|
|
 |
|
 |
The history of the United Indian Health Services began in 1968. It was a time when Native activism coincided with
the nation-wide Civil Rights Movement and the Office of Economic Opportunity
programs. Together these factors helped create a new era of self-determination
for Indian peoples. In California, where health services were so lacking,
Indian groups formed their own health organizations. Each maintained
its separate programs but together they started the California Rural
Indian Health Board Inc. (CRIHB), an organization which continues
providing its members with a variety of quality improvement and advocacy
services.
Sheer determination, hard work and financial sacrifice paid off when
UIHS became an official non-profit organization, ready to serve people
in 1970. UIHS started with community outreach services. The first
services provided on site were dental services.
UIHS continued to expand it's services into nearly every large town
within Humboldt County, as well as servicing tribal members from every
Rancheria and Reservation in the areas of Humboldt, Del Norte and
Trinity Counties. The use of UIHS mobile services allowed the clinic
to provide services to tribal members who still lived in areas that
had no electricity or telephones.
Over the next twenty years UIHS outgrew four sites, started several
satellite clinics, and went from offering basic visiting community
health representative's, dental and medical services to a thoroughly
modern, full spectrum health service agency. Along the way UIHS has increasingly
realized it's goal of incorporating traditional values and customs
into daily activities.
Back to Top
Our path to the Potawot Health Village begins in the early 1990s.
UIHS was again confronting the problems of too little space and ever
increasing demand for programs and services. The Board of Directors
and the administration: together decided to review the entire organization
and develop a strategic plan that would be a five year guide.
In January 1992 the Planning Task Force, chaired by long-time board
member Betty Green, submitted the "Strategic Plan 1992-1997". It was
immediately adopted by the full Board.
The Planning Committee set
to work and by March 1993 UIHS had a new facility in the works. Quickly plans fell
into place for a space assessment at the Tsurai Health Center and
for a study to determine the financial feasibility of pursuing this
plan. The idea of a new health center closer to the main highways
and to a hospital had such appeal that it seemed to develop its own
momentum. It become the dream that would guide and excite the organization
over the next several years.
A health planning consultant helped UIHS understand the ways it needed
to grow throughout the entire service area. The consultant outlined
the building size UIHS should aim for and ideas about financing the project.
Even while planning for the new clinic UIHS moved forward with plans
for delivering better services throughout the undeserved regions of
the service area. Howonquet Health Center at Smith River has been
enlarged, the Klamath clinic site has been replaced, and new satellite
clinics opened in Fortuna and Weitchpec, a counseling office on the Elk Valley Rancheria,
and a clinic at Weitchpec. UIHS' model diabetes program grew in size
and scope, the Child and Family Services Department was awarded grants
to offer more services to children in the greatest need and to help
people stay alcohol and drug-free.
Back to Top
At first the time line for replacing the Tsurai clinic was three years.
In reality it took eight years. During that time the space crunch
was solved by moving several departments to offices on the outskirts
of Eureka and in Arcata, 45 minutes and 25 minutes away from Tsurai.
The inconvenience and inefficiency were substantial but there was
no other choice.
UIHS' dream called for designing a facility that could be everything
we ever wanted. As an organization, UIHS was ready to move forward.
The hard work throughout the previous 25 years gave UIHS a good track
record for progressive, professional governance as well as for high
quality, culturally sensitive health services. Also, because the clinic
has a good internal cohesiveness, loyal employees, and a strong connection
to our the Indian community UIHS had the resilience to take a big
risk.
When somebody asks me, 'Well, when did all the planning for this
get started?' I say, 'over thirty-some years ago, when they originally
came together through United Indian Health Services. And the importance
of all that is the community coming together to do it, and they got
to go through a lot of suffering and a lot of hard times, a lot of
fund-raising, a lot of conflict. Not all the time does everybody agree,
but they had one goal in mind, and that was to provide better health
care for their people. And they never lost sight of that goal. When
you do it that way, when the people that do come together, no matter
what their personal feelings are, etc. but they always remain true
to their original goal, and that's their people and their culture.
This is what you can get, this is what happens. And I think that more
than anything is why Potawot came to be." Jerome Simone
UIHS entertained proposals from several architects and selected
Bob Weisenbach and his team from Seattle to draw up a design. When
the Executive Committee first saw the concept drawings of the Health
Village the air seemed to stand still for a moment. With the next
breath everyone there knew this concept, the Health Village, would
match the dream and that it would be more, much more, than a new building.
Back to Top
The concept of a tribal health village, and to identify with a history
that is over 10,000 years old in this part of the country, and that
had a defined architecture in the plank house design, is what was
designed by the Weisenbach team. Dale Ann Frye Sherman, Yurok, was a part
of the design team and informed them,
"We, the people, are not different or separate from the environment.
Our surroundings must reflect our connectedness to the outdoors, the
rivers and salmon. We are water people and we are earth people. We
are redwood and cedar people. We are family, extended family and community
people. When one person is out of balance the community suffers. We
dance to set the community, and the whole world in harmony and balance."
Getting The Permits From The City of Arcata began the Spring 1996.
We were ready to present our Health Village plan to the City of Arcata.
The land we intended to buy was within the city limits and at that
time it was zoned "Agriculture Exclusive." UIHS needed to
have the Planning Commission recommend, and the City Council approve
two actions: a General Plan & Zoning Map Amendment, and a Planned
Development Permit.
In the summer of 1996,
UIHS needed to find ways to get the message to a whole new audience
and to maintain their presence with respect, patience, and by sticking
to a positive message, even in some very trying moments.
After that surprise UIHS got very busy. In mid-1996 it was not assumed
UIHS would get the necessary permit and General Plan amendment. A
brochure, featuring a drawing of the Health Village and information
about UIHS, was created. Internal informational and strategy meetings
were held nearly every Monday morning. City Council members and candidates
vying for council seats were invited for tours, and most accepted
the invitation. UIHS representatives started giving presentations
to service clubs and to groups affiliated with Mad River Hospital
and the nearby elementary school, Pacific Union. In each of these
the goal was to help Arcata citizens understand the UIHS organization
and its' dream for the Health Village. A whole year later UIHS
did get the approvals.
Back to Top
The "Cultural Resources Investigation of the Proposed United
Indian Health Services Medical Complex" prepared by Roscoe Archaeological
Consulting includes a quote from Llewelleyn Loud's 1918 publication
on the Wiyot people that describe four Wiyot villages in the vicinity
of the Health Village site and includes information that one of them
is the burial site for many who were killed in the 1850 massacre on
Indian Island. Now, in 2002, the land changes have been so great that
it is not possible to locate the exact village sites but as the report
notes "this entire Mad River region and the adjoining sloughs
were heavily populated and extensively utilized by the indigenous
Wiyot population".
The whole area surrounding the lower Mad River is very important in
Wiyot history. The fact that the site of the cemetery for many who
died in the Indian Island Massacre is nearby adds to the significance
of the area, especially since in the past decade a tradition of annual
vigils for remembering and healing has begun. The names Potawot (means "Mad River") and
Ku' wah-dah-wilth (means "comes back to life") have been given to this reborn place.
Executive Director, Jerome Simone and the Board of Directors turned
their attention to the massive fund raising task ahead. UIHS has a
long history of getting grants for programs for client services but
had never before undertaken a capital campaign. A Funding Task Force
was created to guide the effort. UIHS was lucky to have a local community
foundation, the Humboldt Area Foundation, that includes consultation
for organizations like UIHS among its services. They provided advice,
encouragement, and some seed money to help hire a fund raising consultant;
in fact, their help made all the difference as UIHS started on the
campaign. In late Summer 1998 when the clinic received the first donation
there was both relief and encouragement.
It is impossible to acknowledge all those who helped with time and
money in this short account. Yet it must be said that the financial
support and keen interest on the part of The California Endowment,
The Ford Foundation, and the Kresge Foundation made it possible for
UIHS to move ahead as quickly as we did.
Back to Top
Any building as original as the Potawot Health Village will pose challenges
and problems for everyone involved: UIHS, the architect, the contractors,
the subcontractors. UIHS worked through many hurdles, change orders,
and delays both long and short. It is a credit to everyone that these
uncharted waters were negotiated. Always the information flow between
UIHS, the architect, the City of Arcata, and the contractor had to
be swift, straightforward, and include every relevant detail. As Project
Manager during most of the project Laura Kadlecik carried out this
task with thoroughness that has earned her an everlasting
feeling of appreciation, by UIHS.
One example of the ways that the Indian and the non-Indian communities
are closer together is the donation of a wonderful basket collection
that Marian Ledgerwood had inherited from her mother, Mary Davison.
These baskets are now on display in the central hallway (The Walk of the Elders) at Potawot.
Today, in 2003, clients are served with innovative prevention programs,
dental, medical, vision, nutrition, pharmacy, counseling, and a nationally
renowned diabetes treatment and prevention program, as well as an
increasing array of cultural and arts events. It is the combination
of all this that makes the Indian community come together as a whole,
and improves the overall health and wellness of everyone involved.
Some have said that UIHS is truly a leader in Indian health because
of always having been an Indian governed clinic, as well as our history
of success in developing long-lasting culturally sensitive programs
that meet the needs of the people. UIHS continues to be humbled by
this. If it is so, UIHS will do what it can to help other Indian health
organizations find what is right for them.
Back to Top
|
 |
A Brief Time Line for the History of Indian Health Services in California |
 |
| 1700 |
California Indian population - 310,000. |
| |
|
| 1726 |
Settlement of California began. |
| |
|
| 1832 |
Indian Health Care established. Small pox vaccinations
begun. |
| |
|
| 1848 |
Gold discovered in California. Remote areas discovered
- Indian contact. Americans defeated Mexico. |
| |
|
| 1849 |
Indian health care transferred from War Department
to Bureau of Indian Affairs. |
| |
|
| 1845-1855 |
U. S. Indian population decreased from 150,000
to 50,000. |
| |
|
| 1908 |
The post of Chief Medical Supervisor created to
begin the official Federal Indian Health Program. |
| |
|
| 1921 |
The Synder Act is passed to address the poor health
condition of the American Indian people. November 2nd. |
| |
|
| 1948 |
Bureau of Indian Affairs is determined to not
have provided the health care that was authorized by the Synder
Act. |
| |
|
| 1957 |
On August 16 Public Law. 85-151 passed. Funds
for construction of Indian health facilities to serve Indians
& non-Indians. |
| |
|
| 1968 |
United Indian Health Services (UIHS) began at
Humboldt State University under California Regional Medical
Programs. |
| |
|
| 1969 |
California Rural Indian Health Board, Inc. (CRIHB)
began. |
|
Back to Top
|
 |
|
 |

|
|
|