Northwest Portland Area Indian Health Board: Indian Leadership for Indian Health

Chehalis Tribe

Chehalis Tribe
Chehalis Community Clinic
PO Box 536,
Oakvile, WA 98568
Phone: 360-273-5911
Webpage: http://www.chehalistribe.org

About the Clinic

MISSION
To promote and facilitate engineering planning and construction support for the IHS national facilities program by developing and enhancing relationships among Tribes, area offices, and Service Unit engineers and related professionals dealing in building health care systems.

Attainment of the IHS and DHHS missions
The DFPC mission is achieved by:

* Maintaining a priority list based on relative need.
* Supporting tribes when they choose to assume facilities-related responsibilities.
* Planning health care and associated facilities to minimize facility life-cycle costs.
* Planning, promoting, & constructing improvements to exist. Facilities where they are not optimally functional.
* Planning & constructing new facilities when existing facilities do not exist or cannot be effectively improved.
* Developing state-of-the-art facilities with efficient and effective facilities planning.
* Targeting the unmet need with limited resources for maximum effectiveness.

DFPC Vision

To be a Global Health Care Facilities Engineering Division leading cutting edge professionalism in support of Public Health advances and development of solutions to the Indian Health Service challenges.

Location

The mission of the Chehalis Tribal Health Clinic is to work for a safer and healthier environment for today’ s generation and for generations to come by providing quality health care to the community in an environment that respects human privacy and dignity while promoting individual family wellness; and, by supporting a meaningful interaction with the community, to enhance clinic development and to meet the changing health care needs identified by the community.

Services/Programs

The tribe operates an ambulatory clinic under a P.L. 93-638, Title I contract. The program is operated out of a 4,929 SF tribally owned structure built in 1979. The tribe also operates an Alcohol and Substance Abuse Program and a Dental Clinic out of two tribally owned buildings with 192 SF and 2,000 SF respectively. The health clinic employees 1 full time medical doctor, 1 part time Physician., 1 full time Physician Assistant-Certified, 1 part time Certified Nurse-Midwife, 1 full time Registered Nurse, 2 full time Licensed Practical Nurses, 1 full time Medical Assistant, 1 part time Dentist, 1 part time Dental Assistant, 1 full time Medical Receptionist, 1 full time Health Services Director, 1 full time Contract Health Service Manager, 1 full time Privacy Policy Officer, 1 full time Patient Registration Benefits Coordinator, 1 full time Community Health Representive, 1 full time CHRI Medical Clerk, 2 full time Mental Health Counselor, 1 part time Mental Health Counselor, and 1 part time Clinical Psychologist. Behavioral Health employees 3 full time counselors, 1 full time youth counselor, 2 fun time case administration.

Patients

The tribe bills Medicare, Medicaid, and all other third party payers. The tribe’s Contract Health Service Delivery Area (CHSDA) is Grays Harbor, Thurston, and Lewis Counties. The Tribe has approximately 650 members as of December 2002. The Indian population on or near the reservation is approximately 900. The clinic has 1905 patients registered at the clinic however, only about 1200 actually use the clinic through out the year on a regular basis. There were a total of 7,320 visits for the FY 2002.To top

About the Tribe

History

The 4,244.63-acre Chehalis Reservation was selected by the government in 1860 for the Upper Chehalis and Lower Chehalis. Families came to live on the reservation but many of the people lived outside of the reservation. The people were concerned about their land status because they were a non-treaty people and they received less federal help. 3,753.63 acres of the reservation were given for homestead entry by the executive order signed by President Orover Cleveland on October 1, 1866 and 471 acres were set aside for schools. Then thirty-six people received homesteads and a third executive order took another section of the reseNation for public domain in November II, 1906. The number of the Chehalis people was 149 in 1906 and then in 1984 the number was 382. Today in 2003 there are over 650 Chehalis Tribal members.

Government

The tribe has its own independent government with a constitution and by-laws, which was adopted July 15, 1939. Qualified voters vote in the Chehalis Community Council. The Council enforces tribal ordinances and elect a business committee that manages all of the Confederated Tribes of the Chehalis, real property and other assets and administers funds within tribal control.

For many centuries prior to the coming of white people to the Chehalis Reservation area, groups of Salish-speaking people lived along this major waterway and tributary rivers and creeks. Their permanent villages, occupied steadily during the winter months, consisted of large cedar plank houses built with the end facing the water. The rivers provided a major source of food, with several species of salmon, steelhead and eels migrating upstream and back to the ocean. In addition, there was an abundance of freshwater clams and crayfish. The rivers served too as a highway for traveling through this country in shallow shoveled nose canoes. Today, the way of the Chehalis people is quite different, but there is still much to be learned from the ways of the past & from the people who lived on this land since time immemorial.

Tribal Departments and Businesses

The Chehalis Tribe operates a tribal government departments include; Administrative Services, Human Resources, Enrollment, Planning, Grant Writing, Finance, Family and Children Services, Head Stan, Day Care, Law Enforcement, Probation, Correction, Court & Administration, Natural Resources, Fisheries, Seniors and Youth programs. Two Convenience Stores one with a gas station, and The Lucky Eagle Casino and Bingo.

The weather is mostly cloudy and rainy throughout the year. We do get sun and enjoy it when it does come out. The summer is mild and sunny. We rarely get snow during the winter.

There are two school districts in the area. Oakville school district is in Grays Harbor co. and is the smallest one of the two. Rochester School district is in Thurston co. and is a larger school district.
The Pacific Ocean is about 1-1 _ hour drive west of here. The state capital (Olympia) is about a 30 min. drive north. Portland and Seattle are about 1 ½ - 2 hour drives from here. There are forest you can hike and camp throughout the state; you can canoe down a river, walk along the sandy beaches of the pacific or cruise a lake! river fur fishing, whatever your interest you can find it in Washington.To

Other Information

Members

640 enrolled members.

Other Offices and Programs

Store, Bingo Hall, Police Department, Enrollment and Education, and Planning.
Employees
40 FTE, some seasonal part-time, about 10.

Housing

No tribal housing is available.

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