Indian Health Service

Administration
Health Services Building
Weekdays, 8:00 a.m. to 5:00 p.m.
Phone: 518-358-3141

Mission: Body, Mind & Spirit in harmony with our environment.

The Administration Office of the Saint Regis Mohawk Health Services is directly responsible for the overall operation of the Health Program. The Saint Regis Mohawk Health Services employs 124 staff, including per diem and contract.

The overall funding for the Saint Regis Mohawk Health Service is $15,000,000. This funding includes Indian Health Service, New York State Department of Health, Office of Mental Health, OASAS, TGF, etc.

The Administration Office strives to insure that our patients are treated with the respect, courtesy and professionalism they deserve.

Alcohol/Chemical Dependency Program

Prevention Program

447 Frogtown Road, Akwesasne
Weekdays ,8:00 a.m. to 4:00 p.m., Saturdays: when activities are scheduled
Phone: 518-358-2967 or 518-358-9291

Mission: To increase awareness about chemical dependency and related issues while recognizing and respecting the cultural distinctions of the Akwesasne community, by providing quality services that focus on increasing protective factors and decreasing risk factors. By providing prevention services that promote a safe and healthy lifestyle for individuals, families and community through education, presentations, resources, referrals, and school based intervention/prevention services.

The A/CDP specializes in educational presentations and curriculum in Headstart through grade 8. Prevention activities and support are the main focus of the program. This program has enabled us to get out into the community to help educate our people on how drugs and alcohol have affected their lives.
The school/intervention programs were designed to help our young Native people whose lives have been affected by drug and alcohol use and provide opportunities for education, support, crisis intervention and prevention in the school system. Referrals to outpatient treatment or inpatient treatment are also arranged as needed. The prevention counselor works with other programs to help facilitate the best possible service for our future generations. The Prevention Program offers one trip each month during the school year to expose the youth in Akwesasne to new, exciting, and challenging culturally diverse activities. The goal is to increase self-esteem, social skills and to reduce the onset of alcohol and drug use. All trips and meals are paid for by the prevention program. 

Outpatient Program

Health Services Building
Weekdays, 8:00 a.m. to 4:00 p.m.
518-358-3141

Offers services for alcohol/chemically dependent individuals and individuals who have a compulsive gambling diagnosis. Services include: Drug/Alcohol Assessments, Compulsive Gambling Assessments, Outpatient Treatment, Compulsive Gambling Treatment, Aftercare Services, Codependency Treatment, Relapse Prevention Treatment and Nicotine Dependence Treatment. The Outpatient Office is also able to make referrals to other agencies inpatient, outpatient and detox if needed. Therapies used are 12-step based counseling, cognitive behavioral and motivational interviewing.

Business Office
Health Services Building
Weekdays, 8:00 a.m. to 5:00 p.m.
Phone: 518-358-3141

Mission: This program emphasizes action-oriented planning and implementation processes to achieve the optimum level of quality, and best business practices and to optimize reimbursement of revenues from Medicare, Medicaid, state and federal grants, and private insurance.

The Business Office activities include, but not limited to:

Providing patient registration functions for services, the business operations are extremely dependent on the collection of accurate patient demographic, eligibility, insurance data, and completion of applicable forms by registration staff.
Processing claims, following up on outstanding accounts, and pursuing collections.
Updating the IHS, Resource and Patient Management System (RPMS) and its various business office applications with accurate and timely data.Providing trained individuals to assist patients in obtaining alternate resources when regular insurance is not available.
Health Information management is responsible for assuring that detailed documentation is present for each outpatient visit to substantiate any inquiry from the insurer to include random audits by either Medicare or Medicaid.
Ensuring that health information is protected by following the Privacy rules and HIPAA regulations.
To provide timely and accurate referrals to outside contract providers for eligible tribal members.
Ensuring eligibility requirements are met prior to receiving direct and contract health services; to receive services the person must be a member of a Federally Recognized Tribe, reside on reservation or within Franklin or St. Lawrence County and receive their care at our health facility.

Centering Pregnancy
Health Services Building
Wednesdays, Morning
Phone: 518-358-3141

Mission: We will guide pregnant mothers through the Centering Pregnancy format that integrates health assessment, education and support in a group care setting, using the power of the circle as its basis.

The initial prenatal intake and physical exam is conducted in the medical clinic in the usual fashion. After 12-16 weeks along she joins a group of women who have delivery due dates similar to her own. Centering Pregnancy does not take place in the medical clinic setting but in the Mind-Body / Centering Room down the hall. Moms are taught how to measure and record their own weight, blood pressure and gestational age and record the results in their own chart. They help themselves to healthy snacks while charting their results and socializing with one another. The Moms are seen privately by the obstetrician or midwife for a brief checkup then join the other Moms in a circle. Together in this circle they share experiences and learn from each other following a specially designed curriculum under the guidance of the physician or midwife. The sessions are structured but flexible which allows the group of women to also discuss other issues that are important to them. Sessions range from discussion of common discomforts of pregnancy, breastfeeding, signs of preterm labor, domestic violence, what to expect during labor and delivery which includes a field trip to the hospital birthing rooms. The sessions are scheduled monthly at first then every two weeks later in the pregnancy.

Centering Pregnancy care model was designed by Sharon Schindler Rising who is a Certified Nurse Midwife and founder of Centering Healthcare Institute.

Circling Up for Better Health by Randi Rourke Barreiro

Dental Clinic
Health Services Building
Weekdays, 8:00 a.m. to 4:00 p.m.
Phone: 518-358-3141

Mission: To provide dental services to all members of Akwesasne.

The Dental Clinic provides emergency and basic dental services such as examinations, x-rays, routine and periodontal cleaning, fillings, simple extractions of all ages. It strives to screen hypertension and diabetes, to education on proper oral care. The clinic refers children with extensive dental needs to a pediatric dentist, it also refers patients with complex extractions to an oral surgeon.

Laboratory
Health Services Building
Weekdays, 8:00 a.m. to 4:00 p.m.
Phone: 518-358-3141

The purpose of the Saint Regis Mohawk Health Services Laboratory is to perform the correct analysis on the correct specimen in a timely manner while insuring the medically relevant accuracy of the results.

Return the properly identified results to the providers in a clear, concise form and in a time period that allows the test results to be useful for the medical decision making.

Immediately notify the provider of any results that suggest an immediate threat to the health of the patient.
Use feedback from the provider and medical staff to improve all aspects of laboratory operations.

Let’s Get Healthy / Mohawk Healthy Heart
378 State Route 37, Akwesasne
Phone: 518-358-9667

Program offices: Weekdays, 8:00 a.m. to 4:00 p.m.
After school program: 4:00 to 6:00 p.m., Monday - Thursday

Mission: Through individual, family and community services, the Let’s Get Healthy Program is committed to provide excellence in diabetes care and prevention.

The Let’s Get Healthy Program represents two programs established by Special Diabetes Program for Indians federal funding, known as the Diabetes Grant and the Mohawk Healthy Heart Project. Both have similar goals in diabetes care and case management, targeting prevention and reduction of diabetes complications for patients of the St. Regis Mohawk Health Service health care service community. The Diabetes Grant carries an immense focus in primary diabetes prevention by applying Indian Health Service Best Practices. The Mohawk Healthy Heart Project coordinates with the University of Colorado to collect and analyze participant data in terms of Indian Health Service Standards of Diabetes Care.

Diabetes prevention and care services are developed through individual assessments, education and case management by Diabetes Nurse Educators and Certified Fitness Specialist. Medical nutrition therapy is addressed by a Regional Dietitian Existing programs are: the Active Living Center (a supervised fitness program for adults), the After-School Fitness Program for Youth, ages 8-16, and Functional Fitness classes for adults. On-going relationships with tribal and non-tribal partners assist to nurture diabetes prevention at primary, secondary and tertiary levels, including diabetes screening events

Diabetes prevention and care education are supported through a variety of educational tools, media messages, monthly newsletters, mini-workshops, etc.

Medical Clinic
Health Services Building
Monday to Thursday, 8:00 a.m. to 8:00 p.m.
Friday, 8:00 a.m. to 5:00 p.m.
Saturday, 8:00 a.m. to noon
Phone: 518-358-3141,

Mission: To help our community reach the optimum level of health possible by meeting their growing health care needs through collaboration with other health care professionals and systems with an emphasis on prevention, healing and wellness.

Description: The medical clinic is an ambulatory clinic that provides on site, acute and preventive health care to eligible members of any federally recognized Tribe or Nation. Our medical services include Pediatrics, Obstetrics and Gynecology including a Centering Group Model of prenatal care, Internal Medicine, Family Health, Women’s Health including on site mammography in partnership with Alice Hyde Medical Center and Chiropractic care. We also provide off site contracted health services to eligible members of the Saint Regis Mohawk Community.

Specialty clinics include a monthly Massage Clinic by appointment only, located in the Clinic area, as well as a Stress Reduction Program that provides services two days a week by referral only. Special Immunization Clinics are provided prior to flu season and as needed.

Mental Health - Kanikonri:ihne (Good Mind Counseling)
Health Services Building
Weekdays, 8:00 a.m. to 5:00 p.m.
Phone: 518-358-3141, Toll free: 1-800-647-7839
Emergency : Tribal Police 518-358-9200

Mission: To ensure that those members of the Akwesasne community who are having emotional troubles get the treatment they need to feel better.

St.Regis Mohawk Mental Health Services provides confidential outpatient mental health services for children and adults. We see people for many different reasons such as depression, anxiety, suicidal thoughts, relationship problems, trouble at work, school, or home, family conflict, sleeping problems, sexual problems, past and/or present sexual, physical, emotional abuse, eating problems, and grief/loss. Often people need a place to talk about their problems and concerns in private. The services we provide include but are not limited to the following: screenings, individual, family, couples, and play therapy; assessment, including psychiatric evaluation; crisis intervention; medication therapy; case management; parent advocacy; Traditional Mohawk Services; respite and home based mental health services; Coordinated Children’s Services Initiative- wraparound services; mental health consultation for Head Start; and school based mental health services in the Salmon River Central school district. Each person has their own special needs, and treatment is planned specially to meet those needs. Many people include their own traditional methods of healing as part of their plan. Contact our office by phone, stop in to make a referral, or take an anonymous online screening at www.mentalhealthscreening.org/screening/STREGIS to find out if a professional consultation may be helpful for you.

Nutrition
Health Services Building
Weekdays, 8:00 a.m. to 4:00 p.m. or by appointment
Phone: 518-358-3141

Mission: To provide quality nutrition information to improve the health and well-being of this community.

The nutrition department does one-on-one counseling regarding a variety of topics such as: weight loss, diabetic diets, hypertension, and cholesterol among others. We also work with youth by providing nutrition education presentations to the Saint Regis Mohawk Head Start Program, The Akwesasne Boys and Girls Club, and the JOM Summer Program. We also provide nutrition education to many of the St. Regis Mohawk Tribe’s partnering programs such as Partridge House, IRA Home and Office for the Aging. We provide assistance for menu planning and kitchen inspections and coordinate the annual Akwesasne Wellness Day.

Outreach Chronic Care Nursing
Health Services Building
Weekdays, 8:00 a.m. to 5:00 p.m.
Phone: 518-358-3141
Emergency Cell: 518-651-9993, Beeper: 518-404-1680

Mission: To provide quality professional healthcare with dignity and privacy within the scope of our work.

TOBACCO CESSATION: A tobacco cessation specialist educates health care professionals, administrators, smokers, nonsmokers about tobacco dependence and treatments. Offering counseling and support for patients who are looking for a change. To quit your smoking habit today you can make an appointment at 358-3141 ext 128.
SAFETY /CPS TECHNICIAN:Outreach safety technician can do home safety assessments in the community. Car seat safety installations are offered. Show that parents and caregivers the proper way to install a car seat in a vehicle. Car seats are availalbe for purchase through the Outreach Office.
COMMUNITY HEALTH REPRESENTATIVE (CHR):Community Health Representatives directly impact individuals and the community as a whole by working with health care providers and the community to educate and provide information and support for healthy individuals, families and communities.
CHRONIC NURSING CARE: To provide prevention and chronic nursing care to the Community of Akwesasne. We take referrals from the surrounding hospitals, medical providers and the community. We assess the patient to meet their specific needs. We also provide screenings in the community for diabetes, hypertension, cancer, immunizations, and provide follow up or make appropriate referrals. We network with local county health departments and medical providers. We provide medical transportation as necessary to our patients.
HOME HEALTH AIDES: The Home Health Aides provide a valuable service to our department. They serve our patients that are not eligible for insurance or if they have insurance and it is not one of their benefits. Home Health Aides are available for patients who need them. All patients will be assessed on a priority basis.
IMMUNIZATIONS: Disease prevention is an important part of our immunization program. With emerging diseases due to lack of adequate immunizations, it is extremely important to stay up-to-date with all vaccines. Weekly clinics every Tuesday from 8:30-3:30, are offered to patients who are behind in their immunizations.

Partridge House
25 St. Regis Road, Akwesasne
24 hours per day / 7 days per week
Phone: 518-358-2223

Mission: To provide a health, caring and safe environment for native men and women who suffer from alcohol and drug addiction through self-empowerment, traditional teachings, utilizing a non-judgmental team approach.

The Partridge House is the only Native American inpatients program licensed through the Office of Alcohol and Substance Abuse Services (OASAS), equipped to address how addiction impacts native communities within and outside New York State. The fifty six day program provides a safe environment for adult women and men to examine the roots of addiction and their personal growth in early recovery. The staff includes certified alcohol and substance abuse counselors who guide each participant in the healing process through educational lectures, individual counseling, and group psychotherapy. The Partridge House program provides gender-specific groups and a weekly Family education group open to the community. In addition, each participant is introduced to the foundation of 12-Step recovery and develops new coping to prepare for life daily stressors without resorting back to active addiction and self-destructive behaviors. Most importantly, each participant is guided through and eight week curriculum that addressed self discovery through traditional teachings and spiritual ceremonies. All interested individuals are encouraged to contact the SRMT Outpatient Program for a referral.

Pharmacy
Health Services Building
Monday to Thursday, 8:00 a.m. to 8:00 p.m.
Friday, 8:00 a.m. to 5:00 p.m.
Saturday, 8:00 a.m. to noon
Phone: 518-358-3141,

Mission: To dispense, counsel and adhere to pharmacy rules and provisions via the state of New York.

Pharmacy has counseled patients and adhere to the laws governing the pharmacy body. Pharmacy has maintained inventory cost. The pharmacy has made home visits and guest lecturing at schools and at the Saint Regis Mohawk Senior Citizen Center. The pharmacy has worked closely with providers to implement the electronic health records. The pharmacy is creating dialogue with customers to allow for 2 days for refills as we would like service to continue at an adequate level.

School-Based Health Center
St. Regis Elementary School, 385 Church Street, Akwesasne
School days: 8:30 a.m. to 2:30 p.m.
Phone: 518-358-4124

Mission: To provide access to health care for the children in the St. Regis Mohawk School system, with a strong focus on health promotion and disease prevention.

The SBHC offers the following services to all students enrolled in the program: check-ups, immunizations, physical exams, prescriptions,treatment for illness and injuries and health education and counseling. The SBHC is dedicated to providing each student with the opportunity for easy access to health care with a strong focus on prevention. In partnership with the school, healthcare providers and parents, the SBHC will work with families to assure that children are able to come to school each day healthy and ready to learn.

WIC 
Health Services Building
Office hours: Weekdays, 8:00 a.m. to 4:00 p.m. or by appointment
WIC Clinic Hours: Tuesday 8:00 a.m. to 5:00 p.m. & Thursday 10:00 a.m. to 6:00 p.m.
Phone: 518-358-3141

Mission: To improve pregnancy outcomes, reduce the number of low birth weight infants, support and encourage breastfeeding, and support the growth and development of infants and children.

Supplemental Nutrition Program for Women, Infants and Children. The program is a federal supplemental food program that provides low-income families with healthy foods and nutritional education. To qualify for the WIC program, applicants must meet WIC’s four eligibility criteria. Applicants must show proof of all of these criteria in order to receive benefits. These are: CATEGORY –pregnant women, breastfeeding woman, post-partum women, infant, a child under the age of 5, RESIDENCY – The applicant must show proof of NYS residency, NUTRITIONAL RISK – have at least on nutritional risk criteria (determined at certification), INCOME – prove that household income is within stated guidelines (call to find out) or qualify with an adjunct program such as Medicaid, TANF. and/or Food Stamps. We also provide breastfeeding peer counselors that can talk with you on the phone, meet with you in the clinic, make house calls and even go to the hospital to assist you with breastfeeding after delivery. You can also add us as a friend on Facebook. Search for Mohawk WIC and find a group that has income guideline and breastfeeding peer counselor information.

If you would like more information on the New York State WIC Program, please click here to visit their site:

Women’s Reproductive Health Research Project
Health Services Building
Weekdays, 8:00 a.m. to 4:00 p.m.
Phone: 518-358-3141

The Saint Regis Mohawk Health Services, in collaboration with the University of Albany, is conducting a research project to study the impact of environmental contaminants and how they affect the reproductive health of Akwesasne Women. The research project examines women between the ages of 21-35, who are not currently taking hormonal birth control and are not pregnant or nursing. The women are followed through one menstrual cycle, typically 25-30 days, depending on the individual. The participant is asked to complete questionnaires, give blood on Day 3 of their period and collect daily saliva samples. After 100% completion of all project requirements, the participant receives a check for $180. Each participant will receive copies of all results.