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Western Public Health Casebook 2020

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Western Public Health Casebook 2020 Western Public Health Casebooks 2020 Complete 2020 Casebook Follow this and additional works at: https://ir.lib.uwo.ca/westernpublichealthcases Recommended Citation Suggested citation – cite individual cases as book chapters: [author1, author2, author3.] (2020). [title of case.] in: McKinley, G. & Speechley, M. [eds] Western Public Health Casebook 2020. London, ON: Public Health Casebook Publishing. This Case is brought to you for free and open access by the Public Health Program at Scholarship@Western. It has been accepted for inclusion in Western Public Health Casebooks by an authorized editor of Scholarship@Western. For more information, please contact [email protected]. Western Public Health Casebook 2020 Cases from the Schulich Interfaculty Program in Public Health Editors Gerald McKinley, PhD Assistant Professor Department of Pathology and Laboratory Medicine Schulich Interfaculty Program in Public Health Western University London, Canada Mark Speechley, PhD Professor Department of Epidemiology & Biostatistics Schulich Interfaculty Program in Public Health Western University London, Canada Public Health Casebook Publishing Western University London ON 2020 Public Health Casebook Publishing Western University London ON Western Public Health Casebook 2020 978-0-7714-3150-0 Copyright © 2020 Public Health Casebook Publishing The cases in this book may be copied, stored, disseminated, and used free of charge without permission for any educational uses by an accredited educational institution. No parts of this book may be changed without prior written permission of the publisher. Any other uses including commercial uses are expressly forbidden. Suggested citation – cite individual cases as book chapters: [author1, author2, author3.] (2020). [title of case.] in: McKinley, G. & Speechley, M. [eds] Western Public Health Casebook 2020. London, ON: Public Health Casebook Publishing. Photos on front cover are graduates from MPH Class of 2019. TABLE OF CONTENTS PREFACE ................................................................................................................................. v ACKNOWLEDGEMENTS ........................................................................................................... vii INTRODUCTION: Public Health in the Midst of A Pandemic ....................................................... 1 CASE 1: Policy Change and Public Health: Obstacles to Advocating for Public Health Interventions ............................................................................................................. 7 CASE 2: The Double Burden of Malnutrition: Challenges and Opportunities in Thailand ..... 19 CASE 3: Coming Together to Promote Change: Best Practices to Prevent, Treat, and Manage Type 2 Diabetes in Indigenous Communities in Canada ......................... 31 CASE 4: Opioid Crisis in the Windsor-Essex Community: Time for Responsible Opioid Prescribing? ........................................................................................................... 45 CASE 5: The Precision of Aid: Remembering the Forgotten Disease in the Horn of Africa . 61 CASE 6: No Fixed Address: A Cost-Effectiveness Analysis of a Program to Prevent Psychiatric Discharge to Homelessness ................................................................ 75 CASE 7: Going Beyond Bike Racks and Pedestrian Crossovers: Achieving Health Equity in School Travel Planning .......................................................................................... 97 CASE 8: Is it too Late to Re-evaluate? Creating Client-centered Changes within Canada’s Medical Surveillance System ............................................................................... 111 CASE 9: A Knot of Contradictions: Systems of Intersectionality and Muslim LGBTQ+ Mental Health Programs ................................................................................................... 121 CASE 10: Changing the Service Delivery Model: How to Make it Happen? ........................ 137 CASE 11: Going Beyond the Virus: Understanding the Drivers of the Ebola Virus Outbreak .............................................................................................................. 151 CASE 12: Prioritizing Emerging and Re-Emerging Non-enteric Zoonotic Infectious Diseases: What Should we be Afraid of Next? ..................................................................... 167 CASE 13: Preparing for the Tickpocalypse ........................................................................... 185 CASE 14: A Sticky Situation: A Medical Problem with a Social Solution .............................. 203 CASE 15: Recovery Through Education: An Integrative Approach to Mental Health for the People, by the People .......................................................................................... 217 CASE 16: When the Midnight Train is the first of many: Dealing with Irregular and Unsafe Railway Crossings in the City of London .............................................................. 231 iii PREFACE INTRODUCTION The Master of Public Health Program (MPH) at Western University is a 12-month full-time program that incorporates a 12-week practicum. The MPH Program curriculum includes innovations such as case-method learning, Brown Bag seminars, Integrative Workshops, field trips and career counselling. The Brown Bag seminars allow the students to hear from and interact and network with practitioners from the field. The faculty of the MPH Program are drawn from various Faculties across campus, and represent a broad range of disciplines pertinent to public health. TEACHING CASES Western’s MPH Program relies extensively on the case-based/experiential method of learning. The Program aims to deliver 60% of pedagogic material using the case-based approach – a unique feature not found to a similar extent in other MPH Programs worldwide. The case method of learning is not about the traditional lecture-style classroom setting, but is about the student being an active part of the learning experience, which means learning by doing. It introduces complex and often ambiguous real-world scenarios into the classroom, forcing students to think and make decisions, often with incomplete and inaccurate data. The case method is a three-stage process that builds on each subsequent step. It starts with individual case preparation, followed by a small group discussion, concluding with a large group discussion (in the classroom) so that the learning objectives are met. To facilitate this process, all students are placed in a learning team of 5-6 members from Day 1 of their journey in the Program. The learning team forms the ‘home’ of the student for the academic year, and is the basis for peer-support, group, and case work. We view the case method as a vehicle to develop transformational learning, along with the students’ leadership skills, teamwork ability, critical thinking capacity, and knowledge of disciplinary perspectives. Case-based pedagogy has been predominantly focused on business cases, which are often not directly suitable for a public health curriculum. In addition, existing health related cases often do not reflect the reality of Canadian and international health systems. While case repositories have a growing number of teaching cases that can be used by programs such as ours, there remains an opportunity for Western’s faculty and practitioner colleagues to develop de novo cases by building on their research and practice experiences. Along with faculty developed cases, Western has adopted an innovative model of building a catalogue of teaching cases in public health authored by students. As part of the MPH Program’s Integrative Learning Experience (capstone course), the overall final deliverable for students is a teaching case and teaching note that is based on their Applied Practice Experience (practicum). Faculty members select the best cases, and work with the students to publish them in the annual Western Public Health Casebook. Our faculty have actively incorporated these student cases in the curriculum, and we often involve the students (now alumni) in co-teaching these cases. WESTERN PUBLIC HEALTH CASEBOOK 2020 It is my pleasure to welcome you to this year’s Western Public Health Casebook. Herein you will find teaching cases authored by students, faculty members, and community partners. Cases are also available for download at https://www.schulich.uwo.ca/publichealth/cases/. Our goal is v to create a searchable database of freely available public health cases on our website, for use by any program across the world. We welcome feedback and comments on these cases. To do this, please be in touch via the program’s email: [email protected]. –Dr. Amardeep Thind, Director Schulich Interfaculty Program in Public Health vi ACKNOWLEDGEMENTS The 2020 Western Public Health Casebook reflects the diversity in, and challenges of public health practice. Each case offers a unique take on a complex public health issue. Our cases go beyond describing the problem; the cases present a narrative around decision makers and stakeholders who are experiencing these challenges firsthand. Readers are encouraged to ‘step into the shoes’ of the protagonist (be they an individual or a group), and think critically about the complexity and nuances inherent in public health practice. There are no right or wrong answers to each case. In fact, we believe it is the best cases that leave you with more questions than answers. We hope these cases make you think about challenges
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