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HealthWellnessHealthcare17TuesdayMarch182014PublicNoticeOnApril12014administrationandcontrolofpubliclandsandresourceswillbetransferredfromAboriginalAffairsandNorthernDevelopmentCanadaAANDCtotheGovernmentoftheNorthwestTerritories.ThistransferincludestheadministrationcontrolandmanagementofonshorelandswatersminesmineralsandoilandgasintheNWT.WhatdoesthismeantoyouinYellowknifethatwillthroughournewGovernancePartnershipsDirectorateinformationontheUniversityandCollegeEntrancePreparationProgramfromtransferduetootherinterestsLearnmoreaboutthere-launchoftheAANDCwebsiteonApril1stbyvisitingwww.aandc.gc.cantVisittheGNWTonlineatwww.gov.nt.caforinformationondevolvingprogramsafterApril12014.AskUshttpntdevo.aandc.gc.caPLEASENOTEstAANDCsLandreducedserviceonFridayMarch28thandwillbeclosedonMondayMarch31stinordertost.AfterApril1stAANDCwillcontinuetobelocatedat492352ndYellowknifeNTX1A3Z4NewNWTHealthapproachtargetssocialillsDepartmentshiftingfocusontoholisticwellnessdeputyministerByMEAGANWOHLBERGTheNWTdepartmentofHealthandSocialServicesisshiftingitsfocusawayfromtop-downservicedeliveryandontoaddressingsocialdeterminantsofhealthlikepovertyearlychildhoodedu-cationandaddictionpreven-tionthroughsolutionsfromthegroundupsaysdeputyministerDebbieDelancey.Facingpervasivestatis-ticsofpoorer-than-averagehealthandarecentscath-ingreportonsocialservicesbytheAuditorGeneralDelanceytoldTheJour-nalthatthedepartmentisnowmakingfundamentalchangestoitsapproachtohealthdeliverybyaimingatsupportingat-riskfamilieslisteningtocommunitiesandmodernizingthesystemformoreaccountabilityandcost-effectiveness.Ithinkinthepastwevetendedtothinkaboutfacil-ity-basedprogramming...thatcanbedesignedatThechallengeisfindingeffectivewaystohelppeopleengagewithhealthychoicesinawholenewwayoflifeawholenewculturalcontextandfindingwaystosupportthoseat-riskpeople.DebbieDelanceyDeputyMinisterofHealthSocialServicesheadquartersandrolledoutacrosstheterritoryshesaid.Whenitbecameall-too-obviousthatsuchanap-proachwasineffectiveshesaidthedepartmentbegangravitatingtowardsleadingedgebestpracticesbeingrecognizedinternationally.Ithinktherewasgrow-ingrecognitionthatoursystemforwhateverrea-sonhadfailedtotakeintoaccountinaconsciouswaythat50percentoftheclientsandthepatientsareAborigi-nalandthattherearediffer-entneedsDelanceysaid.Ireallythinkthefocusisonthesocialdeterminantsofhealth...Wereallyneedtofocusthoseonpeopleinthecommunitieswhoareatrisk.FocusonAboriginalhealthThenewapproachcomesfromanunderstandingthatthepopulationhealthstatusofAboriginalpeopleintheNWT-50percentofthepopulation-issignicantlyworsethannon-Aboriginalpeoplebasedlargelyonhis-toricalandongoingexternalfactorslikecolonizationresidentialschoolsandrapidculturalchangeoverthepast100yearsDelanceysaid.Ithinkweseehigherratesofmentalhealthandaddictionsissues.Thenyouoverlaythatwiththeimpactofchanginglifestylesyouhearaboutthenutritiontran-sitionpeoplemovingfromhealthytraditionalfoodstounhealthyprocessedfoodstherolethatphysicalactiv-ityplaysintheirdailylives-justafundamentalshiftfromlivingonthelandtosedentarylifestyleshesaid.Thechallengeisfind-ingeffectivewaystohelppeopleengagewithhealthychoicesinawholenewwayoflifeawholenewcul-turalcontextandfindingwaystosupportthoseat-riskpeopleat-riskfamiliesfamilieswithaddictionis-suesandpeopleforwhomallthesefactorstogetherhavecreatedsomereallyseriousissues.PartofthathasseenthedevelopmentofanewAb-originalHealthandCom-munityWellnessdivisionwithinthedepartmentwhichissettingupstaffineachregiontohelpcommunitiesfacilitatetheirownwellnessplansratherthantakeaone-sized-ts-allapproach.Thedepartmentisalsoen-actingthreekeyactionplansfocusedonearlychildhooddevelopmentmentalhealthandaddictionsanderadicat-ingpoverty.Oneaspectofthatplan-ningincludesnewfundinginthisyearsbudgetforon-the-landhealingprograms-adirectoutcomeoflastyearsMinistersForumonAddictionsthatheardfirsthandfromresidents.On-the-landhealingisanexampleofwherewelookedatprimarycareandaholisticapproachtosocialdeterminants...inanNWTcontextDelanceysaid.Ifwecansupportat-riskfamiliesbeforekidsneedtobetakenintocareifwecansupportthembyndingfamilieswheretheparentsdohaveaddictionsissuesanddealingwiththatearlyonIthinkthatsgoingtobeourbiggestchanceofsuccess.IdentifyingcostdriversAlongwiththegeneralparadigmshifttoclient-centeredcareDelanceysaidthedepartmentisalsoactivelyupgradingitsinformationtechnol-ogysystemtoensureallauthoritiesarenetworkedratherthanworkinginisolationandthatdupli-cationswithinthesystemareeliminated.Effortsareunderwaytohavenancesreportedconsistentlyacrosstheboardsothatresourcescanbeproperlymeasuredandcostdriversidentiedandreduced-keytobalancingthedepartmentsaccumu-lated19-milliondecit.Wereactuallyinvest-ingafairamountofmoneyinsettingsystemsinplaceandputtingpeopleoncom-monsystemsDelanceysaid.Ithinkwhatwerec-ognizeiswehavetoinvestsomemoneyifweregoingtoattainefcienciesbecauserightnowtoagreatextentwereguessingwhatthecostdriversare.Wedontknowinsomecases.