Gerald L Ignace Indian Health Center Inc

HEALTH CENTER PROGRAM

URBAN INDIAN HEALTH

SPECIAL DIABETES PROGRAM FOR INDIANS

HEALTH CENTER PROGRAM

GERALD L. IGNACE INDIAN HEALTH CENTER: HEALTHY NATIVES MKE

PROVIDING SERVICES FOR AMERICAN INDIAN AND ALASKA NATIVE PATIENTS WHO ARE AT RISK OF OR WHO HAVE BEEN DIAGNOSED WITH DIABETES - THE GERALD L. IGNACE INDIAN HEALTH CENTER'S SPECIAL DIABETES PROGRAM FOR INDIANS WILL FOCUS ON THE REQUIRED KEY MEASURE OF REDUCING HYPERTENSION AMONG PATIENTS WITH DIABETES. THIS WILL BE ACCOMPLISHED BY: MONITORING BLOOD PRESSURE IN PATIENTS WITH DIABETES, PROVIDING ONE-ON-ONE EDUCATION ABOUT HYPERTENSION WITH PATIENTS AT RISK OF WHO CURRENTLY HAVE HIGH BLOOD PRESSURE, MONITORING BLOOD GLUCOSE AMONG PATIENTS AT THE CLINIC FOR PROGRAMS OR CLINICAL APPOINTMENTS, AND FITNESS ACTIVITY AND EDUCATION. ADDITIONALLY, THE PROGRAM WILL FOCUS ON THE FOLLOWING ACTIVITIES: WEEKLY WORK OUT LOW FAT FOR ELDERS (WOLFE) PROGRAM FOR NATIVE AMERICAN ELDERS AND FRIENDS; OPERATING A NATIVE WELLNESS GARDEN TO PROVIDE PRODUCE AND CULTURAL LEARNING OPPORTUNITIES TO PATIENTS AND THE BROADER COMMUNITY; PROVIDING TRANSIT TO PATIENTS TO MAKE SURE THEY ARE CURRENT WITH THEIR DIABETES LABS AND OTHER HEALTH CHECKS; AND INCREASING THE NUMBER OF PEOPLE WHO USE OUR ON-SITE FITNESS CENTER, ESPECIALLY THOSE WITH A DIAGNOSIS OF DIABETES AND/OR HYPERTENSION.

NATIVE CONNECTIONS MILWAUKEE PREVENTING HIGH RATES OF SUICIDES IN LOCAL NATIVE AMERICAN AND ALASKA NATIVE (AI/AN) COMMUNITIES

GERALD L. IGNACE INDIAN HEALTH CENTER FORENSIC SERVICES PROGRAM - THE GERALD L. IGNACE INDIAN HEALTH CENTER (GLIIHC), WISCONSIN’S ONLY URBAN INDIAN HEALTH CENTER, IS LOCATED JUST SOUTH OF DOWNTOWN MILWAUKEE, WISCONSIN, WHICH HAS A POPULATION OF 595,351 (2017, EST.). GLIIHC IS LOCATED IN THE URBAN COMMUNITY WHERE MOST AMERICAN INDIAN/ALASKA NATIVES (AI/AN) WHO LIVE IN THE AREA RESIDE. IT IS THE ONLY URBAN INDIAN HEALTH CENTER IN WISCONSIN. SADLY, MILWAUKEE IS KNOWN NATIONALLY FOR BEING A HUB FOR SEX TRAFFICKING. IT’S EVEN EARNED TWO NOTORIOUS NICKNAMES AS THE “MECCA FOR SEX TRAFFICKING” AND THE “HARVARD OF PIMP SCHOOL.” EXPERTS HAVE THEORIZED THAT SEVERAL THINGS CONTRIBUTE TO THIS, NAMELY THAT THERE ARE EXPRESSWAYS THAT CONNECT CHICAGO, MINNEAPOLIS, THE WISCONSIN DELLS, AND NORTH DAKOTA (DUE TO THE FRACKING INDUSTRY). THERE ARE ALSO A NUMBER OF CONVENTIONS AND SPORTING EVENTS THAT TAKE PLACE EVERY YEAR IN MILWAUKEE. IT’S GEOGRAPHICALLY CENTRAL, IT’S POOR, AND IT’S NEVER RECOVERED FROM THE COLLAPSE OF THE MANUFACTURING INDUSTRY THAT ONCE SUPPORTED TENS OF THOUSANDS OF CITY RESIDENTS. A REPORT BY THE MILWAUKEE HOMICIDE REVIEW COMMISSION (2016) FOUND THAT 340 INDIVIDUALS AGES 25 AND UNDER WERE CONFIRMED OR WERE BELIEVED TO BE VICTIMS OF SEX TRAFFICKING BETWEEN JANUARY 1, 2013 AND DECEMBER 31, 2016 IN MILWAUKEE. THEY WERE: OVERWHELMINGLY FEMALE (97%), YOUNG (55% WERE UNDER AGE 18), AND OFTEN HAD A HISTORY OF HAVING BEEN REPORTED MISSING. OF THOSE WHO HAD BEEN REPORTED MISSING, 59% WERE REPORTED FROM OUT-OF-HOME CARE (E.G. FOSTER CARE OR GROUP HOMES). THEY FREQUENTLY BECAME TRAFFICKING VICTIMS AT VERY YOUNG AGES, TOO. SEE THE FOLLOWING TABLE FOR ADDITIONAL INFORMATION. THOUGH AI/AN MAKE UP JUST 1% OF THE STATEWIDE POPULATION, THEY MAKE UP 2% OF THE POPULATION OF MILWAUKEE, AND THEY MADE UP 4.7% OF THE STATEWIDE ALLEGATIONS OF CHILD SEX TRAFFICKING IN THE DATES TRACKED BETWEEN 2017-2018 (REPORTS OF CHILD SEX TRAFFICKING ALLEGATIONS & SUBSTANTIATIONS TO CHILD PROTECTIVE SERVICES, WI DEPT. OF CHILDREN AND FAMILIES, DECEMBER 2018). THUS, AI/AN CHILDREN WERE REPRESENTED IN THIS TOTAL AT NEARLY FIVE TIMES THE RATE OF THEIR REPRESENTATION IN THE OVERALL POPULATION. AS MANY TRAFFICKING VICTIMS ARE OVER THE AGE OF 18, THIS IS ONLY PART OF THE PICTURE. THE WISCONSIN DEPARTMENT OF JUSTICE, BUREAU OF JUSTICE INFORMATION AND ANALYSIS REPORTED THAT AI/AN PATIENTS HAVE A 240% HIGHER RATE OF VISITS TO EMERGENCY DEPARTMENTS FOR SEXUAL VIOLENCE THAN THEIR WHITE COUNTERPARTS (2018). LOCALLY, RATES OF SEXUAL VICTIMIZATION OF AI/AN PEOPLE ARE LIKELY UNDERREPORTED. ADVOCATES AND CLINICIANS KNOW THAT MANY SURVIVORS MAY OPT NOT TO REPORT, OR MAY BE VICTIMS OF TRAFFICKING AND THEREFORE HAVE NO WAY TO MAKE REPORTS. THE GERALD L. IGNACE INDIAN HEALTH CENTER FORENSIC HEALTHCARE SERVICES PROGRAM WILL HAVE THE FOLLOWING GOALS: GOAL 1: STRENGTHEN OR INCREASE ACCESS TO QUALITY MEDICAL FORENSIC HEALTHCARE TO VICTIMS OF DOMESTIC AND SEXUAL VIOLENCE INCLUDING CHILDREN. GOAL 2: FOSTER COALITIONS AND NETWORKS TO IMPROVE COORDINATION AND COLLABORATION AMONG PARTNERS TO ENSURE ADEQUATE SERVICES EXIST EITHER ON SITE OR BY REFERRAL FOR VICTIMS OF DOMESTIC AND SEXUAL VIOLENCE, SEXUAL EXPLOITATION/HUMAN TRAFFICKING, AND CHILD MALTREATMENT 24 HOURS PER DAY/7 DAYS PER WEEK YEAR ROUND. GOAL 3: PROMOTE EDUCATION, TRAINING, AND COMMUNITY RESOURCES. GOAL 4: INTEGRATE AT LEAST ONE PROGRAM/INTERVENTION THAT IS AN EVIDENCE-BASED PRACTICE, OR KNOWN AS A PROMISING PRACTICE, AND MAY BE INTEGRATED OR COORDINATED WITH TRADITIONAL PRACTICES AND/OR FAITH-BASED SERVICES TO FACILITATE THE SOCIAL AND EMOTIONAL WELL-BEING OF VICTIMS AND THEIR FAMILIES. GOAL 5: DEVELOP A PROCESS AND A FORMAL PLAN FOR SUSTAINABILITY OF THESE OBJECTIVES AND ACTIVITIES BEYOND THE LIFE OF THIS GRANT.

METHAMPHETAMINE AND SUICIDE PREVENTION INITIATIVE (MSPI) PROGRAM

CIRCLES OF STRENGTH PROGRAM

GERALD L. IGNACE INDIAN HEALTH CENTER: CIRCLES OF CARE MILWAUKEE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

TRIBAL PRACTICES FOR WELLNESS IN INDIAN COUNTRY--MKE - THE GERALD L. IGNACE INDIAN HEALTH CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER AND THE ONLY URBAN INDIAN HEALTH CENTER IN THE STATE OF WISCONSIN. THE PROPOSED PROJECT, TRIBAL PRACTICES FOR WELLNESS IN INDIAN COUNTRY MKE, WILL IMPROVE THE HEALTH AND WELLNESS OF THE MILWAUKEE AREA’S URBAN AI/AN POPULATION THROUGH BROADENED UNDERSTANDING OF TRADITIONS AND PRACTICES THAT SUPPORT AND ENHANCE HEALTH. THE PROJECT WILL BE SUPPORTED THROUGH THE HIRING OF A FULL-TIME CULTURAL AND SPIRITUAL ADVISOR, PARTNERSHIPS AND BY BRINGING IN SUBJECT MATTER EXPERTS TO BROADEN INTER- AND INTRA-TRIBAL KNOWLEDGE AND UNDERSTANDING OF THE DEEP IMPACT OF CULTURAL AND LINGUISTIC TRADITIONS ON HEALTH. A ROBUST SET OF PROGRAMS WILL BE INTERGENERATIONAL, WILL FOCUS ON ALL 12 BANDS AND TRIBES IN WISCONSIN, AND WILL REACH AN ESTIMATED 470 PEOPLE PER YEAR.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

GERALD L. IGNACE INDIAN HEALTH CENTER'S GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY (GLIIHC-GHWIC) - THE GERALD L. IGNACE INDIAN HEALTH CENTER’S GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY’S (GLIIHC-GHWIC) PURPOSE IS TO BRING CULTURE, MULTIDISCIPLINARY TEAMS AND COMMUNITY TOGETHER TO HELP PREVENT AND MANAGE CHRONIC DISEASE AMONGST COMMUNITY MEMBERS, WHILE BRINGING THEM TOGETHER AND PROVIDING A SENSE OF BELONGING AND CONNECTION TO CULTURE. THROUGH THE INCLUSION OF CULTURALLY RELEVANT FOODS AND TRADITIONS, WE PLAN TO ENHANCE THE PROGRAMS THAT WE ALREADY OFFER AND WILL BEGIN TO IMPLEMENT SOME NEW ACTIVITIES AS WELL. USING CULTURAL AND TRADITIONAL ACTIVITIES WE WILL DELIVER SOLUTIONS FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT. IN ADDITION, WE WILL INCREASE OUR COMMUNITY MEMBERS’ SENSE OF BEING CONNECTED TO THEIR CULTURE THROUGH THESE OFFERINGS. WE WILL ENHANCE AND STRENGTHEN THE SYSTEMS WE USE TO DETECT AND SCREEN COMMUNITY MEMBERS FOR CHRONIC DISEASE. WE WILL OFFER EDUCATIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS TO LEARN WAYS TO BETTER MANAGE AND PREVENT CHRONIC DISEASE THROUGH CULTURALLY RELEVANT ACTIVITIES. IN ADDITION, THESE SYSTEMS WILL INCORPORATE INTERDISCIPLINARY TEAMS TO ENSURE THAT ALL ASPECTS OF A PATIENT’S HEALTH ARE ATTENDED TO. THIS WILL INCLUDE BEHAVIORAL HEALTH, DENTAL, MEDICAL, PHARMACY AND PHYSICAL ACTIVITY. WE WILL IMPROVE THE SYSTEMS THAT REFER COMMUNITY MEMBERS WITH CHRONIC DISEASE OR RISK FACTORS TO CLINICIANS AND OUTSIDE SOCIAL SERVICE AGENCIES. AND FINALLY, WE WILL ALSO IDENTIFY POLICIES AND PROCEDURES THAT NEED TO BE ESTABLISHED TO PROMOTE HEALTHY HABITS AND PREVENT CHRONIC DISEASE AND THEIR RISK FACTORS. THROUGH THESE EFFORTS, OUR LONG-TERM OUTCOME AND GOAL IS TO SEE A REDUCTION IN CHRONIC DISEASE WITHIN OUR COMMUNITY. AS AN APPLICANT FOR COMPONENT 1, WE ARE FOCUSED ON THE THREE REQUIRED STRATEGIES FOR THIS COOPERATIVE AGREEMENT OPPORTUNITY. FOR STRATEGY 1, SHORT-TERM OUTCOMES INCLUDE: 1) INCREASED COMMUNITY MEMBER PARTICIPATION IN FAMILY-CENTERED CULTURAL ACTIVITIES. 2) INCREASED SENSE OF BELONGING TO TRIBE, VILLAGE, AND COMMUNITY. 3) INCREASED COMMUNITY MEMBER PARTICIPATION IN FAMILY-CENTERED CULTURAL ACTIVITIES. 4) INCREASED SENSE OF IDENTITY. 5) INCREASED COMMUNITY MEMBER PARTICIPATION IN FAMILY-CENTERED CULTURAL ACTIVITIES. 6) INCREASED SENSE OF IDENTITY. 7) INCREASED SENSE OF BELONGING TO TRIBE, VILLAGE, AND COMMUNITY. 8) INCREASED SENSE OF BELONGING TO TRIBE, VILLAGE, AND COMMUNITY. 8) INCREASED SENSE OF BELONGING TO TRIBE, VILLAGE, AND COMMUNITY. FOR STRATEGY 2, SHORT-TERM OUTCOMES INCLUDE: 1) INCREASED PARTICIPATION IN PREVENTION, MANAGEMENT, AND CONTROL PROGRAMS, INCLUDING SELF-MANAGEMENT AND SELF-MONITORING, FOR COMMERCIAL TOBACCO USE, DIABETES (INCLUDING PREDIABETES), HIGH BLOOD PRESSURE, OBESITY (PHYSICAL ACTIVITY AND NUTRITION), AND ORAL HEALTH. 2) INCREASED PARTICIPATION IN TRADITIONAL AND CONTEMPORARY WELLNESS ACTIVITIES THAT PREVENT COMMERCIAL TOBACCO USE, DIABETES (INCLUDING PREDIABETES), HIGH BLOOD PRESSURE, OBESITY, AND ORAL DISEASES. FOR STRATEGY 3, SHORT-TERM OUTCOMES WILL INCLUDE: 1) INCREASED USE OF MULTIDISCIPLINARY CARE TEAMS IMPLEMENTING TEAM-BASED CARE TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES.

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

THE GERALD L. IGNACE INDIAN HEALTH CENTER, A NONPROFIT ORGANIZATION THAT PROVIDES CULTURALLY SENSITIVE HEALTH CARE TO THE NATIVE AMERICAN POPULATION OF MILWAUKEE, WI, WILL USE THIS FUNDING TO: (1) CONTINUE OPERATING ITS HUMAN TRAFFICKING PROGRAM BY MAINTAINING ITS .40 FTE PROJECT COORDINATOR AND 1.0 FTE VICTIM ADVOCATE/CASE MANAGER, AND EXPAND THE PROGRAM BY ADDING A 1.0 FTE BEHAVIORAL HEALTH TRAUMA COUNSELOR; (2) OFFER AMERICAN INDIAN AND ALASKA NATIVE HUMAN TRAFFICKING VICTIMS EMERGENCY AND TRANSITIONAL HOUSING ASSISTANCE, FOOD, CLOTHING, AND OTHER AID; AND (3) STRENGTHEN AND ENHANCE ITS COLLABORATIVE PARTNERSHIPS WITH KEY STAKEHOLDERS IN AND AROUND MILWAUKEE, INCLUDING PARTICIPATING IN THE MILWAUKEE COUNTY HUMAN TRAFFICKING TASK FORCE, TRAINING STAFF FROM PARTNER AGENCIES AND ORGANIZATIONS ON PROVIDING CULTURALLY APPROPRIATE RESPONSES TO NATIVE VICTIMS OF HUMAN TRAFFICKING, AND CONDUCTING OUTREACH AMONG THE TRIBES LOCATED ACROSS WISCONSIN.

GERALD L. IGNACE INDIAN HEALTH CENTER: PROJECT BEACON MILWAUKEE

GERALD L. IGNACE INDIAN HEALTH CENTER - MILWAUKEE EMERGENCY COVID-19 RESPONSE

THE GERALD L. IGNACE DVPI COS SEEKS TO BUILD A TRAUMA INFORMED COORDINATED COMMUNITY RESPONSE TO DV/SA.

SPECIAL DIABETES PROGRAM FOR INDIANS

GERALD L. IGNACE INDIAN HEALTH CENTER'S MILWAUKEE EMERGENCY RESPONSE FOR SUICIDE PREVENTION - THE GERALD L. IGNACE INDIAN HEALTH CENTER IN MILWAUKEE, WISCONSIN WILL ADDRESS THE HIGH RATES OF MENTAL ILLNESS AND/OR SUBSTANCE ABUSE/MISUSE IN NATIVE AMERICAN AND ALASKA NATIVE (AI/AN) COMMUNITIES, AS WELL AS THE INCREASE IN DOMESTIC VIOLENCE DURING THE TIME OF COVID-19, THROUGH THE IMPLEMENTATION OF THE MILWAUKEE EMERGENCY RESPONSE FOR SUICIDE PREVENTION (MKE ERSP). MKE ERSP WILL USE EVIDENCE-BASED PRACTICES SUPPORTED WITH HIGHLY EFFECTIVE SCREENING AND CLINICAL INTERVENTION TOOLS TO REACH MORE DEEPLY AND BROADLY INTO THE AI/AN COMMUNITY. ABOUT 1/3 OF THE STATE’S AI/AN POPULATION LIVES IN THE MILWAUKEE AREA, OR ABOUT 18,239 PEOPLE. THROUGH PREVENTION EDUCATION, SCREENINGS, COMMUNITY EVENTS, OUTREACH AND THROUGH LOCAL AI/AN AGENCIES, THE PROGRAM WILL REACH 1,530 PEOPLE BETWEEN JUNE 30, 2020 AND OCTOBER 30, 2021. MKE ERSP WILL HAVE FOUR OVERARCHING GOALS. GOAL 1) INCREASE THE CAPACITY OF GLIIHC STAFF TO RESPOND RAPIDLY TO ATTEMPTED SUICIDES OR SUICIDAL CRISES USING A ZERO SUICIDE IN INDIAN COUNTRY FRAMEWORK. OBJ. 1) BETWEEN AUGUST AND SEPTEMBER 2020, GLIIHC WILL REVIEW AND IMPROVE CARE TRANSITION PROTOCOLS TO ENSURE PATIENT SAFETY FOR PATIENTS AT ALL RISK LEVELS FOR SUICIDE ATTEMPTS OR CRISES. OBJ. 2) BETWEEN SEPTEMBER AND DECEMBER 2020, TRAIN ALL GLIIHC CLINICAL STAFF AND OFFER KEY PARTNER REPRESENTATIVES (AS COVID-ALLOWABLE IN A TELEHEALTH/ VIDEO BASED PLATFORM) IN THE ZERO SUICIDE IN INDIAN COUNTRY IMPLEMENTATION MODEL, AND CONTINUE IMPLEMENTING EXISTING EVIDENCE-BASED PRACTICES DEMONSTRATED TO SUPPORT AND PROMOTE MENTAL HEALTH IN A CULTURALLY COMPETENT WAY. GOAL 2) ENSURE THAT ALL EXISTING AND NEW GLIIHC BEHAVIORAL HEALTH DEPARTMENT (BHD) HIRES ARE FAMILIAR WITH AND PROFICIENT AT USING THE IN-HOUSE SUICIDE RISK RATING TOOLS, AND THAT ANY HIGH-RISK PATIENTS RECEIVE ONGOING MONITORING. OBJ. 1) PROVIDE TRAINING IN AND MONITOR USAGE OF SUICIDE RISK RATING TOOLS USED AT GLIIHC, ENSURING CONSISTENT USAGE FOR ALL RELEVANT PROVIDERS IN THE BHD. GOAL 3) OFFER ONGOING TELEHEALTH OPPORTUNITIES FOR ALL BHD PATIENTS (REGARDLESS OF SUICIDE RISK BUT PROVIDING ONGOING MONITORING) TO RECEIVE EVIDENCE-BASED MENTAL HEALTH AND SUBSTANCE MISUSE TREATMENT ON AN OUTPATIENT BASIS, CONNECTING PATIENTS TO INPATIENT TREATMENT WHEN INDICATED. OBJ. 1) OFFER EVIDENCE-BASED AND CULTURALLY RELEVANT SERVICES RANGING FROM OUTPATIENT (TELEHEALTH) SERVICES TO GROUP THERAPY (TELEHEALTH) TO FAMILY SERVICES AS WELL AS CONNECTIONS TO INPATIENT TREATMENT RESOURCES. SERVICES WILL BE PROVIDED VIRTUALLY BY VIDEO CONFERENCE OR BY TELEPHONE. GOAL 4) IMPLEMENT SCREENING TOOLS THAT WILL ALLOW GLIIHC STAFF TO BETTER ASSESS PATIENTS IN THE BHD FOR EXPOSURE TO FAMILY VIOLENCE/DOMESTIC VIOLENCE, INCLUDING CONNECTING THEM TO SAFE SHELTER WHEN INDICATED. OBJECTIVE 1) UPDATE INTAKE/SCREENING TOOLS TO SCREEN FOR FAMILY/DOMESTIC VIOLENCE. OBJECTIVE 2) IDENTIFY SITUATIONS WHERE REFERRALS TO SAFE SHELTER/HOUSING MAY BECOME NECESSARY.

HEALTH CENTER INFRASTRUCTURE SUPPORT

URBAN INDIAN HEALTH

GERALD L. IGNACE INDIAN HEALTH CENTER - MILWAUKEE EMERGENCY COVID-19 RESPONSE

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

FY 2023 BRIDGE ACCESS PROGRAM

INJURY PREVENTION - PART II

GLIIHC COMMUNITY YOUTH PROGRAM