Blog

Welcome to HC Link's blog! Our blog will provide you with useful information on healthy community topics, news, and resources, as well as information on HC Link’s events, activities, and resources. Our bloggers include HC Link staff and consultants, as well as our partnering organizations, clients, and experts in the health promotion field.

Please note: opinions in posts are those of the author and are not necessarily the opinions of HC Link or our funder.

We look forward to engaging in thought-provoking conversation with you!

To view past blogs, please click on the home icon below left.

Speaking Out For Change

By Andrea Bodkin, HC Link Coordinator

Once again I have tasked myself, as regular blog readers will know, with the task of trying to capture an entire conference into a single blog post. In this case, the AOHC/alPHa joint conference, Prevent More to Treat Less, which brings together public and community health professionals. I have at least learned that not only is this difficult for me, but likely dull for you to read a catch-all post with a laundry list of themes.

AOHC conferenceImage from: https://www.facebook.com/AOHC.ACSO

So, in this post I'm going to focus on a panel session that I just attended called "Speaking Out For Change: Health service providers and advocacy". Lori Kleinsmith and Rhonda Baron (Bridges CHC), Hazel Stewart (Toronto Public Health) and Monika Dutt (Cape Breton District Health Authority) have some excellent advice for those working to spread their message at the local level:

  • Consider a whole spectrum of activities, ranging from a quiet conversation to speaking out loudly. Advocacy is a dance with steps forward, back and sideways. Your commitment to the issue is what keeps it alive.
  • Working in partnership and engaging communities is critical. Never stop talking and never stop looking for ears to listen to you.
  • Data and evidence is important, but you need to know what the numbers mean, how to use them, and to combine data with stories of those with lived experience.
  • That being said, if you don't have data, don't stop advocating! If someone wants to know what the evidence is and you don't have it, be willing to say so and ask "how can we support you in getting the evidence you need?"
  • Working with the media is important. They are a way to get your stories out. You need to know how to pitch to them, to set up a healthy tension for debate.
  • There are some risks to advocacy. Consider what you do very carefully. Don't not do it- just think carefully. If the risk is too great for you, can you work collaboratively to find someone who can do it for you.

It was a truly inspirational session. I'll close with a couple of quotes from Hazel Stewart: "You'll never experience success without failure" and "Never give up. Keep talking. Find an ear to listen to you".

For more on the conference, check out the conference hashtag on twitter (you don't need an account to see it). You can also read my post on the Health Nexus blog.

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Implementation Science Webinar Series: Part 1 Recap

Submitted by Linda Yoo, CAMH Health Promotion Resource Centre

Research indicates that there is an estimated 17 year gap between translation of health evidence and actual practice. And even then, only 14% of research evidence becomes incorporated into day-to-day practice.

Last month, the CAMH Health Promotion Resource Centre hosted the first webinar in a series called An Introduction to Implementation Science. Featuring presenters from CAMH's Provincial System Support Program (PSSP) and the Ontario Neurotrauma Foundation, this series aims to develop a working understanding of Implementation Science, increase awareness of implementation tools, and explore the application of Implementation Science to health promotion and public health settings. Simply said, Implementation Science is the study of methods that promote the uptake of evidence-based practice in real-life settings.

camhslidejune3

In the first webinar, titled Implementation Science: the What, the Why, and the How, presenter Alexia Jaouich (Senior Project Lead, CAMH PSSP) highlighted that the gap from evidence to action in implementation occurs when what is adopted is not used with fidelity, and what is used with fidelity is not sustainable nor at the best scale or scope to make a critical difference.

During the webinar, Alexia invited participants to reflect on factors that may prevent evidence-based interventions or practices from being implemented as intended. Examples of factors included competing demands, shifting priorities, structure of the organization, inadequate infrastructures and systems, lack of long-term investments and "change fatigue,". Further, she highlighted that methods such as the dissemination of information, training, mandates and regulations, funding and incentives, along with organization change are all necessary yet insufficient, when used alone, in leading to successful implementation.

To improve implementation, Alexia reviewed the Active Implementation Frameworks by the National Implementation Research Network (NIRN) which include: usable interventions, implementation stages, implementation drivers, implementation teams, and improvement cycles. To learn more about the individual frameworks shared please check out the webinar recording and presentation slides.

Also, please join us for the remaining webinars in this series including:

• Part 2 – Drivers of Implementation and Change on Thursday July 3 2014, 11:00 – 12:30 PM (EDT)
• Part 3 – Implementation Science Tools on Tuesday July 22 2014, 10:00 – 11:30 AM (EDT)

You can register for the above webinars by clicking here.

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The importance of collaboration

By Kim Hodgson, HC Link Consultant

[Partnership] is an idea with which anyone can agree, without having any clear idea what they are agreeing about" (Guest and Pecci, 2001).

If you have had the privilege of working with community organizations for any length of time, you will likely smile wryly at the above quote. Leading and participating in collaborative endeavours is the new normal for most, if not all community organizations and civic institutions these days. Sometimes, these partnerships are "strongly suggested" or a pre-requisite for funding opportunities, and in other instances, representatives from diverse groups and organizations seem to almost effortlessly connect to each other, knowing that working together, they can achieve more than they ever could alone. And this, it seems, is one of the crucial success factors for collaborative work. Reflecting on her work with the Hamilton Roundtable on Poverty Reduction, Nancy Johnson observes that: It must be clear that the complexity of the issue demands a collaborative response and that collaboration is the only approach that has a chance of success. (N. Johnson, 2010)

collaboration

 Photo Credit: jairoagua via Compfight cc

It is the complexity of the challenges that we face today, that makes working in collaboratives both necessary, and in fact rewarding. When individuals from diverse sectors and perspectives get together to talk about a problem, (getting them all together at one time is another story altogether), a fascinating albeit predictable, phenomenon occurs: We begin to understand the problem in all its messy complexity. And if we can sit in that uncomfortable spot for an undefined length of time, we begin to understand how certain organizations and agencies respond to a situation because of their organization's mandate, a provincial regulation or municipal bylaw that we didn't know existed, or because they simply don't have enough warm bodies to respond in the way that they would like. And through listening to people talk about their work, what they do, and what they would like to do, we create a better understanding of the issue at hand. It has been said that "a problem well-defined, is half solved." I believe that this is the beauty of collaborative work; each person brings a deep understanding of one piece of the puzzle, and they are able to see how they might "fit" into another person's piece.

A critical, if not the most crucial, component of making this first stage of collaboration (understanding the issue) successful, is finding and supporting a person who has the leadership and people skills to bring individuals from very diverse backgrounds together in a room, help make them feel comfortable, and create a safe, respectful environment for people to share what they know, and perhaps more importantly, share what they don't know. On top of this tall order, this individual needs to be able to tease out common issues that the group can rally around, and at the same time, be mindful of people's organizational self-interests. This is an exceedingly difficult task, especially when many groups are "chomping at the bit" to get "real work done." This is perhaps the biggest learning that I've had in my many years of working with collaboratives: the time-consuming "getting to know you", " What does your organization really do?" conversations are absolutely crucial for building a shared understanding of an issue, as well as for building relationships and trust. As the song says..."You can't hurry love", and you simply can't rush this stage of the collaborative's development. My advice...put the busy work of strategic planning and development of workplans on the backburner for a good chunk of time until the group is" well-gelled". It will be infinitely easier in the long run.

Question to leave you with: (please comment below!)
Why would well intentioned, skilled, time-strapped individuals from diverse organizations come together to undertake the time-consuming, complex and often messy task of figuring out how to work together?

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The Grades Are In - Active Healthy Kids Canada Report Card

By Kyley Alderson, HC Link

Active Healthy Kids Canada just released their 2014 Report Card on the Physical Activity of Children and Youth: Is Canada in the Running? This is the 10th year anniversary of this comprehensive annual assessment, and the first year to reveal how Canada stacks up against 14 other countries.

reportcard
Image from: http://www.activehealthykids.ca/ReportCard/2014ReportCard.aspx

This report looks at a total of 10 indicators to assess physical activity, all of which fall within the categories of: behaviors that contribute to overall physical activity, settings and sources of influence, and strategies and investments. Grades are then assigned to each indicator based on examination of current data against a benchmark, assessment of trends over time, and the presence of disparities (disparities were primarily based on disabilities, race/ethnicity, immigration status, geography, socioeconomic status, urban/rural setting, gender and age). While the data on disparities is not shown in the summary report, there is a section on disparities for each indicator that can be seen in the full report. Unfortunately, there are not too many differences in how Canada has scored on this report card throughout the last 10 years.

Some key findings include:

  • Even though Canada is among the leaders in sophisticated polices, places and programs (B+ in Community and The Built Environment, C+ in Schools, and a C+ in organized sport participation), Canada is clustered near the back of the pack with a score of D- for Overall Physical Activity Levels!

    • 95% of parents report local availability of parks and outdoor spaces, and 94% report local availability of public facilities and programs for physical activity

    • There is a physical education curriculum in place at schools in every province and territory, and most students have regular access to a gymnasium (95%), playing fields (91%) and areas with playground equipment (73%) during schools hours

    • 75% of Canadian kids aged 5-19 participate in organized physical activities or sport

    • While 84% of Canadian kids aged 3-4 are active enough to meet Canada's Physical Activity Guidelines, this falls to only 7% of kids meeting guidelines at ages 5-11, and 4% at ages 12-17
  • Canada lags behind most of the international groups in Active Transportation (D) and Sedentary Behaviours (F)

    • 62% of Canadian parents say their kids aged 5-17 years are always driven to and from school (by car, bus, transit, etc.)

    • Canadian kids aged 3-4 spend 5.8 hours a day being sedentary, those aged 5-11 spend 7.6 hours and those aged 12-17 spend 9.3 hours.

This report asks an important question – if our policies and programs are well developed, why is this not translating into enough activity for our kids?

This report suggests that we have a culture of convenience here in Canada, which affects our likelihood to use active transportation to get to school. We value efficiency – doing more in less time – which may be at direct odds with promoting children's health. This report also suggests that we are over structuring our kids and perhaps being too cautious, which may be actually leading to less physical activity. In New Zealand, which leads the pack with a B in Overall Physical Activity and a B in Active Play, 4 elementary schools banned all safety-based playground rules and students not only became more active, but administrators reported an immediate drop in bullying, vandalism and injuries.

What are your thoughts?!
Please use our blog to comment on the question they pose - if our policies and programs are well developed, why is this not translating into enough activity for our kids?

Click here for the full report
Click here for the short report (summary)
Click here for communication tools to help in the dissemination of the report

 

 

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It’s Prom Season: New resources for parents and teens to help plan for a safe night

By Andrea Zeelie-Varga, Parent Action on Drugs

Experts say teens are paying more and more attention to prom. Outlandish proposals, a perfect outfit and memories to last a lifetime - teens want an occasion to remember. Parents want their teens to stay safe, but sometimes don't know where to start. The Parent Action Pack has bundled a few resources to help parents and their teens make a plan for a safe, enjoyable prom! Health professionals working with parents and teens may find the following resources helpful:

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Let’s Celebrate Mental Health!

Submitted by Monica Nunes, CAMH HPRC

This week organizations across Canada and Ontario are celebrating both National Mental Health Week and Children's Mental Health Week. Many provincial and local organizations are hosting events to reflect on the variety of issues that affect mental health.

In the last few years the reach of Mental Health Week has grown enormously. In Ontario alone, the variety of different activities and events that exist to celebrate Mental Health Week are many. This says a lot about the enormous amount of work that has been done to address the stigma around mental illness.

Mental Health Week is also a great opportunity to reflect on mental health as something that is part of all of us. Although related, mental health is not the same as mental illness. Where mental illness describes a set of problems we might experience with our mental well-being, mental health is very much a positive concept. Mental health relates to our ability to feel, think and act in ways that help us get the most out of life. Like physical health, we all have mental health. Having good physical health and good mental health contributes to our overall well-being.

Many of the events for Mental Health Week address how we can take care of our own mental health as well as how to make communities mentally healthier. Check out these Mental Health Week event listings shared by two mental health organizations in Ontario:

Centre for Addiction and Mental Health:
http://www.camh.ca/en/hospital/about_camh/newsroom/CAMH_in_the_headlines/stories/Pages/Mental-Health-Week-(May-5-11);-Children%27s-Mental-Health-Week-(May-4-10).aspx

Canadian Mental Health Association – Ontario:
http://mentalhealthweek.cmha.ca/

Also, if you're interested in exploring the differences and connections between mental health and mental illness and some basic strategies for mental health promotion, check out this webinar recording from the CAMH Health Promotion Resource Centre called Finding a Shared Language.

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Alcohol Consumption and Cancer: Making the Link

By Monica Nunes, CAMH Health Promotion Resource Centre

CCO report imageA new report from Cancer Care Ontario (CCO) called Cancer Risk Factors in Ontario: Alcohol identifies that as many as 3000 new cancer cases each year can be attributed to alcohol consumption. The same report highlights past research showing that only one third of Canadians are aware of the cancer causing impacts of alcohol consumption. Specific types of cancer that show links to drinking alcohol include cancers of the oral cavity and pharynx, esophagus, larynx, liver, colorectal and breast cancers.

For many of us, this information may be a bit surprising since we usually hear more about the social harms, like injury, that can stem from alcohol consumption. Still, the report makes the case for action and highlights opportunities for cancer prevention like the few areas that are noted below:

Increasing Public Awareness of Cancer Prevention Recommendations for Alcohol Consumption

The report highlights the need to increase public awareness of cancer prevention recommendations for alcohol consumption. Specifically, the report highlights the cancer prevention recommendations from the World Cancer Research Fund/American Institute for Cancer Research.. This recommendation states that if alcoholic beverages are consumed, alcohol consumption should be limited to no more than two drinks per day for men and one drink per day for women. In Canada, one standard drink constitutes 13.6 grams of alcohol as the image from the Canadian Centre on Substance Abuse illustrates in their one-page summary on cancer prevention recommendations for alcohol consumption:

standard drink

Addressing Specific Groups

As another area of prevention, the report encourages health professionals and policy-makers to focus cancer prevention efforts among groups that tend to consume more alcohol. As an example, Ontarians who drink in excess of cancer prevention recommendations are also more likely to smoke. This is significant as research shows there is a higher risk of cancer among those who drink alcohol and smoke tobacco. Prevention efforts should also consider young adults between the ages of 19 and 29 who are more likely to drink in excess of the cancer prevention recommendations.

Addressing Alcohol Control Policy

As another area of prevention, the report also highlights evidence showing that there are a number of policy measures that can help decrease alcohol consumption. One of these policies includes reducing the number of outlets selling alcohol as well as their days and hours of sale. An overview of alcohol policies can be found in this CAMH Health Promotion Resource Centre toolkit called Making the Case: Tools for Supporting Alcohol Policy in Ontario.

The full Cancer Risk Factors in Ontario: Alcohol report is available online at Cancer Care Ontario's website here. For those that have had a chance to take a look at the report or even heard about it through the media, is the link between alcohol and cancer new to you?

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Recap and resources of Social Media Clinic

By Kyley Alderson, HC Link

Last month, HC Link hosted an online webinar – Social Media Clinic: Trends, tools, and Peer sharing which was attended by over 30 participants. This webinar was intended for those who were currently using social media in their healthy communities work – and provided a presentation on social media trends and tools, and then allowed the opportunity for participants to ask specific questions and share their unique challenges and experiences.

Here is a snapshot of the social media experience of those who were in the virtual room:

smpool

Social media is not going away, and is not only being used by a select niche of tech savy individuals – social media is currently the number 1 reason people use the internet! (Something to Tweet About, Dentsu Aegis Network). So let's take a look at some of the information that was shared during the webinar:

Social Media Trends for 2014

We used this document from Social Media Today as a starting place for discussion:

  1. Social Media is no longer an option
    • Without it, you won't be seen
  2. Mobile growth
    • You need a website that works on mobile phones!
  3. Google + needs to be integrated into your social media
    • This trend was debatable – has potential, but currently low uptake
  4. Images and videos will be used MORE and MORE
    • One point to consider with video is local bandwidth, and whether groups in the North or other countries will have access to high speed internet
  5. Podcasts will continue to grow
    • While also debatable, it is part of our on demand society

Some notes about some of the major social media tools/platforms

SM tools image

 Facebook

  • Still the most popular social media platform – huge numbers of daily users
  • Good way to reach general public, although younger people are starting to veer away, as parents start joining
  • Two main things you can use for work are pages (that you create for your organization) and groups (which can be both public and private)
  • Most effective when used for things that have momentum, like campaigns, or if you are asking people to do things (post, share, donate, etc.)

Twitter

  • Very popular social media platform (second to Facebook)
  • Allows you to stay current – stay up to date and share information as you learn about it
  • Need to be interactive to be effective, and respond to tweets daily
  • Twitter chats are becoming increasingly popular and are a great way to connect with others working in/passionate about similar issues

YouTube

  • A lot of young people are using YouTube instead of TV
  • If you are working with the public and producing videos – you will need an account! If working with professionals, you may need to post videos somewhere else too (like website) since it is blocked from a lot of work spaces
  • Good for short, instructional videos – especially for seniors and people with low literacy
  • High quality videos are not important, as long as what you are saying is interesting!

Google +

  • Ties in really well with the rest of google – i.e. google drive, google hangouts, YouTube...
  • Google hangouts is a really neat feature, it allows you to do good quality video conferencing with up to 10 people, and you can share documents as well (sometimes buggy though). You can also broadcast your videos live on YouTube.
  • Low uptake right now

Instagram

  • Allows you to take photos and apply filters so that ordinary pictures look really neat
  • Demographic skews quite young
  • Using images to convey a story is becoming increasingly popular, and images are cross-cultural
  • Excellent way to produce your own images for print or online resources

Pinterest

  • The fastest growing social network
  • The average pin is more relevant than the average tweet (has a longer life than tweets)
  • Major audience is women ages 25-35, although demographic reach is expanding
  • Public health is starting to use Pinterest more – especially through using infographics
  • Pins don't need to be directly about your work, as long as you pin passions/interests of your organization – people will be led back to your organization and website

Tumblr

  • Free, super-easy way to blog (can share other blogs or create your own)
  • Quick way to get a content stream

Mobile Apps

  • As service providers, we need to spend some time in this mobile space and be aware of who is producing these apps and consider if they are reliable
  • We can help to evaluate what is out there (list some of the pros and cons to existing apps)
  • A lot of apps are used for behaviour change. You can produce your own with a budget

Other helpful tools discussed:

  • Dropbox – an easy way to share files with colleagues
  • Compfight – allows you to search for images that have creative commons copyright, to legally use in your work

The rest of the webinar was dedicated to discussing participants unique questions and challenges. If you have any social media related questions, feel free to contact Kyley at This email address is being protected from spambots. You need JavaScript enabled to view it. or request a consultation using our online request form or calling us at 416-847-1575 or toll free at 1-855-847-1575.

Resources from the clinic:

 

 

 

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BLOG DISCUSSION - How can the CIW improve quality of life in Ontario?

Thanks to everyone who participated in this online conversation - lots of ideas and valuable information was shared about how the Canadian Index of Wellbeing (CIW) can improve life in Ontario, and how organizations, health centres, municipalities, etc., can use the CIW in their work.

Day 1 of this discussion took place right here on our HC Link blog. There was a lot of engagement and openness to share, with 116 comments! You can read through all of the questions and ideas shared on the comment section of our blog or view a transcript of the conversation here.

Day 2 of this discussion took place online through Adobe Connect and teleconference, as we thought this platform would provide a more focused and attractive learning experience, given the high volume of comments and discussions. The recording of this discussion is available here.

Click here to read the highlights from the 2 day online discussion!

All resources and links shared from the discussion are posted on the HC Link website: http://www.hclinkontario.ca/index.php/events/slides-from-events.html/#CIW

This discussion was one of the first to come from AOHC's discussion paper: Measuring What Matters: How the Canadian Index of Wellbeing can improve quality of life in Ontario, and we hope that this dialogue continues.

Please feel free to post comments and continue this discussion on our HC Link blog.

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On April 15th and 16th, HC Link hosted the blog discussion "How can the CIW improve quality of life in Ontario?" led by AOHC.

This blog discussion was based upon AOHC's newly released discussion paper: Measuring What Matters: How the Canadian Index of Wellbeing can improve quality of life in Ontario.

measuring what matters

The paper outlines the ways the index's framework can be applied at the provincial, regional and local level to improve health and wellbeing. It also offers details about how the Canadian Index of Wellbeing (CIW) is already being put into action by municipal governments, funders and a significant number of Ontario's Community Health Centres.

The paper's release and the province-wide conversation about the CIW that AOHC hopes to start, is timely: on April 29, with the generous support of the Ontario Trillium Foundation, the CIW will be releasing its first Ontario composite index report. Tracking back to 1994, the report will provide baseline data with respect to all eight quality of life domains the CIW tracks. There will also be a single number that will indicate whether quality of life is better or worse overall in Ontario, since 1994.

The information offered in this paper, about how the CIW can be applied, is relevant to a wide range of players: frontline service providers, provincial and professional associations, Local Health Integration Networks, municipalities, the justice system, non-governmental organizations, public servants, political and opinion leaders, and people that are interested in the wellbeing of communities.

AOHC is inviting each of these audiences to review the paper and consider its central idea: that the CIW can serve as a powerful tool to kick start a more effective community health and wellbeing movement in Ontario.

Community Health and Wellbeing experts will be ready to answer your questions and hear your input on April 15th and 16th from 12-1pm.

Community Health and Wellbeing experts:

Margo Hilbrecht, Associate Director of Research, Canadian Index of Wellbeing (CIW)
Linda McKessock, Project Manager, Canadian Index of Wellbeing (CIW)
Cate Melito, Executive Director, Woodstock and Area Community Health Centre – CIW Pilot project
Mary MacNutt, Policy & Communications, Association of Ontario Health Centres
Gary Machan, Community Facilitator, AOHC - CIW pilot project
Louise Daw, Project Manager, Guelph Wellbeing, City of Guelph

To join the conversation, please enter a new comment (under "Leave your comment"), or reply directly to a comment (click "reply"). (tip- remember to keep refreshing your page to see the latest comments!) Also- please note that due to the number of comments - there are multiple pages of comments (please click next to see all of the pages). Also, when you enter a comment, please only enter your NAME (and email if you wish). There are technical difficulties arising when usernames are entered.

Postings are viewed as personal contributions, and do not reflect the positions of employers. Postings may be made anonymously - you may provide a name, pseudonym or initials. Please note that email addresses will not be made public.


Here are some questions to start the conversation:

  • What's your take on the potential of the CIW to improve health and wellbeing? How might it be applied to the challenges you or your organization are trying to address?
  • If you are already applying the CIW framework in your organization or community, and we haven't mentioned it in our paper, can you share this idea with us? And how would you like to "connect the dots" between what you are doing and other nearby regions or the province as whole?
  • Do you have an idea for a new way to use the CIW?
  • The CIW framework is constantly evolving and improving. Going forward, how could it be adapted or improved to be applied in different settings?
  • What are some of the ways we could all work together to build CIW communities of practice, at local, regional and the provincial level?
  • What can be done at the local, regional level to get ready for the release of the forthcoming CIW Ontario composite report?
  • Working together, can we use the CIW to build a strong effective community health and wellbeing movement in Ontario?
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Webinar Recap: Mental Health Data for Health Promotion - Finding It, Using It

By Monica Nunes, CAMH Health Promotion Resource Centre

Local community need is a major driver of public health and health promotion activities. And, data often paints the picture of local needs. When it comes to mental health promotion, data is not always readily available. The CAMH Health Promotion Resource Centre in partnership with Public Health Ontario and Ottawa Public Health recently explored this topic through a webinar.

Tamar Jacqueline Ben<style="font-size: 8pt;"="">Jacqueline Willmore (Ottawa Public Health), Ben Leikin (Ottawa Public Health) and Tamar Meyer (CAMH HPRC)

This webinar called Mental Health Data for Health Promotion: Finding it, Using it took a look at relevant population health, surveillance, and other data that can be used to inform, and respond to, local mental health needs in health promotion settings. From Public Health Ontario's Analytic Services, Jeremy Herring and Karin Hohenadel provided an overview of the provincial data landscape showcasing potential data sets that public health and health promotion practitioners may access for mental health related programming. This provincial snap shot was then complemented by Ottawa Public Health's presenters, Ben Leikin and Jacqueline Willmore, who provided examples of how their health unit has utilized national, provincial and local data sets to inform mental health related programming. Monica Nunes and Linda Yoo from the CAMH Health Promotion Resource Centre also shared information on data sets that are prepared by CAMH such the Ontario Student Drug Use and Health Survey, the CAMH Monitor and DATIS.

Throughout, presenters acknowledged some of the limitations and challenges in accessing data to address mental health in health promotion settings. One particular data gap is the tendency of available data to focus on the burden of mental illness and indicators related to treatment and mental illness rather than positive mental health.

Innovative solutions for linking available data to mental health related activities were also identified. In particular, webinar participants found the visual infographics presented by Ottawa Public Health and Public Health Ontario to share data on mental health in a more user friendly format particularly helpful. Public Health Ontario will soon launch a new mental health primer infographic in the coming days. And, you can check out Ottawa Public Health's various infographics here on their website.

A recording of this webinar is available here. And you can download the presentation slides from the webinar here.

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Webinar Recap- Spirit to Spirit: Learning from Practice

By Monica Nunes, CAMH Health Promotion Resource Centre

Spirit to Spirit, a webinar series developed by the CAMH Health Promotion Resource Centre in partnership with CAMH's Aboriginal Community Engagement concluded recently. This series looked at considerations for health promotion and prevention practitioners when they are thinking about sharing knowledge for health promotion with First Nations, Inuit, and Métis (FNIM) peoples particularly in the areas of mental health and substance use.

Part one of this webinar series, Foundations and Context, provided recommendations for effective engagement of FNIM communities and individuals with a focus on making change, social action and addressing stigma.

Part two, Learning from Practice, comprised a panel discussion with community partners. This webinar began with an introduction from the Manager of Aboriginal Community Engagement at CAMH, Renee Linklater who introduced the panel of presenters. Then, each presenter provided a unique perspective on important considerations for sharing knowledge with FNIM populations.

camhslide2

Lisa Beedie (Cancer Care Ontario) spoke from her experience with the Aboriginal Tobacco Program. Lisa powerfully noted that reclaiming health is an act of self-determination. To this end, Lisa shared that in her practice to support smoking cessation efforts, rather than enforcing a certain behavior with community members, she shares information to enable those she works with to arrive at their own health decisions.

Next, Dr. Claire Crooks (CAMH Centre for Prevention Science) highlighted a few ways that the Fourth R, youth relationship and resiliency building program, has been adapted to be more culturally relevant to FNIM youth. In discussing the Fourth R, an evidence-based intervention, Claire commented that as practitioners we must expand our notion of evidence to ensure that methods of research and evaluation are appropriate and empowering for participating FNIM programs and communities.

Finally, Laura Calmwind (Chiefs of Ontario) spoke about her youth engagement work with indigenous youth. She characterized these activities as a rights based approach where youth are seen as rights holders with the capacity to empower themselves. As an example of this practice, Laura described how youth influenced modifications to the suicide prevention activities they were involved with. Namely, youth participants saw the language of suicide prevention as limited and renamed these activities to be life promotion activities, reflecting a more hopeful, empowering and positive approach.

You can view the webinar Spirit to Spirit – Learning from Practice here: http://camh.adobeconnect.com/p2s01m1cot7/
and the slides here:
http://www.hclinkontario.ca/im...m_practice_FINAL.pdf
http://www.hclinkontario.ca/im...a_Beedie_PPT_CCO.pdf

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HC Link's Exclusive Interview with Bob Gardner on Broad Scale Collaboration

By Kyley Alderson, HC Link

Bob Gardner, Director of Policy at the Wellesley Institute, sat down to chat with us about collaboration at our 2013 conference- Linking for Healthy Communities: Collaborating for Change. In this short interview, Bob shares his tips on approaching inter-sectoral collaboration and making it more manageable.

In this interview Bob encourages us to make sense of complex challenges by building a collaborative around concrete and actionable items. He also cautions us not to worry too much about the lineup, because while it is important to hear from all of the big players, it is also important to hear from many diverse groups and different voices (including local residents). Including people from outside of the field (which he calls disruptive influences) will bring a different angle to the work and ensure you don't keep going down the same path.

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The story of a peer sharing about storytelling

By Gillian Kranias, HC Link

A peer sharing session is different from a webinar. I enjoyed my first experience of web-based peer sharing in early February when Robyn Kalda and I co-hosted the peer sharing session "Engaging the Power of Story" for our HC Link community.

Over the past ten years, I have been on a personal mission to build awareness and skills for using storytelling more in my life and work. I sought out opportunities to learn and practice, and talked with many colleagues - which highlighted for me how many of us share this capacity building interest. After joining the team of HC Link, I learned that we could support others; and at our conference last fall, the idea of a peer sharing event on storytelling and narrative approaches was born.

Although our initial intention was to keep participant numbers limited (to make for a cozy dialogue), we realized that the cultural roots of storytelling practice would not support turning people away (e.g. principles of an open circle, and "whoever comes was meant to be there"). So we ended up with 35 participants. Some of those participants were self-defined "listeners". But the majority brought experiences to share.

As the lead moderator, I tried to collect a sense of who might be sharing what in advance. It was exciting to discover who found out about this event (especially as it was not the same people and organizations I had crossed storytelling paths with in the past). For those who shared their experiences while registering, I gave them a call to look at how we could prepare examples on the web meeting platform.

On February 11th, it took a long time to get through introductions... but creating that web of connection to launch the peer sharing was important (some introduced themselves by phone, others by our chat box). The conversation was rich and varied, and took us in many directions. This reflected how the power of story can support our work in so many different ways. We did not record the session, but notes are available, as well as two documents with further resources – one developed for HC Link and one shared by a peer participant (view the resources here).

During over an hour of dynamic discussions, one enduring take-away for me came from participants' reflections on the experience of sharing their own stories: how this spawns both personal and community healing (amidst vulnerability); and how waiting for the right moment matters (we are not always ready to share – yet). That reminds me that working with the power of story involves important preparations and development, and we cannot control all our outcomes.

Other examples shared by participants were of their roles in creating those spaces and support for story sharing. One case was storytelling facilitated between elders and youth in the context of community planning discussions; youth learned about the history of community change, which encouraged all to reflect on the role that planning community change could play. Another case was the facilitation of youth groups where the entire program consisted of offering generative questions to facilitate story sharing about the youth's experiences with tobacco – no lectures, just dialogue and allowing the youth to ask informational questions of service provider when their "right moment" had arrived.

We also explored how to tell organizational stories: of our efforts, our work, and our mission/vision/values.

HC Link will continue to look at how we can support your work with Engaging the Power of Story. Click here for our current resources posted from the peer sharing. And don't hesitate to contact me with any questions, suggestions, or support requests.

Gillian Kranias, Health Promotion Consultant
Ext. 2247
416-408-2249 (1-800-397-9567)
This email address is being protected from spambots. You need JavaScript enabled to view it.

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Webinar Recap: Choosing Evidence-based Interventions – Considerations for Mental Health Promotion Programming

By Monica Nunes and Linda Yoo, CAMH Health Promotion Resource Centre

Last week the CAMH Health Promotion Resource Centre (CAMH HPRC) hosted the second webinar in a three part series of webinars exploring mental health in public health and health promotion settings. The focus of this webinar was on considerations for mental health promotion programming when searching for and choosing evidence.

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The webinar was hosted in partnership with the CAMH HPRC's host program, the Provincial System Support Program (PSSP) and the presenters shared expertise from their work in PSSP. Presenters included Linda Yoo (Health Promotion Consultant with the CAMH HPRC), Novella Martinello (Equity and Engagement Lead with the East Region Team) and Ilene Hyman (Evaluation Lead with the Drug Treatment Funding Program Implementation Team).

The webinar had four objectives:

  • To raise awareness of the importance of evidence in practice and decision-making processes
  • To raise awareness of the current state of mental health promotion evidence
  • To increase knowledge of the types of evidence and the ways to obtain evidence
  • To increase knowledge of ways to use evidence in practice or decision-making processes

Examples of mental health promotion-related programming were highlighted to showcase the range of existing evidence-based mental health promotion interventions. Presenters also highlighted some of the challenges practitioners face when searching for and choosing evidence such as: the complexity and long-term nature of mental health promotion outcomes like resiliency and self-esteem; the measurement of mental health promotion interventions that are often multi-level, multi-component and multi-sectoral; and the infeasibility of randomized control studies for many mental health promotion interventions given the cost and ethical considerations.

Recognizing some of these challenges the presenters reminded participants to "not lose heart" and highlighted the following quote:

"The absence of excellent evidence does not make evidence-based decision making impossible; what is required is the best evidence available, not the best evidence possible." i

To learn more about searching and choosing the best evidence possible when thinking about mental health promotion programming, you might like to view the webinar slides or the recording of this webinar through this link: http://camh.adobeconnect.com/p2w96bqsvs4/.

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i Muir, Gray JA. 1997. Evidence-Based Healthcare: How to Make Health Policy and Management Decisions. New York/Edinburgh: Churchill Livingstone.

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Webinar Recap: Family-based Approaches for Building Resiliency in Children and Youth – Learning from the Field

By Andrea Zeelie-Varga

Parent Action on Drugs and CAMH Health Promotion Resource Centre collaborated with HC Link on an online learning series, Family-based Approaches for Building Resiliency in Children and Youth.

In webinar one, we introduced and defined family-based/ family skills programming, looking at definitions, concepts of resiliency and risk and protective factors, as well as outcomes. Webinar one introduced best practices guidelines for family skills programs from Canadian Centre on Substance Abuse and United Nations. The webinar also cited Strengthening Families for the Future, Strengthening Families for Parents and Youth, Stop Now and Plan, Multisystemic Therapy, Triple P Parenting Program and The Incredible Years as examples.

The webinar also took an in depth look at the principles for implementing and delivering family-based programs:

learningfromthefield

Webinar two gave a brief overview of the principles, and honed in on the last two guidelines, before exploring some learning from the field with three guest presenters:

  • MaryLynn Reddon-D'Arcy, from Centre for Addiction and Mental Health's Child, Youth and Family Program presented her experience with Incredible Years Parenting Program and the Dinosaur Social Skills Program.
  • Megan Dumais, Manager of the Family Health Team at the Sudbury & District Health Unit, gave an overview of their community-based parenting model in the Sudbury and Manitoulin Districts with the Triple P Parenting Program.
  • Kerri Kightley, Manager of The Peterborough Drug Strategy, shared her experiences with Strengthening Families for Parents and Youth in both country and city settings.

The presenters then engaged in a discussion panel, looking at some of the challenges of implementation and the need for adaptation. To hear the presenters' experiences with their respective programs (and to listen to the lively panel discussion!) view the recording below.

Recordings

Documents

Webinar 1:

Twitter Chat Recap:

Webinar 2:

 

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Webinar Recap: Using a Trauma Informed Approach to Prevent Suicide and Promote Life Among First Nations, Inuit and Métis Peoples

By Monica Nunes, CAMH Health Promotion Resource Centre

Suicide rates for First Nations, Inuit and Métis are far greater than the national Canadian rate. According to Health Canada, rates of suicide are 5 – 7 times higher for First Nations youth compared to non-Aboriginal youth. Among Inuit youth, suicide rates are at 11 times higher than the national average. During a webinar yesterday titled Understanding and Preventing Suicide among First Nations, Inuit and Métis Peoples hosted by the CAMH Health Promotion Resource Centre, presenter Alison Benedict (Program Consultant, Aboriginal Community Engagement, CAMH Provincial System Support Program) spoke to these astounding rates.

During the webinar, Alison encouraged participants to ask "what happened" to better understand the historical and current factors that frame suicide rates within First Nations, Inuit and Métis communities. These factors include colonization, social rejection, and on-going racism and violence. To illustrate the interplay among these factors and their impact on well-being, Alison shared the presentation below in Prezi format (click on the image to go to the full Prezi).

camhblog

In addition to presenting a historical context for understanding suicide, Alison along with her colleague Renee Linklater (Manager, Aboriginal Community Engagement, CAMH Provincial System Support Program), provided information on prevention strategies. During this discussion, participants used the chat pod actively to network and exchange information on initiatives and programs that they are currently involved with to prevent suicide and promote life. To learn more about the strategies shared please check out the webinar recording and slide deck.

You may also be interested in an upcoming webinar hosted by the CAMH Health Promotion Resource Centre titled Spirit to Spirit Webinar # 2: Sharing Knowledge for Mental Health Promotion and Substance Misuse Prevention with First Nations, Inuit and Métis Peoples. This session will focus on learning from practice and will include a panel discussion with community partners from the CAMH Centre for Prevention Science, Cancer Care Ontario and Chiefs of Ontario who will share their experiences reflecting on the successes, challenges and opportunities of working in this area.

More info here: https://spirit2spiritparttwo.eventbrite.com

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Linking for Healthy Communities: Collaborating for Change - A participants' learning in review

By: Stephanie Harris, Women and HIV/AIDS Community Development Coordinator, Réseau ACCESS Network

When I was on my way to the Conference, I was prepared to be bringing home a lot of information but never expected to walk away with so many new tools that I could use in my work. The experience was absolutely amazing and I met so many fantastic people. For me, the main reason in attending the conference was to learn more about policy development through a health promotions lens. And boy did I!

I am at a point in my work where the development of policy around HIV is becoming evident and a necessary step forward in my community. Though I was mildly comfortable with the idea, I felt I needed more education and tools to move forward on this. Just gaining a better understanding of the "politics" around getting a policy into place would help.

In this conference, not only did I gain a better understanding of the processes in place for policy development, even better, I walked away with a greater knowledge on how to engage the right people and the proper language and actions to use in order to make policy happen. Though my work is not larger scale per se, as in it won't affect global change, it was still very important that I learn the steps to follow to ensure effective and sustainable policy.

I've made great connections, including meeting a nurse from Public Health Ontario who will assist me with some of my own research. I was able to have conversations with people (all of whom had various roles within their own communities) that I had never considered to speak to in my own community and through them have since been able to connect with a few key people in my own community to help move things forward in my work.

I walked away a better, more informed person and professional and for that I thank you very much. I wanted to attend this conference more than any other and am so thankful I got to participate!

Réseau ACCESS Network is a non-profit, community-based charitable organization, committed to promoting wellness, education, harm and risk reduction. Réseau ACCESS Network supports the individual and serves the whole community, including persons at risk, in a comprehensive/holistic approach to HIV/AIDS, HCV treatment and related health issues.

For more on HC Link's 2013 conference, you can check out our post-conference resource page

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HC Link's Exclusive Interview with Mary Lewis on Empowering Communities Towards Positive Change

By Kyley Alderson, HC Link

Mary Lewis, Vice President of Research and Knowledge Exchange for the Heart and Stroke Foundation of Ontario, sat down to chat with us about empowering communities at our 2013 conference- Linking for Healthy Communities: Collaborating for Change. In this short interview Mary shares key steps for empowering communities towards positive change and provides advice for leaders who want to make a difference.



In this interview Mary discusses three key steps towards empowering communities towards positive change. First, is to develop a shared vision that everyone can buy into. Second is to take that vision and think about it realistically within the political context. And third, is to identify a practical next step that the community can rally around and bring change about. Mary also stresses the importance of shared leadership. Some people are comfortable being out there in the public face, others are busy doing background work, but it is important to be respectful and appreciative of the contribution that everyone can make.

We want to thank Mary Lewis for sharing her time and experience with us. For more on Mary, please check out the presentation she gave at our 2013 conference:

"Empowering Communities"

 

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Have THAT Talk! Ottawa Public Health’s New Campaign Helps Parents Talk Mental Health

By Monica Nunes, CAMH Health Promotion Resource Centre

Parenting and family life play a pivotal role in the health and well-being of children and youth. In some cases, combined with other determinants of health, families can increase the risk that leads to childhood mental health problems or unhealthy behaviors. On the other hand, parents, caregivers and families can also promote the protective factors that buffer children from risk and increase their resiliency to bounce back from difficult situations.

Research shows that the protective factors that parents and families can facilitate might include, among others, developing positive attachment between parents and children, providing age appropriate supervision and monitoring, promoting mutual respect of all family members and encouraging open communication.

When it comes to communication in families, there can be some topics that parents and caregivers are eager to broach with their children but they may not know where to begin. Mental health and mental illness might be one of those topics. To support parents in having these conversations, on January 28th during Bell Let's Talk Day, Ottawa Public Health launched a new campaign that calls on families to Have That Talk. The campaign includes a video series designed to answer common questions parents have about their child's mental health.

havethattalk
The video series, available in both English and French, comprises of four parts with each part responding to several questions on a related topic. The videos provide information relevant to parents who have a child that is stressed, depressed or suicidal. Content in the video is shared by professionals with expertise on a given topic such as a public health nurse. Overall, the goal of the campaign is to give parents the knowledge and resources they need to talk about mental health with their child or teen. Not only is knowledge power, but when it comes to informing some discussions parents have with their children it may even be lifesaving.

havethattalkvideo

If you're interested in learning more, please visit the campaign website at: HaveThatTalk.com and www.tempsdenparler.com. You may also direct specific questions or comments to Ottawa Public Health through Benjamin Leikin, Supervisor, Mental Health and Youth Section at This email address is being protected from spambots. You need JavaScript enabled to view it..

Finally, if you'd like to share other helpful resources that can assist parents, families and caregivers in addressing mental health in their children and teens, feel free to post them in the comments section of this blog post!

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Webinar recap: Family-based Approaches for Building Resiliency in Children and Youth

By Andrea Zeelie-Varga, Parent Action on Drugs

What does a resilient family mean to you?

Participants on our January 29th webinar told us:

A resilient family is...

  • a family that communicates in a healthy manner
  • a family who is able to support each other in healthy development
  • supportive; connected; able to share feelings; able to try new things and take risks
  • respectful of each other
  • having healthy coping skills in difficult situations
  • ability to adapt and cope with hurdles
  • connected and supported
  • having positive behaviours that help to resist "risky" behaviours
  • ability to adapt to changes
  • flexible

The webinar was the first in our online series Family-based Approaches for Building Resiliency in Children and Youth.

Barbara Steep, an equity and engagement lead in the GTA Region Office at CAMH, kicked off the webinar with an introduction and definition of family-based/ family skills programming.  Monica Nunes, a research analyst at the Center for Addiction and Mental Health within the MOHLTC-funded CAMH, provided an overview of the evidence base for this type of work and reviewed best practices and guidelines. Learn more about what Monica had to say in the resource list below. Diane Buhler, executive director of Parent Action on Drugs, gave an introduction to best practices guidelines for family skills programs, peppered with program examples.

We also held a discussion with participants to hear about their experiences with family-based programs.

To learn more about the webinar, check out the resources below:

The series continues with two more events!

  • An interactive twitter chat (#resilientfamilies) will be hosted on Wednesday, February 5, 2014 from 1 p.m. to 2 p.m. to facilitate continued discussion. Follow @HC_Link and @PAD_Ontario for more information.

  • Part 2 of the series Learning from the Field will take place Wednesday, February 19, 2014 from 1 p.m. to 2:30 p.m. This last webinar of the series will feature community partners who currently deliver family-based programming. A panel of practitioners will identify successes as well as lessons learned, while reflecting on the evidence in this area of practice. The session will provide substantial opportunities for discussion with webinar participants.
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