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The Service offers Specialised Programs to the community through a team of program workers based within the Dartmouth Street Clinic. This team works in collaboration with the services Medical Officers, Services Coordinator and Health Educator in the delivery of culturally acceptable programs or information, via workshops and one-on-one contacts.
	After Hours Transport		Health For Life Program
	Antenatel / Anangu Bibi / AMIC		Hospital Aboriginal Liaison Officer
	APHCAP		Immunisation Clinic
	Asthma Clinic		Men's Women's and Sexual Health
	Dental Program		Multi Disciplinary Clinics
	Diabetes Program		Pharmacist
	Ear / Hearing Health		Social and Emotional Well Being
	Emergency Relief		Traditional Healers
	Eye Health		Visiting Allied Health Specialists
	Home and Community Care		Well Child Special Needs

After Hours Transport
Pika Wiya provides an on-call service from 4pm to midnight Monday to Friday and 8.30am till midnight Saturday and Sunday for the delivery of medications, after hours follow up and transport to the hospital for emergency treatment. Pick up and drop off of discharge clients and remote client arrivals and departures are also offered. Our worker is based at the hospital and is also able to assist staff on a needs basis with our community.

Antenatal / Anangu Bibi / AMIC
Mothers-to-be or mothers-to-be-again, are encouraged to attend antenatal classes, which is conducted by a female health worker in liaison with the Service's doctors and providers. This team, closely monitors the clients pregnancy. Postnatal follow-ups are equally as important. Our specialised health worker within this program is available to support women through their pregnancies, with their deliveries and support in the labour ward. In addition to the Ante and Postnatal programs, a Women's Health Program offers support to all women on issues relating to women's health.

Over time this program has expanded whereby a Midwife and an (AMIC) Aboriginal Maternal Infant Care Worker supports the mother to be from conception to birth and beyond.  This program offers care from specialist AMIC workers that includes a dedicated Aboriginal AMIC health worker and is supported by  a team midwife and Obstetrician of their choice. This relationship supports Mothers, Babies and families through all aspects of primary health care.

APHCAP - Aboriginal Primary Health Care Access Program

This program supports two staff members based within the Quorn/Hawker and Marree regions respectively.  The aim of the program is to raise community awareness about the range of health services available within that particular area.  The program assists communities to navigate pathways into local health services  and identified gaps in the service delivery requirements for those communities.

Asthma Clinic
Fortnightly on Thursday's we have an asthma clinic where clients are given individual case management and support through an asthma educator. Clients are referred to the service and supported to attend appointments by our Aboriginal health worker.

Indigenous Asthma Innovation Project - Final Report 2003

Requires

Dental Program
The Dental Program is a new service to Pika Wiya providing general dental services to our community. Currently it operates three days per week in a modern dental facility. This program will include assisting the South Australian Dental Service to access our community's children and will be joined by an Aboriginal health worker in the follow up and promotion of oral health to the community.

This program is only accessible to Aboriginal people who currently hold a Health Care Card.

Diabetes Program
The aim of the Diabetes Program is to educate diabetic clients about the disease and how to control it. The program consists of one-on-one education and client reviews with some emphasis on community education. Currently staffed by an Aboriginal Health Worker, who works in conjunction with an assigned medical officer from this service, our Diabetes Health worker is able to access support from the diabetes educator, and a dietician and podiatrist from the Port Augusta Hospital.

Ear / Hearing Health
The Ear Hearing Health Program conducts school screening and works in collaboration with SA Hearing Services with the assistance of an Aboriginal Health Worker. Referrals to this program are made via client consultation with our own doctors, or clients can call in and see the Well Child Program Team for any advice or information.

Emergency Relief Community Development Program
Pika Wiya has limited emergency relief funds, and limited time for appointments. Therefore, these are only available when the emergency situation meets a set of strict guidelines. We also provide referrals for financial planning and other support services in our area This program also involves community events and promotion of services, such as barbeques with health promotion themes, followed by community meetings four or five times each year.

Eye Health

Over the past few years we have been able to obtain the services of an optician and ophthalmologist and have linked this service to the Healthy For Life Multi Disciplinary Clinic model.  On average we are able to provide around four clinics per year, however negotiations with local providers may see this service offered once a month.  This will enable those most at risk to be screened and have access to low cost glasses.

Home and Community Care Program (HACC)
The Home and Community Care Program for the Aboriginal population of Port Augusta commenced operation in June 1987.

The H.A.C.C. program is staffed by one coordinator and two home help workers. This program delivers home help and domiciliary care to referred clients, acts in an advocacy role for clients in dealing with other organisations and in educating and informing the wider community of the needs and cultural aspects of aged and disabled Aboriginal people.

The main focus of this program is to maintain frail, elderly and disabled clients in their own homes rather than in institutions.

This program has recently extended it's services to Whyalla.

HACC worker - Cheryl McKenzie

Health For Life Program
The Healthy For life program was originally introduced as a two year pilot program by the Commonwealth Government and was designed to improve the health of Aboriginal and Torres Strait Islander mothers, babies and children: to enhance the quality of life for people with a chronic condition: and to over time reduce the incidence of adult chronic disease.

The objectives include: To improve the availability of child and maternal care, to improve the prevention, early detection and management of chronic disease, to improve Indigenous health workforce and to improve the long term outcomes of Aboriginal and Torres Strait Islander people.

After four years of pilot funding Pika Wiya Health has secured recurrent funding to continue the excellent work achieved through the Healthy For Life team.

The Healthy For life team continues to conduct Child Health checks in all pre, primary and secondary schools each year.  Early intervention, prevention and management are the key components of the program.

The Multi Disciplinary Clinics that is an integral part of the healthy for life strategy continues to support clients to manage their chronic illness effectively.  Those participating in the Multi "D" clinics include Diabetes Educator supported by the Diabetes Aboriginal Health Worker; a Dietician, a Podiatrist, Optician and Ophthalmologist services.

Hospital Aboriginal Liaison Officer
This service has an Aboriginal Liaison Officer (ALO) based within the Port Augusta Hospital, who provides assistance to, and in many cases, acts as advocate for Aboriginal patients who are adjusting to what is interpreted by many as an alien environment.

This position has dual benefits for both Aboriginal patients and the hospital. Aboriginal patients, for example, are offered culturally appropriate support or assistance during their stay; liaison between patient and hospital staff is improved; and cultural understanding of Aboriginal patients by hospital staff is enhanced. The ALO also offers a welfare service to clients and assists in liaising with relevant government departments, welfare agencies and hospitals on behalf on the patient and is also involved in discharge planning for clients.

Immunisation

This program operates three days a week providing a range of immunisations and vaccines.  These include protection of the 16 childhood diseases, Influenza and Pnuemococcal and gardasil.  The immunisation nurse works in collaboration with CY&WH nurse to provide a full service to all clients requiring immunisation.

Men's, Women's and Sexual Health Program
There is a designated Women's and Men's Aboriginal Health Worker assigned to each of these programs. The Aboriginal Health Workers also deliver HIV/AIDS education sessions (dealing with all risk factors). These sessions are conducted within schools and community groups on request and a one-on-one basis as required.

Multi Disciplinary Clinics

Under the umbrella of the Healthy for Life model we are now able to offer Multi Disciplinary clinics which means the client can have access to a range of allied health professionals through a seamless service delivery.  The various disciplines collaborate on the same day to provide expertise in the various disciplines.  They include podiatrist, Dietician, Immunisation, Diabetes Nurse Educator and Eye health.

Pharmacist

RGH Pharmacy Consulting Service P/L provides a pharmacist to Pika Wiya one day per week.  This program is able to provide home medicine reviews for Pika Wiya clients and works in collaboration with the GP's to improve medication compliance, identify side effects of some medications, the cessation of unnecessary medication and regular reviews of medication as an individual's circumstances change.

Social and Emotional Well Being Program
This Program is staffed by a qualified social worker and two Aboriginal Health Workers, and supported by the partnership of the Shared Care program. it offers general counselling for both men and women, case management of mental health clients, grief and loss support and specific men's and women's programs. The Program is needs based and available upon self referral or referral from the clinic.

This program is also support by visiting Psychologists and Psychiatrists and a Mental Health Nurse. The Psychologist conducts weekly clinics and the psychiatrists (S) consult bi monthly.
 

Traditional Healers Program
Pika Wiya engages the services of a Traditional Healer (Aboriginal Medicine Person), on a needs basis, for clients who prefer a more traditional / spiritual form of healing.

Visiting Allied Health Services
We currently have a physiotherapist from Flinders Terrace Health Centre providing a service to our community from within Pika Wiya. Clients have an initial assessment then are supported to access any further equipment and specialised services through the hospital. We also have a physiotherapist and an occupational therapist who work with the Aged Care Program providing valuable therapy to our community.

Well Child and Special Needs

This program works in collaboration with CYWHS, children and families with special needs or who are at risk.

CYWHS - this stands for Child, Women and Youth Health. Conduct clinics at the Dartmouth Clinic every Tuesday and Friday. They follow up clients at Davenport and provide joint home visits with one of our workers. The CYWHS nurse is assisted by an Aboriginal Health Worker who organises the attendance of mothers and babies, and can attend follow-up home visits if required. Adults can also obtain immunisations at either clinic.

Special Needs aspect is about supporting families and children who have special needs and other associated health related issues.

Family day " Kindy in the park"

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