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Southeast Alaska Regional Health Consortium

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Southeast Alaska Regional Health Consortium (SEARHC) is a non-profit medical, dental, vision and mental health organization serving the health interests of the residents of Southeast Alaska .

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37-568: As a non-profit tribal health consortium of 18 Native communities, SEARHC serves the health interests of the Tlingit , Haida , Tsimshian people, other Alaska Native people, and other residents of Southeast Alaska . It is one of the oldest and largest Native-run health organizations in the United States. Each of the eighteen-member Board of Directors is elected by and represents one of the village tribal organizations. The board supervises

74-467: A Tlingit can inherit one but they can also pass it down to someone they trust, who becomes responsible for caring for it but does not rightfully own it. Like other Northwest Coast native peoples, the Tlingit did practice hereditary slavery . Tlingit thought and belief, although never formally codified, was historically a fairly well organized philosophical and religious system whose basic axioms shaped

111-630: A decade after the Alaska Statehood Act in 1959 there were two significant Federal acts that impacted Alaska Natives. The first was the Alaska Native Claims Settlement Act (ANCSA) of December 1971, which set up 13 regional for-profit Alaska Native Regional Corporations for Alaska Natives - 12 in the state and one based in the Lower 48 for Alaska Natives living in the continental United States. The next

148-776: Is a co-signer and member of the Alaska Native Tribal Health Consortium which provides statewide interconnections between the regional health organizations, for example the Alaska Federal Health Care Access Network . In Southeast Alaska, Southeast Alaska Regional Health Consortium runs healthcare facilities across 27 communities as of 2022, including hospitals in Sitka and Wrangell; although it originally served Native Americans only, it has expanded access and combined with other local facilities over time. About

185-642: Is administered by the multi-cultural focused nonprofit Before Columbus Foundation , which established it in 1978 and inaugurated it in 1980. The Award honors excellence in American literature without restriction to race, sex, ethnic background, or genre. Previous winners include novelists, social scientists, philosophers, poets, and historians such as Toni Morrison , Edward Said , MacKenzie Bezos , Isabel Allende , bell hooks , Don DeLillo , Derrick Bell , Robin Kelley , Joy Harjo and Tommy J. Curry . In 1980,

222-403: Is considered contemptible among the Tlingit and a sign of poverty. Indeed, shamans and their families were required to abstain from all food gathered from the beach, and men might avoid eating beach food before battles or strenuous activities in the belief that it would weaken them spiritually and perhaps physically as well. Thus for both spiritual reasons as well as to add some variety to the diet,

259-598: The Alaskan Panhandle , to the lakes in interior Yukon, as being Lingít Aaní , the Land of the Tlingit. The extant Tlingit territory can be roughly divided into four major sections, paralleling ecological, linguistic, and cultural divisions: These categories reflect differents in cultures, food harvesting, and dialects. Tlingit groups trade among themselves with neighboring communities. These academic classifications are supported by similar self-identification among

296-899: The Carcross/Tagish First Nation in Yukon and the Sitka Tribe of Alaska are of Tlingit heritage. Taku Tlingit are enrolled in the Douglas Indian Association in Alaska and the Taku River Tlingit First Nation in Canada. The Tlingit have a matrilineal kinship system , with children born into the mother's clan , and property and hereditary roles passing through the mother's line. Their culture and society developed in

333-627: The Indian Health Service (IHS). SEARHC's contracting with IHS began in 1976 when it took over management of the Community Health Aides Program. In 1982, SEARHC took over operation of the IHS Juneau clinic and in 1986 it took over operation of Mt. Edgecumbe Hospital in Sitka. Following the creation of these anchor facilities, SEARHC began building and staffing regional outpatient facilities in most of

370-536: The Pacific , including the Alsek , Tatshenshini , Chilkat , Taku , and Stikine rivers. With regular travel up these rivers, the Tlingit developed extensive trade networks with Athabascan tribes of the interior, and commonly intermarried with them. From this regular travel and trade, a few relatively large populations of Tlingit settled around Atlin , Teslin , and Tagish Lakes , whose headwaters flow from areas near

407-702: The Tlingit language (Lingít [ɬɪ̀nkítʰ] ), which is a branch of the Na-Dené language family . Lingít has a complex grammar and sound system and also uses certain phonemes unheard in almost any other language. Tlingit has an estimated 200 to 400 native speakers in the United States and 100 speakers in Canada. The speakers are bilingual or near-bilingual in English. Tribes, institutions, and linguists are expending extensive effort into revitalization programs in Southeast Alaska to revive and preserve

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444-551: The temperate rainforest of the southeast Alaskan coast and the Alexander Archipelago . The Tlingit have maintained a complex hunter-gatherer culture based on semi-sedentary management of fisheries. Hereditary slavery was practiced extensively until it was outlawed by the United States Government. The Inland Tlingit live in the far northwestern part of the province of British Columbia and

481-506: The Alaska territory for thousands of years, leading to the Tlingit. Human culture with elements related to the Tlingit originated around 10,000 years ago near the mouths of the Skeena and Nass Rivers . The historic Tlingit's first contact with Europeans came in 1741 with Russian explorers. Spanish explorers followed in 1775. Tlingits maintained their independence but suffered from epidemics of smallpox and other infectious diseases brought by

518-673: The Chief Executive Officer of the Consortium. The Board typically alternates bi-monthly meetings between Juneau and Sitka, but will occasionally convene in a smaller village. SEARHC is funded by the Bureau of Indian Affairs , various grant sources, and through 3rd party billing. Services are available to eligible Alaska Native and American Indians ; eligibility is typically based upon Certificate of Degree of Indian Blood or other legal documentation. Services financed by

555-622: The Europeans. The 1862 Pacific Northwest smallpox epidemic killed about 60% of the Mainland Tlingit and 37% of the Island Tlingit. Food is a central part of Tlingit culture, and the land is an abundant provider. Most of the richness of intertidal life found on the beaches of Southeast Alaska can be harvested for food. Though eating off the beach could provide a fairly healthy and varied diet, eating nothing but "beach food"

592-625: The Interior Tlingit communities, such as Atlin, British Columbia (Taku River Tlingit), Teslin, Yukon ( Teslin Tlingit Council ), and Carcross, Yukon ( Carcross/Tagish First Nation ) have reserves . Tlingits in Alaska lack Indian reservations because the Alaska Native Claims Settlement Act (ANCSA) established regional corporations throughout Alaska with complex portfolios of land ownership rather than bounded reservations administered by Tribal Governments. The corporation in

629-610: The Pacific Northwest Coast of North America and constitute two of the 231 (As of 2022) federally recognized Tribes of Alaska . Most Tlingit are Alaska Natives ; however, some are First Nations in Canada . Their language is the Tlingit language ( Łingít , pronounced [ɬɪ̀nkɪ́tʰ] ), Tlingit people today belong to several federally recognized Alaska Native tribes including the Angoon Community Association, Central Council of

666-673: The Tlingit & Haida Indian Tribes, Chilkat Indian Village , Chilkoot Indian Association, Craig Tribal Association, Hoonah Indian Association, Ketchikan Indian Corporation, Klawock Cooperative Association, the Organized Village of Kasaan, the Organized Village of Kake, the Organized Village of Saxman, Petersburg Indian Association, Skagway Village, the Yakutat Tlingit Tribe , and the Wrangell Cooperative Association. Some citizens of

703-500: The Tlingit can be traced back to Paleolithic groups in Southern Siberia . American Book Awards The American Book Award is an American literary award that annually recognizes a set of books and people for "outstanding literary achievement". According to the 2010 awards press release, it is "a writers' award given by other writers" and "there are no categories, no nominees, and therefore no losers." The Award

740-651: The Tlingit extended from the Portland Canal along the present border between Alaska and British Columbia , north to the coast just southeast of the Copper River delta in Alaska. The Tlingit occupied almost all of the Alexander Archipelago , except the southernmost end of Prince of Wales Island and its surroundings, where the Kaigani Haida moved just before the first encounters with European explorers. The Coastal Tlingit tribes controlled one of

777-739: The Tlingit harvest many other resources for food besides those they easily find outside their front doors. No other food resource receives as much emphasis as salmon ; however, seal and game are both close seconds. Halibut , shellfish , and seaweed traditionally provided food in the spring, while late spring and summer bring seal and salmon . Summer is a time for gathering wild and tame berries, such as salmonberry , soap berry , and currants . In fall, sea otters are hunted. Herring and eulachon are also important staples, that can be eaten fresh or dried and stored for later use. Fish provide meat, oil, and eggs. Sea mammals, such as sea lions and sea otters, are used for food and clothing materials. In

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814-531: The Tlingit language and its culture. Sealaska Heritage Institute, Goldbelt Heritage Institute and the University of Alaska Southeast have Tlingit language programs, and community classes are held in Klukwan and Angoon . Tlingit tribes historically built plank houses made from cedar and today call them clanhouses; these houses were built with a foundation such that they could store their belongings under

851-426: The Tlingit region is Sealaska Corporation , which serves the Tlingit, Haida , and Tsimshian in Alaska. Tlingit people participate in the commercial economy of Alaska, and typically live in privately owned housing and land. Many also possess land allotments from Sealaska or from earlier distributions predating ANCSA. Their current residences are within their historical homelands. Land around Yakutat , south through

888-628: The Tlingit. The Tlingit culture is multifaceted and complex, a characteristic of Northwest Pacific Coast people with access to easily exploited rich resources. In Tlingit culture a heavy emphasis is placed upon family and kinship, and on a rich oratory tradition. Wealth and economic power are important indicators of rank, but so is generosity and proper behavior, all signs of "good breeding" and ties to aristocracy. Art and spirituality are incorporated in nearly all areas of Tlingit culture, with even everyday objects such as spoons and storage boxes decorated and imbued with spiritual power and historical beliefs of

925-685: The Tlingits. Tlingit society is divided into two moieties , the Raven and the Eagle. These in turn are divided into numerous clans , which are subdivided into lineages or house groups. They have a matrilineal kinship system, with descent and inheritance passed through the mother's line. These groups have heraldic crests, which are displayed on totem poles , canoes , feast dishes, house posts, weavings, jewelry, and other art forms. The Tlingits pass down at.oow (s) or blankets that represented trust. Only

962-517: The entities, such as Health Resources and Services Administration or United States Department of Veterans Affairs , may provided for all residents of the region. As of 2012 SEARHC employs approximately 1000 employees throughout Southeast Alaska, and maintains 18 staffed facilities which includes the Joint Commission -accredited Mt. Edgecumbe Medical Center in Sitka, Alaska SEARHC also

999-416: The face of their shamans' inability to treat Old World diseases including smallpox , many Tlingit people converted to Orthodox Christianity . Russian Orthodox missionaries had translated their liturgy into the Tlingit language. It has been argued that they saw Eastern Orthodox Christianity as a way of resisting assimilation to the "American way of life", which was associated with Presbyterianism . After

1036-583: The floors. It is said that these plank houses had no adhesive, nails, or any other sort of fastening devices. Clan houses were usually square or rectangular in shape and had front facing designs and totem poles to represent to which clan and moiety the makers belonged. Many Tlingit men work in the fishing industry while women are employed at canneries or in the local handicraft industry. These handicrafts include items like wood carvings and woven baskets which are sold for practical or tourist consumption. Various cultures of indigenous people have continuously occupied

1073-642: The forests near their homes, Tlingit hunted deer, bear, mountain goats and other small mammals. Genetic analyses of HLA I and HLA II genes as well as HLA-A, -B, and -DRB1 gene frequencies links the Ainu people of Japan to some Indigenous peoples of the Americas , especially to populations on the Pacific Northwest Coast such as Tlingit. The scientists suggest that the main ancestor of the Ainu and of

1110-524: The headwaters of the Taku River. Delineating the current territory of the Tlingit is complicated because they live in both Canada and the United States, they lack designated reservations, other complex legal and political concerns make the situation confusing, and their population is highly mobile. They also share territory with Athabascan peoples such as the Tahltan , Kaska , and Tagish . In Canada,

1147-415: The introduction of Christianity , the Tlingit belief system began to erode. Today, some young Tlingits look back towards their traditional tribal religions and worldview for inspiration, security, and a sense of identity. While many elders converted to Christianity, contemporary Tlingit "reconcile Christianity and the 'traditional culture.'" The Tlingit people of Southeast Alaska and Western Canada speak

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1184-798: The mountain passes into the Yukon interior; they were divided into three tribes: the Chilkat Tlingit ( Jilḵáat Ḵwáan ) along the Chilkat River and on Chilkat Peninsula , the Chilkoot Tlingit ( Jilḵoot Ḵwáan ) and the Taku Tlingit ( Tʼaaḵu Ḵwáan: ) along the Taku River . Inland, the Tlingit occupied areas along the major rivers that pierce the Coast Mountains and Saint Elias Mountains and flow into

1221-608: The quality of care for patients. In 2006 a biography of the organization was written and entitled Gumboot Determination: The Story of the Southeast Alaska Regional Health Consortium , which won an recognition in the American Book Awards . Tlingit The Tlingit or Lingít ( English: / ˈ t l ɪ ŋ k ɪ t , ˈ k l ɪ ŋ k ɪ t / TLING -kit, KLING -kit ) are Indigenous peoples of

1258-502: The smaller villages it represented. In 2004, SEARHC developed the Frontier Extended Stay Clinic (FESC) program that allows five primary care clinics in remote Alaska and Washington to provide around-the-clock care for seriously injured or ill patients, and patients who require monitoring before returning home. By covering longer patient stays, the program has saved $ 14 million in medical evacuations and improved

1295-496: The southern Yukon in Canada. Their autonym, Łingít, means "People of the Tides". The Russian name Koloshi ( Колоши , from a Sugpiaq-Alutiiq term kulut'ruaq for the labret worn by women) or the related German name Koulischen may be encountered referring to the people in older historical literature, such as Grigory Shelikhov 's 1796 map of Russian America . The greatest territory historically occupied by

1332-444: The way Tlingit people viewed and interacted with the world around them. Tlingits were traditionally animists , and hunters ritually purified themselves before hunting animals. Shamans , primarily men, cured diseases, influenced weather, aided in hunting, predicted the future, and protected people against witchcraft. A central tenet of the Tlingit belief system is the reincarnation of both humans and animals. Between 1886 and 1895, in

1369-526: Was the Indian Self-Determination and Education Assistance Act of 1975 . This allowed Tribal organizations to form contracts with the Bureau of Indian Affairs and to transfer the responsibility for management and delivery of services such as housing, lands management, tribal government assistance, education and employment and natural resources programs. Also included in this was the delivery of health care services, previously supplied from

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