Siksika Case Manager Project Logic Models OVERALL MODEL

Siksika Case Manager Project Logic Models

OVERALL MODEL Purpose: To develop, implement and evaluate an arthritis model of care to improve the health of people living in Siksika. Inputs Activities Outputs Outcomes • Advisory Group • Community Liaison • Research funds • Siksika Health Services Infrastructure • Constraints: community disconnection, competing interests. • Improve existing services • Expand arthritis services • Quantity and quality of: • Existing services • Expanded services • Improve health outcomes Context: High prevalence of arthritis, relatively unaware community, low trust in health system, jurisdictional funding issues, geographical barriers, strong leadership, strong local health infrastructure, cultural and social network’s disruptions, socioeconomical disadvantages,

IMPROVING EXISTING SERVICES

Services Organization Inputs Activities Outputs Outcomes • Community liaison • (global evidence)? • Communication system • Constraints: Access to information • Time, distrust, low system connectivity, low disease awareness • Constantly communicate with service providers about users • Make appointments for users • Arrange transportation for users • Quantity and quality of: • Communications to providers • Appointments with providers • Transportation services • Improved quality of care • Improved access to services

Communication Improvement Inputs Activities Outputs Outcomes • Elders’ wisdom • Community worker • Access to information • Constraints: Lack of communication system Cultural disconnection, language differences, low trust, communication technology difficulties • Cultural training for providers • Facilitate communication between users and providers • Monitor illness progression • Quantity and quality of: • Cultural training activities • Medical appointments’ facilitation • Illnesses monitoring • Improved cultural safety (cultural competent care) • Increase understanding and trust between users and providers • Improved outcomes

EXPAND ARTHRITIS SERVICES

Navigation, Cultural Support & Social support Inputs Activities Outputs Outcomes • Community worker • Elders’ wisdom • Community members’ • Facilitate access to needed • Quantity and quality of: • Services’ accessed • Trust relationships • Cultural awareness and • Improve health care • Increase knowledge, engagement • Constraints: lack of trust, trends to isolation, lack of knowledge about culture, lack of rehabilitation services on reserve, lack of communication among existing community resources. services through counseling, compassionate support, education and shareddecision making (Navigation). • Increase connections to culture (cultural support) • Increase connections among people with arthritis through collective learning activities and community awareness about arthritis (social support) utilization for care • Members, efforts to advocate needs capacity and illness ownership • Increase healing and wellness • A community of support with a collective voice to advocate arthritis needs. • Public awareness