Professional Documents
Culture Documents
HEALTH EQUITY
the
PUSHING BOUNDARIES
Association of Ontario Health Centres (AOHC) 2010 Conference
June 10 & 11, 2010 Sheraton on the Falls, Niagara Falls, Ontario
MESSAGE FROM THE PRESIDENT
When we began to think out loud about this year’s theme, the language we used was anti-oppres-
sion. AOHC’s work is guided by an anti-oppression framework that calls on the Board to commit
itself to embedding anti-oppression in all aspects of its governance policy, processes and practices.
Oppression was seen as manifest in racism, sexism, homophobia, heterosexism, transphobia, age-
ism, ableism and other forms of social exclusion; that it is pervasive, restricting, hierarchical and
dominant. The Board’s commitment is to increase access, participation, equity, inclusion, social
justice – eliminating barriers to full participation.
But we had to change the language; replacing it with ‘Health Equity’. But the pushing must and
will continue. Pushing ourselves to name the oppressions that create barriers to accessing the care
that people need. Pushing ourselves to recognise the good work that we are doing in the elimina-
tion of those barriers and to do more and to do better. To acknowledge our part in maintaining
those barriers.
Difficult topics to grapple with, no doubt. And so we have worked hard to create a conference with
a difference – with liberal use of drama and storytelling, leavened with workshops that will satisfy
those who want to roll up their sleeves and those who are beginning to consider the issue and
those who simply want to learn. In the course of the two days, there will be multiple opportunities
for you to submit input to what will become a sector-wide charter on health equity – rather like
the Model of Care Charter that has clarified our common vision of who we are and what we do. This
is a continuation of that work. Because Every One Matters. Every single One.
Looking forward to meeting each and every one of you as we continue this rather important and
significant journey.
HEALTH EQUITY
the
PUSHING BOUNDARIES
Welcome to our conference with a difference
At this year’s gathering we’re taking three different approaches to interact with delegates and get
our message out to the wider world about the importance of increasing health equity in Ontario:
Creating a Health Equity Charter: We’re harnessing the energy and ideas you’re bringing to
the conference to create a Health Equity Charter. During the conference, you will be asked to
provide your input. At our final plenary session we’ll unveil the results of our efforts.
Dramatic presentations: Two of our plenary sessions will include a short dramatic perform-
ance that complements our selected theme. Programmed throughout the two days will be “snap-
shots”, brief pieces of theatre. And a large part of one plenary will be interactive.
2:30 pm Break
2:45 pm WORKSHOPS B
Thursday, June 10th, 2010
4:45 pm NETWORKING SESSIONS: CFHTs, Communica-
7:00 am REGISTRATION tions Leads, eHealth/IM Professionals, Health
Promoters, LGBTQ, New CHCs, Nurses/Nurse
7:30 am Buffet Breakfast Practitioners, Physicians, Program Managers,
Social Workers
8:00 am EXHIBITS AND POSTER SESSIONS OPEN
or
5th floor
TOUR: Learn all about the newly-opened
8:30 am OPENING PLENARY Niagara Falls Community Health Centre
The Curtain Rises: Act I: The Players and the 20-year-old Centre de santé
communautaire Hamilton/Niagara which
Greetings from Niagara Falls Mayor Ted Salci is located in Welland, about 15 kilometres
from the falls. Along the way, you’ll hear the
Welcoming remarks from Joan Lesmond, history and health equity challenges of the
President, AOHC changing neighbourhoods.
DRAMATIC PRESENTATION: Six people,
6:30 pm AWARDS BANQUET DINNER
six stories
Enjoy a magical evening with multi-
COLOUR CODING: A SORRY STATE talented, singer-songwriter Ken Medema.
Blind from birth, Ken uses his heart to
Celebrated film-maker, Mitch Miyagawa,
listen to the stories of people in his
maps out our Canadian story of racism,
audience; then, using his amazing
colour coding and exclusion and the
improvisational gifts, he sings their
apologies that have not made the past
story back.
go away.
9:30 pm DANCE
■ Snapshot: Speak white, eh?!
BOARD WORKSHOPS
A1 Board staff dialogue: facilitating B13 BOARD SUMMIT C25 DiverseCity on board
beyond diversity
C26 Community governance and
A2 Everything boards need to know health equity: the role of
about the Accessibility for board in setting and monitoring
Ontarians with Disabilities Act an equity agenda
A4 How to win advocacy campaigns B14 Root causes: poverty and racism C28 Measuring progress towards
for positive social change and the impact on health LGBT cultural proficiency
A5 A place to go when you have B15 Un/Settling: creating space C29 Accessible AIDS treatment
no voice: evaluating a Family for hope, safety and belonging and community empowerment
Mentor Program through expressive arts therapy strategies for newcomers and
programming with LGBTQ the uninsured.
A6 Engaging and supporting newcomer women
ethno-cultural communities C30 Getting ready for the new
in health equity work B16 Hidden secrets in your CHC Accessibility for Ontarians
with Disabilities Act
A7 Every one has a voice at the B17 Health for all
table: sharing the journey of C31 Drugs, homelessness and
SEOCHC to become an inclusive B18 Strengthening mental health in health: homeless youth speak
organization cultural linguistic communities out about harm reduction
A8 Youth feel it, too! Programming B19 Engaging residents in C32 Liberated communities:
for youth who feel oppressed leadership training bringing anti-racism back
A9 Is this your Canada? B20 The successes of the South Asian C33 Using research to inform
Challenging the systemic racism Diabetes Prevention Program and increase equity
affecting First Nations children
B21 Newcomer Women’s Services C34 SexAbility
A10 Growing Healthy: connecting (NEW) – a sharing circle on
services to priority families reproductive health C35 Anti-Oppression 101
with young children
B22 “Check it out: queer women C36 Building on what we know:
A11 Reviewing and revising BHO need paps, too!” developing a strategy to
Accreditation Program support collective learning and
Standards: What do you think? B23 Connecting services to the innovation in health equity
uninsured: how to create across the CHC sector
A12 Le modèle de l’anti-oppression: agreements with hospitals.
son application dans une
perspective Francophone, B24 Addressing culturally
gaie et séropositive. and linguistically rich
communities: Best Start
This workshop presents a method to facilitate board-staff Building successful advocacy campaigns without enjoying
dialogues about cultural competency and diversity. the benefits of political, financial or social power forms the
Participants will explore a process used in 2009 which theme of this workshop. Participants will explore a range of
enabled staff and board members to directly acknowledge case studies and will also learn about an advocacy frame-
when racism occurs, and assisted them to engage meaning- work that can be applied in any community situation
fully in conversations about race. where a campaign for positive social change is required.
Presenters will also provide an overview of resources and
The workshop is based on a process Centretown Community
literature that can be used when planning winning advo-
Health Centre applies annually to encourage a more
cacy strategies.
inclusive workplace. Workshop presenters will describe the
planning steps, the role of staff team facilitators, and tools
used to facilitate discussion. They will describe community
context that shaped discussion, as well as the lessons A5 A place to go when you have no voice:
learned and recommendations to improve the process. evaluating a Family Mentor Program
Barrie Community Health Centre: Lorna Avery Cooper, Community
Health Worker – Coordinator of Mentor Program; Students from
A2 Everything boards need to know about the
Lakehead University’s Department of Social Work
Accessibility for Ontarians with Disabilities Act
Learn about an evaluation of a program that matches
Tracy MacCharles, Past Chair of the Accessibility Standards Advisory
young parents with mentors. The mentors enable the
Council of Ontario
parents to access information on basic parenting skills,
This workshop offers an overview of the new Accessibility community services and programs. Mentors also accom-
for Ontarians with Disabilities Act (AODA), as well as the pany families to appointments, and to programs and
implications for health providers as new standards covering services throughout the community. Program participants
customer service, buildings, transportation, employment, tend to be young moms who request assistance and support
information and communications are introduced. This to maneuver through our various social systems. This
workshop will provide practical advice and discussion workshop will provide an overview of the program, the
opportunities on how to prepare and implement compli- evaluation methodology and the results of an evaluation
ance with the many changes required under the new Act. conducted by four placement students from Lakehead
University’s Department of Social Work.
This interactive workshop explores the actions taken by a Empirical studies and experience have shown that engaging
community-governed board to address inequities caused by and empowering ethno-cultural communities is one of the
poverty. One of the poverty committee’s goals is to make most effective tools in achieving access and equity for these
recommendations to the Board that include actions to communities. For many organizations today, the question
is how to engage ethno-cultural communities / get engaged A8 Youth feel it, too! Programming for youth
with them in the health equity work. This interactive who feel oppressed
workshop will present three working models that have
successfully addressed this question by building on com- Jim Clendinning, Registered Social Worker; Elizabeth Russell,
Registered Nurse; Amy Nagel, Health Promoter; Ellen Jones,
munity strengths and wisdom. Participants will learn about
Registered Social Worker, The Youth Centre
culturally-competent engagement strategies for volunteer
leaders as well as appropriate anti-oppressive and culturally- Youth readiness to access health care can be impeded by
competent workplace practices needed to ensure a safe and mechanisms of oppression, domination and injustice.
respectful work environment and experience for everyone. Youth are often thwarted by adultist, social and economic
The second half of the workshop will focus on engaging forces. In an adult-driven culture, youth have little voice to
and supporting ethno-cultural youth and will also provide identify their needs and are sometimes silenced by stereo-
practical tools that may be used to initiate similar programs typical views and systemic barriers. Societal views of teenage
at your CHC. Come and listen to ethno-cultural volunteer pregnancy are critical of the individual decisions each
leaders who are determined to push the boundaries to women makes. LGBT youth feel oppressed by the dominant
increase health equity and equitable access for their heterosexist views of what normal sexuality is. Young males
communities. demonstrate a gender-based stereotypical identity that values
toughing it out and avoiding health care involvement. In a
communication-obsessed culture, shy youth are disadvan-
A7 Every one has a voice at the table: sharing taged, unable to adequately connect with their peers. The
the journey of SEOCHC to become an inclusive stigma of associated with mental illness discourages mentally
organization ill youth from seeking treatment.
South East Ottawa CHC: Leslie McDiarmid, Executive Director; The Youth Centre emphasizes the development of programs
Mohamoud Hagi-Aden, Community Connections Coordinator and services to address the barriers that impede youth
access to participation in health-promoting activities. The
South East Ottawa Community Health Centre continually Centre’s programs and services positively affect youth’s
strives to be an inclusive organization and uses a multi- learned views of adult health care providers and improve
faceted approach to achieve this outcome. This workshop their resiliency in oppressive circumstances. Programs to be
will outline the process and the pitfalls to becoming an highlighted include: Pride Prom, Conversation Skills Group,
inclusive organization where Every One feels that he/she Young Parent Support, Young Males’ Health workshop,
has a voice and can contribute to the vibrancy and effect- Talking About Mental Illness in schools and clinical
iveness of the organization. programming.
The SEOCHC journey had a number of distinct but comple-
mentary approaches to “inclusiveness” that included:
consultation with key stakeholders during our strategic A9 Is this your Canada? Challenging the systemic
planning process (e.g. community members, partners, staff, racism affecting First Nations children
volunteers); compilation of a community profile to inform
Melanie Ferris, Aboriginal Health Promotion Consultant,
hiring, program planning, implementation and evaluation;
Best Start Resource Centre at Health Nexus
organizing multicultural community forums; completion of
a yearly staff survey to determine a linguistic and cultural This session will help participants better understand the
profile of staff and identify competencies and gaps; organ- systemic barriers that First Nations people face in trying to
ization of yearly staff training on cultural competency and lead healthy lives in Canada. It will also provide insight
diversity; a comprehensive and systemic review of policies into how governments allow these barriers to continue
and procedures particularly those pertaining to diversity; despite their adverse effects on the health of Aboriginal
and the formation of a Multicultural Advisory Group to children, their families and their communities. The work-
advise Board and management on policy development, shop will offer concrete steps ordinary Canadians can take
hiring practices, and access of services, etc. The Centre to support Aboriginal People’s fight for equity. A major
embarked on this journey to create a welcoming and focus of the workshop will be the groundbreaking work
inclusive environment where Every One feels as though being done by Dr. Cindy Blackstock who has been a leader
they Matter. While these endeavours have been successful, in challenging the federal government’s inequitable
the Centre continues to challenge itself to further improve practices. Through a partnership with the Assembly of First
its service delivery capacity and create a healthy and Nations, Dr. Blackstock has launched one of the very first
equitable environment for all. human rights tribunals against the federal government.
A10 Growing Healthy: connecting services to priority oppression est le plus approprié dans les environnements
families with young children sociaux définis par la multiplicité des identités.
Tara Templin and Wanda Romaniec, Carlington CHC; Annie Lachance, Or plusieurs analysent ou, nous devrions dire, limitent
Overbrook-Forbes Community Resource Centre l’application du modèle à quelques marqueurs identitaires
qu’ils rencontrent le plus fréquement dans leur pratique
There is strong evidence to support the effectiveness of quotidienne tels que la race, le genre, le statut socio-
early childhood health and social programs. They promote économique. Ce réflexe est plus que compréhensible
children’s healthy growth and development, and allow for puisque les intervenants de première ligne travaillent le
the early detection, prevention and treatment of illness plus souvent avec les individus s’identifiant aux marqueurs
and developmental delays. Despite the availability of these ci-haut mentionnés.
services in Ontario many families do not access them,
which possibly accounts for at least some of the continued Cependant, limiter le modèle anti-oppression prouve une
disparities in early childhood developmental outcomes. A incompréhension dans son application.
two-year “Growing Healthy” pilot project was conducted in Cette conférence démontrera comment le modèle de l’anti-
two Ottawa communities, selected according to specific oppression s’applique aux communautés francophones
health and development outcomes that can be influenced minoritaires, puis s’attardera à démontrer son application dans
by intervention. This workshop will present and discuss the une perspective de l’intersection des marqueurs identitaires de
evidence from the pilot project, which aimed to improve l’orientation sexuelle, des handicaps, de la race, du niveau
equity and access to preventive services for priority families socio-économique, et géographique. Bref, nous présenterons
through inter-organizational integration. Participants will une approche fondée sur la géographie des identités.
hear how targeted organizational and system level integra-
tion interventions have improved priority families’ access
to care.
A11 Reviewing and revising BHO Accreditation SESSION B: Thursday, June 10th 2:45-4:45 pm
Program Standards: What do you think?
See Workshops at a glance insert for locations.
Barbara Wiktorowicz, Executive Director, COHI
racism. The workshop will help to advance understanding of providers and community members in identifying anti-
the “inner city” context and the interplay between racism, oppressive, inclusive practices for implementing arts-based
poverty and health. It will engage participants in a discus- programming to address the needs of LGBTQ women
sion of the findings and implications of a recent Inner City (including isolation, experiences of violence, migration
Health Strategy Working Group study that examined the and exclusion).
impact and lived experience of racism and poverty on the
A key focus of the workshop will be Access Alliance’s
health of individuals in four inner city settings: Hamilton’s
comprehensive care pathway approach that combines
downtown urban core and the communities of Malvern,
individual support, community development and com-
Parkdale, and Rexdale in the City of Toronto.
munity health programming often conducted in partner-
ship with other community-based agencies. The workshop
will share selected key research findings that have emerged
B15 Un/Settling: creating space for hope, safety from the program. Participants will leave with a greater
and belonging through expressive arts therapy understanding of key considerations for developing and
programming with LGBTQ newcomer women implementing programs for LGBTQ newcomer, immigrant
and refugee women.
Access Alliance Multicultural Health and Community Services:
Roxanna Vahed, Community Health Worker/Stepping Up Project
Coordinator
B16 Hidden secrets in your CHC
This workshop will introduce participants to an expressive
Wendy Talbot, Executive Director, NorWest CHC
arts-based program for newcomer, immigrant and refugee
lesbian, bisexual, queer, questioning women – inclusive of The staff in your Community Health Centre is one of your
cisgender, transgender and transsexual women, as well as most important assets. Do you know who they are? Our
women with trans experience in Toronto. This program, health centres are diverse and complex. They represent
part of the Stepping Up project, has engaged service many cultures, levels of education, income and accessibility
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challenges. Within health centres, there is one population A major focus of the workshop will be the encouragement
that may be hiding, unrecognized, marginalized, or worse, of community mental health leadership and the use of
discriminated against. These people are in your staff teams, mental health navigators. The workshop will also feature
they are your clients. They come in all colours, genders, ages, lessons learned concerning the role of culture in mental
shapes and sizes. They are gay, two-spirited, lesbian, bi and health, and the importance of building reciprocal collabora-
Trans and are everywhere. tion between mental health organizations/practitioners and
cultural linguistic communities.
CHCs are leaders in dealing with differences, so why is this
population still marginalized? Why is it okay to discriminate
against us and why do some CHCs make excuses for it?
Religious or cultural differences are not an excuse. If we
B19 Engaging residents in leadership training
condemn discrimination based on skin colour, the shape New Heights CHC: Judith Otto, Community Health Worker; Maleda
of ones eyes or language then why is it still okay to malign, Mulu, Community Health Worker
hate and hurt LBGT people? This workshop will address Participant Testimonials: Community Residents Denise Earle, Said
these issues. Mohammed and Daffodil Davis
users, development of a peer leader mentorship program for Presenters will make the case that structural racism in
people with HIV/AIDS and development of a knowledge general and anti-black racism in particular undergirds
transfer ambassador program through CAAT’s community- health inequities and serves as a primary pathway through
based action research study on improving mental health which other health determinants are experienced.
service access for immigrant and refugee PHAs. Transferable Workshop participants will gain an understanding of
models and tools will be shared. Participants will be invited racism’s impact on the physical and emotional health of
to share their insights and experiences on the topic. youth. It will outline TAIBU’s response – the development
of two youth-inspired initiatives developed using an
anti-racism/anti-oppression lens. “Liberated Minds” is
C30 Getting ready for the new Accessibility for designed to equip young Black men with the understand-
Ontarians with Disabilities Act ing, skills and self confidence to circumvent barriers created
by racism and “Bringing Sexy Back: A Sexual Health Guide
Fran Odette, Program Manager and Penny Schincariol, Accessibility to Love, Sex and Relationships” uses theatre to influence
Consultant, Springtide Resources Inc. (formerly Education Wife Assault) the sexual practices of racialised urban youth.
This workshop focuses on how to get ready for the new
Accessibility for Ontarians with Disabilities Act. It will
highlight lessons learned from the Women with C33 Using research to inform and increase equity
Disabilities and Deaf Women’s Program of Springtide Women’s Health in Women’s Hands; Wangari Tharao, Programs and
Resources which, for the past four years, has designed and Research Manager; Marvelous Muchenje, Project Coordinator
delivered accessibility audits to woman abuse services.
Through the audits, agencies can begin to identify strat- This workshop explores an evidence-based intervention to
egies to implement Customer Service Standards and support African, Caribbean and Black (ACB) women in
Information and Communication Standards. Using case disclosing their HIV status to all relevant parties. The
studies, workshop participants will identify structural and intervention helps reduce the stigma and discrimination
organizational barriers that impact on access to services associated with HIV disclosure to increase access to services.
for people with disabilities/Deaf people. They will also be It comprehensively addresses the socio-cultural context of
invited to share their own best practices that break down non-disclosure, i.e., community concerns, partnership and
barriers to access. safety concerns and challenges experienced by ACB women
when accessing various service sectors, e.g., child protection
services, department of public health, health care and the
C31 Drugs, homelessness and health: homeless youth employment sector (often due to lack of specific systemic
speak out about harm reduction information and individual rights). The intervention will
build support mechanisms to support women going
Lorraine Barnaby, Health Promoter, Central Toronto CHC; through the process of disclosure.
Val Fuhrmann and Matt Johnson, Peer researchers
This poster focuses on the Integrated Holistic Model used by Punjabi Community Health Services.
The model addresses the issues of access, culturally appropriate interventions, inclusion of family
in the treatment and recovery, and addresses the issues of confidentiality and ethics.
This poster will highlight how the Diabetes Education Program of WHIWH CHC provides diabetes
care and support for women who are non-insured. Diabetes care requires extensive monetary
resources that non-insured individuals lack. The challenges that non-insured individuals face and
the success these individuals have at diabetes self-management will be presented as well. Also high-
lighted will be the key advocacy steps WHIWH has taken to provide equitable diabetes care to black
women and women of colour who are non-insured.
This poster will highlight breastfeeding services and clinical practices of the four Community
Health Centres within the Waterloo Wellington Local Health Integrated Network. It will also present
the criteria, indicators and assessment processes for accreditation by WHO/UNICEF Baby-Friendly
Initiative (BFI). The concept of a regional approach to implementing BFI among health centres
within the LHIN is new. The Baby-Friendly Initiative embodies the principles of health equity and
cultural competence by creating a care environment that protects, supports and enables all peoples
to be successful in breastfeeding. It creates cultural and institutional change that supports this level
of competence.
Learn about this holistic approach to prevention against illicit substance misuse amongst youth.
Visit ALL our exhibits and enter to win an overnight stay in Niagara Falls
Your delegate package includes an “Exhibit Passport”. Drop your completed passport off at the designated area at
When you visit the exhibit area on the 5th floor, make sure the Registration Table. Don’t miss this great opportunity for
you get your passport signed by each exhibitor. Passports a free stay at the Sheraton!
that are signed by every exhibitor will be entered into a
random draw to win a complimentary gift certificate for
an overnight stay for two at the Sheraton on the Falls
(breakfast included). Exciting prizes –
Check the Conference at a Glance insert for a full Three chances to win!
listing of times that the exhibit area will be open.
EatRight Ontario
2. Submit your conference evaluation for a chance
Health Force Ontario to win a desktop printer from Dell
Healthcare of Ontario Pension Plan (HOOPP) Complete and drop your conference evaluation
form at the designated area at the Registration
Heart & Stroke Foundation
Table for your chance to win a brand new desktop
Interware Systems Inc. printer from Dell Canada.
JIG Technologies
3. Final Plenary door prize: Charity Village Campus
Loftus Allen & Co
e-learning bundle worth $500
Niagara Region Public Health/Canadian Cancer
Be sure to attend the final plenary session on Friday
Society Smokers’ Helpline
for your chance to win a five-course e-learning
Ontario Chiropractic Association bundle from Charity Village, worth $500.
Ontario Dental Hygienists Association Campus e-learning provides employees, volunteers
and board members with skills and training they
Purkinje
can use immediately, chock full of solid information
TCN Systems Group Ltd. and practical resources that can be downloaded and
TeleVox ready for use.
The AOHC would like to thank the following sponsors and donors for
their support of this year’s conference:
SP ONSOR S DO NO RS
LEVEL 2 ($10,000 +)
Charity Village
A.W. Schreiber Benefit Consultant Ltd.
CIBC
LEVEL 3 ($5,000+) Dell Canada
Desjardins Financial Security Green Shield Canada
PSTG Consulting