Hollyhill Community Health Project

ANNUAL REPORT 2012 Physical Activity 40 Gym & Swim Contents Lifestyle Challenge Social Activity Group

Acknowledgements 5 Organisational Development 42 Outreach Summary 6 Policies & Procedures Work Planning Niche Background 8 Company Procedures Governance Local Context Policy Development 43 Policy Context Centre for Urban Health Studies Team WHO Healthy Cities Initiative Planning Child Development Initiative

Family Health 12 PHN Partnership Quantum of services 44 CHW Activities Kidscope Company Details 46 Community Speech & Language Project Families Together Family Support & Referrals

Health Information, Services & Support 20 Be well, Be Aware Community Cancer Screening Project Abbreviations Health Screening Community Health Worker (CHW); (CUH); Diabetes Information & Support Cork University Maternity Hospital (CUMH); Health Action Zone (HAZ); Therapeutic Services: Massage, Acupuncture, Counselling (HSE); Healthy Food for All (HFfA); Public Mindfulness Health Nurse’s (PHN’s); Revitalising Areas by Planning Investment & Information Advocacy & Support Development (RAPID); School Completion Programme (SCP); National Cancer Screening Service (NCSS); Speech and Language Therapist (SLT); Food & Environment 22 St Mary on the Hill National School (SMOTH N.S.); Terence McSwiney Food Focus Community College (TMS), Traveller Health Unit (THU); University Col- Advisory Group lege Cork (UCC); World Health Organisation (WHO). Community Garden Growing Group Food Event Safefood Environmental Partnership

Positive Mental Health & Wellbeing 28 Arts for Health Niche Projects Partnership Projects Art Therapy Individual Referrals Groups Men’s Health Group Women’s Health Group Shine a Light Back to Employment Family Communications

acKnowledgements Niche Community Health Project would like to make a special acknowledgement to the local residents of Knocknaheeny/Hollyhill and surrounding areas who participate in programmes. It is the community who continue to make Niche what it is and we are fortunate that they are so committed to helping to develop and guide the direction of the work.

The Niche Board and staff would like to pay particular tribute to the HSE South Community Work Department, especially to Ronnie Dorney for her commitment to Niche, and the for the value placed on Community Health development work across the Northside of Cork and to Pat Healy HSE South Regional Director of Operations for his ongoing support to the project.

Niche would also like to acknowledge the support and collaboration of: Joanne Downey and the PHN team of Sector 4; Lynn Swinburne Health Promotion Officer of the National Cancer Screening Programme; Norma Murphy, RAPID Co-ordinator; Ann Horgan and Ailbhe Creedon of the HSE Speech and Language Department; Deirdre O’ Reilly, THU; Dr Louise Gibson, Dr Pat Henn and Dr Aileen Malone of the Kidscope Project; All the people involved in the Knocknaheeny Youth and Community Centre; Springboard; Family Centre; St Mary on the Hill National School; La Chéile SCP; Barnardos; Churchfield Leisure World; Bus Eireann; ; UCC, Art Therapy Department Crawford/CIT; Healthy Food for All; Safefood; Health Action Zone; the panel of massage therapists and acupuncturist Maria O’Regan.

Thank you to all the atists from the Niche Arts for Health Programme whose work has been used to illustrate this report, including Mary Lambe, Martina O’Leary, Lana O’Connor, Catherine Crean and the Women’s & Men’s Group, and to all who agreed to have their photos featured.

4 5 community health agenda and create co- Health Worker role by being available to the Project in partnership with HAZ and NCSS supportive systems for work to be carried out families outside of the structured programmes provided information and access to hard summary and address health inequality. as a listening ear, a support to families and to reach women; health checks provide as advisor and navigator. People raise a important motivation for some to seek further As with all organisations and groups working Niche Community Health Project - located wide range of issues such as mental health medical advice; and the massage and in the social/community/health sectors, 2012 in the centre of Knocknaheeny - is for the issues, social and family problems, welfare acupuncture services provide people with was another challenging year. NIche receives people of Knocknaheeny, Hollyhill and appeals, housing needs, low income and time for themselves away from the demands a large number of referrals from other surrounding area. Niche aims to address bereavement support. The response is usually of everyday life to focus on their own physical organisations as well as individuals looking for health inequality and institutionalise a social engaging with others’ services to respond to and emotional wellbeing. support, and local community word of mouth model of health locally to improve the quality their needs or building relationships through recommendations. There is huge demand for The Niche programmes of Gym and Swim of life for people living in the area. Niche interventions. individual support and interventions which and the Lifestyle Challenge were reveiwed With the Community Health Worker model are responsive, targeted and intensive, while Food Focus Community Food Initiative is a at the end of 2012 and the difficult decision at the heart of the organisation, Niche at the same time the need for wider positive typically evolving and developing community was made to cut the services and replace can place itself within the community as community engagement is ever present. project. 2012 saw the development of the them with more individually targetted a mechanism to support people with their Community Garden in conjunction with social and physical activity interventions Over 900 new people accessed the project immediate needs as well as working with the City Council as well as a whole host of in 2013. Niche recognises the value of - an increase of almost a third over last year, others toward a long term vision for the area. activities; shared learning with other projects social interaction as a means to motivate set against further reductions in core funding. around the country; the community food individuals and groups physically and vice The Annual Report is a detailed account of all Nevertheless, Niche continues to be creative, event and food group. Local people have versa. While both programmes were popular aspects of the work carried out in 2012. committed and open to working with the been involved every step of the way. The and well attended, the resources required It covers areas such as governance, staffing, community and partners to respond and practical opportunities seem to capture were considerable and perhaps not the best context and influencing policy, as well as deliver what is needed at very little cost. people’s interest and imagination and we vehicle to deliver support. outlining the projects and activities, the In 2012 Niche worked around 6 key strategic have seen young and old come together to numbers participating in programmes and Niche has been involved in the Healthy themes, they were: Family Health; Health produce some healthy, affordable, edible their pathways through the project. Cities Partnership for the past number of Information, Services & Supports; Food and results. years representing a community health The document is underpinned by reflections the Environment; Positive Mental Health, The Arts for Health Programme is a central development & social inclusion agenda and on best practice, success, challenges, Wellbeing & Lifestyle; Organisational part of Niche community health and together with its partners Cork City Council, learning and opportunities for development. Development; Influencing Wider Policy. development work and has come to reflect , and the HSE, set The community in which Niche works has so Family health programmes are a key partof a creative focus in which our wider goals and about applying for WHO Healthy City Status, many strengths within it – the people, their Niche. Antenatal classes delivered by the principles are met. Niche aims to demonstrate which was awarded in December 2011. In loyalty and sense of identity. During the PHNs are the first point of contact with Niche, the health & wellbeing benefits of access conjunction with these efforts a Health Profile more prosperous years the area received continuing through a number of programmes to and participation in the arts. In addition of Cork City was put together and will inform investment to develop community facilities promoting baby’s and mother’s health. This to the well atternded ongoing Open Studio the development of the first inter-agency and refurbish housing. There is commitment cements a relationship with families enabling sessions, the 2012 programme included health plan for Cork City. nationally, and locally, through the City continued support and contact with the projects for special events and in new settings. Set out in the next pages is the full annual Council, to the next regeneration phase project as the family grows. The Bra Project, created in conjunction with report, quantum of services and company which is underway. However the challenges the Be Well, Be Aware Community Cancer details. felt nationally in the current climate are The Speech and Language Project has made Screening Project, was a finalist in the Crystal some significant developments particularly magnified locally, including unemployment, Clear Literacy Award for health promotion, This and previous years’ Annual Reports, the working with Traveller children, building up increased financial pressures and stresses of and was replicated in ‘The Knickers Project’, 2012 workplan, as well as other information local capacity and promoting early language family life, loss and grief and reductions or promoting cervical screening amongst about Niche is available from stimulation and parental engagement. changes in services. Traveller women’s groups. www.nicheonline.ie Niche Men’s Group began their first creative In the prioritising, planning and Kidscope, a community child development enterprise, successfully selling their products at For further information please contact Niche implementation of work, Niche takes its assessment training clinic, has developed Christmas craft fairs with great pride. on 021 4300135. direction from four key areas: into a model of practice combing teaching, The Board of Management social, psychological, and medical elements. Promoting access to and information about The experience and reflections of the staff The clinic saw over 200 children with their health enhancing services is very much in Interagency collaboration; families in 2012, providing ongoing referrals, demand by the community. The Community Skills and strengths of the community as well supports and contact to many. There is an Health Worker has developed ways in which as the changing individual and collective ongoing commitment by all involved to provide barriers to health can be overcome and socio-economic environment. this important local service into the future. which takes into account all those factors This shared approach ensures we make Family support and service information advice influencing a person’s health. The Be Well, connections across the area, embed a have been a key feature of the Community Be Aware Community Cancer Screening 6 7 Located in the Knocknaheeny/Hollyhill area of Cork’s Northside, Niche Community Health Project aims to address health inequality and institutionalise a social model of health locally to improve the quality of life for people living in the area.

Using a community development approach and through interagency collaboration, Niche has developed responses that overcome structural barriers to health, and building social capital to ensure that local people have a say and are able take action to improve their health. Niche has placed itself within the community as a mechanism to support people with their immediate needs as well as working with others toward a long term vision for the area. Name Title Funding Hours Area of work Location Source Katherine Manager HSE Core 35 Management, strategic Niche Harford planning, development Office & implementation Niche is a limited company with charitable Carmel Adminstrator HSE Core 32 Adminstration for all Niche status, core funded by the HSE South. It is Murphy areas Office governed by a Board of Management, whose representation includes residents from the local Mary Community Health HSE Core 21 Family Health Niche & Byrd Worker community area, UCC Department of Epidemiology and locations Public Health and the HSE Community Work Paula Community Health HSE Core 21 Information & access Niche & Department. The role of the Board is to steer and Casey Worker to services, training, community support the policy direction of the organisation. outreach locations Charlotte Community Arts for HSE Core 21 Community Arts for Niche & Donovan Health Worker Health Programme community locations Tracie Community Health HSE Core 21 Therapeutic Services, Niche & Niche employs a Project Manager, an Lane Worker Physical/Social Activity, community Administrator and five Community Health Evaluation locations Workers. With additional partnership Catriona Speech & Language HSE Core 14 Community Speech & SMOTH, Fam funding Niche also contracts a Speech Kelly Therapist &THU Language Pilot Centre & and Language Therapist and Food Focus community locations Development Worker. The current comlement of staff is outlined on the opposite page. Lorraine Speech & Language HSE Core 14 Community Speech & SMOTH, Fam Walsh Therapist &THU Language Pilot Centre & community locations Elaine Food Focus Safefood 23 Food Focus Work Plan Niche rooms Niche receives students on placement O’Mahony Development Niche & community throughout the year. In 2012 Niche Worker HAZ locations received students from UCC Department of Dermot Psychologist Niche 4 Kidscope Support Niche & Epidemiology & Public Health; UCC Youth Casey Programme Barnardos and Community Work; UCC Social Work Avril Artist Niche Sessional art workshops Niche & Department; Crawford/CIT Art Therapy O’Brien Programme community Department. locations

8 9 Families Principle Status Youth population and age dependency ratio Unemployed, looking after family, sickness We build a picture of the community from were higher in these areas than at city level. and disability and looking for first job amounts In the prioritising, planning and the two electoral divisions of Knocknaheeny According to CSO 2011 data there are nearly to over 2,500 people across the profile areas. implementation of work, Niche takes its and Shanakiel - which included the area 1000 children aged 6 and under living in the direction from four key areas: The Board of of Hollyhill as well as the small area statistics area. And 30% of the population are under Management; the experience and reflections of the Meadows. We do this because 18 compared to 26.8 % for the wider city Education of the staff; interagency collaboration; and we acknowledge where people live and population. Knocknaheeny is characterised by having the skills and strengths of the community as where they access services is different to very low levels of educational attainment. well as the changing individual and collective the traditional geographical boundary of The number of children in families is nearly 22% of the population have primary socio-economic environment. Knocknaheeny. 3,500 across the areas. Over 50% of families education only. 20% of the population of This shared approach ensures that we are headed by a lone parent. Knocknaheeny who have attended school We listen to what people tell us about their make connections across the area, embed Over one third of the population are young have left at the age of 15 or under. experiences of living in the area and match a community health agenda, create co- adults (20-35years) this with current CSO data as well as current supportive systems for work to be carried out For 26% of the Knocknaheeny population the research in the area. and address health inequality. highest level of education completed was lower secondary compared to 16% of the Knocknaheeny continues to be recognised Ethnicity, Nationality and Religion In 2012, Niche responded to another year of Knocknaheeny has a relatively homogenous Cork population. Only 16% have progressed as an area experiencing disadvantage and increased demand for services and supports population from an ethnic and nationality onto tertiary education or vocational training social exclusion with statistics indicating in response to the health and social impact perspective. The 2011 census found that 93 and of this group only 4% have completed significant social and health inequalities and on individuals, families and community of the % of Knocknaheeny state their nationality as degree levels of education. This is a stark highlighting the impact of the experience current economic climate. The work plan Irish, 2% as European and 1% from the rest contrast to the Cork figures of which 24% have of living in a low socio-economic area was designed to incorporate the ongoing of the world. The census also recorded 98 completed a degree level of education. on chronic disease, education, health established work and also the development travellers, 97 other white, 33 black or black behaviours, employment and social capital. of new areas of focus and specially tailored Irish, 39 Asian or Asian Irish, 6 others and 145 programmes. Like other similar areas, it has been the not stated. The vast majority stated their Early Development recipient of inward investment and religion as catholic. The Meadows area has a The Cork City Early Childhood Development The Niche 2012 work plan was developed development through an extensive more mixed population from an ethnic and study conducted by the Department of under the following six strategic areas of work, regeneration programme with considerable nationality perspective. Epidemiology and Public Health, UCC showed through a partnership between the board of capital funding for improved housing, that 28% of children from the Knocknaheeny management, staff, key stakeholders and the community buildings, and for the physical The Traveller population amounts to 2% of the and Shanakiel EDs who started school in 2010 local community environment. overall Knocknaheeny population, unlike the were not developmentally ready to engage overall cork population of travellers at 0.02%. in school. This figure is high by international • Family Health Equally, there exists within the area a vibrant This figure coincides with figures given by the standards - anything over 15% is considered and committed community of local people Men’s Traveller Co-ordinator in Knocknaheeny high. In total, 7.5% of children in the area had • Health Information, Services & and agency workers who are quietly and who confirmed that there were 100 Travellers already been identified as having special Supports consistently working to make a difference. living in the Holyhill Halting Site in February needs. A further 22% were deemed by the • Food and the Environment 2010, of which 53 were children. (Barnardos teacher to be in need of further assessment. • Positive Mental Health, Geography 2011) Wellbeing & Lifestyle The total population of Knocknaheeny is • Organisational Development. 4,301, with a further 3,423 populating the • Influencing Wider Policy Electoral Division of Shanakiel. The Meadows Housing area to the north of Knocknaheeny is taken Knocknaheeny has a high proportion of their into the area profile. The Meadows covers population living in local authority housing. two ‘Small Area’ areas with a combined In 2011 53% lived in local authority rented population of 366. housing. This compares with just 5% in Cork County as a whole. Area profile indications Knocknaheeny is pinpointed by government as an area of urban disadvantage and as a Social Class The number of people in unskilled and lower result is a designated RAPID area. on the social class scale is over 4,000, which is Some of the indications of disadvantage are more than half the population. outlined below:

10 11 mothers to make appointments for classes It is at this stage that we notice parents earlier in the pregnancy and not leaving it connecting with their babies, asking about until near the due date as had previously other supports and befriending one another. Early intervention is key to health and been the case; the number of expectant Those opportunities to befriend one another development of child and family. To that end mothers in the area; but also due to the efforts through their common interest in their babies Niche supports a number of early childhood being made to promote the importance of is very rewarding. We see mothers meeting community health based programmes at the classes by parents in the area, which is together outside of Niche, going on walks, certain age milestones of children and their definitely a broader change in attitude over and sharing in babysitting. Long lasting families. time. networks are being created.

The classes also offer an opportunity for 0-1 years parents to discuss issues with each other and Baby Massage with the CHW that they are facing in a friendly When all the babies are born from a group and supportive environment. In 2012 some of who did the antenatal classes, the mothers these issues included: relationships, being a Niche/PHN Partnership Programmes are invited back to meet each other and single parent, money issues and housing. Niche has been working in partnership with show off their babies. the Sector 4 Public Health Nursing Team for many years. The partnership arises from the Baby Massage Courses are available to A large number of parents signed up for need to support new families in getting to parents and their babies from the area; baby massage class this year, and in order know their Public Health Nurse (PHN), connect priority is given to those who took part in to facilitate the demand the CHW organized with other new families and local services, to antenatal classes, and/or referred by public two extra baby massage classes separate learn about and bond with their new baby health nurses, GPs and or other organisations from the ones provided by the PHNs. These and to look after new mothers’ health as and practitioners in the area. The parents classes were held one in the month of June well as the wider family health. Mary Byrd is are taught over 4 sessions how to massage and the other in November, In 2012 there the Community Health Worker who links and their baby to help with bonding, relaxation, were 83 parents attended the baby massage supports local expectant families, to PHNs confidence, communication, colic, etc. in Niche. who deliver the 4 programmes set out below: Again the course is delivered by specifically trained PHNs and the parents are offered ongoing support by the CHW. Antenatal Classes The PHNs deliver the antenatal courses for 9 months of the year. Each course runs for 3 consecutive weeks, and is open to expectant parents living in the catchment area to prepare them for the birth of the baby and to the early days of becoming a parent. The courses are delivered in a relaxed, open environment where parents are free to ask questions and guide the nature of the discussions. The antenatal classes are a vital intervention at this local level, as it engages new families at a critical stage and normalises the process of engaging with relevant services. It is from these courses that, if needed, parents will stay engaged with Niche Family Health programmes until the child is about 1 year of age, and for themselves participate in other programmes, such as family days, family support, arts for health etc.

There has been a notable increase in demand for antenatal classes from mothers in the area, in part due to: better co-ordination and referrals between service providers; Mary Byrd, working with CUMH, encouraging 12 13 child and family found themselves, such as Breastfeeding Support Group Information Workshops housing conditions, depression, parenting or If mothers from the area have chosen, or are Following the birth of their baby, parents 0-3 years simply being unable to navigate medical/ considering, breastfeeding they are invited are invited back again to Niche to attend educational/care systems. Springboard came by their PHN or the CHW to attend breast information workshops on topics relevant on board and responded to this need as feeding support group. The mothers have to the baby’s well being and healthy Kidscope Kidscope is a child development assessment & best they could within their existing resources; the opportunity to meet up with others, share development. In 2012 the workshops focused training clinic taking place on Fridays in Niche. however it was felt that a more dedicated, experiences, receive tips and information around 6 key themes: It was established in September 2010 and is a focused response was required. from one another and the PHN. The PHN also Child development with speech and multiagency effort combining medical, social weighs the baby and answers any questions language therapists and physiological assessment, support, referral In 2012 with funding support from the HSE and the mothers may have. The group takes feedback from the mothers was so positive and follow up. It is targeted toward children with implimentation support from Springboard, place every Friday lunchtime in Niche. that two additional workshops were delivered between the ages of 0-3, and their families, Kidscope provided additional interventions for on the same topic The group was very well attended in 2012 with living in the Northwest Sector of Cork City. families where needed: Sun protection for babies and young children an average of 8-9 per week. Mary Byrd and Baby resuscitation Theresa Vaughn PHN report that it’s lovely The agencies directly involved are HSE/UCC immediate contact to a Psychologist during Safety in the home to see new babies breastfeeding, and it is a Paediatrics, Public Health Nursing Team HSE clinic times to families in crisis. The importance of play very relaxed setting for the CHW and PHN to Sector 4, Niche Community Health Project and individual family assessment of support again positive feedback from the mothers led build relationships with mothers. Mothers relax Springboard. needed to two additional workshops and stay after the group is over, chatting with a parent centred group setting Dental hygiene each other, as the babies are asleep and A child from the Northwest Sector can be assigned to a Springboard project worker or On average 9-10 mothers attended each content. referred by their PHN to the clinic where there counsellor where necessary workshop. is a concern relating to the learning/physical/ respond to family queries outside of clinic The mothers report that the group gives them psychological development of the child. schedule. great suppport, especially for those who may The PHN Administrator in St Mary’s Health not have that support from family. Centre generates an appointment for the This aspect of the project is now running until child to be seen at the clinic. Their own PHN is through 2013. The support group takes place also informed of the appointment so they can in Barnardos on Fridays, Dermot Casey works PHN Clinic & Drop in support/encourage the family to attend. very closely with the medical team and the The clinic takes place the last Monday of families. every month and is delivered by rotating PHNs A maximum of 10 children are assessed each from the area. Some of the time is allocated week. At least 2 of the 3 Paediatric Doctors Quarterly interagency review meetings. to development checks by appointments and are available for each clinic. the rest of the time is open for drop in, where Baby’s First Christmas Niche presented the model to Gordon Jeyes On the 6th of December 2012 parents and no appointment is needed. Parents can CEO Designate, Child & Family Support their babies who were born during the Mary Byrd CHW Niche meets the family on attend the clinic to meet with the PHN about Agency in May 2012. year were invited to ‘Baby’s First Christmas clinic day and oversees the running of the any concerns they have about their or their Party’. This year 30 babies and their parent(s) clinics. child’s health. The clinic time is also a good attended the party, which is now held in the opportunity for CHWs to link with parents, Youth Centre. Doctors and medical students meet the family get to know them and talk to them about and carry out a developmental assessment community supports on offer. Grandparents and Niche members according to the age of the child. Where volunteered on the day, and the staff of the necessary the family are called back at 3 or 6 In 2012 there were some changes made to Youth Centre also got involved, with the café monthly intervals and other external referrals these clinics. Niche is in consultation with the providing refreshments. It has become a made. (4 out of 10 cases require referrals to new Assistant Director of PHN to discuss the celebratory event, marking the special year other services). Multiagency review meetings development of the clinics in 2013. for the families with Santa, gifts and music. take place biannually. This year, in addition to Santa, there was also Given the current constraints faced by the a ‘Mrs Claus’! It is a very important non- In 2011 it became clear that while Kidscope PHNs in terms of cover and the volume formal event for the CHW to link in with the provided an excellent service in terms of associated with their duties, Niche is very parents and babies offering on-going support. meeting the medical needs of the child at an appreciative of the continued commitment It also offers the PHNs a chance to catch up early stage, the clinics were also detecting a they make to these important pieces of work. and socialise with the parents. Mary (CHW) high level of needs for social/psychological We continue to find ways to work together to says “The parents love meeting up again supports for the family: while medical/ meet the needs of the parents and babies in with each other at the party, there’s a great development issues may or may not be the area. atmosphere and it’s a real celebration of present, challenges within the family setting friendships and parenthood ”. were also impacting on the situation in which 14 15 Our reasons for the project are: The Programme of Work in The Family Centre, St Mary’s on the Hill 3-10 years •Incidence of speech and language National School & in Community Settings difficulties amongst child populations is higher in areas that experience poverty and amongst Community Speech & Language Capacity Building those in lower socio-economic groups. •Ongoing information sessions with teachers, Pilot Project crèche and preschool workers to promote The speech and language programme has •In the Knocknaheeny area it was initially language stimulation in class setting, highlight been delivered during academic term time thought that 1 in 2 children (or 50%) of children possible indicators of speech and language since September 2008 and was completed in in pre-primary and primary level education are difficulties, explain speech and language and December 2012. in need of speech and language support, and other service referrals. with continued high deprivation indicators for •Meeting and including parents HSE North Lee Speech and Language the area these numbers prevail year after year •Ongoing contact with resource teachers. Department provides 4 hours per week as new attendees arrive at pre-school and In 2012 referrals from HSE Kidscope clinic supervision from a Senior Speech and school. in Niche were assessed and were routed Language Therapist, Ailbhe Creedon, whose accordingly to the appropriate HSE service. role is to link the project with the statutory •Early intervention practices including speech

service, supervise work of the Niche Therapist, and language ensure long term improvements Groups and to ensure that the project is being to child development. •Language promotion groups delivered in line with best practice. •Early Language stimulation workshops (Early •Research shows that the most effective Start and Mothers and Baby Group) With additional funding from THU & SVP, Niche interventions in lower socio-economic areas employs a full-time (Fixed term contract in are family orientated and community based. Individuals line with academic timetable) speech and •Assessment language therapist (most recently Lorraine •Direct access to children who are at high risk •Therapy (6 week blocks) Walsh and Caitriona Kelly) who works on site of speech and language difficulties, or who •Review at the Family Centre and St Mary’s on the Hill present with speech and language difficulties •Waitlist for further therapy/School National School. on assessment, both through individual and Programme/Discharge group therapy, has benefits in terms of future A Steering Group is established to direct, academic, behavioural, emotional and social 2012 was the final year in which the project support and review the programme. well-being at an individual and collective was delivered. It was also one of the busiest Steering Group includes: level. and challenging years, with more community •Ronnie Dorney, Principle Community Worker, services seeking support, information and North Lee •There are long waiting lists for assessment techniques. (can you get some info from •Deirdre O’Reilly, HSE Traveller Health Unit (4 months) and therapy (6 months to 2 years ailbhe on what was delivered -she normally •Katherine Harford, Manager, Niche depending on needs) within the statutory does the report for me, but i never asked her •Anne Horgan, Manager HSE North Lee system for Speech and Language Services. for it this year). and North Cork Speech and Language Department •Poor understanding and buy-in by parents Evaluation •Ger O’ Donovan, St Mary’s on the Hill about Speech and Language Therapy. As a pilot project with significant experience National School and learning under its belt, the steering •Angela Kalaitzake, Manager, The Family •Low attendance rates at clinics. group decided it would be important to Centre, Knocknaheeny record the project in a way that would •Ailbhe Creedon, Senior Speech and •Limited or sporadic knowledge by teachers/ make recommendations at a local and Language Therapist staff and parents in relation to knowing how, national policy level for speech and when, why to refer to speech and language language work in the future. focusing on services. the speech and language needs in a disadvantage community as well as the •No in-service training of teachers to reflect needs of practitioners and services. In 2012 language stimulation practices. with the guidance of the steering group Niche commissioned Aimie Brennan of Agora •A standard of language ability is required to Research & Training Alliance to undertake the access the primary school curriculum evaluation

16 17 Families Together Days Twice a year, Niche organises low cost family excursions: to Trabolgan in the summer holidays and at Christmas to, this year, Tir na Sí in Watergrass Hill. Trabolgan is a water park, with a range of indoor and outdoor activities for children of all ages. Tir na Sí, is a family farm run by the McCarthy family. They had a Winter Wonderland, which included an indoor play area, live crib, elves workshop, chat with Mrs. Claus, meet Santa and receive a gift.

These trips are organised to ensure families have time together on a holiday activity even if they have financial or other constraints. There was an increased interest in the trips again this year because of economic circumstances, and demand outstretched capacity.

Springboard, PHNs and the schools also refer families onto the trips and the CHW provides additional supports to those families. Each family can participate at a cost of €5 per family, and this year an increased charge of €7 was introduced for larger families, which includes all children and adults. This year we booked an additional bus for Trabolgan to accommodate additional families from Springboard. Springboard and Le Chéile SCP staff helped out on the excursions.

In 2012, 5 buses went to Trabolgan with over 275 family members, and four buses to Tir na Sí accommodating 165 family members. Family Support & Referrals This year there was a notable increase in individuals seeking advice and support. The CHWs have been available to the families outside of the structured programme as a listening ear and a support to families in difficulty, and will usually find ways to respond to their needs by engaging with other agencies and local services.

The level of support is diverse depending on particular issues. The CHWs encourage the individual to access support from other services themselves but sometimes that is not possible so Niche acts as an advocate on their behalf .

18 19 • monitor low take areas through outreach. Inspired by ‘The Bra Project’ Cork Traveller • use our peer-to-peer trainees to promote Women’s Project approached Niche to design breast screening, breast awareness, a project for some of their groups. As the age cervical screening range of the groups was not predominantly • use a variety of methods to give ongoing the target for breast screening, and as there messages about screening to women is a significantly lower take-up of cervical Be Well, Be Aware Community Cancer • inform the community on upcoming new screening amongst the traveller community, it screening programmes was decided to modify the project as a ‘bling Screening Pilot Project your knickers!’ - to raise awareness of the issue. IIn 2012 the partnership work between the Niche promotes Cancer Screening on an Details of this project are on page 35. National Cancer Screening Programme, ongoing basis. Women who were trained Niche and HAZ continued in the delivery and during 2011 to provide peer-to-peer Evaluation of programme results analysis development of screening promotion and support (a total of 50 women) attend local recommendations meant that in 2012 Niches access to screening across the Northside of community events and provide information role in the partnership was to collaborate Cork City. and encouragement to each other as well as to develop a new work plan for the years to the community on an ongoing basis. ahead. One which focuses on sustainability, Approximately 3700 women are eligible a focus on cervical check, low uptake groups for breast screening in this area, with many In 2012, Niche Community Health Workers and the next round of breast check . more eligible for cervical screening. Breast took part in a two day intensive training screening is offered to women every 2 years course with the Health promotions Officer in Copies of this work plan are available on and cervical screening is an ongoing process Breastcheck. The training covered all areas of request from Niche - [email protected] with women recommended to go for a smear screening and the new screening initiatives. test every 3 years when they are aged 25-44, The CHWs also organized a group of women and every 5 years between 45-60 years. to attend a local G.P to avail of cervical screening. It was easier for the women to go The partnership views the community health as a group and this was supported by a CHW. worker as central to the delivery of community interventions, and additional support comes One of the CHWs also gave a talk to the in the form of health promotion officers based young mothers group and the men’s group in the National Cancer Screening Service. about the dangers of skin cancer. A sun care This complementary partnership has proven policy was devised for Niche activities such highly effective to promote cancer screening. as the community garden and summer family It was delivered on certain principles that fit a trips. health promotion/community development agenda, while focusing on cancer screening. The CHWs met with the peer support group These include: Reducing inequalities; Social women to thank them for their hard work inclusion/Social Justice; Collective Action; throughout the year. The group decided that Empowerment of communities and women; they would like a cancer screening refresher Participation of communities in health course. This has been arranged for April next promotion strategies; Intersectoral partnership year. working; Providing an equitable service for all women; Sustainability in change that can be The Bra Project, a Niche arts for health maintained in communities; The use of multi project created in conjunction with Be strategy approaches; Transformation. Well, Be Aware, was a finalist in the Crystal Clear Literacy Awards for health promotion. The aim of this partnership is to Charlotte from Niche and Lynn Swinburne • promote cancer screening from Breastcheck attended the awards • encourage people to attend ceremony in Dublin and were presented appointments with a certificate. This was presented to the • support individuals or groups in attending Women’s Group in Niche by Kathleen Lynch, appointments. Minister of State (Department of Health and • educate the community on the Department of Justice, Equality & Defence importance of screening. with responsibility for Disability, Older People, • identify issues or needs or barriers to Equality & Mental Health) in a celebration of screening. the success and achievements of the group. 20 21 There were a total of 51 men screened on Massage therapy was made available in Health Screening that day; 12 were referred to their GP Diabetes Information & Support Niche on Tuesday mornings and evenings Opportunities for local people to avail of 2 men were referred for high blood pressure The number of people with diabetes is from January 17th until June 26th and from Health Checks in Niche are a very important 6 were referred for high cholesterol with 2 increasing at an alarming rate and Niche September 18th until December 11th 2012, intervention. For some people coming to men having a reading of 8.2 and 9.4 recognises that more services are needed by appointment for 1 hour per client in a Niche for a health check is the preferred 4 men referred to their GP with very high in the community to educate and support two week block. In total Niche has provided and trusted route to engage with a health blood sugar levels. One of the men was people. massage to 116 people in the year. 39 of service. Niche also aims to provide screening symptomatic. these were new to Niche. There is a huge in community venues in a non-medical Niche has been working with Diabetes Ireland demand for the service, with a long waiting environment Niche held a second Diabetes Screening for a number of years and have seen a huge list. The CHWs manage the list with places Clinic, Blood Pressure and Cholesterol Check increase in Diabetes in the Niche catchment held for those in acute need. The person is given a 20 minute slot for on Wednesday 17th October from 12pn to area. It was decided that Diabetes Ireland the check, and with access to the CHW. 3pm in conjunction with the Niche Healthy would run a Community Orientated Diabetes To access the programme people self refer, If needed, the CHW will encourage and Food Event. Education (CODE). are recommended by the CHWs and through support the person to go to the relevant CODE supports people with Type 2 diabetes referrals from various agencies such as follow up service (normally a GP). The screening was for men and women over through group learning and participation. It Springboard, We the People, Dr George 40 who had not being screened in over 6 encourages participants to become confident O’Mahony, Public Health Nurses. In 2012 Niche held a Diabetes Screening months. It was very busy that day and some in their diabetes self-care management and Clinic, Blood Pressure and Cholesterol Check of the clients had to return to Niche on a aims to improve quality of life through informed The health benefits are relief from tension, on Friday 8th June from 10am to 1pm and separate date to receive the full screening. decision making. The CODE workshops discuss relaxation, relief of stress and anxiety, or to 2pm to 5pm. The health checks were in diet, exercise and medication in a relaxing and reduce muscle soreness. Massage can also conjunction with Men’s Health Week In total there were 68 people screened. There friendly atmosphere. cause your body to release natural painkillers, were 20 people referred to their doctor. and it boosts your immune system. The CODE workshop was held in the Youth The screening was held in Supervalu and 8 people were referred with high sugar levels. Centre on Monday 12th, 19th and 26th the clients were targeted. They were all men 3 of the clients were symptomatic. Feedback to Niche from users is that they find November from 11am to 1pm. We had a core aged over 40 who hadn’t had any health 10 were referred with high cholesterol. massage very beneficial in that, although group of 12 people both men and women. The checks done for at least 6 months. The reason 2 were referred with high blood pressure. it cannot solve their underlying problems, it number of participants could have been larger the group was targeted was because the gives them a space to switch off and relax but as we do not have medical information on tests are so expensive. More extensive checks were previously during the therapy session, an opportunity the members in the community, we advertised available through Pfizers and other to link in with Niche during a quiet time and the workshop and informed the few people we The supermarket proved very successful as a organisations. Niche would advocate for to talk to the CHWs. Some people have did know had type 2 diabetes. venue. People were given a twenty minute regular community based health screening. then been referred to counselling and have slot and no fee was charged. There is now No referrals were made through GPs, Public availed of other programmes Niche offer. a charge of €20 for medical card holders for Community based health checks are an Health Nurses and Community Dietician as the Some people that attended on Tuesday these checks from their GP, which can put excellent way of engaging people in early HSE run their own workshops in various areas. evenings became interested in the open art people off. detection and prevention health services studio that was running at the same time. One and encouraging them on to further relevant The participants really enjoyed the sessions woman in particular tried out the art while she services. and said that they found it very informative. was waiting for her massage and enjoyed it They also commented that they found the so she came early the next week so she could community based venue convenient and spend longer in the group. She has ended up enjoyed the relaxed, non-clinical environment. becoming a regular member of the group and has brought another friend along with her

Massage Massage Therapy is delivered by a panel of local people trained through St John’s College in various types of massage therapy. Niche has, through the years, supported the therapists in their initial and ongoing training. The therapists then in turn provide the services to the community at a low cost. 22 23 The course was offered to 14 people targeted In 2012 referrals to other services have Acupuncture Counselling through acupuncture, massage, and included: Gratton Street Health Centre, Niche offers subsidised access to This year there was a significant increase individuals known to CHWs. Out of these 11 Springboard, Le Chéile, Citizens Information acupuncture which has proven to be a in demand and referrals for counselling. took up the opportunity. A number of the Service, local Public Health Nurse and popular and successful treatment for both Referrals are made from our local General participants suffered from anxiety and found Community Welfare Officer physical and psychological well-being. In Practitioners and Public Health Nurses, from that the practice really helped them to control 2012 47 people received 4 consecutive other local services and from self referrals. the condition. A small group seemed to work weekly treatments. 26 of these were new well, as people could build up trust with each Example of Individual Support. to Niche. There is a constant waiting list for Niche links with Coiscéim, who offer low-cost other and work together around any issues they acupuncture, and clients report an extremely counselling based on the client’s ability to were dealing with. CDs were made available A woman contacted the Niche office looking high level of satisfaction with the service, and pay, and has built up relationships with a to assist people in continuing the practice for advice and support concerning her mother great symptom relief. number of counselllors. Niche offers room beyond the duration of the course. who recently had a stroke. She was looking for counsellors to see people when space is for information about services available in available. We have been fortunate that St Feedback from participants was very positive, the area to alleviate some of the pressures Maria O’Regan, our accupuncturist, has Vincent de Paul has allowed use of their room although the high cost of the course would her family were experiencing because of the been working with Niche for many years. This as otherwise Niche would not have had the have to be explored before repeating. unexpected illness. has allowed her to build relationships with space to allocate. returning clients, and have a good overview The CHW put her in touch with the public of family and community issues as well as The CHW role is to link people to the health nurse to organise home help for her individual health matters. She works together counsellor, to provide ongoing support mam. Her mam was also offered massage with the CHW to allocate appropriate and to direct people to other services as therapy in Niche to help relieve the joint pain treatment and to enable additional support appropriate. There can be a number of she was suffering. At the beginning of the and referrals to be made where appropriate. issues preventing someone from accessing massage therapy her mam could not open This year a student/graduate acupuncturist counselling such as lack of transport and un- her hand but by the end of the sessions she Over the years local people have come to trust was being mentored by Maria which assisted familiar surroundings and perceived stigma could open her hand. with management of appointments as well attached to seeking therapeutic services. the workers of Niche and come to the CHWs when in need of a friendly ear over a cup of as offering invaluable experience for the Niche aims to assist people in overcoming Massage therapy was also offered to tea. student. these barriers. her daughter who was her main carer to help relieve some of the stress she was People raise a wide range of issues such experiencing. The family were also offered a as mental health issues, social and family New Text Service Mindfulness place on one of our family trips, which they problems, welfare appeals, housing needs, low This year Niche introduced a new text service Mindfulness is described as “...paying took up. for keeping in contact with participants. We attention in a particular way; on purpose, in income and bereavement support. have built up a database of contact details, the present moment, and non-judgmentally”. The CHW kept in touch with the family on Once again this year there have been a large and use the service to notify people of all a regular basis and also advised them of number of people looking for information on programmes and events. The service allows It has been found to be beneficial in their financial entitlements such as carers financial support because of job losses and individual interest groups to be created and managing a number of mental health issues allowance, medical card, half-rate carers and cuts to Social Welfare. This has additional targetted. Specifically it has proved very including anxiety, stress, depression and housing disability grants. successful as a reminder service of massage behavioural issues and can assist people in implications on their health, wellbeing and and acupuncture appointments. This has dealing with physical heath issues such as quality of life. The CHW has had to incorporate reduced the number of missed appointments chronic pain. this interaction as a core aspect of the work, considerably. and look at ways in which they can be useful to Niche decided to explore the practice of the person. Mindfulness before making the decision to offer a course to participants. The staff The CHW cannot solve problems but they completed an introductory course with tutor can offer advice, support, and referrals to Clodagh McCarthy. Following this it was other agencies and arrange support through decided to offer a pilot project of 6 weekly the Niche programmes and support and sessions. direct the person on how best to take action on their own behalf. Paula has completed a Fetac Accredited level 6 Information Providers Programme and now uses her skills and experience in the information giving process.

24 22 25 the National Learning Network, Springboard, The role of the advisory group is to discuss and Barnardos, Youth Centre, and Youthreach, guide the implementation of the work plan, to Youthlink, Drugs Project, the Parish Assemby connect back to relevant organisations and and the Senior Citizens centre. to support and make suggestions as to the Elaine is currently acting as secretary to future direction of the work. The group met six the garden committee and is also Munster times throughout 2012. representative on a new All Ireland National Food Focus Community Garden Network

According to Healthy Food for All, supporting local communities to address their food needs is more urgent than ever before with Knocknaheeny/Hollyhill Community Garden Committee The garden committee was establishmed approximately 15% of the Irish population during 2011 to feed into the design, currently experience some kind of food Community Garden development, management and deprivation, rising to 35% among low income During the winter of 2010/2011 Cork City sustainability of the community Garden. groups while 2 out of 3 Irish adults are at an Council confirmed funding for a community unhealthy weight. garden, which would be positioned behind the petrol station on Harbourview road on the Throughout 2012 they met every 2-3 weeks to discuss issues regarding the development of As well as addressing some of these health Hollyville Estate. the garden, primarily around the issues of the problems, food projects can have positive delays to the building of the project. economic, environmental and social benefits Throughout 2012 Elaine, the Food Focus The committee had, and still has, influence and therefore sits well with the social model of development worker, was the main liaison over the on-going design & development health promoted by Niche. 2012 was the final with Cork City Council housing department of the garden. Additionally, the committee year of a three year programme of support and Connor construction. This involved was involved in the processs of developing from Safefood & Healthy Food for All as part keeping up-to-date with developments, policies & procedures regarding the use of of the All Island Community Food Initiative addressing security and safety issues on-site, the garden. Demonstration Programme. and other practicalities. Unfortunately there were delays to the starting of the work on the The group were represented at a public Food Focus is an interagency partnership with derelict site in 2012 and although most of the meeting on the 22nd of May offering funding from Safefood, HSE Health Action groundwork was completed in April 2012, the information about the community garden, Zone and Niche which aims to provide a polytunnel was not delivered until October and were involved in showcasing the range of different ways in which people and the training building was just completed community garden project at the Healthy City can get involved in accessing healthy food, before Christmas. which led to some loss of awards ceremony at Cork City Hall. sustainably into the future. The funding has enthusiasm amongst committee members enabled Food Focus to activate work on its and volunteers. At the beginning of January 2012 the plan by employing - through Niche - a Food committee made a successful planning Focus Development Worker, Elaine As there was no qualified organic gardener objection to the establishment of a 24 hour O’Mahony. 2012 saw progress of the work in involved in the community garden in 2012, fast food outlet being built at the garage the following areas: Elaine attended various workshops and training courses to improve her own skills so as behind the garden, to be able to support volunteers as required. Food Focus Advisory Group She, along with committee members, visited Committee members also had significant In 2012 the advisory group comprised: and liased with other community gardens involvement in various growing group Katherine Harford – Niche and allotments in Cork and Munster and activities and the annusl Food Event. Elaine O’Mahony – Food Focus continued to develop relationships. Norma Murphy – RAPID Tricia Donovan – Youth & Community Cafe. Niche applied to have employment scheme Ingrid O’ Riordan – Le Chéile SCP placements to assist with the practical work Ann Neff – Home School Liaison TMS planting and laying out the garden. A TUS Community Garden Colin Sage – UCC Department of Geography scheme worker began in the summer and a Jackie Daly – Cork City Partnership / Local Jobsbridge Organic Gardner was appointed Information Evening In May 2012, an open evening was held in the Resident in December Youth Centre to inform stakeholders, nearby Fiona Rush – HSE Community Dietician/Health residents and the community at large of the Promotion Dept. She liaised with local community groups to where, when, what and how of the upcoming Theresa McCarthy – HSE Community Work ensure their involvement in the development new community garden. Department of the Community Garden, these include: 26 27 The presentation demonstrated the achievements of other community gardens, along with the many possibilities. This worked well to create enthusiasm and ensuring that interested stakeholders were in attendance created a positive feeling about the project, for example, representatives from other community projects and the growing group. This evening also allowed the opportunity to gain extra names of people who had a strong interest in becoming further involved in the community garden as well as allaying any concerns that local residents may have had.

Growing Group A local community ‘Growing Group’ was set up in 2011 and this was further developed through various initiatives (composting, visiting other garden projects, external workshops) for the purposes of sharing and learning ‘Grow Your Own’ skills to develop them within their own gardens and within the community garden project.

Through networking, contacts were made with a charity organisation called ‘Greenfriends’. They offered their ‘Get Growing’ course to members of the group as well as a number of skill sharing opportunities and expert advice.

Members of the ‘growing group’ include some members of the garden committee, people associated with the parish assembly, members of disability groups and members of the community who had shown an interest from the ‘grow your own’ workshops and public meetings.

Wild Flower ‘Seed Bombing’ Workshops These workshops were introduced to involve members of the garden committee, growing group and many other interested community members in an fun activity that would keep up the interest of these groups while the starting of the community garden project was still delayed. ‘Seed Bombing’ is employed by so called ‘Guerilla Gardeners’ in order to beautify neglected wasteland. This workshop was specifically designed for children and adults together.

28 29 development and outcomes of Food Focus Food Event is lending to a body of knowledge about the This year’s annual Food Focus Event took place role and importance of Community Food on October 17th 2012 in the main rooms of the Initiatives in Ireland as well as informing and Youth Centre. shaping policy in the area.

A small organising committee was formed Elaine O’ Mahony and Katherine Harford in the run up to the event made up of local attend 3 All Ireland Networking Events per people and interested parties. The purpose year with their colleagues from the other 6 of the event was to showcase the work over projects in the demonstration programme as the year, have a celebration around food, well as Georgina Buffini, Sinead Keenan from involve the participants of Food Focus (garden Healthy Food for All, and Barbara Whelan committee, food group, growing group, other from Safefood. volunteers) and other community groups and to enlist more people into the project activities. The networking events are an opportunity to network, gather information, find common The groups chose a theme for the day this year themes, offer and receive advice from other - ‘halloween’, as it was close by. projects and learn about particular issues of Food for the event was provided by the food importance for all groups. group, the community café and Cork African Women’s Group.

Many stalls highlighting various activities were Environmental Partnership highlighted and promoted at this event. Other Niche continues to participate in and community groups were also involved in the support the work of the local Environmental event, including the library showcasing their Partnerships. This was a particularly range of nutrition, cookbooks and gardening challenging year because of the negative books and youthreach showing their pumpkin outcome of the IBAL litter survey carried out carving. There was blood sugar level testing in Knocknaheeny which placed the area the carried out by Diabetes Ireland, and an art worst littered “townland” in the county and workshop. received a lot of media attention as a result.

Produce from the garden was both showcased The partnership felt the methods of the and given away to attendees of the event for survey did not reflect the true picture of litter donations. A powerpoint presentation of the and environmental problems in the area, activities within the community garden from the efforts being made by the community April to October were showcased on the wall and organisations, nor the significant behind the produce. The open workshops and improvements that have been made in VEC gardening courses were highlighted as the last 8 years. The partnership continues well as the community garden’s facebook to challenge the survey and continue to page. Members of the garden committee do important environmental work, and link and growing group managed this stall and closely with the City Council supporting their took names of interested people from the many efforts around this issue. community.

The event was open to the general public as well as visiting classes from the NS and Community College. Safefood and Healthy Food for All Food Focus is financially supported for 3 years by Niche, HAZ and Safefood. Safefood funding is administered through Healthy Food for All as part of the All Ireland Demonstration programme for Community Food Initiatives. The 30 31 aspect of the group is a significant factor, with The group, who titled themselves ‘The Glass members lending support & encouragement Assemblers’, got a tremendous sense of pride to each other as well as the group dynamic of and satisfaction in selling their creations to the Open Studio shared fun and laughter. public, and receiving such positive feedback. The Open Studio is designed to be an The group has decided to repeat the initiative opportunity for members of the community to next year, with increased days and product Arts for Health Programme come along and discover their creativity. Men’s Art Group range. It is hoped to develop the Men’s The Arts for Health Programme is a central part The Niche Men’s Health Group have been Craft Initiative in the new year, involving more of Niche community health and development It is not an art “class” and is not formally meeting for over 10 years and have now men, and offering further opportunities for work and has come to reflect a creative focus structured. It is designed to cater to the needs been doing art for almost 5 years, learning production. in which our wider goals and principles are and expectations of each individual. For some and mastering a huge variety of techniques. met. The Programme itself aims to demonstrate people that is to learn or improve their artistic In 2012 the group added marquetry to the Again this year, the group have responded the benefit of access to and participation in skills, for others it can be a place of social lexicon of their achievments, creating inlaid to various requests to design and create. For the arts for community and individual health interaction through a creative process. exotic wood veneer coasters, plaques and example, one of the group members sings in and well being. It is led by artist Charlotte mirror frames. a choir who were performing songs from the Donovan who has more than 20 years The Open Studio is a safe, comfortable musical ‘The Lion King’. He asked the group experience in community and healthcare arts. environment for people to experiment with Discussion led to the the group decision to help him create mask/headresses for the art materials, with guidance and support to employ some of their craft skills to a performance. Such interactions indicate the of an artist. It is also an opportunity to creative enterprise, which could raise funds group bonds and the willingness to embark on Benefits of the Niche Art Programme demonstrate that having an opportunity for and awareness to support the continuing new endeavours and find creative solutions. Integrated approach – the artist is integrated learning new skills and creative expression development of the initiative. The group into the team of community health workers is beneficial to a participant’s health and has created a variety of fused glass works - and through that into the local network of sense of wellbeing. In 2012 the open studio including those installed in the Niche building, community and health workers and into pre- morning session which ran the previous year the window and the chandelier. It was existing community groups. was discontinued. Attendance had been low decided to focus on producing a range of and the decision was made to focus resources glass products for sale: including bowls, tiles Long term approach – rather than short term on other initiatives. The evening studio group and tree decorations. These were sold in the projects - which often last only a few weeks numbers about 24 regulars, with an average run up to Christmas through Niche and at a - the ongoing nature of the work allows for attendance of around 12-14. stall in the Christmas craft fair in the Unitarian sensitive, patient development of relationships Church on Princes Street, raising over €600. with participants and nurturing and support of There were a number of new people who their individual interests and creativity. joined the group in 2012. Word of mouth is a Responsive approach – allowing planned strong factor, with group members bringing projects to change and responding to friends and neighbours. The group is diverse suggestions and requests from other agencies in age, experience and interests. They have and the local community. a great sense of ownership of the group and help to set up the session and welcome new Collaborative approach – working in people. collaboration with other workers on issue based and group focussed projects. Working The group numbers were making operating in in collaboration with participants to help Niche premises difficult, so in Autumn we were realise their creative goals. able to make use of the art room facilities Open access policy – allowing participants in Terence MacSwiney school, with support the freedom and flexibility to drop in rather from the art teacher and the School principal. than sign up or commit to attendance Niche has loaned the school equipment Local partnerships – enable work with other which there was not room for in our current groups in the community. premises, and this arrangement allowed for use of this to learn and practice new Information and support resource – for local techniques of printmaking. community and artists Focus on arts & health, but within a Participants comment on how much they community development model look forward to the studio sessions, how relaxing and restorative they find it and how The Programme is delivered through 3 strands: proud they feel about their achievements Niche Projects, Partnership Projects and and seeing their work progress. The social 32 Programme Development. 33 and ran till the end of June, receiving media Art Therapy International Women’s Day coverage and great positive comment. Niche was once again able to offer art ‘Bed of Roses’ The project was nominated for the therapy sessions to the community through The Niche Women’s Health Group worked Crystal Clear Literacy Awards 2012 for partnership with Crawford/CIT College. The Heather House with CHW Paula and artist Avril O’Brien on this Heather House is a Community Nursing Unit heath promotion and was shortlisted as a pilot the previous year demonstrated the project which was created to mark International in the grounds of St Mary’s Health Campus finalist. Charlotte and Lynn Swinburne from benefits of having the different approaches, Women’s Day (IWD) - 8 March. The project was (formerly the Orthopaedic). Many of the Breastcheck attended the awards ceremony aims and outcomes of Art Therapy and designed to explore the origins of the day - the residents have relocated from Heatherside and were presented with a certificate. This Community Arts for Health practice available ‘Bread and Roses’ strike in 1912 - and what the Hospital in Doneraile in North Cork, and are was presented to the Women’s Group in Niche for participants to access, and that there was day means to the group now. Each week a older adults with enduring mental health by Kathleen Lynch TD, Minister of State, in a a proven demand for the service. different craft technique was introduced to issues. The facility also caters for older people celebration of the success and achievements

create different varieties of roses, incorporating from the City requiring long term care. The of the group. The student placement was for 8 months, from crochet, felting, beading, and sewing. The activities co-ordinator had contacted Niche November to June. People were referred to sessions explored the meanings of colour, with a view to linking residents in with the local Art Therapy through Charlotte, CHWs, local flowers, and representative themes such as community and activities. As many of the Cervical Check - The Knickers Project agencies and by self-referral. Appointments friendship, joy, unity and femininity. residents had an interest in arts and crafts, it Inspired by ‘The Bra Project’ Cork Traveller were for 1 hour as a trial session with a further The women enjoyed learning about the history was decided that Niche would offer a short Women’s Project approached Niche to design 6 weeks offered if people wanted to continue. of IWD and this led to lively discussion about taster programme of art workshops to get to a project for some of their groups. As the age This year, while the focus is mainly on work women and their everyday struggles - from know the residents in their own environment range of the groups was not predominantly with adults, the Art Therapist received a large a personal as well as a historic perspective. with a view to linking Heather House in to the the target for breast screening, and as there number of referrals of young children who The title of the finished artwork is a humourous programme. is a significantly lower take-up of cervical had experienced trauma. Art Therapy can reflection - Life is (or not?) a ‘Bed of Roses’. screening amongst the traveller community, it be particularly useful in those cases when The workshops, delivered by Charlotte, was decided to modify the project as a ‘bling people are unable to articulate their issues in The handmade roses were stitched onto a assisted by a student, were well received. your knickers!’. The project was facilitated by other ways. There is no doubt that offering the satin background to create a bedspread, and The residents enjoyed the social interactions artist Avril O’Brien and took place in 4 different opportunity for individual Art Therapy sessions the artwork was launched on IWD in City Hall, and access to different art materials and settings with 4 groups of traveller women. is a complement to the group focus of the and currently decorates the hallway in Niche. techniques. It is hoped to develop links and Blackpool wider Arts for Health Programme. The group enjoyed the collective creative perhaps collaborative projects between art atmosphere as well as the conversations - it was studio group members and Heather House Meale (Mahon) a great celebration of the strengths of women residents in the new year. Travellers Visibility Group (Togher) working together, using traditional crafts to In each setting, there were 3 2 hour sessions. stunning effect. See inside front cover for photo. The first session was co-facilitated by Avril & Lynn/Tracie, and introduced the project BreastCheck - The Bra Project and the reason for making the artworks, ie This was a pilot Arts for Health Promotion raising awareness of and promoting cancer project as an aspect of Be Well Be Aware screening and checkups as an important Community Cancer Screening Project (see tool in early detection and treatment. The p20) – using art as a tool to creatively explore following 2 sessions the group created designs and communicate an important health topic. to communicate a message to other women. Over the course of a 6 week programme The decorated knickers were exhibited at the Niche Women’s Group made individually Traveller Women’s Health Event on 5 April 2012. designed and handcrafted bras using a variety of materials. A series of 13 postcards was printed which included the name of the woman who created it, the title she gave it, and a breast screening message. The Bra Project was launched in BreastCheck on 21st June 2011. The bras were then installed into individual boxes to become a mobile art exhibition to promote screening. They are accompanied by the postcards, BreastCheck information leaflets and a ‘Be Well Be Aware’ project pop up stand explaining what the project is. The Bras were exhibited in City Hall, launched on International Women’s Day,

34 35 Individual Referrals The Arts for Health worker continues to liaise with Springboard and other local community workers to enable individual families to access the arts with a personalised support service, including one-to-one sessions and advice. Knocknaheeny/Hollyhill Youth & Community Café Men’s Health Group The Arts for Health Worker aims to be a As well as being involved in the Men’s Arts for resource for the community in planning, Health Programme (see p 33), Men’s Health resourcing and managing art projects. has long been a focus for the group. This In summer 2012 she worked with the year Niche prepared a programme of events Knocknaheeny/Hollyhill Youth & Community for Men’s Health Week, from 7-14 June 2012. Café and with the Justice Project youth Posters and flyers were made and outreach workers around developing signage and focused on the areas in the community where rebranding for the Community Café. This had men traditionally gather - the pub, the betting led from a collaboration the previous year shop, the barbers and the taxi office. Health for the Food Focus Event, creating recipe checks in Supervalu on 8 June (see p 22) were cards for distribution along with the healthy specifically for men, and proved a successful food samples created by the Café. Charlotte venue to target those who were not visiting worked with a group of young people to their GP. The programme also included look at branding, design and healthy eating woodcraft workshops and gardening as well labelling and information communication. as gym inductions in Leisureworld Churchfield. It culminated in a family friendly screening of The group acted as a focus group around the World Cup Ireland Spain match in Niche. the facilities and came up with suggestions to address issues around branding, signage and Health talks continue to be a feature for the menu display. It transpired that all the young Men’s Health group. The group has continued people locally call the Café ‘The Canteen’. links with Dr John Sheenhan who regularly visits The group experimented with colourful to talk about men’s health. Also featured this adhesive vinyls to create signs and logos. year were a number of health information New signs for ‘The Canteen’ will be created sessions including talks on skin cancer from these designs. prevention, foot care and oral health.

Women’s Health Group Niche Women’s Health Group has been coming together for over 12 years. As well as consisting of a core group, it is also open to new women and returning women. It is therefore a very fluid group and can consist of numbers from 15 to 35 accordingly. The women come for a variety of different reasons. They are generally of mature age with significant family responsibility and commitment. The group are supported through Niche by Paula Casey, CHW. Paula also works to connect the group back more widely into Niche.

36 37 to chat with friends, share information, learn/ past 2 years a preserve of the Men’s Group!), relearn skills and promote women’s health making handmade decorations in a series of Family Communications Group Shine a Light Suicide Northwest Area across the community. Niche supports women art workshops with Charlotte. The Family Communications course began in by providing 3 six week facilitated sessions per Niche in February. It was a 10 week course. Awareness Group year on themes/issues that have come from Two facilitators from the Social and Health The group was set up by Stephen Murphy, HAZ, the group. In 2012 this included the art project project delivered this course.A group of 7 to respond to suicide across the area through for International Women’s Day (see p 34), and Back to Employment Group women completed the course. prevention and support initiatives. Niche has Tai Chi. The Tai Chi was additionally advertised been involved in the group since it started. to the local community and became a more Niche has placed itself within the community Participants are helped to explore the diverse group, including participants from as a mechanism to support people with their importance of self-esteem, both for Tracie Lane, CHW, is a committee member Cope Foundation and even a few men! This immediate needs as well as working toward themselves and for their children. The course and is encouraging better involvement of the was received positively by the group who a long term vision for the area. With local encourages participants to look in a practical Knocknaheeny area in the project activities. enjoyed the inclusive atmosphere and praised unemployment figures being higher than way at issues such as feelings, listening, The group promote Safe Talk, ASIST training, the tutor for his ability to accommodate Cork City average, getting back into work communication, conflict and discipline. The access to low cost counselling for those each individual and make everyone feel remains a pressing issue affecting many local course supports and encourages parents who have suicidal thoughts, a bereavement comfortable. The Tai Chi was such a success people. Unemployment is a significant factor in staying connected with their children, in support group, positive mental health and high participation levels make it a low relating to health and wellbeing, causing stress helping their children to make good choices awareness and community information talks. cost activity that it is planned to continue in related, anxiety and mental health issues as at a time when there are so many pressures the new year. well as economic and family problems. and potential influences coming at them, The group held a number of fundraisers over and in inspiring their children with hope and the year to raise money needed to subsidise Health Information is a key focus of the Grafton Employment agency initially guiding them towards a fulfilling adulthood. counsellors, rent rooms for support groups group. They were very proud that Cork was contacted Niche to to enquire if there would training and events, and pay for design designated as a “Healthy City “by the World be an interest in their clinics. Paula liaised with There were 9 topics covered in this training: and printing of promotional material. These Health Organization and were delighted individuals to discern interest and concluded • Communication and listening included some annual events such as the Cork to welcome Denise Cahill Senior Health that many people felt that the training on • Health, stress and drugs City Marathon, the Evening Echo Ladies Mini- Promotion Officer who gave a presentation. offer would be beneficial. 2 pilot clinics were • The developmental needs of children Marathon, a zumbathon and a Bingo evening. The group were very impressed with this held in May, delivered to over 30 people • Self-esteem for all the family We also took part in ‘Movemeber ‘this year, and declared it very informative. Another seeking to improve their employability. The • The ‘good enough’ parent which was very well supported. presentation gave information about the new sessions focused on building confidence, • Love and limits Mercy Urgent Care Centre in the grounds understanding their transferable skills as well as • Drugs and peer pressure There is very good participation from local of the Orthopaedic Hospital. The session practical skills for building a successful CV and • Resolving conflict residents with a strong personal interest in the was very informative, helping to clarify local providing interview tips. • The needs of the parent issue. confusion, and the women agreed to do a leaflet drop to promote the service in their There was a very diverse group at both The participants really enjoyed taking part in SafeTALK training was delivered across the area. workshops and they were able to share this program and found it very beneficial. It area, in Knocknaheeny, and learning and encourage each other. Paula helped them to be more aware of their own Blackpool with further trainings due to take The activities co coordinator from Heather was able to link in and offer individualised feelings when dealing with different aspects place in 2013. ASIST training was offered to House (see p 35) visited to ask the women in additional support and follow-up advice. of raising their children. They felt the training those who had completed the SafeTALK. the group if they could visit the residents just gave them different skills to encourage them for a chat or to bring their own skills. A visit The clinic ran again successfully in November, to deal with any situation regarding their The number of people taking up the was arranged for Monday 16th April. The with 20 people in attendance. children. It also gave them a space where a counselling service with Cois Ceim is women enjoyed seeing the new building and group of women were able to share similar increasing this year thanks to the use of also got the chance to meet the residents. situations and support each other. The group posters, wallet cards, Facebook page, pieces A member of the group volunteered 6 hours met for a few weeks when the course was in the newspaper and fundraising events to of massage therapy, while other linked in to completed to continue that sharing and peer get the word out. social activities. support. The official launch was at the end of Also visiting this year were the Marie Keating Paula undertook the training in Family September 2012. Kathleen Lynch TD was in Foundation and Dr Carmel Parnell, to talk Communications and is hoping to run similar attendance and Vincent Lynch provided about oral health & oral cancers. courses in 2013. Paula also continues to live music including the song he wrote and liaise with the women who took part to offer recorded for the group. The Women’s Group always end the year with ongoing support. a Christmas party, bringing homemade food and singing songs. This year they also took a turn decorating the building for Christmas (the 38 39 Lifestyle Challenge positive mental health, The aim of the Lifestyle Challenge is to target and challenge individual fitness, encourage wellbeing & lifestyle people to take up outdoor exercise and develop collective social engagement in physical activity.

For many years, it has involved a programme of weekly walks during the months of April and Gym & Swim Programme May. In 2012 6 walks were scheduled for the Lough, Blarney, Nash’s Boreen, , The Gym & Swim programme provides Blackrock and Carrigaline to Crosshaven. The subsidised access to physical activity for leader was alternated between Tracie and the local people, in a local facility - Leisureworld, student on placement. Churchfield. Niche links with Leisureworld to ensure the staff understand the nature of the 72 people registered, the majority of these work and that they would be supportive of had taken part in the Lifestyle Challenge people’s individual needs. before. There were 6 new people, who stuck with the walks for the 6 weeks, and 19 people People can avail of 2 tickets per week which who registered but did not attend any of the must be used within the month of purchase. activities. Those who attended the walks varied They must come to Niche themselves to weekly, so ther was never full attendance, purchase the tickets and register. It is and the bad weather also afffected turnouts. Social and Activity Group The Wednesday night Social and Activity extremely popular and is a way for Niche to Indoor exercise was on offer for the nights group was established to support the ongoing engage with the wider public from the area, that were too wet to go walking. An awards participation in Niche activities for people who who, when they come to purchase tickets, night was held in Niche at the end where take part in the Lifestyle Challenge in spring pick up information about other activities participants received certificates and light but who generally are not involved in any and meet with CHWs. CHWs have noticed refreshments were provided. other Niche group. It was planned initially that that a number of younger adults - male and members of this group may become involved female - have made contact with the project Tracie evaluated the Lifestyle Challenge this in the development of the Lifestyle Challenge. through the Gym & Swim. year, and made a number of observations including that it is not possible to set a real The group started in September 2011 with The programme is high cost to Niche, and in challenge for the group, as there is too Tracie Lane, CHW, in the main area of the July, the decision was made to cut the peak wide a variety of needs and fitness levels. Community Building. The group themselves access tickets and the aqua aerobics. As a Participants have diverse needs which are not came up with the social and activity model. further cost saving exercise, the programme being met, and which the walk leader cannot The sessions involved light exercise aimed at was also limited to no longer cover the accommodate due to the large size of the stretching and toning, tea and a chat, card school summer hoidays, when off peak times group. games and dancing, allowing people to are reduced. In a review at the end of the socialise and connect with each other. year it was reluctantly decided to cut the The recommendations made were that programme completely. The programme had having a number of activities running The social and activity group was poorly become difficult to manage, with a number throughout the year would be a better way attended this year. The people who did of issues. Demand had dropped, and the to use the resources currently going into the attend were members of the women’s group, CHW felt that it was no longer the best way Lifestyle Challenge. This will be incorporated already well-established Niche programme to engage with individuals as there was little into the planned changes to the Gym & participants. The demand did not seem to be opportunity to follow up or give support. A Swim programme and will include a number the same as last year for the group. A more new programme of taster sessions providing of walking groups targeting different fitness specific targeting of people from other Niche supported pathways to local exercise levels, and incorporating individual support activities such as the young mother’s group programmes is planned for the new year. and tailored activity and lifestyle plans. might be a more effective way of getting people involved in the group if it goes ahead in 2013. As the Lifestyle Challenge will not be happening in spring/summer 2013 there may be more demand for alternative activity options which will be designed to fit the needs of participants. 40 41 Work Planning Niche staff undertakes annual work planning over 3 mornings in January which cement the work plan for the year. We review this again Centre for Urban Health Studies Work is ongoing with Cork City Council and in September, giving further detail to the end UCC in progressing to the building of an of the year. Urban Centre for Health and Wellbeing in the Outreach area. Outreach is a core method for Niche in engaging with the local community. At Company Procedures The building, with the establishment for the regular intervals throughout the year the The Board of Management meetings take first time of a Northside UCC Campus, will CHWs visit people in their homes, at the place once a month throughout the year. complement the Northwest Regeneration school gates, shopping centre, church etc. In Section 39 Service Agreement with HSE is Materplan and will provide many useful addition the team target areas where there is submitted in March each year. services in the area such as vocational low engagement with services or where new training base for GPs, the home for the Cork residents have arrived. This is an excellent Core funding request to the HSE takes place Health Cities Partnership and research centre way to inform people what is happening in biannually for salaries & rent costs. for urban development. Niche and to encourage people to engage with services, and also for Niche to get Core funding for programme and additional feedback from local residents. costs takes place quarterly. WHO Cork Health Cities Initiative In December 2011 The World Health In twos, the team distribute leaflets offering Midyear audit review takes place in July each Organisation (WHO) designated Cork as WHO designation has been a great boost to information about upcoming programmes year. a ‘Healthy City’. Designated with other our efforts and we look forward to on-going and services and talk to people to assess European cities such as Copenhagen collaboration with these many new partners their needs and interest. In 2012 the outreach Yearly Audit takes place in January each year (Denmark) and Nantes (France), Cork city who share our commitment to the health of focused on 3 main events: Men’s Health Week The Annual Report is completed by March can now present itself internationally as a city Cork and its people” in June; the Open Evening in September and each year. that is prioritising the health of its citizens. the Food Event in October; in addition to The designation was recognised at a ongoing outreach - which this year targetted Annual General Meeting takes place in Cork joins the Irish cities of Belfast, Galway ceremony in City Chambers and hosted under 25s with young families - and Be Well Be March each year. and Waterford that have been designated by the then Lord Mayor Cllr. Terry Shannon, Aware outreach. previously and with whom Cork now joins in Tuesday January 24th 2012. Meeting with insurers takes place in October an All Ireland Healthy Cities Network. each year. Current areas of work include developing Niche has been involved in the Healthy Cities a cork city food policy council; the Financial projections are presented each Policies and Procedures Partnership for the past number of years establishment of an all island network of In 2011 Niche Board of Management and month at Board of Management Meeting. representing community health development healthy cities; linking up with other strategic Project Manager undertook a significant & social inclusion in the pursuit of Healthy City groups in pursuit of similar goals; further health review of policies and procedures and Payroll is ordered in December of each year. status. Together with its partners: Cork City status research; implementing the work plan. worked extensively to update, extend and Council, University College Cork, and the HSE, amend Niche policies and procedures to Niche has developed the health profile for the reflect every day working practice, legal city, which supported the application to the Child Development Initiative requirements, best practice and requirements WHO for ‘Healthy City’ status. Representatives of Niche have been meeting of our funders. The policies continue to be with and sharing learning with “Young developed. In 2012 work was completed on In conjunction with this effort, a health profile Ballymun” and are arranging interagency child protection, accident/incident reporting, of the city was compiled and will inform the workshops in Knocknaheeny to explore fire safety, induction procedure and garda development of the first inter-agency health the concepts and to take steps towards vetting procedure. In 2013 the focus will be plan for Cork city. a possible model of working together. The on complaints policy & procedure and risk Niche Manager convened a local consortium assessments. Reflecting on the designation Colin Bradley, of professional workers from the area and Professor of General Practice in UCC, said, together set out a framework document for “Healthy Cities has given those of us with a a prevention and early intervention strategy research interest a terrific insight into both the and funding proposal. It is closely linked health challenges facing our citizens but it has to the regeneration plan for the area as also brought us closer to the many people well as national policy as directed by the and agencies working to address them. The Department of Children and Youth Affairs. 42 43 Activities for Parents Family Days Trabolgan 275 individual family members (57 new to Niche) Christmas 165 individual family members (6 new to Niche) Overall Family Support & Referrals 31 individuals (19 new to Niche) There are currently 3,182 people engaged with Niche activities. Of these 920* were completely new Health information, services & supports Health Screening Supervalu 119 individuals (75 new to Niche) to Niche in 2012 (in 2010, 226 and 2011 687). *This does not include Speech & Language services. This represents another year-on-year increase in new participants of around a third, which is mainly due to new Info Evening (Sept) 156 individuals (80 new to Niche) programmes as well as a marked increase in demand within the community for counsellng and Diabetes Info & Support 12 individuals (3 new to Niche) support services Family Communications 8 individuals (2 new to Niche) Massage 107 individuals (39 new to Niche) Some people are only involved with Niche by their attendance at major events such as the Acupuncture 47 individuals (6 new to Niche) Food Focus Event, or by attending therapeutic services, health screening or clinics. Others in the Counselling 27 individuals (23 new to Niche) community benefit from the health promotion work and partnership groups where Niche is supporting Information, Advocacy & Support 40 individuals (13 new to Niche) the work of other organisations. Added together Niche programmes are reaching outward to over Mindfullness 9 individuals (1 new to Niche) 4,000 people in the community. Food & Environment Food Focus advisory group 10 members Community Garden Committee 8 members (2 new to Niche) Observation Community Garden Information Evening 62 individuals (47 new to Niche) For some people Niche is, and always will be the one activity they attend. Others may discover Growing Group 12 participants (7 new to Niche) Niche by attending one unique activity or event, and, as part of a progressive process of gaining Seed Bombing Workshop 22 participants (18 new to Niche) confidence and capacity to identify their own needs and interests, will generally move on through Herb Spiral Workshop 11 participants (4 new to Niche) Niche through a variety of programmes. Food Group 15 members (5 new to Niche) Food Event 280 participants (125 new to Niche) We see people who at times need extensive supports, but with encouragement become an Positive Mental Health,Wellbeing & Lifestyle advocate for others, a volunteer for Niche or become very independent. For some this can take Arts for Health place very quickly and for others the process takes a long time with setbacks and successes along Open Studio 26 members(10 new to Niche) the way. Niche staff gets to know people very well as they follow them along the process. Men’s Art Group 12 members (1 new to Niche) Art for Mental Health Group 6 members Heather House 19 participants (19 new to Niche) The following is a breakdown of numbers to activities Art Therapy 14 individuals (7 new to Niche) Family Health ‘Bed of Roses’ Art Project 18 participants Ante Natal Classes 31 expectant mothers with partner (30 new to Niche) The Knickers Project 4 groups, 48 participants Baby Massage 83 mothers with baby (3 new did not attend ante.natal) Individual referrals 6 (6 new to Niche) Breastfeeding Support Group 9 mums and babies (2 new to Niche) Knocknaheeny/Hollyhill Youth Café Project 6 participants (6 new to Niche) PHN Clinic & Drop in 127 parents and children (57 new to Niche) Groups Information Workshops 47 mothers (3 new did not attend ante.natal) Men’s Health Group 12 members Baby’s 1st xmas 30 parents (57 new to Niche) Women’s Health Group 35 members Kidscope referrals 243 individual families (132 new to Niche) Physical Activity Kidscope attended 211 individual families Gym & Swim 140 participants (34 new to Niche) Kidscope requiring Niche follow-up support 21 individual families Lifestyle Challenge 47 registered participants (6 new to Niche) Speech and Language Project Social Activity Group 9 members Individual Assessment 29 Children Tai Chi 30 individuas (15 new to Niche) Review Assessments 57 Children Information Services Supports Individual Therapy 39 Children Be Well be Aware Traveller Community Group 11 Children Peer-to-Peer trainees 29 women PALL Groups 117 Children Cervical Screening group appointments 14 women Discharge from service 5 Children Launch of Bra Project in City Hall 34 women Training Sessions (resource teachers, crèche & preschool staff) Multiple/ongoing Outreach Ard Cullen area x3, Meadows x 2, Holllyville, Hollyhill, Supervalu, Programme development for individuals Multiple/ongoing Shopping Centre (barber, hairdresser, bookmakers, chipper, taxi office, post Activities for parents Multiple/ongoing office),Youth Centre, Hollyhill Inn, GP surgery Meetings (with principals and key staff of all centres) Multiple/ongoing Niche Open Evening (Sept) 150 attendees (80 new to Niche) Language screening of traveller community Multiple/ongoing

44 45 Board of Management

Theresa McCarthy - Chairperson Helen McCarthy - Treasurer Eileen Collins - Secretary Tony Fitzgerald Michael Freyne Angela Kalaitzake Donie Morgan Eugene O’Connor Prof. Ivan Perry Ger Phillips

Staff

Katherine Harford – Manager Carmel Murphy – Administrator Mary Byrd – Community Health Worker Paula Casey – Community Health Worker Tracie Lane – Community Health Worker Charlotte Donovan – Community Arts for Health Worker Caitriona Keily – Speech & Language Therapist Lorraine Walsh – Speech and Language Therapist Elaine O’ Mahony – Food Focus Development Worker

Company Number: 304047 Business address: First Floor, Knocknaheeny Community Building, Foyle Avenue, Knocknaheeny, Cork.

Solicitors: Fitzgerald Solicitors, Floor 3A, 6, Lapps Quay, Cork. Bank: TSB North Main Street, Cork.

Auditors: Buckley & Co. Registered Auditors & Accountants, Floor 2B, 6, Lapps Quay,Cork.

Niche Community Health Project is core funded by HSE South.

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First Floor, Knocknaheeny Community Building, Foyle Avenue Knocknaheeny Tel.021 430 0135 www.nicheonline.ie

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