Minneapolis American Indian Center
Program Director: Julie Green
Project Coordinator: Lisa Hakanson, MS, RD
1530 E. Franklin Ave.
Minneapolis, MN 55404
lhakanson@maicnet.org
http://www.maicnet.org/goldeneagles/diabetes.html
According to the 2000 census, the seven-county Twin Cities metropolitan area is home to approximately 34,000 Native Americans just under half of the state’s 81,000 American Indian population. Not only is the community large, it also is the poorest of all ethnic groups in the Minneapolis area.
In order to provide this community with increased physical, mental, emotional and spiritual supports for diabetes care, the Minneapolis American Indian Center (MAIC) formed a strong community-clinical partnership to develop the Full Circle Diabetes Program. MAIC’s Ginew/Golden Eagle Program serves as the lead agency in its partnership with the Native American Community Clinic (NACC), a primary health care clinic. Recruits to the program come from the Phillips neighborhood of south Minneapolis, where both organizations are located, but services extend to the entire metropolitan area.
The MAIC recruited and engaged Native American community members living with or concerned about diabetes to form the Diabetes Community Council. This Council provides invaluable insight into the barriers of diabetes self management and the availability and accessibility of current resources. With support and participation of project staff, the Council designed community-based activities to complement and expand
resources to meet these needs.
The NACC actively supported the planning process by attending all of the Council meetings and providing expertise and consultation on diabetes care. Collectively, the partners designed and coordinated the activities of the Full Circle Diabetes Program. The symbolic Circle Model of community organizing reflects Native American culture and values, recognizing that all people contribute to the survival and vitality of a community through their individual contributions.
The Full Circle Diabetes Program focuses on providing resources and supports for diabetes self management to promote physical, mental, emotional and spiritual wellness.
- Physical supports include options for physical activity, regular medical care, case management, and access to medical supplies.
- Mental supports—educational supports for the mind—include diabetes classes and medical case management services. A key component is goal setting, which is promoted in the program’s five-weeksmall group education sessions. Participants also receive educational boosters at the clinic’s monthly Diabetes Breakfast.
- Emotional supports include a supportive Talking Circle as well as Council-led intergenerational events.
- Spiritual supports focus on the attention to culture throughout all of the activities, with an emphasis on respecting and listening to the teachings of one’s ancestors to live well.
The Full Circle Diabetes Program’s group activities enhance and reinforce the individualized attention provided in the clinic. The program’s resources and supports for diabetes care reinforce the Native American cultural belief that wellness results from balance of the body, mind, emotions and spirit. The Diabetes Community Council, supported by the partnership of the MAIC and the NACC, has provided Native Americans in the Twin Cities area a voice and a forum to help others living with diabetes.
Summary
Key Interventions
- Participatory program planning through a Diabetes Community Council
- Use of a Circle Model of community organizing for designing diabetes self management activities
- Case management for enrollees of the Full Circle Diabetes Program
- Living in Balance chronic disease self management workshops led by trained members of the Diabetes Community Council
Key Accomplishments
- Effectively engaged the community to support and participate in diabetes self management activities
- Developed a fully integrated community-clinic diabetes self management program
- Developed the Full Circle Diabetes Program Resource Toolkit
Lessons Learned
- A Circle Model promotes holistic diabetes self management programming and enhances community capacity among Native Americans in an urban setting
- Living in Balance chronic disease self management classes for people with diabetes been accepted and are successful in an urban American Indian population
- Read feature article: How the Diabetes Community Council made a difference
Grantee Presentations
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