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

Skokomish Tribe

Skokomish Tribe
Skokomish Health Center
N 80 Tribal Center Rd,
Shelton, WA 98584
Phone: 360-426-4232
Fax: 360-877-5943
Webpage: http://www.skokomish.org

About the Clinic

Facilities/Services Planning

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 Tribe operates a primary medical and dental care facility with 4,500 square feet in a new structure completed in July 1995. The Tribe’s Contract Health Service Delivery Area (CHSDA) is Mason County.

Services/Programs

The programs are operated under a P.L. 93-638, Title I contract with the IHS. In addition, the Tribe operates mental health and alcohol/substance abuse programs in a 2,187 SF facility originally constructed in 1974 and renovated in 1994. Other programs include Indian Child Welfare, community health representative, family therapist services, and reservation alcohol substance education. The Tribe employs a physician one day per week, a dentist two days per week and two full-time mid-level practitioners who are PA’s, RN’s, NP’s, or PHN’s.

Patients

The clinic had 2,004 primary care patient visits and 619 other patient visits for a total of 2,623 patient visits in FY 1996 The enrolled tribal population is 796 and the Indian population living on or near the Reservation is 1,223. The active health clinic user population is 878. The leading causes of death are heart disease, malignant neoplasm, cirrhosis of the liver, accidents other than motor vehicle, and cerebrovascular disease. There were 791 Active users in 2002.To top

About the Tribe

History

The Skokomish were one of nine separate groups brought together by a common territory, similar cultural patterns, and the Twana language. “Skokomish” describes the original Twana inhabitants of the villages along the Skokomish River and its North Fork. The Twana language is considered part of the Salish Language. Twana territory, now known as Hood Canal, encompassed a body of salt water, its shoreline and drainage areas. Today, this would be a large portion of Jefferson, Mason and Kitsap Counties on the eastern side of the Olympic Mountains in the northwest Washington State. Their hunting territories extended westward to the Olympic Mountains, while on the south they bordered the principal Sahewamish village (now the town of Shelton). The Twana neighbors were the Klallam people, the Squaxon and Suquamish to the east and southeast; Satsop territory bordered them on the southwest. The Skokomish Tribal Council is the governing body of the Skokomish Tribe. It was established and derives its power from Articles III and VI of the constitution and by-laws of the Skokomish Indian Tribe of the Skokomish Reservation as amended and approved, February 23, 1938, by the Assistant Secretary of the Interior. The Tribal Council consists of seven members elected to staggered three-year terms.

Geography

The Reservation is a few square miles at the southwest of Hood Canal on both sides of US 101 north of Shelton. County: Mason, population 36,000: Native American, 1,247, 44% of Non-white, and 3% of total population. 962 square miles. County’s assessed value averages $2,290 per acre. The city of Shelton has a population 7,530, and elevation of 12 feet above sea level. Principal industries: wood products, food products, manufacturing, and agriculture.
Rainfall 64.2, temperatures 41-61

Other Information

Members

796 enrolled members.

Other Offices and Programs

6 other buildings; Fisheries, North 540, Tribal Center Rd; Social Services building, gym, alcohol Services HOPE; No 540 Tribal Center Rd. Enterprise building, Twin Totems Grocery and Deli, No 19390 Hwy 101, Shelton, WA. They have had an economic development plan in place since 1981.
Total Tribal Employees
Approximately 40 FTE and 5-7 part-time.

Housing

No information on tribal housing available.

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