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Welcome to HC Link's blog! Our blog will provide you with useful information on healthy community topics, news, and resources, as well as information on HC Link’s events, activities, and resources. Our bloggers include HC Link staff and consultants, as well as our partnering organizations, clients, and experts in the health promotion field. Please note: opinions in posts are those of the author and are not necessarily the opinions of HC Link or our funder.

We look forward to engaging in thought-provoking conversation with you!

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Non-profits and public sector organizations are no longer lagging behind the business world in the use of social media. It has become apparent that social media is useful for engaging communities and building brand recognition and small organizations are taking note. Most non-profits, and most of the general population, predominantly use Facebook for social networking. Twitter can seem intimidating to those new to social media. Here are some treads, tips, and tools to help your organization get started with Twitter.

Twitter logo blueTrends on Twitter

  • Live tweeting from events is expected. This is a great article from Nonprofit Tech for Good – How to Report Live from Nonprofit Events and Conferences 
  • Twitter is becoming more visual. There are so many images on twitter now that tweets without images often get skimmed over because they get lost in the news feed. While not all tweets need a visual – use a visual when possible. Knowledge of Adobe Photoshop will allow you to use to create graphics for your tweets. Infographics are becoming increasingly popular, and you don’t need to be too tech-savy to create them. Check out Piktochart
  • Twitter chats continue to increase in popularity. More organizations and people on twitter are becoming familiar and comfortable with participating in a live twitter chat. Twitter chats are a great way to obtain helpful resources, consider new ideas, share your own organizations resources and connect with and follow new people/organizations who have similar interests.

Tips for Using Twitter

  • Don’t just tweet about your own organization. Only about ¼ tweets should be self-promoting. Think about educating your audience and sharing important information.
  • Don’t over-tweet but tweet consistently. Aim for 3-8 tweets per day (unless participating in a twitter chat or live tweeting from an event). You don’t want to crowd the newsfeed, and you only want to tweet important/relevant information (it’s ok to be selective). You want to make sure you tweet daily so people know your organization is active on twitter and will actively search your profile to read your tweets daily (because they know you always have good stuff to say).
  • Check content before tweeting/retweeting. Sometimes an article title or tweet about an article can be misleading, or the source or information is not reputable or appropriate. You want other people and organizations to be able to trust your tweets and be able to retweet them with confidence (without having to check the content themselves if they don’t have time). 
  • Add visuals whenever possible. 
  •  Include appropriate twitter handles of people and organizations in your tweets. Organizations appreciate the exposure and will likely retweet – dramatically increasing the number of people your tweet will reach. If you aren’t sure if an organization has a twitter account, look up their website, it should be included there. 
  • Mark your calendar with cause awareness days. Cause awareness days provide a great opportunity for organization to gain new followers and promote themselves.

Useful Tools for Twitter

  • Twitter Analytics is a free online tool that allows users to track the number of impressions, engagements, link clicks, retweets, favorites and replies. Note, this application only starts tracking from the first time you use it.
  • Twitonomy is a Twitter analytics platform that allows you to get detailed and visual analytics on anyone's tweets, retweets, replies, mentions, hashtags. To use a lot of the features you must have a paid account. 
  • Tweet Deck is a free dashboard powered by Twitter that allows you to create a custom twitter experience and manage multiple timelines to keep track of notifications, searches, and hashtags. You can also schedule tweets and mute users or terms. 
  •  Hootsuite is a paid social media dashboard that allows organizations and businesses of all sizes to manage social networks, schedule tweets, and track analytics. It is a great tool for organizations who have multiple staff managing social media accounts to delegate tasks and streamline workflow.

Canada Without Poverty and Citizens for Justice launched the Dignity for All Campaign in 2009. This multi- year, non-partisan national campaign aims to create a poverty-free and socially secure and cohesive Canada. While everyone plays a role in national poverty reduction the federal government is crucial and therefore the campaign is focused on three federal policy goals:

  1. Creation of a comprehensive, integrated federal plan for poverty elimination
  2. Passing of a federal Act to eliminate poverty, promote social inclusion and strengthen social security
  3. Collection and allocation of sufficient federal revenue to invest in social security

 

In Canada 4.8 million people, or one in seven, live in poverty and struggle to pay the rent, afford nutritious food, and meet basic needs. In early 2015 Dignity for All released their anti-poverty plan which is based on the notion that poverty is a violation of Canada’s human rights obligations. They make recommendations in 6 key areas - income security, housing and homelessness, health, food security, early childhood, and childcare, and jobs/employment. To create the document Dignity for All held 6 different policy summits bringing together leaders from academia, social policy organizations, provincial and territorial anti-poverty movements, national associations, faith-based groups, unions, and front-line service agencies.

Poverty and Health

The anti-poverty plan focuses on the often ignored impact of social and economic circumstances on health, also known as the social determinants of health. Social determinants, particularly income, are strongly correlated with health outcomes. Canadians living in poverty perform worse on health and social indicators such as life expectancy and prevalence of diseases, stress, and psychological problems. As income decreases so does health.


This effect is most apparent among groups with high levels of poverty such as the Inuit, First Nations, and Métis people. It is well documented that Inuit, First Nations, and Métis populations have lower life expectancy and higher rates of chronic illness than the general population.


People living in poverty experience significant barriers to health and healthcare such as long waitlist, challenges accessing or affording transportation, and inability to cover expenses such as drugs and dental care that aren’t covered under the provincial insurance plans. While Canada is proud of our national health care system, Medicare only covers 70% of health care costs – unlike many other wealthy countries that cover drugs and homecare.


The relationship between health and poverty is bi-directional as poverty can contribute to poor health and people experiencing poor physical and mental health often have low incomes. It is estimated that 20% of total annual health care spending can be attributed to socio-economic disparities.

Policy Recommendations

  1. Recognize in legislation the social determinants of health
  2. Develop a new 10-year Health Accord for the implementation of high-quality, universal, culturally-appropriate, publicly-funded and managed health promotion, prevention, and acute care services.
  3. Develop a Continuing Care Program
  4. Develop a new universal, publicly-funded National Pharmacare Program
  5. Implement the National Mental Health Strategy developed by the Mental Health Commission of Canada
  6. Fund and support a collaborative ventures designed to improve the health and well-being of Inuit, First Nations, and Métis peoples with the final goal of establishing a First Nations, Métis, and Inuit Health Authority
  7. To fully rescind the 2012 cuts, totalling $20 million, to the Interim Federal Health Program (IFHP)

If you feel passionate about putting to plan into action help spread the word using the hashtag #WeHaveaPlan

 

 

 

I'd like to share a few of my thoughts following a workshop I attended recently in Brampton on "Accelerating Community Change with Collective Impact", presented by Sylvia Cheuy of Tamarack: An Institute for Community Engagement.

Most of you are likely familiar with Collective Impact (CI), as it has gained a lot of attention in recent years. At the workshop, Sylvia provided us with an overview of the CI framework, which is a comprehensive, multi-sector approach used to address a range of complex community issues, such as education, poverty, food security, neighbourhood revitalization, crime prevention, and environmental sustainability. Three panelists presented the Collective Impact strategies they are using in their community initiatives.

 I have been interested in CI since it was introduced by John Kania and Mark Kramer of FSG Social Impact Consultants in an article in the December 2011 issue of Stanford Social Innovation Review. During the workshop I found a few questions coming to mind about how CI fits with other approaches that I use in my work.

 

Collective Impact and Healthy Communities

The first question I pondered is "In what ways is the Collective Impact approach similar and dissimilar to the Healthy Communities (HC) approach?" Below are the key components of the CI and HC approaches:

 

Collective Impact Healthy Communities 
  • Common agenda
  • Equitable community engagement
  • Shared measurement
  • Intersectoral partnerships
  • Mutually reinforcing activities
  • Political commitment
  • Continuous communication
  • Healthy public policy
  • Strong backbone entity
  • Asset-based community development

They are clearly complementary, but have different starting points. The HC approach begins with creating a shared holistic vision of the preferred future of the community, followed by a community assessment, a community strategic plan that builds on current community assets, and the formulation of action plans. CI focusses on community problems, as opposed to the asset-based approach of HC. However, I can see strong benefits in using a CI approach, within a larger HC framework. CI is particularly suited for developing and implementing effective solutions to complex community issues that transcend the mandate of single organizations and thus require a focussed, inter-organizational and intersectoral coordination of resources.

Collective Impact and Community Development

Another question that came to mind during the workshop is how it fits with a Community Development (CD) approach. For some CI initiatives I have read or heard about, it appeared that municipalities, institutions and/or larger community agencies were driving the process, and it wasn’t clear how community members participated in any of the decision-making processes. Although there is plenty of room within CI to incorporate CD approaches, it does seem to be a top-down rather than bottom-up process. Ensuring a strong community voice is present may be a challenge in CI initiatives.

Collective Impact and Results-Based Accountability

A third approach that seems to be strongly aligned with CI is Results Based Accountability, a data-driven, decision-making process aimed at making significant progress towards goals. Its approach to population level goals; e.g. “All children in Huron County will be well nourished”, fits very well with CI, in that the community at large is held accountable for progress, and thus requires intersectoral partnerships. RBA also has a strong focus on using data to help tell the story behind the issue and developing powerful measures to determine whether progress is actually being made. The Region of Peel has recognized the complementariness of these two approaches. According to a report of the Region of Peel Community Investment Committee, non-profit community organizations in Peel see RBA and CI as an effective process for achieving positive social change. The integration of RBA and CI began with the Community Investment Strategy (2009); grew into the Peel Counts Report (2011) and culminated with the Peel Institute for Collective Impact.

Conclusion

It seems that CI is a highly versatile approach that can be used on its own, in combination with other approaches or as one strategy within a larger framework for change. Innumerable strategies and processes can be incorporated into a CI approach, designed by the participating organizations and individuals to reflect their particular values and interests. Because the issues that communities are grappling with are highly complex, they require a multi-dimensional approach and collective effort. RBA and CI both provide effective tools for addressing these issues and thus contributing to development of Healthy Communities.

Resources on Collective Impact


Here are a few items that might interest you:

a) Workshop materials: Sylvia was kind enough to post the PowerPoint presentation, handouts as well as the suggested resources from the workshop here.

b) Collective Impact Forum: For more information about collective impact, I suggest you join the Collective Impact Forum, an initiative of FSG and the Aspen Institute Forum for Community Solutions. The website contains tools, training opportunities, and peer networks to assist practitioners to be successful in their work. Here are some of the resources available from the Forum:

Collective Impact in Neighborhood Revitalization
In this four-part blog series, community organizing and development expert Jim Capraro shares insights about how collective impact initiatives can engage with community members.

System Leadership and Collective Impact
In this podcast, Forum director Jennifer Splansky Juster talks with John Kania (FSG), about system leadership and how this leadership is imperative for collective impact efforts to achieve their goals.

How to Transform the Lives of Low-Income People through Collective Impact
The Integration Initiative (TII) began in 2010 with the promise of transforming the lives of low-income people and the communities in which they live in cities across the US. Living Cities recently released their evaluation of TII’s first three years, examining the successes achieved and the challenges faced by each participating city.

c) Peel Institute for Collective Impact - online tutorial series on articulating impact, designing a measurement plan, and implementing the plan.

 

 

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Today is World Cancer Day, an annual campaign organized by the Union for International Cancer Control (UICC). This year the theme is "Not beyond us" and organizers are taking a positive and proactive approach to cancer. It is important to highlight the solutions and prevention measures that do exist and exciting new research. Empowering communities to make healthy choices is key to cancer prevention.

The World Health Organization is working to reduce the number of premature deaths by non-communicable diseases by 25% by 2025. They recommend the following:
• Don't smoke
• Be physically active
• Eat a healthy diet
• Limit alcohol intake
• Avoid sun, and use sun screen
• Breastfeed – to reduce the mothers risk
• Ensure your children get Hepatitis B and HPV vaccines
• Take part in cancer screening programs

At HC Link we focus on healthy communities – here are some great resources from HC Link and other health resource centres that can help communities be proactive about cancer prevention.

Getting Started with The Healthy Kids Strategy
This short resource provides an overview of the Ontario's Healthy Kids Strategy and highlights from HC Link's three-part webinar series on the Strategy. It also offers a snapshot of related resources and supports from HC Link and other organizations.

Addressing Alcohol Consumption and Alcohol-Related Harms at the Local Level
This report identifies evidence-based local level strategies to reduce alcohol consumption and related harms. Through the triangulation of literature, key informant interviews and public health unit surveys the project team has formulated 13 recommendations for local level action and six areas for advocacy in Ontario.

Community-based Strategies for Healthy Weight Promotion in Children and Youth
A summary of community-based strategies recommended to address childhood obesity. For each of the four main strategies is a review of the quality of evidence supporting its use. Readers can further explore the academic and grey literature referenced to help inform the development of local strategies.
Submitted by Monica Nunes of the CAMH Resource Centre
 
Most of us are becoming more and more familiar with the idea of mental illness as reflecting some kind of mental health issue. According to the Public Health Agency of Canada (PHAC) mental health is a positive concept that is distinct from mental illness. PHAC defines mental health as "the capacity of each and all of us to feel, think, and act in ways that enhance our ability to enjoy life and deal with the challenges we face". Mental health is a multifaceted topic and making the distinction between mental health and mental illness is just one of the many potential discussions to have when it comes to our mental well-being. Yesterday was Bell Let's Talk Day; let's continue the conversation about mental health!
 
Not sure where to start or what to say about mental health? No need to worry, the CAMH Health Promotion Resource Centre has you covered! Check out our website for resources on mental health and mental health promotion. Our What is Mental Health postcard shares several different ways to talk about mental health.
 
Bellletstalk CAMH
You can join other conversations happening later this week. Several CAMH experts will be on TV and social media in celebration of Bell Let's Talk Day! Click here for more info.
 
If you want to share events happening this week across your organization and others, please share them in the comments section.

By Andrea Bodkin, HC Link

For many people working in the areas of community-based planning, health promotion and healthy communities, we want to fully engage and work with all of the people who live, work and play in our community. When it comes to working with the Francophone community many feel that this can only be done if we are fluent in French. This week, Sylvie Boulet and I delivered a webinar, How to Engage Francophones- when you don't speak French, for the Physical Activity Resource Centre (PARC). A wide variety of physical activity promoters in Ontario attended the session- 78% of whom spoke a little or no French.

There are many reasons why organizations and groups would want to engage with Francophone communities and deliver services in French. Sometimes these reasons are legal ones or have to do with funding mandates. Most importantly however is to consider that if we want our programs, services and initiatives to improve the health of our communities we must consider the health status and needs of Francophones. Franco-Ontarians tend to have lower levels of self-reported health and feel less a part of their communities than their Anglophone counterparts. Franco-Ontarians are also more likely to eat fewer fruits vegetables and more likely to smoke and drink alcohol. There is clear evidence that Francophones who receive information, supports and services in French follow advice and instructions more closely and have fewer follow-up visits and re-admissions.

The reasons for engaging Francophones and delivering services in French are clear, but HOW to do it, particularly if your organization lacks French capacity, is a bit fuzzier. In our webinar and companion resource we lay out three easy steps to engage Francophones regardless of your French capacity.

Step One: Examine Your Motives: be very clear about the purpose and objectives for your engagement strategy, and also have a plan in place for what you will do with the results. The Francophone community tends to be over consulted, and it's not always clear if/how the resulting data is used.

Step Two: Understand Francophone Contexts in Ontario, your community and your organization: understand the history and contexts of the community as well as the history of your organization's past engagement strategies. This history may have an impact (positive or negative) on relationships and results.

Step Three: Find people to work with: For many of us who don't have the capacity or comfort to work in French, this step is really key. Are there colleagues in your organization or networks that have the capacity to liaise with communities in French? Also investigate existing networks and initiatives that you could partner with. Take the time to establish a trust relationship with new partners as well as with the communities themselves.

Have you experienced successes or challenges in engaging Francophone communities in your work? Please leave us a comment and tell us about it!

View webinar slides

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We have been working hard on our website to offer you an enhanced experience, including:

An enhanced homepage

  • We have added more direct links to our top information and resources to make it easier to get to where you want to go – including all of our social media channels (icons at the top), requesting a service from us (right side bar), our most popular resources (right side bar), and joining our listservs (left side bar).

  • Our new slider is more visually appealing and functional.

  • We have added a 2-minute video to describe HC Link and our services.
homepage2
 

Improved navigation

  • The EVENTS section of our website has been re-organized to make it easier to find upcoming events and materials from past events. Rather than having all of our events lumped together, they can now be searched separately by: webinars, peer-sharing and online discussions, conferences, and regional gatherings. An EVENTS landing page has been added to help you find where you need to go.

  • We have added a landing page for the RESOURCES section of our website to help you navigate through the various resources we offer, including: resource topics (new topics have been added and new resources are now showcased), our policy learning community, community storybank, blog, twitter and our listservs.

  • We have created a separate page for our Reports and News Digests under the ABOUT section of our website to make it easier to find what you are looking for.
EVENTSsnippet
 

In depth details and examples of the services we provide

  • The CONSULTING SERVICES section of our website has been completely re-done! When reviewing our website before the refresh, it became clear that we needed to better describe the consulting services we have to offer and provide some concrete examples of the work that we have done. Please visit the About Our Consulting Services page to learn more about our services and to read though our Q&A, which should answer any questions you have about what we can offer!

  • We have kept our Consultants page to allow you to browse through our listing of skilled consultants to learn more about their areas of expertise, and have added examples of consulting services we have recently done, and quotes from clients to share what others thought about our service. We have also taken the mystery out of how to request a consulting service from us and what to expect from us once you do request a service, by updating our Request A Service page.

  • We have added an infographic to showcase all of the ways that HC link can support community groups, organizations and partnerships to build healthy, vibrant communities across Ontario. You can check this out on the new WHAT WE DO page.
HC Link Continuum of services

 

New online platform for our Policy Learning Community

  • We recently changed platforms for our online policy learning community to provide a more interactive and user-friendly space for members to learn, share and exchange ideas related to building healthy public policy. This new platform offers a Discussion Forum to share ideas, tools, resources, research and upcoming events on variety of topics and emerging issues, a Policy Webwatch that scours the internet looking for policy-related items on news sites, social media, journals and organizations that work in policy, and offers two Think Tanks on food security & active transportation for dedicated discussion.
Learning Community

 

Visual Enhancements

  • We have a new page layout to allow more space for content (less scrolling!) and a bigger font size for easier reading.

  • We have added more images to our website - including photos, thumbnails, and infographics!

webinarthumbnails

We hope you enjoy the changes we have made to our refreshed website! Feel free to leave comments on this blog about our website, or suggestions for how we can further enhance your online experience with us!

If you have any questions about these changes, please contact Kyley at This email address is being protected from spambots. You need JavaScript enabled to view it..

By Monica Nunes, CAMH Health Promotion Resource Centre

Over 200 participants from across the province from the education, public health and policy sectors joined a two-part webinar series on November 10 and December 1 to hear about the 2013 Ontario Student Drug Use and Health Survey (OSDUHS). In addition to learning about the mental health and well-being results, participants explored how the data might be applied to programming, planning, and policy in health promotion and prevention.

The webinar series was co-hosted by the CAMH Health Promotion Resource Centre (HPRC) and Evidence Exchange Network (EENet).

In part one of this webinar series, Nandini Saxena, Manager of Knowledge Exchange, and Tamar Meyer, Supervisor, CAMH HPRC, looked at various long-term and current trends in student mental health and well-being. Participants then heard about some positive findings as well as areas of public health concern from OSDUHS researchers Dr. Bob Mann, Senior Scientist, Dr. Hayley Hamilton, Scientist, and Angela Boak, Research Coordinator, as well as Gloria Chaim, Deputy Clinical Director of the CAMH Child, Youth and Family Program. Dr. Ken Allison, from Public Health Ontario, was also on hand and spoke about the need to monitor both mental health and physical health trends in youth.

The second webinar focused on bringing the OSDUHS evidence into action.

 
camhdec23

Dr. Kathy Short, Director of School Mental Health ASSIST, and Allison Potts, Mental Health Leader of Durham District School Board, spoke about how the OSDUHS data helped them set directions for school-based mental health programming at the provincial and school board level.

Next, Nasreen Giga, Public Health Nurse, and Kathy Moran, Epidemiologist, both from the Durham Region Health Department, spoke about how the OSDUHS findings support their public health unit in monitoring health trends among youth. Knowing about these trends helps inform resiliency-based programming for children in their communities.

To view the recording and slides from this webinar series, please visit the following links:

Part 1 - Results Overview Recording | Slides
Part 2 - Evidence to Action Recording | Slides

Andrea Bodkin, HC Link

This morning I co-presented a webinar with Kim Bergeron of Health Promotion Capacity Building at Public Health Ontario. We had a terrific crowd join us to talk about the importance of working intersectorally in a Health in All Policies approach.

I was excited about this topic for three reasons. Firstly it was great to work with Kim on this! Secondly, I think that the Health in All Policies approach is critical when we're looking at building healthy communities. So many of the policies that affect health lay outside of the health sector: everything from economic development, housing, transportation, education and many others impact the health of citizens and communities. Thirdly, it's for this very reason that we must work intersectorally: we must engage with the sectors outside of health who affect the policies that impact health.

Kim and I have been working in the areas of policy development and intersectoral collaboration for many years. When we started talking about some of the ways that facilitate this kind of collaboration, we decided to put them into a bit of a process or framework.

 
phoblog

This isn't exactly a step-by-step process or map, rather it's a collection of the things that we've found to be important when working collaboratively. First of all, it's vital to get folks around the same table – whether it's a new or existing table, a real one or virtual one- just having everyone together creates opportunities for dialogue, synergy and collaboration. Using the Stakeholder Wheel can be helpful to identify who to bring to the table and in what capacity. In the course of those dialogues, develop a collective understanding of the problem or issue you are trying to address and potential solutions. From that, create a vision or goal statement capturing what you want to happen as a result of working together: what is the change that you want to see? I really like the exercise "1-2-4-all" from Liberating Structures as a way to create a collective vision. Creating a document to capture your collective understanding, vision, roles and responsibilities and scope of the project is an important way to ensure that all partners are on the same page and have committed to the project. A Terms of Reference or project charter can help. Tailoring key messages for particular audiences, including "what, so what, now what" and the actions that you want them to take is also important.

I'd love to hear your experiences of working intersectorally in the area of policy! What worked well for you? Did you experience challenges? What happened as a result of your collaboration? Use the comment box below to share your stories.

 

By Gillian Kranias, HC Link

I recently participated in a hands-on learning experience that was totally unrealistic—and hugely valuable. Staff from the MaRS Solutions Lab led me and other curious participants through a series of collaborative dialogue and deliberation activities. This was all happening within the context of the Community Knowledge Exchange (CKX) Summit held in Toronto last month. I wanted to learn about the MaRS approach to partnerships for complex community change, since this is a common focus of my work at Health Nexus work and HC Link.

Mars1
MaRS #CKX Solutions Lab: Systems Mapping on Youth Employment

Food, housing or youth employment—take your pick!

Each 75-minute session was built on the work of participants from the previous session. The activities were:

  1. Understanding Complexity (systems mapping)
  2. Designing and Prototyping for Change*
  3. Scaling for Change
  4. Scaling Deep - on Youth Employment
  5. Building Partnerships - for Youth Employment

*Note: Although I participated in both sessions #2 and #4, this blog describes my experience in #2— Designing and Prototyping for Change.

The Journey Map

mars2What drew me to the MaRS approach was the mapping – starting with large empty "journey map" diagrams and then mapping our thoughts and ideas onto them with stickies. This process generated dynamic conversations and the maps became a common visual reference for collaborative decisions. However, given this was a mock session our decision-making was rushed and perhaps artificially smooth since people did not press their viewpoints.

MaRS staff kept reminding us that the activities we were attempting to complete really take anywhere from several days to several months. That mantra of partnerships for complex change emerged over and over again: effective efforts take time.

Our chosen challenge: design and prototype for changes in food security systems

I sat down at one of the Food Security tables. Ryan, the warm-mannered MaRS staff facilitating our table, explained the systems maps on the walls around us that had been created by the previous session tables (see example above). After we had introduced ourselves, we rapidly set to task.

mars3

  • On blank stickies, we were asked to individually brainstorm ideas for interventions to address the key challenges highlighted on our Food Security system map.

  • Using a Fast Idea Generator worksheet, we then expanded on our favorite idea. First we were invited to elaborate: Who is the actor? Who is the subject? What is being done? How is it being done (quality)?... Next we went on to stretch our idea following a list of prompts that encouraged us to explore, play and invent through: inversion, exaggeration, extension, replacement, addition, differentiation, and integration. Finally we had to rewrite our idea in a maximum of 150 words.

  • The DFVI Analysis tool helped us each evaluate our intervention to address:
    • Desirability: what problem is being solved for the individual user?
    • Feasibility: what do you need to make the idea happen?
    • Viability: what opportunities can it make use of? Or what barriers will it face?
    • Impact: what potential impact will the intervention have over time?
  • The pitch process helped us share our ideas to our table members. After which we were instructed to collectively pick one idea that would move forward (i.e. for further evolution in the following session).

  • The choice came next. I am not sure we succeeded in selecting one. We joked about our unwillingness to "choose one". And I wondered about a proposal none of us had put forth: why not first fund a network coordination position to support diverse initiatives, each tackling the complexity of food security from their own interdependent vantage point? It was probably better we didn't make any decision, since our mock partnership did not include people representing a lived-experience perspective (i.e. someone living with food insecurity).

What I learned

Overall, this session was highly engaging, and I took home those stimulating questions for a future opportunity (a real one, with more time). It was noted by a colleague that the process relied heavily on individual writing, and that this could pose some inclusion problems. A real-time application of this approach could include the use of visuals and pair/small group discussions in the development of ideas to support effective collaboration among partners with different styles and approaches.

For further reading, here are the six "design principles" of the MaRS Solutions Lab approach:

  1. Start with the citizen, look at the system
  2. Create solutions with users and stakeholders, not just for them
  3. Look for the smallest possible intervention with the largest possible impact
  4. Always work towards scale, but start small and learn
  5. No action without reflection, no reflection without action
  6. Work to diagnose problems, galvanize change and deliver real improvements

Photos are from https://www.flickr.com/photos/ckxdotorg/

 

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By Suzanne Schwenger, HC Link

Last month, I attended a great conference focused on community knowledge exchange—called the CKX Summit. It was a very energizing experience, and helped me to think differently about how data can be used to support community change.

I wanted to share a few of my key takeaways with you, as I believe many of them could be of interest to all of us.

5 highlights:

  1. Wellbeing Toronto Map- is an amazing map of Toronto's neighbourhoods with indicators on topics ranging from crime to education to the environment.

  2. Use design principles for social innovation- from the plenary with Joeri van den Steenhoven, Director of the MaRS Solutions Lab. These include working 'back to the future', and making sure that there is no action without reflection.

  3. Let's move beyond pilots to create prototypes—which move to scale. We practiced prototyping ideas for youth employment at the CKX Solutions Lab.

  4. Personal storytelling is a powerful force for community change—from session with Jenna Tenn-Yuk, conference story-teller in residence.

  5. Canadian cities have a huge untapped food source—thousands of edible fruit and nut trees! —from the jam session with Hidden Harvest Ottawa.

You can view images of the summit online here: https://www.flickr.com/photos/ckxdotorg/

By Andrea Zeelie-Varga, Canadian Foundation for AIDS Research (CANFAR)

World AIDS Day is held on December 1st each year – it was first celebrated in 1988 and was the first ever global health day. The past few years have focused on the theme Getting To Zero: zero new infections, zero discrimination and zero AIDS-related deaths.

wad1

We've made incredible strides in the fight against HIV. But it is not over, not yet. There is still no vaccine and no cure, and people living with HIV still face discrimination.

Canada is one of a handful of countries with the intellectual capital, infrastructure, and resources to make a significant difference in the fight against HIV and AIDS. The Canadian Foundation for AIDS Research (CANFAR) is Canada's only independent charitable foundation dedicated to eliminating AIDS through research. Notable breakthroughs by CANFAR-funded researchers include a key component of the drug treatment that is keeping many people alive today, and findings that have nearly eliminated the risk of HIV transmission between a mother and her baby.

CANFAR's tech-savvy, youth-friendly campaign Kisses 4 CANFAR aims to help young Canadians tackle misconceptions about the disease. Kisses 4 CANFAR is a national movement that creates an ongoing dialogue about HIV and AIDS, prevention, and stigma reduction.

CANFAR is encouraging people to take a pledge and make a personal commitment to kissing HIV and AIDS goodbye!

The pledge card is formatted for the most popular social media platforms (Facebook., Twitter and Instagram) and is also available in a print-ready format. Pledges are shared online with #kisses4CANFAR and #WAD2014 (and also for #GivingTuesday2014!)

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Join us and visit kisses4canfar.com/pledge to make your promise this World AIDS Day.

By Seher Shafiq, Parent Action on Drugs

On November 25th, PAD attended the 2014 Children Mental Health Ontario (CMHO) conference titled "Getting it Right for Kids and Families" at the Marriot Hotel in Toronto. I attended on behalf of PAD, and we had a poster presentation on display titled Strengthening Families for Parents and Youth: Engaging Diverse Youth in a Family-Based, Skills-Building Approach. I got there bright and early for 7:30am, and before the conference started was able to chat with many delegates about our best-practice program for at-risk teens aged 12-16. You can learn more about our SFPY program at www.sfpy-pad.org.

CMHO Seher Nov 25

After the conference breakfast and poster presentations, the day opened with a speech by Mr. Aryeh Gitterman, Assistant Deputy Minister for Policy Development and Program Design at the Ministry for Children and Youth Services. Gitterman emphasized the importance of "shared responsibility", as well as collaboration at the local level. Recognizing that a lack of knowledge and lack of planning is a hurdle, he suggested that lead agencies should reach out to the LIHNs, as the two have a common objective and work together. Gitterman discussed the education system at length, stating that all 72 school boards in Ontario have a superintendent with responsibility for mental health, a mental health leader, and mental health teams. He noted that school boards now have a Mental Health Strategy and Action Plan in place, which is a big change from the past. Gitterman also touched on data, measurement and public reporting about performance indicators, stating that the public should know how the system is working.

After Gitterman's speech, I attended the morning session on youth engagement titled How to Give Youth an Opportunity to Speak Up, Speak Out! We talked quite a bit about the National Youth Advisory Committee – a group of 110 youth aged 12-24 from across Canada, who work on their own projects while also playing an advisory role for projects within and outside CAMH. The discussion focused around how to best engage youth and make them feel comfortable and welcome while doing so. We discussed that accountability means many things: being accountable to the process, letting youth know how their input will be used, encouraging diverse voices, and allocating money and staff into youth engagement. Integrity was also discussed as being key to youth engagement, and organizations should not just participate in youth engagement to "check the box"; they should do it wholeheartedly or not at all. We also touched on the importance of trust and respect, and talked about concrete ways to engage youth effectively: have food and incentives that youth will like, have more youth than adults in the room, support conversations rather than directing them, and ensure that the environment is comfortable, flexible and accessible. The best part about this session was the play-doh, pipe cleaners and pom poms on each table that participants were encouraged to play with!

play dough

After a healthy lunch and great keynote about mental illness and stigma by Professor Patrick Corrigan of the Illinois Institute of Technology, I headed over to another session on youth engagement titled Youth-Adult Partnerships: Working Together to Achieve Desired Outcomes and Impact System Change. A youth-adult partnership (YAP) is a relationship between adults and youth that focuses on joint work, common values, shared power and works on collective issues. The principles of a YAP include authentic decision-making (active participation of youth), community connectedness (increases community engagement, fosters relationships), natural mentorship (support without taking over), reciprocal activity (everyone is a teacher and student). The session discussed how youth can join an organization, as well as the challenges and solutions associated with YAPs. We ended with a short workshop where we discussed in groups what our organizations are currently doing to engage youth, and what we hope to do in the future.

Pyramid

The conference closed with a panel discussion and another engaging workshop. Overall, it was a great day!

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By Andrea Bodkin, HC Link

This week we held the fourth-and last- webinar in our policy development webinar series. A group of very enthusiastic folks from Ottawa joined us to talk about their experience in implementing Healthy Eating and Active Living (HEAL) guidelines in municipal daycare centres from start to finish: Helen Parker and Ellen Lakusiak from Ottawa Public Health, Ginette Perron from the City of Ottawa, and Fadi Chouhaibar, chef from Centre Educatif Beausoleil.

The impetus for the HEAL guidelines came from the municipality: they approached Ottawa Public Health for their support in developing and implementing the guidelines. The guidelines were developed under the guidance of a multi-disciplinary advisory committee informed by a literature review. The guidelines were then implemented in municipal daycare centres.

Often times, I think that we put a lot of energy into the development stage of policy development: identifying the policy issue, building community and stakeholder support, identifying policy options. This webinar focussed on the implementation of the guidelines: staff from Ottawa Public Health were seconded to provide support to daycare centres; a variety of training and sharing opportunities were held; parent engagement strategies used to garner support; a comprehensive evaluation plan identified changes made as a result of the policy; a sustainability plan was developed. It reminded me that getting a policy developed and adopted isn't the goal: getting it implemented is.

The presenters identified three main drivers for the successful implementation of the HEAL guidelines:

  1. The partnership between the municipality and public health: the municipality approached public health and asked for their participation in developing and implementing HEAL guidelines. Support for the guidelines within the child care centres was already there.
  2. Parents: a cornerstone of the implementation of the HEAL guidelines was open communication and sharing with parents through newsletters and conversations. Parents became engaged in what was happening at their child's centre: asking for recipes, sending in photos of their kids being active at home etc.
  3. Political will

The HEAL guidelines have been successfully implemented in all municipal child care centres in Ottawa. Next, Ottawa Public Health hopes to implement the guidelines in community centres and has their eye on home-based centres as well!

To learn more, check out the recording and slides from this webinar.

Review resources from previous policy development webinars.

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By Andrea Bodkin, HC Link

I will readily and proudly admit that I am a bit of a public health geek. And of the things that I get most geeky about is public sanitation. Clean water and toilets. I have always been passionate about this issue, but became even more so when I travelled in India. There is nothing like a little trip to India to make you appreciate sanitation. My second day of my first trip in India I saw local people dumping their garbage in the Ganges: Mother Ganga, the holiest river in India is a garbage can.

toilet blog picture 1
Mother Ganga in Rishikesh, India, taken by Andrea Bodkin

One of the highlights of my second trip was my visit to the International Toilet Museum, which along with an interesting collection of western-style toilets from around the world, has a display of various toilet systems that can be installed in rural India. Fascinating!

toilet blog picture 2

toilet blog picture 3
Sulabh International Toilet Musem, Delhi, India, taken by Andrea Bodkin

World Toilet Day was this week (yes this is a thing, and yes despite my aforementioned love of the topic I missed it) so in honour of it, here are a few facts:

  • Sanitation is widely regarded as one of the most important accomplishments in public health. The ancient Roman viaducts are often referred to as the world first public health intervention.
  • 40% of the world's population does not have access to toilets, and 15% of the world's population practices open defecation.
  • In 2013, 1000 children died every day from diarrhoeal diseases as a result of poor sanitation.
  • Lack of sanitation impacts girls' educations: many girls miss out on school because of the lack of clean and safe water and toilets.
  • Lack of sanitation has economic impacts in time, productivity and health costs. It's estimated that every $1 spent on water and sanitation generates a return of $8.

If you're curious about sanitation, its effect on health, and what needs to be done about it, check out www.worldtoilet.org (yes it's a thing!) and listen to this 17 minute podcast from the BBC on World Toilet Day http://downloads.bbc.co.uk/podcasts/worldservice/bizdaily/bizdaily_20141119-1027a.mp3

And above all, appreciate the water from your tap, your clean bathroom and flushing toilet. In this world it is a privilege not to be taken for granted.

 

By Monica Nunes, CAMH Health Promotion Resource Centre

Last week the CAMH Health Promotion Resource Centre (CAMH HPRC) and the Evidence Exchange Network (EENet) co-hosted a webinar to share the recent 2013 CAMH Ontario Student Drug Use and Health Survey (OSDUHS) results. The OSDUHS is a cross-sectional, anonymous survey of students in grades 7-12 in Ontario's publicly funded schools. The survey monitors drug use, mental health, physical health, bullying, gambling, and other risk behaviours. Two reports are available from each cycle, one focusing on student drug use, the other on student mental health and well-being. Yesterday's webinar focused on sharing the mental health and well-being results.

Following an overview of the OSDUHS findings, a panel discussion was held featuring speakers from the OSDUHS research team as well as other experts from CAMH and Public Health Ontario. The panel discussed recent areas of improvement as well as topics of concern relating to student mental health and well-being. You can view the webinar recording and access the slides.

The webinar was also an opportunity to launch a new series of infographics that share the OSDUHS mental health and well-being findings. Developed by CAMH HPRC and EENet these infographics aim to make OSDUHS data accessible to stakeholders in public health, health promotion, education, social services, government, and health care, and to inform public health monitoring, program planning, and policy making.

camhinfographic
The infographics highlight data on indicators of mental health for the province as a whole as well as for individual Local Health Integration Networks (LHINs). The LHIN-specific infographics focus on students in grades 9 through 12 and compare LHIN and Ontario-wide data. An infographic focusing on the Ontario school setting is also available. Stay tuned for an additional infographic focusing on student use of opioids.

A follow-up webinar will feature organizations that have used OSDUHS data to inform programming, planning, and policy. You can register for the 2013 OSDUHS Mental Health and Well-Being Evidence to Action webinar here.



You can read the full 2013 OSDUHS report here. You can read the Mental Health and Well-being of Ontario Students, 1991– 2013: Detailed OSDUHS Findings here. And you can view webinars focusing on the 2013 OSDUHS here.

Infographics in English and French:

Limited printed versions of the infographics are available upon request from Ontario public health and health promotion professionals. Please send your requests to Monica Nunes at This email address is being protected from spambots. You need JavaScript enabled to view it. and we will do our best to meet your request.

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By Robyn Kalda, HC Link

Social media has been a popular topic for HC Link webinars, consultations and workshops this year in both English and French and we're seeing some interesting trends.

There are starting to be three levels of questions about social media, now that it's been around for some years.

First, there are the how-to and what-is-it questions. How do I set up a Facebook or Twitter account? How do I post? What's Instagram/Pinterest/Vine? What is an app and how do I get one? What new things are out there?

Second, there are questions about how to use social media tools effectively. Which tool is best for my purposes? How often should I tweet? What does the research say: is social media a good tool for making a difference? Who should run our Facebook page? Should I use my real name for my work posts?

Finally, there are some more overarching questions. What's the best way to realize the advantages of technology without being constantly attached to it? What are the best times to use social media with parents so that you'll reach them but won't distract them from their children at times they are likely to be parenting? Given the 24/7 nature of social media, how can we be effective online without worsening people's work/life balance? How much sense does it make to redeploy staff time into social media at, perhaps, some cost to face-to-face services?

As health promoters, it's important to pay attention to all three kinds of questions. It's no use to know about all the technologies that are out there but remain oblivious to the larger questions around their healthy use. It's also no help to ignore technology on the pretext of concerns about its use. There are no clear answers to the big-picture questions yet, but health promoters need to be part of the discussion.

For social media resources, you can check out:

By Linda Yoo, CAMH Health Promotion Resource Centre

The CAMH Health Promotion Resource Centre is pleased to announce the launch of its NEW website on CAMH's Portico network! Here, you can look up past and upcoming webinars including recordings and PowerPoint slides, our research reports as well as infographics and toolkits.

MH PostcardOne new resource is the What is Mental Health postcard. This postcard provides a snapshot of various definitions and descriptions of what mental health is and what it looks like. For instance, it states that mental health is more than the absence of a mental illness. It is a positive concept that is distinct from, although related to, mental illness. Mental health is a resource to help individuals cope with stressors and reach their goals. Ultimately, mental health is a component of overall health so there is no health without mental health.

infographic 1in5Another exciting, new resource from the CAMH Health Promotion Resource Centre is the population mental health infographic. This poster outlines the importance of promoting mental health across the entire population, from individuals who have no identified mental illness to those with an identified mental illness and requiring treatment. It reminds us of the importance to broaden our lens beyond the 1 in 5 or 20% of the population who will experience mental illness in any given year to the other 80% of the population. The 80% may not be experiencing a mental illness but that does not necessarily mean they are doing well mentally. It also underscores that mental health promotion approaches benefit ALL people, even those experiencing mental illness.

The poster also highlights that there are unique factors that put individuals at risk of, or protect them from mental illness at various stages of life. So a population mental health approach also promotes mental health across the lifespan as it aims to increase protective factors at every stage of life. Increasing protective factors means addressing the various social determinants of health and inequities.

To support health promotion and public health professionals working in Ontario in the area of mental health promotion and substance use, a limited number of hard copies of our resources are available by request. Please send your name, work address and sector to This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it."> and we will try our best to meet your request.

The CAMH Health Promotion Resource Centre is funded by the Health Promotion Division of the Ministry of Health and Long-Term Care.

By Andrea Bodkin, HC Link Coordinator

This afternoon I moderated the 3rd in our series of 4 webinars on the topic of policy development. Since municipal elections were held all across Ontario this week, what better topic than building relationships with elected officials?

I was joined by Nicole Niedra-Boirdi from Niagara Region Public Health, my colleague at HC Link Gillian Kranias, and Krista Long and Sara Haalboon from Waterloo's Food Spaces, Vibrant Spaces campaign. Our speakers discussed two important- and closely linked- concepts: identifying the priorities of municipalities and elected officials; and using storytelling as a way to engage them.

First off, Nicole shared a variety of tools that Healthy Living Niagara has developed to identify how the priorities of the region/municipality intersect with its priorities. Mapping out the municipalities' strategic plan, analyzing minutes of past council meetings and mapping media coverage are a part of this process. This information can be used to identify common goals, identify potential partners, frame issues and identify gaps/unique needs.

Next, Gillian, Krista and Sara shared their experiences with using storytelling and public narrative in Waterloo. Their campaign, around community gardens, food access and farmer's markets, had a website, social media campaign and outreach events, but a cornerstone was on using volunteers in each ward to meet with candidates running in that ward. Volunteers were trained in storytelling to bring their personal approach to the issue- alleviating the fear that many volunteers had that they were not "experts". By speaking from their experience, the conversation between the volunteers and candidates was opened up, allowing candidates to connect with what the volunteer was saying. Candidates could see how the issue of community gardens aligned with their platform issues of community building, safe spaces and elder care.

I am a political junkie- I love politics. I will admit though that the 10 month long municipal election campaign exhausted me! Today's webinar energized me, and made me think about what I can do as a private citizen (not just a health promoter) to bring the issues that I care about forward to my local council.

If you'd like to learn more- check out the slides and recording from the webinar!

You can also view the slides and recordings from Part 1 and Part 2 of the policy development webinar series.

Resources

Building Community Policy Tools on Healthy Living Niagara's Website:
http://healthylivingniagara.com/building-community-policy/

Food Spaces, Vibrant Spaces WR Website:
http://www.wrfoodsystem.ca/foodspacesWR

HC Link's online Policy Learning Community:
http://hclinkpolicylearningcommunity.ning.com/

HC Link's February 2014 Peer Sharing session Engaging the Power of Story:
http://www.hclinkontario.ca/index.php/events/slides-from-events.html/#PowerOfStory

Marshall Ganz (Harvard University) articles and media clips about storytelling and the Public Narrative approach are on his website:
http://marshallganz.com/

How Storytelling Affects the Brain:
http://www.visualistan.com/2014/05/the-science-of-storytelling-infographic.html

Pamela Rutledge (University of California and Fielding Graduate University) article in Psychology Today: http://www.psychologytoday.com/blog/positively-media/201101/the-psychological-power-storytelling

By Seher Shafiq, Parent Action on Drugs

On October 7th, 2014, the CAMH Health Promotion Resource Centre held a webinar to launch the latest version of the Best Practice Guidelines for Mental Health Promotion: Children and Youth. The Guidelines were launched by CAMH, Toronto Public Health, and the Dalla Lana School of Public Health at the University of Toronto. With four presenters representing each of the three organizations, the webinar was a rich discussion involving knowledge exchange and new ideas.

BPGSpic

Marianne Kobus-Matthews, a Senior Health Promotion Consultant at CAMH's Provincial System Support Program started the webinar by discussing the history behind the Guidelines. In 2003 a report called the Analysis of Best Practices in Mental Health Promotion across the Lifespan was commissioned. Over the years, the project got narrowed to children and youth, because it was seen that most studies with a lot of evidence focused on children (7—12) and youth (13-19). In 2007, the online tool Best Practice Guidelines for Mental Health Promotion was launched. Now in 2014, many developments show the momentum of mental health promotion:

For example, there now exist national and provincial mental health strategies that focus on the mental health of children and youth. This meant that 2014 was a good year to refresh the guide and include new literature that has emerged since 2007. The goal of the Guidelines is to eliminate risk factors and promote resiliency. Practitioners are also encouraged to take a modified approach that considers social determinants of health.

Marianne discussed how youth that belong to groups that face social and economic exclusion (such as Aboriginals, LBGTQ youth, newcomer youth, and street-involved youth) have greater problems when it comes to health. She highlighted that resources in the guidelines include a worksheet that asks an organization questions based on the Guidelines. This includes a checklist of actions that can be taken to ensure your organization follows the Guidelines as much as possible. Marianne also mentioned that the guide has outcomes and indicators to help your organization gauge the success of an initiative.

Suzanne Jackson, an Associate Professor in the Health Promotion Program at the Dalla Lana School of Public Health (University of Toronto) spoke next about the evidence base of the Guidelines. She highlighted the relevance of risk factors and protective factors, such as optimism, attachment to school or work, family harmony, etc, noting that the presence of more protective factors over risk factors lowers the risk of mental illness. We should therefore be pushing protective factors, she argued. Suzanne also went into the literature that helped provide the evidence and information to inform the Guidelines. For example, Keleher & Armstrong, 2006 have concluded that the most significant determinants of mental health are: social inclusion, freedom from discrimination and violence, and access to economic resources. She discussed the criteria for best practice program examples, some of which are: identifying at least 5 guidelines, and having an evaluation tool.

The last presenters were Claudette Holloway (Toronto Public Health, Acting Director, Healthy Communities), and Patricia Stevens (Toronto Public Health, Health Promotion Specialist, Investing in Families). Investing in Families (IIF) is "an initiative designed to improve the economic, health and social status of families receiving Ontario Works benefits in several high-needs communities across Toronto". IIF provides families: employment related services, health services, computer/literacy/homework help, recreational activities, and opportunities to be socially involved in the community (1). Claudette and Patricia discussed how the IIF project began and expanded, how Toronto Public Health formed a partnership with CAMH, and where the project is at now. They also shared how their project follows the CAMH Guidelines, as well as lessons learned. One 'lesson learned' was through using phase III of the Worksheet in the Guidelines to develop a transparent and resilient approach to their project. Toronto Public Health strongly felt that the Guidelines and the Worksheet provided a systemic approach and a framework for mental health focus, as well as an ability to incorporate organizational thinking into their project.

Questions after the presentation included topics relating to social media, mental health in the LGBTTQ community, working with vulnerable populations, and other mental health promotion initiatives for children and youth.

Please contact This email address is being protected from spambots. You need JavaScript enabled to view it. for more information regarding the Guidelines (the CAMH Health Promotion Resource Centre has a limited number of hard copies of the Guidelines resource available by request). 

The webinar recording and slides are available for viewing.

Summary of guidelines

  1. Address and modify risk and protective factors, including determinants of health, that indicate possible mental health concerns
  2. Intervene in multiple settings
  3. Focus on skill building, empowerment, self-efficacy and resilience
  4. Train non-professionals to establish caring and trusting relationships with children and youth
  5. Involve multiple stakeholders
  6. Help develop comprehensive support systems
  7. Adopt multiple interventions
  8. Address opportunities for organizational change, policy development and advocacy
  9. Demonstrate a long-term commitment to program planning, development, and evaluation
  10. Ensure that information and services provided are cultural appropriate, equitable and holistic

(1) https://www1.toronto.ca/wps/portal/contentonly?vgnextoid=eaa9707b1a280410VgnVCM10000071d60f89RCRD

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