FAMILY HEALTH SERVICE Carolyn Shoreman November 9, 2006
Transcription
FAMILY HEALTH SERVICE Carolyn Shoreman November 9, 2006
FAMILY HEALTH SERVICE Board of Health Orientation April 1, 2015 Family Health Service Goal: To enable individuals and families to achieve optimal preconception health, experience a healthy pregnancy, have the healthiest newborn(s) possible, and be prepared for parenthood (OPHS, 2008). Goal: To enable all children to attain and sustain optimal health and developmental potential (OPHS, 2008). Family Health services are directed at children, youth, parents, caregivers and people in their reproductive years who are making choices about their future family life. The program is intended to protect and promote the health of families, prevent disease and assist in the attainment of an optimal level of health. Family Health Service Programs All programs in FHS delivered decentralized across Simcoe Muskoka working out of all health unit offices 59 members make up the service area Reproductive Health Program Lori Webel-Edgar, Manager Child Health Program Natalie Riewe, Manager Healthy Babies Healthy Children Program Aira Chapman, Manager Mary Jean Watson, Manager Family Health Organizational Chart Administrative Coordinator Child Health Program Manager Public Health Nurses Public Health Nutritionist Public Health Dietitian Program Assistant Family Health Service Program Director Reproductive Health Program Manager Healthy Babies Healthy Children Program Manager Healthy Babies Healthy Children Program Manager Public Health Nurses Health Promotion Specialist Program Assistant Public Health Nurses Program Assistant Family Home Visitors Reproductive Health Program “Investing in expectant mothers and their young children is a powerful equalizer and a key tool for economic and social stability.” (Mustard, Early Years Study 3 2011, p. 7) Reproductive Health Staffing Total of 10.7 FTE in Reproductive Health Program 1.0 FTE Program Manager-Lori Webel-Edgar 7.7 FTE Public Health Nurses (10 individuals) 1.0 FTE Health Promotion Specialist 1.0 FTE Program Assistant Program Components PRECONCEPTION HEALTH An increased proportion of individuals in their reproductive years are physically, emotionally, and socially prepared for conception. HEALTHY PREGNANCIES & BIRTH OUTCOMES An increased proportion of pregnant women and their families adopt practices to support a healthy pregnancy. PREPARATION FOR PARENTHOOD An increased proportion of expectant parents are physically, emotionally, and socially prepared to become parents. Preconception Health Reproductive Health Lesson Plan: curriculum support for high schools teachers Provided to: SCDSB , SMCDSB & Trillium Lakelands District School Boards FASD Lesson Plan www.smdhu.org/pregnancy Prenatal Education Getting Ready For Baby Series: prenatal sessions delivered to expectant parents by Public Health Nurses Topics include: Nurturing your baby Keeping your baby safe Feeding your baby Becoming a parent What life will be like with baby in the first few weeks Gestational Weight Gain Health Care Providers: Pregnant Women: Canada Prenatal Nutrition Projects Weekly program for pregnant women and their children up to 6 months come together for education, support and nutritious food. PHN focus on healthy pregnancy, breastfeeding, smoking cessation, preparation for parenthood Mothercare-Simcoe Alliston Angus Barrie Bradford Collingwood Innisfil Midland Orillia Penetanguishene Wasaga Beach Great Beginnings-Muskoka Bracebridge Gravenhurst Huntsville Breastfeeding Initiation 87.9 women intend to breastfeed (BORN, 2011) > 80% of mothers in Simcoe and Muskoka initiate breastfeeding (CCHS) ~28% of infants age of six months are exclusively breastfeeding (CCHS, 2009/10) most women make their decision about infant feeding before pregnancy breastfeed intention is a strong predictor of breastfeeding initiation and duration rates programs focus on preconception, prenatal and early postpartum decision-making about infant feeding. Alcohol and Tobacco During Pregnancy Alcohol No safe amount, no safe time and no safe kind of alcohol to have during pregnancy Chair Simcoe County Fetal Alcohol Spectrum Disorder Prevention Committee Member of the Simcoe County Fetal Alcohol Spectrum Disorder Advisory Committee Tobacco: More than 4,000 chemicals pass from mother to fetus Exposure to smoke and these chemicals causes oxygen level in blood to fall Cessation counselling with a Public Health Nurse available to pregnant women and their partners or household members through Health Connection External Partnerships Public Health Nurses have key partnerships with: Midwives: Barrie Midwives (RVH) Caring Hands Midwifery (Stevenson Memorial) Midwives of Muskoka (Orillia Soldiers Memorial, Bracebridge Hospital and Huntsville Hospital) Midwives Nottawasaga (Collingwood General and Marine Hospital and Georgian Bay Hospital-Midland) Orillia Midwives Family Health Teams and Community Health Centres: Algonquin Family Health Team (Huntsville) Alliston Family Health Team Barrie Community Family Health Team Barrie Community Health Centre Chigamik Community Health Centre Cottage Country Family Health Team Couchiching Family Health Team Georgian Bay Family Health Team North Simcoe Family Health Team Orillia Family Health Network South Georgian Bay Community Health Centre Child Health Program Breastfeeding and Healthy Infant/Child Nutrition Positive Parenting and Healthy Family Dynamics Healthy Growth and Development Child Health Program Staffing Total of 11.1 FTE in Child Health Program 1.0 FTE Program Manager-Natalie Riewe 7.1 FTE Public Health Nurses (10 individuals) 1.0 FTE Public Health Nutritionist 1.0 FTE Public Health Dietitian 1.0 FTE Program Assistant Breastfeeding and Healthy Infant/Child Nutrition 20 hour Breastfeeding Course for Health Care Professionals by PHN Supports local providers to be able to support breastfeeding women with current and accurate and consistent breastfeeding information Breastfeeding Support Groups Breastfeeding Place (once a week at 3 of OEYC locations – Barrie, Alliston and Collingwood) Best Feeding Group (once a month at OEYC location in Midland) Baby Talk (once a month, visit of PHN at sessions in Gravenhurst and Huntsville) Breastfeeding Community Work Breastfeeding Local Community Coalitions Breastfeeding Referral Maps $25 000 Community Breastfeeding Best Start Grant women without a partner/low social support Communication campaign Grandmothers/female relatives outreach Health Care Provider Education Support development of Breastfeeding Friendly Places policies in municipalities World Breastfeeding Week October 1-7, 2014 Baby-Friendly InitiativeAccountability Agreement Baby-Friendly Initiative Designation SMDHU Baby-Friendly Initiative Implementation Committee focus on steps to achieving Baby Friendly Initiative compliance and designation for agency Inclusive of all services and programs Agency Baby-Friendly Initiative Policy Globally recognized quality standard MOHLTC accountability agreement requirement of all health units Inclusive of all babies Protect, promote and support breastfeeding Assists in creating an organizational environment that protects, promotes and supports breastfeeding Identifies knowledge expectations through the BFI Minimum Standards of Practice Agency Breastfeeding Friendly Workplace Policy Supports employees of the Health Unit who are breastfeeding. Positive Parenting and Healthy Family Dynamics Parenting : Triple P® - Positive Parenting Program, Select Seminar Series and Tip Sheet Sessions Cross-sectoral implementation planning at multiple levels including local, county/district wide, provincial and national Part of a system of service delivered within the community including program partners like OEYCs, Children’s Mental Health providers, early Intervention Services and CAS. Triple P Ontario website http://www.triplepontario.com/en/home.aspx Ontario Early Years Centres – connecting regularly and upon request to support local services Positive Parenting and Healthy Family Dynamics Fathering Group – partners planning for father-friendly services in the community Funding received from provincial Fathering Involvement InitiativeOntario Network. Muskoka Fathering Coalition “Dads ‘N Kids” Hike May 23, 2015 Avery Beach Healthy Growth and Development Play together—Grow together : Facebook page devoted to parents and caregivers of infants and preschoolers in Simcoe and Muskoka. Promotion of the Enhanced 18month Well Baby visit • • • Support for primary care providers to access provincial supports and tools www.18monthvisit.ca NutriSTEP: • • A nutrition risk screening tool for the early years Accountability Indicator Healthy Growth and Development Roots of Empathy Provided as a member of a partnership of community agencies in the Simcoe Muskoka Catholic District School Board Evidence-based classroom program to: foster the development of empathy develop emotional literacy reduce levels of bullying, aggression and violence, and promote children's pro-social behaviours increase knowledge of human development, learning, and infant safety prepare students for responsible citizenship and responsive parenting Healthy Babies Healthy Children Program Funded under the Ministry of Children and Youth Services Healthy Babies Healthy Children Program Staffing Total of 26.8 FTE in HBHC Program 2.0 FTE Program Managers-Aira Chapman and Mary Jean Watson 15.6 FTE Public Health Nurses (17 individuals) 8.2 FTE Family Home Visitors (11 individuals) 1.0 FTE Program Assistant HBHC Program Vision Women and their families in the prenatal period and families with children from birth until their transition to school, identified with risk will be provided with opportunities to achieve their potential. Every child and parent identified with risk in Ontario will have access to evidenceinformed programs and services that support healthy child development and effective parenting. HBHC Program Components These components can occur, with client consent, during the prenatal, postpartum and early childhood periods: Screening Assessment Support services Blended of home visiting Service planning and coordination Referrals and/or recommendations Participation in service and system integration Evaluation and Research HBHC - Screening Screening is done through: health service providers, or referrals received from other agencies/individuals (e.g. CAS) Reason for screening: identify possible risks to healthy child development Referral to HBHC Score of 2 or more = “with risk” HBHC Without Risk Contact Letter mailed to all new mothers without risk HBHC Blended Home Visiting Services Home visits provided by a public health nurse (PHN) and lay home visitor (FHV) to consenting families following an in-depth assessment. HBHC Client/Family Goals Optimal growth and development Optimal prenatal health/parental health Breastfeeding Attachment, relationships Positive parenting Addiction/dependency management Education/employment Settlement/cultural adaptation Financial stability Housing stability Life skills Nutrition, food security Self- care Safe environment Referrals/Recommendations Referrals and/or recommendations to community services for families with children Service Coordination A family-centred process with the following objectives: Family identification of goal and services needed. Assist to access services. Remove barriers. Communication, coordination, collaboration with partners to maximize service resources/minimize duplication. Advocacy The Orillia Packet and Times November, 2010 Reporting to Children’s Aid “Boards of health need to be knowledgeable about their duties and responsibilities as specified in other applicable Ontario laws, including but not limited to… Child and Family Services Act, R.S.O. 1990, c. C.11 R.R.O. 1990, Reg. 70 (p.g. 6 & 7) SMDHU Policy “Report to Children's Aid Society” (LG0102) “If any Health Unit employee in the performance of his/her duties suspects that a child is or may be in need of protection, that individual is obligated by the Child and Family Services Act (CFSA) to report these findings as soon as possible to the closest CAS. This process is referred to as the Duty to Report”. Healthy Babies Healthy Children Protocols Children’s Aid Society of Simcoe County (September, 2006) Family Youth & Child Services of Muskoka (July, 2008) • Purpose: • Enhance quality of services to families • Establish procedures to optimize • communication • collaboration • coordination of services Community Planning Child, Youth and Family Services Coalition of Simcoe County: To maximize the capacity, effectiveness, and cultural uniqueness of the child, youth and family services system through collective efforts. www.simcoecountycoalition.ca Board to Board Meeting May 8th Kempenfelt Conference Centre • • • Moving on Mental Health Special Needs Strategy Proposed Amalgamation CAS/FYCSM NSM LHIN Care Connections Maternal Newborn Child Youth Health Coordinating Council Community Planning Muskoka Leadership Summit and ongoing planning Purpose: To engage in collaborative action and prevention planning in the development, implementation and monitoring of services and programs for children and youth in the District of Muskoka. Family Health Service Contact: Carolyn Shoreman Program Director Family Health Service Simcoe Muskoka District Health Unit 15 Sperling Drive Barrie, Ontario L4M 6K9 (705) 721-7520 ext 7361 [email protected]