of Care. If your health provider is unable to contact you and you have consistently missed appointments, you will receive a letter notifying you that this office will close your case if you are not heard from within 30 days. If the need arises you are always welcome to access services again. Six Nations Health Services is mandated to provide services to the residents of the Six Nations community; however there may be occasions whereby the service provider is at risk. The decision to discharge a client from receiving service from the various programs under Six Nations Health Services when a risk to personnel has not been resolved shall be a joint decision of the staff member, Supervisor and the Director of Health Services. COMPLAINTS PROCESS FOR SERVICE PROVISION All clients can submit their complaint directly to the Program Supervisor either through a written letter or by requesting a meeting. Any complaints received by staff shall be reported to the Program Supervisor within 48 hours of receipt. All complaints shall be investigated by the Supervisor and responded to in writing within 10 working days. 1. Problem resolution involves: Ongoing assessment and problem Discussion with client / caregiver solving Consultation with other services Home visits, team conferences providers (eg. Physician) 2. Six Nations Health Department supervisors review and discuss action plans with staff member. 3. The supervisor and staff shall meet with the client / caregiver to review findings and action. 4. A written response including the action plan shall be forwarded to the client / caregiver within 15 working days of the meeting with the client/ caregiver. 5. The Six Nations Health staff documents the complaint on the Occurrence Report. 8 5 CLIENTS RIGHTS Every Client has the right to: Be treated with courtesy and respect Have one s own ethnic, cultural, spiritual, and religious values respected Have information about the organization that is providing services and how those services are to be provided Give consent to or refuse service or treatment Confidentiality with respect to their personal or medical information Raise concerns and recommend changes regarding service delivery Have information on where and how to direct concerns about service provision Participate in the scheduling of visits Have the level of service assessed and adjusted accordingly and involved in discharge Have the right to consent or not consent to the disclosure of personal information CLIENTS RESPONSIBILITIES Treat service providers with courtesy and respect Respect ethnic, cultural, and religious values of the service provider Provide all required information and sign the necessary releases in order to receive services Be involved in care planning and follow a mutually agreed upon plan Inform service providers of change in condition as soon as possible Accept the scope and/or limitation of service provided Strive to be as independent as possible Be present and prepared for the service provider s visit Cancel visit when not available with as much advance notice as possible Be present and participate in ongoing assessment and discharge planning

CLIENT ORIENTATION PACKAGE CLIENT BILL OF RIGHTS 1. A person receiving a community service has the right to be dealt with by the service provider in a courteous and respectful manner and to be free from mental, physical, and financial abuse by the service provider. 2. A person receiving a community service has the right to be dealt with by the service provider who respects the person s dignity and privacy and who promotes autonomy. 3. A person receiving a community service has the right to be dealt with by the service provider in a manner that recognizes the person s individuality and who is sensitive and responds to the person s needs and preferences, including preferences based on ethnic, spiritual, linguistic, familial and cultural factors. 4. A person receiving a community service has the right to information about the community services provided to him/her and to be told who will be providing the community service. 5. A person applying for a community service has the right to participate in the service provider s assessment of his or her requirements and to participate in the service provider s development of the person s plan of service, the service provider s review of the person s requirements and the service provider s evaluation and revision of the person s plan of service. 6. A person has the right to give or refuse consent to the provision of any community service. 7. A person receiving a community service has the right to raise concerns or recommend changes in connection with the community service provided to him/her and in connection with the policies and decisions that affect his or her interest, to the service provider, government officials or any other person, without fear of interference, coercion, discrimination or reprisal. 8. A person receiving a community service has the right to be informed of the laws, rules and policies affecting the operation of the service and to be informed in writing of procedures for initiating complaints about the service provider. 9. A person receiving a community service has the right to have his or her records kept confidential in accordance with the law. CLIENT ORIENTATION PACKAGE STATEMENT OF INFORMATION PRACTICES Collection of Information We collect personal health information (PHI) about you directly from you or from a person acting on your behalf. The personal health information that we collect may include, for example, your name, date of birth, address, health history, band number, record of your visits, and the care that you received during those visits. Occasionally, we collect personal health information about you from other sources, if we have obtained your consent to do so or if the law permits. Uses and Disclosures of Personal Health Information Treat and care for you, Compile statistics, Get payment for your treatment and Fundraise to improve our health care care from OHIP, WSIB, your private services and programs, insurer or others, Conduct research, Plan, administer and manage our Teach, internal operations, Conduct client satisfaction surveys, Conduct risk management activities, Conduct quality improvement activities, Your Choices You may withdraw your consent for some of the above uses and disclosures by contacting us and completing a Withdrawal of Consent Services For PHI Use Form. Important Information We take steps to protect your personal health information from theft, loss and unauthorized access, copying, modification use and disclosure and disposal We conduct audits and complete investigations To monitor and manage our privacy compliance: We take steps to ensure that everyone who performs services for us protects your privacy and only uses your personal health information for the purposes for which you have consented. How to Contact Us For more information about our privacy issues or to raise a concern you have with our practices please contact: Director of Health Services, PO Box 5000, Ohsweken, Ontario, N0A 1M0 519-445-2418 You have the right to contact the Privacy Commissioner/Ontario if you think we have violated your rights. Commissioner can be reached at: Information & Privacy Commissioner/ Ont. 2 Bloor Street East, Suite 1400 Toronto, Ontario M4W 1A8 Tel: (416)326-3333 or 1-800-388-3333 Fax: (416)325-9195 6 7