Shift the Conversation: Community Health and Wellbeing Conference 2017

A primary health care conference to promote the best possible health and wellbeing for everyone This program is supported in part by TELUS Health.

Shift the Conversation: Community Health and Wellbeing Sheraton Parkway Toronto North Hotel 9005 Leslie St Richmond Hill, ON

Association of Ontario Health Centres

Community-governed primary health care

June 7 & 8, 2017

Association des centres de santé de l’Ontario

presented by:

Soins de santé primaires gérés par la communauté

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TABLE OF CONTENTS 2 Schedule at a Glance 3 Welcome 4 Detailed Program 6 Speakers 10 Conference Learning Objectives 11 Learning Session Descriptions 32 Of Note 33 Conference Floorplan 34 Thank You

SCHEDULE AT A GLANCE Wednesday, June 7 7:00 a.m.

Registration opens 7:30 Exhibits open/breakfast 8:30 – 9:45 Opening Ceremonies and Plenary One: Truth and Reconciliation 10:00 – 10:45 Learning Sessions A 10:45 – 11:15 Break 11:15 – 12:15 p.m. Learning Sessions B 12:15 – 1:15 Lunch 1:15 – 1:45 Posters 1:45 – 3:00 Plenary Two: Political Priorities for Health System Transformation 3:00 – 3:30 Break 3:30 – 4:30 Learning Sessions C 4:30 – 5:45 Free time 5:45 – 6:30 Reception with cash bar 6:30 Transformative Change Awards Gala Thursday, June 8 7:00 a.m.

Registration opens 7:30 – 8:30 Exhibits open/breakfast 8:30 – 9:15 Posters 9:15 – 10:30 Plenary Three: Confronting Inequities, Advancing Social Justice 10:30 – 11:00 Break 11:00 – 12:30 Learning Sessions D 12:30 – 1:30 Lunch 1:30 – 3:00 Plenary Four: Building Belonging 3:00 Adjournment and close

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WELCOME Welcome to Shift The Conversation: Community Health and Wellbeing, the Association of Ontario Health Centres’ annual primary health care conference. For years the conference has brought together primary health care staff and board members, health system leaders, community partners, researchers, planners and policy makers from across the province.

Our goal is to create opportunities to share knowledge and tools, build new relationships, tap into new networks, and, most importantly, generate conversations and inspire action.

All geared towards advancing comprehensive primary health care throughout Ontario in order to promote health equity and ensure the best possible health and wellbeing for every individual, every family, every community.

Comprehensive primary health care is not a new idea. It is based on the World Health Organization’s definition of health as “a complete state of physical, mental and social wellbeing and not merely the absence of disease and infirmity,” and urges us to look beyond medical interventions by addressing all factors that impact our health. For decades, the World Health Organization and other leading international bodies have prescribed primary health care as the solution to reduce health inequities and disparities.

And we know this prescription works! This year’s conference offers a wide range of inspiring examples of comprehensive primary health care in action, examples that show AOHC members across the province working in partnerships with other health and social services organizations and their communities. As you attend learning sessions and visit research posters, you will hear how this comprehensive approach not only improves the health of individuals, but also creates healthy communities where everyone feels they belong and is empowered to take control of their health and wellbeing.

The focus on primary care delivered in combination with health promotion and community development has defined AOHC member centres for the past 35 years. And as we celebrate our 35th anniversary, let’s reflect on what we have already achieved applying this approach, and ask ourselves how we can build on these achievements and promote the implementation of primary health care throughout Ontario in order to advance health equity. Over the next two days I encourage you to share your insights, start conversations and ask questions.

How do we continue to push boundaries, both individually and collectively, to address inequities and confront barriers to good health? How do we build strong alliances, networks and partnerships to put health equity at the centre of every conversation and decision-making process across the province? How do we capitalize on the changing health care landscape in Ontario to ensure comprehensive primary health care becomes the strong, steady and sustainable foundation of our entire health system?

I hope the conference will provide you with new ideas, innovative tools, and reinforced motivation to continue these conversations in your organizations and your communities. My biggest hope is that you will leave inspired to champion transformative change leading to healthier people, healthier communities and a stronger, more sustainable health care system.

Sincerely,

Sarah Hobbs Blyth AOHC Board Chair 3

DETAILED PROGRAM Wednesday, June 7 7:00 a.m.

Registration opens

7:30

Exhibits open/breakfast

8:30 – 9:45

OPENING CEREMONIES AND PLENARY ONE: TRUTH AND RECONCILIATION To start our conference, we’ll present Senator Murray Sinclair, Chair of the Truth and Reconciliation Commission, with AOHC’s Community Health Champion Award. The award presentation will be followed by keynote speaker Dr. Marcia Anderson, Head, Section of First Nations, Métis and Inuit Health at the University of Manitoba, who will ask delegates to consider how they can support reconciliation with Indigenous Peoples.

10:00 – 10:45

Learning Sessions A

10:45 – 11:15

Break

11:15 – 12:15 p.m.

Learning Sessions B

12:15 – 1:15

Lunch

1:15-1:45

Posters

1:45 – 3:00 PLENARY TWO: POLITICAL PRIORITIES FOR HEALTH SYSTEM TRANSFORMATION With exactly one year to go before the provincial election, Toronto Star journalist Laurie Monsebraaten moderates a panel discussion between Minister Eric Hoskins (invited) and opposition health critics France Gélinas (NDP) and Jeff Yurek (PC).

3:00 – 3:30 Break

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3:30 – 4:30

Learning Sessions C

4:30– 5:45

Free time

5:45 – 6:30

Reception with cash bar

6:30

TRANSFORMATIVE CHANGE AWARDS GALA

Thursday, June 8 7:00 a.m.

Registration opens

7:30 – 8:30

Exhibits open/breakfast

8:30 – 9:15

Posters

9:15 – 10:30 PLENARY THREE: CONFRONTING INEQUITIES, ADVANCING SOCIAL JUSTICE AOHC is committed to advance health equity and social justice.

During this plenary, we’ll reflect on how we can work together more effectively to achieve this goal.The keynote address will be delivered by renowned author Lawrence Hill who has written extensively on themes of racism, diversity and identity.

10:30 – 11:00

Break

11:00 – 12:30 p.m. Learning Sessions D 12:30 – 1:30

Lunch

1:30 – 3:00

PLENARY FOUR: BUILDING BELONGING In this inspiring, not-to-miss plenary, we’ll explore the importance of building connected, caring communities. Participants from the South Riverdale Community Health Centre seniors program will share their music and stories of building belonging. Susan Pinker, bestselling author of The Village Effect, will present the science that shows how social isolation harms peoples’ health and shortens lifespans.To close, AOHC CEO Adrianna Tetley will highlight why, now more than ever, AOHC members need to demonstrate the positive impact they make by increasing people’s sense of belonging.

3:00

Adjournment and close

This program has been reviewed by the College of Family Physicians of Canada and is awaiting final certification by the College’s Ontario Chapter.

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SPEAKERS

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Dr. Marcia Anderson

France Gélinas

Dr. Marcia Anderson is Cree-Saulteaux, with roots going to the Norway House Cree Nation and Peguis First Nation in Manitoba. She practises both internal medicine and public health as a Medical Officer of Health with the Winnipeg Regional Health Authority.

She took the position of Head of the Section of First Nations, Métis and Inuit Health in the Department of Community Health Sciences at the University of Manitoba in September 2011. She was recognized for her contributions to Indigenous peoples’ health with a National Aboriginal Achievement award in March 2011.

France Gélinas is the Member of Provincial Parliament for the riding of Nickel Belt and the New Democratic Party’s Critic for Health and Francophone Affairs.

As a trained and licensed physiotherapist, France is passionate about health promotion. She started her career in Sudbury at Laurentian Hospital, and after graduating from Laurentian University with an MBA, she became a health care administrator. For many years, France worked as the Executive Director of the Community Health Centre in Sudbury. Under her leadership, the centre expanded to many rural communities in the northeast, and became lead agency for the Sudbury Homelessness Network. France has served in multiple voluntary roles, including President of the AOHC.

Lawrence Hill

Michelle Hurtubise

Lawrence Hill is a Commonwealth Writers’ Prize winner for his bestselling 2007 novel The Book of Negroes, which was also awarded the Rogers Writers’ Trust Fiction Prize.

In addition to The Book of Negroes, Hill is the author of The Illegal (chosen as the CBC Canada Reads winner in 2016), the novels Any Known Blood and Some Great Thing, and the memoir Black Berry, Sweet Juice: On Being Black and White in Canada. He is currently writing a new novel and a children’s book, and is a professor of creative writing at the University of Guelph. Hill holds honorary doctorates from five Canadian universities and was appointed a Member of the Order of Canada in 2015.

Hill volunteers with Crossroads International, the Black Loyalist Heritage Society and Project Bookmark Canada.

Michelle Hurtubise has spent much of the past 22 years working with community health centres in Toronto and London. She is a recognized community leader and innovator and a sought after facilitator and public speaker on health equity, innovation in leadership, and community engagement. Currently, Michelle is the Executive Director of the Ontario Centre of Excellence for Child and Youth Mental Health in Ottawa. An active community member, Michelle’s recent involvements include the Canadian Association of Community Health Centres, London Poverty Research Centre, and the Loran Scholars Foundation. She is a certified Organizational Systems and Relationship Coach, and is known as someone who isn’t afraid to speak her mind and emphasize her point with some well executed dance moves.

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SPEAKERS

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Laurie Monsebraaten

Susan Pinker

Laurie Monsebraaten is the Toronto Star’s Social Justice Reporter. She writes about poverty, inequality and social programs including welfare, child care, Children’s Aid and subsidized housing.

Her other interests include society’s response to the changing nature of work, basic income proposals, and the plight of low-wage, non-standard workers. Laurie was part of a team at the Star awarded a Michener Citation of Merit in 2013 for work that spotlighted Ontario’s failure to address the challenges faced by people with autism. Laurie received AOHC’s Media Award in 2014.

Susan Pinker is a developmental psychologist who writes about social science. She was educated at McGill University and the University of Waterloo, after which she spent 25 years in clinical practice and teaching psychology. She currently writes a column on human behaviour, Mind and Matter, for The Wall Street Journal. Susan Pinker’s first book, The Sexual Paradox: Men, Women and the Real Gender Gap, about the roots of sex differences in the classroom and the workplace, was a New York Times’ Editors’ Choice and was awarded The William James Book Award by the American Psychological Association. Her writing has also been recognized with awards from the Canadian Medical Association (2000), the Professional Writers’ Association of Canada (2002, 2010), The International Society for Intelligence Research (2014). Her latest book, The Village Effect, was a Canadian bestseller and an Apple non-fiction “best pick” for 2014.

Senator Murray Sinclair

Adrianna Tetley

Senator Sinclair served the justice system in Manitoba for more than 25 years. He was the first Aboriginal judge appointed in Manitoba and Canada’s second.

He served as Co-Chair of the Aboriginal Justice Inquiry in Manitoba and as Chief Commissioner of the Truth and Reconciliation Commission (TRC). In addition, Senator Sinclair has won numerous awards, including the National Aboriginal Achievement Award, the Manitoba Bar Association’s Equality Award (2001) and its Distinguished Service Award (2016) and has received Honorary Doctorates from eight Canadian universities.

Adrianna Tetley is the Chief Executive Officer of the Association of Ontario Health Centres. She has more than 35 years’ experience in advocacy, public administration, community development, financial and staff management, policy and board development. Her work in government, the labour movement and several community-based associations has focused on issues related to health care and determinants of health.

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SPEAKERS Jeff Yurek Jeff Yurek is a life-long resident of St. Thomas, Ont., and Member of Provincial Parliament for ElginMiddlesex-London. Jeff currently serves as the Progressive Conservative Party’s Critic for Health.

Jeff graduated from the Pharmacy Program at the University of Toronto in 1995, and continues to build on the Yurek family reputation in the profession. Jeff’s passion for the health file extends to the creation of sustainable healthcare that serves the public and creates value for taxpayers.

CONFERENCE LEARNING OBJECTIVES Through an exploration of eight themes, each with its own specific objective, conference participants will gain knowledge about progress toward a peopleand community-centred health and wellbeing system with better health outcomes for those facing the greatest barriers.

1. Championing health equity and social justice – Interventions that advance human rights and break down systemic barriers to good health.

2. System transformation strategies – Creating more adaptive systems and enhancing leadership to promote population health and solve complex problems that impact community health and wellbeing.

3. Advancing people – and community-centred services and programs – Initiatives, tools and tactics that put the needs of individuals, families and communities at the centre of service planning, improvement and delivery.

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4. Mental health and addictions – Expanding access to services with a focus on comprehensive harm reduction approaches and building partnerships and networks.

5. Building high performing interprofessional teams – Strategies that improve access, strengthen performance, collaboration and leadership for equitable health outcomes.

6. Truth and reconciliation – Confronting racism and reducing health disparities for Indigenous peoples, creating new systems and structures that respect the rights of self-determination and self-governance in the delivery of services.

7. Demonstrating value and impact – Innovations and quality improvement initiatives that gather, analyze and mobilize information to demonstrate better population health and to inform evidencebased decisions about practices and policies.

8. Maximizing community governance – Enhancing the leadership role of community boards in health system transformation.

LEARNING SESSION DESCRIPTIONS STREAM A A1

Inclusive Leadership in Community-Governed Healthcare

Community-governed healthcare organizations serve and employ extremely diverse populations. 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.

Presenter: Cathy Winter, Program Manager, DiverseCity onBoard, The Chang School, Ryerson University Theme: Maximizing community governance Audience: All audiences

A2

On Telemedicine and Bringing Healthcare Closer to Home: Highlighting a CommunityBased 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.

Theme: Advancing people- and community-centred services and programs Audience: Front line/clinical and/or program staff

A3

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

It is clear that the negative impacts of colonization have affected Indigenous populations in Canada as it has across the United States, New Zealand, Australia and Hawaii. Disease, cultural suppression and oppression, including Residential Schools and the 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 INDequity framework and plan for Ontario.

Presenters: Gertie Mai Muse, Director of Indigenous Strategy and Relations, AOHC; and Donna Lyons, Indigenous Engagement Specialist, Wabano Centre for Aboriginal Health Theme: Truth and Reconciliation Audience: All audiences

Presenters: Andrea Monette, RN, TMC, Rideau Community Health Services; Angela Moore, RPN, TMC, Rideau Community Health Services

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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 Theme: Championing health equity and social justice Audience: All audiences

Making Room for Health Equity: Exploring A5 Obstacles and Opportunities for CHCs to Advocate for Policy Change Last year, Rebecca Cheff interviewed the executive directors of CHCs across Toronto about how they advocate 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, Cheff 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 Theme: System transformation strategies Audiences: Senior management; Program management; Board members

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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 Theme: System transformation strategies 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 Theme: System transformation strategies Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management

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; Sarah Flowers, RSW, Health Promoter/Social Worker, Grand Bend Area CHC Theme: Mental health and addictions Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management

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 losses 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 Theme: Building high performing interprofessional teams Audiences: Front line/clinical and/or program staff; Senior management; Program management

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 reevaluated 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 Theme: Demonstrating value and impact Audiences: Front line/clinical and/or program staff; Policy makers; Program management

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 Theme: Championing health equity and social justice Audiences: Front line/clinical and/or program staff; Senior management; Program management

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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 CHC; and Emily Stevenson, Physiotherapy Project Lead, Four Villages CHC Theme: System transformation strategies Audiences: Front line/clinical and/or program staff; Senior management; Program management; Administration

STREAM B B1 Enterprise Risk Management There is risk associated with virtually any activity undertaken by a healthcare organization. Any one risk can impact an 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 boards 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 boards in ERM and governance

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Presenter: Karima Kanani, Partner, Miller Thomson LLP Theme: Maximizing community governance Audience: All audiences

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 Theme: Building high performing interprofessional teams Audience: All audiences

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 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 Theme: Advancing people- and community-centred services and programs Audience: All audiences

B4

Making Use of Data to Drive Practice Improvement

B6

Building a Diversified Leadership Structure to Support a Collaborative Clinical Culture

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 handson session will provide information on the use of this administrative data to drive practice quality improvement.

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

Presenters: Danielle Kenyon (MN), Nurse Practitioner, South Riverdale Community Health Centre; Rebecca Merritt, Manager, Service Administration & Quality, South Riverdale Community Health Centre Theme: Building high performing interprofessional teams Audience: All audiences

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, Counsellor, Hamilton Urban Core CHC Theme: Championing health equity and social justice 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 Theme: Advancing people- and community-centred services and programs Audience: All audiences

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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; Dr. Mary Rowland, Family Physicians, Kingston CHC Theme: Mental health and addictions Audience: All audiences

A Road Less Travelled: Working B9 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 Theme: System transformation strategies Audience: All audiences

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B10

Food Skills for Families: Lessons from Nine 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 Theme: Advancing people- and community-centred services and programs 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 Blyth, Executive Director, Planned Parenthood Toronto; and Kim Fraser, Executive Director, Davenport-Perth Neighbourhood and Community Health Centre Theme: System transformation strategies 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 noard 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 Theme: Maximizing Community Governance Audience: Board Members

STREAM C Patients First: An Update on the Changes C1 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 LHINs • 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 Theme: Maximizing community governance Audiences: Senior management; Board members; Administration

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 codesign 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 Theme: Advancing people- and community-centred services and programs Audiences: Senior management; Policy makers; Board members

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 panellist presentations, participants will be invited to identify how the Our Health Counts principles, methods, and tools might be applied to their own communities

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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 Theme: Truth and Reconciliation

Presenters: Joesiann Nelson, Manager of Health Promotion and Community Services, Black Creek CHC; and Kofi Frempong, Community Health Worker, Black Creek CHC Theme: Championing health equity and social justice Audience: All audiences

C6 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 Theme: Mental health and addictions Audience: All audiences

C5

Why Black Youth: Building Health Equitydriven and Anti-Oppressive Policies, Procedures & Programs

This session will examine the development of antioppressive 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.

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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 socioeconomic 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; Kate Atkinson, Coordinator, Decent Work and Health Network Theme: Championing health equity and social justice Audience: Front line/clinical and/or program staff

C7

How to Get Results: Lessons from a Collaborative’s Journey in Using QI

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-toreach 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 AlDajani, Business Intelligence Systems Business Analyst, Association of Ontario Health Centres Theme: Demonstrating value and impact Audiences: Front line/clinical and/or program staff; Senior management

C8

Working with Women Living with HIV: Trauma Informed Care

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, Physician, Women’s Health in Women’s Hands Themes: Advancing people- and community-centred services and programs 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.

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 Theme: System transformation strategies Audience: All audiences

C11

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 panellists as they guide you through their journey.

Presenters: Vijay Saravanamuthu, Community Health Worker, TAIBU Community Health Centre; and Tameika Shaw, Registered Dietitian, TAIBU Community Health Centre Theme: System transformation strategies Audience: All audiences

Presenters: Michelle Kirkbride, Community Development Coordinator, NorWest Co-op Community Health; and Mike Sadlowski, Health Promotion Specialist, NorWest Co-op Community Health Theme: System transformation strategies

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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 90-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.

Presenters: 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

STREAM D 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 Theme: Maximizing community governance Audiences: Senior management; Board members

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 20

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.

Theme: System transformation strategies Audience: All audiences

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”. James Butler will focus on the critical theme of Indigenous selfdetermination in health care. The presentation will be followed by an open discussion.

Facilitator: James C. Butler, PhD, Independent Researcher, flat island strategic communications & media design Theme: Truth and Reconciliation 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 Theme: Championing health equity and social justice 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.

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 Theme: Demonstrating value and impact 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 Theme: Advancing people- and community-centred services and programs Audience: All audiences

Presenter: Lee Ann McKenna, Principal, McKenna Associates Theme: Building high performing interprofessional teams Audiences: Front line/clinical and/or program staff; Senior management; Administration

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D8 - DOUBLE SESSION Healthy Relationships, Healthy Communities: D8.1 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 Theme: Advancing people- and community-centred services and programs Audiences: Front line/clinical and/or program staff; Policy makers; Program management

Reducing Isolation in Seniors: A Collective D8.2 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 Themes: Advancing people- and community-centred services and programs Audiences: Front line/clinical and/or program staff; Program management

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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 Theme: System transformation strategies Audiences: All audiences

D10 - SPOTLIGHT SESSION Changing Lives through Access to Oral D10.1 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 Theme: Advancing people- and community-centred services and programs Audience: All audiences

Demonstrating Value: A case study from D10.2 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 its Oral Health Suite processes with their interprofessional team, which includes a customized oral health intake template, an integrated intake process, and a data to decision framework. 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.t Presenters: Julia Swedak, Director of Quality and Knowledge Management, Gateway CHC; and Emily Rashotte, Director of Primary Health Care, Gateway CHC Theme: Demonstrating value and impact Audience: All audiences

D11 – DOUBLE SESSION 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.

Ingredients for Success: Cross Agency D11.2 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 Theme: Mental health and addictions Audiences: Front line/clinical and/or program staff; Senior management; Policy makers; Program management

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

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SPONSORS

Sponsors

Presenting sponsor:

Supporting sponsors

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EXPO 2017 EXPO 2017

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FOOD SKILLS FOR FAMILIES

EXPANDING TO IS IS ONTARIO EXPANDING EXPANDING IS

FOOD FOOD SKILLS SKILLS FOR FOR FAMILIES FAMILIES

ONTARIO ONTARIO

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Making healthy eating easy, enjoyable and affordable

Teaching Teaching practical practical hands-on hands-on cooking cooking skillsskills

Connecting people in the kitchen

Making Making healthy healthy eating eating easy,easy, enjoyable enjoyable and affordable and affordable

Based on evidence and built by Connecting Connecting people people in the inkitchen the kitchen

educators for a standardized, best curriculum Based Based on evidence on evidence and built andpractice built by educators by educators for for a standardized, a standardized, best best practice practice curriculum curriculum

Building Healthier Communities since 2008

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Healthy Advice for Healthy Organizations BLG is a long-standing supporter of the Association of Ontario Health Centres and its members. We recognize the important work being done by you in Ontario’s health system, and applaud your ongoing efforts to ensure the best possible health and wellbeing for everyone in Ontario.

BLG’s Health Law Group is the most comprehensive health law practice in Canada. No other firm has the depth and breadth of experience that our team offers. We understand the Ontario health system and offer practical and effective legal solutions. We work with all types of health service providers on a full range of matters, some of which include: • Integrations

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Transforming health through digital innovation Proud sponsor of the Association of Ontario Health Centres Annual Conference deloitte.ca Š Deloitte LLP and affiliated entities.

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Drive change in your community: Link up with us to increase your knowledge, skills, tools and connections!

www.HCLinkOntario.ca HC Link helps community groups, organizations, and partnerships across Ontario drive change by providing consulting services, webinars, workshops, resources and other learning opportunities in both English and French.

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Linking for Healthy Communities 2017 conference is November 20-21. See our website for details!

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OF NOTE of noTe

DOOR PRIZES will be announced at Thursday’s plenary session! Good luck!

PROMOTING A HEALTHY, SCENT-FREE ENVIRONMENT In consideration to those who are sensitive to chemicals, we kindly ask you to refrain from wearing perfumes, colognes and other scented products at the conference and affiliated events.

NOTE FOR DELEGATES WITH MOBILITY CHALLENGES The Sheraton Parkway Toronto North is accessible with ramps and elevator access.

DelegaTeS WiTh MoBiliTy DifficUlTieS From the Best Western, access to the conference site is best via the outside.

The Sheraton Parkway Toronto North is accessible with ramps and elevator access. From the Best Western, access to the conference site is best via the SPECIAL DIETARY CONSIDERATIONS outside.

We hope the buffet meals at the conference will provide delegates with enough variety to meet most, if not all, dietary preferences and requirements. However, if SPeCiAL DieTAry CONSiDerATiONS needed, as you sit down for each meal, you are welcome to let your server know We hope the buffet meals at the conference will provide delegates with enough of your dietary requirements and ask for a special meal. variety to meet most, if not all, dietary preferences and requirements. However, if needed, as you sit down for each meal, you are welcome to let your server ACCESSIBLE DOCUMENTS know of your dietary requirements and ask for a special meal.

Conference materials are available in large print for delegates that require them.

Please visit the registration desk for more information. hAVe yOur SAy! Data On The Spot is the Canadian leader in audience response technology.

COMPLIMENTARY available the throughout The system will allowWIRELESS us to ask youACCESS questionsisthroughout conferencethe andSheraton Parkway Toronto North hotel/conference site. have you respond using your hand held voting devices. The results will be displayed on the screen for everyone to see. To use your device, simply press the appropriate number on your clicker that corresponds to your answer choice on the screen. Vote now!

Wi-fi Complimentary wireless access is available throughout the Sheraton Parkway Toronto North hotel/conference site.

Join on on Twitter Joinusus

Twitter! @AOHC_ACSO use the hashtag

#PMTL2014 for all your tweets

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Please use the hashtag

#AOHC2017

for all your conference tweets

CONFERENCE FLOOR PLAN ConferenCe floorPlan ConferenCe floorPlan Upper Upper Upper Conference Conference Conference LevelLevel Level

Lower Lower Lower Conference Conference Conference Level LevelLevel

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THANK YOU AOHC is grateful for the support of its contributors Great thanks go out to the many people who have contributed to this year’s annual primary health care conference. We offer gratitude to our sponsors, speakers and learning session presenters, our exhibitors, volunteers and staff colleagues – to all who promoted the conference, and to all of you who are here, asking crucial questions, sharing your knowledge and leading the way forward to the best possible health and wellbeing for people and communities.

A special thanks to a few individuals and organizations with special roles: Dr. Nicole Nitti of Access Alliance Multicultural Health and Community Services for her participation in the planning process; to our learning session peer reviewers: Jeannie Page, South-East Ottawa CHC; Akm Alamgir, Access Alliance Multicultural Health and Community Services; Gail Grant; Randy Houston, Association of Ontario Health Centres; Conrad Prince; Joanna Binch, Somerset West CHC; Sara Wolfe;Thérèse Kwapis, Central CHC; Sophie Bart, Regent Park CHC; and to Lindsay Hall who, once again, did a fantastic job coordinating our volunteers.

Heartfelt thanks also go to longtime volunteers and their sponsoring centres. We appreciate all of your hours of work and unending professionalism.

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NOTES

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