Innisfil Healthy Communities Assessment Report

Innisfil Healthy Communities
Assessment Report
December, 2012
Prepared by
Grace Ross RN MSc, Project Coordinator
and
Christine Kurtz Landy RN PhD
With the support of York University School of Nursing
Innisfil Healthy Communities Assessment committee:
Claire Mallette, RN, PhD, Director of the School of Nursing /
Principal Investigator
Cheryl Van Daalen-Smith, RN, PhD
Elsabeth Jensen, RN, PhD
Dianne McCauley, RN, PhD (c)
Lynn Harwood-Lunn, RN, MScN
2
Innisfil Healthy Communities Assessment Report
Table of Contents
I.
Acknowledgements............................................................................................................ 4
II.
Executive Summary............................................................................................................. 6
III.
Background........................................................................................................................ 9
IV.
Focus of the Healthy Community Assessment.................................................................. 11
A. Two Focus Areas................................................................................................... 12
i. Access to Health Services
ii. Social Determinants of Health
B. Community Assessment Methods..........................................................................
i. Student Community Assessment methods (qualitative)
ii. On line survey (quantitative)
iii. Key informant interviews (qualitative)
C. Who was consulted?.............................................................................................
D. Questions asked.....................................................................................................
E. How were the results compiled and analyzed?.....................................................
13
16
16
17
V.
The Findings and Analysis........................……………………………….………………………………………. 17
A. Focus groups
i. Seniors
ii. Youth
iii. Service groups
B. Key informant Interviews
C. Survey Analysis
D. Limitations
VI.
Community Perspectives and Core Community Health Issues............................................ 18
A. Capacities and Strengths
B. Core Community Health Priorities
VII.
Discussion of Core Community Health Priorities…………………………………………………………… 20
VIII.
Preliminary Recommendations……………………………………………………………………………………. 26
IX.
Conclusion.........................................................................................................................
27
X.
References.........................................................................................................................
29
XI.
Appendices
A. Ethics Committee Approval.................................................................................... 30
B. Project Schedule -Deliverables and timelines document....................................... 31
C. Questions asked of focus groups and key respondents......................................... 34
3
D.
E.
F.
G.
Summary of Focus Group Responses...................................................................... 36
Summary of Key Informant Responses.................................................................. 38
Summary of Survey Analyses................................................................................. 41
Draft List of Community and Social Services.......................................................... 57
4
I.
Acknowledgements
We would like to acknowledge the following individuals whose input was invaluable in the preparation
of this report.
First, and most importantly, we wish to thank the residents of Innisfil who responded to our survey,
participated in focus groups and granted individual interviews. While individual respondents remain
anonymous, we wish to acknowledge the many community organizations in Innisfil and surrounding
area who shared information.
Alcoholics Anonymous
Barrie and Community Family Health Team
Barrie and Area Family Physician Recruitment Committee
Family Practice Teaching Unit University of Toronto
Georgian Nurse Practitioner Led clinic
Health Care Connect
Innisfil Community Church
Innisfil Examiner
Innisfil Public Library
Meals on Wheels
North Simcoe Muskoka LHIN
Rainbow Health Coalition
Rural Ontario Medical Program
Simcoe Barrie Community Health Centre
Simcoe County District School Board
Simcoe Muskoka County Public Health Unit
South Simcoe Police Services
YMCA
Youth Mobile Crisis Response Services
Our deep appreciation goes to the members of the Town of Innisfil Community Health Committee, who
worked diligently with the researchers to ensure community access, provided feedback and suggestions
and shared both their time and intimate knowledge of the community.
Thanks also to the Innisfil volunteers who provided their knowledge and expertise as preceptors for our
nursing students during their community placement: Erin Beresford, Howard Courtney, Miriam King,
Barbara Love, and Erin Scuccimarri.
We wish to acknowledge the third year York University School of Nursing students who were an
essential component of the “living/learning laboratory” that this community assessment provided. They
are: Lauren Frith, Angela Gallant, Victoria Pitts, Amber Squires, Sarah Taylor, Shannon Vince, Holly
Whiston, and Jessica Williams. Marcia Bissette, their Community Course Director provided constant
support. Thank you to our two fourth year nursing students who chose to complete part of their
Independent Practicum placement with the Innisfil Healthy Communities Assessment – Lisa Aubin and
Laura Colaricci. The qualitative portions of the Healthy Communities Assessment are largely a function
of their labours.
5
A personal thank you goes to my colleagues at York University School of Nursing who were a part of the
Innisfil Healthy Communities Assessment Committee, for their guidance, feedback and support.
To the many individuals who remain un-named yet gave input and guidance– our deepest appreciation.
Grace Ross
Project Coordinator,
Innisfil Healthy Communities Assessment
6
II.
Executive Summary
Background
In December 2011, led by the Innisfil Community Health Committee, the Town of Innisfil embarked on
an innovative project with the School of Nursing (SON) at York University to undertake a Healthy
Communities Assessment. This project was in large part a response to the mandate for promoting and
responding to community health care identified in the Inspiring Innisfil 2020 report (2010). The
retirement of two family physicians in Innisfil further precipitated the need to examine the health needs
of the community. A two pronged approach was agreed upon – to determine the degree to which
Innisfil has access to primary care providers and to assess the social determinants of health of this
community.
What is a Healthy Communities Assessment?
A Healthy Communities Assessment is a process of gathering, analyzing and reporting information about
the health needs of a community. The capacities or strengths that are currently available in the
community to meet those needs are also identified. The Innisfil Healthy Communities Assessment was
underscored by the recognition that health is achieved when people are able to have their needs
satisfied, their hopes realized and experience resilience in coping with life (WHO, 2009). Essentially, the
health of a community is quantified by more than the absence of disease, but also looks at those social
determinants of health that address quality of life and health as a positive force in the life of a
community. Central to this research process is the importance of engaging community members in the
assessment process.
Methods
Student nurses and faculty from York University’s School of Nursing undertook this assessment under
the coordination of Grace Ross, Course Director for the undergraduate nursing course Community as
Partner. A multi-methods approach was used, comprised of both qualitative and quantitative methods,
which included focus groups, formal and informal interviews and an online survey. Nursing students
conducted a series of focus groups with several diverse groups. Both the students and the project
coordinator interviewed area residents, professionals and community agencies to collect qualitative
data. This included accumulating community stories about what supports healthy living and quality of
life as well as identifying the numerous capacities and strengths of the community. Concurrently an
online survey was developed and made available on the Town website to collect community
demographics, health status, accessibility and usage of health services. In addition, an inventory of
health related services available within the community was collected.
Researchers from the SON and representatives from the Town of Innisfil fostered an ongoing dialogue to
ensure clarity of vision, breadth and scope of the project.
Findings
Analyses of the collected data identified both strengths and community health needs. There is much
evidence to support the notion that Innisfil does have identified capacity to serve the health and social
7
needs of the community through access to primary care services, multiple community supports,
recreational opportunities, a shared sense of community and potential for employment opportunities.
On the other hand, residents identified a number of health related issues which they believe
compromised their personal health and the health of the community overall. The following areas were
identified as core health priorities:







Awareness about available health and community services;
Access to Primary Care: Family Physicians, Nurse Practitioners, Urgent Care and Walk In Clinics;
Access to other health care services – sexual health services, physician specialists;
Access to mental health supports, services and crisis care;
Connection and sense of community;
Recognition of diversity and inclusivity for new comers; and
Expanded employment opportunities
Preliminary Recommendations
In response to these identified core health priorities, the researchers, in collaboration with the Innisfil
Community Health Committee developed the following list of recommendations for consideration by
Town Council. They include:
Core Health Priority
Recommendations
Information about health
and community services
Access to Primary Care:
family physicians, nurse
Practitioners, Urgent Care
and Walk In Clinics





That the Town of Innisfil provide and maintain a registry of
community services on its web site and advertise its
availability in multiple sources, in particular the Town
Newsletter
That Town Council advocate with the Ministry of Health and
Long Term Care and the North Simcoe Muskoka LHIN for the
following:
o That the cap on physician approvals to join Family
Health Teams be lifted
o Easier access/decreased bureaucracy related to
residents being accepted on to Health Care Connect
o Inclusion of Innisfil in the catchment area of the Barrie
Community Health Centre
Continue to support the efforts of and be an active member
in the Barrie Area Physician Recruitment Taskforce (BAPR)
Complete a feasibility study exploring the impact and
efficiency of setting up a satellite clinic from the Georgian
Nurse Practitioner clinic in Innisfil
That the Town encourage the creation of a walk-in clinic in
Innisfil staffed by Barrie area family physicians and other
health care practitioners
That the Town advocate with the Barrie urgent Care Clinic for
longer evening/weekend hours
8
Access to other
health care services – sexual
health services
Access to mental health
promotion, supports,
services and crisis care
Connection and sense of
community








Diversity and inclusivity for
new comers
Expanded employment
opportunities





Undertake a comprehensive assessment of the need for
sexual health services in Innisfil and explore options for
establishing a clinic for such services in the community or
improve access to existing sexual health services
Undertake a mental health and social services community
assessment to ascertain present capacity to provide support
services and mental health promotion with emphasis on the
needs of seniors and youth
Complete a feasibility study for shuttle buses from Alcona to
Go Bus/ Train stations
Research unique alternatives/options for public
transportation
Completion of sidewalks/bicycle paths along Innisfil Beach
Road
Support for the Library as the cultural hub of Innisfil
Support the overall design of ‘healthy communities’
Encourage and harness the strong sense of volunteerism
Continue to support events, community projects, and
recreational programs such as summer camps
Emphasize needs specific to youth in planning for accessible
recreation and cultural activities
Institute Heritage and Culture Appreciation Days
Encourage expansion of newcomer awareness programs
Education for Inclusivity in area elementary and high schools
Continued municipal support for job fairs
Study solutions to transportation issues for youth seeking
employment
Conclusion
According to the World Health Organization, “Health is a state of complete physical, mental and social
well-being and not merely the absence of disease or infirmity” (WHO, 1948). This report has addressed
not only access to health services, but also those determinants of health that more broadly address
quality of life and well-being. Through an innovative, multi-methods community health assessment
approach the report captures a broad picture of the strengths and capacities of the Town of Innisfil as
well as identifying health related needs and issues reported by numerous respondents. The
recommendations to Council, while preliminary, point the way to a comprehensive, forward-looking
approach to ensuring that Innisfil become the healthiest community possible.
9
III.
Background
Inspiring Innisfil 2020
In 2010, the Town of Innisfil embarked on an ambitious community-wide planning exercise. The result
was the creation of a strategic planning document known as Inspiring Innisfil 2020. The goal of this
initiative was to position Innisfil as the ‘place to be by 2020’. Around the same time that Town Council
adopted the series of tactics which launched the implementation phase of Inspiring Innisfil 2020, Council
recognized an emerging health crisis in the community. With the closure of one of the two medical
offices in the community, the number of family physicians in Innisfil dropped to 2. With limited
alternatives to primary care services in the town, Council agreed to act to help minimize the impact to
residents and created the Innisfil Community Health Committee (ICHC). ICHC is an Ad Hoc Committee of
Council whose purpose is to improve access to community-based, integrated, high-quality and
appropriate primary health care services in the Town of Innisfil. The creation of the committee also
supported one of the main pillars in Inspiring Innisfil 2020 – to ‘improve our quality of life dramatically.’
The mandate of the ICHC is to:
 Investigate the feasibility of various short and long term options for establishing locally based
community health care;
 Advise Council on various health care models and options in order to improve access to health
care services in the Town of Innisfil;
 Inventory and research available community spaces for the provision of health care services;
 Develop partnership with learning institutions to provide teaching or learning venues for
practitioners of many levels;
 Partner with community groups and support agencies to attract skilled health care professionals
to practice in Innisfil;
 Be a community liaison for health care matters; and,
 Raise public awareness of health care issues, such as illness prevention and health promotion.
Community Context
The Town of Innisfil is a growing lake-side community located just 45 minutes north of Toronto and is
one of 16-member municipalities that comprise the County of Simcoe.
According to the 2011 Census, the Town of Innisfil has a population of 33,079 which is comprised of
almost equal portions of male (16,590) and female (16,490) residents (Stats Can, 2011) A further
breakdown by age can be found in Figure 1. Official planning documents for Innisfil, forecast that the
population will grow to 56,000 by 2031.
10
Figure 1: Innisfil Percentage of Population by Age
12.00%
10.00%
8.00%
6.00%
4.00%
Percentage of
Total
Population
Percentage of
Male
Population
Percentage of
Female
Population
2.00%
0.00%
A few other key points regarding the community demographics that can be found in the 2010 Situational
Analysis Report for the Town of Innisfil are listed below:





Innisfil has a significantly smaller percentage of the population that is a visible minority.
All average and median incomes (total, family, household) between 2001 and 2010 are rising
and are higher than Simcoe County’s and Ontario’s in 2010.
The percentage of the population that has attained a University Bachelor’s degree is lower than
Simcoe County and Ontario.
The majority of Innisfil’s residents speak English only. NOTE: The 2011 Census, reconfirms
English is the primary language spoken with a large percentage of residents indicating that their
mother tongue is English (29,230 residents or 88.4%).
The majority of Innisfil’s labour force (82.2%) commutes outside of Innisfil for work.
The Town of Innisfil was founded approximately 20 years ago, through a forced amalgamation with
several communities. Many believe this has led to a feeling of disconnect amongst the various
‘neighbourhoods’ or settlement areas.
In December 2011, lead by the ICHC, the Town of Innisfil embarked on an innovative project with the
School of Nursing (SON) at York University to undertake a Healthy Communities Assessment. Members
of the ICHC indicated that the Town of Innisfil is under-served in terms of health care services and
11
providers, yet little was known in terms of quantifiable data. As well, little was known about the socialenvironmental factors that have an impact on the health of this community. In order to identify the
determinants of health and address gaps in health service provision additional research was necessary.
A Healthy Communities Assessment is a process of gathering, analyzing and reporting information about
the health needs of a community and the capacities or strengths that are currently available in the
community to meet those needs. Healthy Communities Assessments are meant to be all encompassing part of a complex process of identifying and responding to health problems, needs, and issues affecting
the residents from a socio-environmental approach.
Central to this research process is the importance of engaging community members in the assessment
process, focusing not only on needs but on identifying and building on community strengths, such as the
level of volunteerism or informal social supports. As such, empowerment, promoting critical thinking
and consciousness for social change were inherent themes of the assessment process (Sahud, A.,
Bartfay, W.J., 2010; Clark, M., 2003)
Student nurses and faculty from York University’s School of Nursing undertook this assessment under
the coordination of Grace Ross RN MSc, Course Director for the Community as Partner undergraduate
nursing course. Nursing students and faculty interviewed area residents, professionals and agencies to
collect qualitative data. This included collection of community stories about quality of life and what
supports healthy living as well as identifying the numerous capacities and strengths of the community.
Concurrently the SON, with the support of the Town of Innisfil implemented an online survey which
collected data that included community demographics, health status, accessibility and usage of health
services and an inventory of health care-related services available within the community.
Representatives of the SON and representatives from the Town of Innisfil fostered an ongoing dialogue
to ensure clarity of vision, breadth and scope of the project.
IV.
Focus of the Healthy Community Assessment
When people are asked to remember a time when they felt really healthy, very few talk about illnesses
they have experienced. Most people instead recall a time when they felt happy, engaged with life,
supported in their basic needs, and able to work, play and participate with others in families and social
groups. They use words that describe their quality of life and the freedom to live life to the fullest.
Healthy communities are made up of healthy people - people who are connected and have their
physical, emotional and social needs met through positive interaction with their communities. Healthy
communities are not static, but are continuously growing, improving and developing the resources that
they need to ensure that all its residents reach their potential (Hancock, T., Minkler, M.,1997).
In assessing the degree to which Innisfil sees itself as a healthy community our focus divided along two
main focus areas:
1) Access to Health Services
2) Social Determinants of Health.
12
There is common understanding that communities need access to services that will promote their
health, prevent disease and care for people in times of illness. At the same time we recognize the
importance of identifying the degree to which social determinants of health have an impact on the
Innisfil community (WHO, 1986).
a. Two Main Focus Areas
I. Access To Health Services:
The purpose of this focus area was to determine the degree to which access to health services is a
factor for residents of Innisfil. It has long been recognized that access to quality health care may be
compromised in rural communities due to the following factors:

low population density

smaller communities within a municipality may not be able to sustain services in and of
themselves

geographic distance from major health services such as hospitals

lack of public transportation

scarcity of a range of service providers that can address a variety of health needs

the unique needs of rural populations
According to the Ministry of Health for Ontario: ‘Rural’ communities in Ontario are those with a
population of less than 30,000 that are greater than 30 minutes away in travel time from a
community with a population of more than 30,000. (Government of Canada-MOHLTC, 2010) While
Innisfil does not strictly fit this definition, it was recognized that a combination of the above factors
do affect residents to varying degrees. The intent of this research stream was to identify the barriers
and identify services for which access was problematic.
II. Social Determinants Of Health
What difference does having social supports make to a senior who lives alone? Why do teenagers
choose to use drugs? How does having a steady job help the health of a young adult? How can we
teach a new mom better parenting skills?
These are the kinds of questions we ask when assessing the health of a community through a lens of
social determinants of health (see Table 1 below) (CPHA, 1996).
13
Table 1. The Social Determinants of Health
Adequate income and social status
Personal Health Practices and Coping Skills
Social Support Networks
Healthy Child Development
Education and Literacy
Biology and Genetic Endowment
Meaningful Employment/Supportive
Working Conditions
Positive and Supportive Social Environments
Health Services
Physical Environments that are free from
environmental hazards
Freedom from violence
Absence of discrimination based on ,
Gender, culture, race and sexual orientation
In short, improving health is a vital component of human development. Using the lens of Social
Determinants of Health helps us see health as a positive concept, where people are able to have their
needs satisfied, their hopes realized and have the resilience to cope with life (WHO, 1986).
A healthy community from a Social Determinants of Health perspective results in:
 Improved personal perception of quality of life
 Improved social networks
 Improved quality of social support
 Improved community group actions to support more equitable social distribution of wealth and
resources
 Enactment of policies related to social equity
 Improved environmental sustainability
(Hancock, T., Minkler, M., 2005)
b. Our Community Assessment Methods
Known data sources do not always reflect the conditions in the community. In assessing the health
of the Innisfil community the researchers not only took into account previously published statistical
data, but also engaged with diverse groups of citizens, business people, town leaders, health care
providers and students, using a multi-methods approach. This multi-methods approach allowed the
researchers to understand health needs, identify the strengths and assets of the Innisfil
community, and what people think could be improved (Hancock, T., Minkler, M., 2005).
The researchers went where the people are – where they live, where they play, where they work
and where they pray. They spoke to them one-on-one and in groups, some formal and many
informal. This process ensured a voice for those in the community who may not be heard through
other channels, and in particular ensured that the researchers were aware of local issues as
perceived by area residents.
14
This process included the following:
I. Student-Led Community Assessment Methods (Qualitative)
For three months from January-April, 2012, eight 3rd year community nursing students from York
University (under the mentorship of four key members of the Innisfil community) spent 12 hours
each week engaged in a learn-as-you-go method of community assessment.
The nursing students spent their time:
 Driving around the community with Town Councillors (“windshield surveys”) to help the
students get oriented to the community and hear insights from Councillors
 Attending community functions
 Doing walk-abouts through the neighborhoods of Innisfil
 Reviewing demographic and social indicators to inform their questions
 Examining documents such as “Inspiring Innisfil 2020” (Town of Innisfil)
 Perusing progress reports from Simcoe Muskoka District Health Unit, and the Situational
Analysis Report for the Town of Innisfil that was compiled as part of the Inspiring Innisfil
2020 community planning exercise (Town of Innisfil, 2010)
 Engaging the community using assessment tools outlined below
They asked questions of all they met - questions that got to the heart of what it means to be
healthy, what the health issues and needs are, what the strengths of the Innisfil community are and
what is needed to address their concerns (see Appendix C for the questions asked).
In engaging the people of Innisfil, they used the following assessment methods:
 Key informant interviews (see further description below)
 Formal focus groups. Focus groups are typically groups with similar attributes e.g. students,
seniors, who are brought together to interact and provide their opinions to a series of
questions asked by the moderators. They are interactive and allow for first person
experiences to be shared. They also allow for prompting of further discussion and ideas.
 Collecting community stories about what residents believe makes Innisfil healthy and
strong and what is missing, difficult or challenging about living in Innisfil
 Striking up conversations with residents at community locations such as the Innisfil
Recreational Complex, churches and small informal group meetings such as parenting
groups and seniors groups
The nursing students presented their findings and conclusions to the public at an Open House
meeting at Innisfil Town Hall in March. In May two 4th year nursing students continued the
community health assessment as part of their 12 week Independent Practicum placement. Their
placement consisted of facilitating formal focus groups with Innisfil residents - primarily youth and
seniors as well as continuing with key informant interviews. The findings of both student groups
were analyzed and included in this final report.
15
II. Key Informant Interviews (Qualitative)
Key informant interviews are in-depth one-on-one interviews with people who are perceived to
be knowledgeable about the community. Individual interview allow for exploration of first-person
experiences and allows the researcher to enter into discussions prompted by the input of the
interviewee. Both the student nurses and the study coordinator interviewed a wide range of
people—community leaders, education professionals, health service organization directors,
health care providers and residents, all of whom have firsthand knowledge about Innisfil. Because
of their expertise or specific knowledge about the community these informants were able to
provide information, their insights on the nature of health issues affecting Innisfil and in many
cases offered recommendations for solutions. (see questions Appendix C). These interviews
ranged from formal preset questions, to informal telephone or face to face interviews with a wide
variety of community members, many of whom were identified by members of the Innisfil
Community Health Committee.
III. Online Survey (Quantitative)
One way in which we collected quantitative data was through the development of an on-line
survey, in collaboration with the Innisfil Community Health Committee; modeled after the Stats
Canada Health Services Access Survey (StatsCan, 2001). This survey was made available on the
Innisfil Town Website from July 4th until September 16 and was promoted through a variety of
means including media releases, posters, and advertisements, during speaking engagements or
interactions with the public. The student nurses promoted it at their community assessment sites.
Hard copies of the survey were made available for those for whom online access was not feasible
(approximately 200 respondents). In total, over 700 community members submitted answers to
the survey, the results of which have been analyzed and summarized in tables (see appendix F). A
complete copy of both the survey and the answers is available in the Town Clerk’s office.
16
c. Who was consulted?
A strong community assessment is grounded in a grass roots approach where as many different
people as possible are asked about their community (Minkler, M., 1990; Clarke et al, 2003). By
embracing the importance of community engagement we ensured that were able to reach out to as
many people as possible in a brief assessment period (see table 2). A summary of those who
participated in the process is outlined below (see Table 2)
Focus Groups
 Seniors from area
retirement communities (5
groups)
 Youth from Simcoe County
District School Board
schools, church groups (5
groups)
 Public Health staff from
Simcoe Muskoka District
Health Unit
 Professionals working with
Youth
Table 2: Who Was Consulted
Online survey
Key informants
 Access to the survey was not
restricted to members of the
Innisfil community although
the respondents were
primarily residents
























Innisfil Community Health Committee
Mayor and Councillors of the Town of Innisfil
Barrie and Community Family Health Team
Barrie and Area Family Physician Recruitment
Taskforce
Family Medicine Residency Program at
Toronto East General Hospital
Georgian Nurse Practitioner Led clinic
Health Care Connect
Innisfil Community Church
Innisfil Examiner
Innisfil Public Library
Meals on Wheels
North Simcoe Muskoka Local Health
Integration Network (LHIN)
Rainbow Health Coalition
Rural Ontario Medical Program
Barrie Community Health Centre
Simcoe County District School Board
Simcoe Muskoka District Health Unit
South Simcoe Police Services
YMCA
Youth Mobile Crisis Response Services
Alcoholics Anonymous
Parent groups
Local businesses
Health services – Family doctors,
chiropractor, dentist, personal support
worker
d. What kinds of questions were asked?
The questions were grouped into four main areas as follows:
a. What the person understood by the term “health”
b. What they believed the health needs or issues were for themselves and for Innisfil
c. What they believe the strengths or positives are about living in Innisfil
d. What they believe is needed in Innisfil to address the identified needs
For a full print out of the questions please see Appendix C.
17
e. How were the results compiled and analyzed?
Qualitative interviews and focus group responses were transcribed and read by a team of three
researchers who identified themes and patterns which corresponded to the questions above.
Appendix D and E summarizes the compiled responses to the Focus Groups and Key Informant
Interviews and written sections of the Survey. While the sheer volume of information is beyond the
scope of this report to include, every attempt was made to capture repeated themes across the
three sets of respondents.
The Quantitative analysis was compiled by the FluidSurvey instrument and cross analysis was done
using the statistical instrument SPSS.
V.
The Findings and Analysis
a. Focus Group Findings
Focus groups are brought together to “elicit and validate collective testimonies” (Kamberelis, G.,
Dimitriadis, G., 2005) or to collect stories, experiences and views from groups who share a common
experience. The nursing students selected the following groups to allow for diverse viewpoints of a
cross-section of Innisfil. The summarized results can be found in Appendix D.
i.
Seniors (5 focus groups)
ii.
Youth (5 focus groups)
iii.
Service providers focus groups (school support staff, public health staff)
b. Key informant interviews
Responses to interviews were grouped into two sections: Interviews with non-professionals (e.g.
residents, business owners, Town Councillors etc) and those with health professionals. Each group
presented their unique viewpoint of the health issues, capacity and what they believe is needed.
The summarized results can be found in Appendix E
c. Survey Analysis
Appendix G provides a summary analysis of the survey results, grouping and highlighting main areas
for consideration. The full survey and answers may be obtained from the Town Clerk’s office.
d. Limitations to the Findings
There are several limitations to the research findings which should be noted. The number of
respondents to the survey was low given the population of Innisfil. Distribution and promotion of
the survey during summer months when many residents are on vacation may have added to the
low numbers. In addition, there were a proportionately higher number of senior respondents to the
survey, perhaps linked to the sense of urgency many seniors reported in wanting accessible health
care services. At the same time, there were far fewer youth who responded than is representative
of the population. Survey responses were voluntary and dependent on resident’s awareness of the
survey on-line. While opportunity was given for respondents to use a hard copy version, these were
not widely available without additional calls.
18
The qualitative responses in the focus groups and in many of the key informant interviews were
elicited by nursing students, who were using this community assessment as a learn-as-you-go
educational process. While they were mentored and supervised by York SON faculty, the usual
rigour associated with qualitative research may not have been consistently applied.
VII Community Perspectives and Core Community Health Issues
a. Capacities and strengths
Communities are healthy when they have a vibrant back bone of services, recreational
opportunities, community spirit and opportunities to meet the needs of their citizens (Sahud, A. ,
Bartfay, W.J., 2010). With the help of the Innisfil Community Health Committee, a comprehensive
list of available resources has started to be compiled and can be found in Appendix G.
The following are the strengths that focus group participants, area residents and key informants
most often spoke of (Table 3)
Table 3. Strengths and Capacities
Health services
capacity
 Stroud Medical Clinic. Three physicians currently operate out of the
facility.
 Barrie Community Health Centre has moved to south Barrie,adjacent
to Huronia Urgent Care Clinic, providing numerous community health
services and primary care to North Innisfil seniors
 Two new family physicians each with a roster capacity of 1,300-1,500
have set up practice at Maple View practice on Huronia Rd
 Three additional family physicians are ready to set up practice with the
Barrie Area Family Health Team pending Ministry of Health approval
 Barrie Area Family Health Team has plans underway for a new medical
centre at the south end of Barrie which will provide-one-stop shopping
for all labs, x-rays, pharmacy, Social Workers, Diabetes Education, Lung
Health clinic and Cardio Clinics which will attract more physicians and
provide easier access to specialists
 Georgian Nurse Practitioner clinic accepts patients who do not have a
family doctor. Patients are assigned to the four family physicians who
rotate through the clinic. The catchment area includes Innisfil.
 Huronia Urgent Care Clinic provides X-rays, cardiograms, casting and
stitches as well as afterhours urgent care service
 Walk in clinics in Barrie which have prenatal or young mother’s clinics
will accept Innisfil residents who do not have a family doctor
 The Barrie Family Medicine Residency Program from Toronto East
General Hospital presently has 18 Family Medicine residents. This
program continues to expand and may be a source for several new
physicians who may choose to stay in the area in which they were
taught
 The Barrie Area Physician Recruitment Task Force (BAPR) is partnered
with the Town of Innisfil to actively recruit new doctors
19
Recreational
services
Other
Health/social
services
Community Spirit
Employment,
Transportation
 Physician Assistants (PAs) can now be hired to assist physicians with
heavy workloads. For more information visit
http://www.healthforceontario.ca/
 Many physicians are actively seeking Nurse Practitioners (NPs) to join
their practice making primary care services accessible to more people.
There is strong support for NPs among general public. Both PAs and
NPs will allow family physicians to expand their roster to accommodate
more patients
 The Simcoe Muskoka District Health Unit offers home visits, safe food
and water inspections, health promotion programs, Healthy Babies
program, Health Connection phone line
 The Cortel group bequeathed land for a hospital in Innisfil with the
stipulation that it be developed within 20 years
Notable examples include: YMCA, Library, Parks and Recreation, churches,
active seniors retirement centres; Innisfil Beach park; skate park; summer
camps; golf courses; Ontario Early Years programs
Notable examples include: Flu shot clinics ; Children’s Aid Society of
Simcoe County; Physiotherapists; Registered massage therapists; social
supports at Sandycove Acres Retirement community; Guidance
counselors and NewPath counselors at Nantyr Shores; Values, Influences
and Peers program through Police; Community Police presence at Nantyr
Shores; Meals on Wheels for Seniors; church support for those living in
poverty; Alcoholics Anonymous, Community Care Access Centre/
Homecare, Ontario Early years Centres, prenatal classes. For a more
comprehensive list see Appendix G.
A community oriented Town Council and Health Committee seen to be
genuinely concerned about the town; festivals and community projects;
Arts, Culture and Heritage council; Active volunteering; sense of
community at Sandycove Acres; Alcona is a designated primary settlement
area in Innisfil; Newcomer awareness programs at the YMCA; other
Immigrant support services in Simcoe County
 Friday Harbour resort potential jobs as it is developed
 Go Bus and Go train in the future along Hwy 11
 Active volunteer drivers for Sandycove Acres
 Red Cross Volunteer transportation
20
b. Core Community Health Priorities
Through extensive analysis and repeated consultation with the Innisfil Community Health
Committee to validate our findings, the following areas were identified as core health Priorities (See
table 4):
Table 4: Core Community Health Priorities
Lack of awareness of health and community services
Access to Primary Care: Family Physicians, Nurse Practitioners, Urgent Care and Walk In
Clinics
Access to other health care services – sexual health services, physician specialists
Access to mental health supports, services and crisis care
Connection and sense of community
Diversity and inclusivity for new comers
Expanded employment opportunities
VII.
Discussion of Core Community Health Priorities
a. Lack of awareness of health and community services
Accessibility to health care means that community members will receive appropriate care from the
appropriate health care provider within a time frame that is reasonable (CNA, 2000).This means
first of all, that individuals are aware of who they can call. The results of our survey indicated that
many respondents identified a need for services or supports that in fact are available, yet they
remain unaware of these services or had incorrect information about these services. Appendix G
includes a list of services that address both primary care and the social determinants of health.
When residents were asked where they obtained information about services that are available in
the community, 55% reported that they obtained their health services information from friends,
neighbors and family and 36% indicated they obtained information about health services from the
newspaper (See Appendix F - Table 15). The Innisfil town website and town newsletter accounted
for respectively only 7% and 9.5% of the information sources. Forty six percent (46%) of
respondents reported that they wished to receive information through the town newsletter.
While a more complete list of resources can be found in Appendix G, some key services that are
available but not widely known are:
Barrie Community Health Centre (BCHC) This centre has recently located to the south end of
Barrie adjacent to the Urgent Care Clinic on Huronia Road, a 15 minute drive away from the
Sandycove settlement area. One of its major programs, the North Innisfil Senior Program, is
focussed solely on attracting those over age 60 in North Innisfil. While the BCHC catchment area for
doctors is limited to those with a Barrie address, other programs at the Centre are available for
Innisfil residents (Diabetes Program, Young Parents, Prenatal and Community Health promotion
programs).
21
Barrie Area Family Health Team (BAFHT). Many residents were unaware that the BAFHT is
actively recruiting family physicians. There are plans underway to build a new centralized medical
building at the south end of Barrie to house several pods of Family Health team physicians, making
them readily accessible to residents of Innisfil (within a 15 minute drive).
Health Care Connect, a physician referral service for those without family doctors. Citizens can
apply to have their names put on a waiting list for doctors accepting new patients.
The Georgian Nurse Practitioner Program is open to taking on new patients if they do not have
a physician. Again, many residents are unaware of this program and do not understand that the
Nurse Practitioners ensure that they are covered by physicians as needed, or that this clinic has a
mandate to serve residents of Innisfil. In addition they have ancillary support services available on
site.
Supports for Young Families There are multiple supports for prenatal and young families, for
example Best Start Child and Family Centre at Sunnybrae School, Ontario Early Years programs and
Parent- Tot Drop in programs at YMCA, of which many young families remain unaware. In addition
the Barrie Community Health Centre welcomes new mothers to its community programs.
List of Health and Community Support Services The Innisfil Community Health Committee has
provided an initial list of services that speak to both the social determinants of health and primary
care services (see Appendix G).
b. Access to Primary Care: Family Physicians, Urgent Care, Walk in Clinics and
Nurse Practitioners
Primary Care is defined as services commonly accessed at the first point of contact with the health
care system. In primary care the focus is on acute care and treatment of disease. Across the board
many respondents spoke to the need for better access to primary care services. In answering the
survey question “In your view what health services does Innisfil need more of?” 80% of
respondents stated the need for more local family doctors and 54% specified the need for
accessible walk-in or urgent care clinics.
Over 67% of survey participants reported several primary care services they wanted to access, but
were unable to access over the previous 12 months. These included family physicians, urgent care
physicians and nurse practitioners.
Access issues varied with whether the need was for routine/ongoing care or immediate care.
Routine care was less of a problem with 45% expressing it was difficult/very difficult to access care
as opposed to 59% who stated that it was difficult/very difficult to access immediate care for
problems. Many expressed concerns about wait times, whether with their family physician or at the
Urgent Care clinic. Other complaints included waiting too long to get an appointment; inability to
get an appointment; non-availability of the service in the community; and transportation problems.
According to the Ministry of Health and Long Term Care, wait times at Royal Victoria Regional
22
Health Centre emergency department for minor or uncomplicated conditions average 2.8 hours
(Government of Ontario - MOHLTC, 2010).
Access to Family Physicians: Our survey indicated that 40% of Barrie residents are not
rostered with physicians in the area. Reasons given on the survey for why participants did not
have a family physician included:




physicians not taking new patients;
no physicians in their area;
physician had moved out of the area or retired;
not willing to go on the Health Care Connect list
One survey respondent noted, “We definitely need a family doctor or at very least an urgent care
walk-in. My only regret moving to Innisfil two years ago is that I didn't first check out the health
care situation. It would have changed my decision”.
The Barrie and Area Physician Recruitment Task force (BAPR) reports that 55,000 residents in their
caption, which includes Barrie/Innisfil/Oro-Medonte and Springwater, are without family doctors.
The Barrie Community Family Health Team projects that within three years this may reach as high
as 80,000 since as many as 30 physicians on the Team are due to retire. The BAPR estimates that 60
new Family Physicians are needed to provide adequate service to this area over the next three
years.
Distance Barriers Forty percent (40%) of respondents reported their family physicians were
located outside of Barrie/Innisfil. Fifty-three percent (53%) reported their doctor was in Barrie and
7% said their doctor was in Innisfil. While 87% percent of survey respondents reported they had a
family physician, many of these physicians were located at a distance that made access difficult, for
example 15.1% in the GTA (Greater Toronto Area) and 5.9% in Newmarket. Some participants
reported travelling as far as Parry Sound, Durham and Hamilton to see their family physician. As
one respondent noted, “I am not getting the level of care I need because I cannot travel 80 km one
way to see our family doctor!”
Health Care Connect Barriers: While residents may request their name be put on the Health Care
Connect list, a physician referral service of the Ontario Government, key informants reported that
the process of getting on the list is complicated and may be challenging for the average person to
follow (e.g. the service only responds to a home phone number during business hours). In addition
this service is restricted to residents who do not at present have a family doctor in Ontario. Patients
need to formally give up their doctor who is some distance away in order to take a chance at
finding an opening with a new doctor nearer to Innisfil. Many residents are reticent to abandon a
doctor they are registered with in order to be put on a waiting list. On one day in November, only
100 residents from Innisfil were listed with Health Care Connect. At present Health Care Connect is
not able to adequately provide referral services to many Innisfil residents due to the shortage of
doctors with room in their practice roster.
Heavy Practice Rosters: Family physicians in the area have exceptionally heavy practice rosters. The
three doctors who presently practice in Stroud are not accepting new patients, along with the
majority of family physicians in Barrie. According to key informants with the Barrie and Community
Family Health Team, while the provincial goal for a family physician is 1200 patients per doctor, the
23
average number per practice in Barrie/Innisfil is 1,800. The average Toronto family physician, on
the other hand has only 600 patients in his/her practice.
Government Processing Barriers: The Ministry of Health and Long-Term Care (MOHLTC) instituted
a hold on processing physician applications for those wishing to join a Family Practice Team in June,
2012. In October the MOHLTC began the process of lifting this cap and approved a rate of 25
physicians per month across Ontario based primarily on criteria for northern and rural areas. At this
time only two physicians have been approved for the area covered by the Barrie and Area Physician
Recruitment Taskforce. While active recruitment is occurring through the BAPR Taskforce, the need
to attract new family physicians to the area continues to be an issue as government caps prevent
physicians from joining the area family practice team. Since Innisfil is not considered to be an
underserviced community by MOHLTC standards, attracting new physicians requires additional
recruitment activities that will need to come from the affected municipalities.
Models of Practice Barriers: In Barrie, the Family Health Team model has become the prevailing
model for new physicians in practice. According to several key physician informants, newly
graduating physicians are less likely to set up a lone practice today unlike years ago when rural
physicians would set up a lone or shared practice in a small town. Today physicians appreciate the
knowledge sharing, mentorship, partnering with Nurse Practitioners, shared facilities and support
services that a family practice team can provide. While there is no restriction to a physician setting
up a practice that is not part of the Family Health Team, physicians are less likely to do so
Catchment Area Barriers: While the Barrie Community Health Centre has recently moved to the
south end of Barrie and is only a 15 minute drive from the centre of Innisfil, only one program, the
North Innisfil Services to Seniors, provides primary care services to residents of Innisfil. The
catchment area boundary excludes those with an Innisfil address who are seeking primary care
except for those 60 and over living in North Innisfil.
Age-related Barriers: Seniors more often than other age groups, expressed concerns about
accessing primary care. With advancing age, fragility and potential for life threatening incidents
such as falls or cardiac events, the sense of vulnerability for many seniors is increased. For example,
many cited the fact that an ambulance trip to The Royal Victoria Regional Health Centre can take
upwards of 30 minutes. While the new Barrie Community Health Centre North Innisfil Services to
Seniors program provides access to primary care, the distance to emergency room care continues
to be a concern among many seniors. Transportation issues, while not reported as a major barrier,
are an issue for those who need to rely on volunteer drivers to attend physician appointments.
Needs Specific to Commuters: With 82% of the Innisfil labor force reporting that they commute to
work outside of Innisfil (Town of Innisfil, 2010), many return home around the time that the closest
Urgent Care Clinic closes (7 pm). This makes access to immediate care for families very difficult.
Patients must register with the clinic at least 2 hours before it closes; meaning that commuters
must leave work in order to access the Urgent Care Clinic. One person noted, “I work in Toronto as
do many people from the town, I need a family doctor available after 7:30 pm or weekends or at
least a walk-in clinic”.
Alternate Health Care Models: Survey respondents were open to alternate models of primary
health care in addition to independent family physicians. The four models they were most likely to
24
use were Nurse Practitioners (67%), Urgent Care or Walk-in Clinics (62%), Family Practice Teams
(52%) and Community Health Centres (41%).
c. Access to other health care services – sexual health services, medical
specialists, laboratories, x-ray clinics.
Respondents to the survey also identified concerns with accessing broader community services
beyond primary care, such as medical specialists, public health nurses, mental health counselors
and psychotherapists, sexual health counselors and community based services. Survey participants
were asked how satisfied they were with the health care services available to them in the Innisfil
community. Of the 582 participants who replied, 52% were either dissatisfied or very dissatisfied
with the health care services available to them. Concerns were most evident among senior and
youth respondents:
Senior respondents: Seniors emphasized their concerns with access to physician specialists,
distances from hospital emergency departments and ancillary services such as labs.
Youth respondents: Youth respondents identified the lack of accessible sexual health clinics. The
nearest clinic is the Simcoe Muskoka District Health Unit Sexual Health Clinic in Barrie. The latest
appointment for this clinic is usually 3:00-3:30, when many students are still in school. Students
mentioned embarrassment at having to ask parents to drive them to the clinic and to take time off
work/school to do so as there is no public transportation to Barrie. As well, many teens wish to
keep these visits confidential which is harder to do when parents must drive them. In recent years
Public Health support for adolescent programs other than broad based health promotion initiatives
has decreased. For example, there is no longer a public health nurse with dedicated hours at Nantyr
Shores Secondary School.
d. Access to mental health supports, services and crisis care
Mental health issues are influenced by the social determinants of health, such as lack of social
supports, recreation opportunities, peer rejection and bullying and cultural discrimination
(Commonwealth Department of Health and Aged Care, 2000). Prevention and health promotion
efforts that address mental health in Innisfil are limited.
Key respondents and focus groups repeatedly cited a lack of support services for mental health,
particularly for adults and seniors. South Simcoe Police services respond to crisis mental health calls
and transport patients to Royal Victoria Regional Health Centre in Barrie for psychiatric
assessments. Key informants with police services identified a need for mental health crisis support
to ensure that there is appropriate follow-up for these police service calls. Respondents were not
able to identify any in town supports, crisis workers or services aside from fee-for-service private
practitioners such as a psychologist in Stroud.
Youth in their focus groups expressed concerns about support for bullying, cyber-bullying,
depression, anxiety, school related stress and alcohol and substance use. While youth do have
access to NewPath Counseling services at the high school on a weekly basis, as well as the Youth
Mobile Crisis Response Services (Kinark), the response may be limited by availability of crisis
response workers whose mandate includes all of Simcoe County. The response is limited to
individual cases and does not address broader determinants of mental health for youth.
25
Seniors in the focus groups disclosed concerns about hidden issues such as alcohol abuse,
depression and anxiety, and for many, social isolation. Despite social and recreational activities that
occur in retirement communities, some key informants reported that the majority of seniors rarely
attend. Access to confidential and compassionate services that specifically address these social
determinants of health continues to be problematic or non-existent.
e. Need for greater connection and sense of community
Strong neighborhoods make healthy communities (City of Toronto, 2004). Some citizens spoke
about the social disconnection they felt due to the fact that neighborhoods are small and spread
out across Innisfil; a lack of public transit to connect with others; lack of newcomer support;
tensions between cottagers and full time residents; and lack of ethnic inclusivity. Numerous
concerns were expressed about children walking along roads without sidewalks and lack of access
to children’s after school recreational opportunities due to commuter parents. There is a
perception that there is no “downtown” Innisfil or central meeting place that is a hub for citizens.
f. Diversity and inclusivity for new comers
Focus group participants and individual informants repeatedly commented on the lack of diversity
and inclusive support for diverse racial or ethnic groups of which they were aware in Innisfil. None
of the respondents expressed personal negativity towards other ethnic groups. Instead they shared
examples of racist slurs, bullying and threats they observed in others. Some spoke of observing an
“us versus them” mentality, with an expressed desire for Innisfil to remain white and ethnically
homogeneous. Many participants denied awareness of different ethnic groups in Innisfil, although
this is in contrast to members of the Innisfil Community Church which display flags of 57 different
countries to show the diversity of their congregation.
Alcona has been designated a primary settlement area for new immigrants within Innisfil which
could lead to the attraction of new immigrants. Issues of lack of ethnic inclusivity may become
more pronounced as new immigrants settle in Alcona.
g. Employment opportunities
Two distinct demographics emerged in discussion of employment opportunities:
Commuters: With 82% of Innisfil labour force commuting to work outside Innisfil, many expressed a
desire to find meaningful and appropriate work commensurate with their skills and abilities in
Innisfil.
Youth: Employment opportunities for youth were scarce and transportation to jobs often not
available. Some respondents indicated that families leave town when their children reach teen
years because of the transportation issues which impact recreation and employment for youth.
While the “MacBus” shuttle picks up its young employees who work at McDonalds in Cookstown,
this MacDonald’s is slated to close in February. Youth reported a lack of range of employment
opportunities and lack of access to the Go Bus which would allow them to seek for employment in
the surrounding area. In particular key respondents mentioned the 14-16 year old age group as
being denied employment, and these youth experiencing boredom and social isolation outside of
school hours.
26
VIII.
Preliminary Recommendations
In response to these identified core health priorities, the researchers, in collaboration with the
Innisfil Community Health Committee developed the following list of recommendations for
consideration by Town Council. They include:
Table 5: Preliminary Recommendations
Core Health Priority
Recommendations
Information about health and
community services
Access to Primary Care: family
physicians, nurse Practitioners,
Urgent Care and Walk In Clinics





Access to other
health care services – sexual
health services
Access to mental health
promotion, supports, services
and crisis care
Connection and sense of
community


That the Town of Innisfil provide and maintain a
registry of community services on its web site and
advertise its availability in multiple sources, in
particular the Town Newsletter
That Town Council advocate with the Ministry of
Health and Long Term Care and the North Simcoe
Muskoka LHIN for the following:
o That the cap on physician approvals to join
Family Health Teams be lifted
o Easier access/decreased bureaucracy related
to residents being accepted on to Health Care
Connect
o Inclusion of Innisfil in the catchment area of
the Barrie Community Health Centre
Continue to support the efforts of and be an active
member in the Barrie Area Physician Recruitment
Taskforce (BAPR)
Complete a feasibility study exploring the impact and
efficiency of setting up a satellite clinic from the
Georgian Nurse Practitioner clinic in Innisfil
That the Town encourage the creation of a walk-in
clinic in Innisfil staffed by Barrie area family
physicians and other health care practitioners
That the Town advocate with the Barrie urgent Care
Clinic for longer evening/weekend hours
Undertake a comprehensive assessment of the need
for sexual health services in Innisfil and explore
options for establishing a clinic for such services in
the community or improve access to existing sexual
health services
Undertake a mental health and social services
community assessment to ascertain present capacity
to provide support services and mental health
promotion with emphasis on the needs of seniors
and youth
Complete a feasibility study for shuttle buses from
Alcona to Go Bus/ Train stations
Research unique alternatives/options for public
transportation
27
Diversity and inclusivity for new
comers
Expanded employment
opportunities
IX.
 Completion of sidewalks/bicycle paths along Innisfil
Beach Road
 Support for the Library as the cultural hub of Innisfil
 Support the overall design of ‘healthy communities’
 Encourage and harness the strong sense of
volunteerism
 Continue to support events, community projects, and
recreational programs such as summer camps
 Emphasize needs specific to youth in planning for
accessible recreation and cultural activities
 Institute Heritage and Culture Appreciation Days
 Encourage expansion of newcomer awareness
programs
 Education for Inclusivity in area elementary and high
schools
 Continued municipal support for job fairs
 Study solutions to transportation issues for youth
seeking employment
Conclusion
Through an innovative, multi-methods Healthy Communities Assessment approach this report captures
a broad picture of the strengths and capacities of the Town of Innisfil as well as identifying health
related needs and issues. The report has addresses not only access to health services, but also those
social determinants of health that more broadly speak to quality of life and well-being. It echoes the
World Health Organization’s definition of health as a “state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity” (WHO, 1948).
In conclusion, it is clear that those who live, work and play in Innisfil are both aware of and vocal about
sharing their hopes, dreams and aspirations for a healthy community. As one participant said, “Health is
more than a bus to the doctor’s office!” People recognize that their surroundings, who they interact
with, how included they feel and how supported they are in being part of a community are as important
to their sense of well-being as whether their physical health is attended to. Nevertheless for many
respondents the concern about access to health services plays a large part in their overall concern about
the community in which they live. The Town of Innisfil can provide much needed information about the
multiple resources that are already available to its residents, while continuing to advocate for and
encourage the creation of new and more accessible resources and services.
The recommendations to Council, while preliminary, point the way to a comprehensive, forward-looking
approach to ensuring that Innisfil become the healthiest community possible.
28
X.
References
Canadian Public Health Association (1996). Action statement for health promotion in Canada. Retrieved
from http://www.cpha.ca/en/programs/policy/action.aspx
Canadian Nurses Association. (2000) Fact Sheet on Primary Health Care. Retrieved from
http://www2.cnaaiic.ca/CNA/documents/pdf/publications/FS02_Primary_Health_Care_Approach_June_2000_e.pdf
City of Toronto - Strong Neighbourhoods Task Force (2004). Strong neighborhoods matter. Retrieved
from
http://www.toronto.ca/demographics/sntf/whystrongneighbourhoodsmatter.pdf
Clark, M.J., Cary, S., Diemert, G., Ceballos, R., Sifuentes, M., Atteberry, I., Vue, F., Trieut, S. (2003)
Involving communities in community health assessment. Public Health Nursing 20 (6) 456-463
Commonwealth Dept of Health and Aged Care -Mental Health and Special Programs Branch. (2000).
Promotion, prevention and early intervention for mental health – a monograph. Retrieved from
http://www.health.gov.au/internet/main/publishing.nsf/Content/A32F66862E8894ABCA25723E001752
29/$File/prommon.pdf
Government of Ontario MOHLTC. (2010). Rural and northern health care report -executive summary.
Retrieved from
http://www.health.gov.on.ca/en/public/programs/ruralnorthern/docs/exec_summary_rural_northern_
EN.pdf.
Government of Ontario MOHLTC. (2010)Wait times. Retrieved from
http://edrs.waittimes.net/EN/Data.aspx?LHIN=12&city=&pc=&dist=0&hosptID=0&str=&view=0&period
=0&expand=0)
Hancock, T., Minkler, M. (2005) Community health assessment or healthy community assessment:
Who's community? Who's health? Who's assessment? (pp.139—156). In Minkler, M. (ed.) Community
organizing and community building for health. New Brunswick, NJ: Rutgers University Press.
Kamberelis, G., Dimitriadis, G. (2005). Focus groups: Strategic articulations of pedagogy, politics and
inquiry. (pp887-907) In N.K. Denzin & Y.S. Lincoln (Eds), The Sage handbook of qualitative research (3rd
ed., 907). Thousand Oaks, CA:Sage.
McMurray, A. (2007). Community health and wellness: A socio-ecological approach. 3rd Edition.
Sydney:Mosby Elsevier
Minkler, M. (1990). Improving health through community mobilization. In: Glanz, K et al, (Eds.) Health
behavior and health education. San Francisco: Jossey-Bass,
29
Sahud, A and Bartfay, WJ (2010). Assessing the Community (pp. 216-238). In Hitchcock, JE, Schubert, PE,
Thomas, SA and Bartfay, WJ (Eds) Community Health Nursing: Caring in Action (1st Canadian Edition).
Toronto, Ontario: Nelson Education
Stats Can (2001) Health services access survey. Retrieved from
http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=5002&lang=en&db=imdb&adm=
8&dis=2
Stats Canada (2011) Innisfil Census http://www12.statcan.gc.ca/census-recensement/2011/as-sa/fogsspg/Facts-csd-eng.cfm?Lang=Eng&TAB=1&GK=CSD&GC=3543017
Town of Innisfil. (2010). Inspiring Innisfil 2020. Retrieved from http://www.town.innisfil.on.ca/inspiringinnisfil-2020
Town of Innisfil. (2010). Situational Analyses Report retrieved from
http://www.town.innisfil.on.ca/uploads/files/SituationAnalysisInnisfil-2010.pdf
World Health Organization (1948).Preamble to the constitution of the World Health Organization.
Geneva: Switzerland.
World Health Organization (1986) Ottawa Charter on Health Promotion. Geneva:WHO
World Health Organization. (2009). Milestones in health promotion - Statements from global
conferences. Retrieved from http://www.who.int/healthpromotion/milestones/en/index.html
30
Appendix A
Ethics Approval
OFFICE OF RESEARCH ETHICS (ORE)
5th Floor, York Research Tower,
4700 Keele Street, Toronto ON
Canada M3J 1P3
Tel 416-736-5914, Fax 416-650-8197
www.research.yorku.ca
Memo
To:
Grace Ross, School of Nursing
From:
Alison M. Collins-Mrakas, Sr. Manager and Policy Advisor, Research
Ethics
Issue Date:
Thu Apr 19 2012
Expiry Date:
Fri Apr 19 2013
RE:
Innisfil-York Healthy Community Assessment
Certificate #: e2012 - 086
I am writing to inform you that the Human Participants Review Sub-Committee has reviewed
and approved the above project.
Should you have any questions, please feel free to contact me at: 416-736-5914 or via email at:
[email protected].
Yours sincerely,
Alison M. Collins-Mrakas M.Sc., LLM
Sr. Manager and Policy Advisor,
Office of Research Ethics
31
Appendix B
Project Schedule A : Key Deliverables and Timelines
SCHEDULE “A” – PROJECT
Needs Assessment for Healthcare in the Town of Innisfil
The Town of Innisfil is under-served in terms of health care services and providers but additional
research and data to quantify the gap is necessary. This type of information is critical to effectively build
a business case for additional services. As such, Council approved funding of up to $20,000 for the
School of Nursing at York University to undertake a Needs Assessment of health care services in the
Town of Innisfil. The final report will provide the Town with the necessary information to make informed
decisions on next steps to improve the range, access and quality of health care in the community.
Key Deliverables:
The key deliverables for the project include:
• Community Inventory: an inventory of existing services related to health care available within the
community as well as human capacities and strengths of the community
• An in-depth Needs Assessment: The final report will include:
o A socio-economic profile of the community that encompasses social determinants of health;
o A summary of research findings and methods used; and
o Recommendations that could encompass building on community strengths and capacities as
well as address gaps in health care delivery (short and long-term)
The final report will include quantifiable data that can be incorporated into a business case to address
identified needs in the community.
Approach and Timelines:
The following is a summary of the approach, key deliverables and timelines:
1. Meeting with project leads (Late December 2011 – early January 2012):
Faculty Members from the School of Nursing and project team members will meet with key
informants from the Town of Innisfil and area partners to review the scope, identify data
availability, confirm timelines for meetings and deliverables and establish reporting relations.
2. Conduct an in-depth health needs assessment of the Town of Innisfil (January – July 2012):
A mix of qualitative and quantitative research methods will be used to conduct the in-depth health
needs assessment.
a. Data Collection and Review:
Review relevant documents and assessments that have been conducted in regards to the
health of the Innisfil Community, such as census data, health reports, etc.
b. Community Inventory of health services and community strengths and capacities:
32
An inventory of existing services available within the community and externally (services
offered outside of Town boundaries that are readily available to residents) will be compiled.
“Readily available” is intended to acknowledge that some services that may be located outside
Town boundaries yet within sufficient geographic proximity to residents to be considered
‘accessible’. It is expected that “sufficient geographic proximity” will be further defined
throughout the course of this project (e.g. through surveys).
c.
Interactive Assessment Methods:
A variety of interactive assessment methods will be utilized throughout the course of the
project. The particular means of gathering input, including survey design, will be further
developed throughout the course of the project but are expected to include at a minimum:
1. Key Informant Interviews
In collaboration with the project team from the Town, develop a list of key informants or
stakeholders for one-on-one interviews or group meetings. The purpose of the interview is to
understand the top community health issues affecting residents from the area as well as
identify any existing community strengths and resources.
2. Focus Groups:
In collaboration with the project team from the Town, target audiences for focus group
research will be identified. The purpose of each discussion group is to identify healthcare,
human service and quality of life issues affecting the target sub-populations. Key subpopulations will include, but are not exclusive to:
• Youth (ages 16-30); and
• Seniors
3. Surveys
Administration of a survey(s) will be designed and used to help identify community strengths
and capacities as well as the gaps in health care services in the community. Issues such as
targets, geography and number of surveys will be further developed throughout the course of
the project. Results will help answer key questions such as:
• What services do residents access now?
• What services do residents need?
• How far do residents currently travel for service?
• How far would residents travel to access services (and which ones)?
• Are there any barriers to accessing services (e.g. transportation)?
• What do residents believe is conducive to health?
• What is the level of volunteerism in the community?
• How does the community see itself with regards to their health and community
wellness?
33
4. Compilation of qualitative and quantitative inputs
Results of various research methods will be compiled and could also include a collection of
community stories to help illustrate the gaps in services.
3. Analysis (July – September 2012)
Analyze the data to establish the health needs of the Innisfil community and prepare a draft report
for review and discussion with Town of Innisfil.
4. Final Report & Presentation (August - September 2012)
Based on the findings, the report should recommend actions to address identified gaps.
Recommendations for short and long-term action should be identified and could include possible
programs that can then be developed and implemented with the School of Nursing and Faculty of
Health of York University. The final report will include quantifiable data that can be used to build a
business case to address identified needs in the community. The final report will be presented to
the Town of Innisfil.
Funding:
Approved funding is for eligible expenses such as resources (e.g. office supplies, meeting space, etc.)
that students would require to conduct the research process, a research assistant / coordinator,
transportation costs for students to travel to / from Innisfil, hospitality costs and other related
miscellaneous expenditures. This project would be built into one of the nursing courses that focuses on
health and community assessments. Students would not be paid with this funding. A financial report
showing how the investment from the Town of Innisfil was utilized will be included with the final report.
Student Involvement:
It is hereby acknowledged that student nurses in their third and fourth year of their undergraduate
nursing program will participate in the collection of data as part of their NURS 4525 Community as
Partner course. The focus of this course is on the roles, concepts, and theories related to promoting of
communities using population focused approach. As part of this course, it is anticipated that the
students will participate in data collection using assessment tools such as:
a. Participant observation methods such as through windshield surveys
b. Identification of existing services
c. Interactive assessment methods such as key informant interviews, door to door surveys, small
group assessments, focus groups, and collecting community stories.
A clinical instructor and will be required to guide them in the collection of data, to ensure accuracy and
comprehensiveness.
34
Appendix C
Questions asked of focus groups and key respondents
Adapted from McMurray,A. (2007)
Seniors
1. How long have you lived in Innisfil?
2. What does health mean to you?
3. If you could make a change in Innisfil, what would it be?
4. What do you like about another town/city that you wish you had in Innisfil?
5. What drew you to Innisfil? What keeps you here?
6. Do you work in Innisfil? If not, why?
7. Are you an active member of the community? If not, what would you like to participate
in?
8. What services do you know of that exist in Innisfil? What services do you feel are
required?
9. What events do you know of that tie all of the communities together?
10. What is the level of volunteerism in the community?
11. What is the cultural mix in Innisfil?
12. Are there large proportions of elderly or young families who will require particular
health services either in the present or in future?
13. What are employment opportunities in Innisfil?
14. What services are available for the elderly? Youth? Infants? Babies?
15. What do you feel are the short, medium and long term priorities for Innisfil?
Youth
1. What does health mean to you?
2. What are the main health issues that affect youth in Innisfil?
3. If you could make a change in Innisfil for youth, what would it be?
4. What do you like about another town/city that you wish you had in Innisfil?
5. Are you an active member of the community? What activities do you participate in? If
not, what would you like to participate in?
6. What health or social services do you know of that exist in Innisfil?
7. What services do you feel are required?
8. Do you know of services but are not able to access them? For what reason?
9. Do you volunteer in in the community?
10. What is the cultural mix in Innisfil?
11. What are employment opportunities for youth in Innisfil?
12. What do you feel are the short, medium and long term priorities for Innisfil?
Key Informants
1. How long have you worked/lived or had knowledge of the issues affecting Innisfil?
2. What is your role (if a service provider, community leader etc)?
3. What does a healthy community look like to you? Do you think Innisfil is a healthy
community?
35
4. What do you think are the main health issues affecting residents of Innisfil?
5. If you in your present role could make a change with regard to the health of residents in
Innisfil what would it be?
6. What services do you know of that exist in Innisfil? What services do you think are
required?
7. What ties the communities together? (Cookstown, Alcona, Stroud, Gilford etc.)
8. What is the cultural mix in Innisfil?
9. What are the employment opportunities in Innisfil? How do you feel this has an impact
on the health of the community and its residents?
10. Are there large portions of elderly or young families who will require particular health
services either in the present or in the future?
11. What services are available for the elderly, youth, and infants?
12. What do you feel are the short, medium, and long term priorities for health
services/interventions for Innisfil?
13. Can you direct us to, or provide copies of health related documents or previous health
related surveys that include the Town of Innisfil?
14. What other key informants do you suggest we connect with?
15. Are there any other issues that we have not addressed?
36
Appendix D
Summary of Focus Group Responses
Summary of Focus Group Responses
TYPE and
NUMBER OF
FOCUS GROUPS
Youth (5 focus
groups)
Seniors (5 focus
groups)
Professionals
working with
youth (1 focus
group)
IDENTIFIED HEALTH ISSUES
 Substance use
 Drug use encouraged by
parents
 Smoking
 Mental health issues depression, anxiety,
stress
 Sexual health –
pregnancy, sexually
transmitted diseases;
inclusivity of sexual
orientation
 Lack of sidewalks/bike
paths along Innisfil Beach
Rd
 Lack of ethnic inclusivity
 Mental health issues –
e.g. Alzheimer’s Disease,
depression,
 Poverty
 Mobility issues
 Gambling
 Alcoholism
 Domestic abuse
 Social isolation
 Substance abuse –
multiple drugs
 Weekend binge drinking
 Some indicated that
substance use is
supported by parents
 Sexual health- sexual
orientation confusion;
unprotected sex,
students avoid sex
health clinics in Barrie as
IDENTIFIED
STRENGTHS/
CAPACITY
 Active volunteering
in school/
community
 YMCA
 Summer camps
 Guidance counselors
 Church youth groups
for religious youth
 Good social supports
at Sandycove Acres
 Multiple activities
 Community watches
out for each other
 Many have cars
 Active volunteering
 Community events
such as art shows,
Summerfest
WHAT IS NEEDED TO ADDRESS THE HEALTH
ISSUES
 Young adult programs at the library
 Public transportation for access to jobs,
recreation and health services
 Easier access to sexual, mental health and
addiction services
 More job opportunities for youth
 More recreation opportunities for youth
 More supportive teachers
 More consultation with the community
 Lower cost for YMCA, other recreational
activities
 More family doctors
 More accessible doctors
 Mental health services – psychotherapists,
social workers
 Transportation for those who don’t drive
 Support groups for seniors
 More recreational ,physical activities
 A nursing home or intermediary care home
 More affordable YMCA
 More affordable housing options
 Community resource booklet
 Kinark Youth Mobile  Crisis team
Crisis Services
 Mental health centre
 NewPath comes to
 Addiction services
school X1/week
 Sexual health clinic
 CMHA sporadic visits  Naturopathic doctor
to school
 Anger management groups
 Diversion programs
 Parent support groups
 More summer employment for youth
 Transportation – get youth to the Go Bus
37
Health Unit (1
Focus Group)
parents need to drive
them
 Mental health – anxiety,
depression, stress,
family issues, eating
disorders
 lack of access to health
professionals
 Racism/ ethnic lack of
inclusivity
 Boredom, lack of
employment
• Families with teens often
move away due to lack of
services
• Latch key kids
• People don’t know what’s
out there
• Lack of services for 0-6
and youth
• Health Dental bus does
not serve Innisfil
• Little social connectivity
especially In disparate
neighborhoods
• Some neighborhoods
have more services than
others
• Safety issues HWY 27 and
89 and lack of sidewalks
along Innisfil Beach Rd
• Lack of newcomer
support
• Cottagers vs residents
tensions
• tobacco use among adults
• substance use
• lack of breastfeeding
support
• mental health issues
• Poverty – rental housing
• Couch surfing teens
 A youth centre with counselors and games
room
 Adult learning centre
 Reduce stigma around mental illness and
FAS
•
•
•
•
•
•
•
•
•
•
•
health Unit
Library
Welcome wagon
Police, Fire,
Ambulance
YMCA
Parks and
recreation
Meals on Wheels
Children’s Aid
Go Bus – limited to
Hwy 11
Physiotherapists
and Registered
Massage Therapists
Victorian Order of
Nurses and
Community care
Access Centres
(CCAC) home visits
•
•
•
•
•
•
•
•
•
•
•
•
Need access to hub of community services
in a wellness centre
More access to family doctors, OHIP
covered services
Developmental services
Mental health services
Increased awareness of what is out there
Connectivity – centralized programs
Infrastructure planning in the official plan
for bike lanes, densification
Regulated childcare
diagnostics/labs
transportation for access to health services,
employment, and recreation, and social
supports
Increased support services for 0-6 age
group- (Early years centres, screening,
breastfeeding support)
Support for youth – mental and sexual
health and substance use
38
Appendix E
Summary of Key Informant Interviews Responses
Key
Informants
Residents,
Business
owners
City Staff
Councillors
IDENTIFIED HEALTH ISSUES
 Commuters – children and
teens unsupervised after
school (in library); parents
cannot attend afterschool
health programs
 Lack of sidewalks/bike paths
along Innisfil Beach Rd
 Transportation issues– lack of
sidewalks in Alcona; lack of
access for youth to get to jobs;
need for crosswalk in
Cookstown
 14-16 year olds at particular
risk for boredom
 sexual health – teen
pregnancy, STIs
 low levels of physical
education for younger kids
 Smoking among adults
 Lack of accessibility to doctors
because of distance or lack of
doctors accepting new
patients
 Cap on number of doctors who
can join the family health team
in Barrie
 No walk in clinic in town
 Drug addictions among adults
not addressed; no methadone
clinic
 Lack of accessible specialty
clinics (diabetes, MS,
dermatologist)
 Lack of services for the
disabled
 Lack of awareness of services
that are in Innisfil
 Mental health issues – police
are called to deal with mental
health issues; attempted
suicides; lack of
IDENTIFIED STRENGTHS/
CAPACITY
IDENTIFIED NEEDS
 Multiple secondary services
 community organizations
starting to work together to
provide services
 flu shot clinics
 festivals and community
projects
 Innisfil Arts, Culture and
Heritage councilformed
 trying to develop tourism in
area
 Values, Influences and Peers
program through Police
 NewPath counselling services in
the high school
 Kinark Youth Mobile Crisis
Response Service
 Innisfil Beach Park
 Alcona is now a primary
settlement area
 the YMCA
 the Library
 Skate park in Stroud
 Tanger Outlet Mall in
Cookstown Go Bus stop in
Stroud and train to stop there
in future
 support services for those living
in poverty through the church
 Major developments such as
Friday Harbour and Smart
Centres could provide potential
jobs developed
 Meals on Wheels for Seniors
 Need more family
doctors who accept
patients nearby
 Health
services/social
resources may be
available but
people not aware
of them
 More opportunities
for youth
recreation: need
theatre, bowling
alley
 YMCA has supports
for low income, yet
many still find the
cost prohibitive
 Need a “gathering
place” in town for
social supports
 Sexual health
programs/clinic for
teens
 Substance Abuse
treatment programs
 More family doctors,
NPs or walk in clinics
and labs easily
accessed
 Better access to
specialists
 More services for
disabled
 Additional Mental
health services
 reinstate PAL
program in schools
 Town leadership to
make Innisfil
“smoke-free”
39













Professional
Key
Informants
Health and
Education



psychotherapists in
community
Communities disjointed and
have small town mentality;
HWY400 runs through Innisfil;
Many cottagers - gives sense
of not being part of the town
No homeless shelter or
response to homelessness
Most motor vehicle collisions
involve alcohol; Lack of
partnership with police and
mental health workers for
follow up
Lack of accessible recreational
activities for youth leading to
increased drug
addiction/alcohol misuse;
some parents provide alcohol
for their kids so they are
drinking at home
Split between South Lake
Hospital and RVH Barrie- no
sharing of health records –
ambulance may take you to
either
Lack of affordable rental
housing
Lack of higher paying jobs in
Innisfil so no commute;
Lack of employment
opportunities; no jobs for
teens
Only private home daycare
Water services lacking for
some– on septic in Gilford;
well water poorer quality;
must drive to get water tested
Limited healthy food options –
fast food
No nearby facilities for lab
work/xrays
No prenatal services
Mothercare program moving
to Stroud
Family docs want to have
hospital privileges, so setting
 Encourage more
building of
affordable housing
 Town Response to
homelessness
 More employment
opportunities for
youth or
transportation to
jobs nearby
 Higher paying jobs
to encourage
commuters to work
in Innisfil
 Facility Day Care
 Encourage better
restaurants for
higher quality food
access
 Barrie Community Health
Centre is moving south
adjacent to Urgent Care
Clinic Nov 1. Diabetes
Education, Lung Health clinic
 Suggest a bus from
Alcona to Highway 11
Suggestions for Dr’s
office in Alcona (old
Hydro building)
40
up in Innisfil is a deterrent
 Single young doctors not
drawn to the area due to lack
of social opportunities
 Suitable space is missing in
Alcona for new doctors:
Doctors would prefer Stroud
as closer to Highway 11 with
greater accessibility (Go bus
station)
 Public transportation to
doctors is missing
 Little awareness of needs of
youth (substance abuse,
mental health issues or sexual
health issues)
 Latch key kids – children of
commuters neglected
 Lack of sidewalks and bike
paths along Innisfil Beach Rd
 teens sexual health
 poverty of single moms
 substance abuse
 mental health issues
 child development and
parenting issues; FAS;
 lack of social cohesion among
neighbourhoods
 Part of the northern LIHN but
is forgotten area










and Young Mothers and
prenatal care. North Innisfil
Services to Seniors program
Perception that seniors are
well served by with either
owning their own car, Red
Cross Volunteers, or shuttle
bus
Huronia Urgent Care Clinic
also provides X-rays,
cardiograms, casting and
stitches. With planned
Barrie CHC next door could
be the new Innisfil
“hospital”
Over 75 doctors are part of
Family health team
organization in Barrie and
Dr. Michael Faraday, CEO is
aware of needs of Innisfil
New clinic to be built at
south end of Barrie
Health unit offers home
visits, safe food and water,
health promotion programs,
family health, health
connection
it is only a 15 minute drive
to the new CHC, close for
North Innisfil Seniors
Innisfil residents are
healthier than they think
they are
There is an expanding Barrie
Family Medicine Residency
Program from Toronto East
General Hospital, which
hopefully will lure residents
to stay in the area
Physician Assistants can now
be hired. Unlike NPs only act
to assist the physician with
medical acts
Land bequeathed for
hospital by Cortel group (if
developed in 20 years)
 A NP satellite may be
a good option
 Canadian Index of
Wellbeing
(2012)discusses the
needs of latch-key
kids and how to
address this issue
 Need family health
teams and CHC with
more than a medical
model
41
Appendix F
Survey Results analysis provided by Christine Kurtz Landy RN PhD
Innisfil Community Assessment
RESULTS
The survey was administered to a total of 708 individuals over the summer
months of 2012, either online or using the paper survey. Eighty-one percent of
these surveys were completed and 19% were missing some data. All the surveys
were included in the analysis.
Table 1: Age of Participants
Age in Years
n
Percent %
< 19
83
11.7
20 to 55
154
21.8
56 to 69
199
28.1
70 to 79
151
21.3
> 80
44
6.2
Total
631
89.1
unknown
77
10.9
708
100.0
Total
With regard to demographic
data, 63.4% (n=449) of participants
were female, 27.5 % (n=195) were
male and 9% (n=64) did not identify
their sex. The ages of participants are
listed Table 1.
The majority of participants had combined household incomes over
$30,000 per year. As shown in Table 2, just over 20% of participants reported
Table 2: Gross Combined Household Income
combined household
Income Level
n
Percent %
less than $5,000
4
0.6
$5,000 to $9,999
2
0.3
$10,000 to $14,999
6
0.8
$15,000 to $19,999
13
1.8
whereas only 3.5%
$20,000 to $29,999
47
6.6
reported combined
$30,000 to $49,999
114
16.1
$50,000 to $79,999
117
16.5
household incomes
$80,000 to $99,999
54
7.6
less than $20,000
$100,000 to
$149,999
63
8.9
$150,000 +
27
3.8
Prefer not to answer
150
21.2
Missing data
111
15.7
Total
708
100.0
incomes over
$100,000 per year
per year. Thirtyseven percent of
(n=261) participants
1
42
Innisfil Community Assessment
did not answer the question.
Participants reported their place of residence by Innisfil neighborhood (see
Table 3). Eighty-four percent (n=600) of survey respondents stated they lived in
an Innisfil neighborhood year round; 5.1% (N=36) stated that they did not. Ten
percent (n=72) did not answer this survey question.
Table 3: Innisfil Place of Residence
Innisfil Neighborhoods
n
Percent %
Alcona
230
32.5
Big Bay Point
31
4.4
Churchill
16
2.3
Cookstown
24
3.4
Fennell’s Corner
2
0.3
Gilford
13
1.8
Innisfil Heights
6
.8
Lefroy-Belle Ewart
33
4.7
Other rural areas in
Innisfil
9
1.3
Other, please specify...
18
2.5
Sandy Cove area
(other than retirement
community)
20
2.8
Sandycove Acres
Retirement Community
200
28.2
Stroud
38
5.4
Missing
68
9.6
Total
708
100.0
Participants were asked if they had any dependents for whom they were
responsible. Forty-seven percent (n= 331) reported having no dependents; 22%
(157) reported having dependent children under the age of 18 years; 11% (n=76)
2
43
Innisfil Community Assessment
reported having responsibility for dependent adults; and 10% (n=71) reported
having responsibility for dependent elderly family members. Two percent
preferred not to say whether they had dependents and another 2% reported
having dependents such as pets.
Participants were asked about their main form of transportation. The
Table 4: Respondents’ Main Form of Transportation
Method of Transportation
n
Percent (%)
594
83.9
Public transportation
1
0.1
Taxi
1
0.1
Volunteer driver (friend,
family)
25
3.5
Volunteer driver from an
agency (e.g. Red Cross)
2
0.3
Other
10
1.4
Missing
75
10.6
Total
708
100.0
Have use of a car or other
vehicle
majority reported having use of a car (see Table 4). Only 0.1% relied on public
transportation. When examining main form of transportation by age group, 3%
(7/248) of participants 55 years and under group, 5% (9/199) of participants in
the 56 to 69 year group, 6% (9/151) of participants in the 70 to 79 year age group
and 4.5% (2/44) of participants in the over 80 years age group relied on volunteer
drivers.
Participants were asked if they had a family physician. Of participants who
answered the question 87% (n=540) had family physicians and 13% (n=79) did
3
44
Innisfil Community Assessment
not. Whether participants had a family physician or not was also examined by
place of residence in Innisfil communities (See Table 5).
Table 5: Number and percent of participants with a family physician in each of the Innisfil
neighborhoods.
Do you have a family doctor?
Missing
data
n(%)
No
n(%)
Total
Yes
n(%)
Innisfil Neighborhood
Alcona
5(2%)
42(18%)
183(80%)
230
Big Bay Point
2(6%)
3(10%)
26(84%)
31
Churchill
0
2(12%)
14(88%)
16
Cookstown
0
4(17%)
20(83%)
24
Fennell’s Corner
0
0
2(100%)
2
1(7%)
1(7%)
11(85%)
13
Innisfil Heights
0
2(34%)
4(66%)
6
Lefroy-Belle Ewart
0
2(6%)
31(94%)
33
Sandy Cove area (other than retirement
community)
0
2(10%)
18(90%)
20
Sandycove Acres Retirement Community
9(4%)
11(6%)
180(90%)
200
Stroud
2 (5%)
4(10%)
32 (84%)
38
0
2(12%)
7(78%)
9
2(11%)
4(22%)
12(67%)
18
Gilford
Other rural areas in Innisfil
Other,
missing
68
sub Total
Total
79(13%)
540(
87%)
619
89
708
445
Innisfil Community Assessment
Participants were asked to identify the location of their family physician
(see Table 6). Forty percent reported their family physicians were located in
Barrie followed by 8.3% in Toronto. Single participants reported travelling as far
as Parry Sound, Durham and Hamilton to see their family physician (see Figure
1).
Table 6: Participants’ report of location of family
their doctor
n
Percent %
Barrie
285
40.3
Innisfil
38
5.4
Newmarket
42
5.9
Toronto
59
8.3
Brampton and area
27
3.8
Bradford
22
3
9
1
10
1
Mississauga
8
1
Markham/Stouffville
8
1
38
5
subtotal
539
76
No family physician
79
11
90
13
708
100.0
Vaughan/Richmond Hill
Alliston/Angus
Other
missing
Total
Participants were asked why they did not have a family physician. They
provided the following reasons: 22 stated that the family physicians in their area
were not taking new patients; 25 stated there were no family physicians in their
area; 13 stated their family physician had moved out of the area or retired; 4 had
not tried to contact a family physician.
546
Innisfil Community Assessment
Figure 1: Participants’ reports of location of their family physicians
Image from caasco.com
Participants were asked to rate their overall health. Fifty-five percent
(n=347) of participants who responded rated their overall health as very good or
excellent; 30% (n=187) rated their overall health as good and 15.5% (n=97) rated
their health as fair or poor. Participants’ overall health ratings were further
examined by age group (see Table 7).
647
Innisfil Community Assessment
Table 7: Participants’ Self Report of Overall Health by Age Group
Missing
Data
Excellent
Very
Good
Good
Fair
Poor
n(%)
n(%)
n(%)
n(%)
n(%)
n(%)
6(7.2%)
26(31%)
34 (41%)
13(15.7)
3(3.6%)
1(1.2)
20 to 55
2(1.3)
25(16.2)
62(40.3)
43(27.9)
16(10.4)
6(3.9)
56 to 69
2(1.0)
32(16.1)
67(33.7)
65(32.7)
25(12.6)
8(4)
70 to 79
1(0.7)
20(13.2)
50 (33.1)
49(32.5)
27(17.9)
4(2.6)
> 80
2(4.5)
3(6.8)
17(38.6)
15(34.1)
6(13.6)
1(2.3)
13 (2.1)
106(16.8)
230 (36.5)
185(29.3)
77(12.2)
20(3.2)
Age in Years
< 19
Total
Health Services
Overall Satisfaction with Health Services: Participants were asked how
satisfied they were with the health care services available to them in the Innisfil
community. Of the 582 participants who replied, 4% (n=28) were very satified,
26% (n=184) were satisfied, 31% (n=221) were dissatisfied and 21% (n=149)
were very dissatisfied.
Health Service Use: Eighty-two percent (See Table 8) of participants
reported needing routine healthcare for themselves or a family member in the
past 12 months. Doctors offices followed by walk-in clinics were contacted most
often when care was needed (see Table 9).Telehealth and home care agencies
were used least often.
78
4
Innisfil Community Assessment
Table 8: Health services needed for routine or on-going care in
the past 12 months? (e.g. well baby care, annual check ups, etc)
Health Service Need
n
Percent %
No
110
18%
Yes
505
82%
Total
615
100%
Missing data
93
Table 9: Health service contacted most often in the past 12
months when routine or ongoing care for yourself or a family
member was needed
Health Services
n
Percent %
3
1
347
68
Emergency room
9
2
Home health care agency
2
0.5
Hospital
14
3
Medical specialist such as a gastroenterologist,
obstetrician, or surgeon
31
6
Mental health specialist (e.g. psychiatrist,
mental health nurse)
4
1
Nurse Practitioner
6
1
Telephone health line (e.g. Telehealth, Your
Health Connection)
1
0.1
Walk-in clinic
56
11
Other
38
7
Total
511
100
Missing data
197
Total
708
Community Care Access Centre
Doctor's office
849
Innisfil Community Assessment
Difficulty accessing health care: Most participants reported that it
was ’not at all’ or ‘not very difficult’ to access routine health services for their
ongoing or routine health care (See Table 10).
Table 10: Difficulty accessing care for ongoing and
routine health care in the past 12 months
Difficulty accessing care
n
Percent %
Not at all difficult
155
30
Not very difficult
125
25
Somewhat difficult
164
32
Very difficult
65
13
509
100
total
Missing data
199
Total
708
Immediate health care access: Participants were asked which health
services they used when they required immediate care for themselves or a family
member (See Table 11). Three hundred and sixty-nine participants reported
Table 11: Health services accessed for immediate health care
for self or family member in the past 12 months
Health care
n
Percent %
Emergency room
51
14
Community health
centre
1
0.2
Doctor’s office
99
27
Hospital
17
5
Nurse Practitioner
1
0.2
Walk-in clinic
171
46
Other
28
8
Total
369
100%
9
50
Innisfil Community Assessment
accessing care for immediate health service needs, i.e., 46% accessed walk-in
clinics, 27% went to their doctors’ offices and 14% went to the emergency
department. Forty-one percent had no or very little difficulty accessing immediate
healthcare for themselves or their family member. However 57% reported it was
somewhat or very difficult to access immediate health care and 2% could not or
did not access immediate care when needed (See Table 12).
Table 12: Difficulty accessing immediate care for self or family
in the past 12 months
Difficulty level
n
percent %
Not at all difficult
63
17
Not very difficult
89
24
Somewhat difficult
155
42
Very difficult
55
15
I could not or did not access
8
2
370
100
Total
Participants reported several different reasons for having difficulties
accessing immediately needed health care (see Table 13). Twelve percent of
participants reported having no problems getting immediate health care.
However 21% complained that they waited too long for care in the waiting room;
16% waited too long for an appointment; 15.5% had problems getting an
appointment; 10.7% stated that the service they needed was not available in the
community; and 6.5% shared that they had transportation problems.
10
51
Innisfil Community Assessment
Table 13: Participants’ difficulties accessing immediately needed health
services for self or family member
Difficulties experienced
n
Percent %
No difficulties
88
12.4
Contacting a physician
60
8.4
Contacting another health care professional (NP,
22
3.1
Psychologist)
Getting an appointment
110
15.5
No family doctor
41
5.8
Wait too long for an appointment
114
16.1
Waiting to too long in waiting room
147
20.8
Service not available at time needed
59
8.3
Service not available in area
76
10.7
Transportation problem
46
6.5
Language problem
3
0.4
Did not know where to go
24
3.4
Childcare needed in order to access service
8
1.1
Could not afford the service
8
1.1
Service might not meet needs
5
0.7
Unable to leave house because of health problem
7
1.0
Past experiences with health/social service
7
1.0
providers
Access to wanted health services over the past 12 months:
Participants reported several health services they wanted to access, but were
unable to access over the previous 12 months. These included access to medical
specialists such as psychiatrists, obstetricians and gastroenterologists. In
addition, participants reported lack of access to family physicians, urgent care
and public health nurses over this time period (See Table 14).
11
52
Innisfil Community Assessment
Table 14: Service needed but were not accessible
Services
n
Able to access services required
230
Family doctor
196
Urgent care
60
Walk-in clinic
149
Medical specialists
44
Telephone help line
6
Public Health Nurse
6
Mental Health Specialist (Psychiatrist,
16
mental health nurse)
Percent %
33
28
9
21
6
0.8
0.8
2.3
Participants were also asked about other health and social service needs over
Table 15: Other support services respondents required in the last 12
months
Support services
n
Percent %
Dentist
417
58.9
Pharmacist
383
54.1
Chiropractor
120
16.9
Physiotherapist
118
16.7
Counselor
54
7.6
Home care specialist (RN, PT, OT)
44
6.2
Chiropodist
36
5.1
Nutritionist (RD)
36
5.1
Naturopathic doctor
34
4.8
Childcare
23
3.2
Financial services/support
21
3.0
Education and employment services
21
3.0
Home support worker
17
2.4
Respite care
13
1.8
Crisis phone line
11
1.6
Bereavement services
7
1.0
Food bank
7
1.0
Alcoholics Anonympus
6
0.8
Victim Services
1
0.1
Other
39
5.5
12
53
Innisfil Community Assessment
the past 12 months. A large number of participants reported needing the services
of dentists, pharmacist, chiropractors and physiotherapists among other services
(See Table 15).
Health Services Information
Seventy-eight percent (n=549) of participants reported that they required
health information in the past 12 months for themselves or a family member.
When asked where they obtained their information about health services in the
Innisfil community, just over 55% reported that they got their health services
information from friends, neighbors and family, 36% indicated they received
information about health services from the newspaper and 22% got information
from the telephone book and yellow pages (See Table 16).
Table 16: Sources of health services information
Information Sources
Neighbours, Friends and Family
Newspaper
Phone Book/ Yellow Pages
Local Television
Town Newsletter
Town Website
Local Library
Local Church
Facebook /Twitter
Other
n
390
257
158
87
67
49
39
17
20
95
Percent %
55.1
36.3
22.3
12.3
9.5
6.9
5.5
2.4
2.8
13.4
In addition most participants reported that they preferred to get health services
information from the newspaper, the town newspaper and from family, friends
and neighbors (See Table 17).
13
54
Innisfil Community Assessment
Table 17: Preferred sources of health services information
Preferred Information Source
Newspaper
Town Newspaper
Local Television
Neighbours, Friends and Family
Phone Book/ Yellow Pages
Local Library
Facebook and Twitter
Local Church
Other
N
362
265
227
202
156
114
73
41
75
Percent %
51.1
37.4
32.1
28.5
22
16.1
10.3
5.8
10.6
Future Health Services Models
Participants were asked to identify which models of care they would use if
they were available in Innisfil. The four models they were most likely to use were
Nurse Practitioners (67%), urgent care or walk-in clinics (62%), Family practice
teams (52%) and Community Health Centres (41%)(see Table 18).
14
55
Innisfil Community Assessment
Table 18: Future health service delivery
models that participants would use
Health Care Professionals/Models
n
Percent %
Nurse Practitioners (OHIP covered)
472
67
Urgent care or walk-in clinic
439
62
Family practice team
367
52
Community health centre funded by the
Province
292
41
Women's health clinic
237
34
Home visiting by health practitioners
187
26.4
Visiting physicians
143
20
Medical students in training
141
20
Men's health clinic
115
16
Alternative care practitioners (e.g. naturopath,
midwife, doula, homeopath).
116
16
Mobile health bus
88
12
Other, please specify...
10
1
Participants were invited to elaborate on what health services the
community needs. Four hundred and fifty-one of the participants took this
opportunity to elaborate. The vast majority shared that Innisfil and the region
require more family physicians, walk-in clinics and urgent care clinics. Some
stated they would like a ‘one stop service’ for health that would also include
laboratory services, x-ray and services such as physiotherapy.
15
56
Appendix G
DRAFT List of Community and Social Services
Healthy Community Inventory for Innisfil
DRAFT – November 22, 2012
Category
Business
Childcare
Bouncing Ball
Cooperative Day
Nursery School
Description
Childcare services
Contact information
2230 Victoria St 705-436-1569;
Employees: 1-4 Municipality: Innisfil
Chiropractic / Massage /
Acupuncture
Alcona Chiropractic
1318 7th Line, Innisfil, Ontario L9S
4H2, Phone: 705-431-0505
Chiropractic / Massage /
Acupuncture
Cookstown
Chiropractic &
Massage Therapy
29-2 Queen Street, Cookstown,
Ontario L0L 1L0, Phone: 705-4588288
Chiropractic / Massage /
Acupuncture
Stroud Chiropractic
Clinic
207 Glenn Avenue, Innisfil, Ontario
L9S 1C3, Phone: 705-436-5361
Chiropractic / Massage /
Acupuncture
Innisfil Family
Chiropractic and
Acupuncture Centre
1070 Innisfil Beach Road, Unit 6,
Innisfil, Ontario L9S 4T9, Phone: 705436-3300
Chiropractic / Massage /
Acupuncture
Alcona Chiropractic
Public Health Services-Chiropractor
3 - 896 Innisfil Beach Rd 705-4310505; Employees: 1-4 Municipality:
Innisfil
Chiropractic / Massage /
Acupuncture
Cookstown
Chiropractic &
Massage Therapy
Chiropractic clinic and massage therapy
2-29 Queen St 705-458-8288;
Employees: 1-4 Municipality: Innisfil
Chiropractic / Massage /
Acupuncture
Innisfil Family
Chiropractic &
Acupuncture Centre
Chiropractic, acupuncture
6-1070 Innisfil Beach Rd 705-4363300; Employees: 1-4 Municipality:
Innisfil
Draft as of November 22, 2012
Page 57
Category
Chiropractic / Massage /
Acupuncture
Business
Stroud Chiropractic
Clinic
Counselling Services
Abuse Recovery
Counselling Service
Counselling Services
Counselling Services
Description
Public Health Services-Chiropractor
Contact information
207 Glenn Ave 705-436-5361;
Employees: 1-4 Municipality: Innisfil
Phone: 705-792-0799
Catholic Family
Services of Simcoe
County
Offers family, martial, group and individual counselling
and family life education
Credit Counselling
Services of Simcoe
County
Consumer debt counselling and budget planning
services
Phone: 705-726-2503 ext. 105
Phone: 705-726-2705
Dental
Applewood Dental
1491 Innisfil Beach Road, Unit 1,
Innisfil, Ontario L9S 4B2, Phone: 705436-5777
Dental
Alcona Dental
2089 Thompson Street, Innisfil,
Ontario L9S 1T1, Phone: 705-4310084
Dental
Village Market Dental
Office
8056 Yonge Street, Unit 9/10, Innisfil,
Ontario L9S 1L6, Phone: 705-4311515
Dental
Stroud Dental
7975 Yonge Street, Unit 10, Innisfil,
Ontario L9S 1L2, Phone: 705-4366527
Dental
Sandycove Dental
Clinic
902 Lockhart Road, Innisfil, L9S 4V2,
Phone: 705-431-7235
Dental
Innisfil Dental Centre
1070 Innisfil Road, Unit 10, Innisfil,
Ontario L9S 4T9, Phone: 705-4363136
Draft as of November 22, 2012
Page 58
Category
Business
Dental
Innisfil Denture Clinic
985 Innisfil Beach Road, Innisfil,
Ontario L9S 2B5, Phone: 705-4361886
Dental
Just a Dental Cleaning
2074 Forest Valley Dr. Innisfil,
Ontario L9S 4A5, Phone: 705-4312777
Dental
Alcona Dental
Dental
Dr. Bruce Dickinson
DDS
Dental
Dr. L. R. Magee, DDS Dental Office
Dental
Dr. Peter Weleff Dental Office
Dental
Professional Dental
Care
Dental
Village Market Dental
Office
Doctor
Bedard, Andre
Valentin
Doctor
Mossman, Kerstin
Doctor
Stewart, Christine
Elizabeth
Draft as of November 22, 2012
Description
Contact information
Dentist office
2089 Thompson St 705-431-0084;
Employees: 1-4 Municipality: Innisfil
Health Dental services
10 - 1070 Innisfil Beach Rd 705-4363136; Employees: 1-4 Municipality:
Innisfil
Health Dental services
13 - 7975 Yonge St 705-436-4412;
Employees: 1-4 Municipality: Innisfil
Dentist office
34 Queen St 705-458-9177;
Employees: 1-4 Municipality: Innisfil
Dentist
821 Innisfil Beach Rd 705-431-5111;
Employees: 1-4 Municipality: Innisfil
Health Dental Services
15 - 8056 Yonge St 705-431-1515;
Employees: 5-9 Municipality: Innisfil
Doctor
Suite 1, 7869 Yonge Street, Innisfil,
ON; Tel: (705) 436-2251
Doctor
BCHC on Huronia Street; Tel: (705)
431-9245
Doctor
Stroud Medical Centre, 1-7869 Yonge
Street, Innisfil, ON; Tel: (705) 4362251
Page 59
Category
Business
Doctor's Office / Medical Clinic
Barrie Community
Health Centre/North
Innisfil Site (Sandy
Cove)
Doctor's Office / Medical Clinic
Description
Medical Centre
Stroud Medical Centre
Health Medical Services
Help Lines
Elder Abuse within a
Facility: Retirement
Home (ORCA)
Help Lines
Health Connection Simcoe Muskoka
County District Health
Unit
Help Lines
Long Term Care Action
Line
Help Lines
Mental Health and
Addiction Services
Simcoe County
1-7869 Yonge St. 705-436-2251;
Employees: 10-19 Municipality:
Innisfil
Information on protecting and promoting health and
preventing disease
Phone: 705-721-7520
Phone: 1-866-434-0144
Single point access to mental health related
information and assistance.
Phone: 705-728-5044
Help Lines
Seniors' INFO Line
Help Lines
Smokers Helpline
Telecare - Distress
Line
Friendly and confidential listeners
Help Lines
Telehealth Ontario
Free confidential telephone service to get health advice
and information from a RN
Help Lines
Victim Support LineMinistry of the
Attorney General
Draft as of November 22, 2012
BCHC on Huronia Street; Tel: (705)
431-9245
Phone: 1-800-361-7254
Provides information and referrals on federal,
provincial and municipal services
Help Lines
Contact information
Phone: 1-888-910-1999
Phone: 1-877-513-5333
Phone: 705-726-7922
Phone: 1-866-797-0000
Phone: 1-888-579-2888
Page 60
Category
Business
Housing
Bob Rumball Home for
the Deaf
Housing
Coleman Care Centre
140 Cundles Road West, Barrie,
Ontario L4N 9X8, Phone: 705-7268691
Housing
Grove Park Home
234 Cook Street, Barrie, Ontario L4M
4H5, Phone: 705-726-1003
Housing
IOOF Seniors Home
Inc.
10 Brooks Street, Barrie, Ontario L4N
5L3, Phone: 705-728-2389
Housing
Leisureworld
Caregiving Centre
130 Owen Street, Barrie, Ontario
L4M 3H7, Phone: 705-726-8621,
Website: www.leisureworld.ca
Housing
Mill Creek Care Centre
286 Hurst Drive, Barrie, Ontario L4N
0Z3, Phone: 705-719-6222, Website:
www.millcreekcarecentre.ca
Housing
Roberta Place
503 Essa Road, Barrie, Ontario L4N
9E4, Phone: 705-733-3231, Website:
www.jarlette.com
Housing
Victoria Village Manor
78 Ross Street, Barrie, Ontario L4N
1G3, Phone: 705-728-3456, Website:
www.victoriavillage.ca
Housing
Woods Park Care
Centre
110 Lillian Crescent, Barrie, Ontario
L4N 5H7, Phone: 705-739-6881,
Website: www.woodspark.on.ca
Draft as of November 22, 2012
Description
Contact information
1 Royal Parkside Drive, Barrie,
Ontario L4M 0C4, Phone: 705-7196700, Website: www.bobrumball.org
Page 61
Category
Business
Housing
Ontario Retirement
Communities
Association - ORCA
Description
ORCA is a non-profit organization that sets standards,
inspects, and accredits retirement residences in
Ontario. Operates a toll-free hotline that anyone in
Ontario can call to get help resolving a complaint about
any retirement residence or to get information about
their care options
Contact information
Phone: 1-888-263-5556
Housing
Barrie Manor
Retirement Residence
340 Blake Street, Ontario L4M 1L3,
Phone: 705-722-3611, Website:
www.barriemanor.ca
Housing
Barrington Retirement
Residence
450 Yonge Street, Barrie, Ontario
L4N 4E2, Phone: 705-735-3235,
Website: www.chartwellreit.ca
Housing
Breannes for Seniors
516 Grove Street East, Barrie,
Ontario L4M 5Z2, Phone: 705-7288472
Housing
M and M Residence
for Seniors
126 Herrell Street, Barrie, Ontario
L4N 6V1, Phone: 705-737-3330
Housing
Mulcaster Mews
130 Mulcaster Street, Barrie, Ontario
L4M 3M9, Phone: 705-725-9119,
Website:
www.mulcastermews.webs.com
Housing
Roberta Place
Retirement Lodge Inc.
489 Essa Road, Barrie, Ontario L4N
9E4, Phone: 705-728-2900, Website:
www.jarlette.com
Housing
Waterford Retirement
Community
132 Edgehill Drive, Barrie, Ontario
L4N 1M1, Phone: 705-792-2442,
Website:
www.waterfordretirement.com
Draft as of November 22, 2012
Page 62
Category
Business
Description
Contact information
Housing
Whispering Pines
Residence
Housing
With Open Arms
288 Codrington Street, Barrie,
Ontario L4M 1S8, Phone: 705-7375215
Housing
Collier Place
108 Collier Street, Barrie, Ontario
L4M 5R5
Housing
IOOF Seniors Citizen
Home Inc. - Heritage
Place
Housing
Simcoe County Social
Housing
Phone: 705-725-7215, Website:
www.simcoe.ca
Housing
St. Mary's Seniors
Residence Barrie Inc.
75 Amelia Street, Barrie, Ontario
L4M 6K7, Phone: 705-739-6852
Housing
Tollendale Village
274 Hurst Drive, Barrie, Ontario L4N
0Z3, Phone: 705-722-0469, Website:
www.tollendalevillage.ca
Housing
Simcoe Terrace
Retirement Centre
44 Donald Street, Barrie, Ontario
L4N 1E3, Phone: 705-722-5750,
Website: www.simcoeterrace.com
Optometrist
Innisfil Eye Care
7975 Yonge Street, Innisfil, Ontario
L9S 1L2, Phone: 705-431-2393
140 Letitia Street, Barrie, Ontario
L4N 1P5, Phone: 705-722-4200,
Website: www.residenceallegro.com
Supportive housing-dining services, personal care,
laundry, housekeeping, 24 hour staffing and emergency
response
Optometrist and eyewear store
Phone: 705-728-2389, Website:
www.ioof.com
Optometrist
Alcona Optical
4 - 1070 Innisfil Beach Rd 705-4311332; Employees: 1-4 Municipality:
Innisfil
Pharmacy
Rexall Pharma Plus
7975 Yonge Street, Innisfil, Ontario
L9S 1L2, Phone: 705-436-4848
Draft as of November 22, 2012
Page 63
Category
Business
Pharmacy
Pharmasave Cookstown
52 Queen Street, Unit 2, Cookstown,
Ontario L0L 1L0, Phone: 705-4581292
Pharmacy
Stroud Medical
Pharmacy
7869 Yonge Street, Unit 2, Innisfil,
Ontario L9S 1K8, Phone: 705-4366952
Physiotherapy
Innisfil PhysiotherapyRehab
7975 Yonge Street, Unit 1, Innisfil,
Ontario Phone: 705-431-4842
Recreation Services
Innisfil Public LibraryLakeshore Branch
967 Innisfil Beach Road, Innisfil,
Ontario L9S 1V3, Phone: 705-4317410, Website:
www.innisfil.library.on.ca
Recreation Services
Innisfil Public LibraryCookstown Branch
20 Church Street, Innisfil, Ontario
L0L 1L0, Phone: 705-458-1273,
Website: www.innisfil.library.on.ca
Recreation Services
Innisfil Public Library Stroud Branch
7883 Yonge Street, Innisfil, Ontario
L9S 1K8, Phone: 705-436-1681,
Website: www.innisfil.library.on.ca
Recreation Services
Innisfil Public Library Churchill Branch
2282 4th Line, Churchill, Ontario L0L
1K0, Phone: 705-456-2671, Website:
www.innisfil.library.on.ca
Recreation Services
Innisfil Recreational
Complex
7315 Yonge Street, Innisfil, Ontario
L9S 4V7, Phone: 705-436-3710,
Website: www.innisfil.ca
Recreation Services
South Innisfil
Community Centre
1354 Killarney Beach Road, Innisfil,
Ontario L0L 1W0, Phone: 705-4363710, Website: www.innisfil.ca
Draft as of November 22, 2012
Description
Contact information
Page 64
Category
Business
Recreation Services
Stroud Innisfil
Community Centre
7883 Yonge Street, Innisfil, Ontario
L9S 1K8, Phone: 705-436-3710,
Website: www.innisfil.ca
Recreation Services
Thornton-Cookstown
Trans Canada
Phone: 705-458-9922, Email:
[email protected]
Recreation Services
YMCA
7315 Yonge Street, Innisfil, Ontario
L9S 4V7, Phone: 705-431-5877,
Website:
www.ymcaofsimcoemuskoka.ca
Recreation Services
Innisfil Beach Park
676 Innisfil Beach Road, Innisfil,
Ontario L9S 4H6, Phone: 705-4363710, Website: www.innisfil.ca
Recreation Services
Fennels Park
2220 Gilford Road, Innisfil, Ontario
L9S 4H6, Phone: 705-436-3710,
Website: www.innisfil.ca
Recreation Services
Nantyr Park
Kennedy Road, Innisfil, Ontario L9S
4M4, Phone: 705-436-3710, Website:
www.innisfil.ca
Recreation Services
Centennial Park
2870 7th Line, Innisfil, Ontario L9S
4H6, Phone: 705-436-3710, Website:
www.innisfil.ca
Recreation Services
Recreation Services
Leonard's Beach Park
Huron Court Park
Cookstown
Community Park
Recreation Services
Recreation Services
Draft as of November 22, 2012
Stroud Curling Club
Description
Contact information
7883 Yonge Street, Innisfil, Ontario
L9S 1K8, Phone: 705-436-1473
Page 65
Category
Business
Recreation Services
Nantyr Park
Kennedy Road, Innisfil, Ontario L9S
4M4, Phone: 705-436-3710, Website:
www.innisfil.ca
Recreation Services
Cookstown Curling
Club
10 Church Street, Cookstown,
Ontario L0L 1L0, Phone: 705-4584312
Innisfil Gentlemen's
Hockey League
Innisfil Minor Hockey
Innisfil Soccer Club
Innisfil Sports Club
Innisfil Skating Club
Innisfil Wave Ball
Hockey
Lefroy Skating Club
PO Box 324, Lefroy Ontario L0L 1W0,
Phone: 705-456-4751
Phone: 705-431-6098
Phone: 705-431-4516
Phone: 705-431-6735
Miss Jennie's
Performing Arts Studio
847 Innisfil Beach Road, Innisfil,
Ontario L9S 1Y8, Phone: 705-4315678
Recreation Services
Recreation Services
Recreation Services
Recreation Services
Recreation Services
Recreation Services
Recreation Services
Recreation Services
Retirement/Nursing Home
Lakeside Retirement
Services
Veteran Affairs
Canada
Draft as of November 22, 2012
Description
Contact information
Phone: 705-999-2724
Phone: 705-722-6457
Lakeside Retirement is the most affordable, attractive
retirement resident in Simcoe County, where your
comfort and happiness is our priority. We offer respite,
short term and vacation stays, to allow you to feel the
comfort of home, with the knowledge that our
professionally trained staff is available day and night to
attend to all your needs.
985 Innisfil Beach Road, Innisfil,
Ontario L9S 4M8 Phone: 705-4318105, Website:
www.lakesideretirement.ca
Phone: 1-866-522-2122
Page 66
Category
Business
Services
Birth, Marriage and
Death Certificate
Services
Phone: 1-800-267-8097
Ministry of Health and
Long-Term Care Info
line
Phone: 1-800-268-1154
Canada Revenue
Agency
Phone: 1-800-959-8281
Services
Services
Description
Contact information
Employment
Insurance
Ontario Works
ABC Club
Alcona Seniors
Sandy Cove Drivers
Innisfil Farmers'
Market
Innisfil Food Bank
48 Owen Street, Barrie, Ontario L4M
3H1, Phone: 1-800-206-7218
Phone: 705-722-3132
Alcona Wellness & Spa
Centre
1221 Innisfil Beach Road, Innisfil,
Ontario L9S 4B2, Phone: 705-4363346
Alcona Seniors
2044 25th Sideroad, Innisfil, Ontario
L9S 1Z2, Phone: 705-431-0607
Alcona Beach Health
Shoppe
1070 Innisfil Beach Road, Unit 20,
Innisfil, Ontario L9S 4T9, Phone: 705431-5483
Alcoholics Anonymous
37 Queen Street, Cookstown, Ontario
L0L 1L0, Phone: 705-725-8682
Services
Services
Draft as of November 22, 2012
Page 67
Category
Business
Abundant Health
Centre
Description
Holistic Nutrition and Lifestyle Counseling specializing
in disease prevention, chronic disease management
(cancer, diabetes, heart disease, inflammation,
obesity), whole family wellness, and optimizing athletic
performance. Individualized wellness plans, workshops,
and retreats to support whole body healing.
Contact information
3975 Guest Road, Innisfil, Ontario
L9S 2T3, Phone: 705-716-3828
A Handyman 4 U
322 Limerick Street, Innisfil, Ontario
L0L 1K0, Phone: 705-456-9136
Yoga Plus
1981 Emerald Crt, Unit A, Innisfil,
Ontario L9S 2A2, Phone: 705-2941228
Yoga for You
Draft as of November 22, 2012
Yoga, pilates and personal training for all levels
1042 Goshen Road, Innisfil, Ontario
L9S 2B5, Phone: 705-294-2048
YMCA Child Care
Centre
827 9th Line, Goodfellow Public
School, Innisfil, Ontario L9S 3Y2,
Phone: 705-431-5581
Lois Chounard
Counselling Service
PO Box 7076, Innisfil, Ontario L9S
1A8, Phone: 705-436-7144
YMCA Child Care
Centre
1067 Anna Maria Avenue, St. Francis
of Assisi Elementary School, Innisfil,
Ontario L9S 1W2, Phone: 705-4369411
Page 68
Category
Business
Victoria's Holistic Day
Description
A Unique & Different Spa. One that looks more at your
health than just your nails! Victoria Goodman provides
Holistic Health Services such as Indian Head Massage,
Hot Stone Massage, Aromatherapy, & Reflexology.
Victoria also focuses on relief of chronic pain naturally
by using Micro-Current and Far Infrared Heat therapies.
We offer Full Esthetic services, mani/pedi`s, facials and
waxing. We carry natural products like Bell & Gehwol
foot care, OPI polish`s. Services by appointment only.
Gift Certificates available. Visit our website:
www.victoriasholisticdayspa.ca
Contact information
917 Sheppards Trail, Belle Ewart,
Ontario L0L 1C0, Phone: 705-2291200
Lakeside Clinic Center
for Integrated
Medicine
958 Innisfil Beach Road, Unit B,
Innisfil, Ontario L9S 2B5, Phone: 705431-0859
Stroud Wellness
Centre
7896 Yonge Street, Innisfil, Ontario
L9S 1L5, Phone: 705-294-8070
Cookstown Centre for
Wellness
8335 8th Essa Line, Cookstown,
Ontario L0L 1L0, Phone: 705-4582156
Stacey Martin, RMT
1070 Innisfil Beach Road, Unit 6,
Innisfil, Ontario L9S 4T9, Phone: 705436-3300
Spa at Lake Simcoe
1070 Innisfil Beach Road, Innisfil,
Ontario L4N 1T2, Phone: 705-4363772
Sobeys
2080 Jans Blvd. Innisfil, Ontario L9S
4T8, Phone: 705-431-6667
Draft as of November 22, 2012
Page 69
Category
Business
Description
Contact information
Smart Choice Maid
Service
2437 Mapleview Dr. E., Innisfil,
Ontario L9S 3A3, Phone: 705-2940838
SLS Student Learning
4171 Innisfil Beach Road, Innisfil,
Ontario Phone: 705-436-4030
Simcoe Community
Service
8000 Yonge Street, Innisfil, Ontario
L9S 1L5, Phone: 705-431-7666
Shoppers Drug Mart
873 Innisfil Beach Road, Innisfil,
Ontario L9S 1Y8, Phone: 705-4362874
Aho Shin Karate and
Martial Arts
990 Innisfil Beach Road, 2nd Floor,
Innisfil, Ontario L9S 2B5, Phone: 705436-4615
Sandycove Drug Store
902 Lockhart Rd, Unit 3, Innisfil,
Ontario L9S 4V2, Phone: 705-4366906
Sandycove Acres
Home Owners
Association
PO Box 7151, Innisfil, Ontario L9S
1A9, Website:
www.scahomeowners.com
Sandycove Acres
908 Lockhart Road, Innisfil, Ontario
L9S 3G7, Phone: 705-436-1571,
Website: www.sandycoveacres.com
New Path Youth and
Family Services of
Simcoe County
RR # 3, Cookstown, Ontario L0L 1L0,
Phone: 705-458-4338
Churchill United
Church Stay and Play
Group
6306 Simcoe Road 4, Churchill,
Ontario, Phone: 705-792-7877
Draft as of November 22, 2012
Page 70
Category
Business
Churchill Wellness
Description
The little log cabin with the bright door offers
chiropractic care and registered massage therapy. Our
chiropractor, Dr. David Ruegg has been practicing for
over 30 years, most of that time was at his clinic in
Newmarket. During those years he has also served the
College of Chiropractors of Ontario as an investigator
and examiner. Dr. Ruegg uses several different kinds of
therapy including, manipulation, interferential current
(IFC), infrared, laser therapy and soft tissue massage,
providing several different options for patient care and
comfort. Our two registered massage therapists, Grant
Smith and Muriel Homewood both have many years
experience. Grant has worked with David for over 20
years and they are delighted to be working together
again from our newly renovated offices.
Contact information
6497 Yonge Street, Churchill, Ontario
L0L 1K0, Phone: 705-456-8008
Churchill Curling Club
2186 Killarney Beach Road, Lefroy,
Ontario L0L 1W0, Phone: 705-4562100
Stroud Fun and Fit
8056 Yonge Street, Innisfil, Ontario,
L9S 1L6, Phone: 705-436-5559
Foodland-Cookstown
52 Queen Street, Unit 1, Cookstown,
Ontario L0L 1L0, Phone: 705-4581611
Foodland-Innisfil
8056 Yonge Street, Innisfil, Ontario
L9S 1L6, Phone: 705-436-3580
Foot Pro Orthopaedics
5917 4th Line, Cookstown, Ontario
L0L 1L0, Phone: 705-435-2943
Draft as of November 22, 2012
Page 71
Category
Business
Description
Contact information
Healthy Habit
8 Queen Street, Unit 2, Cookstown,
Ontario L0L 1L0, Phone: 705-2914577
Hearing Centre Sandy
Cove
902 Lockhart Road, Innisfil, Ontario
L9S 4V2, Phone: 705-431-4327
Herbal Magic Weight
Loss
8056 Yonge Street, Innisfil, Ontario
L9S 1L6, Phone: 705-431-1222
Innisfil Community
Church Stay and Play
Group
1571 Innisfil Beach Road, Innisfil,
Ontario Phone: 705-792-7878
Innisfil Lions/Lioness
Club
4852 20th Sideroad, Cookstown,
Ontario L0L 1L0, Phone: 705-4580660
Phone: 705-436-6184
Phone: 705-739-8645
Karen's Foot Care
Meals on Wheels
MotherCare
Bambi Reilly, The
Footcare Nurse
Bartimaeus Inc
Cookstown Centre For
Wellness
Innisfil Montessori
Academy
Lice Squad Canada Inc.
Draft as of November 22, 2012
Foot care
4491 Middletown Rd 905-775-6289;
Employees: 1-4 Municipality: Innisfil
Provides behavioural, emotional and programming
support for children and adolescents
1814 Simcoe Blvd 705-431-2999;
Employees: 1-4 Municipality: Innisfil
Physiotherapy
5335 8th Line 705-458-2156;
Employees: 1-4 Municipality: Innisfil
Child Day-Care Services
In-home services, and treatment for head lice.
201 Sunnybrae Ave 705-431-4462;
Employees: 1-4 Municipality: Innisfil
3A King St S 705-458-4448,
Employees: 1-4 Municipality: Innisfil
Page 72
Category
Business
Northern Lights
Employment Services
Simcoe Muskoka
District Health Unit
Suzanne Dobinson,
Holistic Health
Practitioner
Description
Assessment of clients' employability needs;
advise/assist/refer clients to community resources to
aid in their job search, to help them find full-time
employment. Free access to job-search equipment, i.e.
internet, photocopiers, fax.
Public health services.
Contact information
1-1070 Innisfil Beach Rd 705-4316913; Employees: 1-4 Municipality:
Innisfil
25 King St S 705-458-1103;
Employees: 20-49 Municipality:
Innisfil
Holistic Medicine
2740 9th Line 705-436-2818;
Employees: 1-4 Municipality: Innisfil
TBP - The Body's Paths
International
Courses & workshops in stress & anger management,
anxiety, depression & insomnia
1111 Corrie St 705-436-9676;
Employees: 1-4 Municipality: Innisfil
Income Security
Programs
Canada Pension Plan, Death, Survivors and Disability
Benefits, Old Age Security, Guaranteed Income
Supplement
48 Owen Street, Barrie, Ontario L4M
3H1, Phone: 1-800-277-9914
Advocacy Centre for
the Elderly
Community legal clinic for low income seniors
ARCH Disability Law
Centre
Provides legal representation to people with disabilities
Phone: 1-866-482-2724
Community Legal
Clinic
85 Bayfield Street, 1st Floor, Barrie,
Ontario L4M 3A7, Phone: 705-3256444
Family Law
Information Centre
75 Mulcaster Street, Barrie, Ontario
L4M 3P2, Phone: 705-739-6446
Legal Aid Ontario
Draft as of November 22, 2012
Phone: 416-598-2656
Legal representation for low-income clients involved in
some types of court matters
85 Bayfield Street, 1st Floor, Barrie,
Ontario L4M 3A7, Phone: 705-7373400
Page 73
Category
Business
OmbudService for Life
and Health Insurance
Description
Consumer Assistance - Answers general inquiries or
complaints about life and health insurance
Contact information
Phone: 1-888-295-8112
Ontario Human Rights
Commission
Phone: 1-800-387-9080
Ontario Landlord and
Tenant Board
Phone: 1-888-332-3234
Shelter Support
Services
Legal assistance and referrals, counselling, court
support for women who are experiencing physical,
psychological or emotional abuse
Eat Right Ontario
Speak to registered dietician for trusted information
and advice on nutrition and healthy eating
GAP- Elizabeth Fry
Society
Good Food Box
Program
Meals on Wheels Canadian Red Cross
Grocery Assistance Program
A community buying club open to anyone. Participants
place an order monthly for a box of fresh fruits and
vegetables at one of the three order locations.
Delivers meals on a regular or temporary basis to
persons who are unable to manage their own food
preparation
Barrie Bayside Mission
Centre
Copper County Foods
Phone: 1-877-510-5102, Website:
www.ontario.ca/eatright
Phone: 705-725-0613 ext. 235,
Website:
www.elizabethfrysociety.com
Phone: 705-725-7697 ext. 265,
Website: ww.bchc.ca
Phone: 705-721-3313, Website:
www.redcross.ca
16 Bayfield Street, Barrie
Offers frozen meals for a fee
Specialty frozen food products are available to
Royal Victoria
Hospital, Nutrition and purchase for those on special diets
Food Services
Draft as of November 22, 2012
Phone: 705-721-9977
Phone: 1-888-444-0741, Website:
www.coppercountyfood.ca
201 Georgian Drive, Barrie, Ontario
L4M 6M2, Phone: 705-728-9090 ext.
44428, Website: www.rvh.on.ca
Page 74
Category
Business
With Open Arms
Outreach Day Program
Description
Offers delivered frozen meals including special diet
items for a fee
Program for socially isolated and frail elderly
VON Barrie Adult Day
Away Program - IOOF
Senior Citizen Homes
A social club for adults 50+.
Afternoon Friendship
Club - Grace United
Church
A social club, meeting 2nd Tuesday of every month at
1:30 p.m. (September to June)
Air Force Association
of Canada - RCAF 441
(Huronia) Wing
A non-profit organization, fraternal, social and
community service association
Draft as of November 22, 2012
189 Blake Street, Barrie, Phone: 705737-0755
290 Cundles Road East, Barrie,
Ontario, Phone: 705-737-2113
350 Grove Street East, Barrie,
Ontario, L4M 2R7, Phone: 705-7340760
Phone: 705-725-5110
Recreation, hot food, assisting in community services
7 George Street, Barrie, Ontario L4N
2G5
Barrie Senior Get
Together Club
A social club, meets Tuesday 1 to 4 p.m. Providing
some community service
Collier Street
Fellowship Group
Senior fellowship group includes singing, speaking and
entertainment and lunch, Meets 3rd Wednesday of
every month at noon
Fifty Club
Meets 4th Thursday of each month at 11:30 a.m. For
potluck lunch (expect December, June, July and August)
50+ Social Club
Phone: 705-737-5215, Website:
www.homemeals.ca
10 Brooks Street, Barrie, Ontario
Phone: 705-720-2532
Adult 50+ Barrie Free
Methodist Church
Office
Army, Navy, and Air
Force Veterans in
Canada (Unit 365)
Contact information
A drop in social club for anyone 50+. Tuesday at 7 p.m.
7 George Street, Barrie, Ontario L4N
2G5, Phone: 705-728-1010
112 Collier Street, Barrie, Ontario
L4M 1H3, Phone: 705-726-1511
54 Ross Street, Barrie, Ontario L4N
1G3, Phone: 705-728-7589
503 Essa Road, Barrie, Ontario L4N
9E3, Phone: 705-728-1010
Page 75
Category
Business
Golden Fellowship
Club
Description
A social club, meeting the 4th Thursday of each month
at noon.
Contact information
550 Grove Street East, Barrie,
Ontario L4M 5Z5, Phone: 705-7285801
Joy Fellowship
Meets 3rd Thursday of month at 10:30 a.m. for lunch.
(September to June)
374 Salem Road, Barrie, Ontario L9J
0C6, Phone: 705-728-3017
Teenagers
A seniors club meeting 2nd Thursday of the month at
noon for potluck lunch
151 Lillian Crescent, Barrie, Ontario
L4N 5X5, Phone: 705-737-3102
A social club with speakers. Meet every Tuesday, 2
p.m. (September to May)
410 St. Vincent, Barrie, Ontario L4M
4A6, Phone: 705-728-1412
Phone: 705-728-1010
O.U.R. Club -Royal
Canadian Legion Hall
Probus
Royal Canadian Legion Hall, 410 St.
Vincent Street, Barrie, Ontario L4M
4A6
Royal Canadian Legion
- Branch 147
Veterans Club of
Barrie
A Veterans Social Club that meets five times each year
for dinner and fellowship
Barrie Literacy Council
Helps adults to improve their basic reading, writing and
math skills
80 Bradford Street, Unit 244, Barrie,
Ontario, L4M 1L6, Phone: 705-7287323
Georgian College
Variety of day/evening courses on a full/part time basis
for high school graduates and adults.
Georgian Drive, Ontario L4M 3X9,
Phone: 705-728-1968, Website:
www.georgian.on.ca
Phone: 705-728-1010
Allandale 55+ Centre
80 Livingstone Street, Barrie, Ontario
L4M 6X9, Phone: 705-728-6332
Parkview 55+ Centre
189 Blake Street, Barrie, Ontario L4N
1K5, Phone: 705-737-0755
Victoria Village
Activity CentreWoodworking Shop
Draft as of November 22, 2012
Community wood shop open weekdays
146 Toronto Street, Barrie, Ontario
L4N 1V4, Phone: 705-792-3411,
Website: www.barrie.ca
Page 76
Category
Business
Royal Victoria Hospital
ALS Society of Ontario
Alzheimer Society of
Greater Society
County
Arthritis Society
Barrie Native
Friendship Centre
Description
Support group for people with ALS
Provides information, education and support to
persons with Alzheimer’s or a related dementia
Provides information , education and support on
arthritic diseases
Contact information
Phone: 705-728-9802
Phone: 1-866-611-8545
12 Fairview Road, Unit 103, Barrie,
Ontario L4n 4P3, Phone: 705-7221066
Phone: 1-800-321-1433
Assist frail at risk and vulnerable Aboriginal and nonAboriginal people with disabilities and degree of
chronic illnesses, that may require acute or chronic
continuum of care to remain within their communities
Phone: 705-721-7689
Canadian Cancer
Society
4 Checkley Street, Unit 103, Barrie,
Ontario L4N 1W1, Phone: 705-7268032
Canadian Diabetes
Association
Provides information and support to those living with
diabetes
Phone: 705-737-3611
Canadian Hearing
Society
Provides information and support to those living with
hearing loss
Phone: 705-737-3190
CNIB
Provides the services, support and information
necessary for people to participate fully in a sighted
world and enjoy a good quality of life while living with
vision loss.
Deaf Access Simcoe
Epilepsy (Ontario)
Simcoe County
Draft as of November 22, 2012
Provides information and support to those living with
cancer, their families and friends.
20 Anne Street South, Unit 10, Barrie,
Ontario L4N 2C6, Phone: 705-7283352
Provides support services to deaf, deafened and hard
of hearing people
74 Cedar Pointe Drive, Unit 1009,
Barrie, Ontario L4N 5R7, Phone: 705728-3577
Provides education, community awareness advocacy
and support
72 Ross Street, Unit 10, Barrie,
Ontario L4N 1G3, Phone: 705-7373132
Page 77
Category
Business
Heart and Stoke
Foundation
Hospice Simcoe
Independent Living
Services of Simcoe &
Area
Kidney Foundation of
Canada
Lung Association
Multiple Sclerosis
Society of CanadaSimcoe County
Description
Provides information on heart disease and stroke
Contact information
112 Commerce Park Drive, Unit 1,
Barrie, Ontario L4N 8W8, Phone:
705-737-1020
Provides non-medical home support by trained
volunteers to support individuals and families who are
coping with a life threatening disease
336 Penetanguishene Road, RR # 1,
Barrie, Ontario L4M 7C2, Phone:
705-722-5995
Provides non-medical services, home support, outreach
programs and the Accessibility Resource Centre
44 Cedar Pointe Drive, Unit 1102,
Barrie, Ontario L4N 5R7, Phone: 705737-3263
Program referral to community programs to meet
needs. Transportation to dialysis treatments. Renal
education and peer support group information.
1500 Hurontario Street, Unit 201,
Mississauga, Ontario L5G 4S1,
Phone: 1-800-387-4474
Provides information on managing your asthma, living
with chronic obstructive pulmonary disease (COPD) and
how to quit smoking.
573 King Street East, Toronto,
Ontario M5A 4L3, Phone: 1-888-3445864
Provides services to people with MS, focus on
education and fundraising for research
44 Cedar Pointe Drive, Suite 1102,
Barrie, Ontario L4N 5R7, Phone: 705733-0488
Osteoporosis Canada
Provides information regarding osteoporosis, risk
factors, drug treatments, etc.
1090 Don Mills Road, Suite 301,
Toronto, Ontario M3C 3R6, Phone:
1-800-463-6842
Parkinson Society
Canada
Monthly support group offered, information and
referral. Weekly exercise group.
4211 Yonge Street, Toronto, Ontario
M2P 2A9, Phone: 1-800-565-3000
Senior Wish
Association
Simcoe Muskoka
District Health Unit
Draft as of November 22, 2012
A registered charity that makes wishes come true for
seniors
Phone: 705-726-2120
15 Spirling Drive, Barrie, Ontario
L4M 6K9, Phone: 705-721-7520
Page 78
Category
Business
Stroke Recovery
Association
Atrium Foot Clinic
Bayshore Home
Health
Canada Red Cross
Description
A support group providing encouragement and
programs to those who have suffered a stroke.
Specializes in foot problems. Home visits for house
bound patients
Complete home care s services include personal care,
home support/companion, accompaniment, respite
care, foot care, nursing and palliative care. Health
management service-my Nurse-provided by registered
nurses
Services include: personal care, household
management, meal preparation, palliative care,
caregiver relief, friendly visiting, transportation and
telephone assurance
ParaMed Home Health Provides in-home nursing and home support services
Care
Clinic appointment or in-home visit
Professional Foot Care
Contact information
80 Bradford Street, Unit 121, Barrie,
Ontario L4N 6S7, Phone: 705-7379202
190 Cundles Road East, Suite 302,
Barrie, Ontario L4M 4S5, Phone:
705-722-3044
80 Bradford Street, Unit 525, Barrie,
Ontario L4N 6S7, Phone: 705-7228993
Phone: 705-721-4547
Phone: 705-721-4555
18 Sophia Street West, Barrie,
Ontario L4N 1J2, Phone: 705-7394333
Saint Elizabeth Heath
Care
Home health care services include nursing, personal
support services, caregiver relief, elder care, mental
health, ET, continence specialist and palliative care.
85 Ferris Lane, Suite 104, Barrie,
Ontario L4M 6B9, Phone: 705-7375005
VON Canada
Provides home health services, in-home respite care,
and adult day programs
35 Cedar Pointe Drive, Unit 31,
Barrie, Ontario L4N 5R7, Phone: 705737-5044
Draft as of November 22, 2012
Page 79
Category
Business
We Care Home Health
Care
Draft as of November 22, 2012
Description
Client services by registered nurses and personal
support workers including personal care, homemaking,
meal preparation, foot care, palliative and dementia
care
Contact information
64 Cedar Pointe Drive, Unit 1413,
Barrie, Ontario L4N 5R7, Phone: 705734-2235
Page 80