1. Fiscal considerationsIrene VerinsAddressing the social and economic determinants ofmental and physical healthwww.vichealth.vic.gov.au
2. Addressing the social and economic determinants ofmental and physical health
3. 1. Scoping policy, research & stakeholders for emerging health issues of concern. 2. Establish the case 9. Sustainability of change research , evidence & (for uptake & integration) attitudes to inform future directions 8. Communication of 3. Develop conceptual, learnings through evidence basedpublications, resources & framework to guide tools activity 7. Identify skills gaps & 4. Partnerships with strengthen capacity through practice, research & workforce development strategic partnerships 5. Intervention design & 6. Evaluation of cross sector activity implementation of cross sector activity
4. Elements of accountability $36 million $27,255,000 was disbursed to 798 grants in 2010-2011 Sport 36% Arts 5% Research 16% Community 27% Media 1% Education 1% Workplace 7% Local government 7%Brokerage of external funds: 10-15% overheads versus 30% of universities.
5. Population groups 55% whole of population approaches 10% low socioeconomic status 10% to Aboriginal projects 8% to Children 7% new arrival groups 5% people with a disability 5% geographic disadvantage
6. What we wont fund Individuals unincorporated bodies Capital works and major equipment Recurrent funding In receipt of tobaco or alcohol funding or sponsorship Recalcitrant projects
7. GovernanceBoard board structure was found which resembled those of University boards which enshrine representatives from all shades. Board is level one Advisory committees for each health area are level 2 dealing with grants
8. Transparency All grants are publically advertised (conflict of interest governs board and staff) All applications for grants are assessed by: Internal review & assessment External stakeholder assessments Board members must register all conflicts of interest at each bi monthly meeting
9. Other aspects of accountability Being evidence based and rigorous in a poorly evaluated discipline in which evidence is still evolving Exposing ourselves to open debate, cynicism and skeptics. Acting independently from government and other stakeholders but with the interests of stakeholders at the forebeing representative and reflective of our stakeholders.
10. Building the argument for a hpf Context specific People from science, politics and then the allies(some from sport who said that they would change their sponsorship practices) Bi partisan approach very important Moving across well established networks became an important and enduring aspect of VH.. A campaign of well briefed media (supported and expanded the audience for the issues) Community attitudes surveys and polls (identified % people favored a tax)
11. Participation for health:a framework for action 2009-2013Key social and economic determinants of mental and physical healthPhysical activity Social connection Freedom from Freedom from Access to economic violence discrimination resourcesActive communities Supportive relationships Social, emotional, physical Valuing diversity Work and economic securityInvolvement in Involvement in community Physical security and Educationcommunity sport and group activities Equitable and respectful respect Housingand active recreation relationships Civic engagement Equality of opportunity MoneyPopulation groups and action areasPopulation groups Action areasChildren Indigenous communities Research, monitoring and evaluation Communications and social marketingYoung people Culturally diverse Organisational development (including AdvocacyWomen and men communities workforce development) Legislative and policy reform Rural communities Strengthening communities andOlder people Direct participation programs community environmentsSettings for actionHousing Community Education Workplace Sport and recreation Health AcademicTransport Corporate Public Arts Local government Justice Technology
12. Participation for health:a framework for action 2009-2013Intermediate outcomesIndividual Organisational Community SocietalProjects and programs that facilitate: Organisations that: Environments that: A society with: involvement in community and group are inclusive, responsive, safe are inclusive, responsive, safe integrated, sustained andactivities and supportive and supportive supportive policies and programs self efficacy work in partnerships across value civic engagement strong legislative platforms for self determination and control sectors are cohesive mental health and wellbeing political and civic efficacy implement evidence-informed promote community appropriate resource allocation approaches to their work responsibility responsive and inclusive taking responsibility for others sustain change reflect awareness of mental governance structures respectful, supportive and equalrelationships health and wellbeing issues acceptance of diversity sustain change access to education and employment mental health literacyLong-term benefitsIndividual Organisational Community Societal Increased sense of belonging Resources and activities Community valuing of diversity Reduced social and health Improved physical health integrated across organisations, and actively disowning inequalities sectors and settings discrimination Improved quality of life and life Less stress, anxiety and depression Less violence and crime expectancy Less substance misuse