A5 - Implementing chronic disease self-care workshops in underserved neighbourhoods in Toronto Central LHIN region

This session will: 1) Provide an outline of the provincial Self-Management Program; 2) Present the regional strategy in Toronto Central on partnerships with community service organizations, community health centres, family health teams, as well as in-patient and out-patient programs in hospitals in 14 Neighbourhood Improvement Areas (NIA). NIAs are areas of high social inequity as identified by the City of Toronto; and 3) Share the preliminary results of a qualitative research project that explores partner and client perceptions of the effectiveness of evidence-based workshops in promoting chronic disease self-management capabilities.

Presented by: Surkhab Peerzada, Manager, Toronto Central Self-Management Program, South Riverdale Community Health Centre; and Jason Altenberg, Director, Programs and Services, South Riverdale Community Health Centre

A9 - Between The Lines Program for Youth Self- Harm Behaviour

Between the Lines is a program designed for youth ages 12-17 who are engaging in or have a history of self-harm behaviour. It is an eight-week family-centred program that utilizes the application of Cognitive Behavioural Therapy, Dialectical Behaviour Therapy, Art Expression and Mindfulness Meditation practices. The program was developed in 2011 in response to data that illustrated a prevalent increase of youth engagement in self-harm behaviours. The objective was to increase awareness and reduce stigma with respect to youth self-harm behaviour through the provision of education surrounding this topic and the establishment of a support network for the youth and their family. The program is facilitated in Chatham-Kent and is a collaborative initiative between the Chatham Kent Community Health Centres (CKCHC) and Victorian Order of Nurses (VON) Chatham-Kent.

Presented by: Brooke Leigh Smith, Child and Youth Worker, Chatham Kent Community Health Centres; and Erin Crow, Kids Circle Coordinator, VON Chatham Kent – Kids Circle

B9 - Best Practices Integrating Primary Care with Mental Health and Addictions Services

Ontario’s Mental Health Strategy calls for health services, including mental health and addictions services, to be integrated so that health care addresses the whole person. Many AOHC members and other organizations are actively engaged in ensuring an integrated, interdisciplinary approach to primary care and mental health and addictions. At this workshop you will hear some concrete examples from service providers who are moving toward an integrated approach by embedding harm reduction and mental health services throughout their organizations. Robin McAndrew will discuss the strategic and clinical aspects of transforming the separate mental health and addictions programs at Sandy Hill CHC into an integrated Concurrent Disorders program. Jason Altenberg will talk about South Riverdale’s experience developing integrated harm reduction, health promotion, primary care, and specialized services for people who use drugs and are living with mental health issues. Susan Clancy will speak about the experiences of Central Toronto CHC in designing a responsive model of counselling services for a population living with mental health and addictions. Camille Quenneville, CEO of CMHA Ontario, will explore the different ways that CMHA branches across Ontario are addressing primary care. From CMHA York Region, Rebecca Shields will talk about Ontario’s first mobile walk-in clinic serving youth.

Presented by: Robin McAndrew, Director of Addictions and Mental Health Services, Sandy Hill Community Health Centre; Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre; and Susan Clancy, Director of Counselling Services and Strategic Projects, Central Toronto Community Health Centre

B10.2 - Highway to Hope: The role of client navigators

Participants will learn about the role of client navigators in primary care and how they improve health equity, strengthen primary care and enhance client experience. Participants will also hear about practical examples of how the role supports a spectrum of needs related to the social determinants and disease complexities. Practical strategies for spreading the program to other populations will also be discussed.

Presented by: Bel Jamieson, Health Promotion Team Lead, North Lambton Community Health Centre; and Leah Willemse, Quality and Performance Team Lead, North Lambton Community Health Centre

C5 - Improving Pediatric Experience of Pain during Painful Procedures at the North Bay Nurse Practitioner-Led Clinic

Learn how the North Bay Nurse Practitioner-Led Clinic (NPLC) translated best practice guideline knowledge into practice to improve pediatric experience of pain during painful procedures. Terri MacDougall, IDEAS Project Lead, will tell the story of how the North Bay NPLC assessed clinical practices in terms of pediatric assessment and management of pain during painful procedures, and implemented improvement ideas and strategies learned at Health Quality Ontario’s IDEAS program. Patients and their families were engaged in improvement ideas.

Presented by: Terri MacDougall, Clinical Director, North Bay Nurse Practitioner-Led Clinic

C6 - From Homelessness to Community: The Homeward Bound Hamilton Project

Homeward Bound is a homelessness initiative housed at De dwa da dehs nye>s Aboriginal Health Centre in Hamilton, Ontario. Using a model of culturally appropriate wraparound support, this team is having a positive impact on the homeless Aboriginal population of Hamilton.

Presented by: Dick Passmore, Team Lead, De dwa da dehs nyes>s Aboriginal Health Centre; and Yvonne Maracle, Cultural Worker, De dwa da dehs nyes>s Aboriginal Health Centre

C8 - Harnessing Community Support for Refugee Health

Prior to the announcement made by our newly elected Prime Minister, Kingston Community Health Centres (KCHC) anticipated a change in federal policy with regards to Syrian refugees. KCHC stepped up as a leader and created a broad multi-sectoral network that includes small- and large-size agencies, school boards, police, churches, funders, City of Kingston and committed community members. KCHC also sits on a LHIN planning table for refugees and plays a key role in linking healthcare providers, including hospitals, with the social network. KCHC is one of Ontario’s rare CHCs that is also a designated settlement agency and a founding member of the Local Immigration Partnership, whose primary role is to create a more welcoming community for immigrants and other new Canadians. As such, KCHC provides direct wraparound services for each refugee family that walks through the doors of the organization. In this session, attendees will learn about the role that KCHC played, the activities and instruments created with community partners, and the lessons learned so far.

Presented by: Hersh Sehdev, Executive Director, Kingston Community Health Centres; and Ruth Noordegraaf, Coordinator Kingston Immigration Partnership, Kingston Community Health Centres

C10 - Exploring the adaptability of the ‘HIV Positive Sero-Status Disclosure Intervention Model for African Caribbean and Black Women’ among other populations

An HIV disclosure support model for African, Caribbean and Black (ACB) women was developed by Women’s Health in Women’s Hands Community Health Centre. The evidence-based model allows for the examination and discussion of how intersections of race, gender, sexual orientation, and culture create a unique experience of living with HIV/AIDS. The model operationalizes how intersectionality impacts the experience of living with HIV and disclosing HIV-positive status. The model was pilot tested in 2010 and the findings illustrated how the person-centered approach embodied by this model fostered a positive environment where HIV disclosure could be explored. Based on these findings, the research team felt that it was imperative to determine the utility of this model in meeting the disclosure needs of other populations (i.e. heterosexual black men, homosexual/ MSM, and youth) in Toronto, as well as in the Niagara and Cambridge, Kitchener, Waterloo region. The findings indicate that the model can meaningfully address the disclosure needs of numerous demographic groups. At this session, you will also learn about how the centre promotes awareness and access to HIV testing with their #GladITested Campaign – Encouraging HIV testing amongst African Caribbean and Black women.

Presented by: Sandra Godoy, HIV Disclosure Intervention Research Coordinator, Women’s Health in Women’s Hands Community Health Centre; Marvelous Muchenje, Community Health Coordinator, Women’s Health in Women’s Hands Community Health Centre; Mercy Gichuki, Community Health Worker (HIV/AIDS), Women’s Health in Women’s Hands Community Health Centre; and Fernanda Villanueva, Health Promoter, Women’s Health in Women’s Hands Community Health Centre

D5 - The Centre for Addiction and Mental Health’s (CAMH) STOP Program with Aboriginal Health Access Centres (AHACs)

The Centre for Addiction and Mental Health’s (CAMH) STOP Program partners with healthcare organizations to deliver no-cost Nicotine Replacement Therapy (NRT) and cessation counselling support to Ontarians smoking cigarettes. Partner organizations identify and enroll eligible participants, dispense no-cost NRT provided by STOP, and provide counselling support in individual or group settings. Implementing the STOP Program at Aboriginal Health Access Centres (AHACs) across the province provided a unique opportunity to improve health equity among First Nations, Inuit and Métis populations, but also to advance community services and programs. Implementation of the STOP Program at AHACs required close collaboration between CAMH, AHACs, and Cancer Care Ontario (CCO). This session will speak to the implementation of the STOP Program within a unique health care setting.

Presented by: Anastasia Blackey, Manager of Health Promotions and Education Services, De dwa da dehs nye>s Aboriginal Health Centre; and Rosa Dragonetti, Project Director of Addictions Research and Education, Centre for Addictions and Mental Health (CAMH)

D10.2 - KAMM©, a self-management mascot for people living with chronic illnesses

In this session we will share the innovative tool South Riverdale Community Health Centre (CHC) has developed to engage both patients and providers in empowering patients with chronic disease by introducing KAMM©, a mascot for chronic disease selfmanagement. South Riverdale CHC hosts the Toronto Central Self-Management Program for the Toronto Central LHIN region where individuals learn evidenceinformed self-care practices that are led by peer facilitators, intended to help them live healthier lives with chronic conditions.

Presented by: Surkhab Peerzada, Manager, Toronto Central Self-Management Program, South Riverdale Community Health Centre; and Jason Altenberg, Director, Programs and Services, South Riverdale Community Health Centre

E1.1 - Building a Safe Community for South Asian Seniors

At this workshop, service providers can learn more about the nature of elder abuse as it pertains to South Asian seniors, the challenges in addressing that abuse, as well as identifying promising practices within the context of their work to begin the planning process of making their services more accessible and effective in combating abuse against South Asian seniors.

Presented by: Tazim Bhanji, Program Manager, Seniors Programs, Social Services Network (SSN)

E4 - Strengthening the Circle to End Violence

The Government of Canada is designing a national inquiry on missing and murdered Indigenous women and girls to develop an action plan to end the violence. Violence in the Aboriginal community affects us all, and has for many years. There are many underlying issues for this, including intergenerational effects of residential schools, poverty, low education, food insecurity, poor coping skills, poor parenting skills, substance abuse, alcohol abuse, low self-esteem, racism, and social indifference. These issues cannot be overcome in a short time, but it begins with community engagement and capacity building. This session provides a safe place to discuss these issues and brainstorm ways to address them within our organizations and communities.

Presented by: Crystal Davey, Nurse Practitioner, Health Programs Manager, Anishnawbe Mushkiki Aboriginal Health Access Centre; and Michael Hardy, Executive Director, Anishnawbe Mushkiki Aboriginal Health Access Centre

E6.1 - Isolated Senior Caregivers Living Life to the Full: A Toronto Collective Impact Plan

In this workshop, project leads from CMHA Ontario and Health Nexus will discuss the Living Life to the Full (LLTTF) course, and its delivery in partnership with Toronto Community Health Centres (CHCs). LLTTF is an eight-week bilingual mental health promotion course based on the principles of cognitive behaviour therapy. In this evidence-based course, groups of 10-15 older adults come together to learn coping skills and socialize with others experiencing similar life issues. In a new CMHA Ontario initiative, LLTTF is being delivered in a model that focuses on building community partnerships and strengthening the network of a city. This workshop will present the research evidence gathered on this mental health promotion program and explore how the program is being adapted for isolated caregivers, as well as for other audiences, such as Francophones. The role of Toronto CHCs in this program adaptation will be described, allowing an opportunity for other CHCs to consider a similar approach.

Presented by: Jennifer Hardy, Project Manager, Canadian Mental Health Association, Ontario Division; and Gillian Kranias, Health Promotion Consultant, Health Nexus

E9.1 - A Little Shop of Hope

This session will speak to how and why Grand River Community Health Centre (GRCHC) utilizes a participant engagement and community development approach in our programs. The GRCHC Gift Shop initiative will be used as a platform to speak to our approach in program development and delivery. Launched one year ago as a small social enterprise, the initiative has its roots in a small drop-in group for women called “Stitch and Chat and Things Like That.” It was formed six years ago as a response to the women’s shared feelings of isolation and need for a greater sense of belonging.

Presented by: Gloria Ord, Community Health Worker, Grand River Community Health Centre; and JoAnne Dubois, Community Developer, Grand River Community Health Centre

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