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FairviewCommunityHealth’sCommunityEngagementandNeedsAssessmentProjectAugust19,2011
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COMMUNITYSUMMARYFairviewCommunityHealth’s
CommunityEngagementandNeedsAssessmentProject
August19th,2011Completedby:LauraWhite,MasterofPublicHealthStudent([email protected])
Supervisor:BronwynUnderhill,HealthPromoteratFairviewCommunityHealth(bunderhill@fhc‐chc.com)Thefollowingisasummaryoftheproject’smethods,findings,recommendationsandnext
steps.Toseethefullreport,pleasevisitFairviewCommunityHealth(5FairviewMallDrive,Suite359)orcontactBronwynUnderhill[bunderhill@fhc‐chc.com(email)or416‐640‐5298,ext.202
(phone)]andasktoseethefulldocument.FairviewCommunityHealth(FCH)isacommunityhealthcentrelocatedatDonMillsAvenue
andSheppardAvenueinToronto,Ontario.ItisasatellitebranchofFlemingdonHealthCentre.ThecentreprovidesfreehealthservicesandprogramsrelatedtothebroadsocialdeterminantsofhealthtocommunitymemberslivingintheareaborderedbyLawrenceAvenuetothesouth,SteelesAvenuetothenorth,BayviewAvenuetothewest,andVictoriaParkAvenuetotheeast.
1.MethodsForthecommunityneedsassessment,sixfocusgroupswereconducted:fourCommunity‐BasedFocusGroups;oneFocusGroupwithcurrentFCHClients;andoneFocusGroupwithYouth.
2.Results Intotal,79communitymembersparticipated.Themajorityofparticipantswerefemale;
however,therewasrepresentationfrommanyagegroupsanddifferentethno‐culturalbackgrounds.AsignificantproportionofparticipantslivedaroundtheDonMillsAvenueandSheppardAvenuearea.
Whendiscussingwhattheylikedabouttheircommunity,communitymembersidentifiedfivemainstrengthswithinthecommunity,sayingthatthecommunitywas:
o Convenientandaccessibleo Friendly,helpfulandcohesive
AcommunityengagementandneedsassessmentprojectwasconductedbyFCHfromMaytoAugust2011to: Engagewithcommunitymembersasoutreach Learnfurtheraboutthecurrenthealthissuesthatconcerncommunitymembers DiscusswaysthatFCHcanhelpaddresstheseconcerns Setprioritiesofhealthissuestounderstandwhichissuesareofgreatestconcerntocommunity
members
FairviewCommunityHealth’sCommunityEngagementandNeedsAssessmentProjectAugust19,2011
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o Filledwithmanygreatresourcesandprogramso Safeandquieto Diverseandmulticultural
Intheclientfocusgroup,mostparticipantsspokeabouthowtheylikedspecificFCHprogramsand
services,findingthecentretobeveryhelpful,providingthemwithhealthinformationandwaystogettoknowotherpeople.
Asanactivitytohelpencourageparticipantstothinkabouthealth,andtheirhealth,participantsweredividedintogroupsandaskedtocompletethesentence:“IknowIamhealthywhen…”.Participantswereencouragedtoconsiderallaspectsofhealthwhenrespondingtothesentence,andtodraw,writeandbrainstormwithothersintheirgroup.
Figure1displaysexamplesfromthisactivity.
Figure1.Productsfrom“IknowIamhealthywhen…”activity Communitymembersdiscussedhealthproblemsfoundwithinthecommunity,withthemajority
ofissuesrelatingtochallengesassociatedwith:o Thehealthcaresystemo Timemanagementandbalancingcompetingpressureso Financesandemploymento Foodandnutrition
“Ifeelluckytolivehere”‐Participant
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Communitymembersalsoidentifiedprograms,thatwouldhelpimprovetheirpersonal,families’andcommunity’shealth,andthattheywouldliketoseeofferedatFairviewCommunityHealth.TheywereaskedtoselectthetopthreeprogramsthattheywantedFCHtoinitiallyfocuson,andstartworkingonrightaway.Theselectedprogramsarelistedbelow.
PriorityProgramsIdentifiedbyCommunityMembers(Orderedfrommosttoleastpreferred)
1. Lowcostorfreedentalcareforuncoveredindividuals
2. Fitnessandrecreationalprograms
• Severalfitnessandrecreationalprogramswerepriorityareasforcommunitymembers,including:
o Yoga,meditation,dancingandexerciseclasses,suchasonesfocusingonspecificdiseasesorareasofthebody.
• Improvingthequalityandincreasingthehoursofoperationofswimmingpoolso Onefocusgroupdiscussedtheneedforawomen’s‐onlypoolorswim
program.
3. Programmingforchildrenandyouth,including:• Arts,music,sports,tutoringandotherafterschoolprograms• Aprogramaroundhealthforteenagers• Childcare
4. MoreFarmTripsandFamilyActivities
• Bothincreasingthenumberoffarmtripsandholdingthetripsonweekendswereemphasized.Participantsalsoaskedforfieldtripstootherlocations.
5. Healthcareoutsideoftheclinic,suchas:
• Ahealthhelpline,wherecommunitymemberscouldspeakwithsomeoneabouttheirhealthconcernsandcouldgettheseaddressed,aswellasbedirectedtoresourcesandservicesinthearea.
• Anafter‐hours,urgentcare,walk‐in,or24‐hourclinic
6. SkillsPrograms,including:• FrenchandOtherLanguagesClasses• EmployableSkillsforWomenWorkshops• VolunteerPrograms• FirstAidandCPRCertificationCourses
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Participantswereaskedaboutwhatwouldhelpthemcometousethehealthcentre’sservicesandprograms.Avarietyofsuggestionsweregiven,andaregroupedunderthemajorthemesbelow.
SupportstohelpCommunityMembersattendFCH:
EnhanceCommunicadonandOutreachIneveryfocusgroup,parVcipantsdiscussedtheneedforimprovedcommunicaVonandoutreach.• Communitymemberssuggestedusingavarietyofmethods,includingemails,flyersandthecentre’swebsite,topromotethehealthcentreanditsprogramsandservices.
• CommunitymemberssuggestedtranslaVngbrochures,posVngflyersandpromoVngthecentreatLINCandESLclasses,aswellasatschools.
• PromoVngFCH’sbenefitsasaCHCandanalternaVvetothetradiVonalmodelsofmedicalcarewasrecommendedasastrategyforFCHtouse.
Offerprogramsandservicesinotherlanguages‐ParVcipantsinallfocusgroupsindicatedthatofferingservicesandprograms(parVcularlyonesusingmedicalterms)inthefirstlanguagesofcommunitymemberswouldhelpenablethemtousetheservicesandprogramsatthehealthcentre.
‐AddiVonally,translaVngbrochuresandotherinformaVonwouldhelpmorepeoplelearnaboutFairviewCommunityHealth,andhealthinformaVon.
PriorityProgramsContinued…7. Mentalhealthprogramming
• Acampaignraisingawarenessaroundmentalhealth,andstressmanagementclasses,werebothidentifiedaspriorityprogramsintwodifferentfocusgroups.
• CommunitymembersdiscussedtheneedforfurthercounselingatFCH,eitherthroughapsychologistorapsychiatrist.
8. Otherpriorityareas,including:
• Lowcostorfreeeyecareforseniors• Programsforcommunitymembersovertheageof50
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Theyouthfocusgroupidentifiedprogramsandservicesthatyoungpeoplewouldliketosee
offeredwithinthecommunity,andatFCH.Thetopthreeprogramsselectedbyyouthparticipantswere(inorder):
MorediversehoursfromprogramsandservicesCommunitymembersaskedforprogramsandservicestobeoffereda]erschool,andintheevenings,onSaturday,andonholidays.• OfferingallprogramsandservicesonSaturdayswastheclientfocusgroup’sfirstpriorityprogram,whenaskedtoindicatetheareathattheywantedFCHtofocusonfirst.
ConVnuedconnecVonwiththecommunity‐CommunitymembersexpressedappreciaVonforthefocusgroupsandindicatedthatFairviewCommunityHealthshouldconVnuewiththeirwillingnesstoservethecommunity,acceptfeedback,andhelpthecommunitymembersbuildcommunityspirit.
‐CommunitymemberswantedFairviewCommunityHealthtoactasaninformaVonhub,wherecommunitymemberscouldcometofindoutaboutacVviVesandserviceswithinthecommunity.
PriorityProgramsforYouth
1. AnonymousHIVtesting,sex,drugandalcoholclinics,andsafesexclasses
2. Helpwithmoneyandemployment(findingjobs,workshopsonjobskillsandworkers’rights)
3. Survivalclubforthewilderness
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Theparticipantsalsoindicatedmethodsforreachingouttoyouth,andinformingthemaboutprograms.
YouthOutreachMethodsincluded:
SuggestionsonFeaturesofYouthPrograms:
• Makeannouncementsatschools,andontheschoolwebsites• Useschools'emaillist‐servs• Connectwiththeguidanceofficeatschools• Visitschoolstodiscussprograms
Connectwithschools
• UseFacebook,email,textsandtwicerUseSocialMedia
• Placeflyersandpostersatlibraries• Youthindicatedthatmanycommunitymembers,parVcularlynewcomers,usethelibrariestolearnaboutvolunteerandcommunityopporuniVesandevents.
OutreachatLibraries
• Thewebsite,flyersandpromoVonalmaterialsshouldbevisuallyexciVngandinteresVng.
BecreaVve
Elementstoincludeinyouthprograms
Havesnacks!
Offervolunteerhours(goodincenVvefor
parVcipaVon)
Involvedifferentacdvidesandfieldtrips
YouthLed(Programleadershouldbeayouth)
Considerdifferentdmesforprograms
• A]erschoolprogramsaregood,butshouldincludehomeworkVme
• Weekendsmaybebecerforuniversitystudents
• Mostyouthagreedsummerprogramsweregreat,becausetherewasmorefreeVme
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3.RecommendationsOneofthepurposesoftheprojectwastoinformFCH’sprograms,servicesandfutureactions.Thefollowingsectionoutlinestherecommendationsfromtheproject,arrangedintothreeareas:ProgramPlanning;CommunicationandOutreach;andPartnershipsandAdvocacy.Withineacharea,therecommendationsaregroupedeitherunder‘establish’(startatFCH),or‘enhance’(continueandimproveatFCH).FCHhasmadespecificcommitmentstoworkingontheserecommendations.Nexttoeachrecommendationarethecorrespondingactionareasthathavebeendiscussed,andcommittedto,byFCHstaff.Theseactionareasarecategorizedaccordingto:
‘Immediateplans’:Plansthathavebeendecideduponandwilltakeplace ‘Explore’:Ideasandoptionsthatwillbeconsideredtodeterminewhatisfeasible ‘ExplorePartnerships’:Potentialpartnershipsthatshouldbeexplored,andestablished
partnershipsthatshouldbeenhanced,toaddressspecificissuesManyoftheseactionareasinvolvedexploringdifferentideasandoptionstoaddressthehealthconcernsandsuggestionsmadebycommunitymembers.
PROGRAMPLANNING
Recommendation ActionAreas
ESTABLISH
1. DiversifyhoursofoperationatFCH(includingafterschool,eveningsandweekends).
2. Considerwalk‐inclinicoptionorestablishanintakecounselorthatcanaddresscommunitymembers’questionsanddirectthemtoservicesandresources.
ImmediatePlans: Reorganizeandupdateresourcewallwithin
FCH.
Explore: Differentmethodsofintake. Ideaofpostinglocationsof24‐hourandwalk‐in
clinicsinFairviewCommunityHealth’slobby,andincludinginvoicemailmessageafterhours.
Promotingafter‐hourscare(on‐callservices)providedthroughFlemingdonHealthCentre.
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3. Setupyouthpriorityprograms.
ImmediatePlans: IncludeYouthMemberonAdvisoryBoard,or
Establish'YouthTaskForce'toadviseonFCH'soperations,programsandservices.
Explore: SpeakwithTorontoPublicHealthandother
agenciestodeterminefeasibilityofsettingupSexualandReproductiveHealth,andDrugsClinic.
IdeaofInterfaithProgram(connectwithreligiousorganizationsinthecommunitytodiscussideaandfeasibility).
ENHANCE
4. Setupmorechildren’sprogramming. ImmediatePlans: Currently,thereareparentingprograms
offeredinpartnershipwithTorontoPublicHealth,andSpeechandLanguageProgramsofferedonsite.
5. Providemorespace,andtime,forsocialnetworkingandevents.
6. Enhancefamilyprogramming.
7. Runmoreprogrammingaround:• Yogaandfitness• Womenandseniors
ImmediatePlans: FairviewCommunityHealthiscommittedto
runningawomen’sgroup,withyoga,onaweeklybasisinthefall,ensuringmorecontinuedprogrammingforwomen.
8. Runeducationandskillsworkshopsperiodically.
ImmediatePlans: TheLocalImmigrationProjectiscurrently
organizingavolunteerprogramforcommunitymemberstodeveloptheirskillsintheir‘CivicEngagementWorkingGroup’.
9. EnhanceMentalHealthProgramming. Explore: IdeaofMentalHealthMonth
10. Enhancefoodandnutritionprograms.
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COMMUNICATIONANDOUTREACH
Recommendation ActionAreas
ESTABLISH
1. TranslateFCHflyersandhealthinformationintootherlanguages.
ImmediatePlans: Newoutreachmaterialsarebeingdeveloped,
andwillbetranslatedintoFarsiandMandarin.
2. EstablishcommunicationstrategiestokeepclientsofFCHinformedandinvolved:• Example:EmailListserv,Facebook
andothersocialmediatools,FCH’swebsite.
3. Workwithcommunityanimatorsorpeerhealthambassadorsthatbelongtothemale,youth,seniorandLGBTQcommunities.
ImmediatePlans: FCHisanestablishedpositivespaceforall
communitymembers.ThereisaPositiveSpaceposterdisplayedinFCH’slobby.
ExplorePartnershipswith: AccessAllianceandGriffinCentretoassist
withoutreachtoLGBTQcommunitymembers.
ENHANCE
4. Provideprogramsinotherlanguages.Enhanceinterpretationservices.
ImmediatePlans: PeerHealthAmbassadorsProgramatFCHwill
enableprogramstobeprovidedinotherlanguages.
5. Continuetoworkwithcommunitymemberstoconductoutreach.
ImmediatePlans: FCHhasalreadystarteddiscussing
partnershipandoutreachstrategieswithschoolsandlibrariesinthearea.
6. Continuetoconnectwithcommunitymemberstoreceivetheirinputonprogramsandservices,andtogettheirfeedback.
Explore: FCHwillbeinvolvedwithFlemingdonHealth
Centre’snextclientfeedbacksurvey.Thissurveywillbeanimportantmechanismtogetfeedbackfromclients.
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PARTNERSHIPSANDADVOCACY
Recommendation ActionAreas
ESTABLISH
1. WorkwithTorontoPublicHealth’sDentalProgram,andDentalHygienistSchoolstodevelopstrategiesforprovidinglowercostorfreedentalcareforcommunitymembersthatarenotcovered.
ImmediatePlans: SpeakwithmanagerofDentalHealthUnit
thatworkswithFairviewCommunityHealth. Setupresourcesondentalhealthandcareat
FCHfrontdeskforcommunitymembers.
2. Workwithcommunityagenciestoestablishanotherurgentcareclinic,particularlyforchildren,orlinkstourgentcareclinic.
Explore: IdeaofMobile‘CommunityInfoSessions’: IdeaofWalk‐inClinicwithFairview
InteragencyNetwork.
3. WorkwithCityofToronto’sParksandRecreationtodevelopfitnessandrecreationalprograms.
4. WorkwithCCACandothercommunityservicesaroundseniors’supports(homecare,eyecare,etc.)
ENHANCE
5. Workwithothercommunityagenciesandcommunityhealthcentresaroundkeystructuralhealthissues,suchasdentalcoverageandwaitingperiodforOHIP.
ImmediatePlans: TheHealthPromoteratFCHisthecurrentco‐
chairoftheFairviewFoodSecurityNetworkandtheCommunityHealthCentreFoodSecurityNetwork.
6. Collaboratewithchildcareagenciestoprovidemorechildcareoptionsandaffordableprograms.
ImmediatePlans: TheLocalImmigrationProjectiscurrently
exploringthisissueintheir‘HealthWorkingGroup’.
ExplorePartnershipswith: SenecaCollege’sEarlyChildhoodEducation
Program.
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7. Workwithfoodbanks,MealsonWheels,andbreakfastclubsintheareatoaddressfoodinsecurityissuesidentified.
8. ConnectwithNorthYorkGeneralHospitaltodiscussissuesandexperiencesofcommunitymembersatthehospital.
4.ConclusionThisprojectwassmallinscale;however,itmanagedtomeettheobjectivessetout.TheprojecthelpedtoengagewithcommunitymemberssotheycouldlearnfurtheraboutFCH,aswellastoidentifyhealthissuesaffectingcommunitymembersandthespecificprogramsandservicesthatcouldaddresstheseconcerns.FairviewCommunityHealthstaffmembersarecommittedtoexploringdifferentideastoaddresstheissuesidentifiedwithinthisassessment,andtherecommendationsoutlinedabove.Changewilltaketime,andwillrequirethecontinuedinvolvementof,andfeedbackfrom,communitymembers,aswellassustainedcommitmentfromFCHstaff.
5.AcknowledgementsTheauthorwouldliketoacknowledgeandthankthecommunitymembersthatparticipatedin
theprojectfortheirinvolvementandfeedback,aswellasthecommunityanimatorsfortheirhardworkandinputintheproject.SpecialthanksarealsogiventoBronwynUnderhill,SuzanneJacksonandShobhaOzafortheirsupportandguidance,aswellasthestaffofFairviewCommunityHealthfortheirencouragementandcommitmenttothisproject,engagingwithcommunitymembersandrespondingtothefindings.ThankyoualsotoMPPDavidCaplanandCouncillorShelleyCarrollfortheirsupportandcontributingtotheproject.
Finally,theauthorwouldliketoacknowledgeandthankthefollowingorganizationsthat
providedfinancial,andin‐kinddonationstotheproject:
TorontoPublicLibraries OntarioScienceCentre ShoppersDrugMartatFairviewMall SilverCityFairviewMallCinemas Bruno’sValu‐Martat33UnderhillDrive FoodBasicsat1277YorkMillsRoad TimHortons(2501VictoriaParkAvenueand2075Sheppard
AvenueEastLocations)
Thisprojectwouldnothavebeenpossiblewithouttheirsupport.