Issuu on Google+


Table of Contents 1 2 3 4 7 8 9 10 11 12 14

Message from the Board of Trustees On the Path to Health and Wellness: A Two-Year Update Community Development Grants Help Create Healthy Communities Health Promotion Matters! Long-Term Care Needs Reviewed Lab and X-Ray Services at Trepassey Enhanced Community Advisory Committee: One Member’s Perspective Mental Health – Making Progress on the Southern Avalon Continuing the Progress Highlights of Progress Helpful Phone Numbers


Message from the Board of Trustees In June 2007, the Board of Trustees of Eastern Health was pleased to release On the Path to Health and Wellness: Southern Avalon Community Health Needs Assessment. The Board of Trustees has been monitoring the progress of the report’s recommendations every six months and committed to reporting back to the people of the Southern Avalon on the implementation of the recommendations after a two-year period. This report is our fulfillment of that commitment. We are very proud of the people who provide you with health and community services. They work very hard and are committed to their patients, residents and clients.

Eastern Health will continue to monitor the needs of the people of the Southern Avalon through initiatives such as satisfaction surveys and regular reporting activities like quality reports and operational planning updates. Thank you for being a part of this needs assessment and we look forward to working with you to continue to provide a high level of quality care. Yours sincerely,

Joan Dawe Chair, Board of Trustees

1


On the Path to Health and Wellness: A Two-Year Update On the Path to Health and Wellness: Southern Avalon Community Health Needs Assessment provides a comprehensive look at factors impacting the health of people and communities in the Southern Avalon region. This region extends from Bay Bulls to St. Shott’s, around St. Mary’s Bay and Branch to Long Harbour.

2

The Process

What We Heard

The needs assessment was overseen by a Steering Committee comprised of Eastern Health staff. A public expression of interest for an Advisory Committee was called and people from the Southern Avalon were invited to participate based on their link to a particular determinant of health. This Advisory Committee provided advice and feedback on the process and outcomes of the needs assessment. Information for the needs assessment was gathered from a number of sources. Qualitative data was collected through 17 focus groups, 45 key informant interviews, and a random telephone interview survey of residents in the region. Written submissions from the public were also received. Quantitative data was drawn together from several administrative databases and other sources of secondary data.

People in the Southern Avalon told us they want an emphasis on health promotion; they want Eastern Health to support their communities as they try to promote health and wellness. They advised that primary health care services must be built on a strong team, and must be dependable and easy to access. They want a health and community services system that is easy to understand, so they’ll know what services are available, where to go and who to contact for service. They stated that special attention needs to be paid to seniors and people needing mental health and addictions services. They want a real partnership between Eastern Health and their communities.


Community Development Grants Help Create Healthy Communities Through discussions with community groups and arising out of needs assessment conversations, Eastern Health established a Community Development Fund to help community partners build and maintain healthier communities. The Community Development Fund provides grants of up to $10,000 to support community organizations/groups. In 2008, the Branch Cultural Historical Association received funding for their project, Dancing to Keep Healthy. The goals of this project were to offer physical activity and socialization opportunities while building on local heritage. Lorna English chairs the Historical Association. “This initiative enabled youth and seniors to connect with each other,” said Lorna, “while passing on a cultural tradition like square dancing. Participants also

enjoyed healthy snacks during the sessions.” Lorna was proud of the outcome of the project and is already working on other similar initiatives, including one that focuses on step dancing and another one that focuses on music. A call for applications for the Community Development Fund is made in the fall of each year and will be promoted through the Eastern Health website www.easternhealth.ca and the media.

“This initiative enabled youth and seniors to connect with each other...”

3


Health Promotion Matters! health, including where we work, where we live, our income, our social support networks such as family and friends, personal health habits, childhood experiences, education and coping skills.

We all want to lead a healthy life in the places that we live, work and play. To be as healthy as possible, we must have the resources, knowledge, skills and surroundings to make healthy choices and take on healthy behaviours. Health as we know it is more than the absence of disease and illness. Health involves your physical, mental and social well-being. Many factors affect our

4

When individuals are healthy, communities are healthy. Eastern Health is committed to working with individuals, families, communities, organizations, groups and other partners toward a vision of Healthy People, Healthy Communities. Health Promotion focuses on actions that maintain or improve the health of individuals, families, and communities. Health Promotion can help to break down the barriers that affect some people’s ability to make healthy choices for themselves or their family.

Health Promotion is something that involves us all. Whether you are a member of a community service club or group, a parent, a neighbour, a town councilor, a student, a teacher, a minister or a health professional we all have a role. Health promotion can happen in many settings such as schools, communities, hospitals, workplaces, family resource centres, community centres, youth centres, churches, town council offices, recreation centres and seniors clubs. Even though many people may not call it health promotion, we are doing it!


Health Promoting Schools Grants In the fall of 2008, all schools in the Avalon West, Vista and Burin areas of the Eastern School District were invited by their Eastern Health School Team to apply for a Health Promoting Schools Grant. The purpose of the grant is to support schools and Eastern Health School Teams to develop and deliver school-based initiatives that promote health within the school community as well as to foster a partnership between School Teams and their assigned schools. A total of 28 schools applied for the grant. Six schools were awarded grants. Two of the successful schools were from the Southern Avalon: St. Edward’s Elementary (Placentia) and St. Anne’s Elementary (Placentia).

In addition, a Health Promoting Schools Grant was awarded to support the expansion of the Eastern Active Schools Project in the St. John’s region. Schools on the Southern Avalon that have benefited from this funding include St. Bernard’s Elementary (Witless Bay) and Baltimore School (Ferryland). These grants were administered by the Health Promotion Division, Eastern Health.

Partnership in Action: New Healthy Sexuality Curriculum Resources - Grade 9 Sexual health information is a public health issue. In the fall of 2008, the Health Promotion Division – Eastern Health worked in partnership with the Department of Education, the Eastern School District and other community

agencies to offer professional development to grade nine teachers across the province. A revised grade nine health curriculum was implemented this fall in all school districts. The teachers were supported with a new curriculum guide, a student text: “Human Sexuality”, an accompanying teacher resource and a professional development day. Grade nine students are in the midst of sorting through the sometimes turbulent developmental tasks of adolescence and it is through this course that all students receive a comprehensive course on human sexuality.

5


Carry the Torch, Light the Way Wellness Conference 2008 In October 2008 the Health Promotion Division, in partnership with the Eastern Regional Wellness Coalition and the Wellness Coalition Avalon East sponsored the Carry the Torch, Light the Way Wellness Conference 2008. This conference involved 120 participants from communities throughout Eastern Newfoundland including representatives from Branch. Keynote speaker Paul Born, from Tamarack Institute for Community Engagement, was a motivational, inspiring and informative speaker, who provided new and sustainable ideas to motivate organizations, communities and people to collaborate for action.

6

Wellness Coalitions Eastern Health continues to support the Eastern Regional Wellness Coalition and the Wellness Coalition-Avalon East. There are currently 48 community groups/organizations with membership in the Coalitions. Both Coalitions continue to deliver their Community Grants program. In 2008-09 the Wellness Coalition Avalon East awarded 22 grants totaling $21,035.00. The Eastern Wellness Coalition awarded 45 grants totaling $30,477.52. Ten of the grant recipients were from the Southern Avalon area.


Long-Term Care Needs Reviewed One of the priorities arising out of the needs assessment was the whole concept of seniors care, particularly given the aging population. Arising from this, a decision was made to conduct a comprehensive analysis of future long-term care bed needs in the Placentia area. “Long-term care services include programs and services to support people to remain in their homes as long as possible and to support them in getting the right type of care in a facility when they need it,” says Judy O’Keefe, Director of Integrated Health Services, Long-Term Care and Supportive Services. “In this area, there are a number of options available, including home support, supportive housing, alternate family care, independent living arrangements, personal care homes and nursing homes.” The review included

looking at demographic information and statistics about the numbers of people using long-term care programs and services. Based on the population served, the annual rate of clients requiring nursing home placement, and the number of beds in operation, the current number of beds is adequate to serve the seniors’ population in the area. “Our review determined that most people wait about three days to be placed in a personal care home once they have been assessed and it is determined that the best placement for them is a personal care home,” says Ms. O’Keefe. “People requiring a nursing home bed on average wait 40 days for placement once they have been assessed and a panel determines their best needs.” She also noted that wait lists have not been an issue for personal care homes or nursing homes in the

area. Ms. O’Keefe indicated that ongoing monitoring is required in order to respond to any trends or changes in the environment that may have an impact on services to seniors.

7


Lab and X-Ray Services at Trepassey Enhanced One of the recommendations arising out of the needs assessment was to develop a plan to address current and future needs of the laboratory and x-ray service at Trepassey. A laboratory manager liaison and a diagnostic imaging manager liaison were appointed to work closely with the Community Health & Nursing Services Manager for Trepassey. A new urinalysis analyzer has been installed and planning for new laboratory equipment, such as haematology and coagulation analyzers, has begun with a view to tender for this equipment in 2010. New x-ray equipment has been ordered, electrical upgrades are completed and renovations are in process. In conjunction with the completion of this diagnostic imaging equipment, a Picture Archiving and Communication System (PACS) will be installed as part of the

8

Eastern Health network for storage, retrieval, distribution and presentation of diagnostic images. Planning is underway for Meditech implementation and training to enable patient registration, electronic lab orders, bar-coded labeling and electronic workload capture. Laboratory workload statistics are being collected to assist in workload analysis and planning for the Trepassey site.


Community Advisory Committee: One Member’s Perspective The Southern Avalon Community Health Needs Assessment was overseen by a Community Advisory Committee comprised of area residents who responded to advertisements by Eastern Health and who had experience and knowledge in the various determinants of health. “This Community Advisory Committee was essential to the needs assessment process,” says Wayne Miller, Vice President, Planning, Quality and Research. “The committee members helped to guide our work and provided background information about local issues that was very useful.” One of the participants on the Community Advisory Committee was Lorelei Roberts-Loder. “In my previous position as the Executive Director of a community employment agency, I had many clients whose lives were impacted either positively or negatively through

accessing or not having access to primary/community health services and supports,” says Lorelei. “I volunteered to participate because I felt that my understanding of the community health needs of the Southern Avalon would be beneficial to the group. It was challenging at times to take stock of the multitude of issues and make a determination as to whether the issues were the root causes of community health or the actual effects of the lack of services and supports in the community.” “I have observed that there is a more concerted effort to be plugged into the pulse of the community and that efforts are being made to communicate in a more effective and efficient manner with the public,” say Lorelei. “The action plan for Eastern Health that was generated as a result of the needs

Back Row [L-R] Diane Costello, Sherry Walsh, Maxine Gregory. Front Row [L-R] Elaine Murray, Lorelei Roberts-Loder, Rita Pennell, Tony Healey. assessment in my opinion was the most important piece of information to come from the needs assessment.”

9


Mental Health – Making Progress on the Southern Avalon have chosen mental health as their priority area. In St. Mary's Bay, work is being planned around grief and bereavement, with a series of community dialogues planned for this fall. In the Placentia area, a forum is being organized that will help community leaders gain a greater understanding of the stigma surrounding mental illness and the role of social support networks in positive mental health. During the needs assessment process, mental health and addictions services were seen as needing some attention. Eastern Health has worked with communities and organizations to enhance our approach to mental health. Both the Placentia-Cape Shore Community Advisory Committee and St. Mary's Bay Community Advisory Committee (led by primary health care)

10

In response to a greater need for counselling services in Placentia, an additional social worker has been providing counselling services to clients in the area, in an effort to reduce wait times. Health providers such as social workers and nurses on the southern Avalon have been taking part in a Rural

Mental Health Research Initiative, led by Memorial University, since early 2009, looking at how to deliver services in rural communities. Eastern Health, through the Health Promotion Division, has supported the development of a mental health promotion team, which is working with staff to enhance the promotion side of mental health work. Mental health and addictions services are an important aspect of maintaining overall health and well-being.


Continuing the Eastern Health has made a submission to the provincial government on its development of an oral health strategy, we are awaiting further direction on the strategy from the provincial government. We are also awaiting the release of the provincial government’s Chronic Disease Prevention and Management Strategy and will begin implementing it once it is released. While progress has been made on the needs assessment recommendations, some recommendations require ongoing work and focus. “It is important that the priorities identified by the people of the Southern Avalon continue to be top of mind for us,” says Fay Matthews, Chief Operating Officer of Rural Avalon. One of the recommendations centred around addressing the oral health needs and gaps in dental services. While

Ms. Matthews notes that the organization is building its communications strategy and resources to enhance communications both internally and externally. The Board of Trustees has identified a “navigation plan” as a priority. Work has begun on this plan and will continue over the next couple of years.

Progress

action items that need to be taken in this area,” says Ms. Matthews, “and we will continue to work on the recommendations and strive towards Eastern Health’s vision of Healthy People, Healthy Communities.”

“This needs assessment has provided us with a road map of the issues and action items that need to be taken in this area...”

“This needs assessment has provided us with a road map of the issues and

11


Highlights of Progress

• Communicated needs assessment report via website, public libraries, media. • Highlighted need for a navigation plan in the Board of Trustees 2008-11 Strategic Plan. • Offered Health Promotion 101 workshops designed to enhance staff’s knowledge and skills in the area of Health Promotion.

12

• Made a submission to the Healthy Aging initiative of the Department of Health and Community Services.

• Developed a regional Health Promotion Plan and began implementation.

• Approved funding for a nurse to support Healthy Baby Club in Kilbride to Ferryland and other Healthy Baby Club sites.

• Established a Mental Health Promotion Team.

• Established liaison committees with the justice system, the education system and Human Resources Labour and Employment in order to enhance partnerships and to learn from each other. • Developed a Community Development Fund and awarded $50,000 to community groups throughout the region, including the Branch Cultural Historical Association and the Placentia and Area Community Food Bank.

• Confirmed the number of long-term care beds in the area is sufficient. • Wrote draft standardized regional home support program policy and established working group to implement. • Implemented a standardized regional financial assessment tool for home support and other community support services.


• Met with officials from Department of Health and Community Services to advocate for improvements to the Home Support Program’s financial criteria and level of support available. • Partnered with Seniors and Aging Division to build public awareness and develop regional response to elder abuse and neglect. • Awarded Health Promotion School grants to St. Edward’s (Placentia) and St. Anne’s Academy (Placentia). • Developed a plan to address current and future needs of the laboratory and x-ray service at Trepassey and appointed a laboratory manager liaison and a diagnostic imaging manager liaison.

• Appointed a laboratory manager liaison for St. Mary’s. • Established a Primary Health Care Leadership Group to enhance primary health care initiatives: - Implemented initiatives to increase cervical screening rates in the Southern Avalon including promotion through Bingo campaigns, presentations and displays for community groups and targeted pap screening clinics. - Through partnership with Community Health Nurses and physicians, provided influenza vaccine to over 1000 residents of Southern Avalon during the 2008-2009 flu season.

• Provided a grant to Eastern School District to support expansion of Eastern Active Schools Projects. Schools involved in this expansion include Baltimore School (Ferryland) and Dunne Memorial (St. Mary’s)

13


Helpful Phone Numbers Hospitals/Health Centres/Clinics Placentia Health Centre (Placentia)......................................................................227-2013/4101 Placentia Medical Clinic (Placentia) .................................................................................227-2081 Dr. Anthony Rockel (Placentia) .................................................................................227-2101 St. Mary’s Health Centre (St. Mary’s).................................................................................525-2980 Shamrock Medical Clinic (Ferryland).................................................................................432-2340 Mount Carmel Health Centre (Mount Carmel).......................................................................521-2113 Trepassey Clinic (Trepassey)................................................................................438-2828

14

Long-Term Care Nursing Home Lions Manor Nursing Home (Placentia) .............................................................................227-2061 Personal Care Homes Beachside Manor (Placentia) .........................................227-1110 Gateway Residence (Dunville).......................................227-3814 Hannah and Peter’s Haven (St. Bride’s).......................337-2121 Lewis’ Personal Care Home (Riverhead).....................525-2244 Neville’s Special Care Home (St. Mary’s).....................525-2098 Riverside Country Manor (Mount Carmel)................521-2377


Community Health Services Mental Health and Addictions Services Placentia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227-1624 Witless Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334-3944 Ferryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432-2931 Trepassey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438-2802 St. Mary’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .525-2980 Child Youth and Family Services Child Youth and Family Services Emergency (during day St. John’s) . . . . . . . . . . . . . . .752-4238 Emergency (after hours St. John’s) . . . . . . . . . . . . . . .752-4619 Emergency (after hours Rural Avalon) . . . . . . . . . . .759-3369 Youth Corrections . . . . . . . . . . . . . . . . . . . . . .752-4644 (Intake) Community Support Services St. John’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .752-4717(Intake) Placentia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227-3619 St. Mary’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .525-2100 St. Bride’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227-3619 St. Joseph’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .521-2200 Mount Carmel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .521-2113 Witless Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334-3941 Ferryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432-2930 Trepassey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438-2890

Community Health Offices Placentia Health Centre . . . . . . . . . . . . . . . . . . . . . . . . .227-3641 Placentia Court House . . . . . . . . . . . . . . . . . . . . . . . . . .227-0130 St. Mary’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .525-2100 St. Bride’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337-2260 St. Joseph’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .521-2200 Mount Carmel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .521-2113 Witless Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334-3941 Ferryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432-2930 Trepassey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438-2890 Community Health Nursing Services Placentia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227-3641 St. Mary’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .525-2100 St. Bride’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337-2260 St. Joseph’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .521-2200 Witless Bay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334-3941 Ferryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432-2930 Trepassey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .438-2890

15


Family Resource Centres Placentia ....................................................................................227-1010 St. Bride’s ...................................................................................337-2300 Whitbourne ..............................................................................759-2824 St. Catherine’s ..........................................................................521-3300 Ferryland ...................................................................................432-3444

Services to Youth Other Resource Numbers Mental Health Crisis Line (24hrs) .........................1-888-737-4668 Poison Information Centre (24hrs)......................1-888-727-1110 Pediatric Advice Line................................................1-866-722-1126 NL Health Line ............................................................1-888-709-2929 Cara House...................................................................1-877-800-2272 Sexual Assault Crisis Line........................................1-800-726-2743 Kids Help Phone.........................................................1-800-668-6868 Seniors Resource Centre.........................................1-800-563-5599 Caregiver Help Line ..................................................1-888-571-2273 Kirby House ..............................................................................753-1492

16

P4 Youth Centre (Dunville)..................................................227-2050 Community Youth Network Southern Avalon.....................................................................728-1032


This report was produced by Eastern Health for the residents of the Southern Avalon to provide them with an update on the progress of recommendations from On the Path to Health and Wellness: Southern Avalon Community Health Needs Assessment, released June 2007. The report is available at www.easternhealth.ca and at public libraries. For more information about the Southern Avalon needs assessment report, please contact: Fay Matthews, Chief Operating Officer, Rural Avalon, Eastern Health, by phone: 759-3359 or email: fay.matthews@easternhealth.ca


www.easternhealth.ca


Southern Avalon Community Health Assessment: A Two-Year Update