Slide 1 - Outaouais Health and Social Services Network

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					              Public Forum
    on the accessibility of health and social
  services for the English-speaking population

Outaouais Health & Social Services Network

               February 8th, 2006
       Mission Statement
• Outaouais Health & Social Services
  Network involves citizens, public
  institutions, service organizations,
  and community resources in the
  planning and delivery of quality and
  accessible health and social services
  to the English-speaking population
• Provide information on regional
  health and social services to the
  English-speaking population
• Build the knowledge base
• Help maintain and improve access
• Identify and address potential
  service gaps and access issues
• Understand and participate in the
  new health structure
• Build networking and partnership capacities
                            Health & Social Service
                       Networking and Partnership Initiative
                                (Health Canada)

HSSNPI Program Administrator
                                            Community Health &
                                           Social Service Network
  HSSNPI funding recipient
   (Regional Association
    of West Quebecers)

                                          Outaouais English-speaking
    Outaouais Health &
  Social Services Network
          (OHSSN)                            Public, Private, and
                                             Community Sector
Population Health Approach
• Income & Social Status
• Social Support Networks
• Employment & Working Conditions
• Social Environment
• Health Services
• Gender
• Culture
Population health includes:

    Public       Private

             True or False?
• The English-speaking population’s needs
  are identical to the needs of the
  French-speaking population
• The English-speaking population has
  equal access to all services
• The English-speaking population is aware
  and understands the nature of all the
  health and social services available to it
        Community research

• OHSSN - Health & Social Services Needs
  Assessment for the English-speaking
  population of the Outaouais, 2005
• CHSSN - Regional Profiles of English-
  speaking Communities, 2003-04 / 2004-05
• Health Canada - Consultative Committee
  with the English-speaking Minority
  Communities, 2002
  Some regional characteristics
• High school dropout rate is 36%
• Higher proportion of lone parents aged 15-24
• Aboriginal population 3½ times more likely to
  identify English as First Official Language Spoken
• Regional Anglophone community more involved
  in unpaid care than Francophones or provincial
• Higher proportion of Anglophones with low-income
• The unemployment rate is 32% higher
  (Baseline Data Report, 2003-04)
• Bilingualism amongst Outaouais Anglophones is
  only 50.3%
      Some health service differences

• Lower use of Info-santé services (42%)
• Lower use of community organizations (45%)
• More likely to seek services in Ontario
  due to language barriers, perceptions,
  or inability to access services in the
    Health & Social Services Report 2005
• Combined analysis of the quantitative
  regional data with qualitative information
  gathered from focus group sessions held
  throughout the Outaouais in 2005
• 14 focus groups, 130 individuals
• 64 rural and 66 urban participants
• Average age 53.7 years
      Participants’ view of health
• Includes physical, mental, and social aspects
• Independence and physical mobility
• Overall well-being and a sense of belonging
• Holistic view of health and social services
  is consistent with the World Health
  Organization’s definition
• Self-determination and self-management
  contribute to a healthy lifestyle
• Access to medical services and information in
  English is important to population health
     Participants’ view of health
      & social services problems
• Concepts of health and social services
  were used interchangeably
• List of 83 problems was grouped
  into four categories:
  social problems, biomedical issues,
  inaccessible or inadequate services,
  and language barriers
                Social issues
         identified in focus groups

•   Poverty
•   Care of Seniors and Youth
•   Alcohol / Drug Abuse
•   Unemployment
•   Nutrition / Obesity
        Services problems
     identified in focus groups
• Long wait times
• Lack of services, especially in rural areas
• Lack of doctors and specialists
• Emergency services
• Problems with CLSCs
• Lack of seniors’ home care & long-term care
• Lack of school services & youth facilities
• Lack of support groups
          Language problems
       identified in focus groups
• Lack of services in English
• Lack of information in English
• Lack of mental-health
  services in English
      Biomedical problems
    identified in focus groups
•   Chronic Diseases
•   Cancer
•   Diabetes
•   Cardiovascular
•   Fetal Alcohol
    Spectrum Disorder
•   Other Illnesses
•   Speech
•   Learning Disabilities
•   Auditory
           Explanatory statements
            made by focus groups
• Francophone majority is not sensitized to the health
  needs of Anglophones
• Under-funding and lack of service coordination
• Language laws and hiring practices are discriminatory
• Increased accessibility problems for rural residents
• English-speaking population is isolated,
  lacks a unified voice
• Out-migration of doctors
• Poverty, unemployment contribute to access barriers
• Lack of activities for youth contributes to substance
  abuse / violence
• Lack of educational and employment opportunities
  causes youth to leave
    Prioritization of health issues
            by focus groups

•   Quality of services
•   Language issues
•   Social problems
•   Lifestyle issues
•   Chronic diseases
     Prioritization of services issues
              by focus groups
•   Information in English
•   Youth services
•   Seniors’ services
•   More doctors and
•   More rural services
•   Reduced waiting times
•   Language of service
•   Mental-health services
          Solutions identified
            by focus groups
• Improve access to and quality of hospitals,
  CSLCs, and doctors
• Services and language issues addressed
• More youth services
• Preventative practices & healthy lifestyles
• Seniors’ services
• Chronic disease and illness treatments
• Mental-health services
        Community strengths

• Volunteering / strong community-based
  networks through social and church
• Bilingual health institutions in Shawville
  and Wakefield
• The CLSCs
• Abundant green spaces & natural
• Proximity to major urban centre
 Key focus group concerns

• Access to health and social services
  information in English
• Availability and accessibility of
  services, doctors, and specialists
• Access to hospital, CLSC and regional
  services in English
• Services for youth and seniors
              Specific needs
• A recognition that specific needs exist for
  the English-speaking community
• More information in English through the
  health outlets and public media on services
  and programs
• Assurance of quality service in English for
  vulnerable and at-risk clientele, especially for
  key services in mental health, social services,
  and therapy treatments
• Services that address social conditions in
  isolated rural areas

• Address the issues raised by the focus groups
• Create a forum that brings together the English-
  speaking community and sector stakeholders
• Mandate the OHSSN Steering Committee to
  develop an action plan
• Establish representation of sectors on
  the Steering Committee
       OHSSN’s commitment:
• To provide a network that fully engages the
  English-speaking population in regional health
  & social services
• To provide health & social services information
  through its website
• To conduct regional research
• To facilitate volunteer recruitment and training
• To develop project partnerships
        Activities this afternoon

•   Break-out into discussion groups
•   Return to plenary – recommendations
•   Continuing the process
•   Forum conclusion

Merci / Thank you!

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