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CONFERENCE GUIDE

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

Health equity: pushing the boundaries and leading


the way beyond

Welcome to the expanding frontiers of health equity!


It’s been an interesting year of exciting undertakings by the govern-
ment – the Mental Health and Addictions Strategy, diabetes teams
expansion, low-income dental roll-out, the beginnings of a social as-
sistance review – as well as some setbacks, many of which have been
laid at the feet of a global financial crisis. And we are seeing the results
on the front line. In response, advocacy is increasingly taking its place
at the heart of who we are as providers, administrators and cheer- Joan Lesmond, AOHC President
leaders of community-governed primary health care.

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.

Sounds like us, all right.

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.

Sincerely and respectfully,

HEALTH EQUITY: PUSHING THE BOUNDARIES 1


AOHC CONFERENCE 2010

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.

Social media story-telling and charter-building: A social media story-gathering team is


joining us to gather insights and information to feed into the development of the health equity
charter we are crafting. They’ll help us create an interactive conference environment and also get
the health equity message out to the wider world in the days to come.
Watch out for our four-member reporting team – equipped with their cameras, iPad, iphones,
and laptops. They’ll be seeking your insights on how the conference is going. And be prepared to
put your own cell phones, blackberries, cameras and laptops to work developing our new health
equity charter.

Social Media Cheat Sheet


• View and comment on real-time coverage of the conference:
www.aohcconference2010.posterous.com
• Share your conference photos: upload to your Flickr account
and tag photos using aohc2010
• Share your experiences and thoughts: use your Twitter account to
"tweet" throughout the conference using the hashtag #aohc2010
• Help create our health equity charter: visit our wiki platform
via your smartphones, laptops or our “charter café” at
www.aohcconference2010.pbworks.com.
Login email: aohcconference@gmail.com
Password: healthequity
For more details on what these tools are and how to use them,
please see your social media story-telling and charter-building
insert or visit the Communications and Social Media table just
outside the main conference hall.

2 HEALTH EQUITY: PUSHING THE BOUNDARIES


CONFERENCE PROGRAM

Wednesday, June 9th, 2010 9:45 am Break

4:00 pm AOHC CONFERENCE and AGM REGISTRATION 10:00 am WORKSHOPS A


3rd floor
12:00 pm LUNCHEON
3:00 pm WELCOME RECEPTION FOR CENTRES’ Award ceremony
BOARDS OF DIRECTORS and live music
from the James Anthony
Upper Fallsview Studio A, 5th floor
Blues Society
All Board members from Community Health
Centres, Community Family Health Teams and
Aboriginal Health Access Centres are cordially
invited to attend this reception and meet other 1:15 pm PLENARY II
Board members from across Ontario. Act II: Stigma: marked, labelled, disappeared

7:00 pm ANNUAL GENERAL MEETING ■ Snapshot: I’m Still here…


Great Room B/C, 3rd floor
(pre-registration required) Pulling Back the Veil on Stigma

Dalhousie University’s Wanda Thomas


9:00–10:00 pm RECEPTION Bernard explores the importance of
Launch of video: Ontario’s Community Health understanding, and being conscious of,
Centres: Every One Matters stigma and how it impacts on the lives
Fallsview Studio A/B/C, 3rd floor of the stigmatised.

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?!

HEALTH EQUITY: PUSHING THE BOUNDARIES 3


CONFERENCE PROGRAM

12:30 pm LUNCH AND KEYNOTE ADDRESS


Friday, June 11, 2010
The Honourable
David C. Onley,
7:00 am REGISTRATION Lieutenant Governor
of Ontario,
7:30 am Buffet Breakfast will deliver the
keynote address.
8:00 am EXHIBITS AND POSTER SESSIONS OPEN
5th floor
2:00 pm PLENARY IV
8:30 am PLENARY III
Act IV: So What??
Act III: Paedagogy of the Privileged

With the help of Dr. Margaret Where to from here? Taking


(Peggy) McIntosh, distinguished leadership in Health Equity in Ontario
author of ‘Unpacking the Invisible
The Wellesley Institute’s Bob Gardner,
Knapsack’ and Professor at the
who has prepared a health equity plan
Wellesley College Center for
for the Toronto Central LHIN, leads a
Research on Women (Massachusetts),
discussion on how to take leadership on
participants will examine privilege
health equity.
and unearned merit and how they
get in the way of breaking down
REFLECTIONS ON THE CONFERENCE
the barriers that stand in the way
of making progress on health equity.
Our program concludes with insights and
She is joined by Notisha Massaquoi,
learnings from Wanda Thomas Bernard
the Executive Director of Women’s
and Uzma Shakir, Atkinson Charitable
Health in Women’s Hands.
Foundation fellow and advisory board
member for the Colour of Poverty.
■ Snapshot: Life in a wheelchair: Look me in the eye
UNVEILING THE CHARTER: AOHC President, Joan Lesmond,
■ Snapshot: Unearned privilege: I’m OK
presents the results of our two day effort to create a health
equity charter.
10:15 am Break
3:30 CONFERENCE CLOSES
10:30 am WORKSHOPS C

Don’t forget your headsets for real time interpretation!


The plenary sessions for this conference are bilingual (English / French). Remember to pick up your
headset from the AudioVisual booth at the back of Great Room B/C. You will be asked to leave a
piece of identification with staff during the times you are using the headset.

The AOHC promotes a Scent-Free Workplace


In consideration to those who are sensitive to chemicals, AOHC
kindly asks you to refrain from wearing perfumes, colognes and
other scented products at its office and its events.

4 HEALTH EQUITY: PUSHING THE BOUNDARIES


WORKSHOPS AT A GLANCE
AOHC CONFERENCE 2010

Session A Session B Session C


Thursday, June 10th 10 am-12 pm Thursday, June 10th 2:45-4:45 pm Friday, June 11th 10:30 am-12:30 pm

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

A3 Poverty excludes participation: C27 Les services de santé en


one board’s initiatives to français : Donner forme
reinforce authentic participation à l’équité en santé dans
l’environnement des RLISS

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

HEALTH EQUITY: PUSHING THE BOUNDARIES 5


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

empower community members living in poverty so they


SESSION A: Thursday, June 10th 10:00 am-Noon can fully participate in decisions about their own health.
The workshop will outline the mandate, goals, progress and
See Workshops at a glance insert for locations. lessons learned by the Board committee. It will also offer
details on developing an organizational poverty audit.
Participants will be invited to discuss how the boards at
A1 Board staff dialogue: facilitating beyond diversity other organizations might design similar action plans.
Centretown CHC: Alex Roussakis, Vice President; Christina
Marchant, Director of Community Health Promotion and Early Years
A4 How to win advocacy campaigns for positive
Active and engaged board and staff are essential elements
social change
in enabling Community Health Centres to improve cultural
competence and diversity. LAMP Community Health Centre: Russ Ford, Executive Director, LAMP

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.

A3 Poverty excludes participation: one board’s


initiatives to reinforce authentic participation A6 Engaging and supporting ethno-cultural
communities in health equity work
Lanark Health and Community Services: Jean Dunning, Chairperson;
Mary Gilmour, Past Chairperson; Kara Symbolic, Hinda Goldberg and Jointly presented by Kitchener Downtown Community Health Centre,
Donna Davidson (LHCS Staff) Kitchener and Pinecrest Queensway Community Health Centre, Ottawa.

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

6 HEALTH EQUITY: PUSHING THE BOUNDARIES


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

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.

HEALTH EQUITY: PUSHING THE BOUNDARIES 7


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

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

The Building Healthier Organizations (BHO) Accreditation


Program Standards and processes are currently being B13 BOARD SUMMIT
reviewed and revised. This workshop is an opportunity for
Board members of Community Health Centres, Community
those participating in BHO to provide input about how the
Family Health Teams and Aboriginal Health Access Centres
BHO Standards and processes should be revised, focusing in
will have an opportunity to talk about issues of concern.
particular on how they could be enhanced to better support
organizations in efforts to provide services equitably. This is
a participatory workshop. Key questions will be posed to
stimulate participants’ discussion, along various dimen-
B14 Root causes: poverty and racism and the impact
sions, including policy/leadership level measures, service on health
accessibility measures and HR measures that impact the Denise Brooks, Hamilton Urban Core Community Health Centre;
promotion of equity. Participants will have an opportunity Floydeen Charles-Fridal, Black Health Alliance; Alexander Lovell,
to hear and discuss each other’s recommendations. Research Associate; Simone Atungo, Community Development and
Integration, Mount Sinai Hospital

The Inner City Health Strategy Working Group is an initia-


A12 Le modèle de l’anti-oppression: son application
tive of Hamilton Urban Core that brings together commun-
dans une perspective francophone, gaie et
ity agencies, advocates, researchers and representatives across
séropositive (in French) four communities of common interest. The Strategy is
Marcel Grimard M.Ed. D. Ed (abt), coordonnateur en santé sexuelle; focused on the impact of poverty, racism and the racializa-
Francoqueer-Action Positive tion of poverty on health and well-being. The pernicious
effects of poverty represent a significant health barrier.
Lorsqu’il vient temps de définir un modèle d’intervention Critical as it is as a determinant of worse health outcomes,
pour les organismes en santé et services sociaux, plusieurs poverty alone does not explain – and, indeed, denies – the
intervenants en viennent à penser que le modèle anti- lived reality of the tens of thousands who are also affected by

8 HEALTH EQUITY: PUSHING THE BOUNDARIES


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

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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HEALTH EQUITY: PUSHING THE BOUNDARIES 9


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

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

This workshop focuses on a leadership training program


designed to offer local residents support addressing the
B17 Health for all critical issues in their lives. In addition to providing
Abeer Majeed MD CCFP, Family Physician, Queen Street West support, the program also encourages community building
Community Health Centre; Ritika Goel MD, PGY-2 Family Medicine, by igniting resident engagement with institutions, polit-
University of Toronto icians, local businesses and other neighborhood residents.
During the workshop, participants in the program will
Currently, only a small percentage of uninsured people in
provide an overview of the process. There will be case studies
Canada can access health care services. Health care is being
and visual presentations from the Lawrence Heights com-
transformed into an apartheid system in which immigra-
munities as well as an analysis of why resident engagement
tion status determines exclusion or inclusion.
in leadership training is so important in building commun-
This workshop explores the role health professionals can ities and facilitating effective leadership. Beyond learning
play in working for positive change, using a social justice about the required components for capacity building,
and human rights framework. Current systems, policies workshop participants will also have a chance to build
and regulations as they impact the health of uninsured action plans to apply in their own community settings.
migrants will be juxtaposed with the right to health
legislated by international law. The extent to which
international law is incorporated into Canada’s constitution B20 The successes of the South Asian Diabetes
and provincial legislation will also be analyzed, particularly Prevention Program
as it affects the health of migrants. Present restrictive
Flemingdon Health Centre: Heba Sadek, Manager, Health Promotion
federal and provincial policies will be contrasted with
and Neil Stephens, Project Coordinator
Canadian values concerning the importance of universal
access to health care. Learn the details of a successful program that prevents
diabetes in the South Asian community and ensures
equitable access to diabetes prevention services. The project
B18 Strengthening mental health in cultural is mounted in collaboration with Social Services Network
linguistic communities and is funded by Toronto Central LHIN. Some features of
the program to be explored include mass screening for
Kitchener Downtown Community Health Centre: Gebre Berihun,
pre-diabetes; language specific and culturally relevant
Health Promoter
workshops; referrals to locally available services and
This workshop focuses on a project targeted at seven resources; and a strong commitment to overcome transpor-
cultural-linguistic communities in the Waterloo Region. tation barriers that keep community members from
The project promotes mental health through capacity accessing the diabetes prevention services they need. The
building, leadership training, education and empowerment. workshop will shed light on the potential of this program
Its outcome: positive change for the cultural linguistic to serve as a framework for implementing targeted, com-
communities, mental health practitioners, and those munity-based, prevention-focused programs through equity
involved in planning for the health and social system. and diversity lenses.

10 HEALTH EQUITY: PUSHING THE BOUNDARIES


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

B21 Newcomer Women’s Services (NEW):


B23 Connecting services to the uninsured:
a sharing circle on reproductive health how to create agreements with hospitals.
Maya Roy, Newcomer Women’s Services and Angela Byam, Simone Atungo, Director, Community Development and Integration,
Newcomer Women’s Services Mt. Sinai Hospital, Toronto; Rick Edwards, Director, Community
This workshop focuses on a community-based, highly Engagement and Urban Health, St. Joseph’s Health Centre, Toronto;
participatory peer-led program that uses a “sharing circle” Linda Gardner, Diversity and Community Access Coordinator, Women’s
College Hospital, Toronto; Sarah Hobbs, Executive Director, Planned
to engage newcomer immigrant women of colour on the
Parenthood, Toronto; Anthony Mohamed, Diversity and Special Projects
sensitive topic of reproductive health. The workshop’s
Coordinator, Inner City Health Program, St. Michael’s Hospital, Toronto;
format reflects the program’s approach: participants will be Angela Robertson, Director, Equity and Community Engagement,
invited to join a sharing circle to talk about the use of Women’s College Hospital, Toronto; Planned Parenthood, Toronto;
feminist methodologies when working with newcomer St. Joseph’s Health Centre, Toronto; St. Michael’s Hospital, Toronto;
immigrant women of colour as well as the systemic barriers Women’s College Hospital, Toronto
standing in the way of newcomer women of colour access-
ing female reproductive health services. Tens of thousands of people living in Ontario lack any kind
of health coverage. Most are newcomers, either waiting to
This workshop will demonstrate how a sharing circle can clear a mandatory three-month waiting period for OHIP
serve as a safe space for newcomer immigrant women and coverage or waiting to claim residency status. CHCs are
will explore the potential of this approach to improve currently the only primary health care setting in Ontario
access to services for newcomer immigrant women of that receives funding to provide the uninsured with access
colour. It will also draw out wider implications for settle- to primary care and health promotion services free of cost.
ment and health service workers, as well as for Canadian This workshop explores scenarios in which these uninsured
health and social policies overall. clients require expensive hospital care.

Facilitators will present examples of five Toronto hospitals


B22 “Check it out: queer women need paps, too!” forging agreements with CHCs so clients can access hospital
services at reduced rates. This session will cover the de-
Arti Mehta, Women’s Programming Coordinator, Planned Parenthood velopment and challenges of developing these agreements.
Learn about a health promotion campaign that challenges It will also explore the evolution of a Toronto-wide agree-
the homophobia and heterosexism in primary health care ment designed to institutionalize the hospital/CHC rela-
settings which all too often prevent lesbian, gay, bisexual, tions and build service consistency for the uninsured client
queer and other women from accessing Pap testing. The population. A sample agreement will be circulated and
campaign educates service providers in delivering culturally- participants will work through a preliminary plan to
competent care and empowers LGBQ women. Workshop prepare for their own hospital/CHC agreements.
participants will gain a thorough understanding of how an
anti-oppression lens can create high impact health promo-
tion campaigns. They will learn inclusive practices for B24 Addressing culturally and linguistically rich
working with LGBQ women and explore the latest research communities: Best Start
finding on LGBQ women and Pap tests. Through role play Dani Grenier-Ducharme, Children’s Services Manager;
they will also learn concrete skills. Ann Batisse, Chair, Aboriginal Network

Since it’s inception in 2005, the Timiskaming Best Start


Exciting prizes – Three chances to win! Network has identified a culturally-competent service system
for children as one of its major priorities. Timiskaming was
chosen as a Best Start Demonstration Site due to being
• Exhibit Passport Raffle – Enter to win an overnight
northern and culturally and linguistically rich, with vibrant
stay for two at the Sheraton on the Falls
Francophone and Aboriginal communities. For the past five
• Submit your conference evaluation for a chance to years, the Timiskaming Best Start Network has embraced the
win a desktop printer from Dell concept of full recognition of language and culture. More
recently, a community plan has been developed to achieve
• Final Plenary door prize: Charity Village Campus full cultural and linguistic competency. We are not entirely
e-learning bundle worth $500 there yet, but we would like to share lessons we’ve learned
and some tools that could assist your community in em-
See page 16 for details. barking on this challenging, but exciting journey.

HEALTH EQUITY: PUSHING THE BOUNDARIES 11


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

œuvre des mandats d’intégration et d’engagement commu-


SESSION C: Friday, June 11th 10:30 am-12:30 pm nautaire des RLISS et les nouvelles entités de planification
francophones entraînera sur la prestation des services de
See Workshops at a glance insert for locations.
santé de langue française dans la province. Les participants
élaboreront des stratégies sur les meilleures façons d’in-
C25 DiverseCity on board fluencer la mise en œuvre et le rehaussement des services et
discuteront des messages clés à inclure dans un énoncé de
Maytree Foundation: Cathy Winter and Mona Elsayeh politiques élaboré par l’ACSO relativement à l’équité en
To achieve health equity and better address the unique santé pour les francophones.
health care issues of ethno-racial communities, governance Les intervenants incluent : Marc Dumont, administrateur du
boards must reflect the populations they serve. In this RLISS du Nord-Est, Marcel Castonguay, directeur général du
workshop, participants will learn about a joint project of CSC Hamilton/Niagara et président du Conseil consultatif
Maytree and the Toronto City Summit Alliance, who are des services de santé en français
committed to changing the face of public and non-profit
boards to reflect the diversity of the populations they serve.
The workshop will present statistics that make the case for
board diversity and provide resources for finding qualified
C28 Measuring progress towards LGBT cultural
proficiency
candidates and making decisions about appointments.
Participants will have the opportunity to reflect on, and Jean Clipsham, Nurse Practitioner, Sexual Health and Needle
identify, the skill sets required for their board and develop Exchange Program, Halton Health Dept. with other members of PHA
profiles for board positions. They will learn how boards can for LGBTTTIQQA Equity; Public Health Alliance for LGBTTTIQQA
use a more transparent, inclusive selection process. Equity, a work group of the Ontario Public Health Association

This workshop focuses on increasing participants’ knowledge


of the needs of LGBT communities for accessible and
C26 Community governance and health equity:
equitable health care and developing their skills in evaluat-
the role of a board in setting and monitoring ing LGBT sensitivity and inclusivity in their practices and
an equity agenda health care agencies. A variety of teaching strategies will be
Michael Harris, Chair; Mike Schaub, Board Member; Hersh Sehdev,
used including lecture, group discussion and case scenarios.
Executive Director, Kingston CHC The workshop will be based on community research and
participants will receive an evaluation manual. The tools
Kingston CHC is an umbrella organization that bridges provided in this workshop will enable health providers to
divides and reduces disparities in an urban centre. This measure their progress, on an ongoing basis, towards LGBT
interactive workshop will reveal how the centre’s board has cultural proficiency.
led the transformation of the CHC from a single north end
clinic into a multi-site, multi-service organization which is
now a leader and change agent in the city. C29 Accessible AIDS treatment and community
Presenters will share our successes and challenges. They will empowerment strategies for newcomers and
show how the policy governance board keeps staff and the uninsured.
volunteers engaged by using statements on vision/mission/
Regent Park Community Health Centre; Maureen Owino, Program
values to develop a “can do” culture, even in the midst of
coordinator, Committee for Accessible AIDS Treatment (CAAT); Derek
increasing administrative burden. The workshop will
Yee, Legacy Project coordinator, CAAT; Alan Li, M.D. Co-chair, CAAT
examine the role of the CHC in coordinating community
activities and partnerships with other agencies, the munici- This workshop explores the success of Community for
pality and academia with a goal to achieving equity for the Accessible AIDS Treatment (CAAT), a network of legal,
marginalized population in Kingston. health, settlement and HIV service organizations and
affected communities committed to breaking down barriers
faced by newcomer and non-insured people with HIV/AIDS.
C27 Les services de santé en français : Donner forme à CAAT has pioneered many ground-breaking initiatives which
l’équité en santé dans l’environnement des RLISS have improved access to services for this population. It has
also transformed itself from a network driven by providers to
Jocelyne Maxwell, directrice générale, CSC du Témiskaming one driven by community members. The workshop will look
L’atelier permettra aux membres des conseils d’administra- at processes and structural considerations in developing
tion d’explorer le genre de répercussions que la mise en equitable partnerships amongst service providers and service

12 HEALTH EQUITY: PUSHING THE BOUNDARIES


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

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

Learn about a community-based research study which


investigated a harm reduction needs assessment targeting C34 SexAbility
high-risk, substance-using, homeless/street-involved youth Lynda Roy, SexAbility Coordinator, Anne Johnston Health Station
in the GTA. The study used a mixed-method design (sur-
veys, interviews, focus groups and art-making) and a peer SexAbility provides sex-positive, non-judgemental sexual
researcher approach. Its goals were to investigate youth’s health information to people living with disabilities as well
risky substance use practices and health status; to identify as to service providers and students in the social service or
the gaps, barriers and needs in harm reduction, addiction, health care field. Historically, youth and young adults with
health and social services; and, based on the youth’s voices, disabilities faced significant barriers of access to sexual and
make recommendations for improvements in youth-specific reproductive health information. Myths and stereotypes
programs and services, and policy reform. about people with disabilities being childlike, innocent and
either asexual or hypersexual resulted in systemic barriers
that either suppressed or completely denied the sexuality of
C32 Liberated communities: bringing anti-racism back people living with disabilities. People with disabilities face
multiple forms of oppression at various intersecting points
Rose-Ann Bailey, Health Promoter; Roma Beckles, Social Worker/
(i.e. gender identity, gender expression, ethnicity, class,
Therapist; Shawn Douglas, Community Health Worker, TAIBU CHC
sexual orientation). SexAbility provides a safe space for
How does racism manifest itself in the everyday lives of participants to explore their level of comfort and knowledge.
racialised youth living in Malvern, a racially and culturally This workshop will provide a history and evolution of the
diverse community in the North-East section of Toronto? program and what was learnt along the way.

HEALTH EQUITY: PUSHING THE BOUNDARIES 13


WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

C35 Anti-Oppression 101


Douglas Stewart, Consultant

What is anti-oppression? What is anti-discrimination?


What is diversity and inclusion? What is anti-racism? What
is cultural competency? Are you trying to wrap your head
around these terms? Then this is a workshop for you.

There is a variety of frameworks being used by different


organizations. Defined as a set of assumptions, concepts,
2011 conference will
values, and practices that constitutes a way of operating, a
framework determines the kind of analysis and approach spotlight CHC benefits
that can be used by an organization to address issues of
discrimination and/or oppression. in U.S. and Canada
This workshop is an opportunity to enhance the discussion
and provide participants with a tangible understanding of
the differences and interconnections of these terms and the
Details will soon be released for a
frameworks in which they are embedded.
landmark conference co-sponsored by
the Canadian Alliance of Community
C36 Building on what we know: developing a strategy
Health Centre Associations and the
to support collective learning and innovation in
National Association of Community
health equity across the CHC sector
Health Centers, which represents
Ken Hoffman, Community Health Consultant, Associate, Wellesley
Institute CHCs throughout the United States.

CHCs arguably have more expertise in dealing with health


equity issues than any other part of the health system. Be sure to save the dates:
Collectively, they possess a huge amount of experience in June 9th and 10th, 2011 – Toronto
this area. This experience tends, however, to remain at the
level of the individual centres; it rarely gets more broadly
disseminated or integrated into “best practices” that can Don’t miss the opportunity to learn what
prompt change across the CHC system. lies behind President Obama’s doubling
How can CHCs make better use of their collective experi- of the Community Health Centre program
ence in dealing with equity issues? One challenge is in how in the United States. Network with others
to translate this experience into knowledge that can be
used to strengthen the work across the system. Another is from across the U.S. and around the world
how to foster a “learning culture” in CHCs that values who support community-governed primary
knowledge and supports innovation. health care.
This workshop will be a participatory discussion that will
address the following questions: a) What are the opportun-
ities for creating a learning agenda for CHCs wth a focus on
health equity? What could this look like? How could it
benefit the collective practice of CHCs? b) What are the
main challenges in supporting the development of a
learning agenda for CHCs? c) What are some examples of
structures/approaches that could support collective learn-
ing? d) How could this process be moved forward?

14 HEALTH EQUITY: PUSHING THE BOUNDARIES


POSTERS
AOHC CONFERENCE 2010

Don’t miss the poster presentations on the 5th floor

Health Equity: Working with South Asian Community


Punjabi Community Health Services

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.

Healthcare for All: Providing Diabetes Healthcare Services to the Non-Insured


Women’s Health in Women’s Hands Community Health Centre

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.

Baby-Friendly Readiness among Regional CHCs


of the Waterloo Wellington LHIN
Guelph Community Health Centre

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.

PIER (Peers, Information, Education, Resources) Project


Woodstock and Area Community Health Centre

Learn about this holistic approach to prevention against illicit substance misuse amongst youth.

HEALTH EQUITY: PUSHING THE BOUNDARIES 15


EXHIBITORS
AOHC CONFERENCE 2010

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.

1. Exhibit Passport Raffle – Enter to win an over-


Our exhibitors include: night stay for two at the Sheraton on the Falls
Your delegate package includes an “Exhibit Pass-
A. W. Schreiber Benefit Consultant Ltd. port”. When you visit the exhibits on the 5th floor,
Balgord Software Solutions make sure you get your passport signed by each
exhibitor. Check the Conference at a Glance insert
The Canadian College of Naturopathic Medicine
for the full listing of times that the exhibit area will
Canadian Paraplegic Association of Ontario be open.
Charity Village Passports that are signed by every exhibitor will be
CineFocus Canada entered into a random draw to win a complimentary
gift certificate for an overnight stay for two at the
College of Physiotherapists of Ontario Sheraton on the Falls (breakfast included).
Community Organizational Health Inc. (COHI) Drop your completed passport off at the designated
ConnexOntario Health Services Information area at the Registration Table.

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.

16 HEALTH EQUITY: PUSHING THE BOUNDARIES


SPONSORS AND DONORS
AOHC CONFERENCE 2010

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

HEALTH EQUITY: PUSHING THE BOUNDARIES 17

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