The mission of the Shoshone-Bannock Tribal Health & Human Services (THHS) Department is to promote the physical and emotional wellness of Native Americans by providing the highest quality of health care.
The Shoshone-Bannock Tribes are the only Indian nation in the U.S. that is jointly accredited with their local Indian Health Service Clinic. The initial joint accreditation was received in 2000 and subsequent accreditations occurred in 2003, 2006 and 2009.
The THHS Department strives to sponsor an annual “Wellness Gathering” for the community.
Administration and Business Office
Tribal Health Administration provides oversight and assistance in regards to personnel issues, budgets, information systems, contracts, grants, vehicles, purchasing and property. THHS Administration maintains the computer network and assists providers in the use of the Electronic Health Record, RPMS, Accucare, Behavioral Health GUI and the IHS terminal servers. The Tribal Health Business Office bills third-party insurance in order to provide income to expand services provided to eligible patients.
The cancer navigator work with all patients who have cancer, help people with screening tests or symptoms that may indicate cancer. They have training in helping people with their health care. Clients meet with the navigator to help make decisions and solve problems in their cancer journeys.
The navigator is funded through a five-year grant through the Northwest Portland Area Indian Health Board (NPAIHB).
Contract Health Services
Contract Health Services was contracted by the Shoshone-Bannock Tribes on 9/30/98. The CHS program is a resource of last resort. Approval for service is contingent upon the availability of funds, CHS eligibility, current level of medical priority, and availability of alternate resources. Federal regulations require that all alternative resources be exhausted prior to the use of Contract Health Services. Patients may be required to apply for an alternate resource if it appears one is available.
Eligible individuals include: enrolled members of the Shoshone-Bannock Tribes (or their minor dependent children and/or Indian spouse) living on the Fort Hall Indian Reservation or in the adjacent counties; descendants of the Shoshone-Bannock Tribes (Indian spouse and/or minor child) residing within the Fort Hall Indian Reservation boundaries or an enrolled member of any federally recognized tribe (Indian spouse and/or minor child) residing on reservation for at least 180 days. Non-Indian or non-CHS eligible Indian female pregnant with a CHS eligible male’s child.
Counseling and Family Services
The Counseling & Family Services (CFS) program offers outpatient mental health and medical social work services to the people of the Shoshone-Bannock Tribes and other qualified recipients. Services offered are: individual, couples, child and family therapy. Psychological evaluations, psychiatric consultations, case management, 24 hour crisis intervention, group therapy (anger management, parenting, healthy relationship group), medical social work, education and prevention services and the Fetal Alcohol Spectrum Disorder team.
All Counseling and Family Services clientele may expect the highest level of professional integrity and ethical behavior from our staff. They may also trust that in providing these services, staff will treat them with the utmost dignity and respect. All contacts with our staff are confidential and protected by the Federal Privacy Act. Counseling and Family Services staff honor and respect Native American beliefs and healing practices. Counseling & Family Services has incorporated the sweat lodge as a form of treatment for clients and provided an annual “Grief Conference” for the community.
Community Health Nursing
Community Health Nursing consists of the Maternal Child Health and Public Health Nursing programs. Services available: Pediatric Clinic, Women’s Clinic, Immunizations, Prenatal and Postpartum Education, Health, Home Visits, Discharge Planning, Elderly Surveillance and the Personal Care Provider program.
Community Health Nursing program collaborated with other local agencies in support of a CNA program for tribal members with 17/22 graduates.
Community Health Representatives
Eligible patients are individuals eligible for direct services at the local IHS clinic who reside within the boundaries of the reservation. CHRs provide transport to and from place of pickup for purposes related to medical services only. CHRs are the transporter of last resort. Family, neighbors, friends, and other resources should be accessed before calling the CHRs for transportation. CHRs do not pick up clients from hospital emergency rooms without specific prior authorization from the CHR manager or designee. Dialysis and other chronically ill patients will receive top priority for CHR transportation services. CHRs do not transport prisoners, intoxicated or abusive clients/patients.
The CHR Program also oversees the health educators, who provide vital community outreach and education including exercise classes, a car seat program, CPR training and other services.
The goals of the diabetes program are: to promote good nutrition and exercise among all age groups, emphasize the role of good nutrition and exercise in diabetes, improve glycemic control through provision of glucometers, strips, and lancets, reduce the incidence of permanent loss of eyesight through provision of glasses to eligible patients who have diabetes, reduce foot complications through provision of diabetic shoes to eligible patients, and to reduce the impact of periodontal disease through provision of dentures and partials to eligible patients.
The mission of the Shoshone-Bannock Health Board is to represent the community and ensure the promotion of continuous quality health care for tribal members, while recognizing the cultural, spiritual, and traditional values of the people.
The health board updated their by-laws in 2007 and changed the membership from a 10 member board to 7 members.
Health Education Program
The Health Education Program is an important part of the Tribal Health and Human Service Department and the Fort Hall Indian Reservation. It provides primary and secondary health promotion/disease prevention education to individuals, families, and community members by increasing awareness, knowledge, and desire to modify and improve emotional, mental, social, environmental, physical, and spiritual health and the prevention of injuries, disease, and premature death by adopting and maintaining healthy behaviors.
Services included: Tobacco Education/Prevention, Sexual Health STD Education/Prevention, CPR and First Aid Certification, Community Group Fitness/Personal Training, Basic Nutrition Education, Food Safety and Sanitation Certification, Injury Prevention, Child Safety Seats, School Health, Health Fairs, Fun Run/Walks
Four Directions Treatment Center
The Four Directions Treatment Center is a tribally operated alcohol/drug treatment program located on the Shoshone-Bannock Indian reservation in Fort Hall, Idaho. The program strives to provide the highest level of quality treatment services as well as community, culturally-based and holistic treatment approaches. The on-site services offered are the adult primary residential treatment, adult outpatient, adult intensive outpatient and adolescent outpatient.
The adult outpatient services is a Level 1 (90-day), Level 2 (120-day) and Aftercare (90-day) program and includes alcohol/drug evaluations, individual counseling, treatment groups, cultural/spiritual activities, sweat lodge, family treatment, relapse prevention, aftercare services, consultation, education/prevention activities, information and referral.
The adolescent outpatient service is a Level 1 (90-day) and Aftercare (60-day) program and includes individual counseling, treatment groups, traditional arts, cultural/spiritual activities, sweat lodge, family treatment, aftercare services, education/prevention activities, information and referral, adolescent transportation and the program can refer an adolescent client to a primary residential treatment program upon evaluating the need for this level of care service.
Individuals seeking chemical dependency treatment services must be a member or descent of a federally recognized tribe and Indian Health Services eligible. The program accepts referrals from social services, health care, court and probation, tribal and state providers, parent/guardians and self referrals. The counselors are state certified under the Idaho Board of Alcohol/Drug Counselor Certification and all of the treatment staff are trained and comply with Confidentiality, HIPAA and Privacy Act guidelines.
The program provides prevention and recovery services such as alcohol/drug education classes, the talking circle, prayer and smudging to the adult male and female inmates at the Tribal Justice Center Detention. The program supervises one adolescent Alcohol/Drug Counselor hired by a Department of Justice grant to provide substance abuse treatment services to adolescents who are Tribal court ordered and/or detained a t the Tribal Justice Center Detention. The program provides numerous community prevention and cultural enrichment activities throughout the year, and supports the community recovery groups such as the AA meetings, Women of Wellbriety and the Men of Sobriety support groups.
The Fort Hall Recreation Program hosts year-long activities, tournaments and sporting events designed to promote physical fitness and wellness in the Fort Hall Community. Computer room access and boys’ & girls’ clubs are offered, as well as youth programs during the summer. Daily access to a variety of exercise equipment and facilities are also available. The facility is frequently used by the community for powwows and special events.
Social Services offers a variety of services to assist families and children. The mission of the Social Services Program is to provide comprehensive and culturally-relevant services to meet the financial, social, and emotional needs of individuals, families and children.
The overall goal of the Social Services Program is to protect the safety and well-being of children and youth and promote self-sufficiency. Services offered include: General Assistance, Supervised Accounts, Child Protection, Welfare Checks, Indian Child Welfare, Foster Care, Home Studies, and the Child Protection Team
The Victims Assistance Program offers 24-hour crisis intervention, shelter, community advocate, advocacy at court, education, support groups and individual counseling. It is designed to work in conjunction with local law enforcement.
The advocates provide immediate support and information for victims at the secured scene of a domestic dispute. The advocate will ensure that the primary and any secondary victims have the opportunity to make safe choices
The purpose of the proposed Wellness Center and Sports Complex is to educate our communities by promoting physical, mental, emotional, social and spiritual well-being through the offering of culturally-relevant wellness services.
The Wellness Center has been in the works for over a decade. However, it wasn't until a Tribal Resolution passed in January, 2010, that the Center actually took wing. The Wellness Center will be a Fort Hall community center, offering health education programs, including diabetes, physical education, classes in nutrition and overall better health, all with a Shoshone-Bannock cultural connection. Amenities will include workout machines, a swimming pool, therapy pool, plus outdoor activities like softball fields and walking paths.
WIC is a supplemental nutrition program for Women, Infants and Children. WIC provider healthy foods (like milk, eggs, cheese, cereal, etc.), health screenings, health and nutrition information, registered dietitian assistance, breast feeding information and support at no cost to eligible families.
Shoshone Bannock Tribes Diabetes Education Video (1-5)