September 2019 | Issue 7

Community Health Needs Assessments in Action COMMUNITY

Sussex and Surrounding Area

Tobique and Perth-Andover Area

About the Sussex and Surrounding Area About the Tobique and Perth-Andover Area 6 The Sussex and Surrounding Area is a rural community 12 The Tobique and Perth-Andover Area is situated in Victoria located in the southern part of the province. A collaborative County in the Northwestern part of the province. Community approach to care is helping people be healthy, and the area’s members have access to programs and services right in their family support coordinator is empowering people. And did communities, students learn a love of gardening and healthy you hear about ’s first Nurse Practitioner of the Year? eating in school, and woods workers tailgate for wellness. Empowering People 8 Family support coordinator in Sussex Table of connects people to Contents services and programs

CEO Message Collaborative Care Horizon 10 Health care team works together to provide Welcome to the final edition of In Your Health quality care to patients Community! Since its inception in June 2016, we have criss-crossed the province to bring you Network is success stories that are a direct result of the recommendations in our Community Health Needs Assessments. In October 2017, when I read my first driven publication of In Your Community as Horizon’s new CEO, it was very clear to me that by its mission community strength is at the heart of each September 2019 | Issue 7 Nurse Practioner success story, and that this strength will Helping People 11 of the Year continue to serve as motivation for future Kelly Dunfield health care improvements. Be Healthy recognized nationally Some things never change. In each edition, what impresses me is the resiliency Community Health Needs Assessments by Nurse Practitioner of our communities and the ability to come together and identify solutions to in Action COMMUNITY overcome challenges. This is what makes communities across Good health lies at the heart of our Association of Canada special – their strength. daily quality of life. It is what all New Contributor: Creative lead: Brunswickers want for themselves Another thing that hasn’t changed is the feeling of inspiration I get after • Shannon MacLeod • Stefanie Loukes reading these stories. Over the past seven issues, these stories of achievement and those they love. Helping New Resources: Cover credits: from across all Horizon communities demonstrate how partnerships and hard Brunswickers be as healthy as they • Jean Daigle • Shannon MacLeod work pays off for all of us and for the health of our population. can be is the shared purpose that • Janet Hogan Printing: motivates all those who work at • Gabrielle Levesque Education on Services We want to ensure communities know about this work, talk about it, and • Advocate Printing ultimately benefit from it! Keeping this work at the forefront helps ensure Horizon on a daily basis. To achieve 14 Wellness Days ensure priorities in the Community Health Needs Assessments continue to be addressed. the best results, Horizon puts patients and clients know How can you help improve overall health? Find people in your community who patients and clients at the centre of The following documents were used as what’s available at their resources for this publication: are taking action and join them. It should be clear to you after reading these the health delivery system. health centre stories that the contributions of the people who live in our communities have • Sussex and Surrounding Area Community a direct and positive impact on the many factors that influence our health. Each New Brunswick community Health Needs Assessment (2016) This includes health behaviours, social and economic factors, the physical served by Horizon is unique. Working • Tobique and Perth-Andover Community environment and health services. with key community partners, Health Needs Assessment (2016) clinicians, and other stakeholders, So let us share more about how our communities are taking the lead to improve overall health across New Brunswick, in the pages that follow. progress has been made to identify and address their specific needs. This is an intentional effort initiated Healthy Learners Message from Yours in health, by Horizon to significantly improve 16 Teaching students the 20 Jean Daigle community-based primary care, and importance of healthy Look for the new and Karen McGrath, President and CEO support expensive tertiary services choices required by an aging population. innovative ways Horizon will continue to share www.HorizonNB.ca these stories 2 3 Health care today 17 Community Common Themes Emerging Health Needs REGIONAL PRIORITY A well-designed health system With our province’s aging unique needs of the people in each Assessments should feature both strong population, southern migration, each community. Awareness of Services centres of hospital-based care and and shift from rural to urban Food Insecurity The good news is that work is completed & System Navigation appropriate community-based care living, health care as we know underway. Horizon Health Network “close to home” for New Brunswick it is changing. Government and (Horizon) is working in partnership residents. It’s a system that would non-government organizations and with communities to provide better ensure every New Brunswicker has communities alike are looking for preventive, primary, and long-term Social Supports to Help access to the services they need to ways to deliver care in a way that care to community members, as Transportation Individuals Move Out be as healthy as they can be. does a better job of meeting the close to home as possible. of Poverty

Mental Resiliency and Community Health Needs Assessments Coping Skills Among Housing Children & Youth Since 2012, Horizon has been address the other 90%. The CHNA Table 1: Determinants of Health working with communities to process provides an opportunity as categorized by the Public Health Agency of Canada gain a better understanding of to get everyone around the table Addictions & Collaboration their health care needs using to look at all areas that are known Mental Health Services with First Nations Community Health Needs to impact our health – health 1 Income and Social Status Assessments (CHNAs). A CHNA determinants (Table 1). 2 Social Support Networks The province is divided into is a dynamic and ongoing process CHNAs help identify priority 33 unique communities that identifies the unique strengths areas in the community that Alcohol and Supporting the 3 Education and Literacy to ensure a better perspective of and needs of a community. This need attention and support the Drug Use/Abuse New Family Reality information provides both Horizon Employment and regional and local differences. development of action plans 4 and the communities with a to address them. This work Working Conditions Community Health Needs roadmap to achieving a common influences programming that better Assessments have been completed Expansion of Sexual Health Senior Isolation and goal: to improve the overall health 5 Social Environment serves the population and often wherever Horizon is located. Services & Sexual Abuse Lack of Community/Social of New Brunswick communities. supports the efforts of primary 6 Physical Environment Treatment/Prevention Supports for Seniors Have you ever considered how health care providers like family Personal Health Practices and housing or access to transportation physicians, nurse practitioners, and 7 • and Area might affect the health of an pharmacists. Coping Skills Access to Primary individual? You may not know it, • and Surrounding Area Senior Home Care and Nobody knows a community 8 Healthy Child Development Health Care Services Outreach Services but measuring community health better than the people who live • St. Stephen, St. Andrews and goes far beyond studying rates Biology and Genetic there. This work to address priority 9 Surrounding Area of disease and the availability Endowment areas is being driven by a local • Petitcodiac, Salisbury and A Shift to More of health care services. Health committee that is passionate about 10 Health Services Surrounding Area Comprehensive, services account for only 10% of Recreation the well-being of the community. Team-Based Primary what influences our health (see • Saint John With support from Horizon and 11 Gender Health Care pie chart), which is why Horizon other stakeholders, they are • and Surrounding Area is working with individuals and advocating for your health. 12 Culture agencies at a community level to • Grand Lake Area More Focus on Enhanced Collaboration, • Neguac Area Chronic Disease Communication & Prevention Connectedness • Miramichi Area • Tantramar Area What influences our health? 40% Health What is primary • Central New Brunswick Healthy Eating Continual Behaviours health care? • Albert County Area & Physical Activity Community Engagement • Carleton County Area 40% Social & Primary health care refers to an approach to health Economic Factors and a spectrum of services beyond the traditional • Tobique and Perth-Andover Area In your community health care system. It includes all services that play a • Eastern Charlotte County Area 10% Physical Knowing what is happening in your community is important. In the previous six issues of In Your part in health, such as income, housing, education, and Community, Horizon worked with Fredericton and Oromocto; Petitcodiac, Salisbury, Elgin and Havelock; Environment • , Harvey, McAdam, environment. Primary care refers to health promotion, Saint John and Grand Lake; Miramichi and Neguac; Albert County and Carleton County; Eastern Charlotte Canterbury Area County, Western Charlotte County and Central New Brunswick; Tantramar and Nackawic, Harvey, illness and injury prevention, and the diagnosis and 10% Health • Sussex and Surrounding Area McAdam, Canterbury. This seventh issue is profiling what is happening in the Sussex and Surrounding Services treatment of illness and injury. (Health Canada) Area, and the Tobique and Perth-Andover Area. In the pages that follow, you will get a better understanding of what these areas are doing to build healthier communities and 4 will showcase specific priorities, challenges, and successes. 5 What was learned through How are we doing? delivering primary health care the Community Health services to clients in the Sussex and About the Sussex Since the completion of Sussex and Surrounding Area! Needs Assessment Surrounding Area’s CHNA, we now The Sussex and Surrounding Area have a better understanding of the The vibrancy of the area will and Surrounding Area CHNA identified eight priority areas: status of the health and wellness of continue to contribute to Sussex and the area. Surrounding Area’s positive movement 1. Food insecurity in the community as community members come up with While there is still plenty to be done ways of helping people be healthy! 2. The need for after-hours access to address the CHNA priorities in to primary health care, including the Sussex and Surrounding Area, mental health services, in the one thing is for certain: there are Where do we go community people, organizations and health-care from here? providers who are doing everything The stories in this edition are a The Sussex and Surrounding Area community was $52,432 and practitioners, Horizon’s Public Health, 3. The need for a health centre model they can to ensure people have access snapshot of the work that’s being is a rural community located in the 15 per cent of the population was and Mental Health and Addictions. of care with a collaborative, team- to the programs and services they southern part of the province. The living in low-income households. The NBHC’s survey also indicated that based approach to delivering done in the Sussex and Surrounding need, receive quality health care, and Area. They are ensuring residents have main employment industries in the area 96 per cent of respondents from Sussex primary health care services live a healthy life. are in the sectors of manufacturing, Given significant employment changes and Surrounding Area had a personal access to programs and services and construction, and agriculture. in the community following the family physician in 2014, compared to 4. An insufficient amount of affordable making access to primary health care sudden closure of the potash mine 92.1 per cent for the province. housing options in the community The potash mine closed around the second nature. Included in the Sussex and Surrounding in in 2016, stakeholders same time the CHNA was completed Area are the communities of Anagance, shared that the median household The Sussex and Surrounding Area 5. The need to improve access to for the Sussex and Surrounding Area, While not all the priority areas have Apohaqui, Bains Corner Barnesville, income has decreased, and felt that the does well on some primary health care mental health and addictions and despite the loss of more than been tackled, there is no question the Belleisle Creek, Berwick, Bloomfield, rates of unemployment and low-income indicators but needs some improvement services in the community 400 jobs, the area has demonstrated people in the area are engaged and Brunswick, Canaan Forks, Cardwell, households have increased. on others. its resiliency. There are new, locally working together to find solutions Codys, Coles Island, Cornhill, Hammond, 6. The need for improved supports owned and operated businesses to all the priorities to help people be Hatfield Point, Havelock, Head of Data from the New Brunswick Health The Community Advisory Committee in the community for families opening and prospering. healthy! Millstream, Johnston, Kiersteadville, Council’s (NBHC) Primary Health Care (CAC) plays a significant role in the who are struggling and Lower Millstream, Midland, New Survey shows rates for many chronic Community Health Needs Assessment experiencing difficulties In the following pages you’ll learn With the second round of CHNAs now Line, Norton, Passekeag, Penobsquis, diseases increasing between 2011 and (CHNA) process, as they are an about how Horizon’s community underway, it will be interesting to see Picadilly, Roachville, Salt Springs, 2014 in the Sussex and Surrounding important link between the community 7. Access to family physicians partners are improving supports in if the community needs have changed Smiths Creek, Springfield, St. Martins, Area. Especially concerning are the and Horizon’s Community Health and nurse practitioners in the since the first report. You can look Studholm, Sussex, Sussex Corner, increasing rates of depression, cancer, Needs Assessment (CHNA) team. The community is limited and is the community for families who are forward to reading about this progress Titusville, Upham, Upperton, and heart disease, and emphysema or mandate of the Sussex and Surrounding expected to become more struggling and experiencing difficulties on Horizon’s Community News Wards Creek. Chronic Obstructive Pulmonary Area CAC is to enhance community challenging in the coming years – and with that, helping address food Disease (COPD). engagement throughout the Sussex insecurity, housing, and transportation! Channel – news.horizonnb.ca. The population of the Sussex and and Surrounding Area in the CHNA 8. Transportation issues that This work certainly contributes to Surrounding Area is 23,139 and has Primary health care services in the process and provide advice and impact health improved resiliency for this community. For now, please enjoy these stories out seen an increase of one per cent Sussex and Surrounding Area are guidance on health and wellness of the Sussex and Surrounding Area from 2006 to 2011. In 2011, the provided through the Extra-Mural priorities in the community. You’ll also read about how a and learn about the positive changes median household income in the Program, family physicians, nurse collaborative, team-based approach they’ve made with their programs, is seen as the best approach for services and organizations.

KEY STAKEHOLDERS (Advisory Committee)

• Extra Mural Program • Town of Sussex • Kennebecasis Watershed Restoration • Belleisle Regional High School • Community Action for • Horizon’s Primary Health Care Program • Village of Sussex Corner Committee • Sussex Regional High School Refugee Settlement • Health Care Consultant • Village of Norton • Snider Mountain Ranch • Sussex Public Library • Pharmacist • Sussex Community Members/ • Sussex Elementary School • RCMP Kiwanis Nursing Home Inc. • Sussex Agricultural Society • Sussex and District Chamber Volunteers • Kings County Family Resource Centre • Sussex Area Salvation Army • Ambulance NB of Commerce • Sussex Community Services • Horizon’s Mental Health and Addictions • Private Counsellor • Sussex Resource Centre Inc. • Canadian Mental Health Association • Sussex and Area Wellness Network • Nurse Practitioner • Hospice Sussex • Social Development • Boulier Home Care Services Inc. • Sussex Family Support • Horizon’s Public Health • Kingswood University • Horizon’s Sussex Health Centre • Sussex Sharing Club • Domestic Violence Outreach • Scotia McLeod Inc. • Family Physicians

6 7 Organizations utilized by the Family Support Coordinator:

Canadian Mental Health Association Crosswinds Supporting the Enhanced Collaboration, Family and Child Education New Family Reality Communication & Connectedness Anglophone South Horizon’s Public Health team Kings County Family Resource Centre Nutrien Civic Centre Dan Doherty, director of the primary issues she helps clients with are Salvation Army health care program for the Saint family supports, transportation, food Sussex Committee for the Prevention John Area, said as a family support insecurity and housing. of Family Violence coordinator, Megan is what he’d call Sussex District Chamber of Commerce a connector. “A lot of it is just people not knowing Sussex Regional Library what’s available and how to get access “She’s working with residents, to services,” she said. “I am bridging Sussex Sharing Club community partners and stakeholders gaps not only for the people who need Town of Sussex to support individuals and families the services but the professionals in Other organizations and individuals who are experiencing difficulties. the area as well.” who belong to the Sussex and Area She acts to address food insecurity Wellness Network in the community, she promotes Megan said she also works with health- mental health resiliency and supports care providers who call to connect residents with access to housing and their clients with programs or services. transportation,” Dan said. “All of which Megan said she hears from providers Megan Miner impact the health and wellbeing of when their clients have needs they’re Family Support Coordinator family support coordinator the community.” unsure of how to address. for the Sussex and Area The Sussex and Area Wellness Network is a committee of non-profit organizations with a mission of improving Megan said when she meets with “Doctors sometimes don’t know what’s Wellness Network the overall health and wellness of the community. clients, there is never just one thing available in the community to help 38 Park St. Unit #2 they need, and sometimes, people’s their clients, so they call me and I let The Community Health Needs Health Centre for treatment that he Megan said, having lived through Drop in: biggest fear is picking up the phone. them know of existing programs that Assessment (CHNA) for the Sussex needed three days per week. similar experiences as her clients, Tuesdays and Wednesdays will best suit their client’s needs,” she and Surrounding Area (2016) she knows how difficult it can be to between 9 a.m. and 12 p.m. identified the need for improved “If he couldn’t secure housing within navigate the system. “When they’re with me, I’ll dial the said. “Even after I’ve helped a client Call: supports in the community for walking distance – because he number, introduce myself, and the get what they need, I try and follow families who are struggling and doesn’t drive – basically, he would “When my husband and I split up, I client, then pass them the phone.” up to make sure everything is still 506-433-4453 or experiencing difficulties. have died,” she said. was a single mom with two little kids going OK for them.” Email: and I was essentially homeless, just When the CHNA was completed for [email protected] As family support coordinator, a After meeting with the man for a staying with friends until I could get the Sussex and Surrounding Area, Megan said utilizing the Kings to make an appointment position created by the Sussex few minutes, Megan made some my feet on the ground,” she said. “I Megan was part of the Community County Family Resource Centre was and Area Wellness Network, calls and gave him a to-do list of have been through this, and I know Advisory Committee (CAC) and was a life saver for her when her children and funded by the United Way things he needed to accomplish to what it feels like to be lost and not already working on priorities that were were young. It wasn’t just for the Saint John Kings and Charlotte, get onto the next steps. know where to turn.” ultimately identified by the CHNA. support of her children, it was the Megan Miner said her goals are camaraderie and friendships she to connect individuals to services “He said ‘You’ve helped me more in Through her own experience, Megan “When I was part of the CAC, I formed with other mothers. and programs, promote wellness, the last 10 minutes than anyone has knows the questions that will be connected everyone so we can all work provide healthy growth strategies in the last three months,” she said. asked of her clients and she knows together at addressing the many issues and help people and their families how overwhelming it can be when affecting families in our community navigate health and social systems. After navigating the systems, Megan you can’t answer some of them, or that are struggling,” she said. said in a couple months’ time, she don’t have the proper information Megan said the most common And perhaps, what can be equally secured a subsidized apartment on hand that is required. as important as all the other goals: for him. Megan empowers her clients. “So before they even dial the “I see him around and he’s doing number, I’ll make sure they have My mental health was saved Recently, Megan said she assisted great. He just needed a place to live everything they’ll need. I’ve been because of the resource centre. a client who needed a home within where he could access his care at through it, I know what they’re Megan Miner, walking distance to Horizon’s Sussex the health centre,” she said. going to be asked,” she said. Family Support Coordinator 8 9 A Shift to More Comprehensive, Team-Based Improves Access to Care Primary Health Care

In March 2019, while visiting Horizon’s Sussex Health Centre, Ted Flemming, minister of health, and Bruce Northrup, “The best approach is a team approach,” said Kelly. “There “Typically, there are specialty clinics on a daily basis.” Kings East MLA, presented Kelly Dunfield with a certificate is a lot of work and when everyone works together the to congratulate her for winning the Nurse Practitioner of patients are cared for best.” Based on identified community needs, they ensure their the Year Award from the Nurse Practitioner Association of clients are informed about clinics and education sessions Canada (NPAC). Dr. O’Neill echoed Kelly’s sentiments adding that that are available in the community. continuum of care is important for clients. In the fall of 2018, Kelly Dunfield was named the inaugural The location of the office is convenient for both patients Nurse Practitioner of the Year by Nurse Practitioner “If I’m away, Kelly can cover my clients and vice versa,” Dr. and Dr. O’Neill and Kelly. When visiting specialists come to Association of Canada for her devotion and passion to O’Neill said. “This way, we maintain a continuity of care offer clinics, they’re held at Horizon’s Sussex Health Centre, what the role can bring to primary care. and prevent our clients from going to the emergency room which is accessible from their office through a pedway. for primary care.” Kelly was nominated for the inaugural award by Yvonne “We can also easily pop over to check on any patients of Bartlett, a fellow Horizon nurse practitioner who practices in St. Stephen at Horizon’s Charlotte County Collaborative Kelly said their practice is rounded out with the ours that have been admitted to hospital,” said Dr. O’Neill. Wellness Centre. partnership they’ve developed with hospital services, Extra-Mural, community pharmacists, physiotherapists, As well, Kelly said being in Sussex, they’re somewhat Yvonne is a friend and classmate of Kelly’s – they were both respiratory therapists, , Horizon’s Public Health, central to Fredericton, Moncton and Saint John which part of the first class of 10 students to graduate as nurse mental health and addictions teams as well as social means when they do need to refer clients, they can refer practitioners in New Brunswick, once they were legislated development teams. to wherever is most convenient for the patient and their in 2002! A collaborative practice brings together staff from family. Horizon Health Network with other health care Dr. O’Neill said they’re best described as a one-stop-shop Kelly came up with the idea for an epinephrine auto-injectors practitioners to serve the community and provide for medical care. “For example, we have some patients living in Cambridge (EAIs) pilot project in 2012 when she was at quality care to clients. Narrows, who prefer a referral to Fredericton, but clients a conference listening to Dr. Andrea Canty speak “We share a lot of the obstetrics, and Kelly and I from Havelock, may prefer to be referred to Moncton,” she about anaphylaxis. Sussex is working together to provide quality care to clients. both have our niches. Kelly tends to do a lot of IUDs said. “I started thinking about how automated external [contraceptive device], injections and excisions, while defibrillators (AEDs) were popping up in all kinds of places The Community Health Needs Assessment (CHNA) for the I do methadone services.” Both Kelly and Dr. O’Neill do house calls when needed, such as malls, airports, and restaurants,” Kelly said. “It struck Sussex and Surrounding Area (2016) identified the need which helps with the transportation issues many face me that the same thing should be happening with EAIs in for a health centre model of care with a collaborative, The team offers many services and clinics to clients in the area. order to respond in a timely manner.” team-based approach to delivering primary health care including: well-baby visits, pre-natal visits, immunizations, services; and the need to solve transportation issues that hypertension, diabetic foot care, diabetes education, “Yes, this week I actually did three or four house calls,” Kelly researched to see what was available around the world impact health. COPD screening, smoking cessation, and more. said Dr. O’Neill. “Whatever it takes to ensure our clients and found there was no status, except that epinephrine are getting the care they need, both Kelly and I will should be available quickly as a first-line treatment. The team is based out of the building adjacent to Horizon’s Some of these services are offered in collaboration with accommodate.” Sussex Health Centre and is made up of Dr. Brian O’Neill, the Sussex Health Centre team, such as 24-hour-blood- She developed a proposal in 2014, secured funds through the Sussex and Area Community Foundation and Sanofi. She Nurse Practitioner Kelly Dunfield, and Administrators pressure monitoring. They also book clients with several Sussex area residents who are seeking primary care are has since provided EAIs to 28 sites in the Sussex Area and encouraged to register with Patient Connect NB (811). Linda Perry and Sharon Turner. visiting specialists who travel to Sussex one to two times after receiving so many inquiries from around the province, per months. country and other parts of Kelly and Dr. O’Neill each run their own general practice Dr. Brian O’Neill 506-434-0528 the world, she established Be Ready Health Care Inc. in addition to their roles as primary health care providers. “If we can book our clients in with a visiting specialist, then Their approach to care provides what they say is the best we will. That prevents them from driving to the It has now grown to include naloxone and the initiative has care for clients – and between to the two of them, they city for their care,” said Kelly. Nurse Practitioner saved six lives that we know of, by responding to severe care approximately 3,100 people. Kelly Dunfield 506-433-3277 allergies and opioid overdoses. Be Ready Health Care Inc. has cabinets in more than 500 20 Kennedy Dr.,adjacent to sites across Canada and the United States, and as far as Horizon’s Sussex Health Centre , California, and Arizona. 10 11 What was learned through How are we doing? Where do we go the Community Health from here? Leading change for improved health Needs Assessment About the Tobique and and well-being is a collaborative effort The communities throughout the The Tobique and Perth Andover Area and there are plenty of people working Tobique and Perth-Andover Area CHNA identified seven priority areas: on this throughout the entire Tobique make up many small rural towns, and Perth-Andover Area. villages and a First Nation community. Perth-Andover Area 1. The need for support in the Ensuring people in every corner of community to help coordinate The Western Valley Wellness Network the area know what’s available to and implement prevention and is teaching children about vegetables them is the first step towards creating health promotion programs. and healthy choices through an healthier communities. enhanced community engagement in Photo: Village of Perth-Andover 2. The growing rate of mental health health and wellness priorities. They Outreach and education is integral issues in the community are building important community to ensure the success of the great The Tobique and Perth-Andover Area 12 per cent, compared to 3.1 per cent Health Council’s Primary Health Care partnerships to address this through programs and services the community 3. The need to address the growing is situated in Victoria County in the for the province. Based on input from Survey of New Brunswick, 91.8 per cent schools. is providing. Connecting with rate of obesity in the community, northwestern part of the province. It is consultations, contributing factors to of respondents from the Tobique and communities and sharing information particularly within the child and a rural area with communities scattered the population decline include an aging Perth-Andover area had a personal family By teaching children, at a young age, about all the services available at their youth population along the St. John River and the Tobique population as well as the fact that doctor in 2014 (a drop of 2.7 per cent the importance of healthy eating, they health centre, and doing outreach into River. The area is home to Tobique First many younger families are leaving the from 2011). all of the communities in this area, will 4. The need to examine practices and will value it and we can expect them Nation, the largest of the Wolastoqiyik community to seek employment. ensure people stay off the highways processes for dealing with cases to take it seriously, and that healthy () First Nation communities in The Community Advisory Committee to bigger centres for care. They can be of mental health in the ER eating is part of a healthy life! New Brunswick. The main employment Data indicates that the Tobique and (CAC) plays a significant role in the cared for right in their community!

industries in the community are in the Perth-Andover Area has increasing Community Health Needs Assessment 5. The need for improved When the Plaster Rock Hospital was sectors of agriculture, forestry and rates of high blood pressure, diabetes, (CHNA) process as they are an important collaboration between health care reopened as Horizon’s Tobique Valley Continue to read more on the work lumber production. depression, heart disease, arthritis and link between the community and providers in the community Community Health Centre, people being done in the Tobique and Perth- emphysema or COPD, when compared to Horizon’s Community Health Needs felt as though they had lost something. Andover Area! Included in the Tobique and provincial averages. Assessment (CHNA) team. The mandate 6. Transportation issues in the Perth-Andover Area are the communities of the Tobique and Perth-Andover However, the health-centre-model community that impact health of Andover, Aroostook, Arthurette, Primary health care services in the Area CAC is to enhance community of care provides a different kind of Carlingford, Gordon, Kilburn, Lorne, New Tobique and Perth-Andover Area are engagement in the CHNA process and care: it’s preventative, educational, 7. Alcohol and drug consumption Denmark, Perth, Perth-Andover, Plaster provided through Mental Health and provide advice and guidance on the and well-rounded care. This area in the community Rock, Riley Brook, Tilley, and Tobique Addictions, Extra-Mural, Horizon’s health and wellness priorities that would is committed to creating health First Nation. Public Health, Horizon’s Tobique Valley address the needs of the community. communities, and it shows! Community Health Centre, and private Being home to Tobique First Nation, the physician offices, as well as the Neqotkuk Tobique and Perth-Andover Area has an Health Center on Tobique First Nation. aboriginal population of Based on data from the New Brunswick

KEY STAKEHOLDERS (Advisory Committee) • Extra-Mural Program • Social Development, Wellness Branch • Pharmacist, Plaster Rock • Horizon Primrary Health Care • Horizon’s Tobique Valley Community • Tobique Valley CHC Advisory Committee • Horizon’s Hotel Dieu of St. Joseph Hospital Health Centre, Management • Diabetes Nurse Educator • Village of Perth-Andover • The Good Samaritan Food Bank • Hospital Foundation at Horizon’s Hotel • Perth-Andover Rotary • Carleton-Victoria Community Dieu of St. Joseph Hospital • Early Language Services Inclusion Network • Pharmacist, Perth-Andover • Acadian Timber Management • Village of Plaster Rock • Neqotkuk Health Centre • Perth-Andover Recreation Department • Horizon Mental Health and Addictions • Horizon’s Public Health • Ambulance NB • Community Development 12 13 Awareness of Services Enhanced Collaboration, & System Navigation Communication & Connectedness

PROGRAMS AND SERVICES AVAILABLE AT HORIZON’S WELLNESS DAYS ARE HELPING TOBIQUE VALLEY COMMUNITY HEALTH CENTRE: TAILGATING FOR WELLNESS PEOPLE BE HEALTHY Clinical services IN THE FORESTRY SECTOR X-Ray The Community Health Needs Assessment identifies the main employment industries Ensuring patients and clients know what’s available to “We host one right here in Plaster Rock, but the area we Lab services in the Tobique and Perth-Andover Area as them right in their community is the goal of a partnership are responsible for includes small communities like Riley ECG agriculture, forestry and lumber production. between Horizon’s Tobique Valley Community Health Brook, New Denmark and Arthurette,” Danny said. “And all Holter monitoring centre and the Western Valley Wellness Network. those small areas have community halls. So, we spend the day there with some of our staff.” Blood Pressure Monitoring A large portion of the population spends Danny Braun, community developer for the Tobique Valley their days in remote, wooded areas working area, said the program brings staff into the community to Danny said the Wellness Days are well received by both Therapeutic services in forestry, harvesting, silvicultural operations deliver a variety of health-related presentations. staff and clients because it helps introduce staff to the and lumber production. Companies were Addiction counseling community and creates a bit of familiarity. looking for better ways to educate employees “They provide education and information on the resources Nutrition on nutrition, sleep hygiene, back safety, that are available in the community and it is having great Typically, Danny discusses the programs and services Speech language pathology and more. reach and impact,” he said. available, and then he brings in other members of the Occupational therapy health care team to talk about a variety of topics. Physiotherapy Rather than halting production and getting The Community Health Needs Assessment (CHNA) for Respiratory therapy employees to attend a wellness session, the Tobique and Perth-Andover Area (2016) identified the “Our social worker talks about dealing with stress, sleep the team from Horizon’s Tobique Valley need for support in the community to help coordinate and hygiene, memory hygiene and those kinds of topics, and Social Work Community Health Centre started bringing implement prevention and health promotion programs. our dietitian talks about food and nutrition, myths and Community development trends,” he said. health education to the woods! As a primary health care facility, providers at TVCHC offer advice on living a healthy lifestyle and tools to Every time they host the Wellness Day, they bring Nursing The health care team took advantage of a manage non-urgent health needs, diagnosis and disease something a little different to the table, but Danny always staff meeting that crews have at shift change. Assessment, treatment and education services prevention, care for common illnesses and minor injuries, reiterates the services available at the health centre, and as well as onsite and outreach programs and services. they always have a registered nurse who comes to do Once a month, health care professionals drive blood-pressure checks and glucose tests. Physicians and nurse practitioners nearly 40 kilometres through rough terrain to “The health centre is made up of a team of health care meet with employees to educate on issues All primary health care services professionals who are all about teamwork, and patient “The more we can engage with people, the more they’ll that might affect them in their work. centred care,” Danny said. “The team includes physicians, learn about what’s here,” Danny said. “And at the end of Walk-in Clinic nurse practitioners, social workers, dietitians, health the day, we see improvements when it comes to usage of These tailgate wellness sessions have been promoters, counselors and other health care providers.” the health centre and usually an improvement in the ease Family practice receiving rave reviews and since they take of navigating the health system.” Outreach programs and services place at shift change, they barely impede That’s where the Wellness Days program comes in. They host day-long sessions that are open to anyone, and on production. Talk about outreach! Horizon’s Tobique Valley include lunch, to ensure patients and clients know what services are available to them and how to access them. Community Health Centre 120 Main St. Plaster Rock 506-356-6600 14 Open Monday to Friday 8 a.m. to 8 p.m. 15 Healthy Eating Food Insecurity & Physical Activity

TEACHING WELLNESS AND SKILLS

For the communities in the “We are working right from In-school gardens allow students In the cooking club, Chelsea said during class time for instruction. Tobique and Perth-Andover Nackawic all the way up to Plaster to pick lettuce and kale to add to students learned how to read The produce grown is available Area, many school-aged children Rock and everywhere in between,” their lunch. Healthy food, though recipes and follow instructions on for students to enjoy during the are struggling to find nutritious Kathy said. “The work is a little a normal sight to some students, how to make healthy food fun. breakfast program and in their meals on a daily basis. different in each school and each can be very foreign to others. With culinary technology classes.” area, but everyone has the goal of this program, a child is introduced “They have also partnered with the The Community Health Needs keeping kids healthy and active.” to green peppers. Another is daycare in their community and Students build knowledge and Assessment (CHNA) for the Tobique introduced to honeydew melons. created a school garden with money gardening skills so that that one and Perth-Andover Area (2016) Kathy said they are working Another sees a bean grow into a received from a nutritional literacy day, they can grow their own food identified the need to address together with communities to plant that produces something grant,” Chelsea said. “Without extra and share their knowledge at home the growing rate of obesity in the develop different initiatives across they can eat. funding of what amount and many with their families. community, particularly within the the region that promote healthy great volunteers, things like this child and youth population. eating, especially among youth, Chelsea Currie Stokes, registered would not be possible.” “Creating healthy habits at a based on the different needs of nurse with Horizon’s Public Health, young age can be life changing for Introducing students to vegetables a community. said that the people of Tobique and Colleen McDonald Briggs, dietitian future generations,” Colleen said. and fruit, and making it a part of Perth Andover have really come with Horizon’s Public Health their day, is one way that a wide said at Southern Victoria High Kathy, Chelsea and Colleen agree network of community partners, the “Really, what we’re doing is together and have used their unique promoting wellness for all people community assets to help students. School (SVHS), in Perth-Andover, that through an amazing network Western Valley Wellness Network, their Health Promoting Schools of partnerships and passionate and Horizon’s Healthy Learners in in the Western Valley region by Committee successfully applied and local community members so much School Program team is teaching facilitating community based “Andover Elementary school has received a Community Food Action continues to be accomplished to the next generation to make opportunities and initiatives,” Kathy really enhanced their breakfast healthier choices. said. “We’re doing a lot of work to program to include healthy, whole Grant, same idea which allowed benefit students, and they are promote healthy eating, physical foods,” Chelsea said. “Last fall, they them to put a greenhouse in their looking forward to partnering on Kathy Sherwood Orser, regional activity, mental fitness and risk applied for and received a regional outside common area. many new initiatives in the future. wellness consultant, for the reduction. All of these things can wellness grant that allowed them to Western Valley Wellness Network, be related to the higher rates of create a cooking club for Grades 3, “This space encourages students said the mission of the network is childhood obesity we are seeing 4, and 5.” to explore gardening as a learning simple: to foster healthy, active, in our area.” tool and as a hobby,” Colleen inclusive communities. said. “This is available to students and staff, and can also be used 16 17 Community Health Recognition Awards We’ve built a new online storytelling site, The next round of Horizon’s Community News Channel! Community Health Needs Celebrating individuals and groups in the community who are Assessments (CHNA) Helping People Be Healthy! is now underway!

In the fall of 2016 Horizon created the Community Health Recognition Awards (CHRA) to celebrate individuals and groups that are making a difference to improve overall health in their community. Since then, more than 170 submissions have been received! Horizon’s Local Community Engagement Committees review the submissions and select three winners from each of the Fredericton, Miramichi, Moncton, Saint John and Upper River Valley areas, for a total of 15 awards each year. Winners received $500 towards their charity, a certificate and glass award. Stay connected to Horizon’s social media channels to see the launch of our new and improved 2020 awards!

facebook.com/HorizonNB twitter.com/HorizonHealthNB

instagram.com/HorizonHealthNB youtube.com/HorizonNB On this site, you’ll read many of the same kind of Congratulations to our 2019 winners! innovative and heartwarming stories from Horizon’s publications and channels, such as the Horizon Star, In Fredericton Saint John Your Community and social media. Horizon’s Community • Conflict Resolution Program at Nashwaaksis • Carleton Community Garden News Channel also includes videos, articles and blogs Memorial Elementary School • Code Red about exciting things happening across Horizon. A CHNA is a recognized approach to • Minto High Health Promotion Team • RECAP understanding health and wellness at a • Oromocto and Surrounding Area Food Bank Discover the community news channel at Miramichi local, community level. Upper River Valley • ARM Book Nook and Boutique news.horizonnb.ca They are invaluable for Horizon to • AYR Motor Centre • Central N.B. Teens Taking Action Against engage to find out what priorities are Tobacco Use • Feed the Hawks from the people who live, work and play • Upper River Valley Eating Disorder • Project ETS program in their community. Moncton DID YOU KNOW? We look forward to reviewing past • Anglophone East School District’s Our monthly E-newsletter offers health and wellness priorities and Youth Mental Health Summit establishing new ones to help New • Salvus Clinic a variety of news and insights from Brunswickers thrive and be healthy. • WA Transpo Horizon Health Network. Subscribe by emailing visit [email protected] en.horizonnb.ca/chna for more information

18 19 Community Health Needs April 2018 | Issue 4 Message from Assessments in Action COMMUNITY ALBERT Jean Daigle COUNTY

Community Health Needs June 2016 | Issue 1 Assessments in Action COMMUNITY CARLETON COUNTY

About Albert County

6 The Albert County Area is a rural About Carleton County area in the Southeastern part of the 14 County Carleton County is an area in the western province on the Chignecto Bay in the part of New Brunswick bordering Maine and is Bay of Fundy. often described as part of the Upper River Valley area as it is situated along the upper part of the In this, our final publication of In Your Community, Saint John River. we are pleased to share success stories from the

October 2016 | Issue 2 Sussex and Surrounding Area and the Tobique Community Health Needs Assessments in Action COMMUNITY and Perth-Andover Area. In each issue of In Your Community, we’ve brought you up to speed on just some of the

great things happening across Horizon and Leading the way Under one roof 2 Horizon Health 8 Creating opportunity Cooking can and innovation be ‘Cool’ Lending a hand Network is helping 13 in the communities we serve. It’s important communities be in downtown The Oromocto 17 Helping you healthy Fredericton area is gaining a get around in fresh perspective on Petitcodiac, healthy eating Salisbury, Elgin to recognize the commitment of community and Havelock residents and leaders as they strive to improve

Community Health Needs October 2017 | Issue 3 population health. Assessments in Action COMMUNITY We are focused on working with all our stakeholders, health care organizations, government, community organizations, and individuals to fully meet the unique needs of everyone in our communities.

We each have a significant role to play in improving the health of New It’s about community 2 ‘I Got This’ Horizon Health Network 8 New school program Making connections Brunswickers. is helping people empowers youth in 14NEGUACNEW-C has new support be healthy Grand Lake area for Saint John’s North End It’s important we continue to tell these success stories, to demonstrate the In Your Community Oct 2016.indd 1 MIRAMICHI impact of an engaged community! We completed 17 Community Health Needs 2016-10-03 3:02 PM

Assessments (CHNA) and profiled 16 communities through In Your Community. Community Health Needs October 2018 | Issue 5 Assessments in Action COMMUNITY CHNAs provide us with information on how we can improve the health of the communities we serve. With the second round of CHNAs underway, we are

About Miramichi Area already identifying and evaluating changes in the priorities for our communities 6 The Miramichi area covers a large geographicEastern area in the northern half of CharlotteAbout Neguac Area County

New Brunswick and represents a culturally 14 The Neguac area covers a small since the last assessments were completed. diverse community. geographic area in the north east part of New Brunswick.

In Your Community Oct 2017.indd 1 While this will be our final magazine, we are embarking on a new and innovative 2017-10-11 2:44 PM way to share our success stories. Soon, you’ll be reading these stories on Horizon’s Community News Channel and on all Horizon’s social media platforms. Central New Brunswick Community Health Needs March 2019 | Issue 6 Assessments in Action Through the last seven issues of In Your Community, we’ve highlighted success COMMUNITY stories and I hope you’ve enjoyed reading them as much as I have. These important stories highlight a communities’ strengths and innovation when it Western Charlotte County

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

Jean Daigle, vice president of Community Horizon Health Network Nackawic, Harvey, McAdam, Canterbury

About the Tantramar Area 6 The Tantramar Area is in the southeastern part of New Brunswick. It gets its name from the famous Tantramar About the Nackawic, Harvey, McAdam, Canterbury Area Marsh, a tidal salt marsh around the Bay of Fundy, one of 10 The Nackawic, Harvey, McAdam, Canterbury Area is in the largest on the coast. the western part of New Brunswick. It is a rural area with some communities scattered along the Saint John River, the 20 various lakes in the area, and the border of Maine, U.S.