Tribal Health and Human Services.

The mission of the Tribal Health and Human Services Department is the improve the health, well-being, and quality of life of our Native American community by empowering people to promote and model positive attitudes and behaviors through lifelong commitment of healing and personal wellness. The Shoshone-Bannock Tribes are the only Indian nation in the U.S. that is jointly accredited through AAAHC with their local Indian Health Service Unit.

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Improving Health, Well-Being and Quality of Life.


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The Tribal Health and Human Services department works to empower our local community with programs that improve overall quality of life and health. We have several programs including Administration, Community Health Nursing, Community Health Representatives, Counseling and Family Services, Diabetes Project, Four Directions Treatment Center, Health Education, Purchased and Referred Care, Social Services, and Victims Assistance.


Explore Our Programs

Patient Resource Manual.

Tribal Health and Human Services is dedicated to providing the best possible care to all patients. We have created a detailed Patient Resource Manual that more fully describes each program and services offered.

Download Manual

Upcoming Events.

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THHS Programs.

THHS Administration.

The THHS Administration oversees eleven contract and grant programs. Seven of the programs are 98-638 Indian Self-Determination Act programs contracted by the Shoshone-Bannock Tribes from the Indian Health Services and the Bureau of Indian Affairs. Funding from three programs is received from competitive grants and the Tribes fund one program. We supervise and direct each programs scope of work, budget, management personnel, computer information systems, HIPAA and privacy regulations and accreditation standards and processes.

THHS Admin
  • (208)478-3863
  • 73 Navajo Drive, BLDG #70

Community Health Nursing.

There are several programs that provides nursing services to the Fort Hall community to educate residents on healthy living practices, promoting prevention over treatment. Clinical Services include Women’s health, well-child checks, immunizations, prenatal care, family planning, health screening for sexually transmitted infections, cancer, depression risk, Fetal Alcohol Syndrome assessment, physical exams, DOT exams, sports examinations, acute care and chronic care management.


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  • (208)238-5435
  • 33 North Mission Road, IHS Clinic

Community Health Representatives.

CHRs provide outreach services to the Tribal community, by connecting with individual patients. The CHRs are trained to utilize Tribal traditional concepts to improve the health and safety of the community. Eligibility for direct services also determines if a patient can receive CHR services. The CHR program also oversees the health educators who provide community outreach and education, including promotion of health and exercise, car seat safety, and other services.


CHRs provide transport to and from place of pickup for purposes related to medical services only. CHRs are the transporter of last resort. Family, neighbors, friends, and other resources should be accessed before calling the CHRs for transportation. CHRs do not pick up clients from hospital emergency rooms without specific prior authorization from the CHR manager or designee. Dialysis and other chronically ill patients will receive top priority for CHR transportation services. CHRs do not transport prisoners, intoxicated or abusive clients/patients.


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  • (208)478-3967
  • 71 Shoshone Drive, BLDG #117

Counseling & Family Services.

The Counseling and Family Services (CFS) Program seeks to deliver quality Mental Health and Medical Social Work services to the Shoshone-Bannock Tribes and all eligible recipients. These services will integrate traditional Native American beliefs and practices with Western attitudes and approaches, and will be delivered in a culturally competent, professional, confidential atmosphere.


Services offered are: individual, couples, child and family therapy. Psychological evaluations, psychiatric consultations, case management, 24 hour crisis intervention, group therapy (anger management, parenting, healthy relationship group), medical social work, education and prevention services and the Fetal Alcohol Spectrum Disorder team.

All Counseling and Family Services clientele may expect the highest level of professional integrity and ethical behavior from our staff. They may also trust that in providing these services, staff will treat them with the utmost dignity and respect. All contacts with our staff are confidential and protected by the Federal Privacy Act. Counseling and Family Services staff honor and respect Native American beliefs and healing practices. Counseling & Family Services has incorporated the sweat lodge as a form of treatment for clients and provided an annual “Grief Conference” for the community.



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  • (208)478-4026
  • 29 North Mission Road, BLDG #248)

Diabetes Project.

The mission of the Diabetes Project is to proactively support high quality, patient-centered, comprehensive diabetes prevention and surveillance utilizing best practice coordinated with medical providers and community services. The goal of the Diabetes Project is to improve the health of the Shoshone-Bannock Tribal community through planning, implementing, and evaluating health status of individuals and community groups diagnosed with or at risk for diabetes. The program accomplishes this goal by working with individuals, families, and groups functioning as a multi-disciplinary team in collaboration with other THHS and IHS programs to meet patient-specific needs.


Fort Hall Recreation.

The Fort Hall Recreation Program hosts year-long activities, tournaments and sporting events designed to promote physical fitness and wellness in the Fort Hall Community. Timbee Hall is the main facility for the Recreation Program, and provides for a variety of services, including: Computer room access and boys’ & girls’ clubs are offered, as well as youth programs during the summer. Daily access to a variety of exercise equipment and facilities are also available. Timbee Hall is also used for community events, such as powwows and dances.



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  • (208)478-3770
  • 41 Bannock Avenue, BLDG #106 (Timbee Hall)

Four Directions Treatment Center.

The Four Directions Treatment Center is a tribally operated alcohol/drug treatment program located on the Shoshone-Bannock Indian reservation in Fort Hall, Idaho. The Treatment Center provides the quality treatment services for substance abuse, using culturally-based and holistic treatment. The on-site services provided are the adult outpatient, adult intensive outpatient treatment and adolescent outpatient treatment. The on-site services offered are the adult primary residential treatment, adult outpatient, adult intensive outpatient and adolescent outpatient.


The adult outpatient services is a Level 1 (90-day), Level 2 (120-day) and Aftercare (90-day) program and includes alcohol/drug evaluations, individual counseling, treatment groups, cultural/spiritual activities, sweat lodge, family treatment, relapse prevention, aftercare services, consultation, education/prevention activities, information and referral.

The adolescent outpatient service is a Level 1 (90-day) and Aftercare (60-day) program and includes individual counseling, treatment groups, traditional arts, cultural/spiritual activities, sweat lodge, family treatment, aftercare services, education/prevention activities, information and referral, adolescent transportation and the program can refer an adolescent client to a primary residential treatment program upon evaluating the need for this level of care service.

Individuals seeking chemical dependency treatment services must be a member or descent of a federally recognized tribe and Indian Health Services eligible. The program accepts referrals from social services, health care, court and probation, tribal and state providers, parent/guardians and self referrals. The counselors are state certified under the Idaho Board of Alcohol/Drug Counselor Certification and all of the treatment staff are trained and comply with Confidentiality, HIPAA and Privacy Act guidelines.

The program provides prevention and recovery services such as alcohol/drug education classes, the talking circle, prayer and smudging to the adult male and female inmates at the Tribal Justice Center Detention. The program supervises one adolescent Alcohol/Drug Counselor hired by a Department of Justice grant to provide substance abuse treatment services to adolescents who are Tribal court ordered and/or detained a t the Tribal Justice Center Detention. The program provides numerous community prevention and cultural enrichment activities throughout the year, and supports the community recovery groups such as the AA meetings, Women of Wellbriety and the Men of Sobriety support groups.



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  • (208)236-1007
  • 73 West Agency Road, BLDG #85A & #85

Health Education.

The Health Education Program provides primary and secondary health promotion/disease prevention education to individuals, families, and community members. Health Education helps increase awareness, knowledge, and desire to modify and improve emotional, mental, physical, and spiritual health. We also assist in the the prevention of injuries, disease, and premature death by adopting and maintaining healthy behaviors.


Services included: Tobacco Education/Prevention, Sexual Health STD Education/Prevention, CPR and First Aid Certification, Community Group Fitness/Personal Training, Basic Nutrition Education, Food Safety and Sanitation Certification, Injury Prevention, Child Safety Seats, School Health, Health Fairs, Fun Run/Walks.


THHS Admin
  • (208)478-3965
  • 71 Shoshone Drive, BLDG #117

Purchased and Referred Care.

The Purchased and Referred Care (PRC) program provides financial assistance to PRC eligible patients for the payment of authorized medical expenses. The PRC program is designed to be the last resort and is not an entitlement program.



THHS Admin
  • (208)238-5430
  • 33 North Mission Road, IHS Clinic

Social Services Program.

The Social Services Program is responsible to protect the general welfare of the children and families in the local community. It promotes the safety and well-being of all children, while addressing the unique needs of each child. Services include Child Protection, Foster Care and more. Located on Navajo Drive in Building 70.



THHS Admin
  • (208)478-3863
  • 72 Navajo Drive, BLDG #70

Victims Assistance Program.

The Victims Assistance Program offers 24-hour crisis intervention, shelter, community advocate, advocacy at court, education, support groups and individual counseling. It is designed to work in conjunction with local law enforcement. The advocates provide immediate support and information for victims at the secured scene of a domestic dispute. The advocate will ensure that the primary and any secondary victims have the opportunity to make safe choices


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  • (208)478-3992
  • 72 Navajo Drive, BLDG #115

Accreditation Association for Ambulatory Health Care.


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Indian Health Service (IHS) Fort Hall Service Unit and Shoshone-Bannock Tribal Health and Human Services (THHS) achieve joint accreditation through AAAHC. Accreditation requires the organizations work together to participate in on-going self-evaluation, peer review and education to continuously improve its care and services. Accreditation standards focus on patients’ rights and responsibilities, governance, administration, quality of care provided, quality management and improvement, clinical documentation and provision of care, infection prevention control and safety, and facility and environmental management. The organization also commits to a thorough, on-site survey by AAAHC surveyors, at least every three years.

THHS Highlights .

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Contact Us.

THHS

Contact Us

Elizabeth Ann Jim
Tribal Health Director
(208)478-3863

73 Navajo Drive
BLDG #70
P.O. Box 306
Fort Hall, ID 83203


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Indian Health Service Fort Hall Service Unit has received recognition as a Level 2 Patient-Centered Medical Home (PCMH) through the National Committee for Quality Assurance .