Open Letter to Minister Elliott Re: Supervised Injection/Overdose Prevention Announcement

Date: 
Monday, October 22, 2018

October 22, 2018                                          

Re: Supervised Injection/Overdose Prevention Announcement

Dear Minister Elliott,

We welcome the Ontario government’s decision today to continue to fund and support supervised consumption and overdose prevention services for people who use drugs. We are further encouraged that you have committed to ensuring that existing services will continue without interruption while a new model is introduced, and that the three sites placed on pause in August will be able to open.

We know that these vital services save lives, build trust, help connect people to services and make communities safer. We look forward to working with you on the planned new model for Consumption and Treatment Services, which will continue to include overdose prevention and harm reduction services, along with a focus on connecting people to primary care, treatment, and social services, including housing and employment supports.

We’re pleased to see the government’s initial commitment to 21 Consumption and Treatment Service locations in the province. Currently, there are 16 supervised consumption/overdose prevention services operating in Ontario and three more ready to open. At least four other communities hard hit by the overdose crisis have been waiting for months to submit applications to offer life-saving harm reduction services in their communities.

Ontario remains gripped in a public health crisis with an average of three people dying every day from drug overdoses. There is a poisoned drug supply that is not going away. The latest data show 287 opioid deaths for just the first three months of this year in Ontario.

We urge you, Minister, to ensure that every community in Ontario fighting the overdose crisis has access to nimble, evidence-based care that saves lives and connects people to health and social services. We look forward to working with you to implement new Consumption and Treatment Services wherever there is a need and ensuring that we can continue to save lives.

Yours sincerely,

  • Mark Aston, Executive Director, Fred Victor Centre, Toronto
  • Mike Bell, Chief Executive Officer, Kingston Community Health Centres
  • Denise Brooks, Executive Director, Hamilton Urban Core Community Health Centre 
  • Naini Cloutier, Executive Director, Somerset West Community Health Centre, Ottawa 
  • Gerry Croteau, Executive Director, Gilbert Centre, Barrie
  • Raechelle Devereaux,  Executive Director, Guelph Community Health Centre
  • Kim Dolan, Executive Director, PARN, Peterborough
  • Paulos Gebreyesus, Executive Director, Regent Park Community Health Centre, Toronto 
  • David B. Gibson, Executive Director, Sandy Hill Community Health Centre, Ottawa
  • Shaun Hopkins, Manager, The Works, Toronto Public Health  
  • Juanita Lawson, Chief Executive Officer, NorWest Community Health Centres
  • Wendy Muckle, Executive Director, Ottawa Inner City Health, Inc. 
  • Nilda Patey, Executive Director, Peel HIV/AIDS Network
  • Kapri Rabin, Executive Director, Street Health, Toronto
  • Brian Lester, Executive Director, London Regional HIV/AIDS Connection
  • Lynne Raskin, Chief Executive Officer, South Riverdale Community Health Centre, Toronto
  • Angela Robertson, Executive Director, Parkdale Queen West Community Health Centre
  • Bill Sinclair, Executive Director, St. Stephen's Community House, Toronto
  • Rita Taillefer, Executive Director, Windsor Essex Community Health Centre
  • Glen Walker, Executive Director, Positive Living Niagara

Social Prescribing in CHCs

Monday, June 4, 2018

#Prescription: Community - Social Prescribing in CHCs

Update - visit the Rx Community: Social Prescribing webpage for more information

Social prescribing is a new spin on an old idea - that people are healthier when they are connected with social resources and supports in their communities.

In the United Kingdom, social prescribing has taken off by providing a structured way to address the determinants of health and wellbeing for people accessing primary care. Social prescribing looks different in different communities, but often involves a social prescription from a primary care clinician (instead of, or as a complement to, a medical or pharmaceutical prescription), a supportive navigator who can connect and be with the client throughout, and a suite of health promotion and community development supports drawn from the assets of both the centre and the community.

The results are promising: more efficient use of clinicians’ time, better support for socially isolated people and those facing complex determinants of health, and a sense of community that acts as the “glue” linking the diverse components of comprehensive primary health care.

Rx: Community is an 18-month pilot project linking UK experts in social prescribing (from Health Education England, Altogether Better, the National Health Service and the Social Prescribing Network) with 10 Community Health Centres Across Ontario. They are: Belleville & Quinte West CHC, CSC Témiskaming, South Georgian Bay CHC, NorWest CHC, Hamilton Urban Core CHC, Rexdale CHC, Guelph CHC, Stonegate CHC, Centretown CHC, and Country Roads CHC.

The project aims to bring sustainable service innovation to the front lines of primary health care through directed mentorship, evidence-informed implementation, local adaptation and partnership, and built-in evaluation. The work is powered by the Community Development Stream of the Ministry of Health and Long-Term Care’s new Health and Wellbeing Grant.

For more information please contact Kate Mulligan at kate.mulligan@allianceON.org

Community Matters: Celebrating 30 years of excellence at Country Roads CHC

Thursday, May 17, 2018

[The Rideau Lakes community celebrates 30 years of Country Roads CHC. Anna Greenhorn, pictured at right, was one of the community members who was instrumental in getting the CHC off the ground in the 1980s.]

On May 9, Country Roads Community Health Centre celebrated 30 years of exceptional primary health care in rural Southeastern Ontario. The occasion was marked with live music (with Executive Director Marty Crapper throwing down some mean bass alongside local musician Melanie Weber), a shared meal, and some poignant reflections by community members and leaders. People shared stories of helping to steward the CHC from humble roots – half a day a week in a single room – into the hub of community-governed comprehensive primary health care that it is today.

Anna Greenhorn, a lifelong resident and tireless volunteer in the Rideau Lakes area, and a founding member of Country Roads CHC’s Board of Directors, gave a passionate speech about the work it took at the community level to lay the foundation for what Country Roads would become. Greenhorn, who was the first woman elected to municipal council in the area in the 1980s, wasn’t shy about telling us what it took to get the CHC off the ground, and to help it grow into an organization that truly meets the needs of people facing barriers to their best possible health and wellbeing.

“If you’re going to succeed in a community, the community members have to have their seat at the decision-making table,” Greenhorn said. “The community knows what it needs.”

Greenhorn, who’s now in her late eighties, talked about what it meant to her when she was recovering from illness to be able to walk into the centre and be greeted by people who knew her, and who she knew really cared about her. “It makes all the difference in the world when you’re trying to get well. It’s because of Community Health Centres that people can stay living at home.”

Country Roads CHC – which opened in 1988 and was, at the time, the 16th Community Health Centre to open its doors in the province – now offers primary care and community health services and programs at locations in Portland, and Westport, Ont. Serving over 4,000 people, the interprofessional team delivers primary care and so much more: seniors exercise programs, mindfulness and stress-reduction drop-ins, chronic pain management, mental health supports, walking programs, teen health clinics, parenting education and support groups, and a dental health program. As they say on their website, Country Roads truly is “one stop shopping for family and community health.”

It’s the continuity of the community’s sense of ownership and pride in its health centre that shines the brightest, though. Greenhorn stressed the importance of community members being given a role in their own health as a key to Country Roads’ success, and she cited the volunteer programs as a key element of that success. “The top thing that keeps people well is working in the community, having a shared sense of purpose.”

When current Country Roads CHC Board Chair Peter Hannah took the stage to offer a toast to the 30th anniversary milestone, he struck a similar note, raising his glass to the volunteers who help support the centre staff in offering truly wraparound care. “This is for you, and the next 30 years.”

[Clinton Cowan, AOHC Board member, left, presents a certificate to mark the 30th anniversary to current Country Roads CHC Board Chair Peter Hannah.]

[Country Roads CHC Executive Director Marty Crapper and local musician Melanie Weber threw down some rockabilly to help mark 30 years of excellence in rural community health.]

Health Equity Heroes: Pierrette Vezina cherishes her role with Wabano volunteers and the sweet success of an Indigenous-run social enterprise

Wednesday, March 28, 2018

Pierrette Vezina, volunteer coordinator at Wabano Centre for Aboriginal Health in Ottawa, has played many roles over the years. One of the things she’s most proud of is helping to create a meaningful place for other people at Wabano, to help them get better connected to each other, themselves, and the programs and services around them. After she received the Ontario Medal for Good Citizenship in January, we spoke to Vezina, who is Métis, about building a program to increase the number of active volunteers from 14 to more than 400, growing one of Wabano’s volunteer programs into a chocolate-based social enterprise that helps bring in money for other programs, and what the work means for people’s health and wellbeing.

Can you tell us a bit about how you got started at Wabano?

I had to retire because of medical reasons, but I was looking for something to do, as a therapy really. And Wabano called to me. At first, I was working with the seniors program they had started here with the Elders. I worked for them for about three or four years and I loved it. I had practised as a Therapeutic Recreologist and Music Therapist in my career, and so I was able to bring some of my skills here to help them. Then I heard they were looking for someone to fill the role of volunteer coordinator. So I said, “You know, I could help you out with that a couple of days a week.”

It’s now been four years that I’ve been the volunteer coordinator. For me, that role has meant a lot. I have chronic pain, but when I’m here at Wabano, I don’t feel it. Being here helps me feel better. So Wabano has done a lot for me, too.

We can’t hide the fact we have a real sweet tooth. Can you tell us more about the Wabano Fine Chocolates social enterprise and what it means to have a volunteer program evolve like this?

I’m a trained chocolatier, and I was trying to find creative ways to show the volunteers that we appreciate them, so I made chocolates, and it started out as a gift. Then I thought, well, maybe this could become something bigger. But it grew very slowly. I taught people how to make chocolate, and we started by producing prizes for programs, or as little gifts.

Now we are actually getting contracts because people really love our chocolates. We worked hard to develop our flavours. It’s a totally Indigenous program, so we have chocolates that tell stories of our culture, and we have chocolates with teachings. People really liked that.  The program is youth-oriented, and includes volunteers facing barriers. Also all the money made goes back into supporting programming.

Can you explain your approach to volunteerism, and how it might differ from other organizations?

Volunteerism is such a big word, but in our culture, the tradition is helping, and being a helper. So if a neighbour needed fish, you’d go and help them catch fish, you know.   That’s what living in a community is all about. And that’s what is so great about Wabano: we do everything in a community.

I spend some time with incoming volunteers to get to know them and what they’re passionate about. Then I try to find the perfect job for them where they’re going to be happy and where they can use their talents, and we can nourish those talents. Sometimes I even create a role so someone can learn while they can give back to Wabano.

Can you give us an example?

Graphic artist. I had a young person who is a talented artist, so we had her create a few cartoons for educational purposes, and some wrapper designs for the chocolate program, and things for the Wabano galas. It was something she really loved to do, and gave her a chance to use her artistic ability to address design needs at Wabano.

What do you think of the connection between social interaction and health, especially for seniors?

What seniors are really missing is people talking to them. A lot of times with seniors, the main issue is loneliness: they’re isolated, and it’s important to engage them. Especially with Indigenous seniors, a lot of people have had trauma, from residential schools and other things, they’re dealing with mental health issues, they’re living under the poverty line, but one of the things they need the most is a place of belonging, and that’s where Wabano comes in.

We welcome people who’ve faced intergenerational trauma, and people who’ve had trouble with the law, and we try to help them get their lives back, to change their story, and give them a chance to accomplish things. We also have people with physical and mental disabilities, and they have so much to offer, they just need a safe place to do that.

So, the Wabano environment is what helps to nurture rich volunteer opportunities for community members?

It’s the people here, and the vision of our Executive Director [Allison Fisher], and our Board, for this to be a place of belonging, for this to be a place where people feel safe. It’s about the people and the community. One of the big reasons I’ve been here 10 years is because I believe in what they do, and I’ve seen Wabano make a difference in people’s lives.

--To learn about volunteer opportunities and more, visit Wabano’s website or email Pierrette Vezina at volunteer@wabano.com. And we hear that she knows where to find the Wabano Fine Chocolates, too, in case you're looking to place an order.

Health Equity Heroes: Windsor Essex CHC health promoter receives lifetime achievement award

Thursday, December 14, 2017

Last week, Jodi Pearce, a health promoter at Windsor Essex Community Health Centre, received the inaugural Lifetime Achievement Award from Health Promotion Canada. This national award “recognizes passionate and visionary health promoters who, during their lifetimes, have made substantial contributions to the promotion of health … and health equity among communities, thereby empowering Canadians to achieve full life potential.” To help mark this milestone moment, we spoke with Pearce about the evolution of health promotion and unleashing the profession’s full potential in the context of comprehensive primary health care.

You’ve worked in a Community Health Centre for nearly three decades, many of them working as a health promoter. Can you speak to why the health promoter role is so crucial in delivering comprehensive primary health care? How is the health promoter role different in the context of a CHC?

I feel that health promotion in primary health care is definitely an approach that extends beyond services one would receive in the traditional health care system. Customarily ‘health care’ consisted of a diagnosis and treatment regime. In more recent years, practitioners are recognizing all of the services and factors that play a part in health, such as income, housing, education, and the environment. Working collaboratively at a CHC, a health promoter is able to assist with the identification of risk factors and prevention of chronic disease, and utilize the resources that exist to assist a client in addressing their individual situation. Health promoters in a CHC, I feel, have a uniquely wonderful opportunity to assess needs, and then design and facilitate programs and services that are necessary in their community. It isn’t a one-size-fits-all approach, and so incorporating health promotion into a CHC makes a lot of sense for addressing the unique needs in one’s community.

Health promotion is sometimes narrowly misunderstood as solely being chronic disease and lifestyle education and prevention, such as stop smoking programs. Can you talk about how you’ve seen the profession evolve?

I feel it is a profession that has gained a lot of momentum over the years. It has moved from a ‘nice idea’ in the early 1990s to some very credible work done across the province. It has grown to incorporate disciplines such as public health, medicine, epidemiology, sociology, psychology, economics and social work.

What are some of the ways that health promoters are uniquely positioned as part of an interprofessional primary health care team to help bridge barriers to good health and wellbeing by addressing factors that impact health equity?

The chance to be creative and the access to so many resources both play a role in being able to design and deliver programs that are outside of the box of “treatment.” The flexibility and support from community members and other CHC staff alike are what I think help to position a health promoter uniquely. The role of a health promoter outside of a CHC can be much different or sometimes siloed into specific tasks such as grant-writing, and while that has its purpose, CHCs often allow more opportunities to take a project from paper to practice.

What are some of the things that health promoters do, and that you’ve done over the years, to ensure that the social determinants of health are being addressed in your community?

Health promotion is not something that can be done alone; partnerships are the key to success. As well, it is not always a single position or staff person who enables the work of health promotion, but instead it’s about incorporating a health promotion approach into everyone’s everyday practice. The ‘it takes a village’ mentality is the key to addressing the social determinants of health in any community.

What are some aspects of your work of which you are most proud?

Most recently, I would say the “Not My Kid” adolescent and opioid community forum was very successful. It was very well attended, and represented a great opportunity to inform community members non-judgmentally while trying to reduce stigma about specific substance use. It’s also served as a very adaptable turnkey project for other communities facing similar issues. [Editor's note: click here to check out Windsor Essex CHC's Teen Health programs and services.]

What can policy and decision-makers do to ensure that health promoters have the best possible impacts across Ontario on the health and wellbeing of people and communities?

Listen and work together. It’s all about the higher levels and grassroots coming to a middle ground, because there is certainly no shortage of work in the health promotion field!

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Change Day Ontario: Let's show the province what real change looks like

Thursday, November 9, 2017

Change Day Ontario is a province-wide initiative spearheaded by Health Quality Ontario to help spread the word about the many changes – big and small – that health providers make on a daily basis to better serve the communities where they work. It’s about acknowledging the work you’re already doing, and emboldening others by sharing the plans of where you’re headed. It’s about recognizing that small steps can add up to big changes for our health system, and it’s about celebrating the difference that providers make every day, both for patients and their colleagues.

Staff from WellFort Community Health Services (pictured above and below), Planned Parenthood, and Bridges Community Health Centre took the plunge and made pledges.

Pledges can be things you’re already doing that you plan to continue or expand; they can also be little things you’re going to do to improve your own knowledge; or they can even be as simple as pledging to smile more when it’s most difficult, or listening when you have the urge to jump in and offer advice. Change pledges can come in all shapes and sizes, but the most important thing is that the pledge is meaningful for you and your daily work.

Gurpreet Kaur at WellFort pledges to “obtain more information about Child Tax Benefits by the end of this year to better support my clients.”

Racquel Bremmer at Planned Parenthood Toronto pledges “to better support the health services professions I manage to ensure that the health and wellbeing indicators of our clients improve annually.”

Lori Kleinsmith at Bridges Community Health Centre pledges to “continue to advocate for the expansion of publicly funded dental care to cover adults and seniors on low incomes.”

If there’s something you’re doing to change the way patients and providers around you experience the health system, or something you’re planning on doing, this is your chance to share that insight and motivation with the wider health system.

This Change Day Ontario, stand up, be heard, and make a pledge in English or French.