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REGISTRATION GUIDE

HEALTH EQUITY
the

PUSHING BOUNDARIES
Association of Ontario Health Centres (AOHC) 2010 Conference
June 10 & 11, 2010 Sheraton on the Falls, Niagara Falls, Ontario
CONFERENCE PROGRAM

HEALTH EQUITY

the
PUSHING BOUNDARIES
Colour Coding: Tracing Canada’s story
Wednesday, June 9th, 2010
Mitch Miyagawa, Dr. Wanda Thomas
REGISTRATION Bernard, Others TBA

Our Canadian story of racism, of colour


3:00 pm WELCOME RECEPTION FOR CENTRES’
coding and exclusion is both universal and
BOARD OF DIRECTORS peculiar. Mitch Miyagawa will guide us
All Board of Directors’ members from through parts of our history that we would
Community Health Centres, Community sometimes prefer to forget.
Family Health Teams and Aboriginal Health
Access Centres are cordially invited to attend ■ Snapshot: Speak white, eh?!
this reception and meet other Board members
from across Ontario. 9:45 am Break

6:30 pm ANNUAL GENERAL MEETING 10:00 am WORKSHOPS A

12:00 pm LUNCHEON
Live Music: Halton Blues Society

Thursday, June 10th, 2010 1:00 pm PLENARY II


In a break from the norm, we welcome you to a conference with Act II: Stigma: marked, labelled,
a difference. Throughout these two days, many of the topics on disappeared
which we will be working will be introduced through the use of
drama. Two of the plenary sessions will feature dramatic ■ Snapshot: I’m Still here…
story-telling. At various points there will be ‘snapshots’, brief
pieces of theatre or tableaux. A significant part of one plenary Pulling Back the Veil on Stigma
will be interactive.
Facilitator TBA

8:30 am OPENING PLENARY What is it? Becoming conscious of stigma,


The Curtain Rises: Act I: The Players whether stigmatised or stigmatising, how it
impacts on our delivery of care.
DRAMATIC PRESENTATION: Six people,
six stories DRAMATIC PRESENTATION: Profiles in pain:
bullied, labelled, disappeared
Welcoming remarks from Joan Lesmond,
President, AOHC 2:30 pm Break

Building on the sector’s creation of a Charter


2:45 pm WORKSHOPS B
based on the Model of Care, in the course of
this conference there will be moments when
4:45 pm NETWORKING SESSIONS OR TOUR
participants will be invited to provide your
thoughts and input towards the creation of a NETWORKING SESSIONS: CFHTs, eHealth/
charter on health equity. A Charter team will IM Professionals, Health Promoters, LGBTQ,
be working with your input and, in the final New CHCs, Nurses/Nurses Practitioners,
session, we will unveil the results. Physicians, Program Managers, Social Workers
CONFERENCE PROGRAM

TOUR: This year’s tour will take participants to “…increase access, participation, equity,
two places: the newly-opened Niagara Falls inclusiveness and social justice by eliminating
Community Health Centre and the 20-year-old systemic barriers to full participation and
Centre de santé communautaire Hamilton/ differences in health outcomes that are avoidable,
Niagara which is located in Welland, about 15 unfair and systematically related to social
kilometres from the Falls. Along the way, you inequality and disadvantage.”
will hear collaborative colour commentary
The panel will address what the Ministry of
detailing the changing neighbourhoods and
Health and Long-Term Care is looking for in
the history of the area.
the creation of ‘Health Equity Plans’, what
they are attempting to measure, what still
6:30 pm AWARDS BANQUET DINNER and DANCE
needs to be done and how this sector can
Special guest Ken Medema,
take leadership in health equity in Ontario.
Singer-Songwriter
Hon. Deb Matthews, Minister of Health
and Long-Term Care (Invited)

Friday, June 11, 2010 REFLECTIONS ON THE CONFERENCE


Marc Dumont, Vice Chair North East LHIN,
8:45 am PLENARY III Bob Gardner, Wellesley Institute
Act III: Paedagogy of the Privileged Wanda Thomas Bernard, Professor,
Dalhousie School of Social Work
With the help of Dr. Margaret (Peggy)
McIntosh, celebrated author of ‘Unpacking the
THE CHARTER: Unveiling the charter
Invisible Knapsack’ and Professor at the
Joan Lesmond, President, AOHC
Wellesley College Center for Research on
Adrianna Tetley, Executive Director, AOHC
Women (Massachusetts), participants will
examine what privilege, unearned merit, looks
like and how it gets in the way of breaking HOTEL INFORMATION
down the barriers we want down.
The Sheraton on the Falls has set aside a block of rooms for
conference delegates at a special rate of $159 single/double
■ Snapshot: Life in a wheelchair: Look me in the eye occupancy plus applicable taxes. This special rate is available
on a first-come, first-served basis until Friday May 7th.
■ Snapshot: Unearned privilege: I’m OK When contacting the hotel, please request the special
convention rate for Association of Ontario Health Centres.
10:30 am Break Reservations: 1-800-519-9911.

10:45 am WORKSHOPS C TRANSPORTATION TO NIAGARA FALLS


Niagara Air Bus can be booked individually for transportation
12:45 pm LUNCH from Pearson International Airport or Hamilton Airport. Please
Speaker: Hon. David Onley, use Conference Reservation Code 478. This code will give you a
Lieutenant Governor of Ontario (Invited) 10% discount from retail airport transportation fares, and you
will receive an additional 10% discount if you book on-line at
‘Invisible Disabilities’
least 72 hours in advance of your first pick up date and time.
www.niagaraairbus.com
2:00 pm PLENARY IV
Act IV: So What?? SPECIAL NEEDS
If you have special dietary requirements or other needs such as
PANEL
wheelchair transportation, please be sure to let us know in
Where to from here? Taking leadership in advance. Space is provided on the registration form.
Health Equity in Ontario
AOHC has a scent free policy.
Health equity is the latest attempt to capture
in a few words what we have been attempting REGISTRATION INFORMATION
to create for our clients and the communities You can download the registration form at
in which they live for more than thirty-five www.aohc.org/conference
years. It is both distinct from and builds on Registration Deadline: Friday May 28th, 2010.
the notions of anti-oppression and cultural Any questions can be forwarded to cory@aohc.org
competency. Health equity seeks to:
WORKSHOPS AT A GLANCE
AOHC CONFERENCE 2010

Session A Session B Session C


Thursday, June 10th 10 am-12 pm Thursday, June 10th 2:45-4:45 pm Friday, June 11th 10:45 am-12:45 pm

BOARD WORKSHOPS
A1 Board staff dialogue: facilitating B13 BOARD SUMMIT C25 DiverseCity on board
beyond diversity
C26 Community governance and
A2 Everything boards need to know health equity: the role of
about the Accessibility for board in setting and monitoring
Ontarians with Disabilities Act an equity agenda

A3 Poverty excludes participation: C27 French language health


one board’s initiatives to services: Informing health
reinforce authentic participation equity in the LHIN environment

A4 How to win advocacy campaigns B14 Root causes: poverty and racism C28 Measuring progress towards
for positive social change and the impact on health LGBT cultural proficiency

A5 A place to go when you have B15 Un/Settling: creating space C29 Accessible AIDS treatment
no voice: evaluating a Family for hope, safety and belonging and community empowerment
Mentor Program through expressive arts therapy strategies for newcomers and
programming with LGBTQ the uninsured.
A6 Engaging and supporting newcomer women
ethno-cultural communities C30 Getting ready for the new
in health equity work B16 Hidden secrets in your CHC Accessibility for Ontarians
with Disability Act
A7 Every one has a voice at the B17 Health for all
table: sharing the journey of C31 Drugs, homelessness and
SEOCHC to become an inclusive B18 Strengthening mental health in health: homeless youth speak
organization cultural linguistic communities out about harm reduction

A8 Youth feel it, too! Programming B19 Engaging residents in C32 Liberated communities:
for youth who feel oppressed leadership training bringing anti-racism back

A9 Is this your Canada? B20 The successes of the South Asian C33 Using research to inform
Challenging the systemic racism Diabetes Prevention Program and increase equity
affecting First Nations children
B21 Newcomer Women’s Services C34 SexAbility
A10 Growing Healthy: connecting (NEW) – a sharing circle on
services to priority families reproductive health C35 Anti-Oppression 101
with young children
B22 “Check it out: queer women C36 Building on what we know:
A11 Reviewing and revising BHO need paps, too!” developing a strategy to
Accreditation Program support collective learning and
Standards: What do you think? B23 Connecting services to the innovation in health equity
uninsured: how to create across the CHC sector
A12 Le modèle de l’anti-oppression: agreements with hospitals.
son application dans une
perspective Francophone, B24 Addressing culturally
gaie et séropositive. and linguistically rich
communities: Best Start
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

SESSION A: Thursday, June 10th 10:00 am-Noon can fully participate in decisions about their own health.
The workshop will outline the mandate, goals, progress and
lessons learned by the Board committee. It will also offer
details on developing an organizational poverty audit.
A1 Board staff dialogue: facilitating beyond diversity
Participants will be invited to discuss how the boards at
Centretown CHC: Alex Roussakis, Vice President; other organizations might design similar action plans.
Christina Marchant, Director of Community Health
Promotion & Early Years

Active and engaged board and staff are essential elements


A4 How to win advocacy campaigns for positive
in enabling Community Health Centres to improve cultural
social change
competence and diversity. LAMP Community Health Centre: Russ Ford, Executive
Director, LAMP
This workshop presents a method to facilitate board-staff
dialogues about cultural competency and diversity. Building successful advocacy campaigns without enjoying
Participants will explore a process used in 2009 which the benefits of political, financial or social power forms the
enabled staff and board members to directly acknowledge theme of this workshop. Participants will explore a range of
when racism occurs, and assisted them to engage meaning- case studies and will also learn about an advocacy frame-
fully in conversations about race. work that can be applied in any community situation
where a campaign for positive social change is required.
The workshop is based on a process Centretown Community
Presenters will also provide an overview of resources and
Health Centre applies annually to encourage a more
literature that can be used when planning winning advo-
inclusive workplace. Workshop presenters will describe the
cacy strategies.
planning steps; the role of staff team facilitators; and
tools used to facilitate discussion. They will also describe
community context that shaped discussion, as well as the
lessons learned and recommendations to improve the A5 A place to go when you have no voice:
process. evaluating a Family Mentor Program
Barrie Community Health Centre: Lorna Avery Cooper,
A2 Everything boards need to know about the Community Health Worker – Coordinator of Mentor Program;
Students from Lakehead University’s Department of Social Work
Accessibility for Ontarians with Disabilities Act
Learn about an evaluation of a program that matches
Tracy MacCharles, Past Chair of the Accessibility Standards
young parents with mentors. The mentors enable the
Advisory Council of Ontario
parents to access information on basic parenting skills,
This workshop offers an overview of the new Accessibility community services and programs. Mentors also accom-
for Ontarians with Disabilities Act (AODA), as well as the pany families to appointments, and to programs and
implications for health providers as new standards covering services throughout the community. Program participants
customer service, buildings, transportation, employment, tend to be young moms who request assistance and support
information and communications are introduced. This to maneuver through our various social systems. This
workshop will provide practical advice and discussion workshop will provide an overview of the program, the
opportunities on how to prepare and implement compli- evaluation methodology and the results of an evaluation
ance with the many changes required under the new Act. conducted by four placement students from Lakehead
University’s Department of Social Work.

A3 Poverty excludes participation: one board’s


initiatives to reinforce authentic participation A6 Engaging and supporting ethno-cultural
communities in health equity work
Lanark Health and Community Services: Jean Dunning,
Chairperson; Mary Gilmour, Past Chairperson; Kara Jointly presented by Kitchener Downtown Community Health
Symbolic, Hinda Goldberg & Donna Davidson (LHCS Staff) Centre, Kitchener & Pinecrest Queensway Community Health
Centre, Ottawa.
This interactive workshop explores the actions taken by a
community-governed board to address inequities caused by Empirical studies and experience have shown that engaging
poverty. One of the poverty committee’s goals is to make and empowering ethno-cultural communities is one of the
recommendations to the Board that include actions to most effective tools in achieving access and equity for these
empower community members living in poverty so they communities. For many organizations today, the question
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

is how to engage ethno-cultural communities / get engaged A8 Youth feel it, too! Programming for youth
with them in the health equity work. This interactive who feel oppressed
workshop will present three working models that have
successfully addressed this question by building on com- Jim Clendinning, Registered Social Worker; Elizabeth Russell,
Registered Nurse; Amy Nagel, Health Promoter; Ellen Jones,
munity strengths and wisdom. Participants will learn about
Registered Social Worker, The Youth Centre
culturally competent engagement strategies for volunteer
leaders as well as appropriate anti-oppressive and culturally Youth readiness to access health care can be impeded by
competent workplace practices needed to ensure a safe and mechanisms of oppression, domination and injustice.
respectful work environment and experience for everyone. Youth are often thwarted by adultist, social and economic
The second half of the workshop will focus on engaging forces. In an adult-driven culture, youth have little voice to
and supporting ethno-cultural youth and will also provide identify their needs and are sometimes silenced by stereo-
practical tools that may be used to initiate similar programs typical views and systemic barriers. Societal views of teenage
at your CHC. Come, listen to ethno-cultural volunteer pregnancy are critical of the individual decisions each
leaders who are determined to push the boundaries to women makes. LGBT youth feel oppressed by the dominant
increase health equity and equitable access for their heterosexist views of what normal sexuality is. Young males
communities. demonstrate a gender-based stereotypical identity that values
toughing it out and avoiding health care involvement. In a
communication-obsessed culture, shy youth are disadvan-
A7 Every one has a voice at the table: sharing taged, unable to adequately connect with their peers. The
the journey of SEOCHC to become an inclusive stigma of associated with mental illness discourages mentally
organization ill youth from seeking treatment.

South East Ottawa CHC: Leslie McDiarmid, Executive Director; The Youth Centre emphasizes the development of programs
Mohamoud Hagi-Aden, Community Connections Coordinator and services to address the barriers that impede youth
access to participation in health-promoting activities. The
South East Ottawa Community Health Centre continually Centre’s programs and services positively affect youth’s
strives to be an inclusive organization and uses a multi- learned views of adult health care providers and improve
faceted approach to achieve this outcome. This workshop their resiliency in oppressive circumstances. Programs to be
will outline the process and the pitfalls to becoming an highlighted include: Pride Prom, Conversation Skills Group,
inclusive organization where Every One feels that he/she Young Parent Support, Young Males’ Health workshop,
has a voice and can contribute to the vibrancy and effect- Talking About Mental Illness in schools and clinical
iveness of the organization. programming.
The SEOCHC journey had a number of distinct but comple-
mentary approaches to “inclusiveness” that included:
consultation with key stakeholders during our strategic A9 Is this your Canada? Challenging the systemic
planning process (e.g. community members, partners, staff, racism affecting First Nations children
volunteers); compilation of a community profile to inform
Melanie Ferris, Aboriginal Health Promotion Consultant,
hiring, program planning, implementation and evaluation;
Best Start Resource Centre at Health Nexus
organizing multicultural community forums; completion of
a yearly staff survey to determine a linguistic and cultural This session will help participants better understand the
profile of staff and identify competencies and gaps; organ- systemic barriers that First Nations people face in trying to
ization of yearly staff training on cultural competency and lead healthy lives in Canada. It will also provide insight
diversity; a comprehensive and systemic review of policies into how governments allow these barriers to continue
and procedures particularly those pertaining to diversity; despite their adverse effects on the health of Aboriginal
and the formation of Multicultural Advisory Group to children, their families and their communities. The work-
advise Board and management on policy development, shop will offer concrete steps ordinary Canadians can take
hiring practices, and access of services, etc. The Centre to support Aboriginal People’s fight for equity. A major
embarked on this journey to create a welcoming and focus of the workshop will be the groundbreaking work
inclusive environment where Every One feels as though being done by Dr. Cindy Blackstock who has been a leader
they Matter. While these endeavours have been successful, in challenging the federal government’s inequitable
the Centre continues to challenge itself to further improve practices. Through a partnership with the Assembly of First
its service delivery capacity and create a healthy and Nations, Dr. Blackstock has launched one of the very first
equitable environment for all. human rights tribunals against the federal government.
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

A10 Growing Healthy: connecting services to priority Or plusieurs analysent ou, nous devrions dire, limitent
families with young children l’application du modèle à quelques marqueurs identitaires
qu’ils rencontrent le plus fréquement dans leur pratique
Tara Templin and Wanda Romaniec, Carlington CHC; Annie quotidienne tels que la race, le genre, le statut socio-
Lachance, Overbrook-Forbes CRC économique. Ce réflexe est plus que compréhensible
There is strong evidence to support the effectiveness of puisque les intervenants de première ligne travaillent le
early childhood health and social programs. They promote plus souvent avec les individus s’identifiant aux marqueurs
children’s healthy growth and development, and allow for ci-haut mentionnés.
the early detection, prevention and treatment of illness Cependant, limiter le modèle anti-oppression prouve une
and developmental delays. Despite the availability of these incompréhension dans son application.
services in Ontario many families do not access them,
which possibly accounts for at least some of the continued Cette conférence démontrera comment le modèle de l’anti-
disparities in early childhood developmental outcomes. A oppression s’applique aux communautés francophones
two-year “Growing Healthy” pilot project was conducted in minoritaires, puis s’attardera à démontrer son application dans
two Ottawa communities, selected according to specific une perspective de l’intersection des marqueurs identitaires de
health and development outcomes that can be influenced l’orientation sexuelle, des handicaps, de la race, du niveau
by intervention. This workshop will present and discuss the socio-économique, et géographique. Bref, nous présenterons
evidence from the pilot project, which aimed to improve une approche fondée sur la géographie des identités.
equity and access to preventive services for priority families
through inter-organizational integration. Participants will
SESSION B: Thursday, June 10th 2:45-4:45 pm
hear how targeted organizational and system level integra-
tion interventions have improved priority families’ access
to care. B13 BOARD SUMMIT

Board members of Community Health Centres, Community


A11 Reviewing and revising BHO Accreditation Family Health Teams and Aboriginal Health Access Centres
Program Standards: What do you think? will have an opportunity to talk about issues of concern.

Barbara Wiktorowicz, Executive Director, COHI

The Building Healthier Organizations (BHO) Accreditation B14 Root causes: poverty and racism and the impact
Program Standards and processes are currently being on health
reviewed and revised. This workshop is an opportunity for
Denise Brooks, Hamilton Urban Core Community Health
those participating in BHO to provide input about how the Centre; Floydeen Charles-Fridal, Black Health Alliance;
BHO Standards and processes should be revised, focusing in Alexander Lovell, Research Associate; Simone Atungo,
particular on how they could be enhanced to better support Community Development & Integration, Mount Sinai Hospital
organizations in efforts to provide services equitably. This is
a participatory workshop. Key questions will be posed to The Inner City Health Strategy Working Group is an initia-
stimulate participants’ discussion, along various dimen- tive of Hamilton Urban Core that brings together commun-
sions, including policy/leadership level measures, service ity agencies, advocates, researchers and representatives across
accessibility measures and HR measures that impact the four communities of common interest. The Strategy is
promotion of equity. Participants will have an opportunity focused on the impact of poverty, racism and the racializa-
to hear and discuss each other’s recommendations. tion of poverty on health and well-being. The pernicious
effects of poverty represent a significant health barrier.
Critical as it is as a determinant of worse health outcomes,
A12 Le modèle de l’anti-oppression: son application poverty alone does not explain – and, indeed, denies – the
lived reality of the tens of thousands who are also affected by
dans une perspective francophone, gaie et
racism. The workshop will help to advance understanding of
séropositive (in French) the “inner city” context and the interplay between racism,
Marcel Grimard M.Ed. D. Ed (abt), coordonnateur en santé poverty and health. It will engage participants in a discus-
sexuelle; Francoqueer-Action Positive sion of the findings and implications of a recent Inner City
Health Strategy Working Group study that examined the
Lorsqu’il vient temps de définir un modèle d’intervention
impact and lived experience of racism and poverty on the
pour les organismes en santé et services sociaux, plusieurs
health of individuals in four inner city settings: Hamilton’s
intervenants en viennent à penser que le modèle anti-
downtown urban core and the communities of Malvern,
oppression est le plus approprié dans les environnements
Parkdale, and Rexdale in the City of Toronto.
sociaux définis par la multiplicité des identités.
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

B15 Un/Settling: creating space for hope, safety B17 Health for all
and belonging through expressive arts therapy
Abeer Majeed MD CCFP, Family Physician, Queen St West
programming with LGBTQ newcomer women Community Health Centre; Ritika Goel MD, PGY-2 Family
Medicine, University of Toronto
Access Alliance Multicultural Health and Community Services:
Roxanna Vahed, Community Health Worker/Stepping Up Currently, only a small percentage of uninsured people in
Project Coordinator Canada can access health care services. Health care is being
This workshop will introduce participants to an expressive transformed into an apartheid system in which immigra-
arts-based program for newcomer, immigrant and refugee tion status determines exclusion or inclusion.
lesbian, bisexual, queer, questioning women – inclusive of This workshop explores the role health professionals can
cisgender, transgender and transsexual women, as well as play in working for positive change, using a social justice
women with trans experience in Toronto. This program, and human rights framework. Current systems, policies
part of the Stepping Up project, has engaged service and regulations as they impact the health of uninsured
providers and community members in identifying anti- migrants will be juxtaposed with the right to health
oppressive, inclusive practices for implementing arts-based legislated by international law. The extent to which
programming to address the needs of LGBTQ women international law is incorporated into Canada’s constitution
(including isolation, experiences of violence, migration and provincial legislation will also be analyzed, particularly
and exclusion). as it affects the health of migrants. Present restrictive
A key focus of the workshop will be Access Alliance’s federal and provincial policies will be contrasted with
comprehensive care pathway approach that combines Canadian values concerning the importance of universal
individual support, community development and com- access to health care.
munity health programming often conducted in partner-
ship with other community-based agencies. The workshop
will share selected key research findings that have emerged B18 Strengthening mental health in cultural
from the program. Participants will leave with a greater linguistic communities
understanding of key considerations for developing and Kitchener Downtown Community Health Centre: Gebre
implementing programs for LGBTQ newcomer, immigrant Berihun, Health Promoter
and refugee women.
This workshop focuses on a project targeted at seven
cultural-linguistic communities in the Waterloo Region.
B16 Hidden secrets in your CHC The project promotes mental health through capacity
building, leadership training, education and empowerment.
Wendy Talbot, Executive Director, NorWest CHC Its outcome: positive change for the cultural linguistic
The staff in your Community Health Centres is one of your communities, mental health practitioners, and those
most important assets. Do you know who they are? Our involved in planning for the health and social system.
health centres are diverse and complex. They represent A major focus of the workshop will be the encouragement
many cultures, levels of education, income and accessibility of community mental health leadership and the use of
challenges. Within health centres, there is one population mental health navigators. The workshop will also feature
that may be hiding, unrecognized, marginalized, or worse, lessons learned concerning the role of culture in mental
discriminated against. These people are in your staff teams, health, and the importance of building reciprocal collabora-
they are your clients. They come in all colours, genders, ages, tion between mental health organizations/practitioners and
shapes and sizes. They are gay, two-spirited, lesbian, bi and cultural linguistic communities.
Trans and are everywhere.

CHCs are leaders in dealing with differences, so why is this


population still marginalized? Why is it okay to discriminate B19 Engaging residents in leadership training
against us and why do some CHCs make excuses for it? New Heights CHC: Judith Otto, Community Health Worker;
Religious or cultural differences are not an excuse. If we Maleda Mulu, Community Health Worker
condemn discrimination based on skin colour, the shape Participant Testimonials: Community Residents Denise Earle,
of ones eyes or language then why is it still okay to malign, Said Mohammed and Daffodil Davis
hate and hurt LBGT people? This workshop will address
This workshop focuses on a leadership training program
these issues.
designed to offer local residents support addressing the
critical issues in their lives. In addition to providing
support, the program also encourages community building
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

by igniting resident engagement with institutions, polit- ment and health service workers, as well as for Canadian
icians, local businesses and other neighborhood residents. health and social policies overall.
During the workshop, participants in the program will
provide an overview of the process. There will be case studies
and visual presentations from the Lawrence Heights com- B22 “Check it out: queer women need paps, too!”
munities as well as an analysis of why resident engagement
Arti Mehta, Women’s Programming Coordinator, Planned
in leadership training is so important in building commun-
Parenthood
ities and facilitating effective leadership. Beyond learning
about the required components for capacity building, Learn about a health promotion campaign that challenges
workshop participants will also have a chance to build the homophobia and heterosexism in primary health care
action plans to apply in their own community settings. settings which all too often prevents lesbian, gay, bisexual,
queer and other women from accessing Pap testing. The
campaign educates service providers in delivering culturally
B20 The successes of the South Asian Diabetes competent care and empowers LGBQ women. Workshop
Prevention Program participants will gain a thorough understanding of how an
anti-oppression lens can create high impact health promo-
Flemingdon Health Centre: Heba Sadek, Manager, Health tion campaigns. They will learn inclusive practices for
Promotion and Neil Stephens, Project Coordinator working with LGBQ women and explore the latest research
Learn the details of a successful program that prevents finding on LGBQ women and Pap tests. Through role play
diabetes in the South Asian community and ensures they will also learn concrete skills.
equitable access to diabetes prevention services. The project
is mounted in collaboration with Social Services Network
and is funded by Toronto Central LHIN. Some features of B23 Connecting services to the uninsured:
the program to be explored include mass screening for how to create agreements with hospitals.
pre-diabetes; language specific and culturally relevant
Simone Atungo, Director, Community Development &
workshops; referrals to locally available services and Integration, Mt. Sinai Hospital, Toronto; Rick Edwards,
resources; and a strong commitment to overcome transpor- Director, Community Engagement & Urban Health, St. Joseph’s
tation barriers that keep community members from Health Centre, Toronto; Linda Gardner, Diversity & Community
accessing the diabetes prevention services they need. The Access Coordinator, Women’s College Hospital, Toronto; Sarah
workshop will shed light on the potential of this program Hobbs, Executive Director, Planned Parenthood, Toronto;
to serve as a framework for implementing targeted, com- Anthony Mohamed, Diversity and Special Projects Coordinator,
munity-based, prevention-focused programs through equity Inner City Health Program, St. Michael’s Hospital, Toronto;
and diversity lenses. Angela Robertson, Director, Equity & Community Engagement,
Women’s College Hospital, Toronto; Planned Parenthood,
Toronto; St. Joseph’s Health Centre, Toronto; St. Michael’s
Hospital, Toronto; Women’s College Hospital, Toronto
B21 Newcomer Women’s Services (NEW):
a sharing circle on reproductive health Tens of thousands of people living in Ontario lack any kind
of health coverage. Most are newcomers, either waiting to
Maya Roy, Newcomer Women’s Services and Angela Byam,
clear a mandatory three-month waiting period for OHIP
Newcomer Women’s Services
coverage or waiting to claim residency status. CHCs are
This workshop focuses on a community-based, highly currently the only primary health care setting in Ontario
participatory peer-led program that uses a “sharing circle” that receives funding to provide the uninsured with access
to engage newcomer immigrant women of colour on the to primary care and health promotion services free of cost.
sensitive topic of reproductive health. The workshop’s This workshop explores scenarios in which these uninsured
format reflects the program’s approach: participants will be clients require expensive hospital care.
invited to join a sharing circle to talk about the use of
Facilitators will present examples of five Toronto hospitals
feminist methodologies when working with newcomer
forging agreements with CHCs so clients can access hospital
immigrant women of colour as well as the systemic barriers
services at reduced rates. This session will cover the de-
standing in the way of newcomer women of colour access-
velopment and challenges of developing these agreements.
ing female reproductive health services.
It will also explore the evolution of a Toronto-wide agree-
This workshop will demonstrate how a sharing circle can ment designed to institutionalize the hospital/CHC rela-
serve as a safe space for newcomer immigrant women and tions and build service consistency for the uninsured client
will explore the potential of this approach to improve population. A sample agreement will be circulated and
access to services for newcomer immigrant women of participants will work through a preliminary plan to
colour. It will also draw out wider implications for settle- prepare for their own hospital/CHC agreements.
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

B24 Addressing culturally and linguistically rich clinic into a multi-site, multi-service organization which is
communities: Best Start now a leader and change agent in the city.

Dani Grenier-Ducharme, Children’s Services Manager; Presenters will share our successes and challenges. They will
Anne Batisse, Chair, Aboriginal Network show how the policy governance board keeps staff and
volunteers engaged by using statements on vision/mission/
Since it’s inception in 2005, the Timiskaming Best Start values to develop a “can do” culture, even in the midst of
Network has identified a culturally competent service system increasing administrative burden. The workshop will
for children as one of its major priorities. Timiskaming was examine the role of the CHC in coordinating community
chosen as a Best Start Demonstration Site due to being activities and partnerships with other agencies, the munici-
northern and culturally and linguistically rich, with vibrant pality and academia with a goal to achieving equity for the
Francophone and Aboriginal communities. For the past five marginalized population in Kingston.
years, the Timiskaming Best Start Network has embraced the
concept of full recognition of language and culture. More
recently, a community plan has been developed to achieve C27 French language health services: informing
full cultural and linguistic competency. We are not entirely
health equity in the LHIN environment
there yet, but we would like to share lessons we’ve learned
and some tools that could assist your community in em- Jocelyne Maxwell, Executive Director, CSC du Témiskaming
barking on this challenging, but exciting journey.
In this workshop, Board members will examine how the
integration and engagement mandates of LHINs and the
SESSION C: Friday, June 11th 10:45 am-12:45 pm new French Language Planning Entities will impact the
delivery of French language health services across Ontario.
Participants will strategize on how best to influence the
C25 DiverseCity on board
implementation and enhancement of services, and will
Maytree Foundation: Cathy Winter and Mona Elsayeh discuss key messages for inclusion in a developing AOHC
policy statement on health equity for Francophones.
To achieve health equity and better address the unique
health care issues of ethno-racial communities, governance Invited speakers include: Marc Dumont, North East LHIN
boards must reflect the populations they serve. In this Board member; Marcel Castonguay, Executive Director,
workshop, participants will learn about a joint project of CSC Hamilton/Niagara and Chair of the French Language
Maytree and the Toronto City Summit Alliance, who are Advisory Council
committed to changing the face of public and non-profit
boards to reflect the diversity of the populations they serve.
The workshop will present statistics that make the case for C28 Measuring progress towards LGBT cultural
board diversity and provide resources for finding qualified proficiency
candidates and making decisions about appointments.
Jean Clipsham Nurse Practitioner, Sexual Health and Needle
Participants will have the opportunity to reflect on, and
Exchange Program, Halton Health Dept. with other members
identify, the skill sets required for their board and develop
of PHA for LGBTTTIQQA Equity; Public Health Alliance for
profiles for board positions. They will learn how boards can LGBTTTIQQA Equity, a work group of the Ontario Public
use a more transparent, inclusive selection process. Health Association

This workshop focuses on increasing participants’ knowledge


C26 Community governance and health equity: of the needs of LGBT communities for accessible and
the role of a board in setting and monitoring equitable health care and developing their skills in evaluat-
ing LGBT sensitivity and inclusivity in their practices and
an equity agenda
health care agencies. A variety of teaching strategies will be
Michael Harris, Chair; Mike Shaub, Board Member; Hersh used including lecture, group discussion and case scenarios.
Sehdev, Executive Director, Kingston CHC The workshop will be based on community research and
participants will receive an evaluation manual. The tools
Kingston CHC is an umbrella organization that bridges
provided in this workshop will enable health providers to
divides and reduces disparities in an urban centre. This
measure their progress, on an ongoing basis, towards LGBT
interactive workshop will reveal how the centre’s board has
cultural proficiency.
led the transformation of the CHC from a single north end
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

C29 Accessible AIDS treatment and community C31 Drugs, homelessness and health: homeless youth
empowerment strategies for newcomers and speak out about harm reduction
the uninsured.
Lorraine Barnaby, Health Promoter, Central Toronto CHC;
Regent Park Community Health Centre; Maureen Owino, Val Fuhrmann and Matt Johnson, Peer researchers
Program coordinator, Committee for Accessible AIDS Learn about a community-based research study which
Treatment (CAAT); Derek Yee, Legacy Project coordinator,
investigated a harm reduction needs assessment targeting
CAAT; Alan Li, M.D. Co-chair, CAAT
high-risk, substance-using, homeless/street-involved youth
This workshop explores the success of Community for in the GTA. The study used a mixed-method design (sur-
Accessible AIDS Treatment (CAAT), a network of legal, veys, interviews, focus groups and art-making) and a peer
health, settlement and HIV service organizations and researcher approach. Its goals were to investigate youth’s
affected communities committed to breaking down barriers risky substance use practices and health status; to identify
faced by newcomer and non-insured people with HIV/AIDS. the gaps, barriers and needs in harm reduction, addiction,
CAAT has pioneered many ground-breaking initiatives health and social services; and, based on the youth’s voices,
which have improved access to services for this population. make recommendations for improvements in youth-specific
It has also transformed itself from a network driven by programs and services, and policy reform.
providers to one driven by community members. The
workshop will look at processes and structural considera-
tions in developing equitable partnerships amongst service C32 Liberated communities: bringing
providers and service users, development of a peer leader anti-racism back
mentorship program for people with HIV/AIDS and
Rose-Ann Bailey, Health Promoter; Roma Beckles, Social
development of a knowledge transfer ambassador program
Worker/Therapist; Shawn Douglas, Community Health
through CAAT’s community-based action research study on
Worker, TAIBU CHC
improving mental health service access for immigrant and
refugee PHAs. Transferable models and tools will be shared. How does racism manifest itself in the everyday lives of
Participants will be invited to share their insights and racialised youth living in Malvern, a racially and culturally
experiences on the topic. diverse community in the North-East section of Toronto?
Presenters will make the case that structural racism in
general and anti-black racism in particular undergirds
C30 Getting ready for the new Accessibility for health inequities and serves as a primary pathway through
Ontarians with Disability Act which other health determinants are experienced.
Workshop participants will gain an understanding of
Fran Odette, Program Manager and Penny Schincariol, racism’s impact on the physical and emotional health of
Accessibility Consultant, Springtide Resources Inc. (formerly
youth. It will outline TAIBU’s response – the development
Education Wife Assault)
of two youth-inspired initiatives developed using an
This workshop focuses on how to get ready for the new anti-racism/anti-oppression lens. “Liberated Minds” is
Accessibility for Ontarians with Disability Act. It will designed to equip young Black men with the understand-
highlight lessons learned from the Women with Disabilities ing, skills and self confidence to circumvent barriers created
and Deaf Women’s Program of Springtide Resources which, by racism and “Bringing Sexy Back: A Sexual Health Guide
for the past four years, has designed and delivered access- to Love, Sex and Relationships” uses theatre to influence
ibility audits to woman abuse services. Through the audits, the sexual practices of racialised urban youth.
agencies can begin to identify strategies to implement
Customer Service Standards and Information and
Communication Standards. Using case studies, workshop C33 Using research to inform and increase equity
participants will identify structural and organizational
Women’s Health in Women’s Hands; Wangari Tharao,
barriers that impact on access to services for people with
Programs and Research Manager; Marvelous Muchenje,
disabilities/Deaf people. They will also be invited to share
Project Coordinator
their own best practices that break down barriers to access.
This workshop explores an evidence-based intervention to
support African, Caribbean and Black (ACB) women in
disclosing their HIV status to all relevant parties. The
WORKSHOP DESCRIPTIONS
AOHC CONFERENCE 2010

intervention helps reduce the stigma and discrimination C36 Building on what we know: developing a
associated with HIV disclosure to increase access to services. strategy to support collective learning and
It comprehensively addresses the socio-cultural context of innovation in health equity across the CHC sector
non-disclosure, i.e., community concerns, partnership and
safety concerns and challenges experienced by ACB women Ken Hoffman, Community Health Consultant, Associate,
when accessing various service sectors, e.g., child protection Wellesley Institute
services, department of public health, health care and the CHCs arguably have more expertise in dealing with health
employment sector (often due to lack of specific systemic equity issues than any other part of the health system.
information and individual rights). The intervention will Collectively, they possess a huge amount of experience in
build support mechanisms to support women going this area. This experience tends, however, to remain at the
through the process of disclosure. level of the individual centres; it rarely gets more broadly
disseminated or integrated into “best practices” that can
prompt change across the CHC system.
C34 SexAbility
How can CHCs make better use of their collective experi-
Lynda Roy, SexAbility Co-ordinator, Anne Johnston Health ence in dealing with equity issues? One challenge is in how
Station
to translate this experience into knowledge that can be
SexAbility provides sex-positive, non-judgemental sexual used to strengthen the work across the system. Another is
health information to people living with disabilities as well how to foster a “learning culture” in CHCs that values
as to service providers and students in the social service or knowledge and supports innovation.
health care field. Historically, youth and young adults with
This workshop will be a participatory discussion that will
disabilities faced significant barriers of access to sexual and
address the following questions: a) What are the opportun-
reproductive health information. Myths and stereotypes
ities for creating a learning agenda for CHCs wth a focus on
about people with disabilities being childlike, innocent and
health equity? What could this look like? How could it
either asexual or hypersexual resulted in systemic barriers
benefit the collective practice of CHCs? b) What are the
that either suppressed or completely denied the sexuality of
main challenges in supporting the development of a
people living with disabilities. People with disabilities face
learning agenda for CHCs? c) What are some examples of
multiple forms of oppression at various intersecting points
structures/approaches that could support collective learn-
(i.e. gender identity, gender expression, ethnicity, class,
ing? d) How could this process be moved forward?
sexual orientation). SexAbility provides a safe space for
participants to explore their level of comfort and knowledge.
This workshop will provide a history and evolution of the
program and what was learnt along the way.

C35 Anti-Oppression 101


Douglas Stewart, Consultant

What is anti oppression? What is anti-discrimination?


What is diversity & inclusion? What is anti-racism? What is
cultural competency? Are you trying to wrap your ahead
around these terms? Then this is a workshop for you.

There are a variety of frameworks being used by different


organizations. Defined as a set of assumptions, concepts,
values, and practices that constitutes a way of operating, a
framework determines the kind of analysis and approach
that can be used by an organization to address issues of
discrimination and/or oppression.

This workshop is an opportunity to enhance the discussion


and provide participants with a tangible understanding of
the differences and interconnections of these terms and the
frameworks in which they are embedded.

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