Toiyabe Indian Health Project Case Study

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Toiyabe Indian Health Project Inc. is located west in the town of Bishop California, on the Bishop Paiute reservation. Not only does the clinic have medical, dental, dialysis, and optical facilities/departments, Toiyabe has Family and Public Health service departments also. Their are a number of human services workers and social workers employed at the clinic, ranging from clinical/medical social workers, family support couselors, nurse care employees, case workers, mental/behavioral health counselors, and therapists. For decades the clinic has helped families in the community. Mission Statement:
History
The Northern Paiute, Shoshone, and Washoe people were the indigenous populations that inhabited the valley and mountain areas of
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The Tri-County Indian Health Project (later renamed the Toiyabe Indian Health Project) was established under leadership of nine Tribal Governments in the Eastern Sierra region.
1969 The California State Legislature created the Indian Health Branch at the State level and committed State support for American Indian health needs.
1971 The charter to establish the Tri-County Indian Health Project was officially signed. Articles of incorporation is adopted for the Toiyabe Indian Health Project, Inc.
1976-1977 Two major national laws were passed, directly affecting the delivery of healthcare to American Indian people:
⦁ The Indian Self-Determination and Education Assistance Act (PL93-638) expanded the right for tribal governments to contract directly with the federal government for services from a position of control over those services. It also allowed for contracts, grants, and personnel necessary for true community development.
⦁ The Indian Health Care Improvement Act (PL 94-437) provided additional funds for direct services to address the serious unmet health needs of American Indian people
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Community Health (patient) services This program focuses on the health of the community as a whole and it's individual members. The goals of the program are directed at three health care levels: health promotion, disease prevention, and health maintenance. Community Health Representatives (CHRs) are well-trained medically guided by tribal/native community-based health care providers who provide a variety of health services within our tribal communities. Services include but are not limited to: home visits, transportation, and medication delivery; case management; health education and promotion; support and interpretation of health issues.
II. Elder care services Title VI Elders Nutritional/Supportive Services is a program that provides services to our tribal elders. Services are provided to elders at the age of 55 and older. Needs include low income, frail and impaired, geographically and socially isolated, and non-English speaking. It is the programs mission to "improve the quality of life for our elders and give them an environment of quality, dignity, and