AmericanIndianHealthCentermixmono.mp3

Sunday, April 17th

00:31:08

San Diego American Indian Health Center Community Engagement Specialist, Perse Lewis and local American Indian Elder, Randy Edmonds

Transcript - Not for consumer use. Robot overlords only. Will not be accurate.

Good morning and welcome to another edition of living better in San Diego public service presentation of the Entercom San Diego radio stations and Jerry Lee. The San Diego American Indian health center has been promoting excellence in healthcare with respect to custom and tradition for years. There are dedicated to increasing access to care and help in the local American Indian population. But keep increased life expectancy. And it improved quality of life joining us this morning to talk about the services. Is San Diego American Indian health center community engagement specialist. Percy Lewis and an elder in the local American Indian community and the founder of the see any American Indians how well. We will be talking about as well today Randy Edmonton's welcome Percy welcome Randy good morning nice to have both you on the show this morning. Let's start with some background information with Canada on the F San Diego American Indian health center now Randy you'd you know quite a bit about the background that you. Yes was from unfamiliar would have the creation and development of the and in health programs within the state of California. In 1954. The Bureau of Indian Affairs of stem mr. relocation program. Which wrote American Indians in two major listeners. Throughout the United States it was similar moves. Urban centers that were in. California. And I was the relocation. Fam leave from Oklahoma and they came to Los Angeles. And when we arrived we had no services. Provided to us for. For health and we fought with health education and welfare reform in the years. To use them as soon as clinic health service program. Within the Los Angeles area. And so in 1965. We were able to get the first. And in health sooner or the clinic we called of the clinic. In Compton California her. We begin to probe provide services for American and as a sales and and health issues. And so from that point on. Other. Urban centers throughout and in country. And major metropolitan there is no worst numbers. To have Indian health services. For Indian. Community. Which included of course. The families and their children. Who were able to utilize those and then. Health services form of health needs and so it has been probably you were forty years since it was established. And down here in sending you'll. 97 and nine was the first. And in health sooner which you're still. Is part of our community and persecute. Here's the one that is a part of cloning could you can tell you more about it before we get to that when did you get to that. Come to San Diego I came to send new in 1974. And I. Established and in human resource center which is department labor program. We've provided. Employment training and community services. Advocacy and other kinds of room programs at needed to assist American Indians to make the transition. From reservation line after have been line. And from. We were able to. Collaborate with the health services to provide. Those kind of services that were needed for both. Job development. Employment training and also provide health services which we combined there. Our needs together within the new resource and in the American and in health sooner. And was part of the creation of the most of that. Was the founder of the union human resource owner and also little. Was an advocate for the Indian Health Service as well. Is the human resource and stolen and no it has been terminated. It was terminated two years ago those. Some deficiencies that word. In operation of those that came into a renewed border directors and directors. Of the program and in particular groups who. It was terminated by the Department of Labor that's too bad. Now where's the other San Diego American Indian health center located. Some allocated on first avenue where it to sixties era first avenue which is in the banker's hill area. Where in allocation merry and probably four aren't. About fifteen years now recently or across the street from them are located now and a small house that was converted into the health planner. And like Randy said you know we've been in operation since 1979. In merely. Have been a major part of that learning community especially his native Americans moved from reservations where we had access to health care through. Our treaty rights at the federal government and exchange for our land that actual government guaranteed us access to education to health. And now it's happening in the reservation communities are they had Indian Health Service that clinics. But then with the movement that urban centers there is no services in place to fulfill those treaty rights so Randy and them. Lots of other elders throughout the country were really. Stuart for a younger generation making sure that we access to those rights that were guaranteed to us through our agreement that the federal government. House is your health senator Indian health senator be the only one San Diego County. No it's not ready only urban Indian health center and so we have a special designation. We are aids idol and C three nonprofit. But then also. We were also designated it's under title five of the Indian health care improvement act so. We kind of haven't told that snakes and so we are I think Indian health services primarily. Along with a number of other health centers to Vermont a 34 urban health centers across the country. But then and within and you county because we had eighteen tribal reservations in the nation's. We have three other Indian Health Service clinic that primarily serve the local tribes IC OK now. Now you are of course. The focus is the local American Indian population but your doors are open to everybody right yes definitely our doors are open to every line. We were founded with the intention of their main urban American Indians but since that time we've we've always been open to anyone and so actually. The majority now almost the majority of our population are come from a non Indian community and they have access to olive that care that we provide full medical dental behavioral health. At they have insurance except number of insurance plan but then also have a sliding scale fee and place in case they can't afford. You know to pay full price for health care which is so expensive or they don't insurance and serve the entire county right yes we do these Meserve the entire account and even parts of Orange County we have patients that pan down from LA from march counterattacks with members services especially the term American Indian. What is the do you know what via. American Indian. Population is here's an Eagle County an idea yeah also according to the last census 2010 however 50000 urban. We'll have an advocate thousand American Indian and and you accounting that includes all of the. American Indian by myself and Andy who come from tribes outside of the area as well as the local tribe. But the majority of them living within the greater San Diego area when you say urban but he mean by that. Servant of the term that we use to describe it American Indians really that are permanently living off of the reservations. I think there in the relocation tying because they were sent to specific urban centers like San Francisco Minneapolis Chicago. Really urban areas that term urban Indian kind of stuck. But I think you know if you're living and Alpine you could consider yourself an urban Indian because on reservation so I think the meaning has expanded over the years. Okay what are what is the admission and or vision and of the F San Diego American Indian health center. So our mission is to promote excellence in health care with respect custom and tradition and our vision and is really sincere. That we are increasing access to health care while improving care at the same time. Now you've been around since 1979%. Right yes. You and and now you offer a variety of services and programs how this things changed over the over the years since 1979 as far as that goes. Well I think just in general casket of health care has changed a lot since 1979. At our clinic when we first began. IE you know I've heard stories of folks who just volunteers who have volunteer nurses on her doctors who really gave their time to make serve it. Our community was receiving access to health care now we are a full. Five. Our full clinically opera full medical dental behavioral health often have a youth center. The author of programs that are more are specific to our cultural traditions that we have all righty groups cultural groups. We really from I don't know wide range of services and what what's your staff like how how big a staff behalf. We now over fifteen employees. Who. Who work in all of the areas are not a huge we're not a sharp pain you know we're not allow my ass yet or not that's eyes are smaller bank. We are rallying I first started working with the house senate and 2009. Member of their border directors. And just in that short time parents I've seen anything. We started and if you plan opposites with an a large kind of fitness center until noon. And I feel like every year and other office space taken over and over rates so yeah definitely a challenge yet what they need is theirs yeah. And and that the doctors that work with fewer than they. On the premises all time. Yeah we have doctors are on sites in the op though looking to expand her hoping to expand to include an urgent care center for after hours on Saturday it's right now are primarily Monday through Friday. Our chief medical officer is earnings doctor deer and she is native American. That are very very proud that we have heard she's double board certified in psychiatric care and am in August and deceit both our behavioral health director and medical director. And we really. Makes it we have qualified staff who guard her and our. Only top in their field but are also able to serve clients with you know respect for who they are for their cultural traditions. That's very important path and and who have a desire to serve the community. He got a big event coming up next month which we're gonna talk about just a few minutes the first on talk about some of those services and that you do offer. At the FC anti American Indian health center. Tell us that your basic medical care. So our our medical department is greatly provide a lot of services are on sites. So you can our big focus really is on health promotion and disease prevention. But the passing of affordable care actors. A lot our focus now on prevention might the idea is that. I prevent teen all of these health issues that saves money for everybody just had a healthy year population. As a result so. We provide preventive care we have aids diabetes program that diabetes is so prevalent that native community. We have a great program focuses on nutrition education and as well as disease management. And prevention is ultimately he now has expand that program. Though you can come for pretty much anything. An and also work with specialist after it for off site. Who are also you know great in their field and also have a commitment to the community ads on the commitment to answering that people. Have access to health care so they also have a fighting he schedule. And place so that people are able to afford medical care you mentioned sliding scale or any of the services. Free if if the income level is is really low. That is a great question to for American Indian patients. Most of the services are free because we are funded through the federal government which covers those costs for us for those who can't afford care. I don't believe there is is would be absolutely free but they would be. At a point where people would be able to hopefully afford and I know it's hard for a lot of folks. We have enrollment services are covered California's solace from attic how. Because if you can't if you can't afford. Services they usually qualify for some sort of the part whether it's that they you know subsidized health care through count covered how far out artistry. Medic house vision with the Medicaid expect expansion. So we have people onsite who will help within on the process help you to keep your paperwork together to apply. And then you know follow up with you. So even if you can't afford it at that tying him you know come down anyway and meet with Aaron Heilman specialists we off the panel forward. But the fact Ed program. And also we can refer to have a tax program to other resources in the community. You also can help them with cal freshman yet claimed that yes yes now you also have dental care. We do we have to not care. And we have that's probably our fastest growing departments. And I love our dental department I am curious thing I don't work for an organization and also a client. And because I do not go anywhere other than there we have great dentists doctor Richardson is our primary and Tennessee's had the department. I'm and they village in an awesome job and didn't do anything that is an absolutely necessary. Another service of viewers is your behavioral health services. Yes so you know I think in our society. We don't we treat people as. Separate parts. And you know it does mean an urban American Indian. Health center with that philosophy we really look at the whole person so we've really tried to expand how we integrate our department's. So we actually have behavioral health and aren't. Medical department working. Very very closely you know there's been races this town. That link between diet you know those are diagnosed with diabetes and depression. And so so we really consider mental health departments in central children that we do. So we have wonderful. Drug and alcohol counselor on staff they have. Psychologists. We have doctor here who is a psychiatrist. So people can come and they can get you know medication and get counseling. To ensure that they have the best part if there doing some sort of mental health X. And all these services are provided your banker so location right yes there're there are all in one location which is really great. And we really do our best to try to get people and get them seen. You know with the Medicaid expansion and may be Affordable Care Act. A lot of places are really busy enough that you try to get an appointment I exe sharp and it took two months as my primary care physician. And we don't have the same issue because there's those small especially with mental health and if you wanna see a psychiatrist who couldn't sometimes they can take two months. I'm and we really try to work with patients and exit figure seen in another us aside from from the yet the health services. We have wellness services and in one of one of the programs within that he is here healthy eating active living program tell stuff that. Healthy eating active living program that's barely news we received two funding from the Sanford disease the CDC. In their reach Graham X really target's health disparities in minority communities. And to see that about four years ago and that really. Provided the impetus I think for us to consider overall wellness and to think about the effects. Food and physical activity on our our union especially when you look at that health disparities and axis high blood pressure cardiovascular disease diabetes. So we were fortunate to receive findings military focus in that area and with that finding me created he'll coalition. And then also started working really closely with the San Diego childhood obesity initiative and they have a leadership council. Men are very generous they actually created a travel is front seats. And I sit on Mac committee and it's really allowed us to be able to open the doors to the great work that patents and you know people don't know that any of its really. A place where healthy eating active living initiatives are. Really kind of at the forefront of what's happening nationally. So I worked closely with then and then we have our he'll coalition front month. And then we also just received funding from the nota begay. Foundation to create a community garden. So we will be engaging enough project it it just started this month and double B building out a whole community garden and. All town lake is now it is really fighting for ethical popular don't know about all town was. A Cooney I'd village sites initially in the Spanish first landed which is why there's been. It is a great location innings to have a shame that went through it though. For whatever group came either with the Spanish the Mexicans and they like that location and that might Patrick continued history over the years but originally it was the site. The we're really excited to. Have. A guard and right which is kind of like a and we have to me Akerson common name the guardian implicit for us so. We're very excited to have project and and link it into. You know three turning to let me turn to our indebtedness it really thinking about health from a different. Now you're event we're gonna talk about that next but one more thing I wanted to touch on before we get to the power which is coming up next month. Is you have the youth center as well. Meet Lou we have a great use and where it's been in place since 2009. Before the house and we had no services for our urban youth. So it's really exciting that we were able to receive funding threw up 63 which is better known as the millionaire's tax. And so when percent of this tax cuts us department of health services throughout state of California that we receive some of that I mean. Which is under at PEI grants which is prevention and early intervention. So really the focus is to reduce stigma around mental health and then opted to increase access. So we have an after school program that you come off the bill and. A lot of prevention and early intervention activities. And so we have talking circles with Adam. We take them all over we do fill trip through to college tours that take into the different college conferences. We also just completed a great project Cobb will be our urban ready you've created. Our projects that really explored their places urban native Americans in San Diego. And we have that. Big event in barrio Logan an added that it was a great advancement of the great where I think are used to really think about what it means to be native American. And live in the city because we're such a small population people even know where here. So I thought it was amazing that they were able to really express what that's like for them through different types of art so gap IRU sinners and anything. Now the San Diego American. Indian. How well that is coming up wasn't me that may seventh and eighth right brandy you are a lot of the founders of the pal well fellows have been known on. Many years you've been doing this we creating that program in 1988. And we got we received some money from lea city of San Diego. To do TOT. Program Trenton the oaks effects. Was given to the city you know through these. Texas for people that come and then. Visits and live in new. And even though pills so forth. Good friend of mine today and segment glory with the city manager. And a talk for him and was able to receive. A monies to put on the Coppola been at Balboa park and I was in 1988. It's been growing ever since there was a couple of years that we weren't able to do it. The reason that we wanted to do that was too. Make these. Greater community aware of the Indians in and then metropolitan area of San Diego. It was two things that I wanted to do wanted to help the vendors at its older. There goods at the U available for. Hello. To help them economically to be able to. Excelled there jewelry either. Arts and crafts and what are we wanted to do. Available park event. And also make the community aware of it Indians are still here. And we're able to. Bring dancers and singers and to view arena that we developed there. To show Lou of these communities that we still have been insular community. And they feel practiced or traditions. Or spirituality. There's too strong and their culture. Their language and that was lonely that we can advertise that was well. And that ala is still going on and we're benevolent here but the story weekend and do the same thing is to help. And occasional bit of American Indians and Sunday aerial hasn't always been at that ballpark and it's always been available. But we go to gruden own judgment Gloria. Good with some of the police who were present suasion. Our blue word today it was burger place groups who could. We could have a larger turnout for a minute. Particular event and it has been their sense. And how many people do you usually get for me that I would say probably hang grew from. 802000. Per day for you to do it means it's been two days he has. Pretty crowded. People come mostly. And in his next victim isn't to buy. Arts and crafts. You know their homes and friends and whatever. And it's been in has been very successful. And we hope that it continues to Bloomberg new way to come you know what can people expect this year. They can expect. To seize American Indians in their traditional. Regalia and dancing and sing him songs are older. And sisters. They pin eat Indian tribe grid which is. Food as well as development American Indians to provide him if he. Provided soon. Sustenance to them Wednesday is that yeah. Joy into the bow while we have eleven different kinds of Indian food corn slew. For a renewed. Different kinds of things. And then you will see a show that we put on which includes. Various kinds of dances from others tribesman. Are living in San Diego probably abundant with indifference from groups. We do with it will be all be doing specific answers but warned this round and silencing of resident's room. Nancy is that orders. And illusionist who tribesmen there from different parts of the United States that do live here in San Diego. Also invited her earn singers and dancers from. Other parts of and in country and come in and help those with this problem. And so it's Libya a good day for American Indians who. Show. A showcase new electrical crews all about and knew their traditional song and dance with them to a today. Sounds like it's going to be a blast and uses them group problem but nobody is there cost no cause flows straight free. That's even better yet. And and camped at a part of the the power of the Sierra if I'm not mistaking and a healthy eating and active living zone this year. Yes so this is iron third year having a healthy eating active living down in what it is just a space they rehab a lot of different. Educational materials ams I wanna just. I get a shout out to look to our partners are part of our healthy active living coalition they will be there. In their zone. With information and Sobel half votes from that that that program is part of the help that and you healthy work program. And but they're going to be focusing on is healthy beverages so at this here's how loud we worked with the power out committee to. Requests from vendors that they not felt soda. So a a big. Wave that children receive extra calories is through sugary beverages. So we have asked that they provide other beverage option. And this snapped a program will be there. Showcasing some other options you've seen 100% fruit juice and then carbonated water regular water to protect the juices. I'm the excited to have that because we know that it's difficult when you limit people's choices and they don't like that so. We are trying to offer other solutions so we'll have lots of samples of delicious drink. And that they'll be passing around the pal out as well as within our area. I am back healthy active living area. Also have lots of give away items so we work closely with community health improvement partners and they are responsible for the 5210. Campaign mates. Encourages parents to limit its trying to. An answer that their children are eating five fruits and vegetables a day that they're getting physical activity. Some have different giveaway items from man usually is jump ropes and spits b.s and dean also. At the American Diabetes Association and of them have their information out there are some of their diabetes. Missed tests will be leaving no doubt. Well also. Volunteers from the University of San Diego though in. My the majority of my life I work at the University of San Diego that heavily upon and a professor of sociology department. So I work with my colleagues to encourage our youth and our our students to volunteer at the pap out so they will be doing a lot of fun activities. With the kids. They played jump rope they do that spark curriculum is a treat them how it's different kind of. Formal activities denote different obstacle courses and things like that that the kids have access to we'll have lots of all the Democrats and just. Just things for kids who engage in. Last year we found that parents liked it too so it was really nice because we had parents you know playing soccer with the kids in the back and just taking advantage of having fun and playing mother at the now. So we'll have all of those things as well as other activities like crossword puzzles and coloring sheets and things like that. Indicates he just to kind of get people thinking about but there eating how much they're exercising and meant to encourage it. Wada the power. What do you hope people take away from this event. Like Randy and I hope that they feel that native Americans are still here you know a lot of times in the history books that are kind of talked about in the past ten seats. And talked about. Three European contact there on the very beginning formation of America. I hope that they see that we're here in that we are really resilient a lot of times that people talk about native Americans is within a context of poverty alcoholism drug abuse. And we really. As a community try to focus on the positive aspects that we have right to inherently strong community are extremely resilient obviously because there's still care. I hope that people see that and that they come out and have fun off the have about 35 different vendors with Eileen American Indian arts and crafts from across the country. Though I hope that people also. I fun being. And keep their jewelry you know at that as a woman I I go around on Saturday and pick out my present from other stance Sunday so I encourage people to kind of in shock and. After that and intact each other and really just kind of create Ekene space you know it within. Our little section about a park. Now again it's may seventh an eight foot of times. It starts at 10 o'clock we'll have very singers on Saturday we'll be blessed theme the arena and the birth singers are from local couldn't act I. Until the beginning and then we have scored damn team those aren't the warriors who stands before we have our grant entry at twelve. And Greg anxious and all of the dancers come into the arena OK we are out of time but real quickly. You are nonprofit he mentioned that yes how can people help you out. They can volunteer so we're still looking for volunteers for the pat out there and seen in volunteering can contact us at our website there are info at ST AI XT dot com. We are also of course I'll leave it open to taking donations you know we. Provide a lot of services thinking that leading talk about today we have Arnold you know a lot of other cultural programs that we do that we cannot. The thief I mean fourth through a fee for service like our medical dental behavioral health program so. It would be great if people you know can also be generous with their mania while I'm making to meet with offices that in ST SAC dot com. Okay and are you on social media. We are not social media but we will be we're gonna have a big social media new website lunch. After the how loud. So look out for it and you can also in our our our email and that he's acting on different. I'm topics. And that awful are different events that half the community we added that the communities of the power of one of many things. And the emails joining the email list that they can do that a two website yes just right through the web site you just click on the link if you go to the home page it has the newsletter on the there and then they can just click on that and you know. Talent and all right great. Death Percy and Randi thanks for being on the show today thanks for all you do for the American Indian community here in San Diego County for the for the community as a whole and good luck with pal and let you know. Do your shout out to us on the tribes and have. Donated to a cultural Davis and we thank them for their donations because they are interest it to and investment you know and and people them. And San Diego community. All right thanks again appreciate you coming out and then again it it sounds like the powerhouse in the last great thank you from the trap that computes. That includes another addition of living veteran San Diego the opinions expressed a little better in San Diego do not necessarily reflect the opinions and views of the staff and management of the and it comes San Diego radio stations. Episodes of living veteran San Diego are available on the station's website. Join me next week when we'll be talking about movers for moms yearly to men and the truck campaign. To collect and deliver donations for women in need in San Diego County. Until then I'm Carrie Lee.
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