Health Programs Diabetes Program: This program's primary objective is to reach family members of diagnosed diabetics to provide support, information, and educational programs. For example: diabetic support group, quarterly nutrition education, special luncheons held quarterly, a quarterly newsletter, Heartland Share Promotion and distribution, and an annual diabetic camp. This program's secondary objective includes preventing the complication of diabetes, early diagnosis of people with diabetes, and addressing emotional aspects. For example: Regular individualized meetings with a registered dietician, Foot risk assessment by CHR, Pawnee Health Center, and Diabetic Coordinator, Free glucometer and glucose strips, and Quarterly Case Management to be completed through home assessments and office visits. The programs tertiary prevention is for diabetics who are considered high risk in feet and in blindness. Services include Quarterly referrals to appropriate medical personnel, coordination of transit, and to provide referrals for foot and eye glasses as necessary utilizing all available funds to support these services. Title VI Nutrition Program: This program provides noon meals Monday through Friday 11:30 am - 12:30 pm for Native American seniors and disabled family members. Eligible individuals need to live in portions of Payne, Lincoln, and Logan counties. The noon meal can be enjoyed at the Iowa Tribal grounds in the White Cloud Building or it can be delivered to a homeboud person's home. The Title VI services also include transportation to medical and personal business appointments, scheduled shopping trips and seasonal activities. A full time cook is on staff to prepare nutritionally balanced meals meeting 1/3 RDA requirements. The meals are nutritionally balanced and served with table cloths, silverware, and china. The meals delivered are in insulated containers to maitain warmth for home delivery. A full time outreach worker is on staff to assist with finding aging resources available: income assistance, aging support services, and general services to assist elders in maintaining independence within their home. In addition, a full time Title VI Coordinator is on staff to manage and oversee senior nutrition and out reach services. Community Health Representative (CHR): The CHR program supplies direct patient care, screening and facilitation of other services and referrals to other Para professional health care providers. Substance Abuse Program: offers assistance to families and individuals who are dealing with living problems associated with drug abuse. The program offers education and counseling services. The program goal is to assist the individual in adopting and maintaining a chemical free lifestyle. This program is open to the community at large on a fee-for-service basis. The focus is on DUI, assessment and and psychological counseling. Tribal Youth Program: focuses on preventing substance abuse and gang involvement. This is an activity-based program involving various events such as foot races, basketball tournaments, etc. The Fitness Center provides a physical training facility that consists of free weights, aerobic equipment and a dry sauna. The focus is on prevention. There is a certified fitness instructor on staff. A nominal fee is collected for non-Indian use. Massage Therapy is open to everyone and is available one day a week from Noon till 5 PM. Meditation sessions are also available. Management would like to expand both of these services and market to the general public. Oliver Little Cook, Director of Health Services email: olittlecook@iowanation.org Back to Health Services Homepage