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Volume 6 • Issue 9 • September • 2013

DRUM BEATS

Inside This Issue:September,2013 CoC Update 1Clubhouse News 2Nutrition News 3Nursing Corner 4CBANS News 5MSPI Updates 6Calendar 7

Why should I care?In less than a month a very important milestone will be reached in California. Starting on October 1, 2013 citizens in California will be able to enroll for new health insurance coverage through the health reform law – The Affordable Care Act (ACA). The coverage will be effective on January 1, 2014. In California, the health care marketplace is a place where individuals can get quotes for health coverage from different insurance companies and it is called “Covered California”. For those of you who have computer access at home, you can review the plans and get more information at: http://www.coveredca.com .

Many of our clients have asked us, “Why should I care? Can I still utilize Indian Health?” If this is a question in your mind, there are multiple reasons why it’s important to at least consider your options under health care reform. The primary reason of course is that Indian Health Service (IHS) has funding limitations and it’s not an insurance plan. So if you’re traveling, seriously injured, or are diagnosed with a serious illness in which you need hospitalization or long-term care, Indian Health clinics simply do not have the funding to pay for

them and it may leave you and your family with a very large hospital bill. Insurance coverage follows you wherever you are and will significantly help when you need the most care. Furthermore, if you sign up for a health insurance plan and still chose to get care at an Indian health clinic, you’re actually helping your community because if the clinic is able to bill the insurance company for part of your services, they’ll be able to use their Indian Health dollars to provide additional services not covered by insurance companies!In addition, there are multiple provisions of health reform that are important for Indian people to know about:• American Indians who are enrolled in Medi-Cal who receive care or services from an Indian clinic are exempt for cost sharing! This means you will not have to pay premiums, enrollment fees, application fees, coinsurance, deductibles, copayments, or other charges.

• American Indians are exempt from the individual mandate to acquire health insurance and will not have to pay a tax penalty for not signing up.

• American Indians are exempt from open-enrollment periods – this means you and your family can decide to enroll in the health plans at any time during the year, versus only the designated time periods that other individuals must adhere to.

• Eligibility for Medi-Cal is expanding. Therefore, even if you weren’t eligible in the past, it is possible that you may now be eligible.

• Even if you are already covered by a private or employer sponsored health plan, it is a benefit to find out what benefits (continued on page 6)

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Clubhouse News

Clubhouse News!We encourage our parents and community members to recognize the youth in our community and their achievement and effort towards their learning. Ask a youth how their day at school was? Tell them what a great job they have done by attending their classes, for doing their homework, for asking for help when they need it, for the big and little things. Let a child read to you or explain how they did their math homework. Let a child see you read a book. As adults we might not always have the answers to our children’s evermore complex homework but we can provide them support and confidence through encouragement and talking with them. Let us know the great things the children in our community our doing. Send in their accomplishments (academic and extra-curricular), send in their art work, photographs, etc. we will feature selected work on-line, at Clubhouse and in our newsletter.

Clubhouse would like to recognize the following youth for their commitment to the new school year: Reanna S., Alexis B., Laura B., Victoria G., Avianna V., Alyssa M. and Jasmin B. These young ladies have committed to staying in school (meaning no absences) and working towards improved success at school this semester. We would also like to recognize Leah S., Victoria G., Lydia M., Alexis B., Aldo D., Noah B., Jasmin B., the Paul Mitchell Beauty School Student Council for their good work at our annual Health Fair. Our youth volunteered their time to support

the event and the Student Council provided free haircuts to youth who attended the event. Thank you for the awesome community work you have done!

Dear Parents, volunteers and community members:Clubhouse is recruiting volunteers to be trained in literacy strategies to promote reading and writing amongst our youth. This is an interest only announcement. Please contact the Health Project at 559-320-0490 or Somer at sshaw@faihp.org and let us know of your interest. We ask that you provide your name, number and email so that we may schedule a follow up meeting of potential volunteers. Please note the recruitment is for volunteers and not a paid position at this time. Volunteers would be expected to work with youth between the hours of 3:30 and 5:00 pm one to two days a week throughout the semester. If you’re interested in the training but not the volunteer opportunity please indicate that as well. Thank you!

College Is In Your FutureBureau of Indian Affairs Higher Education Grant Program(source: http://nativeyouthmagazine.com/scholarships.html)This scholarship is through the Bureau of Indian Affairs, which is the primary government office dealing with Native American issues. The scholarship is only available to Native American students of 1/4 blood or greater, that are enrolled in a program that will yield either a bachelors or associates degree in any discipline. Students applying also need to qualify as in “financial need” through the institution which they are attending. This program is one of many that the Bureau of Indian Affairs offers Native Americans, and is part of a larger overall effort by the Bureau to enhance Native American educational success around the country. Anyone who is interested in applying for this scholarship can pick up an application packet at their local tribal office and either submit it on-site or through the mail. Spirit of Sovereignty Scholarship(source: http://nativeyouthmagazine.com/scholarships.html)This scholarship is awarded every year, and has a value of $2000. The educational standards are fairly standard, with a 3.0 GPA being the standard for consideration of the scholarship. This is one of the many tribal college-based scholarships. In tribal college scholarships, monies earned through scholarship must be applied at a tribal college, not a mainstream college. In fact, the amount of scholarships in general that are available for Native Americans in tribal colleges is much larger than for mainstream universities. Students need to provide proof of ancestry or tribal certification for consideration of the scholarship.

Check out Native Youth Magazine at http://nativeyouthmagazine.com/ “Native You Magazine is an online resource for those of Native American descent, providing a host of information on scholarships, education programs and internships available. Native Youth Magazine also focuses on Native American history, fashion, events and media along with highlighting Native American businesses.”

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Nutrition News

You’ve heard the expression, “The eyes have it.” But do your eyes have all the nutrients they need to help prevent cataracts, macular degeneration, glaucoma and other sight illnesses? Academy of Nutrition and Dietetics suggests the following 5 foods for eye health. Though, don’t count on popping a pill to get these nutrients as your best sources of vitamins and antioxidants are from whole foods.

Kale: See the LightThis leafy green is a rich source of vitamin A and beta carotene to protect eye tissues from sunlight damage and reduce the risk of cataracts and macular degeneration. Other good sources of these nutrients include dark green leafy vegetables like collard greens, turnip greens and spinach, broccoli, peas, kiwi, red grapes, yellow squash, oranges, mangoes and honeydew melon.

Sweet Potatoes: The Color of HealthSweet potatoes are a good source of beta carotene and your body converts it to vitamin A, a nutrient that helps prevent dry eyes, night blindness and fight off eye infections. For beta carotene, try other deep orange foods like carrots and butternut squash, plus dark green foods like spinach and collard greens. Also, know that

beta carotene and vitamin A are absorbed best when eaten with a little healthy fat like drizzles of olive oil on your salad.

Strawberries: Help You “C” BetterStrawberries contain plenty of vitamin C, which is an antioxidant that can help lower your risk of cataracts. Also be sure to load up your plate with other vitamin C-rich foods like bell peppers, broccoli, citrus and cantaloupe.

Salmon: Goodbye, Dry EyesOmega-3 fatty acids in salmon can help lessen dry eyes. Get some healthy fats in the form of salmon two to three times per week, walnuts which also include eye-healthy vitamin E, avocado, olive oil, flax seed and olives. Salmon is also a good source of vitamin D, which helps protect against macular degeneration.

Green Tea: Antioxidant PowerhouseA cup of green tea is more than relaxing and delicious; its antioxidants may help lower risk

of developing cataracts and macular degeneration.

If you don’t have health insurance and you need an eye exam, we still have vouchers available for an eye exam, lenses and frames. Please contact us for more details!

5 Top Foods for Eye Health

Grilled Chicken Caesar Pasta SaladIngredients:3 cups grilled chicken, cut into bite-size pieces (we just used this leftover chicken, but you could also use rotisserie chicken)6 oz (about 1/2 box) penne pasta, cooked and cooled*4 cups Romaine lettuce, cut into small pieces1 cucumber, diced1/4 cup fresh basil, thinly sliced1/4 cup green onions, thinly sliced2 cups cherry tomatoes, cut in half1/2 cup shredded Parmesan cheese (we used pre-shredded cheese that you buy in a bag)1 bottle of your favorite Caesar salad dressing Directions:Mix together all ingredients EXCEPT for the dressing. Pour desired amount of dressing on top (we used about half a bottle) and serve immediately (the salad starts to go soggy if you pour the dressing on ahead of time).Makes 4 large servings.

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NURSING CORNER

All Ages

Saturday, August 24th from 10 am to 2 pm

Herndon

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FAIHP

Our offices are located at:1551 E Shaw Avenue, STE 139

Fresno, California 93710559-320-0490

Fax 559-320-0494www.faihp.org

Email: info@faihp.org

Annual Health & Wellness FairCommunity Resource Information Tables

Fun And Games For The Kids

Healthy Lunch

Provided

Open To Everyone!

HEALTH FAIR SUCCESS!Our Health Fair in August brought in Clients, friends and neighbors new and returning to our Health Project and Clubhouse.

We had 80 plus people attend and seven community agencies take part in the day. The hot dogs and fixings were plentiful and everyone seemed to be enjoying themselves. One of the favorite parts of the day was the free haircuts and styles that Paul Mitchell Beauty College gave to our kids. Forty plus children and teens got straightened, curled and cut! They all walked away with a smile on their face and some then went and had their face painted! Now I call that a “make-over”!

Our thanks to the following community agencies and volunteers that helped make the day a true success; Central Valley WIC office, Westcare agency of Fresno County, Proteus Foster Family Agency, Fresno EOC (Economic Opportunities Commission), Gay Central Valley, HICAP (Health Insurance Counseling and Advocacy Program), Paul Mitchell Beauty College, our own CBANS team, Jim Becerra leading the drumming, Rachelle for the face painting, and our special volunteers, Andrea Moreno who helped with food, and Elena Najera helping at Clubhouse. We greatly appreciate you all!

We look forward to next year’s Health Fair, and we want to thank everyone who joined us this year!

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CBANS News

FAIHP CBANS Program Updates

*Cultural Based Access Navigation and Peer Support ServicesCBANS Services: Include mental health awareness, prevention and early intervention. Our Community Health Worker and Peer Support

Specialist are available to provide support, case management, outreach, referrals and to help people connect with appropriate professionals when necessary.

For more information on the CBANS Program contact: Cynthia Igasan at (559) 320-0490

Thank you again CBANS clients for making the month of August a fantastic month for CBANS. Without your faithful Presence, Trust, and Support for one another, CBANS would not have the opportunity to meet with and get to know so many wonderful people, on so many different levels…

In the month of August ; during our Fresno WISE support group, from the Circles of Care, Peer Support Specialist, Paula Davila gave a presentation on “Wrap Around”. Also during the month of August; CBANS, Community Health Worker Cynthia Igasan, and Peer Support Specialist, Ruben Garcia, also gave a presentation to “What is CBANS?”

Our Fresno WISE support group came together and enjoyed a delicious homemade Healthy Italian meal, donated by Melissa D., one of our newest clients. Followed by the classic game of BINGO! Thank you Melissa for your generosity and the hard work you put into that delicious healthy meal. CBANS also wants to Thank Mischelle L., for never letting our Elders leave empty handed. Mischelle always manages to bring in some goodies to share as a dessert for our WISE group to take home as they depart for the day. CBANS also had various support groups during the month of August. Stress Management which takes place every Tuesday at 1pm is in a talking circle setting, at times lead by particular topics or at times based solely on what an individual may be feeling on that day.

Following Stress Management, is our Tuesday Tea support group, which starts at 2 pm. Rachelle B. brought her creative Pascua Yaqui flower making ideas to share with the group. This was a time of relaxation, creative thinking, and social gathering for

our CBANS clients. Thank you Rachelle for sharing.

In addition to Fresno WISE support group, CBANS also brings a time of stress relief, relaxation, social support, and mental wellness to our extended WISE support groups, Big Sandy Rancheria and Cold Springs Rancheria Elders.

During the Month of September; FAIHP, Public Health Nurse, Nancy Pierce, will join CBANS to give a very important and educational presentation to the Big Sandy Rancheria WISE support group, Topic – Flu and Flu Vaccinations.

For those of you who are looking for some “ME TIME” in other words…some time to get away from everyday stressors, a time for mental relaxation, and a time to meet other people, to gather and socialize with, then CBANS would like to invite you to come out and enjoy our next Support Group.

*Note: although CBANS does not provide childcare, remember this is a time to enjoy some self-time, relaxation, and stress relief with a focus on Healthy Mental Wellness.

WISE Support Group: Twice monthly on ThurdaysStress Management: Every Tuesday at 1:00 pm.

Tuesday Tea: Every Tuesday at 2:00 pm.

Times and Dates are Subject to change

For questions Please call Cynthia Igasan or Ruben Garcia at (559) 320-0490

Cynthia and volunteer Aaron W. manning the CBANS Booth at the Health Fair

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MSPI UPDATESCircles of CareCOC hosted a “Wraparound” training last month faciltated by Alan Rabideau & Don Lyons, over 35 people attended representing 10 different agencies. We will be piloting Wraparound over the coming months to provide the best services for our clients. In the near future we will have trained staff to assist families navigate all of the programs and systems they may be invovled with. We will inform the community when this exciting new model will be available!

“Wraparound is a philosophy of care with a defined planning process that builds support networks and constructive relationships for the youth’s needs along with their family.”

Monday September 16th, 2013 - Monthly Community Advisory Board Meeting, 10am-12pm

MSPIJackie Badoni Community / MSPI CoordinatorSubstance Abuse Counselor is back from maternity leave and is ready to help! Welcome back Jackie!

you qualify for through health care reform, as it is a possibility you may have better options available.

We at FAIHP understand that all of the new changes and requirements can be quite confusing and we want to help you and your family make the best decision possible for your health care needs. Our Eligibility Coordinator, Data Coordinator, and Care Coordinators are finishing up training on the “One-E-App” system which will allow them to help you complete a single online application to find out your eligibility for Medi-Cal and over 15 other social service programs.

FAIHP also looks forward to having staff members trained on the Covered California website and health plans so we can help you review those options as well. Although the law will allow American Indians to sign up at any given time, since this system is new, we expect there could be delays or processes that need to be worked out in verifying a person’s eligibility as American Indian so we highly recommend that you enroll as soon as possible rather than waiting until you need it.

The open enrollment for the general public begins October 1, 2013 and ends March 31, 2014. Health Insurance coverage is the best protection for you and your family! If you have questions or need assistance with finding information, Please call us! 559-320-0490

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Calendar

1 2 Labor Day 3 4 5 Rosh Hashanah 6 7

8 Grandparents Day 9 10 11 Patriot Day 12 13 14 Yom Kippur

15 16 17 18 19 20 21

22 Autumnal equinox 23 24 25 26 27 28

29 30

Notes

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SEPTEMBER 2013Sunday Monday Tuesday Wednesday Thursday Friday Saturday

S M T W Th F Sa1 2 3

4 5 6 7 8 9 1011 12 13 14 15 16 1718 19 20 21 22 23 2425 26 27 28 29 30 31

August 2013S M T W Th F Sa

1 2 3 4 56 7 8 9 10 11 12

13 14 15 16 17 18 1920 21 22 23 24 25 2627 28 29 30 31

October 2013

Stress Mang. 1-2pm

Tuesday Tea2:00-3:30pm

Tuesday Tea2:00-3:30pm

Stress Mang.1-2pm

Tuesday Tea2:00-3:30pm

Stress Mang. 1-2pm

Tuesday Tea2:00-3:30pm

Stress Mang. 1-2pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Community Advisory Committee10am-12pm

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

Diabetes Class5:30-7:00pm

BSR/CSR WISE

WISE 12-2pm

BSR/CSR WISE

WISE 12-2pm

Office ClosedCalifornia Indian

Day

1 2 3 4 5

6 7 8 9 10 11 12

13 14 Columbus Day 15 16 17 18 19

20 21 22 23 24 United Nations Day 25 26

27 28 29 30 31 Halloween

Notes

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OCTOBER 2013Sunday Monday Tuesday Wednesday Thursday Friday Saturday

S M T W Th F Sa1 2 3 4 5 6 78 9 10 11 12 13 14

15 16 17 18 19 20 2122 23 24 25 26 27 2829 30

September 2013S M T W Th F Sa

1 23 4 5 6 7 8 9

10 11 12 13 14 15 1617 18 19 20 21 22 2324 25 26 27 28 29 30

November 2013

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

JUST WALK 11-12PMat Manchester Mall

Stress Mang. 1-2pm

Tuesday Tea2:00-3:30pm

Tuesday Tea2:00-3:30pm

Stress Mang.1-2pm

Tuesday Tea2:00-3:30pm

Stress Mang. 1-2pm

Tuesday Tea2:00-3:30pm

Stress Mang. 1-2pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Wellbriety6:30-9pm

Community Advisory Committee10am-12pm

Diabetes Class5:30-7:00pm

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1551 E. Shaw Avenue, Ste. 139Fresno, CA 93710559.320.0490Fax: 559.320.0494www.faihp.org

Follow Us on:

Fresno American Indian Health Project

FAIHP is a nonprofit 501(c)3 organization and depends on support from the community. All donations are tax-deductible. If you or an individual or business you know would like to make a contribution they may do so by check or by logging on our website & utilizing the PayPal “donate” link.

NAME:__________________________________ADDRESS:_______________________________CITY/STATE/ZIP:_________________________PHONE: _________________________________DONATION AMOUNT: _____________________

Please make all checks payable to:Fresno American Indian Health Project

1551 E. Shaw Avenue, Suite 139, Fresno CA 93710.

OUR BOARD OF DIRECTORSLeland Castro, Yokut

Pedro “Pete” Molina, Pascua YaquiEnrique Rudino, Apache/Tarahumara

Mischelle Liscano, Chukchansi

Our services include:• Health Screenings• Mental Health Services• Alcohol & Drug Prevention• Health Education Classes• Public Health Nurse Home Visits• Case Management• Transportation• Health Referrals• Youth After School Program• Nutrition counseling