March 2019 | Issue 6

Community Health Needs Assessments in Action COMMUNITY

Tantramar

Nackawic, Harvey, McAdam, Canterbury

About the Tantramar Area About the Nackawic, Harvey, McAdam, Canterbury Area The Tantramar Area is in the southeastern part of New The Nackawic, Harvey, McAdam, Canterbury Area is in 6 Brunswick. It gets its name from the famous Tantramar 10 the western part of New Brunswick. It is a rural area with Marsh, a tidal salt marsh around the Bay of Fundy, one of some communities scattered along the Saint John River, the the largest on the Atlantic coast. various lakes in the area, and the border of Maine, U.S. CEO Message Horizon Health As CEO, I tour Horizon communities and facilities regularly. Each time I have the opportunity to meet many Horizon staff and Network is community partners and I’m always thrilled with the commitment to safe and quality health care in our province. driven This sixth edition of In Your Community is highlighting some of the work being done in the Tantramar and Nackawic, Harvey, McAdam, by its mission Canterbury Areas. The work that In Your Community focuses on is only part of what’s Helping People being done across Horizon to foster healthier communities. Be Healthy In the following pages you’ll read about ways communities are addressing food insecurity, how they are improving mental resiliency and coping skills Good health lies at the heart of our among children and youth in the community, how access to the delivery daily quality of life. It is what all New of mental health and addictions services has changed, and how there are Brunswickers want for themselves improved supports in place for struggling families. and those they love. Helping New The above priorities could not be addressed without the collaboration Brunswickers be as healthy as they between health-care professionals and community partners. It’s important can be is the shared purpose that work that takes an upstream approach to health care. motivates all those who work at Horizon on a daily basis. To achieve The Community Health Needs Assessments (CHNAs) have shown Horizon the best results, Horizon puts and its community partners where there are opportunities to improve health services. Together, we are working on a health system with appropriate patients and clients at the centre of community-based care that supports strong centres of hospital-based care. the health delivery system. Improved community-based care supports Horizon’s efforts to truly be patient, client and family centred. Each New Brunswick community served by Horizon is unique. Working It’s always inspiring to read these stories and learn about the important work with key community partners, being done in the community. I’m proud to share these stories because they clinicians, and other stakeholders, are about your friends, family and neighbours. progress has been made to identify I invite you to join Horizon and its community partners in Helping People Be and address their specific needs. Healthy and creating a healthier New Brunswick. This is an intentional effort initiated by Horizon to significantly improve Yours in health, community-based primary care, and support expensive tertiary services Karen McGrath, President and CEO required by an aging population. Horizon Health Network

2 Simple solution 8 Acquisition of fridges helps students in Port Table of Elgin address food insecurity

Contents Gillan Shawn Photo:

Feed the Hawks 12 Collaboration between school and wellness committee provide meals for Nackawic students

March 2019 | Issue 6 Harvey Helps 14 Funds help those in Community Health Needs Assessments need in Harvey Area in Action COMMUNITY Contributor: Creative lead: • Shannon MacLeod • Fahad Farooq Resources: Cover credits: • Jean Daigle • NB Images • Janet Hogan • Town of Sackville • Gabrielle Levesque Printing: • Advocate Printing

Collaboration leads to The following documents were used asset directory as resources for this publication: 16 Development of a • Tantramar Area Community Health directory of the Mental Needs Assessment (June 2015) Health and Addiction • Nackawic, Harvey, McAdam, Canterbury Area Community Health services available to Needs Assessment (November 2016) McAdam citizens

Community Health Message from Jean Recognition Awards Daigle 18 Helping people be 20 www.HorizonNB.ca Continuing to highlight healthy! Community Health Needs Assessments in action

3 Health care today A well-designed health system With our province’s aging unique needs of the people in each should feature both strong population, southern migration, community. centres of hospital-based care and and shift from rural to urban The good news is that work is appropriate community-based care living, health care as we know it is underway. Horizon Health Network “close to home” for New Brunswick changing. Government and non- (Horizon) is working in partnership residents. It’s a system that would government organizations and with communities to provide better ensure every New Brunswicker has communities alike are looking for preventive, primary, and long-term access to the services they need to ways to deliver care in a way that care to community members, as be as healthy as they can be. does a better job of meeting the close to home as possible.

Community Health Needs Assessments Since 2012, Horizon has been address the other 90%. The CHNA Table 1: Determinants of Health working with communities to process provides an opportunity as categorized by the gain a better understanding of to get everyone around the table Public Health Agency of Canada their health care needs using to look at all areas that are known Community Health Needs to impact our health – health 1 Income and Social Status Assessments (CHNAs). A CHNA determinants (Table 1). 2 Social Support Networks is a dynamic and ongoing process CHNAs help identify priority that identifies the unique strengths areas in the community that 3 Education and Literacy and needs of a community. This need attention and support the information provides both Horizon Employment and development of action plans 4 and the communities with a to address them. This work Working Conditions roadmap to achieving a common influences programming that better 5 Social Environment goal: to improve the overall health serves the population and often of New Brunswick communities. supports the efforts of primary 6 Physical Environment Have you ever considered how health care providers like family Personal Health Practices and housing or access to transportation physicians, nurse practitioners, and 7 might affect the health of an pharmacists. Coping Skills individual? You may not know it, Nobody knows a community 8 Healthy Child Development but measuring community health better than the people who live goes far beyond studying rates Biology and Genetic there. This work to address priority 9 Endowment of disease and the availability areas is being driven by a local of health care services. Health committee that is passionate about 10 Health Services services account for only 10% of the well-being of the community. what influences our health (see With support from Horizon and 11 Gender pie chart), which is why Horizon other stakeholders, they are is working with individuals and advocating for your health. 12 Culture agencies at a community level to

What influences our health? 40% Health What is primary Behaviours health care? 40% Social & Primary health care refers to an approach to health Economic Factors and a spectrum of services beyond the traditional health care system. It includes all services that play a 10% Physical part in health, such as income, housing, education, and Environment environment. Primary care refers to health promotion, illness and injury prevention, and the diagnosis and 10% Health treatment of illness and injury. (Health Canada) 4 Services Common Themes Emerging 17 Community REGIONAL PRIORITY Health Needs Awareness of Services Assessments Food Insecurity & System Navigation completed Social Supports to Help Transportation Individuals Move Out of Poverty

Mental Resiliency and Coping Skills Among Housing Children & Youth

Addictions & Collaboration Mental Health Services with First Nations

The province is divided into 33 unique communities Alcohol and Supporting the to ensure a better perspective of Drug Use/Abuse New Family Reality regional and local differences. Expansion of Sexual Community Health Needs Senior Isolation and Health Services & Sexual Assessments have been completed Lack of Community/Social Abuse Treatment/ wherever Horizon is located. Supports for Seniors Prevention • Oromocto and Area • Fredericton and Surrounding Area Access to Primary Senior Home Care and Health Care Services Outreach Services • St. Stephen, St. Andrews and Surrounding Area • Petitcodiac, Salisbury and A Shift to More Surrounding Area Comprehensive, Team- Recreation • Saint John Based Primary Health Care • Moncton and Surrounding Area • Grand Lake Area More Focus on Enhanced Collaboration, • Neguac Area Chronic Disease Communication & • Miramichi Area Prevention Connectedness • Tantramar Area • Central New Brunswick Healthy Eating Continual Community • Albert County Area & Physical Activity Engagement • Carleton County Area • Tobique and Perth-Andover Area In your community • Eastern Charlotte County Area Knowing what is happening in your community is important. In the previous five issues • Nackawic, Harvey, McAdam, of In Your Community, Horizon worked with the Fredericton and Oromocto; Petitcodiac, Canterbury Area Salisbury, Elgin and Havelock; Saint John and Grand Lake; Miramichi and Neguac Areas; Albert County and Carleton County; and Eastern Charlotte County, Western Charlotte • Sussex and Surrounding Area County and Central New Brunswick. This sixth issue is profiling what is happening in the Tantramar Area and the Nackawic, Harvey, McAdam, Canterbury Area. In the pages that follow, you will get a better understanding of what these areas are doing to build healthier communities and will showcase specific priorities, challenges, and successes. 5 Watch for our next issue, which will feature news from other Horizon communities. Key Stakeholders About the (Advisory Committee) • Sackville Memorial Hospital Tantramar Area Foundation • Sackville Memorial Hospital The Tantramar Area is located However, for eight months of the Services in the southeastern part of the year, Sackville is heavily populated • Primary Health-Care province. It gets its name from by young adults attending Mount Providers the famous Tantramar Marsh, a Allison University (student tidal salt marsh around the Bay population of Mount Allison • Extra Mural Program of Fundy. At 20,230 hectares, the University is 2,170). • Mental Health and Addictions marsh is one of the largest on the In the Tantramar Area, 18 per cent • Public Health Atlantic coast. of residents are in the low-income • Port Elgin District Voluntary Included in the Tantramar Area bracket. However, the Tantramar Action Council (PEDVAC) are the communities of Aulac, Community Advisory Committee • Marshville Middle School Bayfield, Botsford, Cape Spear, (CAC) members and focus group • Tantramar Regional High Cape Tormentine, Dorchester, participants discussed how income School Little Shemogue, Melrose, Midgic, would be higher in Sackville Murray Corner, Point de Bute, Port and lower in the outlying rural • Mt. Allison University Elgin Sackville, Timber River, Upper communities. Representative Cape, and Westmorland. Data shows that the community • Sackville Town Council The hub of the Tantramar Area is has elevated rates of arthritis, • Middle Sackville Baptist the town of Sackville. Historically, gastric reflux (GERD), depression Church Sackville was home to two and asthma. • RCMP foundries, which manufactured Primary health-care services in • Healthy and Inclusive stoves and furnaces. Now, the the Tantramar Area are provided Communities economy is driven by Mount Allison through Horizon’s Port Elgin University and the tourism sector. Health Centre and private such as My Community at a Glance The rest of the Tantramar Area is physician offices. Some residents and The Primary Health Care Survey made up of more rural communities from the area also travel to other were used to review currently which historically relied on the communities such as Moncton or available quantitative data as many of farming and fishing industries. Amherst, Nova Scotia to access the indicators are broken down to the According to the Canadian Census, primary health-care services. community level. the population of the Tantramar Research conducted during Area in 2011 was 11,042, which is The Community Health Assessment the Community Health Needs team identified five key stakeholder a two per cent increase from 2006 Assessment identified emerging (10,822). groups for consultation through priorities. The research consulted the focus group interview method: The Tantramar Area presents a with five key stakeholder groups. seniors and senior support services, unique demographic in that a large Data was used from the New primary health-care providers, majority of the population is above Brunswick Health Council (NBHC) professionals working with children the age of 65. and youth, representatives from 6 Mount Allison University, and 3. Transportation issues in the professionals providing social community that impact health Where do we go support services. from here? 4. The need for a CHC model of A summarized list of key issues Horizon’s community partners in care in the community was presented to the Tantramar the Tantramar Area are forward Area CAC for feedback, and CAC 5. Food insecurity in the thinking and making positive members were asked to participate community changes in addressing the priority in a prioritization exercise of the areas identified by the CHNA. 6. Lack of affordable home care key issues based on their own Working with key community services in the community experience of the community. partners, there are people in the The priorities that emerged area who are developing action from the prioritization exercise How are we doing? plans to examine and address were used to finalize the list of the health challenges facing the priorities and recommendations Since the completion of Tantramar’s CHNA, a tremendous amount of community. We are looking forward for the Tantramar Area. Results and to learning more about how the recommendations resulted in the work has been done to address the needs of the community. Tantramar Area will manage the identification of six priority issues. rest of the priorities identified. Addressing food insecurity in schools is a priority and it’s In the following pages you will What was learned working. Teaching children and learn about how they’re addressing through the youth healthy eating and cooking food insecurity – with a really Community Health habits is a straightforward way simple, hands-on approach! Needs Assessment? to ensure the next generation understands its importance. Priority Areas: Students bring these lessons home 1. A decrease in mental resiliency and influence their families. It and coping skills in children and fosters a healthy relationship to food and that’s something they’ll youth in the community carry with them their entire life. 2. The need for support staff This edition of In Your Community is in the community to help just a snapshot into the work being coordinate and implement done in the Tantramar Area to prevention/health promotion address the food insecurity. Thanks type programming, particularly to the CHNA, community members have a basis to begin working in outer rural communities towards filling the other gaps in services that were identified. 7 Horizon Health Network conducted a Community Health Needs Assessment in 2015. The following article highlights the key recommendations

Food insecurity

Creating food sustainability at Port Elgin School A breakfast program, sponsored support from the Port Elgin services such as the Christmas Box lunches, and a garden have become District Voluntary Action Council program, Youth-At-Risk program, part of daily life at the Port Elgin (PEDVAC), students in need have Summer Day Camp, and more School. lunch provided to them. in addition to the school-lunch Kate Doyle, community developer “We provide breakfast for all the program. for the Moncton Area said food kids, and usually about 80 per Thanks to the acquisition of two insecurity was identified in cent of our student population commercial fridges, by anonymous the Community Health Needs accesses the breakfast program,” donation, the school now has the Assessment (CHNA) and data said Christoph. “PEDVAC sponsors means to properly store food. Once shows that many people in around 27 children’s lunches at our they secure funding, Christoph said the region aren’t getting the school. They’re a real wonder for they’re going to offer an after- recommended amounts of daily us. Last year, they spent around school pantry program, where fruit and vegetables. $22,000 on meals for our whole students can access foods to grab Christoph Becker, principal of community.” on their way home. the Port Elgin School, said they PEDVAC is a non-profit “After school, kids will be able to feed students a simple breakfast organization operating a food grab a snack from the pantry,” every morning and thanks to bank and providing programs and Christoph said.

8 We want to feed our students the best foods because they deserve to be healthy. Christoph Becker, principal Port Elgin School

“So they can go in grab something tool for all students, as well. and plunk it in their bookbag “The goal is for students within then they’re guaranteed to have walking distance to become something to eat in the evening. empowered to keep it going Everybody seems to grab a snack over the summer,” he said. every day when they go by.” “That’s the dream, for them to With the fridges, Kate said the become their own stewards.” school has really come into its own Christoph said they’re in when it comes to addressing the the process of writing grant CHNA’s food security priority. proposals so they can have “Christoph and the staff at the more, healthier foods come school had developed connections into the school. to have fresh produce available “We want to feed our through their fantastic garden and students the best foods local partnerships but didn’t have because they deserve to be any means of storing it,” Kate said. healthy.” “The fridges will allow for them to offer produce on site and for the Christoph said the support evenings and weekends to take from the community and home.” their partners is second to none. Anytime he or Christoph said the goal is to his staff need help with achieve food security in the area anything, there is always and another way they’re doing support, whether it’s for that is with their school garden. help writing grant proposals, Eventually, the garden’s produce volunteers, anything. will be brought into the cafeteria to supplement costs. “That’s the kind of stuff that happens in our community. “The garden is an exciting When we need something, adventure. We’re going to build and we go out and ask, we fences around it, plant some apple seem to get them because I trees, and we just keep adding to it think people can read our plight. every year.” People really lobby behind us. The garden will serve as a teaching We’re really fortunate that way.” 9 About the Nackawic, Harvey, McAdam, Canterbury Area Cheryl Coburn Photo:

The Nackawic, Harvey, McAdam, Council (NBHC) such as My Key Stakeholders Canterbury Area is in the western Community at a Glance and The part of the province. It is a rural Primary Health Care Survey were (Advisory Committee) area with some communities used • Extra Mural Program scattered along the Saint John Based on this, a data collection plan River, the various lakes in the area, was established by the CHA team • Primary Health Care Program and the border of Maine, U.S. in partnership with the Nackawic, • Horizon’s Nackawic Health The main employment industries Harvey, McAdam, Canterbury Area Centre in the area are in the sectors of Community Advisory Committee • Horizon’s Harvey Health manufacturing, construction, and (CAC). Interviews were held with Centre forestry. stakeholders in primary health care • Aditya Birla Group Included in this area are the and key stakeholder groups were communities of Bright, Bear consulted through focus groups • Horizon’s McAdam Health Island, Canterbury, Dumfries, that included: mental health and Centre Harvey Station, Keswick Ridge, addictions professionals, seniors • Lakeland Resource Centre Lake George, Mactaquac, and senior’s supports, professionals • Pharmacist McAdam, Meductic, Millville, working with children and youth, • Town of Nackawic Nackawic, North Lake, Prince recreation, social supports in the • Lions Club William, Queensbury, Skiff Lake, community, clergy from Nackawic, Southampton, Temperance Vale, Harvey, McAdam, Canterbury, • High School Administration Upper Queensbury, and Zealand. Horizon’s Nackawic Health • Nackawic Recreation Data indicates that the area Centre staff, Horizon’s Harvey Department has increasing rates of asthma, Health Centre staff, and Horizon’s • Harvey and McAdam depression, cancer, heart disease, McAdam Health Centre staff. Community Development chronic pain, and emphysema or The priorities that emerged • Family Physician Chronic Obstructive Pulmonary from the exercise are used to • Harvey Community Disease (COPD), when compared finalize the list of priorities Foundation to the provincial averages. and recommendations for the Nackawic, Harvey, McAdam, • Mental Health and Addictions Research conducted during • Public Health the Community Health Needs Canterbury Area. Results and • Wellness Branch, Social Assessment (CHNA) identified recommendations resulted in the emerging priorities. Data was used identification of seven priorities. Development from the New Brunswick Health • Ambulance NB • Village of McAdam

10 Dyke Amanda Photo: What was learned How are we doing? Where do we through the Community Since the completion of the go from here? Health Needs Nackawic, Harvey, McAdam, These stories are simply a glance Assessment? Canterbury Area CHNA, things are into the work being done in the evolving in the area. Nackawic, Harvey, McAdam, Priority Areas: An African proverb says, “It takes Canterbury Area. This community 1. A decrease in mental resiliency a village to raise a child.” In the is hard at work to deliver more and coping skills among same way, it takes a supportive positive growth based on the children and youth in the community to look after all of recommendations from the CHNA. community its residents and that’s exactly It’s an exciting time in the area to 2. The need to review the what’s being done with the see the work being done in this way in which mental health Health Expenditures Fund. It was corner of the province. Future and addictions services are established to help alleviate some editions of In Your Community will currently being delivered in the of the burden placed on members highlight those. of the community during health community to improve access In the following pages, you will learn challenges, whether chronic or to these services about the ways Horizon’s community acute. 3. Food insecurity in the partners are helping people be community Using a multi-sector approach that healthy in the Nackawic, Harvey, includes family support services, McAdam, Canterbury Area! 4. The need for improved public health, educators, and supports in the community for community partners, the right families who are struggling and people are on the job to develop experiencing difficulties a more up-to-date approach that 5. The need to enhance better aligns with the challenges collaboration between health being faced by families in the centre staff, allied health community today. professionals and other partners in the community 6. The need for more consistent access to physicians and nurse practitioners in the community to improve continuity of care 7. The need for more preventive, educational type programming and services

11 Horizon Health Network conducted a Community Health Needs Assessment in 2016. The following article highlights Feed the Hawks the key recommendations ensures every student in Nackawic has a lunch

School-aged children in to see if they could somehow Food insecurity Nackawic are receiving healthy, involve the students. bagged lunches four days “I talked with Stephanie and she per week now, thanks to a was thrilled to do it. It was so easy! partnership between a wellness It was just a matter of connecting committee and the high school’s with the right people,” Gail said. culinary technology class. Stephanie said she wanted Feed the Hawks was established to get involved because it following the completion of would serve as a teaching the Community Health Needs opportunity for her Assessment (CHNA) for the students. Nackawic, Harvey, McAdam, Canterbury Area after identifying “It helps them give a need for food security in the back to their peers, and area, especially among school- other students in the aged youth. community since we’re providing lunches to Members of the Nackawic and other schools,” Stephanie Area Wellness Committee were said. “And it gives approached by staff from the students the chance Nackawic Elementary School to learn about healthy, about establishing a lunch wholesome meals.” Photo: BeverleyJacobson program. Once the school was Gail Farnsworth, coordinator of properly licensed in the Committee, said although accordance with the the school took steps to ensure Department of Health’s every student had a lunch, there Food Inspection was still a need. criteria, the students “There were still children who began preparing lunches. Dilys Toole, Nackawic and Area Wellness Committee. were not bringing their lunch,” Dilys Toole, a member of the said Gail. Nackawic and Area Wellness Gail reached out to Stephanie Committee came on as lead for the McGrath, culinary technology Feed the Hawks program. teacher at Nackawic High School,

12 “I pick up the groceries and I try to don’t have a lunch shouldn’t be do it local, probably 90 per cent is embarrassed. local,” Dilys said. “It’s not for students who can’t In 2017, Gail was one of Stephanie said the students afford to bring a lunch. It’s for Horizon’s Community prepare lunches twice a week everyone. Maybe they forgot their Health Recognition Award for four days. Lunches include lunch,” Dilys said. “We even have winners for her work in a sandwich, a piece of fruit or given a lunch to a teacher who vegetables, and a drink. forgot her lunch, it’s really for creating physical and social inclusion activities for Dilys picks up the lunches and anyone.” delivers to the elementary and The partnership between the seniors in the Nackawic middle schools. school and committee works well area. While in 2018, “The kids really enjoy making the because committee members, like the Nackawic and Area meals,” said Dilys. Dilys are always willing to step up Wellness Committee won when needed. “The kids want to be in the kitchen, for their work meeting rather than the classroom,” “If I happen to be absent, Dilys has her food safety certificate as well, the needs of an aging Stephanie said, with a laugh. “Once so can supervise alongside the EA population. they get a feel for it, I really don’t [educational assistant] who’s in the have to tell them anything. They classroom,” Stephanie said. have really taken ownership of it.” Stephanie said the relationship with Dilys said it was important to the Nackawic and Area Wellness highlight that students who Committee is wonderful.

13 Horizon Health Network conducted a Community Health Needs Assessment in 2015. The following article highlights the key recommendations of that Harvey Helps assessment. provides assistance Photo: Donna Daigle Donna Photo: Social supports Supporting to those in need to help the new family individuals reality move out of The community of Harvey has appointments at the Stan Cassidy poverty banded together to support a health Centre for Rehabilitation because fund for citizens experiencing he had no transportation,” said Dr. financial hardships as a result of Fletcher. “He worked with Extra either chronic or acute illnesses. Mural, occupational therapists, and way to go about things. It was Dr. Dan Fletcher, fee-for-service- myself, doing home visits, to keep unacceptable to have people in our family physician at Horizon’s Harvey him stable as best as we could.” community living without the ability Health Centre, said following the Without being able to be seen by to get the help they need.” release of the Community Health the specialists at Horizon’s Stan Because of this, the Greater Harvey Needs Assessment (CHNA) in 2016, Cassidy Rehabilitation Centre, in Area Health Expenditures Fund, a patient came into his care who was Fredericton, Dr. Fletcher said it was now known as Harvey Helps, was in a wheelchair and did not have a very challenging for this patient. established to help alleviate some vehicle that was able to transport “I reached out to various local of the burden placed on members him. organizations to raise money to get of the community during health “For at least a year, while under my him a vehicle,” said Dr. Fletcher. “This challenges, whether chronic or acute. care, he was unable to go to any wasn’t a really acceptable

14 Paterson Stephanie Photo: “We developed a fund that would be chance to get people active, while Harvey Community Days, Harvey available so people can reach out for raising money for Harvey Health. Community Hospital Foundation, medical-related expenses when they “From both these fundraisers, we Christmas Mommies, Harvey Lions might need to,” Dr. Fletcher said. hope to raise between $5,000 and Club, and Harvey Outreach. To start, in April 2018, a breakfast $10,000 annually,” Dr. Fletcher said. Harvey Helps addresses The need for fundraiser and auction was held at Thanks to all this, people from the improved supports in the community the Harvey Memorial Community Harvey Area can apply to obtain for families who are struggling and Centre. This was a joint effort financial assistance. Applications are experiencing difficulties, a priority between volunteers from the first reviewed by two health-care identified by the CHNA. Harvey Community Days, the personnel who decide if certain Harvey Community Hospital criteria are met. Then, a group of Foundation and the ladies of the five citizens meet to determine, on Anglican Church (Magaguadavic). a case-by-case basis, the amount of “We brought in about $6,000 from funding to be provided. that one breakfast, and so from that, “They are not aware of who the we are looking to continue to grow,” applicant is, they’re blinded to the Dr. Fletcher said. “We plan to do the name,” Dr. Fletcher said. “They breakfast annually. review the application to determine Dr. Fletcher said the next big how much money to give to the fundraiser they’ve organized is a person, or to give any at all.” 40-kilometre relay race around The five-member group consists the community. This will serve as a of one representative from

Visit harveycommunitydays.com/harvey-helps for more information and application forms for Harvey Helps.

15 Directory connects community, students with mental health and addictions programs

In McAdam, there’s an active group “Citizens left that meeting not as of community leaders committed satisfied as they would have liked to improving the health of the to have been, so the McAdam people who live there. They’re Interdisciplinary Committee took making a lot of progress on the that on as a project to tackle drug first two priorities identified in use in the community and what we the Community Health Needs could do to fix it,” Nicole said. Assessment (CHNA) for the McAdam’s Interdisciplinary Nackawic, Harvey, McAdam, Committee includes representatives Canterbury Area. Horizon Health Network from health care, Ambulance NB, conducted a Community Health The priority, The need to review the RCMP, mayor and council, Needs Assessment in 2016. The the way in which mental health and the local nursing home, and a following article highlights the key addictions services are currently concerned citizen. recommendations being delivered in the community Following the community meeting, to improve access to these services Nicole said they held a stakeholders is being addressed by providing a meeting where everyone wrote directory of the mental health and down what services they currently addiction services available to the offer that would be accessible to community. the people in McAdam. Nicole McCann, interim community Mental Addictions and That meeting included developer for the Harvey and resiliency and mental health representatives from health care, coping skills services McAdam Area, said following the education, municipal government, among youth release of the CHNA, a community local businesses and churches. and children meeting was held to discuss the concerns around drug use in the “We then discussed what gaps community and how to address it there were in services. From there, with access to mental health and we created a directory of mental addiction services. health and addiction services for the community of McAdam that 16 anyone can access,” Nicole said. The directory is divided into four number listed and hit a wall, they planning and delivery of this positive pillars: prevention, treatment, harm know they can reach out to the mental health day,” said Nicole. reduction and enforcement, Nicole health centre or the village hall and Nicole said the students helped said. we’ll look into it,” Shirley said. choose all the activities, and worked “It has all the different services and Nicole said youth from McAdam during the event on organizational organizations, it lists the groups High School also participated in tasks as well. what services they offer, how a the first stakeholders meeting and “It began with a large assembly on person can qualify for the services because of their involvement, a positive attitudes and self-esteem, and contact information,” Nicole lot of work has gone into the first and from there, they broke up into said. CHNA priority, A decrease in mental different groups with different Printed copies of the directory are resiliency and coping skills among workshops featuring all the different available at the McAdam Village children and youth in the community. dimensions of wellness,” Nicole said. Office, Horizon’s McAdam Health “They’ve really taken on a leadership What better way to increase mental Centre, the McAdam Pharmacy role and have now formed a youth resiliency than having McAdam and anywhere else that’s identified advisory group that meets with me youth take ownership of focusing on as a place a person might visit for almost monthly,” Nicole said. “They positive mental health. services. It is housed online on the are the people who bring all of the village’s website at mcadamnb.com. information from our meetings back Shirley Baisley-Moffatt, nurse to the school and present it to their fellow students.” manager at Horizon’s McAdam, To access the directory visit Harvey and Nackawic Health Already set up at McAdam High mcadamnb.com Centres, said having all services School is the Link Program, which For more information available in one place really ties is essentially the same as the or questions call everything together. community’s asset directory. Any Horizon’s McAdam Health Centre student knows they can access the “Access to these services, as it was at 784-6300. mentioned in the [CHNA], is all Helping Tree which helps connect tied together with this directory, students to the service they need. it’s been a really great project and On Feb. 15, McAdam High School partnership,” said Shirley. hosted a full day dedicated to The directory was released to the positive mental health. public near the end of January and “The students, alongside Principal so far, it’s being well received. Laura McCarron, did an excellent “We have a feedback system in job spearheading this initiative, place too, so if someone calls a the students took a key role in the

17 Community Health Recognition Awards Celebrating individuals and groups in the community who are Helping People Be Healthy!

In the fall of 2016 Horizon created the Community Health Recognition Awards (CHRA) to celebrate individuals and groups that are making a difference to improve overall health in their community. Since then, more than 170 submissions have been received! Horizon’s Local Community Engagement Committees review the submissions and select three winners from each of the Fredericton, Miramichi, Moncton, Saint John and Upper River Valley areas, for a total of 15 awards each year. Winners received $500 towards their charity, a certificate and glass award. Stay connected to Horizon’s social media channels to meet our 2019 winners in April!

facebook.com/HorizonNB twitter.com/HorizonHealthNB

instagram.com/HorizonHealthNB youtube.com/HorizonNB

Congratulations to our 2018 winners!

Fredericton Saint John • Roberta Akcakiryan - • Teen Resource Centre Geary Elementary Community School • Coverdale Centre for Women • Adopt a Grandparent – • Saint John Mental Health The Gagetown School Docket in Provincial Court • Community Food Smart Fredericton Upper River Valley Miramichi • Nackawic and Area • Miramichi Accessible Transit Wellness Committee • Eel Ground Health and Wellness Moncton Centre • Miramichi Cafeteria Services Inc. - • Tele-Drive Albert County Max Aitken Academy • Housing Assessment Review Team • Go Ahead Seniors

18 Community Health Recognition Awards We’ve built a new online storytelling site, Celebrating individuals and groups in the community who are Horizon Community News Channel! The next round of Helping People Be Healthy! Community Health Needs Assessments (CHNA) is now underway!

On this site, you’ll read many of the heartwarming and interesting stories you’ve loved on our social media pages – all in one modern digital space. Discover the community news channel at news.horizonnb.ca

Did you know? A CHNA is a recognized approach to understanding health and wellness at a local, community level. Our monthly E-newsletter offers They are invaluable for Horizon to engage to find out what priorities are a variety of news and insights from from the people who live, work and play in their community. Horizon Health Network. We look forward to reviewing past Subscribe by emailing health and wellness priorities and [email protected]. establishing new ones to help New Brunswickers thrive and be healthy.

Visit en.horizonnb.ca/chna for more information.

19 Community Health Needs April 2018 | Issue 4 Assessments in Action COMMUNITY ALBERT COUNTY Message from CARLETON COUNTY Community Health Needs June 2016 | Issue 1 Assessments in Action About Albert County COMMUNITY Jean Daigle 6 The Albert County Area is a rural About Carleton County area in the Southeastern part of the 14 County Carleton County is an area in the western province on the Chignecto Bay in the part of New Brunswick bordering Maine and is Bay of Fundy. often described as part of the Upper River Valley area as it is situated along the upper part of the Saint John River.

This sixth edition of In Your Community is just a glimpse into the work being done in the Tantramar Area and the Nackawic, Harvey, McAdam, Canterbury Area. There are wonderful success stories

October 2016 | Issue 2 coming out of these communities, and Community Health Needs Assessments in Action COMMUNITY that’s not to say it doesn’t come with a set Leading the way Under one roof 2 Horizon Health 8 Creating opportunity Cooking can and innovation be ‘Cool’ Lending a hand Network is helping 13 of challenges. But the fact is, Horizon’s communities be in downtown The Oromocto 17 Helping you healthy Fredericton area is gaining a get around in fresh perspective on Petitcodiac, healthy eating Salisbury, Elgin community partners and Horizon’s staff and Havelock are working to improve people’s health. They are living Horizon’s mission of Helping People Be Healthy. I hope you’re inspired by this work being done in Tantramar, Nackawic, Harvey, McAdam and Canterbury, since the completion of the Community Health Needs Assessments (CHNAs). All 17 CHNAs across Horizon have been completed and what’s exciting is we now understand the issues and can work on

Community Health Needs October 2017 | Issue 3 implementing the recommendations to improve the health and Assessments in Action COMMUNITY It’s about wellness of our citizens. We identified the gaps, and now we’re 2 community ‘I Got This’

Horizon Health Network 8 New school program Making connections is helping people empowers youth in 14 NEW-C has new support be healthy filling them. In fact, this past fall, Horizon began the second round Grand Lake area for Saint John’s North End of CHNAs to keep our data current. We’ve started with Oromocto, In Your Community Oct 2016.indd 1

Riverview and Grand Bay Westfield. 2016-10-03 3:02 PM This edition focuses on two areas in Horizon, but if you haven’t NEGUAC already, I encourage you to read previous In Your Community editions to learn about the success stories from Fredericton; MIRAMICHI Oromocto; Petitcodiac, Salisbury, Elgin and Havelock; Grand Lake; Saint John; Neguac, Miramichi, Albert County; Carleton County;

Central Miramichi; Eastern Charlotte County and Western Charlotte Community Health Needs October 2018 | Issue 5 Assessments in Action COMMUNITY County.

About Miramichi Area One of the best parts of my job is hearing about all the wonderful 6 The Miramichi area covers a large geographic area in the northern half of About Neguac Area

New Brunswick and represents a culturally 14 The Neguac area covers a small things that are going on in our province. Every day, people are doing diverse community. geographic area in the north east Eastern Charlottepart of New Brunswick. County tremendous work to help their communities and thanks to them, In Your Community Oct 2017.indd 1 New Brunswickers will have a healthier tomorrow 2017-10-11 2:44 PM I’m so proud of the work our staff and community partners are doing every day! Keep it up! Central New Brunswick Jean Daigle, VP Community Horizon Health Network Western Charlotte County

About Eastern Charlotte County 6 About Central Eastern Charlotte County is located in the New Brunswick southwestern part of the province. It is 12 About Western Central NB is a diverse region a rural area with communities scattered 16 Charlotte County both geographically and along the Bay of Fundy, including the Western Charlotte County is demographically. Salmon fishing islands of Grand Manan and Deer Island. located in the southwestern part industry is a major aspect of the of the province. It is a rural area community’s history and culture, with communities scattered along 20 as well as a source of employment. the Bay of Fundy, including Campobello Island.