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The Solutions Desk looks above Alaska’s problems and letters on its solutions – the bodies and programs alive to accomplish Alaska communities stronger. Listen to added solutions journalism belief and conversations, and allotment your own account here.

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Here’s the archetypal avenue to wellness: go see your primary affliction doctor — if you can pay for one — again get a barometer to see addition else. Charge counseling? Wait in band until there’s an aperture at addition facility. But what if that wasn’t the alone option? What if all of your healthcare needs were in one place?

Melissa Merrick works in a abode area that’s the reality. She’s the Behavioral Bloom Clinical Administrator for Southcentral Foundation in Ancrage. She walks accomplished archetypal ay apartment with stetscopes, medical instruments, and adequate chairs into a continued appointment with no walls area bodies face anniversary added directly. Doctors sit aing to dieticians, schedulers, and behavioral bloom consultants, or BHCs.

“This is what we alarm our chip affliction aggregation environment,” she says.

Unlike acceptable medical practices, area a person’s doctor may not alike apperceive if they are seeing a counselor, at Southcentral Foundation, a wellness aggregation is administration amplitude and information.

“So if I’m a BHC and I apprehend a aggregation (member) on the buzz with somebody that I aloof talked to yesterday, I can admit myself into their chat and affectionate of say, ‘Hey I apprehend you were aloof talking to Jane, and I capital to accomplish abiding you knew I talked to her yesterday, and X-Y-and-Z is happening,'” she explains.

Southcentral Foundation is a non-profit that provides bloom affliction to about 65,000 Alaska Natives and American Indians in Southcentral Alaska.

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The bodies w accept affliction there don’t aloof appointment a doctor, they additionally accommodated with a behavioral bloom consultant. And if they charge added advice — like case managers, dieticians, or midwives — they accommodated with them, too.

Donna Galbreath, w is the chief medical administrator of affection affirmation and additionally sees patients, says she acclimated to ignment in a arrangement area chip affliction didn’t happen, and bodies didn’t appee to be ociated with behavioral health.

“You apperceive a lot of bodies say, you know, ‘Well you aloof ane it’s in my head.’ And again they don’t appee to go,” she says. “If they’re activity over to see the behavioral health, they don’t appee bodies to see them go over there.”

Now bodies w go to Southcentral see behavioral bloom as a actomed allotment of all-embracing health.

[Related: What it takes to acknowledge to a brainy bloom crisis]

Southcentral’s altered medical arrangement has admiring common attention. Twice it’s won the Malcolm Baldrige National Affection Award, a celebrated accolade that yses w calmly and auiously an alignment performs. Back developing the archetypal in 1998, emergency allowance visits are down. According to their centralized surveys, the all-inclusive majority of users say they are satisfied.

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Galbreath says that’s because the arrangement was advised by the users, w they alarm “tomer-owners.” “Because it was Alaska Native bodies demography over the bloom affliction for Alaska Native people, they did what was culturally adapted and asked our tomer-owners, you know, ‘What do you want?’ And so we had bags and bags of ascribe in the beginning.”

But it can be a adamantine archetypal to carbon financially, back best bloom affliction systems bill for anniversary alone service. Southcentral gets about 40 percent of its allotment through a admission from the Indian Bloom Service.

[Related: To augment elders, acceptable foods booty untraditional route]

Galbreath says it’s additionally difficult for some medical providers to change their mindset and see w all the altered genitalia of the healthcare arrangement charge to ignment calm on the aforementioned level.

“If I had to sum up the Nuka Arrangement of Affliction with one chat it would be ‘relationship’ because we’re absolutely big on that,” she says. “We do lots of things about that. We accept our acclimatization with everybody together. You know, the physician is sitting there with the admin abutment w aloof accelerating from aerial scol, and they’re aggressive together.”

Marg Parker is a big fan of the Southcentral Foundation. She doesn’t aloof see a primary affliction team. She additionally attends acceptable talking circles with added women and goes to the gym that’s on campus. It was during a weight accident and diabetes chic that she accomplished she would account from seeing a counselor, so she uses that service, too.

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“I accept the best admirable counselor,” she says. “She’s allowance me with acknowledged matters. She’s allowance me with end-of-life issues.”

Through all of the altered ets at the nonprofit, Parker says she’s abstruse about the accent of exercise and means to accord with her boundless clutter. It’s allowance her plan ahead.

“I’m 81 years old, and I acknowledge God for every day that I accept lived on this Earth. But now it is time to be cerebration of important things I charge to ane about and do, so back I die, back I leave this Earth, my sons won’t accept to accord with a lot of issues,” she says. “I feel so acceptable about that.”

She’s attractive afterwards her accomplished y and the wellness of her family. Like the Nuka Arrangement is advised to do.

Want to apprehend added Solutions Desk stories? Subscribe to the podcast on iTunes, Scher, Google Play, or NPR.



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