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Learning Sessions 2017


Championing health equity and social justice

A4 - Racial Battle Fatigue: Identifying and Addressing the Trauma of Racism and Social Discrimination
Racial Battle Fatigue (RBF) is a condition identified in racialized people who suffer ongoing discrimination and racism. Researchers state that symptoms are similar to those of trauma victims diagnosed with Post Traumatic Stress Disorder (PTSD), but many people experiencing RBF do not even realize that trauma related to racism is at the root of their illness. Simply treating symptoms isn’t effective. So what questions can health providers ask patients to determine if there is racism underlying symptoms? This session will suggest some useful ways of assessing the trauma that racism and social discrimination inflicts on racialized populations, and offer an overview of how to build a safe, therapeutic space for patients to open up about their experiences and mental health.

Presenter: Tapo Chimbganda, Clinical Counselor, Wellfort Bramalea CHC
Audience: All audiences


A11 – Taking Initiative: Exploring the Needs of LGBTQ Youth 
Through the LGBTQ Youth Initiative, Planned Parenthood Toronto is working to enhance access to LGBTQ support services and strengthen the LGBTQ youth-sector in Toronto. Between September 2015 and January 2016, 259 youth and 20 service providers participated in the LGBTQ Youth Initiative needs assessment to share experiences and challenges faced by LGBTQ youth. In this session, staff and Youth Advisory Committee members from the LGBTQ Youth Initiative will share findings from this needs assessment and discuss how they inform programming and social marketing. Participants will be encouraged to explore how the initiative might inform their own work with LGBTQ youth.

Presenter: Anna Penner, Coordinator of Research and Programming for the LGBTQ Youth Initiative, Planned Parenthood Toronto
Target audiences: Front line/clinical and/or program staff; Senior management; Program management


C5 - Why Black Youth: Building Health Equity-driven and Anti-Oppressive Policies, Procedures & Programs
This session will examine the development of anti-oppressive and anti-racism policies and practices, while also providing practical tips, tools and programs for promoting health equity. In addition, the specific strategy used to engage Black youth in Toronto’s Jane and Finch community will be explored. Presenters will highlight successes of the Freedom Friday collaborative arts based program, which was developed at Black Creek CHC along with community partners in response to low engagement among Black youth. This workshop will be useful for anyone looking to start health equity conversations with community partners towards developing policies, procedures, and programs to better serve those who face barriers related to racism and discrimination.

Presenters: Joesiann Nelson, Manager of Health Promotion and Community Services, Black Creek CHC; and Kofi Frempong, Community Health Worker, Black Creek CHC 
Audience: All audiences


C6 – Precarious Employment and Health: Building Capacity to Promote Decent Work and Wellbeing at the Frontlines
A robust body of evidence confirms the link between precarious employment and deteriorating socio-economic and health outcomes. Access Alliance led a community-based project with six partner CHCs from Toronto, working closely with advocates for decent work and fair wages, to develop workshops for frontline service providers promoting organizational change and capacity-building. The workshop will enhance knowledge of providers on the adverse health impacts of precarious work, and steps to screen, adjust risk, and advocate for precarious workers. Time will also be provided for discussion on engaging in advocacy around precarious conditions faced by clients.

Presenters: Fatima Mussa, Project Coordinator, Access Alliance Multicultural Health and Community Services; and Kate Atkinson, Coordinator, Decent Work and Health Network
Audience: Front line/clinical and/or program staff


B5 – On Using Community Truth Hearings to Address Poverty and Equity: How They Work and Lessons Learned
This will be an interactive, experiential workshop that will challenge participants to explore their understanding of and approaches to equity and poverty. The session will examine Community Truth Hearings, and how they can provide an opportunity for a deeper understanding of injustice and inequity while pointing to a systemic approach to reconciliation. By engaging in small group discussions, video presentations, and sharing stories, participants will heighten their awareness of the interconnecting issues associated with poverty and equity and help to increase their capacity to conduct truth hearings that impact public policy. Workshop participants will learn the step-by-step process of how to conduct community truth hearings, including proven methods of how to collect the information, where to send the data and how to access support to conduct the hearings. The workshop leaders will also share specific lessons from Phase I of Hamilton’s Community Truth Hearings on Poverty and Equity.

Presenters: Denise Brooks, Executive Director, Hamilton Urban Core CHC; Tibor Lukacs, Counselor, Hamilton Urban Core CHC
Audience: All audiences


D4 - Ubuntu Community Village: Mobilizing Older Adults Through Community Engagement
Ubuntu is a word derived from the Zulu language of South Africa which means “I am who I am because of who we all are.” In 2012, TAIBU CHC introduced the Ubuntu program as a framework for mobilizing older adults. Ubuntu has transformed the way TAIBU CHC organizes programs, engages community members, shares collective responsibility and fosters community leadership. This session will introduce the audience to the Ubuntu Community Village model, which has impacted 3,000 adults, and is governed by an elder council of community representatives. The session will highlight the model’s impact on fostering meaningful connections, facilitating access to medical and social services, supporting community activities that enhance wellbeing, and mobilizing in-home supports and services for older adults.

Presenters: Tony Jno Baptiste, Community Program Manager, TAIBU Community Health Centre; Kareen Marshall, Ubuntu Program Coordinator, TAIBU Community Health Centre
Audience: All audiences

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System transformation strategies

A5 - Making Room for Health Equity: Exploring Obstacles and Opportunities for CHCs to Advocate for Policy Change
Last year Rebecca Cheff, of the Wellesley Institute, interviewed the executive directors of CHCs across Toronto about how they advocating for better public policy to improve health equity for clients and communities. These executive directors described a wide range of advocacy efforts to address social determinants of health such as safe and affordable housing, racism and precarious employment at neighbourhood, city, provincial and federal levels. During this session, she will share insights from this applied research project about the obstacles and opportunities that CHCs face when doing advocacy work. Participants will also be prompted to share their own stories, experiences and ideas about taking action as CHCs to champion health equity and social justice in Ontario.

Presenter: Rebecca Cheff, Wellesley Junior Fellowship Coordinator & Junior Researcher, Wellesley Institute
Audiences: Senior management; Program management; Board members


A6 - The Social and Economic Impact of Hubs, Situation Tables and More
As one of Ontario’s well-established community hubs with 20 co-located health and social service agencies and 25+ other services provided onsite each month, Langs is setting the stage for measuring key impacts of its community hub on the populations it serves from a wellbeing perspective. Leveraging the organization’s successful work with community partners, this presentation will describe three innovative outcome evaluations in Waterloo Region (the Hub model, a Chiropractor Pilot Project and the Connectivity/Situation table), outlining the process from development, through experience to results — at a system, community, partner, provider and client level. Presenters will also discuss the opportunities and replicability of these initiatives, focused on providing the right care in the right place.

Presenters: Bill Davidson, Executive Director, Langs; and Kerry-Lynn Wilkie, Health Link Director, Langs
Audience: All audiences


A7 - Culturally Adaptive Program Delivery Through Effective Collaboration and Partnership
In 2014, Women’s Health in Women’s Hands CHC initiatied the Wellness Connection in collaboration with Sherbourne Health Centre, The Canadian Centre for Victims of Torture and the Centre for Addiction and Mental Health. In this session, participants will learn about the Wellness Connection partnership, as well as effective strategies for culturally adaptive program delivery and inter-agency collaboration to enhance access to services for immigrant, refugee and racialized populations.

Presenter: Raelene C. Prieto M.Ed., R.P., Mental Health Therapist, Women's Health in Women's Hands CHC 
Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management


A12 - Integration of Physiotherapy into Primary Care in Toronto Central LHIN Community Health Centres at a Local Health System Level
The Ontario health system is undergoing substantial change including a deliberate shift of resources and services to community based settings, the reform of primary care and improving the overall patient experience. This change is also shaping physiotherapy services in Ontario. This session will explain the provincial and local (Toronto Central LHIN) context for recent physiotherapy investments in primary care. Presenters will also cover: 1. The framework guiding community based rehabilitation services that has been piloted by the TC LHIN. 2. The physiotherapy model of care and evaluation framework created and adopted by TC LHIN CHCs. 3. The implementation strategy and results to date. 4. Lessons learned from the perspective of providers and patients.

Presenters: Chris Sulway, Senior Consultant, Performance Management, Toronto Central Local Health Integration Network; Kasia Filaber, Director, Clinical Services, Four Villages Community Health Centre; and Emily Stevenson, Physiotherapy Project Lead, Four Villages Community Health Centre
Audiences: Front line/clinical and/or program staff; Senior management; Program management; Administration


B9 - A Road Less Travelled: Working Collaboratively in Community
The Lawrence Heights Inter-Organizational Network is a volunteer-based network that includes over 40 agencies, residents and grassroots community groups serving three distinct communities. The network aims to strengthen the relationship between residents and agencies working together to meet community needs. Unison has been an active member of the network since its inception 10 years ago. In this session, Unison Health and Community Services staff and community leaders will present on the overall benefits and challenges of working collaboratively to address community issues, highlighting their experiences working within the network. Presenters will also share stories about inclusion and how to build equity in partnerships.

Presenters: Maleda Mulu, Health Promoter, Unison Health and Community Services; and Kaydeen Bankasingh, Administrative Support for Community Network, Unison Health and Community Services
Audience: All audiences


B11 - EdgeWest: A new model for providing low barrier care
EdgeWest provides integrated primary health care, sexual and reproductive health care, mental health and addictions support to youth aged 13-29 living in West Toronto. Many of the services are drop-in and are coordinated across multiple organizations to respond to the needs of young people who require complex care. This presentation will discuss the concept, key values and early development of this innovative new model of health care delivery, which was awarded AOHCs Transformative Change Award last year. As EdgeWest moves into its second year of operations, the presenters will also share an update on how things are going. Client numbers are steadily increasing and there is a clear need to grow the staffing component. While expansion at the original site is a clear need and a commitment shared by the partners, there is also a strong potential to replicate the EdgeWest model in other Toronto neighbourhoods.

Presenters: Sarah Hobbs, Executive Director, Planned Parenthood Toronto; and Kim Fraser, Executive Director, Davenport-Perth Neighbourhood and Community Health Centre. 
Audience: All audiences


C9 - HANS KAI: A community-led program that empowers people to take control of their own health
Developed and delivered through NorWest Co-op Community Health and available across Canada, HANS KAI is an innovative program that goes beyond focusing on individual behaviour change and considers the importance of community in creating an environment that improves health. The program achieves this by empowering members to establish semi-structured groups that enable them to monitor specific health indicators while supporting healthy eating and regular physical activity. Session participants will not only understand what the program is and how it is implemented, but will also hear participant accounts of how the HANS KAI program has improved their health and wellbeing.

Presenters: Michelle Kirkbride, Community Development Coordinator, NorWest Co-op Community Health; and Mike Sadlowski, Health Promotion Specialist, NorWest Co-op Community Health
Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management; Board members


C10 - The Ontario Palliative Care Network: Improving Access to High Quality Hospice Palliative Care
This session will highlight how the Ontario Palliative Care Network, a partnership of community stakeholders, health service providers and health-system planners, is transforming hospice palliative care in Ontario. It will provide an opportunity to discuss what needs to be done from the clinical/health care provider, patient, family and caregiver perspectives to achieve excellent hospice palliative care in Ontario.

Presenters: Lee Fairclough, Vice President of Quality Improvement at Health Quality Ontario; Arlene Howells, Vice Chair, Cancer Care Ontario PFAC and Caregiver; and Dr. Ahmed Jakda, Provincial Clinical Co-Lead of the Ontario Palliative Care Network and the Regional Palliative Care Lead for the Waterloo-Wellington LHIN
Audience: All audiences


C11 - An Evolution of Food: A Story of Community Capacity Building
Being a Community Health Centre that provides targeted programs and services to African Caribbean Black and other racialized people, TAIBU CHC has worked proactively to enhance the capacity of the community to respond to food security needs. Working from a community-led framework, the centre has evolved its practices in working with food to address social isolation through intergenerational exchange, innovative partnerships and free meals served with dignity. Join the panelists as they guide you through their journey.

Presenters: Vijay Saravanamuthu, Community Health Worker, TAIBU Community Health Centre; and Tameika Shaw, Registered Dietician, TAIBU Community Health Centre
Audience: All audiences


D2 - Supporting Syrian Refugees through a Collaborative Healthcare Response: Reflections, Strategies & Best Practices
Between November 2015 and February 2016, over 16,000 Syrian refugees arrived in Ontario alone, presenting considerable challenges to planning and implementation of resettlement services. Simultaneously, the Syrian refugee crisis provided opportunities for operational innovation. Many new and existing interdisciplinary cross-sector partnership tables were mobilized. This panel presentation will describe response efforts, drawing on reflections from representatives from four CHCs: Scarborough Centre for Healthy Communities, Access Alliance Multicultural Health Community Services, Hamilton Urban Core Community Health Centre and Somerset West Community Health Center, as well as key informant interviews with agencies from Toronto, Peel and Kitchener-Waterloo region. Presenters will share evidence on successes, challenges, and best practices for implementing resettlement services when large cohorts of refugees arrive within short time periods, focusing on interdisciplinary cross-sector collaboration.

Presenters: Kim Cook, Vice President Community Health and Chief Professional Practice, Scarborough Centre for Healthy Communities; Sideeka Narayan, Nurse Manager, Health with Dignity Program, Access Alliance Multicultural Health and Community Services; Fatima Mussa, Project Coordinator, Access Alliance Multicultural Health and Community Services; Nhlaloenhle "Nala" Ndawana, Primary Health Care Manager, Hamilton Urban Core Community Health Centre; and Siffan Rahman, Manager, Ottawa Newcomer Health Centre, Somerset West Community Health Centre
Audience: All audiences


D9 - Care Coordination in Action

Join us for an interactive session showcasing effective care coordination in primary care and across the health system. Come hear and ask questions about models where care coordinators are located and/or embedded in primary care, and provide the full scope of care coordination and system navigation to clients. These case studies will provide: evidence for why the role is most effective when based out of primary health care, guidance on what the care coordinator role should look like, and principles for spreading these models to other regions.

Presenters: Phil Graham, Director Primary Care, Ministry of Health and Long-Term Care; and Adrianna Tetley, CEO, AOHC
Audiences: All audiences

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Advancing people- and community-centred services and programs

A2 - On Telemedicine and Bringing Healthcare Closer to Home: Highlighting a Community-Based Approach
A 20-minute video presentation will highlight successes and best practices of the Rideau Community Health Services Telemedicine team. This four-year initiative developed community-based telemedicine services to support community members’ access to various health care services within the South Lanark, Leeds and Grenville catchment area of the South East LHIN. The video highlights a collaborative approach between various health care organizations, the advantage of using nurses to provide clinical support, and features commentary from community members reflecting on their personal experiences. The telemedicine nursing team will be available after the presentation to answer questions on initiating a successful program within your own organization.

Presenters: Andrea Monette, RN, TMC, Rideau Community Health Services; Angela Moore, RPN, TMC, Rideau Community Health Services
Audience: Front line/clinical and/or program staff


B3 - Creating Collaborative Teams in the Work Space and Beyond: The Homeward Bound Program
A collaborative team doesn’t end at the office door. This evidence-based presentation will encompass the concept and creation of the Homeward Bound: From Homelessness to Community program at De dwa da dehs nye>s Aboriginal Health Access Centre; the internal workings of the team; and the extension of the collaboration into the community. An overview of the team's history and work process will be followed by a facilitated discussion with team members about the benefits and challenges of working within a collaborative, inter-professional team. The team will provide their personal experiences with the group, and a discussion circle will follow.

Presenters: Homeward Bound Team, Housing First Case Manager, Peer Outreach Worker, Housing Worker, Cultural Worker, De dwa da dehs nye>s Aboriginal Health Centre 
Audience: All audiences


B7 - Ontario's Primary Care Low Back Pain Pilots: Improving Access and Enhancing Care
Eleven million Canadians over the age of 12 are affected by musculoskeletal (MSK) conditions annually. Three of the four leading causes of disability in Canada are MSK in nature. As a part of the MOHLTC’s Low Back Pain Strategy, the Primary Care Low Back Pain (PCLBP) pilot was launched for primary care teams, such as CHCs, to collaborate with MSK experts. Pilot sites have primarily served uninsured and/or vulnerable patient populations. This session will highlight how CHC pilot sites use interprofessional LBP management strategies to reduce pain and medication use while improving patients’ quality of life.

Presenters: Marc Bisson, Executive Director, Centre de santé communautaire de l'Estrie; Christopher J. Morgan, BSc., DC, FRCCSS(C), Chiropractor, Sports Specialist, Morgan Chiropractic & Wellness and TAIBU Community Health Centre; and Hannah Loshak, Project Coordinator & Information Specialist at the Centre for Effective Practice
Audience: All audiences


B10 - Food Skills for Families: Lessons from 9 Years of Promoting Food Literacy and Healthier Choices
Food Skills for Families is a hands-on skills building program with a standardized, best practice core curriculum developed by Registered Dietitians and educators that makes healthy eating, shopping and cooking easy, quick and fun. Diabetes Canada offers this successful six session program -- focusing on increasing food literacy and positively influencing eating behaviours --to priority populations such as low income families, newcomers to Canada, seniors, as well as Aboriginal and South Asian populations. This workshop will provide a detailed overview of the program’s development, key features and results, as well as sharing expansion plans in Ontario.

Presenters: Jill MacDonald, Master Trainer, Food Skills for Families, Canadian Diabetes Association; Karen Coulson, Program Manager, Food Skills for Families, Canadian Diabetes Association
Audience: All audiences


C2 - Taking Time: Engaging clients and caregivers to improve quality in primary care organizations
Health Quality Ontario and South Riverdale CHC will present leading practice examples of client engagement, and tools and resources to support engagement activities. SRCHC panellists will describe their Taking Time to Engage work to engage clients in the co-design and evaluation of programs and services. A facilitated discussion of how to engage people in the development of Quality Improvement Plans will review the developmental process, lessons learned and overall experience of co-designing quality improvement tools with clients and caregivers. The session will close with an open dialogue around how to push the boundaries of philosophy and practice to strengthen your client and caregiver engagement practices.

Presenters: Margaret Millward, RN, MN, Specialist, Quality Improvement and Adoption Strategies, Health Quality Ontario
Audiences: Senior management; Policy makers; Board members


C8 - The case for universal trauma-informed care and tips for practice
Trauma is being increasingly recognized as an important factor associated with the rising prevalence of HIV among women. Women who live with HIV who are exposed to trauma also tend to have poorer outcomes. Despite the rise of effective treatment modalities, we continue to see treatment failures and thus must begin to explore a new paradigm of treatment for women with living with HIV. This session will explore what trauma is, how it impacts the brain and body, how trauma manifests in women living with HIV, and how to explore different healing journeys for women to improve outcomes.

Presenter: Jay MacGillivray, Registered midwife, Positive Pregnancy Program, Community and Program Partner, Women's Health in Women's Hands
Audience: All audiences


D7 - Community Teaching Farms Producing Healthy Outcomes
What’s a community teaching farm? How can it promote healthier outcomes? Learn more about the benefits of a community teaching farm from this presentation that will reference examples from Ontario and beyond. A panel of local project partners will examine the Guelph Youth Farm, a pilot project led by and serving youth, which grew out of Guelph Community Health Centre’s Seed project. Local project partners will discuss how the Guelph Youth Farm project is being integrated into the core services of Guelph CHC – as well as the tools, resources and creative partnerships needed to start a teaching farm in your own community.

Presenter: Gavin Dandy, Directing Coordinator of The Seed, Guelph Community Health Centre
Audience: All audiences


D8.1 - Healthy Relationships, Healthy Communities: A Community-Development Approach to Seniors Bullying
Bullying is often seen as solely a childhood issue. However, bullying exists among seniors populations and is considered a form of elder abuse. There is also a lack of resources for seniors who experience bullying. Service providers and tenants in a social housing building in Ottawa came together to develop a coordinated response. Healthy Relationships, Healthy Communities was a collaborative, community development-based approach to address seniors bullying. A strong evaluation component gained information on seniors bullying, and informed the development of project activities and seniors-specific resources. This session will present evidence-based practices related to elder abuse and seniors bullying, and demonstrate how organizations can promote a community-based response to elder abuse.

Presenters: Andrea Reid, Health Promoter, Carlington Community Health Centre; Bonnie McCutcheon, Health Promoter, Carlington Community Health Centre; and Monique Parkman, Tenant Community Worker, Ottawa Community Housing
Audiences: Front line/clinical and/or program staff; Policy makers; Program management


D8.2 - Reducing Isolation in Seniors: A Collective Impact Approach
Isolation is increasingly recognized as an important factor affecting health and wellbeing. Learn about the collective impact approach Ottawa took, including specific projects, such as the Keeping Ottawa Seniors Connected, which saw seven agencies partner to engage seniors facing targeted barriers (i.e. low income, rural, poor official language skills, disability, and abuse). The session will also explore the role of partnerships, research and evaluation processes informed by the Be Well survey, both at a collective and individual project level. There will also be an examination of the community development approach that Southeast Ottawa CHC took to strengthen networks in low income neighbourhoods.

Presenter: Julie Gauvin, SSNN Project Lead, South East Ottawa Community Health Centre
Audience: Front line/clinical and/or program staff; Program management


D10.1 - Changing Lives through Access to Oral Health Services
Ontarians living on low incomes are 50% less likely to receive oral health care than other residents, resulting in higher use of emergency departments and increased hospital costs (AOHC, 2014). The South East LHIN’s investment in oral health prevention and treatment capacity at five CHCs represents a forward-thinking approach to improving care, health outcomes and wellbeing while reducing costs. In this session, three panellists from CHCs will describe the key drivers for a successful program as well as lessons learned about service provision models, building capacity within centres, demonstrating a return on investment, and improving clients’ overall experience and access to interprofessional care.

Presenters: Julia Swedak, Director of Quality and Knowledge Management, Gateway CHC; Onalee Randell, Director of Community Services, Rideau Community Health Services; Marty Crapper, Executive Director, Country Roads CHC
Audience: All audiences

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Mental health and addictions

A8 - Increasing Access to Mental Health Services for Children and Youth
Grand Bend Area CHC wants to increase access to mental health services and supports for children and youth in their community. In this session, presenters will discuss the steps they have taken, how they overcame barriers that were encountered, the innovative services and supports that are available as a result, and the partnerships that were developed throughout this process.

Presenters: Miranda Burgess, RD MPH, Grand Bend Area CHC; and Sarah Flowers, RSW, Health Promoter/Social Worker, Grand Bend Area CHC
Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management


B8 - Strengthening Our Response: What can your CHC do in response to the opioid and overdose crisis in your community?
Canada is in the midst of its greatest drug safety crisis ever. Ontario is the highest per capita consumer of opioid prescriptions in the country. Years of liberal prescribing of opioids has exposed tens of thousands of Ontarians to increased risk of overdose and substance use disorders. The emergence of illicit sources of lethal high strength opioids could create a public health crisis on an even larger scale than in British Columbia and Alberta. Even people who use drugs recreationally are at risk of overdose. CHCs are well placed to reach a wide range of people at risk of overdose with proven, effective interventions ranging from opioid tapering, to providing small-scale supervised injection services. This learning session will provide answers to the “nuts and bolts” questions on how to increase your CHCs role in responding to the opioid crisis in your community.

Presenters: Rob Boyd and Eliza Bate, Oasis Program, Sandy Hill CHC; and Dr Rupa Patel,and Dr Mary Rowland, Family Physicians, Kingston CHC
Audience: All audiences


C4 - Working with opposition to harm reduction: Lessons learned from South Riverdale and Sandy Hill CHCs community consultations on supervised injection services
Organizations wishing to open supervised drug consumption services in Canada are required, by current law, to conduct community consultations and report the results to the federal government, raising the possibility that local community opposition could influence whether the service can open or not. Further, they are required to submit a letter of opinion from the local municipality and Chief of Police outlining their opinions of the proposed supervised drug consumption activities. In this session, participants will hear about lessons learned from planning and implementing two successful community consultations for supervised injection services, that are also applicable to any other potentially controversial service.

Presenters: Jason Altenberg, Director of Programs and Services, South Riverdale CHC; and Rob Boyd, Oasis Program Director, Sandy Hill CHC
Audience: All audiences


D11.1 - Primary Care and Mental Health and Addictions Integration in Ontario
This session will provide an overview of primary care and mental health and addictions collaborative models, successes, and challenges in Ontario. The Mental Health and Addictions Leadership Advisory Council conducted a survey in 2016 with community mental health and addictions service providers and primary care providers requesting information that would enhance understanding of how these two sectors are currently working together across the province. The survey findings will be the focus of this presentation and will incorporate the diverse perspectives gathered from community providers, CHCs, and FHTs on experiences in delivering collaborative mental health and addictions care with primary care.

Presenters: Camille Quenneville, CEO, Canadian Mental Health Association, Ontario; Jenna Hitchcox, Policy Analyst, Canadian Mental Health Association, Ontario
Audience: All audiences


D11.2 - Ingredients for success: Cross Agency Collaboration and Integration to best support mental health and addiction
How do you build cross agency collaboration to support the most complex clients? When inter-agency and front-line collaboration is done right it is a win for your clients, your community, your partner organizations and your funders. Learn about the Specialized Outreach Services Program, a partnership between Guelph CHC, the Canadian Mental Health Association Waterloo Wellington and Stonehenge Therapeutic Community that sees the delivery of street nursing, peer outreach, and mental health and addictions supports to those who are homeless or at risk of homelessness. Hear about lessons learned along the way to build a program that has filled community gaps by creating accessible services supports, including linkages to primary care for the most vulnerable in the community.

Presenters: Kate Vsetula, Community Health Manager, Guelph CHC; Dwight Syms, Manager, Adult Services, Canadian Mental Health Association Waterloo Wellington; Kerry Manthenga, Clinical Director, Community Services; Stonehenge Therapeutic Community; and Lindsey Sodtke, SOS Peer Worker, Guelph CHC
Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management

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Building high performing interprofessional teams

A9 - Worker Resilience Matters: An Emerging Model of Support for Front-Line Teams Dealing with Traumatic Loss Events
Following a rapid series of particularly difficult loss events related to their peers and service-users, a Hep C team (South Riverdale CHC) and a Harm Reduction team (Parkdale CHC) independently approached the AIDS Bereavement and Resiliency Program of Ontario (ABRPO) for loss debriefing and resiliency training as a way to provide additional support to workers. ABRPO’s Resiliency Framework gives language and structure to support a team as it expands shared awareness of coping with multiple loss from personal impact to work-related impact. This session will describe the process and tools used for these Resiliency Training team sessions. You will hear from each of the CHC teams about their unique team culture and needs related to staff and peer support and self-care skill-building tools. ABRPO will outline the theoretical model informing this work and present the resources developed and adapted to best meet the two teams’ goals and immediate needs.

Presenters: Yvette Perreault, Director, AIDS Bereavement and Resiliency Program of Ontario; Zoë Dodd, Hepatitis C Program Coordinator, South Riverdale Community Health Centre; Natalie Kallio, Harm Reduction Program Coordinator, Parkdale Community Health Centre
Audiences: Front line/clinical and/or program staff; Senior management; Program management


B2 - A New Mantra: Where Everyone Is a Health Promoter
One of the challenges many health care organizations struggle with is how to bridge the divide between primary care and health promotion. This divide is to the detriment of both, largely because it is in the interface between them where the “magic” happens. In this workshop, we’ll examine what it takes to create the conditions for that magic. Concrete examples that arose from strong interdisciplinary teamwork will be presented alongside a framework to facilitate development of a working environment where all staff adopt the mindset of “everyone is a health promoter”.

Presenter: Gary Machan, CIW Implementation Specialist, AOHC
Audience: All audiences


B6 - Building a Diversified Leadership Structure to Support a Collaborative Clinical Culture
A health-care system that supports effective teamwork can improve the quality of client care, enhance clients’ safety, and reduce workload issues that cause burnout. This session will describe the journey South Riverdale Community Health Centre’s clinical team has undertaken over the last year to balance increasing panel size while providing coordinated, integrated and equitable approaches to improving clients’ health outcomes. We will discuss the role of diversified leadership in developing structures that support collaborative practice and consultation. We will highlight challenges and some of the practical changes made in clinical processes/systems, which have helped improve communication and support team members working to full scope of practice.

Presenters: Danielle Kenyon (MN), Nurse Practitioner, South Riverdale Community Health Centre; Rebecca Merritt, Manager, Service Administration & Quality, SRCHC
Audience: All audiences


D5 - How Paying Attention to Conflict makes for high-performing teams
Conflict is a normal part of the human condition. Presented with conflict, we have three choices: avoid it (our usual response), deal with it poorly and pay the consequences, or deal with it skilfully. Conflict can form around a difference of opinion, a chronic tension between colleagues, or it could be a failure to confront racism, sexism, homophobia or stigmatization. Dealt with poorly, conflict can get it in the way of a team’s capacity to deliver health equity-aligned programs and services. In this workshop, participants will learn to recognize conflict, and how to welcome it as an opportunity for positive change. We will also explore mechanisms for transparent communication, conflict resolution, and team-building.

Presenter: Lee Ann McKenna, Principal, McKenna Associates
Audiences: Front line/clinical and/or program staff; Senior management; Administration

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Truth and reconciliation

A3 - IND-equity: an INDigenous Equity Framework for improving Indigenous health outcomes in ON

It is clear that the negative impacts of colonisation have affected Indigenous populations in Canada as it has across the United States, New Zealand, Australia and Hawaii. Disease, cultural suppression and oppression, including the Residential School and sixties scoop, have led to multi-generational trauma, loss and health inequities today. All agree that the underlying reason for the significant inequity that exists today are the historical, political and social determinants of health. It is vital that health systems and their partner systems, develop knowledge and understanding of these histories and their impacts – in order to inform their actions today.

There are examples in Canada and the United States of initiatives, projects, collaborations, research and policies and communities. However no single Indigenous equity plan exists for Ontario. The Wabano Centre for Indigenous Health in Ottawa, in close collaboration with the Aboriginal Health Circle and the Champlain LHIN, brought provincial, national and international Indigenous and non-Indigenous equity leaders, scholars, thinkers, service providers and traditional Indigenous Elders and medicine people together to host an Indigenous Equity Think Tank. The group developed a foundational framework that is a valuable contribution to the discussion and planning to achieve health equity in Ontario. This workshop explores key concepts deriving from the literature review and think tank session for an effective IND-equity framework and plan for Ontario.

Presenters: Gertie Mai Muise, Director of Indigenous Strategy and Relations, AOHC; and Donna Lyons, Indigenous Engagement Specialist, Wabano Centre for Aboriginal Health
Audiences: All audiences


C3 - Our Health Counts: A Community-Governed Approach to Unmasking Indigenous Health Inequities 
Since 2005, the Well Living House Action Research Centre for Indigenous Infant, Child and Family Health and Wellbeing at St. Michael’s Hospital has partnered with multiple Indigenous health service providers in Ontario to co-create comprehensive population-based Indigenous health databases. Known as Our Health Counts, these projects have filled critical knowledge gaps regarding First Nations, Inuit, and Métis health determinants, health status, and unmet health service needs in Hamilton, London, Ottawa, and Toronto. The success of the Our Health Counts projects can largely be attributed to a participatory action research approach that upholds Indigenous principles of reciprocity and self-determination; supports Indigenous governance and leadership; and draws on the strengths of existing, local Indigenous social networks and kinship systems. As expressed by both Indigenous community partners and participants: “Our Health Counts is for us, by us.” This panel will provide details of our approach, methods, and health equity impacts, from the perspectives of one of the community health service provider co-leads, a researcher, and a community interviewer. Following the panelist presentations, participants will be invited to identify how the Our Health Counts principles, methods, and tools might be applied to their own communities of practice, get feedback from the panel on these ideas, and ask other questions.

Presenters: Michelle Firestone PhD, Research Scientist, Well Living House, Centre for Urban Health Solutions, St. Michael’s Hospital; and Sara Wolfe RM MBA, Partner, Seventh Generation Midwives Toronto
Audience: All audiences


C12 - How we can improve health for Indigenous people in Canada

Dr. Marcia Anderson is a prominent Cree-Saulteaux physician from Manitoba, and also a keynote speaker at this year's conference. Her 60-minute workshop will cover a multitude of perspectives, as patient, physician and advocate for improved health for Indigenous people in Canada. Her talk will include discussion about traditional Indigenous healers, midwives and how to provide improved culturally safe health care.

Presenter: Dr. Marcia Anderson, Head, Section of First Nations, Métis and Inuit Health at the University of Manitoba
Theme: Truth and reconciliation
Audiences: Front line/clinical and/or program staff; Senior management; Program management


D3 - Ethical Space for Dialogue on Health Reconciliation in Action
The Association of Ontario Health Centres is committed to honouring the recommendations of the Truth and Reconciliation Commission with a particular focus on health reconciliation. Achieving this commitment means that AOHC member organizations must be able to create a safe space within which it becomes possible to develop a mutual understanding of how health reconciliation can best be achieved.
Indigenous scholar Willie Ermine argues that such a space can be found within the tensions arising out of the differing worldviews that separate Indigenous and non-Indigenous peoples. He calls this an "ethical space" and suggests that reconciliation can only happen when we work towards "human-to-human dialogue".

Following from that model, this 90 minute facilitated discussion between representatives of Indigenous and non-Indigenous health centres proposes to explore how the Association of Ontario Health Centres and its members might best begin working towards health reconciliation.

Facilitator: James C. Butler, PhD, Independent Researcher, flat island strategic communications & media design

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Demonstrating value and impact

A10 - Re-Evaluating Evaluation: Learning from Community Food Centres Canada’s FoodFit Program Evaluation Strategy
FoodFit is a 12-week healthier lifestyles program created and funded by Community Food Centres Canada (CFCC) and delivered to low-income community members through partner sites across the country. In 2016, CFCC embarked on a five-year project to adapt and grow the national reach of FoodFit. In the first year, we gathered data that informed improvements to the program, its delivery, and its partnerships. In addition, the evaluation strategy itself was re-evaluated to ensure results are useful, meaningful to various audiences, and streamlined to prevent fatigue. In an interactive, story-based presentation, CFCC’s FoodFit team will share our 2016 findings and highlight different strategies and approaches for effective and efficient evaluation. Participants will also gain tips on re-evaluating their own methodologies.

Presenters: Trace MacKay, Program Evaluation Consultant, Community Food Centres Canada; Alissa Vieth, Health Promotion Manager, Community Food Centres Canada
Audiences: Front line/clinical and/or program staff; Policy makers; Program management


B4 - Making Use of Data to Drive Practice Improvement
Administrators and clinicians working in primary care practices are dedicated to quality care but often lack access to data to inform their quality improvement efforts. To address this issue, Health Quality Ontario (HQO) has developed audit and feedback reports that provide comparable regional and provincial data to guide primary care practice improvement. HQO collaborated with the Association of Ontario Health Centres and the Association of Family Health Teams of Ontario to develop a group-level Primary Care Practice Report. The report provides Executive Directors in CHCs and FHTs with access to aggregate organizational-level data. This hands-on session will provide information on the use of this administrative data to drive practice quality improvement.

Presenters: Wissam Haj-Ali, Senior Methodologist, Health Quality Ontario; and Jennifer Rayner, Research and Evaluation Lead, Association of Ontario Health Centres
Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management; Administration


C7 - How to get results: Lessons from a Collaborative’s journey in using QI to increase cancer screening rates, create clinical efficiencies, improve collection, standardization and use of high quality data, and screening more hard-to-reach clients
Faced with pressure to improve performance, seven CHCs in the west end of Toronto formed a QI collaborative (WEQI). Initially, the goal was to increase panel size, which soon evolved to choosing cancer screening as an entry point into collaborative QI. As a result of this QI work, the CHCs showed significant improvements in cancer screening rates, improved outreach to hard-to-reach populations, and clinical time efficiencies.

This learning session will:

  • Demonstrate the value of a collaborative approach to QI 
  • Share lessons learned about QI
  • Share leading practices in cancer screening 
  • Discuss equity approaches to cancer screening

Presenters: Tammy Décarie, Director of Health Services, Davenport-Perth Neighbourhood and Community Health Centre; Axelle Janczur, Executive Director, Access Alliance Multicultural Health and Community Services; Amy Huang, Medical Secretary, Access Alliance Multicultural Health and Community Services; Faten Mitchell, Quality Improvement Advisor; and Rima Al-Dajani, Business Intelligence Systems Business Analyst, Association of Ontario Health Centres
Audiences: Front line/clinical and/or program staff; Senior management


D6 - Innovation, Research and Learning: Building a Learning Health System
A learning health system involves clients and providers working together to co-produce new knowledge and share decisions regarding best evidence (Institute of Medicine). It drives discovery, new knowledge, increases innovation, quality, safety, and does this in real time. Community Health Centres are ripe to become a learning health system and have all of the necessary components to broadly implement a research and quality program that will lead to improved health outcomes for the clients and communities served. This session will review the proposed research program, discuss important questions/outcomes to explore, and identify activities/initiatives that will encourage ongoing participation.

Presenters: Jennifer Rayner, Research and Evaluation Lead, AOHC; and Merrick Zwarenstein, Professor and Director, Centre for Studies in Family Medicine, Western University
Audience: All audiences


D10.2 - Demonstrating Value: A case study from Gateway CHC’s Oral Health Suite featuring tools and techniques you can use to collect and report effectively on your data and client experience
Gateway CHC has fully integrated their Oral Health Suite processes with their interprofessional team, which include their own oral health intake template, an integrated intake process, and a data to decision framework, among others. In this session, learn about the new system Gateway CHC developed to demonstrate how the dental suite is meeting the needs of vulnerable people in the community, improving health and wellbeing by connecting people to other CHC programs, and generating a positive return on public investment.

Presenters: Julia Swedak, Director of Quality and Knowledge Management, Gateway CHC; and Emily Rashotte, Director of Primary Health Care, Gateway CHC
Audience: All audiences

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Maximizing community governance

A1 - Inclusive Leadership in Community-Governed Healthcare
Community-governed healthcare organizations serve and employ an extremely diverse population. It is crucial that the leaders of such organizations are themselves diverse, inclusive, and aware of their distinctive role in creating a barrier-free and anti-oppression community healthcare organization that serves everybody. This session will present a diverse panel of board directors and organizational leaders who will share their experiences, strategies, and the effective outcomes of inclusive leadership in the community-governed healthcare sector. The audience will engage with the panel and discuss tangible inclusive leadership strategies based on the benefits and challenges of a governance board that reflects the intersectionality of the community served by their organizations.

Presenters: Cathy Winter, Program Manager, DiverseCity onBoard, The Chang School, Ryerson University
Audience: All audiences


B1 - Enterprise Risk Management
There is risk associated with virtually any activity undertaken by a healthcare organization. Any one risk can impact the organization in a multitude of ways, for example: operational, financial, legal, community relations, to name a few. The health sector has been increasingly focusing on effective risk management and governance. This session will cover the Enterprise Risk Management (ERM) approach to risk governance which helps the Board and senior management to identify areas of vulnerability on a regular basis and to effectively manage risk.

The discussion will cover:

  • What is ERM? 
  • How can risks be addressed from an enterprise perspective? 
  • Development and implementation of ERM tools and frameworks 
  • The role of management and the Board in ERM and governance

Presenter: Karima Kanani, Partner, Miller Thomson LLP
Audience: All audiences


B12- Where are we now, and where do we need to go? Board Leadership for Equity & Inclusion 
This year the AOHC is working with DiverseCity onBoard and Health Nexus to strengthen the capacity of AOHC member organizations’ Boards in terms of equity, diversity and inclusion. A provincial survey was conducted in May 2017 to identify strengths and benchmark needs for Board support. This will be a highly interactive workshop where board members will share and learn about leading inclusive leadership practices. The workshop will also include self-reflection activities designed to strengthen self-awareness of equity and social location, as well as exploring the implications for Board roles. The Health Equity Charter will be a key tool used in this session to better understand how boards are bringing the commitments to life. Participants will also have an opportunity to provide direct feedback to help shape resources and tools which are currently being developed specifically for Boards.

Presenters: Anu Radha Verma, Inclusive Leadership Project Coordinator, Association of Ontario Health Centres with Heidi Schaeffer, Knowledge and Learning Lead, Association of Ontario Health Centres
Audience: Board Members


C1 - Patients First: An Update on the Changes to the Ontario Healthcare System - Six Months Later
This session will briefly review the Patients First Act and its impact on the organization of the Ontario healthcare system. The speaker is one of a limited number of lawyers focused on health system integration and reform, and he will share his first-hand experience with participants including:

  • enhanced powers of the MOHLTC and LHIN 
  • the formation of Health Shared Services Ontario and the takeover from OACCAC 
  • the dismantling of CCACs 
  • voluntary integrations 
  • key lessons learned from community-based governance 
  • risks, tips and traps of a broad-based community membership model

Presenter: Nick G. Pasquino, Partner, Borden Ladner Gervais LLP
Audience: Senior management; Board members; Administration


D1 - Executive Director Succession Planning Experiences
This session will cover ED succession - the challenges and approaches to finding a replacement for the key (and only direct) Board employee. This will include: 1. A review of the key skills and attributes required for success as a CHC Executive Director and the selection approaches used to confirm those attributes for selection of the best candidate. 2. Perspectives of Board members from two CHCs who have replaced their EDs within the last two years through different approaches.

Presenter: Richard Gerson, Chair, Woolwich CHC, Board Member AOHC; Melanie Hill, Vice Chair, Guelph CHC; and Steven Goodine, Chair, London InterCommunity Health Centre
Audiences: Senior management; Board members


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