Corporate Planning Committee, Tuesday, September 8, 2015

The Corporation of the Municipality of Wawa

Corporate Planning & Policy Meeting Agenda Tuesday, September 29, 2015 Council Chambers 5:00 p.m.

Page

(1) CALL TO ORDER & NOTE MEMBERS PRESENT

(2) REVIEW OF ADDENDUM & APPROVAL OF AGENDA

2.1 Approval of Agenda

(3) ANNOUNCEMENTS / DEPUTATIONS

(4) DECLARATION OF PECUNIARY INTEREST AND THE GENERAL

NATURE THEREOF

(5) APPROVAL OF MINUTES 2 - 5 5.1 Approval of Minutes - Corporate Planning Committee, Tuesday, September 8, 2015

(6) OLD BUSINESS

(7) NEW BUSINESS

7.1 Cemetery By-Law

7.2 Cemetery 6 - 18 7.3 L - Ministry of Natural Resources & Forestry - Forest Tenure Modernization 19 - 195 7.4 North Algoma Health Needs Assessment - Final Reports & Databases

7.5 Strategies to Bring Councillor Priorities Forward

7.6 Health & Safety Issue - Michipicoten Memorial Community Centre

(8) IN-CAMERA SESSION

(9) NEXT MEETING DATE

(10) MEETING CLOSE

Page 1 of 195

The Corporation of the Municipality of Wawa

Corporate Planning Committee Meeting

Tuesday, September 8, 2015

Council Chambers

6:00 PM

MINUTES

(1) CALL TO ORDER & NOTE MEMBERS PRESENT The Chair called the meeting to order at 6:00 p.m.

Members: Mayor Ron Rody Councillor Bill Chiasson Councillor Tamara Liddle Councillor Matthew Morrison

Staff: Cathy Cyr, Deputy Clerk Doreen Pavlic, Deputy Treasurer Lori Johnson, Director of Community Services and Tourism James Neufeld, Assistant Director of Infrastructure Services Paul Parisé, Chief Building Official Suzanne Lord, Administrative Assistant

Public: 3 Persons. News Media: 2 Persons. Guest: None. Absent: Councillor Y. Besner (Personal)

(2) REVIEW OF ADDENDUM & APPROVAL OF AGENDA 2.1 Approval of Agenda

Moved by: B. Chiasson R. Verbal RESOLVED THAT the Agenda for the Corporate Planning Committee Meeting scheduled for Tuesday, September 8, 2015 be approved, as presented. CARRIED.

(3) ANNOUNCEMENTS / DEPUTATIONS None.

(4) DECLARATION OF PECUNIARY INTEREST AND THE GENERAL NATURE THEREOF None.

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(5) APPROVAL OF MINUTES 5.1 Approval of Minutes  Corporate Planning Committee Meeting, Tuesday, June 23, 2015

Moved by: M. Morrison R. Verbal RESOLVED THAT the following Minutes for the Corporate Planning Committee Meeting be adopted, as presented. Minutes of the Corporate Planning Committee Meeting held on Tuesday, June 23, 2015, as contained on Pages 1-4 , inclusive of the Minute Book. CARRIED. Action: Staff to obtain signatures and file the minutes in the vault.

(6) OLD BUSINESS 6.1 Sewage Lagoon Fees - Provost Contracting (2014) Committee agreed to refund Provost Contracting Ltd on the Sewage Lagoon fees. Action: Resolution for next Regular Council meeting.

6.2 Municipal Communication Strategy Council members or staff that have new ideas or strategies will share the information with Clearlogic group to incorporate into the Municipal Business Plan. Action: Any new Communication Strategies will be shared with Clearlogic Group for the Municipal Business Plan.

(7) NEW BUSINESS 7.1 Keep Hydro Public - Resolution Regarding the Proposed Privatization of Hydro One Action: Resolution for the next Regular Council meeting.

7.2 Municipality of Tweed, Disaster Relief Committee - Request for Support Action: No action to be taken.

7.3 Ontario Federation Of Anglers & Hunters - Spring Bear Hunt Action: Resolution for the next Regular Council meeting.

7.4 Draft By-Law - Establish and Appoint Cemetery Committee Action: By-law to be brought forward to the next Regular Council meeting.

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7.5 Draft All-Terrain Vehicles (ATV) By-Law CAO waiting for information from insurance carrier. Action: Once the information is received, it will be forwarded to council & resolution for future Council meeting.

7.6 Replacement of Wawa Goose Monument – Update For Information

7.7 Council Appointment to EDC Board Action: Resolution for next Council meeting.

7.8 Municipal Boards and Committees Vacant positions were identified. Action: Identify groups for vacant seat and advertise accordingly. Staff to make changes to all Boards and Committees and forward to Regular Council Meeting.

7.9 Staff Report KG/LJ 2015-03: LED Lighting at MMCC Action: Resolution for the next Regular Council Meeting.

7.10 Staff Report JN 2016-06: Refuse Collection Action: Staff to prepare agreement and By-Law and forward to Regular Council Meeting.

7.11 Wawa Family Health Team - Concerns Regarding Northern Health Travel Grants Action: Resolution for the next Regular Council Meeting.

7.12 Councillor Liddle Request to Attend Northern Ontario Tourism Summit, November 16-18, 2015, Sault Ste. Marie Action: Verify the Mayor/Council travel budget.

7.13 Staff Report - LJ 2015-04 - Marina Status and DFO Lease Agreement Action: Resolution for the next Regular Council Meeting.

(8) IN-CAMERA SESSION None. (9) NEXT MEETING DATE 9.1 Tuesday, October 13, 2015

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(10) MEETING CLOSE 10.1 Close of Meeting

Moved by: M. Morrison R. Verbal RESOLVED THAT the meeting close at 7:40 p.m. CARRIED.

RON RODY, CHAIR

CATHY CYR, DEPUTY CLERK

8-Sep-2015 Page 4 of 4

Approval of Minutes - Corporate Planning Committee, Tuesday,... Page 5 of 195 Mlnlshryof Natural Resources Minlslbrl dos Richesses naturelles Pt-— and Foroatry el dos Foréts

Officeof the Bureau du Assistant Deputy Minister sous-ministre anioinl 15*’> Forest Industry Dlvlslon Division de rlndu??e fores?irl

Rubens Bender Place Plzea Roberta aonaar suite 610 Bureau 610 10 Foster Drive 70, promenade Foster Saul! Ste. MarieON sauli sie Mane (oniano) Ontar FSA svs PEA6V5 Tel: 705-9456767 Tel. 7059456767 Fax 705-945-5977 Teléc: 7053455977 ioMNR119AC-2015-25 September 18, 2015

Dear Stakeholder:

In 2009, Ontario began the process of modernizing the system that governs who manages Crown forests and how companies get wood. Forest tenure modemization is a long-term commitment.carefully considering the interests of local communities, the forest industry, Aboriginal peoples. and other stakeholders. The purpose of this letter is to let you know about the process the Ministryof Natural Resources and Forestry (MNRF) is undertaking leading up to the review of Ontario forest tenure models.

Forest tenure modernization is about supporting the growth of the forestry industry and job creation. The objectives also include more meaningful involvement of local and Aboriginal communities in the management of local forests. and more access to wood for more companies, including new entrants to the industry.

As such, the plan to modernize forest tenure involves the transition to new, more inclusive tenure models to govern the business of forestry in Ontario. This includes: o Local Forest Management Corporations (LFMCs) o Enhanced Sustainable Forest Licences (ESFLs)

There are various forest tenure models in Ontario including shareholder SFLs, single- entity SFLs, Crown managed forests. Algonquin Forest Authority, and those under development. A review will help to assess the performance and effectiveness of the various forest tenure models and detennine how to improve existing and future models.

Last year. the ministry established a Forest Tenure Modernization Oversight Group, with representatives from the forest sector, local communities, First Nations.non-status communities, Métis, as well as academia. One of its key mandates is engagement and collaboration throughout the review process. Ihave attached the list of members for your convenience. The Oversight Group is MNRF‘s primary channel of engagement. Together, we have developed the process that will lead to the review in 2016 and will work collaboratively to provide advice to the Minister.which may assist in the direction of forest tenure modernization after 2016.

The ministry and the Oversight Group are currently seeking feedback on the draft measures developed they have developed to evaluate the forest tenure models against goals and objectives. I invite you to take a look at the draft measures and provide us with feedback by going to wwwforesttenuremodemization.rigg|egroug.ca. Keep in mind

L - Ministry of Natural Resources & Forestry - Forest Tenure... Page 6 of 195 that feedback must be received by October 16, 2015. You can also contact one of the Oversight Group members ifyou have any questions. Nancy Houle.MNRF's Tenure Modernization team member willalso be happy to answer questions. She can be reached at [email protected] or by calling (705)755-1346.

Both the Oversight Group and my staff are committed to keeping interested parties informed about the Review. I look fonivard to sending you more information as this project proceeds.

Sincerely.

Kathleen McFadden Assistant Deputy Minister Forest Industry Division

L - Ministry of Natural Resources & Forestry - Forest Tenure... Page 7 of 195 L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 1: Create a more economically efficient allocation system Evaluation Area Evaluation Question Outcome Measure Data Source 1. Effectiveness – A. How effective are the i. Increased use of available a. Mechanisms/processes are in place to make - FMP, Annual Report Extent to which the efforts of the SFL wood supply as approved unused wood available. (If yes, document the available harvest of holder/company to make in the Forest Management process. If not, why not) - SFL holder/company wood is being used wood available? Plan (FMP) b. Mechanisms/processes are in place to notify public communication materials, e.g.

that unused wood is available (If yes, document notices to local communities and the process. If not, why not) local Aboriginal communities, c. SFL holder/company is making wood available: postings on website  To existing shareholders (where applicable)  On open market - SFL holder/company business  Equal access for new and existing users documents (e.g., SFL, business  Looks for new partners/businesses to utilize plans, shareholders agreement (if unused wood applicable)) d. SFL holder/company shows progress towards increasing amount of unused wood available. e. SFL holder/company has tracking system for unused wood f. Number and type of facilities (e.g., saw mill) for receiving wood B. How effective are the ii. New entrants have a. SFL holder/company has a plan/process for the - SFL holder/company business efforts of the SFL access to wood inclusion of new entrants (If yes, document the documents (e.g., SFL, business holder/company in process. If not, why not). plans, shareholders agreement (if providing new entrants the applicable)) opportunity to access b. New investment (new and existing facilities or wood? businesses) has occurred as result of making - SFL holder/company website unused wood available

c. Number of discussions with potential new entrants - Discussions with SFL holder/ Page 8 of195

September 2, 2015 1

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 1: Create a more economically efficient allocation system Evaluation Area Evaluation Question Outcome Measure Data Source d. Number of discussions resulting in new entrants company, shareholders (where having access to wood applicable), local communities and local Aboriginal communities, proponents (whether successful or not)

- Timber Allocation and Licensing Section (FRL records) C. How effective are the iii. Reduce government’s a. SFL holder/company has been approached or - Interviews with SFL company, efforts of the SFL role in the allocation of asked to consider business to business mills and harvesters (existing and holder/company in wood arrangements to replace traditional Crown new entrants) reducing government’s commitments.

role in the allocation of b. SFL holder/company has a process for negotiating wood? - SFL business documents (e.g., business to business arrangements to replace SFL, business plans, traditional Crown commitments (If yes, document shareholders agreement) the process. If not, why not). c. SFL holder/company has negotiated or is in the process of negotiating business to business arrangements to replace traditional Crown commitments. 2. Relationship A. To what extent have i. Positive, constructive and a. Where there is a governing body (board): - Performance reviews Development positive, constructive and trusting relationships ‐ Governing body of the SFL holder/company trusting relationships been within a SFL evaluates their performance and acts upon - Minutes from Board/staff developed within a SFL holder/company’s recommendations meetings company and between the governance and/or ‐ Performance of the SFL holder/company has company and its external management/staff and been evaluated relations? between the SFL ‐ Governing body of the SFL holder/company has - Surveys/interviews with staff, holder/company and its acted upon recommendations of evaluation local MNRF, local stakeholders, external relations local communities and local b. Where there is no governing body (board): Aboriginal communities ‐ SFL holder/company has a governance

Page 9 of195 structure (i.e., process for how direction and information flows within SFL holder/company ) - SFL holder/company website ‐ SFL holder/company evaluates their performance and acts upon recommendations

September 2, 2015 2

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 1: Create a more economically efficient allocation system Evaluation Area Evaluation Question Outcome Measure Data Source c. SFL holder/company has a process for managing conflict of interest (If yes, document the process. If not, why not). d. SFL holder/company has a process/plan for cross cultural dialogue and exchanging information 3. Economic Efficiency A. What is the cost of i. Operation that creates a. SFL holder/company has a process/system for - Interviews with SFL manager operating the SFL economic efficiencies covering management costs and companies that get wood holder/company? b. SFL holder/company has a cash flow management from other management areas system. c. SFL holder/company’s price per component for - SFL holder/company records delivered wood (price broken out by component – e.g., forestry futures, forest renewal, Consolidated Revenue Fund portion of stumpage, management fee, etc.) d. Costs are competitive with comparable/adjacent management areas. e. SFL holder/company has a diverse range of products/markets or value added products (Document changes over time - historically, currently, in near future). f. Priorities are consistent with business objectives and are communicated to management and staff g. Where there is a governing body (board): Variety of skills amongst members of governing body B. Are SFL ii. Self-sustaining a. SFL holder/company: - SFL holder/company records, holder/companies self- businesses ‐ pays their bills to clients and customers balance sheets sustaining? ‐ is not in arrears with Crown stumpage payments ‐ has adequate cash flow - Jobs ads on websites, local

Page 10 of195 ‐ meets minimum balance in forest renewal trust newspapers other media at year end

b. SFL holder/company has mechanism(s) to ensure financial health and meet forest management obligations during a sustained or severe economic downturn (list or describe mechanism(s)).

September 2, 2015 3

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 1: Create a more economically efficient allocation system Evaluation Area Evaluation Question Outcome Measure Data Source c. SFL holder/company invests in local workforce (e.g., though outreach, training, hiring local youth and other community members) 4. Transparency – SFL A. To what extent are SFL i. A fair and transparent a. SFL holder/company has set criteria for allocation - SFL holder/company website holder/company is holder/companies fair and decision making system requests (list criteria). open, transparent transparent in their for allocation on each b. Potential users are aware of SFL - SFL holder/company business and fair in business decision making? management unit / holder/company’s criteria for allocation requests. documents dealings, forest management area, to management ensure the certainty and c. Criteria for allocation requests are understood. activities and public predictability in wood - Interviews with potential users relations allocation including local communities and d. SFL holder/company has fair and transparent local Aboriginal communities evaluation process for determining wood allocation. e. SFL holder/company shares all relevant data about the sale and how the transaction was completed and made publically available (e.g.’ makes available the evaluation criteria for selecting bidder, has an open and transparent bid process). f. SFL holder/company’s process includes a protocol for allocation of wood to local communities and local Aboriginal communities who submit a request/proposal. g. SFL holder/company maintains a website to make information on wood allocation available. B. Does the SFL ii. Impartiality in the a. SFL holder/company solicits input and advice from holder/company’s decision management of Crown stakeholders, public, local communities and local making process consider a forests. Aboriginal communities range of perspectives? b. Information about the management of the forest is

Page 11 of195 available on SFL holder/company website, and is updated on a regular basis

September 2, 2015 4

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 2: Provide opportunities for meaningful involvement by local and Aboriginal communities Evaluation Area Evaluation Question Outcome Measure Data Source 1. Effectiveness - Extent A. How effective are the i. Local Aboriginal a. Where there is a governing body: Community and/or - FMP (e.g. issue resolution to which SFL efforts of the SFL community and local Aboriginal representatives are on the governing body discussions), Annual Report holder/company involve holder/company in community involved in or opportunity has been provided local Aboriginal involving local decision-making of - SFL holder/company’s community and local Aboriginal community SFL holder/company b. Where there is governing body: Community or communication materials (e.g. community in decision- and local community in Aboriginal members have full voting rights making decision-making? notices to local communities c. Where there is governing body, but local and Aboriginal and local Aboriginal representatives are currently not on board: SFL communities, posting on holder/company has a plan/process for the inclusion of website) local and Aboriginal representatives on governing board - SFL holder/company website d. Where there is governing body, but local and Aboriginal

representatives are currently not on board: SFL holder/company has an open invitation to come to - SFL holder/company business board meetings documents, policy/procedures

e. Where there is governing body, but local and Aboriginal representatives are currently not on board: SFL - Interviews with local holder/company has a mechanism to voice Aboriginal communities, local concerns/comments with management or governing communities, SFL body holder/company company reps f. Where there is no governing body: a mechanism to voice concerns/comments with management - Communities’ records g. Where there is no governing body: local communities and local Aboriginal communities are satisfied with the approach for voicing concerns/comments with management h. SFL holder/company has a communications strategy. B. Is there evidence that i. SFL Holder/company a. SFL holder/company has clear and published SFL Holder/company seeks and acts on input procedures in place for the consideration of formal

Page 12 of195 seeks and acts on input as appropriate from requests by local communities and local Aboriginal as appropriate from local local communities and communities communities and local local Aboriginal b. Communication protocol in place between SFL Aboriginal communities? communities holder/company and local communities and local Aboriginal communities

September 2, 2015 5

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 2: Provide opportunities for meaningful involvement by local and Aboriginal communities Evaluation Area Evaluation Question Outcome Measure Data Source 2. Engagement of local A. What is the extent of i. SFL Holder/company a. SFL holder/company seeks input from local - Interviews with local communities and local SFL Holder/company engages local communities and local Aboriginal communities when communities and local Aboriginal communities engagement with local communities and local developing or revising communication or consultation Aboriginal communities, SFL in activities and communities and local Aboriginal communities plans. staff programs related to the Aboriginal communities in activities and b. SFL holder/company has a communication and/or management of the in activities and programs related to the consultation plan. forest programs related to the management of the - Certification audits management of the forest c. SFL holder/company tracks the interest, engagement forest? and effectiveness of its efforts to engage local - Independent forest audits communities and local Aboriginal communities in activities and programs related to the management of - Company strategies, policies, the forest programs, activities, etc. d. SFL holder/company actively provides partnership opportunities with local communities and local - SFL holder /company website Aboriginal communities in delivery of activities and programs (e.g., sends letters, posts on website, has - SFL holder /company dialogue/meetings with communities) communication plan or strategy e. SFL holder/company has established partnerships with local communities and local Aboriginal communities in - Forest management plan delivery of activities and programs f. Level of engagement of local communities and local Aboriginal communities during forest management planning and operations g. SFL holder/company has positive relationship with local communities and local Aboriginal communities (based on perceptions of both company and communities). h. SFL holder/company has policy regarding youth training and employment programs i. SFL holder/company invests in a youth training/employment program targeting various aspects Page 13 of195 of forestry and forestry business (e.g., for foresters, technicians, equipment operators) j. Increased interest from youth in jobs in forestry business. k. Increase in number of youth in jobs in forestry business

September 2, 2015 6

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 2: Provide opportunities for meaningful involvement by local and Aboriginal communities Evaluation Area Evaluation Question Outcome Measure Data Source l. SFL holder/company makes fuelwood areas readily available m. SFL holder/company engages in other defined activities for the purpose of engaging local communities and local Aboriginal communities in forest management planning and operations (e.g. Forest Days, twitter feed). 3. Satisfaction – Extent to A. How satisfied are local i. Local communities and a. Local communities and local Aboriginal communities - Survey/interviews/ group which local communities and local local Aboriginal members feel they contribute and influence decisions meetings with local and communities and local Aboriginal communities communities are b. Community and Aboriginal members on the governing Aboriginal community members Aboriginal communities with their level of satisfied with their level body feel their contributions are worthwhile (may include LCC members, are satisfied with their involvement in decision- of involvement level of involvement in making of SFL c. Community and Aboriginal members have a consider venue specific for the decision-making of holder/company? mechanism that enables them to meet with under-30 demographic); SFL holder/company mgmt./board appropriate method to be d. Community and Aboriginal members are using determined established mechanisms to participate - Certification audits e. local communities and local Aboriginal communities are satisfied with the communications strategy - IFAs f. Local communities and local Aboriginal communities are satisfied with SFL holder/company efforts to involve local and Aboriginal communities in decisions of SFL holder/company g. Local communities and local Aboriginal communities are satisfied with the actions of the SFL holder/company in relation to their requests Page 14 of195

September 2, 2015 7

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 2: Provide opportunities for meaningful involvement by local and Aboriginal communities Evaluation Area Evaluation Question Outcome Measure Data Source 4. Economic benefits A. To what extent have i. Economic benefits for a. Evidence SFL holder/company is in keeping with - SFL business plan SFL holder/companies local Aboriginal Condition 34, for example: demonstrated a communities – SFL holder/company offers forest resource licences - Shareholder’s Agreement commitment to (FRLs) or other contracts to Aboriginal businesses supporting local – Number of harvesting and silvicultural contracts held Aboriginal economic by Aboriginal business - Policy, protocols, procedures development and or – SFL holder/company invests in capacity building (as or separate strategy, providing economic defined by company) engagement Strategy benefits? – Aboriginal people employed by SFL holder/company – SFL holder/company has partnerships with - SFL holder/company records Aboriginal community businesses – SFL holder/company has an Aboriginal engagement - Certification audits strategy which includes opportunities for economic benefits - IFAs – SFL holder/company does outreach and communication of opportunities - Procurement policy – SFL holder/company has procurement policy that gives preference to local Aboriginal community - FMP Terms of Reference businesses - FMP planning team minutes – SFL holder/company interacts with communities in accordance with an engagement strategy - LCC membership, reports

b. SFL holder/company evaluates the effectiveness of the - Survey/interviews/ group economic programs and opportunities and commits to meetings with local Aboriginal making improvements community members c. Evidence of greater Aboriginal involvement in forest appropriate method to be management planning (e.g., Aboriginal involvement in determined forest management planning has increased of the past five years) B. To what extent does ii. Economic benefits for a. New mills, new investment or new forest-related - Survey/interviews/ group

Page 15 of195 the SFL local communities businesses have been established meetings with local community holder/company and b. SFL holder/company has procurement policy that gives members (may include LCC the activities on the preference to local businesses members, consider venue forest directly contribute specific for the under-30 to the local and c. SFL holder/company does outreach and regional economy? communication of opportunities demographic); appropriate method to be determined d. Permanent employment opportunities with SFL

holder/company exists September 2, 2015 8

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 2: Provide opportunities for meaningful involvement by local and Aboriginal communities Evaluation Area Evaluation Question Outcome Measure Data Source e. SFL holder/company recruits and hires locally - Demographic trends for f. SFL holder/company has youth employment programs communities; Housing costs; Employment stats; Industry g. Youth are staying and working in forestry employment stats; Business h. Number of harvesting contracts held by a local closures or closings; Stats business Canada – forest dependence i. Number of cooperative agreements between local communities and industry -community economic j. Number of silvicultural contracts offered to local development officers businesses - SFL strategy in place (e.g. k. Local forestry businesses are part of company’s supply chain procurement, direct/indirect forestry jobs, open to other related businesses, diversifying the supply chain)

- Third party certification results (e.g. FSC)

- SFL holder/company records

- SFL holder/company strategies, Procurement policy

- Certification audits

- IFAs

Page 16 of195

September 2, 2015 9

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 3: Provide for the sustainability of the Crown forest Evaluation Area Evaluation Question Outcome Measure Data Source 1. Effectiveness - Extent A. How effective are the i. Healthy sustainable a. Independent forest audit and/or 3rd party - IFAs to which SFL efforts of the SFL forest certification findings/results/trends holder/company’s holder/company in - 3rd party certification audits efforts are contributing contributing to a healthy to healthy sustainable sustainable forest? b. Company incorporates other sources of knowledge - Aboriginal Background forests in Ontario and information such as Aboriginal Knowledge Information Report systems and consideration of cultural values - Discussions with SFLs and local communities and local Aboriginal communities

- ISO audits

- FMPs, Annual Reports B. How effectively is the ii. SFL holder/company a. AWS, annual reports are submitted on time. - IFAs SFL holder/company upholds forest upholding its forest management - MNRF district/regional management responsibilities records responsibilities? - Third party certification report 2. Progress on outcome A. To what extent does the i. Balance between a. SFL holder/company’s mandate and goals consider - Company’s strategic plan, SFL holder/company’s economic, other values from the forest and company follows policy, mandate mandate and goals environmental, and through with action consistent with those goals - ISO address economic, social goals

environmental, and b. SFL holder/company has a strategic plan/statement social goals of values/etc that includes broader forest values and - SFL business documents establishes relationships with other forest stakeholders - Annual Business Plan

c. SFL holder/company regularly reviews and/or - Annual reports, IFAs updates strategic documents Page 17 of195 - SFL holder/company website d. Mechanisms for soliciting input from stakeholders and public in developing strategic plan have been - Interviews with SFL established. Manager, LCCs, other e. Stakeholders and public have input in developing stakeholders strategic plan

September 2, 2015 10

L -Ministry ofNatural Resources &Forestry- Forest Tenure...

Review of Forest Tenure Models – Draft Measures

Objective 3: Provide for the sustainability of the Crown forest Evaluation Area Evaluation Question Outcome Measure Data Source f. Strategic plan publicly available on website -FMP g. Programs, policies, activities, and annual plan are developed and implemented consistent with the SFL

holder/company’s strategic plan h. Forest management objectives (from FMP) have been/are in the process of being achieved

3. Relationship A. To what extent have i. Positive relationships a. IEA requests are recorded and response to request - FMP records, IFAs Development positive relationships with local communities is sent/ received been developed and local Aboriginal - Social media, newspapers between the SFL communities, other b. Record of feedback (e.g., through letters, holder/company and resource users, newspapers, information centres) local communities and stakeholders and - Correspondence letters local Aboriginal government (e.g., c. SFL holder/company has trust and credibility with communities, other harmony in the forest) local citizens and government - Interviews with LCC resource users, members and/or other forest stakeholders and users government? 4. Economic Value A. To what extent has the i. Increased economic a. Commitment to enhanced silvicultural practices in - Forest management plan efforts of the SFL value from the forest appropriate areas holder/company while - Business plan increased the economic maintaining/enhancing b. Research and development conducted to improve value from the forest the cultural, social, and quality of forest and forest management activities while environmental values. - Company records

maintaining/enhancing c. New technologies, opportunities are considered that the cultural, social, and will improve quality of forest and forest management - Agreements with research environmental values? activities partners

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September 2, 2015 11

North Algoma Health Needs Assessment

AugustEXECUTIVE

2015SUMMARY

August 2015

North Algoma Health Needs Assessment - Final Reports & Datab... Page 19 of 195

Executive Summary

The North Algoma Health Needs Assessment pilot project is the first of its kind to be conducted and delivered in Ontario. The project consisted of using the North East Rural Communities Framework for Achieving Improved Health System Coordination to implement change that is based on client focused health care needs. The purpose of the framework is to provide rural communities with a process and tools to assist in determining where and how improvement can be made in their local health care system. This framework is rooted in community involvement and is intended to be driven by the collaborative efforts of local stakeholders. Personal stories from study participants helped to gather information related to client experiences within the local level of care and external health care systems. At the request of the Wawa Seniors Solution Council, the NAHNA pilot project began in March 2014. A steering committee was formed which included local representation from the following stakeholder groups: acute, long term care, primary care, community support services, mental health and addictions, public health, social services, patients, family member of patients, municipalities, francophone and aboriginal populations, as well as the NE LHIN. A project coordinator was engaged to deliver the North East Rural Communities Framework for Achieving Improved Health System Coordination in six communities of North Algoma (Dubreuilville, Hawk Junction, Michipicoten First Nation, Missanabie, Wawa and White River). The population of these communities is 4,503 people. The data which was gathered was collated and then validated through presentations in each community including the prioritizing of themes. Results and Strategies The following section provides an overview of the overarching themes and suggested strategies for improvement. Overarching Theme 1: Opportunities to Strengthen Local Health Care Service Delivery NAHNA study participants identified that they were generally satisfied with the following services provided across all six communities in North Algoma:

nurse practitioner; diabetes education program (diabetes nurse/dietitian, foot care/nurse); telemedicine; public health; Ambulance services. NAHNA participants also provided suggestions to strengthen these services in order to improve local healthcare service delivery and client experience.

2 | P a g e

North Algoma Health Needs Assessment - Final Reports & Datab... Page 20 of 195 As well, they also identified other services that could be enhanced across all six communities including:

physician services; wellness/social activities; homecare services; transportation; community support services; seniors services; women’s services; physiotherapy; community emergency plans; culturally sensitive and linguistically appropriate services with respect to Francophone and First Nations communities; specialists; respite care; chemotherapy; obstetrics; and hearing services. Descriptions of the general issues with these services and suggestions on how to strengthen them are described below.

Nurse Practitioner: In the community of Missanabie there were requests for more frequent visits; possibly monthly or bi-monthly. There also appeared to be a need to enhance awareness of service across all communities and a suggestion was made to prepare an information sheet describing the NPs capabilities. The last suggestion was to expand nurse practitioner’s referral privileges to include the ability to refer to specialists and this has recently occurred through legislation. Diabetes Education Program (Diabetes Nurse/Dietitian/Foot Care Nurse): For communities outside of Wawa, study participants identified that more frequent and consistent visits would enhance their experience with the services offered by the Diabetes Education Program (DEP). Foot care services for clients with diabetes should also be addressed by increasing the availability of the foot care nurse and not allowing non-diabetic clients to access the DEP foot care services. Seniors should be able to access community support services for foot care. Other improvements relate to communication and awareness of providers and include ensuring physicians and locums are aware of the DEP service and that primary care physicians and the diabetes team hold client case conferences. Education and support should also be addressed through creating a venue for diabetic peer support and providing more education workshops in schools to prevent diabetes. Finally there was a request to expand services to pediatric clients. Telemedicine: In general OTN services seemed available and appreciated. There was a request to also make them available in Missanabie and Michipicoten First Nation to assist in decreasing travel to Wawa or other areas for services. Increasing the use of OTN for more health and education workshops, access to dietary and nutrition

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 21 of 195 programs, senior’s exercise programs, Wawa Family Health Team programs and enhance access to French Language services. The need to increase awareness of OTN services was also identified and could be addressed by providing education sessions to the public about the available options. These suggestions would address one of the most common themes throughout the study which has been out of town travel for services that are not available locally. Public Health: Public health services offered for participants in Missanabie, Hawk Junction, and Wawa are currently meeting the needs. The communities of Dubreuilville and White River are interested in increasing local access to public health services such as vaccinations, birth control, prenatal classes, and tobacco cessation counselling by providing more frequent visits to these communities. The frequency of visits will be discussed with Algoma Public Health. Physician Services: There were common themes for opportunities to enhance experiences with physician services. Collaboration with the physicians and the Wawa Family Health Team administration will be undertaken to understand how they can better meet the needs of the communities. Physician resources are limited; the teams can offer physicians their assistance to improve client experience. o Length of Appointments: Short physician visits of fifteen to twenty minutes contribute to the need for clients to commute back to Wawa multiple times to deal with various health issues. Participants have suggested increasing the length of visits and allowing more than one issue to be dealt with at a time. Longer visits may result in fewer clients being able to access physicians therefore other suggestions were made to help clients to better prepare for visits. The recommendation which was made was to inform clients of the questions to prepare for doctor visits, and then to ensure that each patient was seen by a nurse who would document the information for the physician. This would help to better address clients’ concerns and make better use of physician time.

o Medication Management: Clients would like to understand what a medication is for, as they do not always understand the diagnosis, or the remedy to their ailment. Participants indicated that they have experienced difficulty keeping track of their medications when seeing physicians in other communities. The potential solution to this is to implement a program for clients to receive drug lists from pharmacies and for them to carry their medical information with them in a folder. In addition, a campaign to inform seniors and others with chronic illnesses of the benefits of posting a medication list on their fridge at home for easy access for health care workers and paramedics would be beneficial.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 22 of 195 o Communication: Participants identified that communication with physicians can be intimating at times. Participants require clearer more complete information about their health issues from their physicians. Another suggestion is to enhance client awareness of available venues to voice their concerns about physician care. o Visits to Outlying Areas: The communities of Missanabie, Hawk Junction, Michipicoten First Nation, White River, and Dubreuilville have all indicated that they would benefit from having regular visits to their communities by Wawa-based physicians that are scheduled ahead of time in a yearly calendar. Wellness/Social Activities: Each community wishes to have more wellness and social activities. Some suggestions include: holding big screen movie nights; activities specifically for women; true colours workshops; activities for children and youth; exercise classes; Francophone celebration days; and seniors programming. They identified that it may be necessary to hire a recreational coordinator to organize the above activities. There is a need to promote volunteerism and participation with the activities. Wawa and area residents would like to establish reasonable in and out of town transportation to facilitate social activities. Each community will establish health and wellness programs. The establishment of a Health Committee will help to address these issues. Homecare Services: A gap in homecare services (i.e. nursing and personal support) was believed to exist. The discussion about the gap is to be further explored with North East Community Care Access Centre. Issues with inadequate local access and continuity of access were the main items to be addressed. Improvements in how the service is provided include in-person homecare assessments rather than over the phone, as well as, ensuring that a client advocate is present during the assessment. The service would be better received if local personal support workers were trained and would also lead to fewer missed visits and shorter wait times for services. The area would benefit from inclusion in preventative homecare assessments through the new Paramedicine pilot project which will be discussed with Algoma Emergency Services. The Home First government strategy needs to be followed and requires appropriate funding to address the strategy. Transportation: The residents of Hawk Junction are interested in having an accessible vehicle going to Wawa at least once a week to assist with getting to and from medical appointments. Michipicoten First Nation residents would like to adjust the way that their existing van is run to better meet their needs, as well as, enhancing awareness of this service. Dubreuilville study participants have suggested establishing a transportation program similar to that of Hornepayne. White River residents are in the process of enhancing their local transportation services through a partnership with the Canadian Red Cross. The transportation funding has been received. The Canadian Red Cross Transportation Program is available to all

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 23 of 195 communities; however, there is a cost for this service which may limit access for those who cannot afford it. Community Support Services: A lack of awareness of available community support services including meals on wheels, home maintenance, home help, senior foot care, and friendly visiting was an issue across the region. Human resource issues were the main contributor to the availability of services while lack of awareness of the services is also an issue. Enhanced promotion of employment opportunities may be required in order to increase access to services. Increased funding to address wait lists is necessary. Senior’s Services: Increased access to Algoma Geriatric Program locally is required. A congregate dining program and increased recreational activities would be beneficial to many seniors. For caregivers, an increased availability of respite care would help to keep seniors at home longer. Seniors identified that lack of access to reasonably priced foot care was an issue across communities. Specialists: The items of concern relate to catchment area restrictions; wait times for telemedicine specialist’s appointments; and a lack of locally available specialists. Given the volume of work available for specialists (anesthetists, geriatricians and surgeons) in this area, the focus will be on improving access rather than attempting recruitment. Concerns related to wait times need to be tracked and discussed with the organizations providing specialists telemedicine services. A community physician services committee would be required to develop a plan to address these concerns. Catchment area restrictions should not be an issue and clarification will be sought from the NE LHIN. Women’s Services: Suggestions for addressing the need for enhanced women’s services include local access to women’s health clinics and workshops, and housing all local women’s services in the same building in Wawa. Workshop options that empower women may help to support women and build a strong foundation for their families. Other Identified Service Gaps: The following services have been identified by the majority of participants as gaps in all communities with the suggestion to make them available locally. o Physiotherapy o Community Emergency Plan o Respite Care o Chemotherapy o Obstetrics o Hearing Services o Renal Dialysis services Due to the lack of availability of human resources both medical and other disciplines, as well as, the ability to maintain competency in specialized areas such as obstetrics,

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 24 of 195 hemodialysis, etc., it is not possible to deliver these services locally. The focus needs to remain on removing or reducing the roadblocks to access to the services. These roadblocks include travel costs, accommodation costs, family support, and wait times. Making Wawa-based services available in the outlying communities was an overwhelming recommendation. Accomplishing this could be done through telemedicine as described above, or through Community Healthcare Days/Health Fairs held in outlying communities. These days could include services provided by the Nurse Practitioner, Diabetes Nurse/Dietitian, Public Health Nurse, and Wawa Family Health Team, etc. The inventory of services list can be utilized to enhance other service provider participation in the community healthcare days/health fairs that are provided during other community events. Across the region there was a recommendation for a social services navigation role to assist clients to access the services they require. Theme 2: Lack of Awareness of Available Services/ Financial Assistance and Grants The second overarching theme is lack of awareness of available services, financial assistance and grants. Generally, clients feel as though they do not receive or receive very little information about available services. Some suggestions to enhance awareness include:

Increased use of existing methods of communication as noted in each community- specific section of this report, as well as, establishing a central location for health information in each community; Provide the community with information about available financial assistance and grants by setting up a grant opportunity database; Increase health service provider awareness of existing services through lunch and learns and inter-service provider meetings; Provide physicians with up to date list of available services; Encourage physicians and service providers to relay information to clients when needed; Hire an additional social worker and/or increase the Wawa Family Health Team social worker to a full-time position as a system navigator to facilitate connections between clients and health services; Ensure consistent health service provider visits to outlying areas; Hold health forums/fairs in each community to help clients understand what services are available, and how to access them; Re-establish local community cable channel to promote programs and services. All information must be kept current.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 25 of 195 Theme 3: Issues with Travel Grants The third overarching theme is with travel grants. Clients spoke about insufficient reimbursement and no coverage for care giver costs. Out of province travel costs not being covered was identified as an issue particularly when the service is not available on an emergency basis in Ontario. The mileage condition disqualifies trips to Wawa for White River and Dubreuilville residents from coverage. The local travel grant process was also identified as problematic. Some suggestions for strengthening the travel grant experience include:

Lobby the government to change the Northern Ontario Travel grant program to provide reimbursement based on length of stay rather than on a per trip basis, and to reimburse for caregiver costs; Establish an affordable accommodations in Sault Ste. Marie; Increase awareness of “special rates” at certain Sault Ste. Marie hotels for confirmed medical appointments; Sault College housing facilities are available from May to August as an option. Theme 4: Mental Health and Addictions Services The fourth overarching theme identified by NAHNA participants are gaps in available mental health and addiction services in North Algoma. These gaps include: a lack of locally available grief and mental health support; seniors’ mental health services; preventative mental health services; addictions services; mental health counselling; acute/crisis services; mental health helpline services; and traditional forms of healing. Mental health and addictions stigma has also been identified by participants. The following strategies have been suggested:

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 26 of 195 Offer traditional practitioners for the high number of Native clients who access existing mental health services. Next Steps Over the next months, short and long terms goals and objectives will be implemented along with business cases for those items for which funding is not currently available. The next stages will continue to be under the oversight of the steering committee and the work will be done through working groups and community leadership with client participation on the teams. Along with implementation, the plan will be monitored, and evaluated by the steering committee with periodic progress reports back to the communities. Conclusion Ultimately the health care system in North Algoma will be improved by the professionals and clients who live and engage in everyday life in these rural communities. The NAHNA Steering Committee extends a thank you to all clients, service providers, the NE LHIN, and Lady Dunn Health Centre for the opportunity to conduct the NAHNA pilot project for North Algoma.

Please contact your local municipality, clinic, library, or Wawa hospital for: Summary Reports Inventory of Services Database Financial Assistance & Grants Database Contact information is available in Appendix C of the Summary Report

March 2014 – December 2015 Wawa, Ontario

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North Algoma Health Needs Assessment

Summary

August 2015

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Table of Contents

Section Sub-Section Page Number Executive Summary 2 – 8 Introduction 9 Methodology 9 – 13 Dubreuilville Results & 14 – 17 Strategies Hawk Junction Results & 18 – 20 Strategies Michipicoten First Nation 21 – 22 Results & Strategies Missanabie Results & 23 – 25 Strategies Wawa Results & Strategies 26 – 31 White River Results & 32 – 36 Strategies Appendix A Terms of Reference Appendix B Action Plan Action Plan Purpose and Description of Project Appendix C Obtaining copies of: a. Summary Reports b. Inventory of Services c. Financial Assistance and Grants/Information

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Executive Summary

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o Nurse Practitioner: In the community of Missanabie there were requests for more frequent visits; possibly monthly or bi-monthly. There also appeared to be a need to enhance awareness of service across all communities and a suggestion was made to prepare an information sheet describing the NPs capabilities. The last suggestion was to expand nurse practitioner’s referral privileges to include the ability to refer to specialists and this has recently occurred through legislation. o Diabetes Education Program (Diabetes Nurse/Dietitian/Foot Care Nurse): For communities outside of Wawa, study participants identified that more frequent and consistent visits would enhance their experience with the services offered by the Diabetes Education Program (DEP). Foot care services for clients with diabetes should also be addressed by increasing the availability of the foot care nurse and not allowing non-diabetic clients to access the DEP foot care services. Seniors should be able to access community support services for foot care. Other improvements relate to communication and awareness of providers and include ensuring physicians and locums are aware of the DEP service and that primary care physicians and the diabetes team hold client case conferences. Education and support should also be addressed through creating a venue for diabetic peer support and providing more education workshops in schools to prevent diabetes. Finally there was a request to expand services to pediatric clients. o Telemedicine: In general OTN services seemed available and appreciated. There was a request to also make them available in Missanabie and Michipicoten First Nation to assist in decreasing travel to Wawa or other areas for services. Increasing the use of OTN for more health and education workshops, access to dietary and nutrition programs, senior’s exercise programs, Wawa Family Health Team programs and enhance access to French Language services. The need to increase awareness of OTN services was also identified and could be addressed by providing education sessions to the public about the available options. These suggestions would address one of the most common themes throughout the study which has been out of town travel for services that are not available locally.

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o Public Health: Public health services offered for participants in Missanabie, Hawk Junction, and Wawa are currently meeting the needs. The communities of Dubreuilville and White River are interested in increasing local access to public health services such as vaccinations, birth control, prenatal classes, and tobacco cessation counselling by providing more frequent visits to these communities. The frequency of visits will be discussed with Algoma Public Health. o Physician Services: There were common themes for opportunities to enhance experiences with physician services. Collaboration with the physicians and the Wawa Family Health Team administration will be undertaken to understand how they can better meet the needs of the communities. Physician resources are limited; the teams can offer physicians their assistance to improve client experience. o Length of Appointments: Short physician visits of fifteen to twenty minutes contribute to the need for clients to commute back to Wawa multiple times to deal with various health issues. Participants have suggested increasing the length of visits and allowing more than one issue to be dealt with at a time. Longer visits may result in fewer clients being able to access physicians therefore other suggestions were made to help clients to better prepare for visits. The recommendation which was made was to inform clients of the questions to prepare for doctor visits, and then to ensure that each patient was seen by a nurse who would document the information for the physician. This would help to better address clients’ concerns and make better use of physician time. o Medication Management: Clients would like to understand what a medication is for, as they do not always understand the diagnosis, or the remedy to their ailment. Participants indicated that they have experienced difficulty keeping track of their medications when seeing physicians in other communities. The potential solution to this is to implement a program for clients to receive drug lists from pharmacies and for them to carry their medical information with them in a folder. In addition, a campaign to inform seniors and others with chronic illnesses of the benefits of posting a medication list on their fridge at home for easy access for health care workers and paramedics would be beneficial. o Communication: Participants identified that communication with physicians can be intimating at times. Participants require clearer more complete information about their health issues from their physicians. Another suggestion is to enhance client awareness of available venues to voice their concerns about physician care. o Visits to Outlying Areas: The communities of Missanabie, Hawk Junction, Michipicoten First Nation, White River, and Dubreuilville have all indicated that they would benefit from having regular visits to their communities by Wawa-based physicians that are scheduled ahead of time in a yearly calendar. o Wellness/Social Activities: Each community wishes to have more wellness and social activities. Some suggestions include: holding big screen movie nights; activities specifically for women; true colours workshops; activities for children and youth; exercise classes; Francophone celebration days; and seniors programming. They identified that it may be necessary to hire a recreational

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coordinator to organize the above activities. There is a need to promote volunteerism and participation with the activities. Wawa and area residents would like to establish reasonable in and out of town transportation to facilitate social activities. Each community will establish a health and wellness committee. o Homecare Services: A gap in homecare services (i.e. nursing and personal support) was believed to exist. The discussion about the gap is to be further explored with North East Community Care Access Centre. Issues with inadequate local access and continuity of access were the main items to be addressed. Improvements in how the service is provided include in-person homecare assessments rather than over the phone, as well as, ensuring that a client advocate is present during the assessment. The service would be better received if local personal support workers were trained and would also lead to fewer missed visits and shorter wait times for services. The area would benefit from inclusion in preventative homecare assessments through the new Paramedicine pilot project which will be discussed with Algoma Emergency Services. The Home First government strategy needs to be followed and requires appropriate funding to address the strategy. o Transportation: The residents of Hawk Junction are interested in having an accessible vehicle going to Wawa at least once a week to assist with getting to and from medical appointments. Michipicoten First Nation residents would like to adjust the way that their existing van is run to better meet their needs, as well as, enhancing awareness of this service. Dubreuilville study participants have suggested establishing a transportation program similar to that of Hornepayne. White River residents are in the process of enhancing their local transportation services through a partnership with the Canadian Red Cross. The transportation funding has been received. The Canadian Red Cross Transportation Program is available to all communities; however, there is a cost for this service which may limit access for those who cannot afford it. o Community Support Services: A lack of awareness of available community support services including meals on wheels, home maintenance, home help, senior foot care, and friendly visiting was an issue across the region. Human resource issues were the main contributor to the availability of services while lack of awareness of the services is also an issue. Enhanced promotion of employment opportunities may be required in order to increase access to services. Increased funding to address wait lists is necessary. o Senior’s Services: Increased access to Algoma Geriatric Program locally is required. A congregate dining program and increased recreational activities would be beneficial to many seniors. For caregivers, an increased availability of respite care would help to keep seniors at home longer. Seniors identified that lack of access to reasonably priced foot care was an issue across communities. o Specialists: The items of concern relate to catchment area restrictions; wait times for telemedicine specialist’s appointments; and a lack of locally available specialists. Given the volume of work available for specialists (anesthetists, geriatricians and surgeons) in this area, the focus will be on improving access rather than attempting recruitment. Concerns related to wait times need to be tracked and discussed with the organizations providing specialists telemedicine services. A community physician services committee would be required to develop a plan to

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address these concerns. Catchment area restrictions should not be an issue and clarification will be sought from the NE LHIN. o Women’s Services: Suggestions for addressing the need for enhanced women’s services include local access to women’s health clinics and workshops, and housing all local women’s services in the same building in Wawa. Workshop options that empower women may help to support women and build a strong foundation for their families. o Other Identified Service Gaps: The following services have been identified by the majority of participants as gaps in all communities with the suggestion to make them available locally. o Physiotherapy o Community Emergency Plan o Respite Care o Chemotherapy o Obstetrics o Hearing Services o Renal Dialysis services. Due to the lack of availability of human resources both medical and other disciplines, as well as, the ability to maintain competency in specialized areas such as obstetrics, hemodialysis, etc., it is not possible to deliver these services locally. The focus needs to remain on removing or reducing the roadblocks to access to the services. These roadblocks include travel costs, accommodation costs, family support, and wait times. Making Wawa-based services available in the outlying communities was an overwhelming recommendation. Accomplishing this could be done through telemedicine as described above, or through Community Healthcare Days/Health Fairs held in outlying communities. These days could include services provided by the Nurse Practitioner, Diabetes Nurse/Dietitian, Public Health Nurse, and Wawa Family Health Team, etc. The inventory of services list can be utilized to enhance other service provider participation in the community healthcare days/health fairs that are provided during other community events. Across the region there was a recommendation for a social services navigation role to assist clients to access the services they require. Theme 2: Lack of Awareness of Available Services/ Financial Assistance and Grants The second overarching theme is lack of awareness of available services, financial assistance and grants. Generally, clients feel as though they do not receive or receive very little information about available services. Some suggestions to enhance awareness include:

o Increased use of existing methods of communication as noted in each community-specific section of this report, as well as, establishing a central location for health information in each community; o Provide the community with information about available financial assistance and grants by setting up a grant opportunity database;

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o Increase health service provider awareness of existing services through lunch and learns and inter- service provider meetings; o Provide physicians with up to date list of available services; o Encourage physicians and service providers to relay information to clients when needed; o Hire an additional social worker and/or increase the Wawa Family Health Team social worker to a full-time position as a system navigator to facilitate connections between clients and health services; o Ensure consistent health service provider visits to outlying areas; o Hold health forums/fairs in each community to help clients understand what services are available, and how to access them; o Re-establish local community cable channel to promote programs and services. All information must be kept current. Theme 3: Issues with Travel Grants The third overarching theme is with travel grants. Clients spoke about insufficient reimbursement and no coverage for care giver costs. Out of province travel costs not being covered was identified as an issue particularly when the service is not available on an emergency basis in Ontario. The mileage condition disqualifies trips to Wawa for White River and Dubreuilville residents from coverage. The local travel grant process was also identified as problematic. Some suggestions for strengthening the travel grant experience include:

o Lobby the government to change the Northern Ontario Travel grant program to provide reimbursement based on length of stay rather than on a per trip basis, and to reimburse for caregiver costs; o Establish affordable accommodations in Sault Ste. Marie; o Increase awareness of “special rates” at certain Sault Ste. Marie hotels for confirmed medical appointments; o Sault College housing facilities are available from May to August as an option.

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Theme 4: Mental Health and Addictions Services The fourth overarching theme identified by NAHNA participants are gaps in available mental health and addiction services in North Algoma. These gaps include: a lack of locally available grief and mental health support; seniors’ mental health services; preventative mental health services; addictions services; mental health counselling; acute/crisis services; mental health helpline services; and traditional forms of healing. Mental health and addictions stigma has also been identified by participants. The following strategies have been suggested:

Provide mental health services and support system to seniors in all communities either by having outreach from the Seniors’ Mental Health program in Sault Ste. Marie or through telemedicine; Implement life skills training for youth; o Implement a support system for survivors of residential schools; o Provide in-home aftercare for clients with addictions; o Enhance access to seniors, youth, and adult counselling, psychology, psychiatry, and social workers to assist local residents with mental health and addiction issues; o To reduce stigma establish mental health awareness workshops locally; o Mental health and addiction services in the Emergency department of Lady Dunn Hospital require review to better meet the needs of the clients related to assessment and safe transfer; o Increase awareness of WARM line mental health services; o Increase awareness of locally available crisis service and helpline; o Offer traditional practitioners for the high number of Native clients who access existing mental health services. Next Steps Over the next months, short and long terms goals and objectives will be implemented along with business cases for those items for which funding is not currently available. The next stages will continue to be under the oversight of the steering committee and the work will be done through working groups and community leadership with client participation on the teams. Along with implementation, the plan will be monitored, and evaluated by the steering committee with periodic progress reports back to the communities. Conclusion Ultimately the health care system in North Algoma will be improved by the professionals and clients who live and engage in everyday life in these rural communities. The NAHNA Steering Committee extends a thank you to all clients, service providers, the NE LHIN, and Lady Dunn Health Centre for the opportunity to conduct the NAHNA pilot project for North Algoma.

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SUMMARY Introduction The North Algoma Health Needs Assessment pilot project is the first of its kind to be conducted and delivered in Ontario. Wawa’s Seniors Solution Council was the driving force behind the pilot project. They approached the NE LHIN about delivering the North Algoma Health Needs Assessment Pilot Project. The project consisted of using the North East Rural Communities Framework for Achieving Improved Health System Coordination to implement change that is based on client focused health care needs. Personal stories from study participants helped to gather information related to client experiences within the local level of care and external health care systems. The following report describes the North East Rural Communities Framework for Achieving Improved Health System Coordination, and how it was used to arrive at the strategies which will accomplish the goal of creating a client focused system. The results and strategies are summarized in sections for the communities of Dubreuilville, Hawk Junction, Michipicoten First Nation, Missanabie, Wawa, and White River. For the purpose of this report the word client has been used throughout to mean a person receiving services in the communities whether as a patient, client, or participant. To better understand how residents of North Algoma perceive the health care system, participants from different distinctive ethnic and cultural value systems were engaged through interviews, focus groups, surveys, and community engagements. Cultural differences exist from community to community. Also unique to northern rural communities is the fact that health care providers and clients get to know each other on a personal and professional level as apparent within the study, and can be an enabling factor for coordinating care. While care close to home in North Algoma was an overwhelming preference it must be recognized that highly specialized services such as obstetrics would not be able to be provided in a safe and quality manner due to the availability of skilled human resources to provide the services, and maintain competency with the small volume of clients. Therefore, it is essential to approach these specialized services from the perspective of improving access by removing as many roadblocks as possible. These roadblocks were identified in the sessions as travel costs, accommodation costs, family support, and wait times. The structure of the project and desired end state are presented in the action plan flow charts for the North Algoma Health Care System (appendix B). The system is composed of three sub groups; the Wawa Hospital, Mental Health and Addictions Planning Table, and the Collaborative Health Care group which includes social agencies, local government and EMS services. Methodology The North Algoma Health Needs Assessment (NAHNA Pilot Project) occurring from March 2014 to December 2015 involves the six communities of Dubreuilville; Hawk Junction; Michipicoten First Nation; Missanabie; Wawa; and White River located in Northern Ontario. The total population for this catchment area is 4,503.

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This study follows a process outlined in the North East Framework for Achieving Improved Health System Coordination (Framework) (NE LHIN, January 2014). The purpose of the framework is to provide rural communities with a process and tools to assist in determining where and how improvement can be made in their local health care system. This framework is rooted in community involvement and is intended to be driven by the collaborative efforts of local stakeholders. Diagram 1 provides an overview of the framework. Diagram 1: Overview of North East Framework for Achieving Improved Health System Coordination

Step 1: Determine Community Interest In November 2013, various stakeholders came together from North Algoma to determine that they would be the first pilot site in the North East to implement the framework. Step 2: Establish Local Leadership to Guide Process To begin this process, the NAHNA Steering Committee was established to lead the six communities through the project (see Appendix A for Terms of Reference). This committee consists of local representation from the following stakeholder groups: acute, long term care, primary care, community support services, mental health and addictions, public health, social services, clients, municipalities, francophone and aboriginal populations, as well as, the NE LHIN. The terms of reference along with a work plan and communication plan were developed. Step 3: Current State As per the process outlined in the framework, this project has embarked upon the following activities to identify the current state of the healthcare system in the six communities involved in the NAHNA project. Needs Assessment: A needs assessment was conducted in a collaborative manner through the administration of surveys, interviews, focus groups, and community presentations with the

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residents of North Algoma. Table 1 provides an overview of the participation from each community. Comprehensive primary data reports were developed to reflect real life situations that clients face utilizing the health care system in North Algoma. From these reports further analysis was conducted to identify common themes across North Algoma, as well as, unique themes for each community. These results are reflected in the following sections of this report. Moving forward, the confidential comprehensive reports in combination with the final NAHNA report will be used by Steering Committee members to assist in developing an action plan to address client’s health care needs in North Algoma. Disclaimer: Due to the sensitive nature of the comprehensive primary data reports, they are not shared outside the members of the NAHNA Steering Committee. NAHNA Steering Committee members have signed an oath of confidentiality attesting to this disclaimer. Table 1: NAHNA Participation

Inventory of Existing Services: The second activity to assist in identifying the current state of the North Algoma healthcare system was to develop an inventory of existing services. This was accomplished by asking health service providers to complete and submit a general inventory template. This information was collated and organized into a comprehensive inventory demonstrating the services that are currently available in each of the six communities at local libraries, municipalities, hospital and clinics. Appendix C is available listing contact information for database availability. Comparative Analysis: The comprehensive reports, summary report, and inventory of services were used to conduct a comparative analysis to assist in identifying the root causes of some of the issues identified by participants. In addition, the NAHNA Steering Committee came together for two full days to review and add to the initial results. Further to this, community

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presentations of the initial results were provided in each of the six communities. This allowed for residents to have an opportunity to further contribute to the study. All of this information has been compiled and is reflected in the results presented in this report. Financial Assistance and Grants, and Links: A grant opportunities database is available for clients who may require further assistance for their health care needs and funding opportunities for organizations.

Step 4: Establish Desired End State and Action Plan Based on the results presented in this study, the NAHNA Steering Committee developed a prioritized action plan to facilitate the implementation of many of the strategies suggested by participants. Where possible, the use of existing resources is exercised. However, if existing resources are insufficient, additional resources are requested through the submission of a business case to the NE LHIN, or through other means of obtaining funding (i.e. grant opportunities, etc.). The action plan is presented in appendix B. Step 5: Review and Implement This stage includes a review of the proposed action plan by the NE LHIN to ensure alignment with provincial priorities, as well as, to offer suggestions to the NAHNA Steering Committee in relation to the proposed strategies. Once this review is provided, the NAHNA Steering Committee will begin implementation of their action plan. Step 6: Monitor, Evaluate, and Adjust Each project within the approved action plan is monitored, evaluated, and adjusted using project management tools as outlined in the Framework Toolkit. Common North Algoma Results & Strategies Summary The following section provides a summary of the overarching themes that were found when comparing and contrasting the results and suggested strategies from the six communities engaged in the North Algoma Health Needs Assessment (NAHNA). Based on this analysis, four common themes across all communities arose including:

Opportunities to Strengthen Local Health Care Service Delivery; Lack of Awareness of Available Services, Financial Assistance and Grants; Issues with Travel Grants; and Mental Health and Addictions. General Results

The overarching themes identified through the project were: Opportunities to Strengthen Local Health Care Service Delivery; o NAHNA participants identified that they were generally satisfied with the following services provided across all six communities in North Algoma: nurse practitioner;

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diabetes education program (diabetes nurse/dietitian, foot care/nurse); telemedicine; public health; and ambulance services. Although NAHNA participants identified satisfaction with the above services, they also provided suggestions to strengthen these services in order to improve local healthcare service delivery, and client experience. In addition to the services that NAHNA participants were satisfied with, they also identified other services that could be enhanced across all six communities including: physician services; wellness/social activities; homecare services; transportation; community support services; seniors services; specialists; women’s services; physiotherapy; community emergency plans; respite care; chemotherapy; obstetrics; and hearing services. Lack of Awareness of Available Services, Financial Assistance and Grants; o Generally, clients feel as though they do not receive or receive very little information about available services. o In the consultations with clients, several had concerns with various aspects of receiving care in referral hospitals; transfers in, care in the emergency department, as well as, coordination of discharge. There did not seem to be an awareness of the complaints process available in each hospital, or the importance of completing patient satisfaction surveys in order to improve quality. Process concerns are addressed in the report and in addition it would be helpful to provide this information for the common referral sites of clients of North Algoma. Issues with Travel Grants; o The main issues that clients identified include: insufficient reimbursement; no coverage for care giver costs; no coverage for out of province costs; no coverage for trips to Wawa for White River and Dubreuilville residents; and issues with the local travel grant process. Mental Health and Addictions o These gaps include: a lack of locally available grief and mental health support; seniors’ mental health services; preventative mental health services; addictions services; mental health counselling; acute/crisis services; mental health helpline services; and traditional forms of healing. Issues with form 1 transfers and mental health and addictions stigma have also been identified by participants. Community Specific Results Within these main themes each community had some differences and these are captured in the following tables along with a description of each community. In the validation phase of the data collection each community identified their most pressing concerns which need to be addressed first.

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DUBREUILVILLE RESULTS & STRATEGY Community Background Dubreuilville Community Demographics

Population 635

Age Characteristics o Median Age of Population: 36.8 o % of Population Aged 15 and Over: 78.1% o Population Aged 50 and Over: 180

Languages o Anglophone: 65 o Francophone: 560 o Non-Official Languages: 5 (2011 Canadian Census) Three priorities selected by Dubreuilville participants are listed below as their pressing needs:

1. Access to French Languages Services 2. Travel grant related issues 3. Mental Health and Addictions Services Table 1: Dubreuilville Results & Strategy Summary

Theme 1: Opportunities to Strengthen Local Healthcare Service Delivery Issues and Observations Strategies Public Health Services; o Provide awareness of nurse practitioner’s referral privileges Dubreuilville Medical Clinic; that have recently been expanded to include specialists. Foot Care; Physician Services; o Improve consistency of service and notification of when and Physiotherapy; Community where services will be provided for diabetes Support Services; Respite education/dietitian/foot care. Care; Homecare; o Enhance availability telemedicine for health and education Transportation; Wawa Family workshops, access to dietary and nutrition programs, Health Team; Obstetrics; senior’s exercise programs, Wawa Family Health Team Wellness/Social Activities; programs; use OTN to enhance access to French Language Paramedic Services. services. o Provide more frequent Algoma Public Health visits to the community and provide a yearly visit calendar at beginning of the year. Include when francophone nurse is available. o Enhance hours of service at the Dubreuilville medical clinic; make other services such as public health, women’s services, and hearing and eye services available at the clinic. o Provide more frequent visits to the community for foot care and promote foot care services.

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o Plan with the participation of doctors and administration on how to enhance access to more local appointment times, and use of OTN services by family doctors when travel in the winter is not possible. French translation services for physician appointments should be explored. o Work with CCAC to enhance access to local service and provide physiotherapy and occupational therapist services locally. o Enhance community support services access to meals on wheels, lawn care, housekeeping, and snow removal, senior foot care, and better communicate services which are available. o Establish respite care program for caregivers and provide awareness of two respite beds at LDHC for caregivers who care for seniors, or handicapped persons, as well as, CCAC respite care services. o Engage in discussion with CCAC homecare to improve access to nursing and personal support in the community including in-home assessments, and availability of French language providers. o Discuss with Municipality, Red Cross, and other providers ways to improve transportation for health related appointments between Dubreuilville and Lady Dunn Health Centre. o Enhance outreach programs and services through Wawa Family Health Team via OTN. o Investigate affordable accommodations in Sault Ste. Marie, and improved access to specialists care for obstetrics program. o Develop a local committee of interested individuals to explore ways to improve the variety of social and wellness activities available in the community and to encourage participation wellness/social activities. o Create a backup plan to address paramedic service’s gap when ambulance is called out of town such as a Paramedic transfer van for non-threatening situations or local van service.

Theme 2: Lack of Awareness of Available Services / Financial Assistance and Grants

Issues and Observations Strategies Clients would like to o Using existing methods of communication such as understand more about information on website, providing access to a computer at

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available healthcare services; the clinic or through the librarian, involvement of the Bilingual Service Navigator or Algoma community support services Navigator in north French Language 24/7 phone Algoma, and other community based communication service options at Lady Dunn channels. Health Centre.

There is a lack of available o Provide the community with information about available information about financial financial assistance and grants by setting up a grant assistance and grants. opportunity database.

Theme 3: Access to French Language Services Issues and Observations Strategies

Lack of Access to French o Develop a fridge magnet with directions on how to respond Language 911 Services. when calling 911 services, if the operator does not speak French. Discuss with dispatch centre a process for transfer to No French Language 911 French speaking dispatchers. services available, local nurse o Use telemedicine services to enhance access to local French practitioner has to interpret Language services. for clients. o Community could develop over the short term a list of volunteers available to interpret for medical appointments. Lack of Access to French o Encourage French Language Services training to staff that Language Physician Services. includes doctors through in-hospital training. Nurse practitioner is o Explore automated French Language interpretation services interpreter for Francophone which can be accessed 24/7, and how this service would be clients who are being seen by funded and made available. an Anglophone physician.

Enhance Access to Locally Available French Language Services.

Participants identified the need for advocacy for locally available French Language services.

Theme 4: Issues with Travel Grants Issues and Observations Strategies

Insufficient Reimbursement o Establish affordable accommodations in Sault Ste. Marie

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Cost of trips to Wawa funded by all communities. physicians not covered; o Lobby the government to make modifications to Northern Compensation for out of Ontario Travel Grants to reflect the deficiencies in the town trips not sufficient. program.

Theme 5: Mental Health and Addictions Services Issues and Observations Strategies

Lack of Locally Available Grief o Conduct a review of the mental health and addiction system and Mental Health Support. including all the providers (hospital, Algoma Public Health, Algoma Family Services, etc.) to determine how to better Grief support is needed with meet the needs of the communities. loss of life in the community; o Implement programs to reduce stigma related to requiring Support for those living with mental health services. mental health needs is required; Reduce stigma; 1 in 5 live with mental illness; Accessible services such as social workers, AFS, Telemental health services with direct access to Sick Kids awareness is required; Require French Language Service specialists; Link with Hearst French services; and French speaking physicians.

Lack of Available Addiction Services.

Lack of awareness of addiction services that are available. Addiction and Mental Health workers are available each Wednesday. Algoma Family Services counsellor provides mental health support each week.

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HAWK JUNCTION RESULTS & STRATEGY

Community Background Hawk Junction Community Demographics

Population 190

Age Characteristics o Median Age of Population: 53.9

o % of Population Aged 15 and Over: 94.2%

Languages o Anglophone: 160

o Francophone: 30

o Non-Official Languages: 10

(2011 Canadian Census) Three priorities selected by Hawk Junction participants are listed below as their pressing needs: 1. Providing Mental Health and Addictions Services 2. Advocacy/Social Worker 3. Lack of awareness of available services and financial assistance and grants

Table 2: Hawk Junction Results & Strategy Summary

Theme 1: Opportunities to Strengthen Local Healthcare Service Delivery

Issues and Observations Strategies

Transportation; o Enhance awareness of available Red Cross fee for service Residents must travel to transportation options. Wawa for healthcare o Increase the use of telemedicine to assist patients with services, a 27 kilometre drive obtaining access to services and decreasing travel. one-way.

Physician Services; o Short physician visits of fifteen to twenty minutes contribute Physiotherapy; Homecare; to the need for clients to commute back to Wawa multiple Community Emergency Plan; times to deal with various health issues. Participants have Wellness/Social Activities; suggested increasing the length of visits and allowing more there is a lack of volunteers than one issue to be dealt with at a time. to hold events in the community; Geriatric Care; o Collaboration with the physicians providing services to the Advocacy/Social Worker. community will be undertaken to understand how they can better meet the needs of the community.

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o Enhance awareness of services currently available and communicating with discharge planning about what options are available to Hawk Junction residents.

o Increase awareness of the complaint procedure with Community Care Access Centre for home care services.

o Establish a community emergency plan and process with locals in collaboration with OPP, APH, MNR, and 911. Local Services Board to address issue of low volunteer numbers for fire dept.

o Provide awareness of the roles of; geriatrician, geriatric nurse, and geriatric advocate. Utilize Ontario Telemedicine Network options.

o Host Community Healthcare Days to assist with increasing awareness of local services.

Theme 2: Mental Health and Addictions

Issues and Observations Strategies

Lack of Locally Available Grief o Opening services up to the public every Thursday after the and Mental Health Support; Snack and Yack program currently provided by the Chadwic The cost for Hall Rental in Home. Hawk Junction is a barrier for o Offering a grief support workshop for eight weeks in length. organizations providing services. o Provide awareness of private counselling options.

Senior’s Mental Health o Seniors Mental Health Services: Have the Mental Health Services; Seniors require a table address how seniors’ health services in outlying areas mental health support are provided. system to address their o Hire an additional social worker and/or increase the Wawa mental health, financial Family Health Team social worker to a full-time position as a issues, and barriers to system navigator to facilitate connections between clients accessing services. and health services.

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Theme 3: Lack of Awareness of Available Services/Financial Assistance and Grants

Issues and Observations Strategies

Clients would like to o Provide a sheltered outdoor community bulletin board to understand more about post health information. existing healthcare services. o Have physicians and service providers share information with Currently, Hawk Junction clients about additional support services available in the residents access information community. from CBC radio, the local o Host Community Health Fair days. newsletter, Facebook pages, by word of mouth, and o Enhance awareness of existing financial assistance and posting flyers of events in grants by using methods of communication currently listed. local areas, etc.

Financial Assistance and o Provide the community with data base about available Grants financial assistance and grants. See appendix C for contact There is a lack of available information. information about financial assistance and grants.

Theme 4: Issues with Travel Grants Issues and Observations Strategies

Caregiver Costs are not o Lobby the Ministry to make modifications to Northern covered. Ontario Travel Grants to address the deficiencies in the program and out of province travel. Out of Province Costs are not adequately covered.

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MICHIPICOTEN FIRST NATION RESULTS & STRATEGY Community Background Michipicoten First Nation Community Demographics

Population 67 on-reserve, 1004 off-reserve (MFN 2013) Two priorities selected by Michipicoten First Nation participants are listed below as their pressing needs: 1. Lack of Awareness of Available Services, Financial Assistance and Grants 2. Culturally Appropriate Care Table 3: Michipicoten First Nation Results & Strategy Summary

Theme 1: Opportunities to Strengthen Local Healthcare Service Delivery Issues and Observations Strategies Participants identified that o Nurse Practitioner: Enhance awareness of services and scope there are opportunities to of practice. Promote service to members in weekly and strengthen the following quarterly newsletters. services for the community: o Native Community Health Nurse: Enhance awareness of Physician Services; nurse services to increase use. Telemedicine; Physiotherapy; o Transportation: Adjust schedule to meet community needs; Community Emergency Plan; enhance awareness of service. Fire Truck Training; First o Wellness/ Social Activities: Invite neighboring First Nation Nation Personal Support communities to participate in local activities. Workers, and aftercare o Physician Services: Improve physician awareness of cultural services / house. needs; communicate awareness of the Diabetes Education Program at Lady Dunn Health Centre; encourage the use of Telemedicine for specialist’s appointments; facilitate a visiting physician twice a month at the community medical centre; facilitate monthly visits from a traditional doctor; communicate information sheet about the traditional doctor. Physician to include the traditional doctor in the client’s circle of care. o Telemedicine: House on site Telemedicine services to equip two units, one at the medical centre the other at the Band Hall. o Health Forums: Offer health care booths at the annual gatherings to include information about diabetes services, blood pressure, nurse practitioner program, hearing, etc.

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o Physiotherapy: Enhance access, set up basic equipment locally for post-surgery care and to promote a healthy lifestyle. o Community Emergency Planning to include mock and table top exercises and fire truck training.

Theme 2: Lack of Awareness of Available Services/ Financial Assistance and Grants

Issues and Observations Strategies Participants would like to o Heighten the use of existing communication methods. learn more about available o Establish a grant opportunity database to provide healthcare services; available information about available financial assistance and grants. financial assistance and grants.

Theme 3: Culturally Appropriate Care Issues and Observations Strategies

Culturally appropriate care. o Encourage health service providers to participate in cultural competency training. On reserve culture lodge. o Build workshops based on gathering cultural information and Lack of awareness of the conductors to carry teachings. culture lodge at the high o Chief and Council to explore opportunities to fund and build school. culture lodge in the community. o To heighten existing forms of communication to create

awareness of programs and services at the culture lodge.

Theme 4: Mental Health and Addictions Services Issues and Observations Strategies

Participants identified a need o Implement life skills training for youth. to strengthen Dilico services: o Implement a support system for residential school survivors. facilitate youth suicide o Provide in-home aftercare for addiction clients. prevention training and o Utilize the new user-friendly assessment (intake) form and additional addiction services. evaluate.

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MISSANABIE RESULTS & STRATEGY Community Background Missanabie Community Demographics

Population 29 no detailed information is available for this community. (2001 Canadian Census) Two priorities selected by Missanabie participants are listed below as their pressing needs:

Opportunities to strengthen local healthcare services Lack of awareness of available services

Table 4: Missanabie Results & Strategy Summary

Theme 1: Opportunities to Strengthen Local Healthcare Service Delivery

Issues and Observations Strategies 1.5 hour commute one-way o More frequent nurse practitioner visits to the community of is a barrier to receiving care. Missanabie; monthly or bi-monthly visits. A Nurse Practitioner’s capabilities information sheet is required to Services not provided: educate clients locally. It can be provided through a mail out. Physician; Telemedicine; o More diabetes health and preventative workshops would be Physiotherapy; Local helpful. Diabetes nurse, dietician, and foot care nurse should visit every six weeks. Emergency Plan; and o Provide physician visits to the community every 3 months. Wellness/ Social Activities. Re-opening of the local clinic event for two hours providing health awareness professional’s day. o Explore ways of how blood testing can be done in community and bring appropriate people together. o Make telemedicine services available locally at the school for access to general practitioners, specialists, and educational health workshops. o Establish local physiotherapy services in Missanabie for injuries, post-surgery, or preparation for surgery, and offer physiotherapy sessions for seniors. o It was recommended the community lobby the following agencies for financial support to purchase the defibrillators/first aid kits: Trillium Foundation, CP Rail, Prodigy, Heart & Stroke Foundation, Pad Program, Health Canada, and Missanabie Cree First Nation. o 911 service options for Missanabie is required, a list of emergency numbers has been put together.

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o North Algoma clients who are not satisfied with services available do not receive adequate care at the hospital(s) need to go through the complaints process. o Encouragement and notification of activities to assist in increasing the health and wellness of local residents. o Offer traditional medicine options for First Nation peoples.

Theme 2: Lack of Awareness of Available Services/ Financial Assistance and Grants

Issues and Observations Strategies Clients do not receive or o Provide an inventory of services developed with this report. receive little information Find contact information in appendix C. about available services in o To add to the existing methods currently utilized, provide a Wawa. sheltered posting board in a centrally located area. o Provide a monthly calendar of doctor, NP, diabetes program Currently, residents post and APH nurse’s visits. Provide a clinic sign outside the flyers of events and activities school with hours of operation that alerts the community at the school and restaurant. that health professionals are in town. Word of mouth and the o Provide health forums during community events and provide yellow pages are also information on relevant topics, i.e. glucose testing, etc. utilized.

There is a lack of available o Provide the community with data base about available information about financial financial assistance and grants. Find contact information in assistance and grants. appendix C.

Theme 3: Issues with Travel Grants Issues and Observations Strategies

Travel grants do not cover all o Reimbursement should be based on length of stay rather costs incurred by clients for than on a per trip basis. See appendix C for list of affordable mileage and accommodations. accommodation. o Lobby the government to make modifications to the Northern Travel Grant to address the deficiencies in the If patients have chronic program. medical conditions that require multiple trips for blood work, only one trip is covered.

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Theme 4: Mental Health and Addictions Services Issues and Observations Strategies

Lack of Locally Available Grief o Participants require clergyperson and support system to and Mental Health Support. assist with process. o Participants would benefit from grief workshops and Small communities face counselling provided by LDHC North Algoma Counselling tragedy such as home fires Services. and loss of life. No clergyperson or mental health support available for community grief.

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WAWA RESULTS & STRATEGY Community Background Wawa Community Demographics

Population 2,975

Age Characteristics o Median Age of Population: 44.1 o % of Population Aged 15 and Over: 83.5%

Languages o Anglophone: 2,185 o Francophone: 555 o Non-Official Languages: 155 (2001 Canadian Census) Two priorities selected by Wawa participants are listed below as their pressing needs:

Lack of awareness of available services, financial assistance and grants Opportunities to strengthen local health care services Table 5: Wawa Results & Strategy Summary

Theme 1: Lack of awareness of available services, financial assistance and grants. Issues and Observations Strategies Clients would like to o Enhance the use of existing communication methods. understand more about available healthcare services. Currently, Wawa residents o Increase service provider awareness through Lunch and access information from Learns, and interagency service provider meetings. Wawa Facebook pages, o Provide physicians with up to date list of services. Algoma News, Wawa o Health Forums to provide information on what services are News.com, CBC, JJAM-FM, available and how to access them. Magpie News, municipal newsletter, hospital bulletin, APH, Ontario Works, Wawa Digest, Chadwic Home, displays, high school service boards, Town of Wawa website, postings at the post office and clinic, and word of mouth. There is a lack of available o Provide information on grants and application process. information about financial o Within existing databases, contact information regarding

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assistance and grants. financial assistance is made available in appendix C. In addition there is information provided by the Wawa and Area Victim Services.

Theme 2: Opportunities to strengthen local health care services

Issues and Observations Strategies Diabetes Education Program o Increase availability of foot care for diabetic clients. o Increase awareness of service for clients and providers.

o Team conference to enhance communication and teaching. o Expand service for pediatric clients. o Establish peer support network. o Provide prevention education in schools. o Provide diabetes specific training for physicians.

Day Clinic o Increase awareness of Day Clinic.

Triage System o Develop triage system to determine where clients are best served.

Community Support o Expand Community Support Services program. Services/ Senior’s Services o Increase subsidy options including transportation and home maintenance.

o Establish congregate dining. o Increase availability of foot care and respite care. o Work with Municipal committees regarding age-friendly

community and transportation issues. o Increased funding for assisted living program would help to reduce long term care admissions.

Telemedicine o Provide education on OTN services and options available.

Geriatric Services o Improve awareness of Wawa Family Health Team’s Geriatric Program and Algoma Geriatric Assessment Program. o Access service through OTN.

Obstetric Services o Facilitate affordable long stay accommodations in Sault Ste. Marie. o Work with Ministry of Health and Long Term Care to enhance travel grant.

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Chemotherapy o Reinstate service to Lady Dunn Health Centre.

Hearing Services o Increase awareness of local services. Connect Hearing attends at Algoma Public Health office one time per month.

o Access through OTN. French Language Services

o Improve communication between providers. Optometry o Access local optometrist where appropriate. o Awareness of CNIB van available annually.

Women’s Services o Establish women’s services within the existing Nurse Practitioner’s program.

End of Life Care o Establish Palliative Care Team.

Medication Management o Educate clients about availability of consultations with pharmacist to discuss medication.

o Encourage clients to utilize medication lists.

Theme 3: Transitions in care and collaboration Issues and Observations Strategies

Clients want their health o Inform clients of their right to their health information and information to be shared health records. among all providers. o Encourage clients to keep personal records to share with service providers, especially in complex cases.

Discharge Planning o Provide joint satisfaction surveys between facilities to enhance discharge planning. Individuals responsible for o Improve discharge planning through increased their own transportation communication by hiring a social worker to facilitate back from Schedule 1 facility discharge planning.

Theme 4: Mental Health and Addictions Services Issues and Observations Strategies

Stigma: Participants feel o Provide education to health service providers and clients there is a level of stigma that about mental health stigma through workshops, information exists that prevents clients sessions, and sensitivity training.

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from accessing mental health services.

Form 1 Transfers: o Work with the Emergency department to improve the triage, Police escort is required and assessment and transfer for those requiring Form 1. mandated. o Work more closely with police on a mental health strategy.

o Enhance awareness of existing services by educating client and service providers about services through website, *Mental Health Helpline workshops, emails, etc. WARM line available.

Paramedics receive a number

of crisis calls. o Increase community awareness of mandate through *Iris Place websites, information boards, open house, and workshops. Participants identified that initiative at Iris Place may not be understood by community members. o Increase awareness of locally available crisis services and how to access them. Acute/ Crisis Services:

Mobile Crisis Team is available; however, there is a lack of awareness regarding this service. o Increase awareness of mental health support groups and Mental Health Support workshops available through websites, information boards, Groups and Workshops. and community postings, etc.

Addiction Services: o Increase awareness of locally available addiction services. Lack of awareness of addiction services in community. o Provide mental health support for youth. Youth Support o Traditional forms of healing available through Michipicoten First Nation. Offer traditional healing for clients who access Traditional Forms of Healing existing mental health services.

* Iris Place is a consumer led drop-in centre for individuals with mental health and addiction issues. Provides recreational and social activities, and offers peer support services. A hot lunch is available daily between 12 noon and 1:30 p.m.

* Regional Warm Line provides and addresses services to the mental health population. The service aims to provide opportunities through which participants can gain valuable work experience, enhance skills, and

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provide a much needed service in a supportive and flexible environment. The Warm Line is a pre-crisis telephone support service. The goals of the Warm Line are to provide pre-crisis telephone support; to help people in a situation before a crisis results; peers empowering peers; and to provide employment opportunities. Warm Line staff members are consumers of mental health services, and are trained in peer resource; Applied Suicide Intervention Skills (ASIST); Wellness Recovery Action Plan (WRAP); and communication skills through a comprehensive training course. Model of service is peer support and telephone. Call 1-866-856-9276 (6:00 p.m.-12:00 a.m.-7 days/ wk.) http://www.mentalhealthhelpline.ca/Directory/Program/16387

Theme 5: Housing Issues and Observations Strategies

Lack of affordable o Work with town of Wawa Housing Committee to develop appropriate housing housing strategy for Wawa. Assisted living Transitional youth home Foster Care Crisis bed for men

Theme 6: Issues with Travel Grants Issues and Observations Strategies

Clients are concerned with o Offer referring physician’s signature on Travel Grant prior to local travel grant process. specialist’s visit – client or specialist’s office will be responsible for mailing.

o Work to establish affordable long stay accommodations in Sault Ste. Marie. o Work with Ministry of Health, Long Term Care to improve travel grant subsidy.

Theme 7: Recruitment and Retention Issues and Observations Strategies

Lack of volunteers o Offer incentives. Aging communities/ local o Recruitment drives. demographics (i.e. people

working out of community) o Support local recruitment committee. Need to recruit and retain

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qualified staff – i.e. physicians, nurses, therapists, etc.

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WHITE RIVER RESULTS & STRATEGY Community Background

Population 607

Age Characteristics o Median Age of Population: 46.9 o % of Population Aged 15 and Over: 86.8%

Languages o Anglophone: 470 o Francophone: 105 o Non-Official Languages: 25 (2001 Canadian Census) Two priorities selected by White River participants are listed below as their pressing needs: 1. Opportunities to strengthen local healthcare services i. CCAC and Red Cross ii. Pharmacy iii. Bloodwork 2. Lack of Awareness of Available Services, Financial Assistance and Grants Table 6: White River Results & Strategy Summary

Theme 1: Opportunities to Strengthen Local Healthcare Service Delivery Issues and Observations Strategies Participants identified that o Provide awareness of nurse practitioner’s abilities to provide there are opportunities to referrals to specialists. strengthen the following o Provide a nursing station at the senior’s amenities building, a services: Blood work; long term need to service senior’s on site. Pharmacy; Physiotherapy; o Reestablish health committee in order to engage in Chiropractor; Dentist; community health needs as providing workshops. o Increase awareness of service and frequency of visits. Diabetic Nurse/ Dietitian; o Increase awareness of referral process as nurse practitioner, Foot Care; Community doctor, and optometrist can refer. Support Services; Respite o Recruit optometry services to White River. Care; Homecare Services; o Promote optometry services in Wawa at Northern Vision Community Emergency Plan; Care. Transportation; Wawa o Provide paramedic transfer van in Wawa that will assist with Outreach Program; Wellness keeping ambulance services available in White River. and Social Activities Health o Provide paramedicine services visits to senior’s homes for Committees. assessments. o Encourage White River Health Committee to liaise with WFHT; LDHC/ Social surrounding hospitals to discuss needs.

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Activities; Chemotherapy; o Discuss with Algoma Public Health the possibility of Disease Prevention and increasing local access to public health services such as Health Promotion; White vaccinations, birth control, prenatal classes, and tobacco River Medical Clinic; cessation counselling. Women’s Services; o Provide health education workshops through telemedicine. Emergency Planning. o Provide nurse practitioner and doctor’s access to OTN 24- hours a day to enable connections to specialists in emergency situations. o Enhance awareness of telemedicine services. o Ensure medical cart is available with OTN system. o Provide link with Nurse practitioner and Wawa doctors via OTN services. o Investigate how phlebotomy services can be provided in White River. o Establish access to online pharmaceutical services and/or access to 24-hour telepharmacy. The Wawa pharmacy supply is limiting to White River. Investigate options. o Provide physiotherapy services locally on a weekly, bi- weekly, or monthly basis. o Provide chiropractic services locally on a weekly, bi-weekly, or monthly basis. o Provide dentistry services on a bi-monthly basis, and provide awareness of services offered on Saturdays locally. o Increase diabetic nurse/dietitian/foot care frequency of visits to the community. o Enhance local access to meals on wheels that includes providing frozen meals during restaurant closures and subsidized services for home help as lawn care, senior foot care, and snow removal through assessments. More funding is required to service senior’s needs. o Enhance availability and awareness of respite care service. o Provide preventative homecare assessments through new paramedicine pilot project; conduct in-person assessments with a client advocate. o Provide fulltime White River PSWs to cover homecare needs. o Establish an emergency plan similar to the community of Dubreuilville to enhance existing plan. o Awareness of access to local and out of town transportation with aging at home van program for medical transportation is in partnership with Red Cross and Municipality of White River. o Establish a means of communicating Wawa Outreach services available to White River. o Propose for funding to establish a recreational/ health

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education coordinator position to organize activities. o Establish chemotherapy program at the Lady Dunn Health Centre. o Educate clients on how to manage and control diseases through proper health care, healthy eating, and exercise. o Bring the White River clinic under the umbrella of Lady Dunn Health Centre to enhance connections and build off infrastructure. The risk and benefits of this require further investigation. o Explore hospital services available. o Encourage White River Health Committee to liaise with surrounding hospitals to discuss needs.

Theme 2: Lack of Awareness of Available Services/ Financial assistance and grants by:

Issues and Observations Strategies Clients would like to o Utilize the social worker who acts as a social service understand more about navigator at the Wawa hospital to facilitate connections available healthcare services. between clients and health services. o Provide the North Algoma inventory of services database for

awareness of programs and services updated by the navigator. Provide updates on 211 listing. o Create a calendar of events to increase awareness of

available services and activities.

White River residents access o Utilize existing methods of communication. information from White

River Facebook pages, Algoma News, Wawa News.com, township

website, posting flyers of events and activities at the local post office and local

clinic, radio, and word of mouth.

o Provide the community with information about available There is a lack of available information about financial financial assistance and grant opportunity database. assistance and grants.

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Theme 3: Geographic Location of White River Issues and Observations Strategies

White River’s geographic o Enhance resident access and choice of services by allowing location causes issues with residents to receive services at the medical facility that best receiving healthcare services. meets their needs. o Ensure Pic Mobert First Nation and White River continues Clients have been refused working together to develop partnerships to enhance local from receiving care in areas healthcare service delivery for clients in both communities. west of the community. Pic Mobert First Nation members access White River services on a frequent basis.

Theme 4: Issues with Travel Grants Issues and Observations Strategies

No coverage for trips to o Improve travel grant options. Wawa. Refund cut off is 100 o Reimbursement should be based on length of stay rather kilometres; White River is 98 than on a per trip basis. kilometres from Wawa. o Full coverage for caregiver costs should be included in travel grant refunds. Caregiver costs are not o Facilitate affordable long stay accommodations in Sault Ste. adequately covered. Marie. Local Travel Grant Process. o Accommodation contact options are listed in appendix C. Clients are concerned that current process is causing delays in receiving refunds.

Theme 5: Mental Health and Addiction Services Issues and Observations Strategies

Lack of locally available Grief o Provide grief and mental health support. and Mental Health Support o Propose for funding to provide an additional counsellor to service White River.

Mental Health Counselling o Provide more mental health counselling.

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Stigma Prevention o Provide education to health service providers and clients about mental health stigma through workshops, information

sessions, and sensitivity training.

Lack of available Addiction o Provide awareness of addiction services. Services

Lack of awareness of addiction services that are available. Addiction and Mental Health workers are available each Wednesday.

Algoma Family Services o Provide awareness of Algoma Family Services counsellor for counsellor provides mental mental health support. health support each week.

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Appendix A

The Steering Committee for the North Algoma Health Needs Assessment Terms of Reference

Background/Purpose: The purpose of the Steering Committee is to develop a locally driven plan to improve the health for the North Algoma communities as defined herein:

Objectives: The objectives of the Steering Committee are to move the communities through the steps outlined in the North East Rural Communities Framework for Improved Health System Coordination by:

Conducting a Client Experience Assessment to identify the health needs and gaps in each community; Develop an inventory of existing health resources within the identified communities; Develop an informed plan to address the issues identified through the client experience assessment and inventory of resources; Implement the plan; Ensure all sectors and communities are represented and included throughout the Framework process.

Principles:

Inclusive Respect Collaborative Openness Teamwork

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Accountability: Responsibility and accountability for defining and implementing identified strategies is shared across the continuum of care and services. Organizations and sectors will be accountable for actions and recommendations, as assigned, per their respective mandates, recognized roles, and (governance) approval processes. Membership: The Steering Committee membership will be comprised of core providers and clients as follows:

Representing Member/Alternate Name Title

Acute & Long Term Member Sally Garland CEO, Lady Dunn Care Health Centre

Alternate Kadean Ogilvie-Pinter Director of Patient Care Services and Nursing, Lady Dunn Health Centre

Primary Care Member Silvana Dereski Wawa Family Health Team

Alternate Norma Kauk Wawa Family Health Team

Community Support Member Darlene Trovarello Community Support Services Services Coordinator, Red Cross

Mental Health & Member Emma Blanchet Mental Health Case Addictions Manager, Algoma Public Health

Patients/Families Member Mary Anne Pearson Co-Chair, Wawa Seniors Solutions Council

Alternate Thelma J. Smitham Member, Wawa Seniors Solutions Council

Michipicoten First Member Irene Armstrong Council, Michipicoten Nation/ Aboriginal First Nation Population

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Township of White Member Angelo Bazzoni Mayor, Township of River White River

Alternate Jocelyne LeBreton White River Health Committee

Township of Member Shelley B. Casey CAO, Township of Dubreuilville/ Dubreuilville Francophone Alternate Leandre Moore Councillor, Township Population of Dubreuilville

Municipality of Wawa Member Ron Rody Mayor, Township of Wawa

Municipality of Wawa Member Yvan Besner Councillor, Township of Wawa

Public Health Member Samantha Dunn RN, Algoma Public Health

Women’s Issues Member Paula Valois Chadwic Home

CCAC Resource/ Ex- Rochelle Parson Case Manager, NE officio Member CCAC

Algoma District Services Resource/Ex-officio Sandy Ubohy Supervisor of Ontario Administration Board Member Works, ADSAB

Réseau du mieux-être Resource/ Ex- Suzanne Salituri Planning and francophone du Nord officio Member Community de l’Ontario Engagement Officer, Algoma Region, RMEFNO

North East Local Health Resource/ Ex- Jennifer McKenzie North Algoma Integration Network officio Member Outreach Officer, NE LHIN

Resource Natalie Atkinson Aboriginal Lead, NE LHIN

Resource Marie Paluzzi North Algoma Outreach Officer, NE LHIN Replacement

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North Algoma Health Resource Judy Binda NAHNA Project Needs Assessment Coordinator

All members will be expected to seek input from, and relay information to, their respective constituencies. Additional perspectives will be sought out and/or involved in the specific project work as required. Steering Committee meetings will be open to the public to ensure an inclusive approach. Those members of the public who attend the Steering Committee meetings will attend as observers. Steering Committee members, as well as members of the public can participate in Steering Committee Meetings via videoconference, teleconference, or in-person. The Steering Committee will develop a Communication Plan to determine the process of advertising meetings, as well as Steering Committee activities to the public. The Terms of Reference and membership may be modified at any time to ensure the overall success of the Steering Committee activities.

Co-Chairs

Co-Chair: Mary Anne Pearson Co-Chair: Darlene Trovarello

Decision Making The Steering Committee’s decisions will be reached by consensus, when consensus cannot be achieved; decisions will be made by majority (50%+ 1). The Chair only votes in a tie. Timeline The Steering Committee will develop a Work Plan to determine the length of existence of the Steering committee. Meetings The Steering Committee will meet every two weeks for two hours for the first three months (January- March 2014). Meeting occurrences will be reevaluated in March 2014. Acceptance & Sign-Off All Steering Committee Members, by way of signature are required to approve this document. By signing, the Steering Committee members and the organizations/groups that they represent indicate that they are committing to participating in the framework process. Please add extra rows as required.

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Name (Please Organization Date Signature Organization Print) MOU

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Appendix B North Algoma Health Needs Assessment ACTION PLAN

Objectives Responsibility Tasks Timeframe Status

To create a North Algoma Establish local Community Health Teams Sept-Oct 2015 sustainable Health Needs Establish North Algoma Steering Team process for Assessment Assist team with terms of reference completion of Steering the action plan Committee Ensure Local Health Review action table, prioritize items and assign timeframe for Oct-Nov 2015 community Committees items within the scope of their team. specific action items are completed Awareness of WFHT Provide databases: September - NAHNA Programs and LDHC Inventory of Services October 2015 Services Financial Assistance and Grants North Algoma Team Promote Social Service Navigator Capital funds to LDHC Investigate United Way partnership building. To be NAHNA meet Foundation determined by equipment accountable North Algoma Team needs team Equipment LDHC Investigate the feasibility of a portable CT Scan in Wawa. To be NAHNA LDHC Board of determined by Page 70 of 195 Directors accountable North Algoma Team team Outreach WFHT Establish a means of communicating Wawa Outreach Services September - NAHNA Services LDHC available to outlying communities. December 2015 APH North Algoma Team North Algoma Health Needs Assessment - Final Reports & Datab...

Objectives Responsibility Tasks Timeframe Status

Pharmacy WFHT Investigate pharmacy options and engage local pharmacy to To be NAHNA Options LDHC discuss issues. determined by Local/District accountable North Algoma Team Pharmacies team Transitions in WFHT Inform clients of their right to their health information and To be NAHNA Care and LDHC health records. determined by Collaboration SAH accountable North Algoma Encourage clients to keep personal records to share with service team Team providers.

Provide joint satisfaction surveys between facilities to enhance discharge planning.

Improve discharge planning through increased communication by hiring social worker to facilitate discharge planning. Physician WFHT Engage doctors and administration in resolving requests by the To be NAHNA Services LDHC outlying communities for more local appointment times and use determined by Clients of OTN services by family doctors when travel in the winter is accountable North Algoma not possible. team Team

Explore French translation services for physician appointments.

Discuss with physicians concerns by patients that rules around length of appointments and one issue only appointments make

Page 71 of 195 it necessary to have repeat visits and seek resolution. Suggestions which have been made include: Providing list of questions for clients to ask Physicians and NPs, having consistent nurse assessment prior to seeing physician and educating clients to provide drug lists to physicians. Improve physician awareness of cultural needs through education sessions. For example the wish to include the

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traditional doctor in the client’s circle of care.

Increase awareness of the Diabetes Education Program at Lady Dunn Health Centre in surrounding communities.

Encourage the use of Telemedicine for specialist’s appointments.

Facilitate a visiting physician twice a month at the community MFN medical centre.

Facilitate monthly visits from a traditional doctor and communicate information sheet about the traditional doctor.

Provide annual calendar of doctor visits to outlying communities which the communities depend on.

Encourage French Language Services training to staff that includes doctors through in-hospital training. Day Clinic WFHT Increase awareness of Day Clinic. To be NAHNA LDHC determined by accountable North Algoma team Team Nurse WFHT, LDHC Establish women’s services within the existing Nurse To be NAHNA Practitioner Dubreuilville Practitioner’s program. determined by Nursing Clinic, accountable North Algoma White River Provide awareness of nurse practitioner’s abilities to provide team Team

Page 72 of 195 Health Clinic, referrals to specialists. Missanabie Nursing Increase awareness of referral process as nurse practitioner, Station doctor and optometrist can refer.

Algoma Public Provide nurse practitioner and doctor’s access to OTN 24 hour a

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Health, day to enable connections to specialists in emergency Chadwic situations. Home, Algoma Family Provide link with White River nurse practitioner and Wawa Services, North doctors via OTN services. Algoma Counselling Services Telemedicine LDHC Use telemedicine services to enhance access to local To be NAHNA Services WHFT Francophone services. determined by Dubreuilville accountable North Algoma Team Nursing Clinic House on site Telemedicine services to equip two units, one at team White River the medical centre the other at the Band Hall at MFN. Health Clinic Algoma Family Make telemedicine services available locally at the Missanabie Services school for access to general practitioners, specialists, and Michipicoten educational health workshops. First Nation (MFN) Enhance awareness of telemedicine services. Missanabie Nursing Provide a monthly calendar of doctor, NP, diabetes program and Station APH nurse’s visits. Provide a clinic sign outside the Missanabie school with hours of operation that alerts the community that health professionals are in town.

Do Business Case For fulltime OTN coordinator and fulltime health educator

Page 73 of 195 Diabetes WFHT Provide automatic referral from doctors and NPs. To be NAHNA Program LDHC determined by Diabetes Promote awareness of self-referral option. accountable North Algoma Team Program Team team Hold case-conferences with primary care physicians and diabetes team.

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Expand services to pediatric care.

Create venue for diabetic peer support.

Provide diabetes prevention education workshops.

Utilize OTN diabetic services.

Provide a diabetes awareness campaign.

Access client case-conferences with physicians and NPs.

Provide peer support. Dialysis Options WFHT Collaborate with Sault Area Hospital in how to improve dialysis To be NAHNA LDHC with communities of North Algoma. determined by accountable North Algoma team Team Obstetrics WFHT Work as a group to improve affordable accommodation options NAHNA LDHC in Sault Ste. Marie. North Algoma North Algoma Improve access to specialists care for obstetrics program. Team Sault Ste. Marie Options Do Business Case Emergency WFHT Work with the Emergency department to improve the triage, To be NAHNA Department LDHC assessment and transfer for those requiring Form 1. determined by Mental Health Work more closely with police on a mental health strategy. accountable North Algoma

Page 74 of 195 and Addictions team Team Planning Table

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Objectives Responsibility Tasks Timeframe Status

Geriatric WFHT Improve awareness of Wawa Family Health Team’s Geriatric To be NAHNA Services LDHC Program and Algoma Geriatric Assessment program. determined by OTN Services accountable North Algoma Team North Algoma team SAH Respite Care WFHT Enhance availability and awareness of respite care service. To be NAHNA LDHC determined by North Algoma Establish respite day care program for caregivers and provide accountable North Algoma awareness of two respite beds at LDHC for caregivers who care team Team for seniors, or handicapped persons, as well as, CCAC respite services.

Do Business Case Prepare business case to increase Events Coordinator to fulltime to provide day care respite program. Community WFHT Expand Community Support Services programs. To be NAHNA Support LDHC Do Business Case determined by Services/Seniors North Algoma accountable North Algoma Team Services Senior’s *Lobby for expansion of more support services programs. i.e. team Solution increase subsidy options for transportation and home Senior’s Solution Council maintenance. *Establish congregate dining. Council

Increase availability of foot care and respite care for Seniors.

Page 75 of 195 Work with Municipal committees regarding age friendly community and transportation issues.

Lobby for Increased funding for assisted living program to help reduce long term care admissions.

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Objectives Responsibility Tasks Timeframe Status

Front Line WFHT Provide training to inform clients about programs and services To be NAHNA Workers LDHC offered. i.e. provide training on service inventory, or courses as determined by North Algoma ‘Fundamentals of Hospice Palliative Care Core Program’ that accountable North Algoma Team would enhance front line worker’s knowledge of palliative care team clients. French WFHT Develop a fridge magnet with directions on how to respond To be NAHNA Language LDHC when call 911 services, if operator does not speak French. determined by Services North Algoma accountable North Algoma Team Discuss with dispatch centre a process for transfer to French team speaking dispatchers. North Algoma

Provide 911 options for French Language Services.

Use telemedicine services to enhance access to local Francophone services.

Community could develop over the short term a list of volunteers available to interpret for medical appointments.

Encourage French Language Services training to staff that includes doctors through in-hospital training.

Explore automated French Language Interpretation services which can be accessed 24/7, and how this service would be

Page 76 of 195 funded and made available. Do Business Case

Culturally WFHT Encourage health service providers to participate in cultural To be NAHNA Appropriate- LDHC competency training. determined by ness North Algoma accountable North Algoma Michipicoten Build workshops based on gathering cultural information and team Team First Nation conductors to carry teachings.

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MFN Chief and Council to explore opportunities to fund and North Algoma build culture lodge in community. Health Committees

To heighten existing forms of communication to create awareness of programs and services at the culture lodge. Recruitment WFHT Offer incentives for volunteers with aging communities. To be NAHNA and Retention LDHC determined by Committee Offer volunteer recruitment drives. accountable North Algoma Team APH team Management Support local recruitment committee as there is a need to recruit and retain qualified staff. (Doctors, Nurses, PSWs) Senior Solutions Train more PSWs for North Algoma. Council Care Partners

Confederation College

Sault College Algoma Public APH Discuss with Algoma Public Health the possibility of increasing To be NAHNA Health local access to public health services such as vaccinations, birth determined by control, prenatal classes, and tobacco cessation counselling. accountable APH team Provide more frequent Algoma Public Health visits to the North Algoma communities and provide a yearly visit calendar at beginning of Team the year. Include when francophone nurse is available.

Page 77 of 195 Increase awareness of local services: APH Nursing program; immunization; education; prenatal care; sexual health; parent child services; Infant Child Development; Mental Health and Addictions; Environmental Health Infection Control, CRCA, and chronic disease prevention.

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Objectives Responsibility Tasks Timeframe Status

Wellness and North Algoma Develop a local committee of interested individuals to explore To be NAHNA Social Activities Health ways to improve the variety of social and wellness activities determined by Committees available in the community and to encourage participation in accountable North Algoma Team WFHT wellness/social activities. team LDHC White River Encouragement and notification of activities to assist in Michipicoten increasing the health and wellness of local residents. First Nation MFN Wellness/Social Activities: Invite neighbouring First Nation communities to participate in local activities.

Provide Recreational/ Health Educational Coordinator in White River. Do Business Case Optometry WFHT Recruit optometry services to White River. To be Health Committees Services LDHC determined by North Algoma Promote optometry services in Wawa at Northern Vision Care. accountable North Algoma team Team Hearing Services WFHT Increase awareness of local services. Connect Hearing attends at To be NAHNA LDHC Algoma Public Health office one time per month. determined by North Algoma Work with Connect Hearing Services, Hearing First, Canadian accountable North Algoma Hearing Society team Team

Speech WFHT Provide awareness of speech language pathology servicing To be NAHNA Language LDHC children and youth at home through Children’s Rehab Centre of determined by

Page 78 of 195 Pathology North Algoma Algoma and CCAC. accountable North Algoma Team team Paramedicine Algoma Provide paramedicine services visits to senior’s homes for To be NAHNA Services Emergency assessments. determined by Services accountable North Algoma Team Provide preventative homecare assessments through new team paramedicine pilot project;

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Objectives Responsibility Tasks Timeframe Status

Elder Abuse North Algoma Educate for safer senior living. To be NAHNA WFHT Promote awareness of Wawa and Area at Risk Committee’s determined by LDHC mandate. accountable North Algoma Team team Palliative Care WFHT Educate on end of life issues To be NAHNA Committee LDHC determined by North Algoma Enhance access to palliative care services accountable North Algoma Team team Home Care Red Cross Increase awareness of the complaint procedure with To be NAHNA Services Care Partners Community Care Access Centre for home care services. determined by Committee Assisted Living accountable North Algoma CCAC Engage in discussion with CCAC homecare to improve access to team Team Geriatric nursing and personal support in the community including in- Program home assessments, and availability of French language providers. Community WFHT Increased use of existing methods of communication as noted in To be NAHNA Awareness LDHC each community-specific section of this report, as well as, determined by North Algoma establishing a central location for health information in each accountable North Algoma community. team Team

“Notice Boards” in central location in Missanabie, White River, Hawk Junction. Do Business Case Community Missanabie & Work with OPP, Fire Departments, MNR, APH, Northern Mines To be NAHNA Emergency Michipicoten and Development on Community Emergency Planning to include determined by

Page 79 of 195 Planning First Nation mock and table top exercise and fire truck training. accountable North Algoma Committee team Team Ambulance WFHT Ensure Wawa area is covered when land transfers are made to NAHNA Services LDHC Sault Ste. Marie during the evening. Algoma North Algoma Emergency Provide Wawa Transfer Van – provide and utilize for non- Team Services emergency transfers. Do Business Case

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Objectives Responsibility Tasks Timeframe Status

Transportation Senior Discuss with Municipality of Dubreuilville, Red Cross, and other To be NAHNA Committee Solutions providers ways to improve transportation for health related determined by Council appointments between Dubreuilville and Lady Dunn Health accountable Municipalities Centre. team All Senior’s Solution Municipalities Enhance awareness of available Red Cross fee for service Council transportation options. Mayor’s Mayor’s Group Group Wawa local transportation: Adjust schedule to meet community needs; enhance awareness of service. North Algoma Red Cross Team Increase subsidy options for transportation. Cancer Society Work with Municipal committees regarding age friendly North Algoma community and transportation issues.

WFHT Increase awareness of the partnership between the Municipality LDHC of White River and Red Cross for local and out of town transportation.

Provide Aging At Home Initiative Van between Dubreuilville and Wawa. Do Business Case

Work with government representatives to improve travel grant

Page 80 of 195 options including; Reimbursement based on length of stay rather than on a per trip basis, full coverage for caregiver costs. Housing Municipality Work with town of Wawa Housing Committee to develop To be NAHNA Committee of Wawa housing strategy for Wawa. Lack of affordable appropriate determined by Senior’s housing; Assisted Living; Transitional Youth Home; Foster Care; accountable North Algoma Solution and Crisis bed for men. team Team Council

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Mental Health and Addictions Planning Table Algoma Family Services Children’s Aid Society Algoma Public Health Iris Place Dilico Services Mental Health Algoma Public Provide grief and mental health support. To be NAHNA and Addictions Health, North determined by Planning Table Algoma Collaborate with Mental Health and Addictions Planning Table accountable North Algoma Team Initiatives Counselling to provide more mental health counselling and support. team Services, LDHC MH/A Planning North Algoma Provide education to health service providers and clients about Table Counselling mental health stigma through workshops, information sessions Services, and sensitivity training. Algoma Family Services, Wawa Family Provide awareness of addiction services. Health Team, Iris Place, Provide awareness of Algoma Family Services counsellor mental Dilico Child health support. and Family Develop triage system in emergency department to determine Services where clients are best served.

Page 81 of 195 Increase awareness of locally available crisis services and how to access them.

Increase awareness of mental health support groups and workshops available through websites, information boards, and

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community postings, etc.

Increase awareness of locally available addiction services.

Provide mental health support for youth.

Awareness of traditional forms of healing available through Michipicoten First Nation. Offer traditional healing for clients who access existing mental health services.

Provide additional counsellor required for outlying areas. Do Business Case

Provide Fulltime Social Service Navigator. Do Business Case Page 82 of 195

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Action Plan Purpose and Description of Project

Completed extensive research and developed comprehensive confidential reports utilized to develop main summary and executive summary reports for the communities of Dubreuilville, Hawk Junction, Michipicoten First Nation, Missanabie, Wawa, and White River. Revisiting each community to present findings and agree on themes is included as additional input. Steering Committee Planning Meetings were held to address themes and provide input on findings. Steering Committee Meetings were held to develop the Action Plan.

Annual Schedule of Patient/Client Access to North Algoma Health Care System Service Providers

Annual Schedule of Events Awareness of Michipicoten First Wawa White River Hawk Junction Missanabie Nation Programs and Dubreuilville Services Nursing Clinic Wawa Hospital Nursing Station Health Centre Family Health Health Clinic Physician Telemedicine Nurse Physician Team Nurse Collaborative Services Services Practitioner Services Lady Dunn Practitioner Health Centre Services Health Care Wawa Hospital Outreach Physician Traditional Telemedicine Program Services Doctor Services Specialist Physician Services Services Grant Assistance Services Wawa Hospital Wawa Hospital Outreach Telemedicine Culturally City Hospitals Wawa Hospital Mental Health and Program Services Focused Telemedicine City Hospitals Outreach Programs & Services Telemedicine Addictions Program Services System Services Telemedicine Navigation Outreach Pharmaceutical Services Recruitment Program Options Outreach Services Program System Navigation

Page 83 of 195 Appendix C

Obtaining a copy of: 1. Summary Reports

2. Inventory of Services Database

3. Financial Assistance and Grants Database Please find the summary reports and databases at the following locations in your community:

DUBREUILVILLE

Nursing Clinic Municipality Local Library

CENTRE MEDICAL CENTRE Township of Dubreuilville Centre de Resources/ Resource DUBREUILVILLE Centre http://www.dubreuilville.ca 120, rue Magpie 851 Rue Joseph St, Dubreuilville ON Dubreuilville ON P0S 1B0 23, rue des Pins P.O. Box 367 Dubreuilville, Ontario, Canada P0S 1B0 705-884-2884 P0S 1B0 705-884-1435 http://ldhc.com/ 705-884-2340 Ext. 21 http://www.dubreuilville.ca/article/h [email protected] ours-of-operation-1200.asp

HAWK JUNCTION

Hospital Local Services Board Local Wawa Library

Lady Dunn Health Centre Community Hall Michipicoten Library 17 Government Road www.ldhc.com o 96 Cedar, Hawk Junction ON 40 Broadway Avenue o P0S 1G0 [email protected] 705-856-2335 o 705-889-2094

Wawa Family Health Team [email protected] http://wawafamilyhealthteam.com/ 705-856-1313

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MICHIPICOTEN FIRST NATION

Band Hall MFN Health Centre MFN Library

P.O. Box 1, Site 8, RR#1 [email protected] Librarian Ext. 219 Wawa, ON Ext. 228 P0S 1K0 Band Hall – Lower level o [email protected] [email protected] Phone: 705-856-1993 o Ext. 224 Toll Free: 1-888-303-7723 Fax: 705-856-1642 [email protected] Ext. 213

MISSANABIE

Wawa Hospital/Wawa Library Missarenda Consolidated Nursing Station School

Lady Dunn Health Centre Missarenda Consolidated Public 1 Front St. 17 Government Road School Missanabie, ON www.ldhc.com 1 Front St. Contact Information: 705-856-2335 Missanabie, ON 705 856-2335 ext. 0 705 234-2581 P0M 2H0 705 234-2581 (FAX) Wawa Family Health Team 705-234-2820 [email protected] http://wawafamilyhealthteam.com [email protected]

705-856-1313

Michipicoten Library 40 Broadway Avenue [email protected] [email protected]

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WAWA

Hospital Municipality Local Library

Lady Dunn Health Centre Township of Michipicoten Michipicoten Library 17 Government Road 40 Broadway Avenue 40 Broadway Avenue www.ldhc.com Wawa, ON [email protected] 705-856-2335 P0S 1K0 [email protected] http://www.wawa.cc/ Wawa Family Health Team http://wawafamilyhealthteam.com/ 705-856-1313

WHITE RIVER

Medical Clinic Municipality Local Library

102 Winnipeg St. Township of White River White River Library White River, ON 102 Durham St. 123 Superior St. P0M 3G0 White River, ON White River, ON 807-822-2320 P0M 3G0 P0M 3G0 [email protected] [email protected] [email protected] 807-822-1113 807-822-2450 http://www.whiteriverlibrary.com http://www.whiteriver.ca

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MARCH 2014 – DECEMBER 2015 WAWA, ONTARIO

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NORTH ALGOMA HEALTH NEEDS ASSESSMENT Funding Grants Grant Assistance Assistance/ Information

August 2015

North Algoma Health Needs Assessment - Final Reports & Datab... Page 88 of 195 Table of Contents

Category Service Organization Page # Funding Grants New Horizons Grants Employment and Social 4 Development Canada Funding Trillium Drug Program Ministry of Health and 4 -5 Assistance Long-Term Care Financial difficulties United Way of Sault Ste. 6 Marie Information & Call 2-1-1 211 Ontario 7 Assistance Links Call 9-1-1 Northern 911 Services 7 Missanabie Emergency Emergency Services 8 Numbers Call Telehealth Telehealth Ontario 8 Call CHHA for hard of hearing Canadian Hard of Hearing 9 – 10 Association Call Emergency Protection Dilico Anishinabek Family 10 – 11 Services, Support Services, Care Mental Health and Addiction, Community and Personal Support, Diabetes, Chronic Disease Management, Family Health Team Clinic, Home and Community Care Services, Quality Assurance First Nations and Inuit Health Health Canada 11 Branch Contact Missanabie Cree MCFN 12 First Nation Contact Michipicoten First MFN 12 Nation Contact Pic Mobert First PMFN 12 Nation Contact ABI System March of Dimes of 13 Navigation Canada Contact Rotary Club Support Rotary Club of Wawa 14 – 15 Contact for referrals and Community Assistance 15 assistance with personal Trust needs Contact for equipment loan Wawa Lion’s Club 15 cupboard Contact for collaborative work Contact for travel grant Ministry of Health and 16 – 17

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 89 of 195 Long-Term Care, Northern Ontario Travel Grant Renal Services Contact Ontario Renal Ontario Renal Network 17 Network – NE Accommodations Sault Ste. Marie Quattro Hotel 18 for Medical Sault College Residence 18 Appointments Sleep Inn 19 Super 8 Sault Ste. Marie 19 Water Tower Inn & Suites 19 Ronald Hamilton Ronald McDonald House 20 McDonald Charities Hamilton Houses for sick London Ronald McDonald House 20 children and Southwestern Ontario their families Ottawa Manoir Ronald McDonald 20 – 21 House Toronto Ronald McDonald House 21 – 22 Charities Toronto Rotel Ottawa Rotel 22 – 23 Thunder Bay Thunder Bay North West Regional 23 Regional Health Cancer Program Sciences Centre Find Funding Grants Government of Ontario 23 Databases/Links Find Funding CK Find Funding Directory 24 Private Grants National and Ontario 24 Private Foundations District Grants United Way 24 Essential Books Booklet Circle of Care, Sharing 25 to Read Personal Health Information for Health- Care Purposes Book The Essential Hospital 25 Handbook, How to Be an Effective Partner in a Loved One’s Care Complaints Contact Information Chapleau Hospital 26 - 27 Process Hornepayne Hospital Lady Dunn Health Centre Manitouwadge Hospital Marathon Hospital Sault Area Hospital Wawa Family Health Team

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Employment and Social Development Canada - New Horizons Grants

Assists with funding seniors programs

http://www.hrsdc.gc.ca/eng/seniors/funding/ http://www.legion.ca/wp-content/uploads/2014/06/SeniorsSupportManual_Eng.pdf

Many Legion Branches across Canada have applied for and received New Horizons grants from Employment and Social Development Canada to assist them with funding seniors’ programs. If programs are sound and meet a real need in the community, many municipalities will contribute some of the start-up funds for your project. More information about the New Horizon Grant is available at the Employment and Social Development Canada website.

FUNDING ASSISTANCE:

Ministry of Health and Long-term Care – the Trillium Drug Program (TDP) Call 1-800-387-5559

http://www.health.gov.on.ca/en/public/programs/drugs/programs/odb/opdp_trillium.a spx

Inquiries regarding the Trillium Drug Program should be directed to: Trillium Drug Program P.O. Box 337, Station D Etobicoke, Ontario M9A 4X3

Telephone: 416-642-3038 Facsimile: 416-642-3034

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 91 of 195 Toll-Free: 1-800-575-5386 Text telephone (TTY): 1-800-387-5559 E-mail: [email protected]

The TDP helps people who have high prescription drug costs relative to their household income. It covers all drugs approved under the Ontario Drug Benefit (ODB) program. For drug products that are not on the list of approved ODB products, your doctor may apply for special approval through the Exceptional Access Program (EAP).

Who can apply? You may qualify for the Trillium Drug Program if you have a valid Ontario health card and you live in Ontario AND you are not covered under ODB as a senior over 65 years of age, someone who receives financial help through Ontario Works or the Ontario Disability Support Program, a resident of a long-term care home or home for special care, or someone who receives home care services. You don't have private health insurance or your private insurance does not cover 100% of your prescription drug costs. What costs will I pay? Under the TDP, you will pay two different fees each year: 1. You will pay a set amount of your prescription drug costs each year. This amount is called your "deductible." The amount of your deductible is based on your household income. For most people, the deductible equals about 4% of your household’s combined net income. Net income is the amount shown on line 236 of your Notice of Assessment issued under the Income Tax Act (Canada) minus the amount of income from the Universal Child Care Benefit program (reported on line 117 of your tax return) and the amount withdrawn from your Canadian Registered Disability Savings Plan (reported on line 125 of your tax return).

The deductible you have to pay is split into four equal amounts over the year starting on August 1st. You pay your deductible by purchasing ODB approved prescription drug products at your pharmacy. Once you have purchased enough of these products to equal the amount of your deductible, then the ODB program pays for most of the cost of your drugs.

2. After you pay your deductible, you pharmacist may ask you to pay up to $2 for each prescription that the ODB program covers. This amount is called a “co-payment”.

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United Way Sault Ste. Marie and District

www.ssmuntiedway.ca for an application and more information

Deadline is mid-December, final decisions made in March and funding received by April

District Grants Program:

The United Way of Sault Ste. Marie and district is committed to ensure that dollars donated in Sault Ste. Marie stay in Sault Ste. Marie and that dollars donated in district community’s stay in the district. District grant programs are focused on one or more of the three areas of focus: All that Kids Can Be, From Poverty to Possibility, or Strong Communities. Grants are administered by a Volunteer Committee which consists of North Algoma, East Algoma, and United Way Board of Directors.

To be eligible for a district grant, an organization must meet the following criteria: Be a registered charity with an office in the community in question, be governed by an active Volunteer Board, show a need for financial assistance, and provide services which address one or more of the three areas of focus.

The United Way encourages partnerships in North Algoma. United Way is active in promoting district opportunities for companies and their employees to provide donations through payroll deduction. Donations that help to contribute to the community in contributors reside.

The United Way assists persons who are struggling with financial difficulties as providing oil for their heating costs, unable to pay rent that will result in eviction, or for those unable to purchase a new oil tank. Assisting those in need during extreme circumstances is possible through community donations at the local level.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 93 of 195 INFORMATION & ASSISTANCE LINKS

Call 2-1-1 for:

Non-emergency police numbers, Food Banks, Walk-In Clinics, Alzheimer’s Support, Mental Health Help, Meals on Wheels, Emergency Shelters for Homeless, Services for Domestic Violence Victims, Public Health, Telehealth Ontario, Crisis Services, Provincial and local helpline phone numbers, Settlement help for newcomers, Housing Help Centres, Youth Drop in Programs, Child, Youth and Family Counselling, Emergency Utility Assistance, Understanding which government service may help or assistance, Emergency Utility assistance, Disability Support Programs, Parenting programs. 211 ONTARIO Information and referral helpline to community, social, government and health services http://www.211ontario.ca/ http://www.211ontario.ca/blog-entry/how-211-different-311-411-and-911

CALL 9-1-1 for:

In an emergency, call 911 immediately An emergency is any situation that requires immediate assistance from the police, fire department, or paramedics. Examples include: A fire A Crime, especially in progress A Car Crash, especially if someone is injured A Medical emergency, such as someone who is unconscious, gasping for air or not breathing, experiencing an allergic reaction, having chest pain, unconscious, having uncontrollable bleeding, or any other symptoms that required immediate medical attention.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 94 of 195

CONTACT NORTH EAST HEALTH LINE: http://www.northeasthealthline.ca/

Health Care Options for North East Health Topics Your Health Making Choices

Missanabie Emergency numbers: No 911 available

Call:

705-856-0911 for Ambulance 705-856-0994 for Fire 705-856-2335 for Hospital (Lady Dunn Health Centre) 1-888-310-1122 for OPP 1-800-268-9017 for Poison Control 1-866-797-0000 for Telehealth

CALL TELEHEALTH for: Free Access to a Registered Nurse – 24 hours a day, 7 days a week 1-866-797-0000 TTY: 1-866-797-0007

http://www.health.gov.on.ca/en/public/programs/telehealth/

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 95 of 195 Ministry Programs - Telehealth Ontario - Now help is close at hand. You do not need to provide your health insurance number and all information is confidential. It doesn't hurt to call.

Canadian Hard of Hearing Association Call 1-800-263-8068 Text 911

http://www.chha.ca/chha/

http://www.chha.ca/documents/Hearing_Aid_Subsidies_Across_Canada.pdf

Canadian Hard of Hearing Association Voice: 613-526-1584 2415 Holly Lane TTY: 613-526-2692 Suite 205 Fax: 613-526-4718 Ottawa, Ontario Toll-Free: 1-800-263-8068 (In Canada Only) K1V 7P2 E-mail: [email protected]

For individuals who are hard of hearing, access to Assistive devices can be difficult. There are various programs in place through the government of Canada that aid in the funding of these devices. Eligibility varies from program to program and some are more accessible than others for certain individuals. It is important to research all potential avenues to ensure every possible source of assistance has been explored before assuming devices must be paid for out of pocket. ONTARIO (UPDATED FALL 2009) Children & Adults: Hearing aids and FM systems must be purchased from a vendor registered with the Assistive Devices Program (ADP). ADP will reimburse eligible Ontarians 75% of the cost, including dispensing fee, ear molds and accessories, to a maximum of: $500 of the cost of one hearing aid, $1,000 for two hearing aids, and $1,350 of the cost of an FM system. The ADP requires prior authorization for FM systems for adults. The audiologist authorizer must send a written request to ADP for prior authorization before any FM system is dispensed to an adult. New hearing aid(s) can be obtained after 3 years (if necessary). BAHA: the ADP will not provide funding for the initial processor but will fund toward a replacement BAHA processor. The ADP pays the vendor 75 per cent of the manufacturer/distributor invoice price in Canadian dollars, up to a maximum of $2625 for the sound processor or 75 per cent up to a maximum of $3366.75 for the sound processor with abutment. For people who are receiving benefits from any one of the following: Assistance to Children with Severe Disabilities, Ontario Disability Support Program or Ontario Works at the time the sound processor is authorized, ADP will pay the vendor up to $3500 toward the sound processor or up to $4489 toward the sound

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 96 of 195 processor with abutment. Ask the vendor for more details. Compiled by: The Canadian Hard of Hearing Association CANADIAN HEARING AID SUBSIDIES 7 CI Replacement Speech Processor: ADP pays the health centre 75 per cent of the manufacturer’s invoiced price in Canadian dollars, up to a maximum of $5,444 For people who are receiving benefits from any one of the following: Assistance to Children with Severe Disabilities Ontario Disability Support Program or Ontario Works at the time the processor is authorized; ADP will pay the health centre up to $7,258.67 in Canadian dollars toward the speech processor. They can also receive fully subsidized hearing aids and Baha as well as the initial costs of ear molds and batteries Ontario Ministry of Health and Long- Term Care http://www.health.gov.on.ca/

Text 911:

As the service becomes available in different municipalities, Canadians with hearing loss or speech impairments must register their mobile phone number with their wireless service provider, and ensure that they have a compatible mobile phone. In the event of an emergency, they must first dial 911, and the emergency call centre will automatically receive notification to initiate a conversation by text message. .This service will only be available in Canada.

Dilico Anishinabek Family Care

Call 1-855-623-8511 24 hour access 7 days a week to emergency protection services

www.dilico.com

Preference is given to Native persons Non-Native persons can access Dilico Services In person access is located at the Fort William First Nation both for Native and Non- Native persons Outside of FWFN is a call to the 1-855-623-8511 number to be triaged for care and referred to the closest location a person is able to receive care for North Algoma recipients. Child Welfare: Customary Care and Kinship, Protection and Services, Support Services Step Up

Health: Mental Health and Addictions – Adult Services, Children’s Services, and Making a Referral, MH Walk in Clinic at Fort William First Nation Dilico location

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Community Health Services: Community and Personal Support, Diabetes, Chronic Disease, Management, Family Health Team Clinic; Home and Community Care Services, Quality Assurance.

First Nations and Inuit Health Branch Call 1-866-225-0709

http://www.hc-sc.gc.ca/ahc-asc/branch-dirgen/fnihb-dgspni/index-eng.php

Diseases and Health Conditions Family Health Health Care Services Health Promotion Non-insured Health Benefits Substance Use and Treatment of Addictions Funding First Nations & Inuit Health General and Statistical Information

By Mail: Health Canada Address Locator 0900C2 Ottawa, Ontario K1A 0K9

Email: [email protected] Telephone: 613-957-2991 Toll free: 1-866-225-0709 Facsimile: 613-941-5366 Teletypewriter: 1-800-465-7735 (Service Canada)

The First Nations and Inuit Health Branch support the delivery of public health and health promotion services on-reserve and in Inuit communities. It also provides drug, dental and ancillary health services to First Nations and Inuit people regardless of residence. The Branch also provides primary care services on-reserve in remote and isolated areas, where there are no provincial services readily available.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 98 of 195 MISSANABIE CREE FIRST NATION www.missanabiecree.com

559 Queen St. E. Sault Ste. Marie, ON P6A 2A3 705-254-2702 1-800-319-3001 Fax: 705-254-3292 [email protected]

MICHIPICOTEN FIRST NATION http://www.michipicoten.com/

P.O. Box 1, Site 8, RR#1 Wawa, ON P0S 1K0

Phone: 705-856-1993 Toll Free: 1-888-303-7723 Fax: 705-856-1642

[email protected]

PIC MOBERT FIRST NATION http://picmobert.ca/ http://picmobert.ca/pic-mobert-health-centre/ Pic Mobert First Nation P.O. Box 657 Mobert, ON P0M 2J0 Toll Free: 1-888-214-9831 Phone: 807-822-2625 Fax: 807-822-2975 [email protected]

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March of Dimes of Canada

Call 1-888-260-5269 ext. 237

www.marchofdimes.ca located on Facebook, Twitter, YouTube.

ABI System Navigation

Crystal McCollom, M.E.S., BScN, RN, CDE, Regional ABI System Navigator [email protected]

Definition: An Acquired Brain Injury is damage to the brain, which may be traumatically caused, for example, from an external force such as a collision, fall, or assault. Or through a medical problem or disease process which causes damage to the brain, for example, anoxia, non-progressive tumor, aneurysm, infection, and stroke with diffuse cognitive deficits. An ABI occurs after birth is not related to a congenital disorder or developmental disability, for example, cerebral palsy, muscular dystrophy, autism, spina bifida with hydrocephalus. A process which progressively damages the brain, for example, dementing processes multiple sclerosis, Alzheimer’s disease, and Parkinson’s disease.

Crystal McCollom:

Provides information and assistance for: What is Acquired Brain Injury?, What is Traumatic Brain Injury?, Understanding the Brain and its Anatomy: Brain Basics, Brain Stem Damage, Cerebellum Damage, Frontal Lobe Damage, Parietal Lobe Damage, Occipital Lobe Damage, and Temporal Lobe Damage.

Recognizing ABI/ TBI: people with ABI/ TBI have trouble with short-term memory, planning/ problem solving, initiative, flexibility, insight, confabulating, perseveration, impulsiveness, language disorders, loss of self-image. Judgment, concentration, processing new information, distraction, sequencing, and sensory overload, reading and writing…and,

Poor Balance/gait, endurance, fatigue, speech, headaches, photosensitivity, seizures, slower reactions, lack of coordination, poor endurance, weakness, or paralysis, visual perception, loss and visual neglect, and sexually inappropriateness. Other problems with shopping for food, cooking, staying away from drugs and alcohol, anxiety and depression, pain, taking medications correctly, waiting, and regulating their emotional response are problems recognized with ABI/ TBI.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 100 of 195 The brain is divided into lobes that serve various functions and damage to an area will affect specific functions: different types of ABI will result in different deficits; injuries are mild, moderate, or severe. Deficits include cognitive, physical, emotional, psychosocial, behavioural, and communication.

Challenges after ABI: Physical: Motor, vision, audition, olfaction, hypersensitivity, seizure, Headache/ Energy Level; Mental: Attention/ Memory, Language/ Communication, Visual-spatial, problem solving, initiation; Emotional: Irritability/ labilty, depression, denial, paranoia, anxiety; Psychosocial: Isolation, dependence, status change, sexual adjustment, drug and alcohol use.

Annual incidence of acquired brain injury is greater than multiple sclerosis, spinal cord injuries, Alzheimer, HIV/AIDS and Breast Cancers combined. The OBIA impact report 2012 includes percentages as bicycle crash 3%, pedestrian struck by motor vehicle 7%, Illness affecting the brain 17%, Anoxia 2%, Motorcycle Collision 3%, Recreational Vehicle 2%, fall 12%, victim of assault 3%, other 11%. Prescribed narcotics are also related to ABI.

Ontario Neurotrauma Foundation ABI data set for NE LHIN includes TBI incidence of 2.3 %, ABI incidence 1.6% and percent of inpatient Rehab assistance at 7.9% that is the highest in the NE LHIN without a lot of access to rehabilitation. NE LHIN residents had the 3rd lowest rate of admission to inpatient rehabilitation in the province. The admission rates for NE LHIN residents were lower than the provincial rates for all age groups. The Ontario Road Safety Annual Report 2010 includes for Algoma: the highest percent of injured persons that is 35.8%, and 0.6 % persons killed in Algoma.

Rotary Club of Wawa

http://www.wawarotaryclub.ca/ https://www.facebook.com/RotaryClubofWawa Phone: Meetings held at Wednesdays at 18:10, Embassy Restaurant, 70 Broadway Avenue, Wawa, ON Since it's chartering on May 1st, 1961, The Rotary Club of Wawa has held fundraising efforts to support various projects. Many people wonder just what these projects are that the Rotarians support. Here are some graphs that display where the funding goes now. We can say with certainty that 78% ($23,923) of funds raised by Wawa resident’s remains in Wawa. (71% funds youth projects - Scouts, Guides, Sight & Sound to name a few. 7% funds projects that benefit the entire community of Wawa - Wawa Food Bank, CNIB Eye Van, LDHC, etc.) The balance of 22% or $6,703 goes to World Community

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 101 of 195 Service. http://wawarotaryclub.ca/index.php?option=com_content&task=view&id=15&Itemid=28

Call 705-541-7327

http://thunderbay.cioc.ca/record/SSM0062 8 Albert St E, Sault Ste. Marie, ON P6A 2H6 Phone: 705-541-7327

Focuses on reducing the impact of poverty for those in the greatest need Identifies gaps and duplication in services Assists with medical transportation through the Northern Health Travel Grant Assists individuals with one time emergency funding for a direct service Provides referrals to appropriate community services to assist individuals with their personal needs Provides financial assistance in the following areas: Eyeglasses, Baby safety items (crib, crib mattress, car seat, baby gate), Rental arrears (to avoid eviction) Home Heating-Utilities (to avoid disconnection)

Wawa Lion’s Club Call 705-856-2781

Northeastern Ontario – Algoma District Primary Contact: Nancy Donald, President

Description of Services: Operates a service club that supports local, national and international organizations through local fundraising. The Lion’s Club hosts a variety of annual events including: Christmas sleigh event, Lion’s Western Jamboree, Christmas dinner for Canadian National Institute for the Blind (CNIB) clients. The meetings are held the second Monday of the month at 7 p.m. Eligibility is 19 years and up and membership is by invitation and sponsored by a member. Language is in English. There are membership fees. The Lion’s Club has a non-profit status. An equipment loan cupboard is available to those who require wheelchairs, canes, and other accessories.

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Northern Health Travel Grant Call 1-800-461-4006

http://www.health.gov.on.ca/en/public/publications/ohip/northern.aspx

http://www.health.gov.on.ca/en/public/publications/ohip/docs/brochure_northern_en .pdf

Assists individuals who are eligible for the grant by advancing money for the travel costs For more details, contact the Ministry of Health and Long-Term Care, Claims Services Branch, Northern Health Travel Grant, Sudbury office:

199 Larch St., Suite 801 Sudbury, ON P3E 5R1 (705) 675-4010 1 800 461-4006

Sudbury Claims Services Branch hours of business are Monday to Friday, 8:30 A.M. to 5:00 P.M. Telephone calls are answered by the third ring. During periods of higher than normal call volumes, calls are placed into a queue and answered in order. Voice mail messages will be returned within one business day (24 hours). Correspondence (mail, fax) will be responded to within fifteen (15) business days from the date of receipt.

Medical Appeals Committee Care of: Northern Health Programs 159 Cedar Street, Suite 402 Sudbury, ON P3E 6A5 705 564-7280 1 866 727-9959

OHIP: Northern Health Travel Grants (NHTG), if you qualify; are funded by the Ministry of Health and Long-Term Care.

Please Consider Telemedicine Instead of Travel: A telemedicine appointment with Ontario Telemedicine Network is just like an in-person visit; only the physician uses a monitor, allowing you to avoid the growing costs and challenges associated with long distance travel. Ask your health care provider if videoconferencing is right for you.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 103 of 195 How the grant program works? If you qualify, your grant will be based on the distance you travel: at least 100 kilometres (km) one-way road distance to access a medical specialist or approved health care facility services that are not available locally.

What costs does the NHTG program help pay? Travel: Approved travel grants are paid at 41 cents per kilometre based on return road distance travel between your area of residence and the location of the nearest medical specialist, or approved health care facility that can provide the service. There is a deductible of 100 kilometres on your trip.

Accommodation Allowance: The NHTG Program also offers an accommodation allowance of $100.00 per eligible trip to patients whose: one-way road distance to the closest specialist or approved health care facility that are able to provide the required services (e.g. hospital for Magnetic Resonance Imaging (MRI)) is at least 200 kilometres. You must submit an accommodation receipt in your name to prove you paid an accommodation expense. For a child under 16 years of age, an accommodation allowance receipt can be in the name of his/her parent/guardian. Note: you can apply for only one travel grant and one accommodation allowance for each round trip you take for medical treatment. The grants do not pay all of your expenses, such as meals.

Ontario Renal Services 705-759-3434

http://www.renalnetwork.on.ca/cms/One.aspx?portalId=256223&pageId=256885

Sault Area Hospital http://www.sah.on.ca/ call

http://www.sah.on.ca/programs-services/algoma-regional-renal-program/patient- education-video The Eye Institute – Ottawa Hospital 613-722-7000 613-761-4024 (TTY for the hearing impaired) Civic Campus 1053 Carling Avenue Ottawa, Ontario K19 4E9

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ACCOMMODATIONS Medical Appointments

With proof of medical appointments, or direct hospital booking (cancer and high risk pregnancy patients), special hotel accommodation rates are available at the following Hotels/Inns and at the College residence from May – August only. Prices are subject to change. Add applicable taxes.

Quattro Hotel 229 Great Northern Road, Sault Ste. Marie, ON 705-942-2500 1-800-563-7262 Offers $89.00 - single King standard Complimentary coffee or tea and hot continental breakfast

Sault College Residence 443 Northern Avenue Sault Ste. Marie, ON http://www.saultcollege.ca/services/Residence/ContactUs.asp

http://www.saultcollege.ca/services/Residence/VirtualTour.asp

ONLY SUMMER RATES available from May to August

Please contact our office directly to inquire about group rates All three room types in a linen or non-linen option in 2015

Nightly without Nightly with Monthly Full Summer linens linens (4 months) Super Single N/A N/A $570 $1,945 Single $40 $45 $492 $1,630 Double $35/person $40/person $410/person $1,320/person *Double rooms based on double occupancy only Shared kitchens are accessible, food available within the college coffee shop… For more information and bookings, please contact our office at (705) 759-2554 ext. 2684 Monday-Friday between 8:30am-4:00pm, or [email protected].

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Sleep Inn 727 Bay Street, Sault Ste. Marie, ON 705-253-7533 $79.00 a night Hot complimentary breakfast included

Super 8 Sault Ste. Marie 184 Great Northern Road, Hwy. 17 N 1-888-347-2319 705-254-6441 $88 requires proof Complimentary hot breakfast included

Water Tower Inn & Suites 360 Great Northern Road Sault Ste. Marie, ON 705-949-8111

The Wawa Family Health Team in Wawa books prenatal care special room rate bookings for high risk pregnancy patients through sales directly. A $50.00 a night includes free shuttle service to SAH available from 8 – 4 pm and must be booked 1-day ahead. No continental breakfast. Adjacent room and number of persons is the same rate.

Cancer Care treatment patients/clients qualify and the special rate is booked directly through the SAH for the special rate of $50.00 a night. Shuttle service to SAH is available from 8 – 4 pm and booked 1-day ahead. No continental breakfast. Adjacent room and number of persons are at the same rate.

All other medical appointment rates are at $105 per night for 1 – 5 nights and at $95 a night, if more than a 5 nights stay. With continental breakfast and free shuttle service available when booked 1-day ahead.

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Ronald McDonald Houses for sick children and their families

HAMILTON

Ronald McDonald House Charities Hamilton 1510 Main St. W., Hamilton, ON L8S 1E3 https://www.rmhchamilton.ca

Tel: (905) 521-9983, Ext. 2200 E-mail: [email protected]

LONDON

Ronald McDonald House Southwestern Ontario 741 Base Line Road East London, ON N6C 2R6 www.rmhsouthwesternontario.ca

Phone: 519-685-3232

A special fund was made available to help families pay for hotel accommodation when there’s no room for them at the House. Families who do stay are asked to pay only $10 a night, though no family is ever turned away due to an inability to pay.

11 full time and part time staff and a pool of over 1,000 volunteers see to it that the children and families who stay have the comforts they want and the support they need. They organize and make home-cooked meals for everyone and keep the House stocked and clean. They take care of all the small things so parents can focus on what’s most important – their child.

OTTAWA

Manoir Ronald McDonald House 407 Smyth Rd. Ottawa, ON K1H 8M8 http://rmhottawa.com/

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 107 of 195 Phone: 613-737-5523

It costs Ronald McDonald House about $90 per night to accommodate one family. Families, however, are only asked to contribute $10 per night toward this expense. No family is ever turned away due to their inability to pay

TORONTO

Ronald McDonald House Charities Toronto 240 McCaul Street Toronto, Ontario M5T 1W5 http://rmhtoronto.org/ Phone: 416-977-0458 E-mail: [email protected]

Fax: 416-977-8807

Fees: Our room rate is $15 per family, per night. A family is defined as up to two adults and their children. Payment is made weekly, unless written authorization has been received to bill another party for your stay.

Wait list: Rooms cannot be booked in advance. If rooms are unavailable at the time of your referral, you will be placed on a wait list and asked to continue calling daily to identify when a room becomes available.

STEP 1: Call us at 416-977-0458 to ensure you qualify to stay with us.

STEP 2: Contact the hospital to ensure that a referral is made on your behalf.

STEP 3: Make alternate arrangements. We cannot guarantee that a room will be available upon your arrival to Toronto. If calling one of the following area hotels, explain that you are travelling to pursue hospital care and inquire if they have a discounted hospital rate.

Alternative Arrangements • Courtyard Marriott: 475 Yonge Street, (416) 924-0611 • Delta Chelsea: 33 Gerrard Street West, (416) 595-1975

STEP 4: Call us at 416-977-0458 the day before you arrive to begin checking for room availability.

STEP 5: Continue calling daily at 416-977-0458 to check on room availability.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 108 of 195 Because someone on our wait list may return home or settle elsewhere without notifying us, it is essential that you continue to call daily in order to remain on our wait list.

Repeat visits: When a child is returning for continuing medical care for the same condition, a referral needs to be made through the hospital social worker.

Ronald McDonald Houses are located across Canada. http://rmhccanada.ca/

OTTAWA

Rotel

411 Smyth Road Ottawa ON K1H 8M8 Tel: 613-733-1412 or 1-800-267-4700 Email: [email protected] Web Site: http://www.rotel.ca

Email: [email protected]

ALL PRICES INCLUDE TAX 2 Single Beds $31.50 2 Single Beds + TV $42.00 1 Double Bed $31.50 1 Double Bed + TV $42.00 2 Double Beds + TV $47.25 Handicap (1 Single Bed) $31.50 Handicap + TV (1 Single Bed) $38.85 Handicap Suite + TV (1 Double Bed with adjoining room with 1 Single Bed) $47.25

Rotel is a 50-room, non-profit motel facility serving patients and families using Ottawa area hospitals. Rotel has been designed to keep patients and their loved ones in close touch and to ease the stress on the lives of outpatients. It is conveniently located on Smyth Road, close to the General Campus of TOH, the Rehabilitation Centre and adjacent to the Children's Hospital of Eastern Ontario and the Ottawa Children's Treatment Centre.

Rotel offers modern, non-smoking designated rooms with private bathrooms, some of which are specially equipped for the disabled. Each room is equipped with a refrigerator, a telephone and cable television. A common lounge with microwave and coffee machine, as well as laundry facilities are shared by guests. A play structure for the children, free parking and easy access to all bus routes are all part of the reason families choose to stay at Rotel.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 109 of 195 For more information or to make reservations, please call 613-733-1412 within the Ottawa area or dial the toll-free number 1-800-267-4700. Details about rates and how to find Rotel can also be found on Rotel's web site: http://www.rotel.ca or by sending an email to: [email protected].

THUNDER BAY

North West Regional Cancer Program Web site: www.nw-rcp.on.ca

Regional Cancer Care - Northwest

Host Hospital: Thunder Bay Regional Health Sciences Centre

980 Oliver Road Thunder Bay, Ontario P7B 6V4 Phone: 807-684-7200 Fax: 807-684-5892

Web site: Regional Cancer Care - Northwest

There are free accommodations for cancer patients and their families located at the upper level hospital floor.

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North Algoma Health Needs Assessment - Final Reports & Datab... Page 110 of 195 Find Funding Databases

Government of Ontario:

http://www.grants.gov.on.ca/GrantsPortal/en/OntarioGrants/GrantOpportunities/Gran tsA-Z/index.htm

Find Funding – Chatham-Kent: The CK Find Funding Directory is a comprehensive database of grants and other funding opportunities for community organizations

http://www.chatham-kent.ca/FindFunding/default.aspx

Private Grants: National and Ontario Private Foundations:

http://allontario.ca/2012/07/private-grants-national-and-ontario-private-foundations/

United Way: District Grants

www.ssmuntiedway.ca for an application and more information

Deadline is mid-December, final decisions made in March and funding received by April

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Essential books to read:

Circle of Care booklet is available at the Wawa Hospital

SHARING PERSONAL HEALTH INFORMATION for HEALTH-CARE PURPOSES - Anne Cavoukian, PhD.

Information and Privacy Commissioner 2 Bloor Street East, Suite 1400 Toronto, Ontario M4W 1A8

Call 1 800 387 0073 or 416 326 3333

The Hospital, Emergency, The Living Will, Surgery, Intensive Care, Recovery I, Recovery II, Recovery III, Hospice, A Hospital Lexicon, What does that mean? Terms for Medical Conditions, Common Hospital Procedures, and Other Health-Related Matters. Staff slang: What You Might Overhear.

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Complaints Process:

Services de santé de Chapleau Health Services 6 Broomhead Road Chapleau, Ontario P0M 1K0

Main Phone Number: (705) 864-1520 Main Fax Number: (705) 864-0449 http://www.sschs.ca/Site_Published/Chapleau/chapleau_home.aspx Email: [email protected]

Hornepayne Community Hospital 278 Front Street P.O. Box 190 Hornepayne, ON P0M 1Z0 807-868-2242

http://www.hornepaynecommunityhospital.ca/home.html Email: [email protected]

Lady Dunn Health Centre 17 Government Road Wawa, Ontario P0S 1K0 (705) 856-2335 Toll free: 1-866-832-3321

Email: [email protected] http://ldhc.com/

Manitouwadge General Hospital 1 Health Care Crescent Manitouwadge, Ontario, P0T 2C0 807-826-3251

Email: [email protected] http://mh.on.ca/

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Email: [email protected] http://www.wmgh.net/

Sault Area Hospital 750 Great Northern Road Sault Ste. Marie, ON P6B 0A8 705-759-3434

Email: Patient [email protected] 705-759-3807 http://www.sah.on.ca/

Wawa Family Health Team 17 Government Road Wawa, ON P0S 1K0 705-856-1313

Email: [email protected] http://wawafamilyhealthteam.com/

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MARCH 2014 – DECEMBER 2015 Wawa, Ontario

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NORTH ALGOMA HEALTH NEEDS ASSESSMENT

SERVICE

INVENTORY

August 2015

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Table of Contents

Category Service Organization Page # Acute Care & Acute Care Unit Lady Dunn Health Centre 5 Emergency Emergency Services Lady Dunn Health Centre 6 Services Assisted Living Assisted Living for High Risk Canadian Red Cross 7 Services Seniors Addictions Community Alcohol and Drug Algoma Public Health 8 Services Assessment Program Cancer Services Oncology Program Lady Dunn Health Centre 9 Screen for Life Mobile Coach Thunder Bay Regional health 10 Sciences Centre (TBRHSC) Cancer Information Service / Canadian Cancer Society 11 Community Services Locator Peer Support Service / Support Canadian Cancer Society of 12 Groups / CancerConnection.ca Algoma Transportation to Treatment – Canadian Cancer Society of 13 Wheels of Hope Algoma General Canadian Cancer Canadian Cancer Society of 14 Society Resources Algoma Children’s Infant Child Development Algoma Public Health 15 Services Child Care Services Community Care Access 16 Program Child Welfare Children’s Aid Society of 17 Algoma Children’s Therapy Services/ Children’s Rehabilitation 18 Respite Care/ Early Learning Centre Algoma Resources Pediatric Services Dr. David Burrows 19 Community First Link Program Alzheimer’s Society 20 Support Essential Services for Deaf, Canadian Hearing Society 21 Services Deafened, Oral Deaf and Hard of Hearing Individuals Meals on Wheels Canadian Red Cross 22 Transportation Canadian Red Cross 23 Home Maintenance Canadian Red Cross 24 Friendly Visiting and Telephone Canadian Red Cross 25 Assurance Disaster Services Canadian Red Cross 26

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Regional Acquired Brain Injury March of Dimes Canada 27 System Navigator Fee-for Service ABI and March of Dimes Canada 28 Independent Living Services Home and Vehicle Modification March of Dimes Canada 29 Program/ Assistive Devices Program Dilico Home Care Services Dilico Ojibwe Child & Family 30 Services Health & Health & Education Michipicoten First Nation 31 Education Diabetes North Algoma Diabetes Lady Dunn Health Centre 32 Services Education Program Chiropodist Services, NADEP Lady Dunn Health Centre 32 Foot Care Louise Moran, RPN 33 Diagnostic Laboratory Services and Walk In Lady Dunn Health Centre 34 Services Clinic Diagnostic Imaging & Radiology Lady Dunn Health Centre 35 Walk In Clinic Developmental Supports for Children, Adults, Community Living Algoma 36 Services and Families of Individuals that Experience and Intellectual Disability or ADS Dental Care Dental Care Wawa Dental Care 37 White River Medical Clinic, Dr. Albus Dental Care White River Medical Clinic – 38 Dr. Albus Employment Regional Employment Help Regional Employment Help 39 Services Centre Centre Eye Care Northern Vision Eye Care Northern Vision Eye Care 40 Services CNIB Eye Van CNIB Eye Van 41 Family Support Dilico Anishinabek Family Care Michipicoten First Nation 42 Services Homecare Homecare Services North East Community Care 43 Services Access Centre Long Term Care Long Term Care Unit Lady Dunn Health Centre 44 Mental Health Mental Health Counselling North Algoma Counselling 45 Services Service , Lady Dunn Health Centre Mental Health Education North Algoma Counselling 46 Workshops Service , Lady Dunn Health

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Centre Child and Youth Mental Health Algoma Family Services 47 Services Consumer Survivor Network Iris Place , Canadian Mental 48 Health Association Community Mental Health Algoma Public Health 49 Program Dilico Mental Health and Dilico Anishinabek Family 50 Addictions Services Seniors Mental Health Sault Area Hospital 51 Natural Health Natural Health Products Natural Health Products 52 Services Obstetrics Obstetrics Lady Dunn Health Centre 53 Public Health Public and Environmental Health Algoma Public Health 54 Services Sexual Health Algoma Public Health 55 Vaccine Preventable Disease Algoma Public Health 56 Parent and Child Services Algoma Public Health 57 Chronic Disease Prevention Algoma Public Health 58 Infection Control Algoma Public Health 59 Prevention of Injury and Algoma Public Health 60 Substance Misuse Infant/Child Development Algoma Public Health 61 Oral Health Services Algoma Public Health 62 Paramedic Algoma District Paramedic Algoma District Services 63 Services Services Administration Board Primary Care Wawa Family Health Team Wawa Family Health Team 64 Services White River Medical Clinic White River Medical Clinic 65 Dubreuilville Clinic Dubreuilville Clinic 66 Rehabilitation Physiotherapy Services Carol Ann Robinson 67 Services Physiotherapy Services Outpatient and Inpatient Lady Dunn Health Centre 68 Physiotherapy Reflexology and Chair Massage Lorraine Nelemans 69 Service Community Health Michipicoten First Nation 70 Coordination Representative Applications to Long Term Care, North East Community Care 71 Short Stay Respite, Convalescent Access Centre Care, and Assisted Living Surgical Surgical Program Lady Dunn Health Centre 72 Services Telemedicine Ontario Telemedicine Network Lady Dunn Health Centre 73

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Women’s Community Outreach Program CHADWIC Home 74 Services Transitional House and Support CHADWIC Home 75 Program Emergency Shelter Service CHADWIC Home 76 Wawa and Area Victims Services Wawa and Area Victims 77 Services Visiting Orthopedic Surgeon Lady Dunn Health Centre 78 Specialists Pediatrician Psychiatrist

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Acute Care & Emergency Services

Service Organization Catchment Acute Care Unit Lady Dunn Health Centre Dubreuilville, Hawk Junction, In-patient Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 Toll Free: 1-866-832-3321 Hours: 24 hours a day, 7 days a week, 365 days a year Description of Service Description: Care is provided in the new health care facility (Oct 2002) by a multidisciplinary team consisting of physicians, nurses, a dietitian, a physiotherapist. The (10) bed Acute Care Unit has both private and semi-private rooms with a view of Wawa Lake or the surrounding hills. Located in the unit is a sitting room for patients and families to gather in times of crisis or as a quiet place to get away for a few minutes. Eligibility Criteria: Not cited. Referral Process: Not cited. Assessment Process: Not cited. Service Capacity: 10 bed acute care unit. Current Waitlist: No wait list. Language Funder Staff Not cited. North East Local Health Physicians Integration Network Nurses Dietitian Physiotherapist

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Service Organization Catchment Emergency Department Lady Dunn Health Centre Dubreuilville, Hawk Junction, Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 Toll Free: 1-866-832-3321 Hours: 24 hours a day, 7 days a week, 365 days a year Description of Service Description: When medical emergencies occur, LDHC is prepared to serve. The emergency services department provides 24-hour emergency nursing coverage, an on-call physician along with a full complement of medical and technical services and equipment to treat medical emergencies. Eligibility Criteria: Patients are seen and assessed by the nurse then treated based on urgency. Referral Process: Self, family, physician, health service provider, other. Assessment Process: Patients are seen and assessed by the nurse then treated based on urgency. Service Capacity: Not cited. Current Waitlist: Patients are seen based on urgency. Language Funder Staff Not cited. North East Local Health On-call physician Integration Network 24-hour emergency nursing coverage

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Assisted Living Services

Service Organization Catchment Assisted Living for High Risk Canadian Red Cross Wawa Seniors Contact Information Contact Person: Christy Reid Address: 27 Gold Street, Wawa ON P0S 1K0 Phone: Hours: 24/7 Description of Service Description: This service provides access to 24 hour/ 7 day a week personal support services including personal care, light housekeeping, meal preparation, laundry, shopping, medication reminders, and security checks. Eligibility Criteria: High risk seniors living in the community, 65 years and over. Referral Process: CCAC does all referrals and assessments, includes self-referrals and physician referrals. Assessment Process: Eligibility for this program is determined through a RAI CHA assessment conducted by the North East Community Care Access Centre. Service Capacity: 9 clients Current Waitlist: 2 clients Language Funder Staff English is the working language. North East Local Health 2 FT Personal Support Workers French interpretation is available Integration Network 3 PT Personal Support Workers upon request.

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Addictions Services

Service Organization Catchment Community Alcohol and Drug Algoma Public Health Wawa, White River, Assessment Program Dubreuilville, Missanabie Contact Information Contact Person: Gretchen Belanger Address: 18 Ganley Street, Wawa ON Phone: 705-856-7208 ext. 6008 Hours: 8:30-4:30 office hours (Wawa and White River); Also provide service in Dubreuilville at medical clinic and other locations in community. Description of Service Description: Provides assessment, referral, and outpatient counselling using a variety of approaches such as CBT, DBT, MBSR, Motivational Interviewing, SRP, and group educational models. Anger Solutions, Self Esteem groups, Recovery and Wellness Group (with Michipicoten First Nation). Harm Reduction – needle exchange/safe inhalation supplies. Eligibility Criteria: Supports anyone struggling with addiction. Family, client, circle of care. Treatment is client driven goals are specific to clients identified needs. Referral Process: Self-referral, physician referral Assessment Process: ADAT assessment which is required for residential treatment programs throughout the province. Brief addiction assessment for those not seeking residential treatment. MAST and DAST/ Stage of change, 5A’s, GAINSS. Service Capacity: Not cited. Current Waitlist: No wait list. Clients can be seen usually within a week and typically sooner. Language Funder Staff English only, however counsellor NE LHIN 0.3 FTE currently attending private French lessons to futuristically provide services in French.

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Cancer Services

Service Organization Catchment Cancer Care Program Lady Dunn Health Centre Wawa, Dubreuilville, White River, Hawk Junction, Missanabie Contact Information Contact Person: Louise Needham, RN Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: 705-856-2335 ext. 3413 Hours: 8am –4 pm (time flexible) Monday to Friday Email: [email protected] Website: www.ldhc.com Description of Service Description: In conjunction with the Algoma District Cancer Program, Wawa Family Health Team and Lady Dunn Health Centre Oncology Program are able to offer a coordinated system of cancer care in response to the needs of clients and their families living with cancer. A specially trained oncology nurse provides services that include consultation with the health care team, coordination of care, advocacy for the patient and family through assessment and symptom management, health teaching, referrals and administration of treatments as indicated. Eligibility Criteria: Diagnosis of Cancer Referral Process: Self-referral, family physician, oncologist and ADCP. Assessment Process: None cited. Service Capacity: None cited. Current Waitlist: None cited. Language Funder Staff English only. Lady Dunn Health Centre 1.0 Oncology Nurse

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Service Organization Catchment Screen for Life Mobile Coach Thunder Bay Regional health Wawa, Dubreuilville, White Sciences Centre (TBRHSC) River, Hornepayne, Chapleau, Constance Lake FN, Ginoogaming Contact Information Contact Person: Tarja Heiskannen Address: Cancer screening coach travels to each community and parks in various locations (i.e. community centres, health centre, local businesses, school parking lots, etc.), remains in the community for 1-5 days. Phone: Hours: 8:00am-8:00pm, 7 days a week (statuary holiday weekends excluded) Description of Service Description: Mobile cancer screening coach travels throughout Northwestern Ontario and the western portion of Northeastern Ontario providing access to breast (OBSP), cervical (OCSP), and colorectal cancer screening (CCC). Eligibility Criteria: Breast Screening- Women age 50-74 with no current breast health concerns; Colorectal Screening- Women age 50-74 with no rectal bleeding; Cervical Screening: Women age 30- 69. Referral Process: Self-referral, physician referral Assessment Process: None cited. Service Capacity: Average of 500 clients per month Current Waitlist: None cited. Language Funder Staff English only. Cancer Care Ontario/ TBRHSC 5 Mammography Technologists 5 Registered Nurses 3 Booking Clerks 2 Data Clerks 1 Navigator 1 Lead and Manager

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Service Organization Catchment Cancer Information Service / Canadian Cancer Society Wawa, Dubreuilville, Community Services Locator Contact Information Contact Person: None cited. Address: 390 McNabb Street, Sault Ste. Marie, ON P6B 1Z1 Phone: 705-253-4781 or 1-888-939-3333 (TTY 1-866-786-3934) Email: [email protected]. Website: www.cancer.ca Hours: Monday to Friday Description of Service Description: o Cancer Information Service: Cancer can be difficult to understand and coping can be stressful. It can help to talk to someone you can trust to give you current, reliable information. Our Cancer Information Service is a national, toll-free service available to cancer patients, caregivers, families and friends, the general public and healthcare professionals. We’ll take all the time you need to answer your questions and give you information about: cancer treatment and side effects; clinical trials; coping with cancer; emotional support services; prevention; help in the community; complementary therapies o Community Services Locator: We can also help you find more cancer-related services in your area through our Community Services Locator – a searchable database of over 4000 cancer-related services and resources nationwide – or at one of our community offices across the country. Eligibility Criteria: None. Referral Process: Self, family, friend, health care provider, other. The personal information collected on the referral form will only be used to contact the individual regarding our services. Assessment Process: None. Service Capacity: Not cited. Current Waitlist: None. Language Funder Staff English and French Canadian Cancer Society Not cited.

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Service Organization Catchment Peer Support Service / Support Canadian Cancer Society of Wawa, Dubreuilville Groups / CancerConnection.ca Algoma Contact Information Contact Person: None cited. Address: 390 McNabb Street, Sault Ste. Marie, ON P6B 1Z1 Phone: 705-253-4781 or 1-888-939-3333 (TTY 1-866-786-3934) Email : [email protected] Website: www.cancer.ca ; www.CancerConnection.ca Hours: Monday to Friday 9:00am-5:00am Description of Service Description: o Peer Support Service: Our peer support service connects people living with cancer and caregivers with trained volunteers who offer encouragement and share ideas for coping—all from their unique perspective as someone who’s been there. Connect by phone or in person to a cancer survivor or caregiver whose experience most closely resembles your own. Based on details that are important to you, such as type and stage of cancer, sex, treatment, side effects, age or family situation, you will be matched with a trained volunteer who has had a similar cancer experience. o Support Groups: Meet with adults who have cancer and caregivers for educational and informal group discussions facilitated by trained volunteers who are also living with cancer. Groups are community based – and some are specific to one type of cancer, while others may offer general support for people living with cancer. o CancerConnection.ca is our online which community helps people who have cancer; cancer survivors and caregivers share their experience and build supportive relationships. Eligibility Criteria: Our Peer Support Service is available to people with cancer and their caregivers who are 18 and over. Referral Process: If your patient or their caregiver would like to speak to someone who’s had a similar cancer experience, complete and submit a healthcare provider referral . The personal information collected on the referral form will only be used to contact the individual regarding our services. Assessment Process: Not cited. Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English, French, Other languages Canadian Cancer Society Not cited. through interpreter services

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Service Organization Catchment Transportation to Treatment – Canadian Cancer Society of Dubreuilville, Wawa Wheels of Hope Algoma Contact Information Contact Person: None cited. Address: 390 McNabb Street, Sault Ste. Marie, ON P6B 1Z1 Phone: 705-253-4781 or 1-888-930-8883 Email : [email protected] Website: www.cancer.ca Hours: Monday to Friday 9:00am-5:00pm Description of Service Description: Sometimes simply getting to treatment can be difficult Patients registered with our Wheels of Hope transportation service will be picked up and taken to their appointment by a volunteer driver. This is a shared-ride program that not only provides transportation but also offers a friendly, supportive environment along the way. Eligibility Criteria: New patients who register with Wheels of Hope will be required to pay a one- time $100 registration fee. Children 18 years old or under will not be charged. If you are unable to pay the full registration fee, you may be eligible for assistance through our compassionate program. Referral Process: Self, family, friend, healthcare provider, other. Assessment Process: Not cited. Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English Canadian Cancer Society Not cited.

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Service Organization Catchment General Canadian Cancer Society Canadian Cancer Society of Dubreuilville, Wawa Resources Algoma Contact Information Contact Person: None cited. Address: 390 McNabb Street, Sault Ste. Marie, ON P6B 1Z1 Phone: 705-253-4781 or 1-888-930-8883 Email : [email protected] Website: www.cancer.ca Hours: Description of Service Description: o Smokers’ Helpline: Quit-smoking—Our Smokers’ Helpline offers proven tips and tools to help people quit smoking. 1-877-513-5333; http://www.smokershelpline.ca/ o Wigs and Hair Donations: We help people with cancer find wigs when they lose their hair as a result of cancer treatment. o Financial Help: When dealing with a cancer diagnosis or coping with treatment and recovery, patients and their families often worry about finances and benefits. Information on programs and resources available to residents of Ontario is provided. This information can help you determine your options, and guide you in the direction of where to get help. You may find help from one or more of the programs listed. Eligibility Criteria: Dependent upon program listed above. Referral Process: Self, family, friend, healthcare provider, other. Assessment Process: Dependent upon program listed above. Service Capacity: Dependent upon program listed above. Current Waitlist: None cited. Language Funder Staff English Canadian Cancer Society Not cited.

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Children’s Services

Service Organization Catchment Infant Child Development Algoma Public Health Wawa Contact Information Contact Person: None cited. Address: 18 Ganley St. Wawa P0S 1K0 Phone: 705-856-7208 Email: Not cited. Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm Description of Service Description: Parent Child Advisors is responsible for assessing the family of a child who is at risk for, or has a diagnosed delay in development, to attain his/her full potential. Eligibility Criteria: This program works with clients 0-6. Referral Process: Infant Child Development receives referrals through our contact numbers from physicians, parents, teachers, and other professionals at APH. Assessment Process: Not cited. Service Capacity: Not cited. Current Waitlist: None cited. Language Funder Staff English Not cited. 1 part-time.

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Service Organization Catchment Child Care Services North East Community Care Wawa, Hawk Junction, Access Centre Dubreuilville, White River, Hornepayne and all points in between Contact Information Contact Person: Rochelle Parsons, RN Care Coordinator Address: 17 Government Road, Wawa, Ontario, P0S 1K0 Phone: 1-800-668-7705 Email: Not cited. Website: http://healthcareathome.ca/northeast/en Hours: Homecare Service Hours: 8:00am-8:00pm 7 days a week; Wawa Office Hours: Monday to Friday 8:30am-4:30pm; afterhours call toll free number. Access to care assistant coordinator is available 8am – 8 pm either locally or regionally Call 1-800-668-7705. Description of Service Description: All services offered include CCAC School Services, Occupational and Physiotherapist services, nursing, PSW and Speech-Language Pathology. No wait lists for Physiotherapy Services. Eligibility Criteria: Not cited. Referral Process: All referrals go through the Access/Intake Care Coordinators in the Sault Ste. Marie office. Referrals and assessments are completed by CCAC. Self-referrals and physician referrals. Assessment Process: Client needs are reassessed at structured intervals and services are adjusted according to needs. Service Capacity: Average 100 clients per month. Current Waitlist: Waitlist for therapy services (OT, PT SLP, Registered Dietitian; Social Work). Language Funder Staff English and French North East Local Health 1.0 FT Care Coordinator Integration Network 1.0 PT Team Assistant

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Service Organization Catchment Child Welfare Children’s Aid Society of Algoma All communities from Montreal River to Hornepayne with the exception of Michipicoten First Nation. Contact Information Contact Person: Kim Streich-Poser Address: 31 Algoma Street, Wawa, ON Phone: 705-856-2960; Report Child Abuse: 1-888-414-3571 Email: Not cited. Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm, with emergency after hour’s response. Description of Service Description: Protection services for children under the age of 16 and defined by the Child and Family Services Act; Residential Care Services including foster care, kinship care, child in care; Adoption services; Afterhours service, 24 hour emergency response to reports of child abuse and maltreatment. Eligibility Criteria: All reports of child maltreatment are given an immediate initial assessment by a child protection worker using the Ontario Child Welfare Eligibility Spectrum and are documented in the case file within 24 hours of receipt. The Eligibility Spectrum considers the incident or condition that causes the person reporting to be concerned that a child may be in need of protection; the functioning of the family and in particular the child who is the subject of the concern; and the child and family support network. Referral Process: Centralized intake system1-888-414-3571 with prompts to report child abuse; adoption services; foster care. Assessment Process: Safety Assessment- to assess the immediate safety of the child and the steps necessary to mitigate risk; Risk Assessment- to assess the risk of future maltreatment; Child and Family Strengths and Needs Assessment- to identify risk and protective factors. Service Capacity: Not cited. Current Waitlist: No wait list. Response time will be dictated according to risk and the provincial standards—immediate to 7 day response from the time of referral. Language Funder Staff English and French Ministry of Child and Youth 3.0 full-time child protection Services positions 0.5 supervisor position 0.5 clerical position

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Service Organization Catchment Children’s Therapy Services/ Children’s Rehabilitation Centre District of Algoma Respite Care/ Early Learning Algoma Resources Contact Information Contact Person: Marilyn Barban, PSD Address: Services provided throughout North Algoma based on need of the family, most often in the home, school or childcare. Phone: 1-855-759-1131 ext. 208 Email: Not cited. Website: Not cited. Hours: Regular daytime hours, but evening appointments can be accommodated. Description of Service Description: Therapy services provided for children 0 – 18 years old, with challenges that may include physical, communication and developmental disabilities; specialty clinics in main office in SSM (including seating, assistive communication & writing aids, orthotics, orthopedic, botox, pediatric neurology, psychology). Eligibility Criteria: Children 0-18. For therapy services, an initial screening is done to determine need for services. Restrictions would be if child is already being seen for the same service elsewhere, or if service is provided by another agency. Referral Process: Referral through main office in Sault Ste. Marie by family or outside agency. Assessment Process: Appropriate assessment tools are used by all services according to best practice of each discipline. Service Capacity: Not cited. Current Waitlist: 11 Language Funder Staff English and French MCYS/MCSS (Therapy and Services provided by staff Respite) travelling from Sault Ste. Marie ADSSAB (ELR) and/or contracted out; satellite office in Wawa has 1 staff.

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Service Organization Catchment Pediatric Services Dr. David Burrows District of Algoma Contact Information Contact Person: Address: 750 Great Northern Road Sault Ste. Marie, ON, Canada P6B0A8 Services provided in Wawa at the LDHC Phone: 705-856-2335 - Lady Dunn Health Centre Email: Not cited. Website: www.sah.ca Hours: Regular daytime hours, visits Wawa once a month Description of Service Description: pediatric services Eligibility Criteria: birth, infants, children, adolescents to 18 years of age Referral Process: Referral through family doctor Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English OHIP 1 pediatrician

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Community Support Services

Service Organization Catchment First Link Program Alzheimer’s Society Dubreuilville, Hawk Junction, Wawa, White River, all First Nations in North Algoma Contact Information Contact Person: Christy Reid Address: 37 Broadway Ave. , Wawa ON Phone: (705) 856-0000 Email: [email protected] Website: http://www.alzheimer.ca/en/algoma Hours: Monday to Thursday 1:00pm to 4:30pm, variable service hours as required Description of Service Description: First Link is a program that links persons with dementia and their care partners to coordinated learning, services, and support from the point of diagnosis throughout the continuum of the disease. After a referral has been made, the First Link Coordinator will: Offer dementia education and ongoing support for the person with dementia and family members; Assess for other Alzheimer Society programs (e.g., Safely Home®, Recreation Therapy, volunteer visiting, behaviour support); Make referrals to other appropriate community services. Eligibility Criteria: A resident of North Algoma, memory loss present or a caregiver to someone with memory loss. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener, MMSE, MoCA Service Capacity: Average 40 clients per month. Current Waitlist: 2 Language Funder Staff English, French interpretation is North East Local Health 1 Part Time available upon request Integration Network/ Donations/ Fundraising

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Service Organization Catchment Essential Services for Deaf, Canadian Hearing Society Wawa, Dubreuilville Deafened, Oral Deaf and Hard of Hearing Individuals Contact Information Contact Person: Wayne King Address: 130 Queen Street East, Sault Ste. Marie ON, P6B 6H2 Phone: 705-946-4320; 1-855-819-9169; 1-877-634-0179 (TTY) Email: [email protected] Website: http://www.chs.ca/locations/sault-ste-marie Hours: Monday to Friday, 9:00am-5:00pm Description of Service Description: CHS offers a complete roster of essential services including sing language interpreting; one-on-one language development for deaf and hard of hearing children using play as a the medium of learning; employment consulting; sign language instruction; speech reading training; hearing testing; hearing aids; counselling; and, the most complete range of communication devices that assist and augment communication including text telephones (TTYs), visual smoke detectors, baby monitors, signalling devices and alarm clocks. Eligibility Criteria: Services geared towards those with hearing loss and their families. Hearing Care Counselling minimum age 55 or less with a dual disability diagnosis. Referral Process: Various types of referral processes with community partners Assessment Process: Various intake methods per program. Service Capacity: Average 250-300 clients per month Current Waitlist: Wait list in hearing counselling, sign language services, and general support services. Language Funder Staff English and ASL Federal and Provincial 7.80 FTE Government/ United Way/ Fundraising

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Service Organization Catchment Meals on Wheels Canadian Red Cross Wawa, Hawk Junction, White River, Dubreuilville Contact Information Contact Person: Darlene Trovarello Address: 27 Gold Street, Unit 3, Wawa ON P0S 1K0, service provided at the client’s home Phone: 705-856-1964 Email: [email protected] Website: www.redcross.ca Hours: Monday to Friday, 8:30am-4:30pm Description of Service Description: Delivers a nutritionally balanced noon hour warm meal by volunteers who provide social contact and a safety check for the client. Special diets may be accommodated, frozen meals may be available. Eligibility Criteria: Seniors over 65 or disabled adults over 18. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener; financial assessment; client home safety assessment; consent forms Service Capacity: Average 45 clients per month Current Waitlist: None Language Funder Staff English, French interpretation North East Local Health 1.0 FT available open request Integration Network .5 PT 14 Volunteers

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Service Organization Catchment Transportation Canadian Red Cross Wawa, Hawk Junction, White River, Dubreuilville Contact Information Contact Person: Darlene Trovarello Address: 27 Gold Street, Unit 3, Wawa ON P0S 1K0 Phone: 705-856-1964 Email: [email protected] Website: www.redcross.ca Hours: Monday to Friday, 8:30am-4:30pm Description of Service Description: Provides door-to-door rides for seniors or adults who have a disability to attend medical and therapeutic appointments, social activities, and perform other daily tasks such as shopping. Eligibility Criteria: Seniors over 65 or disabled adults over 18. There is a client fee for this service. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener; financial assessment; client home safety assessment; consent forms Service Capacity: Average 45 clients per month Current Waitlist: None Language Funder Staff English, French interpretation North East Local Health 1.0 FT available open request Integration Network .5 PT 8 Volunteers

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Service Organization Catchment Home Maintenance Canadian Red Cross Wawa, Hawk Junction, White River, Dubreuilville Contact Information Contact Person: Darlene Trovarello Address: 27 Gold Street, Unit 3, Wawa ON P0S 1K0, service provided at the client’s home Phone: 705-856-1964 Email: [email protected] Website: www.redcross.ca Hours: Monday to Friday, 8:30am-4:30pm Description of Service Description: Matches eligible clients with individuals or businesses that provide affordable repairs and maintenance to a senior’s home. Eligibility Criteria: Seniors over 65 or disabled adults over 18. There is a client fee for this service. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener; financial assessment; client home safety assessment; consent forms Service Capacity: Average 45 clients per month Current Waitlist: 4 Language Funder Staff English, French interpretation North East Local Health 2.0 FT0 Volunteers available open request Integration Network

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Service Organization Catchment Friendly Visiting and Telephone Canadian Red Cross Wawa, Hawk Junction, White Assurance River, Dubreuilville Contact Information Contact Person: Darlene Trovarello Address: 27 Gold Street, Unit 3, Wawa ON P0S 1K0, service provided at the client’s home Phone: 705-856-1964 Email: [email protected] Website: www.redcross.ca Hours: Monday to Friday, 8:30am-4:30pm Description of Service Description: Offers visiting and companionship to reduce loneliness and provide a safety check. The contact may be face to face, at the client’s home, or through a phone call. Telephone assurance provides regularly scheduled phone calls to ensure the safety for those with health issues or who experience loneliness or depression. Eligibility Criteria: Seniors over 65 or disabled adults over 18. There is a client fee for this service. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener; financial assessment; client home safety assessment; consent forms Service Capacity: Average 45 clients per month Current Waitlist: None Language Funder Staff English, French interpretation North East Local Health 1.0 FT available open request Integration Network .5 PT 4 Volunteers

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Service Organization Catchment Disaster Services Canadian Red Cross Wawa, Hawk Junction, White River, Dubreuilville Contact Information Contact Person: Darlene Trovarello Address: 27 Gold Street, Unit 3, Wawa ON P0S 1K0, service provided at the client’s home Phone: 705-856-1964 Email: [email protected] Website: www.redcross.ca Hours: Monday to Friday, 8:30am-4:30pm Description of Service Description: Not cited. Eligibility Criteria: None. Referral Process: Family, CCAC, physicians, self-referrals Assessment Process: InterRAI screener; financial assessment; client home safety assessment; consent forms Service Capacity: Average 45 clients per month Current Waitlist: None Language Funder Staff English, French interpretation Red Cross 1.0 FT available open request .5 PT 8 Volunteers

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Service Organization Catchment Regional Acquired Brain Injury March of Dimes Canada North East LHIN System Navigator Contact Information Contact Person: Crystal McCollom Address: Sudbury, ON Phone: 1-888-260-5269 ext. 237 Email: [email protected] Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm, some variability in hours Description of Service Description: Role to improve access to services for those living with the effects of an acquired brain injury (ABI) including with disorders such as mental illness, addictions, developmental delays and geriatrics. This is accomplished by being a staff support to local planning committees and some involvement with individuals who fall through the service cracks to help them find their way to the right services. Eligibility Criteria: Must have an Acquired Brain Injury. The definition of Acquired Brain Injury (ABI) is as follows: An ABI is damage to the brain, which may be caused: Traumatically, e.g., from an external force such as a collision, fall, or assault; Through a medical problem or disease process which causes damage to the brain, e.g., anoxia, non-progressive tumour, aneurysm, infection, stroke with diffuse cognitive deficits. An ABI occurs after birth and is not related to: A congenital disorder or developmental disability, e.g., cerebral palsy, muscular dystrophy, autism, spina bifida with hydrocephalus; A process which progressively damages the brain, e.g., dementing processes, multiple sclerosis, Alzheimer’s Disease, Parkinson’s Disease (Source: Toronto ABI Network Definition of ABI, May 1999). Referral Process: Self-referrals, family, friends, physicians, other. Assessment Process: There is a need to fill out an application for service for March of Dimes services and other ABI providers and to produce some medical documentation or scans which diagnose an ABI. If this can’t happen, then staff will do their best to work with someone to get proof of ABI. Service Capacity: Not cited. Current Waitlist: None Language Funder Staff English North East Local Health 1.0 FTE Integration Network

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Service Organization Catchment Fee-for Service ABI and March of Dimes Canada North East LHIN Independent Living Services Contact Information Contact Person: Ruth MacDonald Address: Sudbury, ON Phone: 1-888-260-5269 ext. 232 Email: [email protected] Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm, some variability in hours Description of Service Description: Includes rehabilitation and personal support services to increase functioning in everyday living. Eligibility Criteria: The services are fee-based services. Referral Process: Self-referrals, family, friends, physicians, other. Assessment Process: Services are often coordinated and approved with a disability management consultant or case manager. Service Capacity: Not cited. Current Waitlist: None Language Funder Staff English and French Fee Based – Third Party funding As needed. such as Insurance benefits, WSIB, Veterans Affairs Canada, private pay

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Service Organization Catchment Home and Vehicle Modification March of Dimes Canada North East LHIN Program/ Assistive Devices Program Contact Information Contact Person: Not cited. Address: Not cited. Phone: Not cited. Email: [email protected] Website: www.marchofdimes.ca Hours: Not cited. Description of Service Description: Funding for modifications to help people remain in their homes or have accessible transportation and support with the purchase of assistive devices for qualifying individuals. Consumers who meet program criteria can apply for grant funding: up to $15,000 lifetime maximum for home modifications and up to $15,000 every two years for vehicle modifications. Assistive Devices Program covers a portion of the costs related to the piece of equipment prescribed Eligibility Criteria: Not cited. Referral Process: Self-referrals, family, friends, physicians, other. Assessment Process: Submit Applicant Assessment form to start. After qualified, then there is a Modification Proposal to complete. The Applicant Assessment is available online at [email protected]. Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English and French March of Dimes Canada Not cited.

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Service Organization Catchment Home Care Services Dilico Home Care Services First Nations: Fort William, Red Rock (Lake Helen), Biingitiwaabik Zaaging Anishinaabek (Rocky Bay), Pays Plat, Whitesand, Long Lake #58, Ginoogaming, Pic Mobert or Michipicoten Contact Information Contact Person: Ann Chalykoff, Care Manager Phone: 807-822-1561 Address: District Office: 2 Ontario Street, Unit 10 P.O. Box 1679 Marathon, ON P0T 2E0 Fax: (807) 229-9276 Toll-Free Fax: 1-855-626-7999 Phone: Toll-Free: 1-855-623-8511; (807) 229-8910 Email: not cited Website: http://www.dilico.com/article/community-and-personal-support-134.asp Hours: Not cited. Description of Service Description: Homemaking, Personal Care, Speech and language support to on-reserve schools, Transportation for medical appointments or errands, Meals, Palliative Care, Basic foot care, Respite Eligibility Criteria: Not cited. Referral Process: Dilico's Care Managers must screen any verbal or written referral to determine client eligibility. Referrals can be made by any Dilico employee or by one of the First Nation communities receiving CPSS services. Assessment Process: Be a resident of Michipicoten First Nation Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English and Ojibwe Not cited Not cited.

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Health & Education

Service Organization Catchment Health & Education Michipicoten First Nation MFN on and off reserve Contact Information Contact Person: Carol Sanders, Band Manager Address: P.O. Box 1, Site 8, RR#1, Wawa, ON P0S 1K0 Phone: 1-888-303-7723 toll free or 1-705-856-1993 collect or email the Band Manager and you will be directed to the department or individual who can provide assistance. Fax: 705-856-1642 Email: [email protected] Website: http://www.michipicoten.com/health-education/ Hours: Monday to Thursday from 8:00 AM to 4:30 PM and Fridays from 8:00 AM to 1:30 PM Description of Service Description: Community Services Supervisor/ Family Support Worker: provides community and family needs assessments and service planning, handles referrals to outside agencies, provides parental and family support, works with Dilico Child and Family Services to coordinate events, services, and case review; Education/Training/Membership Worker: Coordinates Health and Wellness programs and training, provides education counselling to elementary, secondary, post- secondary students, Administers the Post-Secondary Student Support Program and Adult Education programs, maintains membership, registration, status and gas cards; Community Health Promotion Worker and Aboriginal Support Worker: Coordinates and provides support through the Cultural Lodge and Special Education Programming, coordinates programs and events for youth through the education system and cultural room, provides support through community awareness programs; Community Health Representative: Provides information and assistance on health programs, coordinates documentation and transportation assistance for medical trips, provides information concerning non-insured health benefits offered by Indian and Northern Affairs Canada; Community Services Intern: provides support services and assistance on health programs, provides special education and education assistance at the elementary schools and cultural lodge; Librarian: Provides librarian services, assists with programming Health, Wellness and youth activities; Community and Student Transportation Van workers: Provides regularly scheduled van services between MFN and Wawa. Cultural lodge is located at the Michipicoten High School in Wawa. Cultural ceremonies are held at MFN. Powwow and Youth and Elders Gathering are held annually in August. Annual Youth Powwow is held in Wawa in June. Eligibility Criteria: MFN member or non-Native living on reserve. Referral Process: Workers refer to specific programs and services, Dilico, etc. Assessment Process: Referrals are triaged and prioritized Service Capacity: not cited. Current Waitlist: None. Language Funder Staff English and Ojibwe FNIH, INAC. As workers listed above

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Diabetes Services

Service Organization Catchment North Algoma Diabetes Lady Dunn Health Centre Wawa, White River, Education Program Dubreuilville, Michipicoten First Chiropodist Services Nation, Missanabie Contact Information Contact Person: Renee Mellish, Coordinator Address: 17 Government Road, P.O. Box 179, Wawa ON, P0S 1K0; Outreach services provided monthly at White River Medical Clinic, the Dubreuilville Medical Clinic, and Michipicoten First Nation. Outreach provided every 6 months in Missanabie. Phone: 705-856-2335 ext. 3108; 1-866-832-3321 Email: [email protected] Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm, afterhours appointments available upon request

Chiropodist: David Simard visits North Algoma Diabetes Education Program every six weeks in Wawa. http://simardfootclinic.com/ Description of Service Description: Diabetes self-management education (adult program). Our diabetes nurse educator, dietitian, and foot care nurse provide specialized diabetes education counseling, and support for people living with diabetes, pre-diabetes, those at increased risk of diabetes, their families and caregivers. Eligibility Criteria: 18 years and older. Referral processes are in place for pediatric clients or others requiring specialized/advanced diabetes education (i.e. Insulin Pump Therapy). Referral Process: Physician/Nurse Practitioner Referrals, Self-Referral Assessment Process: Referrals are triaged and prioritized based on the Standards of Diabetes Education in Canada. Service Capacity: 100-140 interactions per month; 8-16 participants in ‘Soup to Tomatoes’ 2 times per week. Current Waitlist: None.

David Simard, Chiropodist Wawa clinics are held at the Lady Dunn Health Centre and appointments can be arranged by calling 705-856-2335. Language Funder Staff English and French North East Local Health 1.0 FTE Diabetes Nurse Integration Network Educator/Coordinator 0.4 FTE Registered Dietitian 0.2 FTE Foot Care Nurse

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Service Organization Catchment Foot Care Louise Moran, RPN Dubreuilville, Hawk Junction, Wawa Contact Information Contact Person: Louise Moran, RPN Address: 35 Birch St. Wawa, ON; Service provided in client’s homes. Phone: 705-856-2943 Email: [email protected] Website: Not cited. Hours: Monday to Friday 9:00am-5:00pm Description of Service Description: Provider of basic and advanced foot care in the clients homes. Eligibility Criteria: None. Referral Process: Self-referral, other. Assessment Process: Subjective and objective information taken on initial visit. Service Capacity: Average 14 clients per month. Current Waitlist: None. Language Funder Staff English Client Not cited.

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Diagnostic Services

Service Organization Catchment Laboratory Services and Walk In Lady Dunn Health Centre Dubreuilville, Hawk Junction, Clinic Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 0 Toll Free: 1-866-832-3321 Hours: Laboratory Services: 24 hour, 7 days a week, 365 days a year Walk In Clinic: Monday-Friday 8:00am-12:00pm Description of Service Description: A 24-hour response laboratory in a computerized environment employs a team of professional Laboratory Technologists. Special preparation procedures are needed for Glucose Tolerance Tests. Please call or ask your physician or nurse for instructions for any specialized test. Eligibility Criteria: Not cited. Referral Process: Physician referral. Assessment Process: Physician assessment of diagnostic need. Current Waitlist: Not cited. Language Funder Staff Not described. North East Local Health Team of Laboratory Integration Network Technologists

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Service Organization Catchment Diagnostic Imaging & Radiology Lady Dunn Health Centre Dubreuilville, Hawk Junction, Walk In Clinic Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 3416 Toll Free: 1-866-832-3321 Hours: Diagnostic Imaging: 24 hour, 7 days a week, 365 days a year Radiology Walk In Clinic: Monday-Friday 8:00am-4:00pm (appointment required for ultrasounds and Spirometry) Description of Service Description: A 24-hour response diagnostic imaging department offers radiography and ultrasound services. Recently modernized, the diagnostic imaging department installed a new picture archiving communications system (PACS) which captures and stores x-rays in a digital format. This means that it is now a faster process and turnaround is lessened decreasing wait times. Spirometry testing is also provided by this Department. Eligibility Criteria: Not cited. Referral Process: Physician referral. Assessment Process: Physician assessment of diagnostic need. Current Waitlist: Not cited. Language Funder Staff Not described. North East Local Health Not cited. Integration Network

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Developmental Services

Service Organization Catchment Supports for Children, Adults, Community Living Algoma District of Algoma (Wawa) and Families of Individuals that Experience and Intellectual Disability or ADS Contact Information Contact Person: Tracey McKiddie Address: 26 Marie Street, 2nd Floor, Box 387 Wawa ON Phone: (705) 856-2423 Email: Not cited. Website: http://www.communitylivingalgoma.org/ Hours: Monday to Friday 8:30am-4:30pm, hours are flexible Description of Service Description: o Children/Youth/Family Services: Case management; Respite; Advocacy; Resource Allocation Funding. o Adult Supports: Case management; Advocacy; Supported Independent Living; Resource Allocation Funding. o Specialized Supports: Positive Approaches Planning; Videoconferencing/Training. Eligibility Criteria: For children 0-18 a diagnosis of an intellectual disability or if they experience Autism Spectrum Disorder. For Adults 18 years and older, they must meet the criteria of Developmental Services Ontario (full psychological report 2 standard deviation below the mean, in the area of cognitive and adaptive functioning). Referral Process: Self-referrals, family, friends, physicians, other with individual’s consent. Assessment Process: Full psychological assessment. Service Capacity: 20 clients currently being supported. Current Waitlist: None. Language Funder Staff English and French MCYS/MCSS 3 Part Time

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Dental Care

Service Organization Catchment Dental Care Wawa Dental Care North Algoma Contact Information Contact Person: Not cited. Address: Box 626, 27 Gold St. Wawa, ON Phone: 705-856-2804 Email: Not cited. Website: Not cited. Hours: Monday to Thursday 8:00am-5:00pm, Fridays 8:00am-1:00pm, hours may vary Description of Service Description: All dental services provided. Eligibility Criteria: None. Referral Process: None. Assessment Process: None. Service Capacity: Not cited. Current Waitlist: None. Language Funder Staff English and French Client/Insurance Not cited.

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Service Organization Catchment Dental Care Dr. Albus, Dentist Services, White River/Marathon White River Medical Centre Contact Information Contact Person: Not cited. Address: Marathon, ON Phone: 807-229-9267 Email: Not cited. Website: Not cited. Hours: Saturday pending appointments booked Description of Service Description: All dental services provided. Eligibility Criteria: None. Referral Process: None. Assessment Process: None. Service Capacity: Not cited. Current Waitlist: None. Language Funder Staff English Client/Insurance Not cited.

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Employment Services

Service Organization Catchment Regional Employment Help Regional Employment Help Dubreuilville, Wawa, White Centre Centre River, Hawk Junction, Missanabie, Michipicoten First Nation Contact Information Contact Person: Not cited. Address: 65 B Broadway (head office), Wawa ON Phone: 705-856-1645; 1-800-667-7182 Email: Not cited. Website: Not cited. Hours: Wawa: Monday to Friday 8:30am-4:30pm or by appointment Dubreuilville: Monday to Tuesday 9:00am-3:00pm or by appointment White River: Wednesday to Thursday 9:00am-3:00pm or by appointment Description of Service Description: All employment related programs and services, resources and information, assisted services to unemployment and under-employment. Eligibility Criteria: Resources are accessible to all; assisted services are for unemployed or under- employed individuals. Referral Process: Self-referral or from any source acceptable, majority is word of mouth, repeat customers, other agencies or employers. Assessment Process: One-on-one intake; Employment needs assessment; employment service plan development. Service Capacity: Average 20 new assisted service clients per month; 50+ resource and information clients per month. Current Waitlist: None. Language Funder Staff English and French Client/Insurance 7.0 FTE

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Eye Care Services

Service Organization Catchment Northern Vision Eye Care Northern Vision Eye Care Algoma District Contact Information Contact Person: Mark Robertson Address: 29 Broadway Ave., Wawa ON Phone: 705-254-6262 Email: Not cited. Website: Not cited. Hours: Wednesday 10:00am-7:00pm; Thursday 8:00am-3:00pm Description of Service Description: Optometry officer/ primary eye care Eligibility Criteria: OHIP covers 0-19 years of age and 65+. Referral Process: Self-referral. Assessment Process: None. Service Capacity: Average 60-65 patients per month. Current Waitlist: 3 weeks. Language Funder Staff English and French, Exam English OHIP and Third Party Insurance 1 Optometrist Only 1 Staff

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Eye Care Services

Service Organization Catchment CNIB Eye Van CNIBs Ontario Medical Mobile Dubreuilville, White River, Wawa Eye Care Clinic Contact Information Contact Person: 1-800-563-2642 Address: CNIB head office: Address: Office near you: 1929 Bayview Ave. 477 Queen Street East Toronto ON M4G 3E8 #205, Sault Ste. Marie, ON P6A 1Z5 Phone: 1-800-563-2642 Phone: 705-949-2610 Email: [email protected] Website: www.cnib.ca/en/ontario/programs- services/eye-van/ Dates: White River - Sept. 14–16; Dubreuilville Sept. 17-18; Wawa, Sept. 21-25 Description of Service Description: 25-30 participating Ophthalmologists, two CNIB ophthalmic assistants Eligibility Criteria: OHIP covers/OHIP billed 0-19 years of age and 65+. Referral Process: Family doctor, optometrists, diabetic nurse with health professionals, partnering Native Health Centres, call to enquire for appointment about assessment process Assessment Process: as above Service Capacity: yearly program visits, not available Current Waitlist: none Language Funder Staff English and French designated Ministry of Health and LTC 25-30 participating CNIB non-profit Ophthalmologists, 2 CNIB ophthalmic assistants

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Family Care Services

Service Organization Catchment Child Welfare Services Dilico Anishinabek Family Care Biinjitiwaabik Zaaging Anishinaabek First Nation ; Fort William First Nation ; Ginoogaming First Nation ; Long Lake 58 First Nation ; Michipicoten First Nation ; Pays Plat First Nation ; Pic Mobert First Nation ; Red Rock Indian Band ; Whitesand First Nation Contact Information Contact Person: Darcia Borg, Executive Director Address: Fort William First Nation, 200 Anemki Pl Thunder Bay, ON P7J 1L6 Phone: 807-623-8511/1-800-623-8511 Crisis Phone: 1-855-623-8511 Email: [email protected] Website: www.dilico.com Dates: White River - Sept. 14–16; Dubreuilville Sept. 17-18; Wawa, Sept. 21-25 Description of Service Description: Receives allegations of child abuse and child neglect in confidence from the community; investigates allegations of child abuse and child neglect to determine the safety of the family environment for children; works with families to address protection concerns; provides alternate care for a child in need of protection when a child is unable to remain at home Eligibility Criteria: First Nation individuals Referral Process: self-referrals, referrals from First Nations Assessment Process: no application process Service Capacity: not cited Current Waitlist: none Language Funder Staff English; Ojibwe Provincial – Ministry of Children Not noted and Youth Services

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Homecare Services

Service Organization Catchment Homecare Services North East Community Care Wawa, Hawk Junction, Access Centre Dubreuilville, White River, Hornepayne and all points in between Contact Information Contact Person: Rochelle Parsons, RN Care Coordinator Address: 17 Government Road, Wawa, Ontario, P0S 1K0 Phone: 1-800-668-7705 Email: Not cited. Website: http://healthcareathome.ca/northeast/en Hours: Homecare Service Hours: 8:00am-8:00pm 7 days a week; Wawa Office Hours: Monday to Friday 8:30am-4:30pm; afterhours call toll free number. Access to care assistant coordinator is available 8am – 8 pm either locally or regionally Call 1-800-668-7705. Description of Service Description: All services are offered in the client’s home including Nursing; Personal support such as bathing and getting dressed; Physiotherapy; Occupational therapy Speech-Language Pathology; Social Work; Nutritional Counselling. CCAC manages respite care wait list at LDHC. Eligibility Criteria: Not cited. Referral Process: All referrals go through the Access/Intake Care Coordinators in the Sault Ste. Marie office. In some instances, face-to-face assessments are required at the intake level and the local Care Coordinator will see the client for intake. Self-referrals and physician referrals also. Assessment Process: The following assessments are used: RAI CA; RAI-HC; RAI-PC. Client needs are reassessed at structured intervals and services are adjusted according to needs. Service Capacity: Average 100 clients per month. Current Waitlist: Waitlist for therapy services (OT, PT SLP, Registered Dietitian; Social Work). Language Funder Staff English and French North East Local Health 2.0 FT Care Coordinator Integration Network 1.0 PT Team Assistant

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Long Term Care

Respite Care

Service Organization Catchment Long Term Care Unit Lady Dunn Health Centre Dubreuilville, Hawk Junction, Respite Care Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 217 Toll Free: 1-866-832-3321 Hours: 24 hours a day, 7 days a week, 365 days a year Description of Service Description: The Long Term Care Unit provides accommodation and services to 16 long term care residents and 2 respite care clients in an atmosphere that embraces the values of trust, respect, compassion, integrity and inclusiveness. The residents enjoy a variety of services including meals in a common dining area; seniors support counsel, pastoral care, and recreational therapy. Eligibility Criteria: Not cited. Referral Process: Referrals to Long Term Care are sent to the North East Community Care Access Centre. Respite Care: Booked directly with LDHC Director of Patient Care Services (2 respite beds) Assessment Process: RAI-MDS Service Capacity: 16 Long Term Care Beds and 2 Respite Beds. Current Waitlist: 9 for basic bed, 0 for private bed Language Funder Staff Not described. North East Local Health Not cited. Integration Network

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Mental Health Services

Service Organization Catchment Mental Health Counselling North Algoma Counselling Wawa, Hawk Junction, Service , Lady Dunn Health Dubreuilville, White River, Centre Missanabie Contact Information Contact Person: Not cited. Address: 17 Government Road Suite 142, Wawa, Ontario, P0S 1K0 Phone: 705-856-2335 ext. 3142; 1-866-832-3321 ext. 3142 Email: Not cited. Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm Description of Service Description: The counsellor will listen to you and discuss with you your questions or concerns, provide you with information that you need, assist you to locate information that you need, work with you to arrive at a solution to your concerns, follow up with you to make sure your concerns are resolved, refer you to other qualified persons who can help you resolve your concerns. Grief and bereavement counselling is also available. Eligibility Criteria: Mental health condition/diagnosis. Referral Process: Self-referral; physician; Dr. John Langley, Psychiatrist; agency; organization, other. Assessment Process: A screening process and OCAN assessment tool are used, along with a bio- psychosocial assessment of needs and strengths. Service Capacity: Average 72 patients per month. Current Waitlist: 4-10 people on waitlist for counselling services. Language Funder Staff English and French North East Local Health 1.0 FT Counsellor Integration Network 1.0 PT Clerical

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Service Organization Catchment Mental Health Education North Algoma Counselling Wawa, Hawk Junction, Workshops Service , Lady Dunn Health Dubreuilville, White River, Centre Missanabie Contact Information Contact Person: Not cited. Address: 17 Government Road Suite 142, Wawa, Ontario, P0S 1K0 Phone: 705-856-2335 ext. 3142; 1-866-832-3321 ext. 3142 Email: Not cited. Website: Not cited. Hours: Three days a week 8:30am-4:30pm Description of Service Description: Workshops are offered on various topics: Anger solutions, The Grief Journey, Living Well, Stand Up and Speak Up, Spring into your Life, Learning to Love Yourself. The workshops are usually 2 hours long and run from 6-12 weeks at a time. Eligibility Criteria: Must be age 16 and willing and able to participate in workshops. Referral Process: Self-referral, agency referral, other. Assessment Process: An intake interview determines if the client is best serviced in a particular workshop or referred elsewhere. No formal screens are used except for Anger Solutions: Clinical Anger Scale and Anger Solutions Intake Survey. A goals and outcomes form is used in the first session of the workshops. Also may use self-esteem assessment tool or assertiveness assessment tool. Service Capacity: Average 48 patients per month. Current Waitlist: 2 clients on waitlist for Anger Solutions workshop. Language Funder Staff English North East Local Health 1.0 PT MH Education Facilitator Integration Network 1.0 PT Clerical

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Service Organization Catchment Child and Youth Mental Health Algoma Family Services Wawa, Hawk Junction, Services Dubreuilville, White River, Hornepayne Contact Information Contact Person: Not cited. Address: 26 Ste. Marie Street, Wawa, Ontario, P0S 1K0 Phone: 705-856-2252 Email: Not cited. Website: http://www.algomafamilyservices.org/index.php?g=1 Hours: Monday to Friday 9:00am-5:00pm, due to part-time support staff and counsellors travelling office is sometimes closed. Description of Service Description: Mental health counselling and supports for children/youth aged 0-18 and their families. Assessment, consultation, counselling, crisis follow-up, tele-psychiatry, various groups (Triple P, Strengthening Families for the Future, Adventure Based Learning Camp). Eligibility Criteria: Serving children 0-18 and their families without a diagnosis of an intellectual disability. Eligibility for services determined via MCYS mandated BCFPI (Brief Child and Family Phone Interview). Referral Process: Self-referral; voluntary service, other. Assessment Process: All clients referred to the service are provided with a clinical assessment and corresponding treatment plan. Service Capacity: Average 20-30 clients per month. Current Waitlist: None. Language Funder Staff English and French MCYS 2.0 FT Counsellors 1.0 PT Support Staff Additional specialized clinical staff travels from the main office in SSM depending upon needs.

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Service Organization Catchment Consumer Survivor Network Iris Place , Canadian Mental Wawa, Dubreuilville, White River Health Association and Area Contact Information Contact Person: Debbie Lessard Address: 22 Broadway Avenue, Wawa ON Phone: 705-856-1894 Email: [email protected] Website: http://ssm-algoma.cmha.ca/programs_services/consumer-survivor-network/ Hours: Monday to Friday 10:00am-3:30pm Description of Service Description: The Algoma Consumer Survivor Network offers education and awareness activities about mental health issues from a consumer's perspective to the residents of Algoma. Also offered are support, advocacy, skill development, networking and referral. Eligibility Criteria: None. Referral Process: Self-referral; other. Assessment Process: None. Service Capacity: Average 28 clients per month. Current Waitlist: None. Language Funder Staff English and French North East Local Health 1.0 PT Peer Worker Integration Network

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Service Organization Catchment Community Mental Health Algoma Public Health Wawa, Hornepayne, White Program River, Dubreuilville, Hawk Junction, Missanabie Contact Information Contact Person: Emma Blanchet Address: 18 Ganley Street, Wawa ON (services provided in client’s homes as well) Ext. Phone: 705-856-7208 ext. 6010 Email: [email protected] Website: Hours: Wawa: Monday to Friday 8:30am-4:30pm Dubreuilville: Wednesdays service is provided in client’s homes and at the Dubreuilville Medical Clinic White River: Travel to community as needed to provide service. Missanabie: Travel to community as needed to provide service. Hawk Junction: Travel to community as need to provide service in client’s homes. Description of Service Description: Mental health case management services including: Assessments, supportive counselling, skill building, referrals, activities of daily living, medication dispensing and monitoring, symptom management, as well as connecting with client’s care team to provide comprehensive client centred care. Eligibility Criteria: Adults 16+, must be Axis 1 disorder (schizophrenia, bipolar, PTSD, etc.) and experience severe and persistent mental illness. Referral Process: Self-referral; family members, friends, or service providers can refer. Voluntary program. The referral process includes an intake assessment to determine needs, difficulties, strengths and goals. Assessment Process: Ontario Common Assessment of Need; 5as (smoking) Service Capacity: Average 25 clients per month. Current Waitlist: None. Language Funder Staff English North East Local Health 1.0 FT MH Worker Integration Network 0.7 MH Worker 0.3 Addictions Worker

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Service Organization Catchment Dilico Mental Health and Dilico Anishinabek Family First Nations: Fort William, Red Addictions Services Rock (Lake Helen), Biingitiwaabik Zaaging Anishinaabek (Rocky Bay), Pays Plat, Whitesand, Long Lake #58, Ginoogaming, Pic Mobert and Michipicoten Contact Information Contact Person: Not cited Address: Marathon District Office 2 Ontario Street, Unit 10 P.O. Box 1679 Marathon, ON P0T 2E0 Ext. Phone: Phone: (807) 229-8910 Fax: (807) 229-9276 Toll-Free: 1-855-623-8511 Toll-Free Fax: 1-855-626-7999 Email: not cited Website: http://www.dilico.com/article/mental-health-and-addictions-5.asp Hours: not cited

Description of Service Description: Mental Health and Addictions Services provide strong support and treatment services, equitable access and responsive options for individuals, families and communities. Assisting people with complex mental health issues, substance abuse problems and the challenges of daily life addresses short and long-term health problems. Walk-in clinic counselling, contact local Dilico Office for clinic dates, locations, times, postings at local band office or health centre. Eligibility Criteria: First Nations Referral Process: Referrals are accepted from parents, community workers and agencies, schools, physicians, clients and other professionals provided the child or guardian is aware of the referral. Assessment Process: Adult and Children provide assessment, treatment and follow-up. Service Capacity: Not cited Current Waitlist: Not cited Language Funder Staff English and Ojibwe Not cited Not cited

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Service Organization Catchment Seniors Mental Health Sault Area Hospital Wawa Contact Information Contact Person: Not cited. Address: Unit 2A Sault Area Hospital, 750 Great Northern Road Sault Ste. Marie, ON P6A 0A8 Phone: 705-759-9396 Email: Not cited. Website: Not cited. Hours: Sault Ste. Marie: Monday to Friday 8:00am-4:00pm Wawa: Program available to Wawa residents via OTN. Description of Service Description: Seniors mental health services (SMHS) provide community mental health services for older adults within the District of Algoma (limited from Thessalon to Wawa). This service provides specialized mental health assessment, diagnosis, and recommendations. The program also works with community agencies/other health care worker who provide services to older individuals with complex mental health needs. The program also develops mental health services for older adults. Eligibility Criteria: Individuals must be 65 years or older (exceptions for younger persons with age- related memory impairment) and are experiencing the following: serious difficulties due to their mental illness; behavioural problems associated with severe mental illness, a neurological disorder, and addiction, and/or dementia that significantly impacts quality of life. Referral Process: Anyone can make a referral for SMHS. Referrals are accepted by phone or fax, and require the following: reason for referral; past medical and psychiatric history; current medication list recent medical tests to rule out physical causes of mental health problems. Assessment Process: Specialized mental health assessments, assessments by a geriatric psychiatrist can be arranged through physician referral. Service Capacity: Not cited. Current Waitlist: 2-8 weeks. Language Funder Staff English and French North East Local Health 3.5 FTE includes nurses, an OT, a Integration Network social worker, and an administrative assistant.

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Natural Health Services

Service Organization Catchment Natural Health Products Northern Naturals Wawa, Hawk Junction, Dubreuilville, White River, Chapleau Contact Information Contact Person: Not cited. Address: 31 Broadway Ave. , Wawa ON P.O. Box 59, P0S 1K0 Phone: 705-856-4321 Email: Not cited. Website: https://www.facebook.com/northernnaturals Hours: Monday to Friday, more defined hours to be established Description of Service Description: Providing natural health products. Eligibility Criteria: None. Referral Process: Self-referral, other. Assessment Process: None. Service Capacity: Average 30 customers per month. Current Waitlist: Not applicable. Language Funder Staff English and French Privately Owned 1.0 Chiropractor 1.0 PT Receptionist

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Obstetrics

Service Organization Catchment Obstetrics Lady Dunn Health Centre Dubreuilville, Hawk Junction, Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 Toll Free: 1-866-832-3321 Hours: 24 hours a day, 7 days a week, 365 days a year Description of Service Description: The spacious birthing room, equipped with a modern birthing bed offers all the necessities to allow the mother, husband/partner or coach to have a comfortable setting during labor and delivery. We average about 2-5 births a year. There is no anaesthetist available to perform caesarean sections. High-risk mothers and/or infants are transferred to Sault Ste. Marie. Eligibility Criteria: Not cited. Referral Process: Not cited. Assessment Process: Not cited. Service Capacity: Average 2-5 births a year. Current Waitlist: Not cited. Language Funder Staff Not cited. North East Local Health Not cited. Integration Network

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Public Health Services

Service Organization Catchment Public and Environmental Health Algoma Public Health 192 Townships North of Montreal River Contact Information Contact Person: Robert M. Frattini, Public Health Inspector Address: 18 Ganley Street, Wawa ON Phone: 705-856-7208 TF: 888-211-8074 (within the Algoma district only) fax: (705) 856-1752 Email: [email protected]. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm, on call afterhours Description of Service Description: Public health as it relates to environmental health- food, water, infection control, control of communicable diseases, air, tobacco, sewage disposal, rabies. Eligibility Criteria: Not cited. Referral Process: Not cited. Assessment Process: Annual as per personal policy. Service Capacity: Variable. Current Waitlist: None. Language Funder Staff English and French (for some MOHLTC 1.0 FT Health Inspector services) Municipality of White River, Dubreuilville, Wawa

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Service Organization Catchment Sexual Health Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Samantha Dunn, RN BScN, Public Health Nurse Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch), nurses travel to White River and Dubreuilville on a monthly basis (may be less frequently during summer months). Description of Service Description: Variety of types of affordable birth control, birth control counseling, emergency contraception, pregnancy options counseling, free pregnancy testing, free condoms/lubricant, STI testing, access to free STI treatment, sexual health information, community education, therapeutic abortion referrals (all appointments are confidential) Eligibility Criteria: None. Referral Process: Self-referral, drop-in, health service provider referral, other. Assessment Process: Screens differ for each program. Universal Comprehensive screening (woman abuse) done on all females over 12 if no one else is present in the room. Service Capacity: Average 30 clients per month. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Vaccine Preventable Diseases Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Samantha Dunn, RN BScN, Public Health Nurse Address: 18 Ganley St, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch), nurses travel to White River and Dubreuilville on a monthly basis (may be less frequently during summer months). Flu and other vaccines offered in community of Missanabie in the Fall. Description of Service Description: Immunization clinics held twice monthly in Wawa, once monthly in White River/Dubreuilville, work to reduce the incidence of vaccine preventable diseases in our communities, increase awareness about immunization, offer travel vaccines and health information to travellers, influenza vaccine campaigns in the Fall, all publicly funded immunizations made available to the public (free of charge), provide health agencies in the area will all publicly funded immunizations, vaccine clinics offered in elementary and high schools annually, TB skin testing Eligibility Criteria: None. Referral Process: Self-referral, healthcare provider referral, Panorama Immunization database advises which students are due for elementary/high school clinics. Assessment Process: Screening done before immunization administered. Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Parent Child Services Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Amanda Gauthier, RN BScN, Public Health Nurse Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch) Description of Service Description: Services offered in all North Algoma communities at client request. prenatal classes (one-on-one or group setting), Canada Prenatal Nutrition Program, parent/child information phone line and drop-in centre, breastfeeding support, Healthy Babies/Healthy Children home visiting program, car seat information and installation, parenting programs, infant-child development programs, preschool speech and language services. Eligibility Criteria: Varying eligibility criteria. Referral Process: Self-referral, other. Assessment Process: Screens differ for each program. Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Chronic Disease Prevention Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Melanie Rail, RN BScN, Public Health Nurse Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch), nurses travel to White River and Dubreuilville on a monthly basis (may be less frequently during summer months). Description of Service Description: Work with community agencies such as worksites and schools, and groups to provide the public with information and skills to facilitate the adoption of healthy lifestyles for the prevention of various chronic diseases; Work to implement healthy policies and programs; Help to create and enhance supportive environments to address healthy eating, healthy weights, comprehensive tobacco control, physical activity, alcohol use, stress, and exposure to ultraviolet radiation. Eligibility Criteria: None. Referral Process: Self-referral, outreach, other. Assessment Process: n/a Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Infection Control Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Samantha Dunn, RN BScN, Public Health Nurse Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch), nurses travel to White River and Dubreuilville on a monthly basis (may be less frequently during summer months). Description of Service Description: Investigation and management of communicable diseases and/or outbreaks; Management of infectious diseases; Education to health care professionals and the community at large; Surveillance of illnesses (e.g. influenza, West Nile); Prevention, testing, management and treatment of TB; Travel clinics; Consultation for management of communicable disease to institutions (hospitals, long term care facilities, daycares). Eligibility Criteria: None. Referral Process: Self-referral, outreach, other. Assessment Process: Screens differ for each program. Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Prevention of Injury and Algoma Public Health Montreal River, Wawa, Hawk Substance Misuse Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Melanie Rail, RN BScN, Public Health Nurse Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch), nurses travel to White River and Dubreuilville on a monthly basis (may be less frequently during summer months). Description of Service Description: Public health nurses in injury prevention program work with community partners, schools, worksites, parents, and seniors to help reduce the frequency, severity, and impact of preventable injury and of substance misuse associated with road and off-road safety, falls and violence across the lifespan. Eligibility Criteria: None. Referral Process: Self-referral, outreach, other. Assessment Process: Screens differ for each program. Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff English and French (if bilingual Municipal/Provincial 3.0 FTE nurse is available)

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Service Organization Catchment Infant/Child Development Algoma Public Health Montreal River, Wawa, Hawk Junction, Missanabie, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Shannon Moan Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Monday to Friday 8:30am-4:30pm (closed 12:00pm-1:00pm for lunch) Description of Service Description: Parent/Child Advisors are responsible for assessing the family of a child who is at risk for, or has a diagnosed delay in development, to assist the child in obtaining his/her full potential. Eligibility Criteria: None. Referral Process: Self-referral, outreach, other. Assessment Process: Screens differ for each program. Service Capacity: Variable. Current Waitlist: No wait list. Language Funder Staff Not cited. Municipal/Provincial Not cited.

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Service Organization Catchment Oral Health Services Algoma Public Health Wawa, Hawk Junction, Dubreuilville, White River, Missanabie Contact Information Contact Person: Pat Mousseau (Dental Hygienist located out of SSM office) Address: 18 Ganley Street, Wawa, ON Phone: 705-856-7208/888-211-8074 Email: Not cited. Website: www.algomapublichealth.com Hours: Dental hygienists come to North Algoma from SSM approximately 3 times a year Description of Service Description: oral screening 0-17 in schools, and clinics, dental health education, preventive services, fluoride application, sealants, referral to dentist as needed, CINOT (Children in Need of Treatment) Program, Healthy Smiles Ontario Program, screening prenatal moms and/or Ontario Works insured families. Eligibility Criteria: varies for each program Referral Process: Self-referral, students seen in schools, service providers Assessment Process: Screens differ for each program. Service Capacity: Not cited. Current Waitlist: No wait list. Language Funder Staff Bilingual Municipal/Provincial Full-time staff come to Wawa from SSM

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Paramedic Services

Service Organization Catchment Algoma District Paramedic Algoma District Services Elliot Lake; Blind River; Services Administration Board Thessalon; Richards Landing; Wawa; Dubreuilville; White River; Hornepayne Contact Information Contact Person: Paul Guertin, Deputy Chief Address: Not cited. Phone: 911 Email: Not cited. Website: Not cited. Hours: 24/7/365 Description of Service Description: Paramedic pre-hospital care and transportation. Eligibility Criteria: Not cited. Referral Process: Not applicable. Assessment Process: Not applicable. Service Capacity: Average 527 clients per month. Current Waitlist: Not applicable. Language Funder Staff English (French provided in some MOHLTC/ Municipalities 42 FTEs locations)

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Primary Care Services

Service Organization Catchment Wawa Family Health Team Wawa Family Health Team Wawa, Hawk junction, Michipicoten First Nation, Dubreuilville, White River Contact Information Contact Person: Silvana Dereski Address: 17 Government Rd, box 1218 Wawa, ON P0S 1K0 Phone: 705-856-1313 Email: [email protected] Website: www.wawafamilyhealthteam.com Hours: Regular Hours: Monday to Friday 8:30am-4:30pm, closed for lunch 12:00pm-1:00pm Same Day Appointments: 1:00pm-4:00pm After Hours Nurse Practitioner Clinic: 5:00pm-7:00pm Description of Service Description: Medical care team focused on family and community health; coordinates patient care in order to assess and treat injuries or illness; team includes family doctors, nurse practitioners, nurses, social workers, and dietitian. Services include: o Chronic Disease Management: Diabetes; Hypertension; Cardiac Rehabilitation; CCAC’s Tele- homecare Referral (COPD & CHF patients). o Children’s Health: Prenatal visits; Well Baby, Well Child visits. o Health Promotion and Disease Prevention: Cancer Screening (pap, mammography, FOBT, colonoscopy, PSA); Warfarin Management Therapy (INR); Smoking Cessation; Sexual Health; Immunizations; Pacemaker Testing Program; Stress Test; Lumps & Bumps; Geriatric Support Program; Falls Prevention Exercise Program; Soup to Tomatoes Chair based exercise program (collaborative with the Diabetes Education Program). o Telederm Services o Dietitian Services: 1:1 Counselling; Bariatric Support Group; Munch n Move; Craving Change. o Social/Mental Health Worker: 1:1 Counselling; Grief Support Group (Collaborative North Algoma Counselling); Strengthening Families (Collaborative with Algoma Family Services); Anger Management (Collaborative with Algoma Family Services); Spring / Winter Wellness Workshops (Collaborative with North Algoma Counselling). o Community Social Work Program: Social navigation; Crisis intervention; Emotional support; Housing & food security. Eligibility Criteria: Registered patients. Referral Process: Call for appointment. Assessment Process: Not cited. Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff English and French MOHLTC Family Doctors; Nurse Practitioners; Nurses, Social Workers; Dietitian

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Service Organization Catchment White River Medical Clinic White River Medical Clinic White River, Pic Mobert Contact Information Contact Person: Louise Freistater Address: 102 Winnipeg St Postal Box 278 White River, ON P0M 3G0 Phone: 807-822-2320; after hours 807-822-2075 Email: Not cited. Website: Not cited. Hours: Monday to Friday 8:30am-4:30pm, Description of Service Description: Walk-in medical clinic with associated family practice. Services include; Medical; Nursing; Telemedicine (OTN); Food Care (visiting); Diabetes Education (visiting); Psychologist (visiting). Eligibility Criteria: None. Referral Process: By appointment or walk-in. Assessment Process: Not cited. Service Capacity: Nurse practitioner averages 14 patients per day; physician averages 5 patients per day. Current Waitlist: None. Language Funder Staff English (receptionist is bilingual) MOHLTC 1.0 FT Physician 1.0 FT Nurse Practitioner 1.0 PT Telemedicine Nurse

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Service Organization Catchment Dubreuilville Clinic Dubreuilville Clinic Dubreuilville, Local Mines, White River Contact Information Contact Person: Carmen Brunet, NP; Collette Dechamplain, RN Address: 851 rue St. Joseph, P.O. Box 250 Dubreuilville, ON P0S 1B0 Phone: 705-884-2884 Email: Not cited. Website: Not cited. Hours: Regular Hours: Monday to Friday 8:30am-4:30pm, closed from 12:00pm-1:00pm (not open on stats); Lab Days: Monday and Thursday 8:30am-10:00am Description of Service Description: Nurse Practitioner; Registered Nurse. Services offered include: o Suturing o Lab Services o Well Baby: Pre and post natal o Immunizations o Physician Services: 6 times per month o Diabetes education: Foot care, dietician o Telemedicine: Specialists, Turning Point (French Language Counselling Services from Chapleau), Education, CNIB, Paramedics o Referrals: Red cross, Breast Screening, CCAC Eligibility Criteria: None. Referral Process: By appointment only. Assessment Process: Standard Nurse Practitioner, Physician, and Nurse Assessments. Service Capacity: Average 300 visits per month. Current Waitlist: None. Language Funder Staff English and French MOHLTC / NE LHIN/ LDHC 1.0 FT Nurse Practitioner 1.0 FT Registered Nurse 1.0 FT Clerk 1.0 Causal Clerk

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Rehabilitation Services

Service Organization Catchment Physiotherapy Carol Ann Robinson Wawa, Hawk Junction, Physiotherapy Services Dubreuilville, White River Contact Information Contact Person: Carol Ann Robinson Address: 96 Broadway Ave. Wawa, ON Phone: 705-856-0005 Email: [email protected] Website: Not cited. Hours: Monday to Friday 9:00am-4:00pm Description of Service Description: Outpatient physiotherapy. Contracted services provided to several organizations in the area. Eligibility Criteria: Not cited. Referral Process: Physician, self-directed, other. Assessment Process: Physiotherapy assessment, objective measures. Service Capacity: Average 25-30 clients per week. Current Waitlist: Variable, 1-2 months. Will decrease by December 2014 with business changes. Language Funder Staff English and French Fee for Service/ Extended 1.0 FT Physiotherapist Medical Benefits Plans

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Service Organization Catchment Outpatient and Inpatient Lady Dunn Health Centre Dubreuilville, Hawk Junction, Physiotherapy Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 3202 Toll Free: 1-866-832-3321 Hours: Monday-Friday 8:00am-4:00pm Description of Service Description: The Health Centre offers out-patient and in-patient physiotherapy services in a well- equipped area located in the lower level with easy access and parking located at the lakeside entrance. In addition the department offers Cardiac Exercise Stress Testing. Eligibility Criteria: Not cited. Referral Process: Physician referral is required. Assessment Process: Not cited. Service Capacity: Not cited. Current Waitlist: No cited. Language Funder Staff Not cited. North East Local Health Not cited. Integration Network

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Service Organization Catchment Reflexology and Chair Massage Lorraine Nelemans Wawa Contact Information Contact Person: Lorraine Nelemans Address: 28 Winston Road, Lot #13, Wawa, ON P0S 1K0 Phone: 705-856-4870 Email: Not cited. Website: Not cited. Hours: Mondays. Description of Service Description: o Reflexology: Pressure points on feet that relate to body, increases circulation, decreases stress. o Chair Massage: Standard seated massage, relaxation. Eligibility Criteria: Not cited. Referral Process: Not cited. Assessment Process: Not cited. Service Capacity: Average 20 clients per month. Current Waitlist: Typically 2 weeks. Language Funder Staff English Privately Owned Not cited.

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Service Coordination

Service Organization Catchment Community Health Michipicoten First Nation Michipicoten First Nation Representative Contact Information Contact Person: Lena Andre Address: Medical Centre, Michipicoten First Nation Phone: Email: Website: Not cited. Hours: Monday to Thursday 8:00am-4:30pm; Fridays 8:00am- 1:30pm Description of Service Description: Complete appointment application to FNIHB (First Nation Inuit Health Branch); Set up doctor’s appointments when requested by client; Arrange /book accommodations; Cancel appointments; Complete monthly reports to supervisor, Dilico and Health Canada. Eligibility Criteria: Must be First Nations with a status card with number for services mentioned. Referral Process: Physician, Registered Practical Nurse, self-directed, other. Assessment Process: Screening is usually completed by a physician, registered nurse, registered practical nurse, and/or specialist. Service Capacity: Average 30 clients per month. Current Waitlist: First come, first serve. Language Funder Staff English Health Canada, Medical Services 1.0 FT Physiotherapist Branch

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Service Organization Catchment Applications to Long Term Care, North East Community Care Wawa, Hawk Junction, Short Stay Respite, Convalescent Access Centre Dubreuilville, White River, Care, and Assisted Living Hornepayne and all points in between Contact Information Contact Person: Rochelle Parsons, RN Care Coordinator Address: 17 Government Road, Wawa, Ontario, P0S 1K0 Phone: 1-800-668-7705 Email: Not cited. Website: http://healthcareathome.ca/northeast/en Hours: Monday to Friday 8:30am-4:30pm; afterhours call toll free number. Description of Service Description: Assist clients in making applications to Long Term Care, Short Stay Respite, Convalescent Care, and Assisted Living Services. Eligibility Criteria: Dependent upon program that the client is applying to. Referral Process: Physician, Registered Practical Nurse, self-directed, other. Assessment Process: Assessments used include RAI-CA, RAI-HC, and RAI-PC. Service Capacity: Average 100 clients per month. Current Waitlist: Manage waitlists for the above listed services, specific wait lists not cited. Language Funder Staff English and French North East Local Health 1.0 FT Care Coordinator Integration Network 1.0 PT Team Assistant

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Surgical Services

Service Organization Catchment Surgical Program Lady Dunn Health Centre Dubreuilville, Hawk Junction, Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 0 Toll Free: 1-866-832-3321 Hours: 2 days per week. Description of Service Description: A well-equipped operating room is in service two-day per week. The type of surgery performed includes: Colonoscopy; Gastroscopy; Hernia Repairs; Vasectomy; and Carpel Tunnel. Eligibility Criteria: Not cited. Referral Process: Physician referral required. Assessment Process: Not cited. Service Capacity: 1 operating room. Current Waitlist: Not cited. Language Funder Staff Not cited. North East Local Health Not cited. Integration Network

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Telemedicine

Service Organization Catchment Ontario Telemedicine Network Lady Dunn Health Centre Dubreuilville, Hawk Junction, Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 ext. 120 Toll Free: 1-866-832-3321 Hours: Not cited. Description of Service Description: Ontario Telemedicine Network (OTN) is a newly incorporated not-for-profit organization with a mandate to support clinical, educational and administrative telemedicine services for the province of Ontario. Together more than 350 sites and 700 cameras are brought into a single, secure, province-wide telemedicine network. This allows interactive patient consultation with different specialists from other hospitals across the province, giving the patient opportunity to see a specialist for an initial assessment or follow up appointment via video. The service decreases travel time and expenses. Eligibility Criteria: Eligibility criteria is dependent upon the service accessed through the Ontario Telemedicine Network Referral Process: Physician or Nurse Practitioner referral is required. 1. Pre-Anesthesia 2. Gastro-Enterology 3. Oncology 4. Mental Health 5. Rheumatology 6. Nephrology 7. General Surgery 8. Thoracic Surgery 9. Cardiology 10. Other 11. Neurosurgery 12. Infectious Disease 13. Respirology 14. Neurology 15. Hematology 16. Orthopaedic Surgery 17. Pediatric 18. Geriatric Assessment Process: Assessment process is dependent upon the service accessed through the Ontario Telemedicine Network. Service Capacity: Not cited. Current Waitlist: Not cited. Language Funder Staff Not described. NE Local Health Integration Network Not cited.

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Women’s Services

Service Organization Catchment Community Outreach Program CHADWIC Home Wawa, White River, Dubreuilville, Chapleau, Hornepayne, and all Frist Nations and Unorganized Communities within North Algoma. Contact Information Contact Person: Paula Valois Address: P.O. Box 1580 Wawa, ON P0S 1K0, services offered in each community within catchment area. Phone: 705-856-2848; 1-800-461-2242; TTY: 705-856-4344 Email: [email protected] Website: Not cited. Hours: Monday to Friday, with a flexible schedule. Description of Service Description: The community outreach program provides support to women in the community. The program provides groups for women as well as running groups for young women (Girl Talk). The program also involves a Drop-In component at the shelter. Women can drop in for support, information, and referral. In addition, we have a 24/7 crisis line that women in the 705 and 807 area codes can access. Eligibility Criteria: Any woman 16 years of age and over who identifies as in need of the services. Referral Process: Self-referral, agency referral, other. Assessment Process: The woman guides the work that we do with her and on her behalf. Service Capacity: Average 10 clients per month. Current Waitlist: No wait list. Language Funder Staff Some capacity to offer services Ministry of Community and 0.75 FTE in English and French. Social Services Agreements with the Centre Victoria pour femmes, the Centre Passerelle, and a Francophone shelter to support Francophone women and provide oral interpretation services.

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Service Organization Catchment Transitional House and Support CHADWIC Home Wawa, White River, Program Dubreuilville, Chapleau, Hornepayne, and all Frist Nations and Unorganized Communities within North Algoma. Contact Information Contact Person: Paula Valois Address: P.O. Box 1580 Wawa, ON P0S 1K0, services offered in each community within catchment area. Phone: 705-856-2848; 1-800-461-2242; TTY: 705-856-4344 Email: [email protected] Website: Not cited. Hours: Monday to Friday, with a flexible schedule. Description of Service Description: The transitional housing and support program provides support, information, and advocacy, accompaniment to women who are leaving abusive relationships, or are in a crisis situation. Eligibility Criteria: Any woman 16 years of age and over who identifies as in need of the services. Referral Process: Self-referral, agency referral, other. Assessment Process: The woman guides the work that we do with her and on her behalf. Service Capacity: Not cited. Current Waitlist: No wait list. Language Funder Staff Some capacity to offer services Ministry of Community and 1.45 FTE in English and French. Social Services Agreements with the Centre Victoria pour femmes, the Centre Passerelle, and a Francophone shelter to support Francophone women and provide oral interpretation services.

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Service Organization Catchment Emergency Shelter Service CHADWIC Home Wawa, White River, Dubreuilville, Chapleau, Hornepayne, and all Frist Nations and Unorganized Communities within North Algoma. Contact Information Contact Person: Paula Valois Address: P.O. Box 1580 Wawa, ON P0S 1K0 Phone: 705-856-2848; 1-800-461-2242; TTY: 705-856-4344 Email: [email protected] Website: Not cited. Hours: Shelter located in Wawa and open 24/7. Description of Service Description: 10 bed emergency residential shelter for women and their children who are in a crisis situation due to abuse or other types of crisis situations. Support, information, referral, advocacy, accompaniment, and support to her children are offered as well. Eligibility Criteria: Any woman 16 years of age and over who identifies as in need of the services. Referral Process: Self-referral, agency referral, police, hospital, other. Assessment Process: Front line worker has conversation with the woman to determine what she would like to do, and how we can help her. Service Capacity: Average number of clients at shelter per month is 3. Current Waitlist: No wait list. Language Funder Staff Some capacity to offer services Ministry of Community and 4.0 FT Front Line Shelter in English and French. Social Services Workers Agreements with the Centre 6.0 Relief Shelter Workers Victoria pour femmes, the Centre Passerelle, and a Francophone shelter to support Francophone women and provide oral interpretation services.

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Service Organization Catchment Wawa and Area Victims Services Wawa and Area Victims Services Wawa, Hawk Junction, Michipicoten River Village, Michipicoten First Nation Contact Information Contact Person: Not cited. Address: 16 Ganley Street P.O. Box 1824 Wawa, ON P0S 1K0 Phone: Not cited. Email: Not cited. Website: www.victimserviceswawa.ca Hours: 24 hours per day/ 7 days per week/ 365 days per year, regular office hours Monday to Friday 8:30am-4:30pm Description of Service Description: Providing emotional support and practical assistance to victims of crime and tragic circumstance. Services provided for: sexual assault counselling and support for females 16 years and older. Eligibility Criteria: Services are provides to all victims of crime and tragic circumstance. Services are not provided to individuals under the influence of alcohol or drugs, children under the age of 16 where parental consent is required. Referral Process: Agency referral, police, fire, hospital, other. Self-referrals can only be seen during regular office hours. Assessment Process: Not cited. Service Capacity: Depends on on-call volume. Current Waitlist: No wait list. Language Funder Staff English and French Ministry of the Attorney General 1.0 FT Program Coordinator 1.0 PT Sexual Assault Counsellor 1.0 PT Program Support

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Service Organization Catchment Visiting Specialists Lady Dunn Health Centre Dubreuilville, Hawk Junction, Michipicoten First Nation, Wawa, Missanabie, and White River. Contact Information Contact Person: Not cited. Address: 17 Government Road, Wawa, ON P0S 1K0 Phone: (705)-856-2335 Toll Free: 1-866-832-3321 Hours: 24 hours a day, 7 days a week, 365 days a year Description of Service Description: Lady Dunn Health Centre provides Dr. Graham Elder, Orthopedic Surgeon; Dr. David Burrows, Pediatrician; Dr. John Langley, Psychiatrist. Eligibility Criteria: not cited. Referral Process: By physician or nurse practitioner referral process Assessment Process: Patients are seen and assessed by the NP or physician. Service Capacity: not cited. Current Waitlist: Patients are seen based on urgency. Language Funder Visiting Staff Not cited. North East Local Health 1.0 Orthopedic Surgeon Integration Network 1.0 Pediatrician 1.0 Psychiatrist