October 2016 | Issue 2 Community Health Needs Assessments in Action COMMUNITY It’s about ‘I Got This’ Making connections 2 community 8 New school program 14 NEW-C has new support Horizon Health Network empowers youth in for Saint John’s is helping people Grand Lake area North End be healthy Horizon Health Network’s number CEO Message one priority: Exceptional Saint John Discover Photo: Helping people be healthy is about more patient than budgets and buildings – it’s about community. and family Our communities play an important role in improving the health of the people who live centred care there. In the pages that follow are examples Horizon puts patients and clients of how individuals and organizations are at the centre of the health delivery working together to identify innovative system with a vision of delivering ways to look beyond traditional health “Exceptional care. Every person. care and improve access to services at a Every day.” community level. Some of the recent changes In our first issue of In Your Community, we shared examples of the to our model of care include: exciting things happening in the Fredericton and Oromocto areas and in replacing restrictive visiting hours the communities of Petitcodiac, Elgin, Salisbury and Havelock. with a Family Presence Policy; This, our second issue, is inspired by the progress in the Saint John and collaborating with the Foundations Grand Lake areas as a result of completing their Community Health to provide free patient WiFi; Needs Assessments (CHNAs). We will explore the challenges and and eliminating smoking on our successes faced by these communities in their efforts to improve the properties. health of the people who live there. Each New Brunswick community The work being done is as unique as the communities themselves. served by Horizon is unique. CHNAs help to identify the unique strengths and needs in a community, Working with key community and provide recommendations to improve the health and wellness of partners, clinicians and other its population. The recommendations are being acted on passionately at stakeholders, we’ve made progress a community level across Horizon and we will feature successes from in identifying and addressing www.HorizonNB.ca other areas in future issues. their specific needs. This is an Our communities are taking the lead to improve the lives of their intentional effort initiated by residents by addressing the many factors that influence their health. Let’s Horizon to significantly improve keep the momentum going. community-based primary care, and support expensive tertiary John McGarry, President and CEO services required by an aging Horizon Health Network 2 population. Grand Lake Area 8 ‘I Got This’ Table of School program helps spread confidence, Contents reassurance Photo: Rob Linden Grand Lake 10 Area Queens North Health Centre supporting workers from Chipman Outreach Photo: Kevin Goggan 14 October 2016 | Issue 2 Saint John NEW-C connects residents to wide range of health, social services Community Health Needs Assessments in Action COMMUNITY Contributors: Creative lead: • Karen Scott • Sheena Dougan • Christy English Cover credits: • Photos submitted Resources: by: Kevin Goggan, • Jean Daigle Village of Minto • Bruce MacPherson • Allison Holland Printing: • Gabrielle Levesque • Taylor Printing • Janet Hogan Group Inc. 16 Saint John The following documents were used as resources for this publication: Seniors in Saint John benefit from • Grand Lake Area Community Health health promotion program Needs Assessment, 2015 • Community Health Needs Assessment: Saint John, 2014 www.HorizonNB.ca 18 Message from Jean Daigle Vice President Community for Horizon Health Network 3 Health care today A well-designed health system With our province’s aging unique needs of the people in each should feature both strong population, southern migration, community. centres of hospital-based care and and shift from rural to urban The good news is that work appropriate community-based care living, health care as we know it is is underway. Horizon Health “close to home” for New Brunswick changing. Government and non- Network (Horizon) is working in residents. It’s a system that would government organizations and partnership with communities to ensure every New Brunswicker has communities alike are looking for provide better preventive, primary, access to the services they need to be ways to deliver care in a way that and long-term care to everyone that as healthy as they can be. does a better job of meeting the lives there. Community Health Needs Assessments Since 2012, Horizon has been address the other 90%. The CHNA Table 1: Determinants of Health working with communities to gain a process provides an opportunity as categorized by the Public Health Agency of Canada better understanding of their health to get everyone around the table care needs using Community Health to look at all areas that are known Needs Assessments (CHNAs). A to impact our health – health 1 Income and Social Status CHNA is a dynamic and ongoing determinants (Table 1). 2 Social Support Networks process that identifies the unique CHNAs help identify priority 3 Education and Literacy strengths and needs of a community. areas in the community that This information provides both need attention and support the Employment and 4 Horizon and the communities with development of action plans to Working Conditions a roadmap to achieving a common address them. This work influences 5 Social Environment goal: to improve the overall health of programming that better serves New Brunswick communities. the population and often supports 6 Physical Environment Have you ever considered how the efforts of primary health care Personal Health Practices 7 housing or access to transportation providers like family physicians, and Coping Skills might affect the health of an nurse practitioners and pharmacists. Healthy Child individual? You may not know it, 8 Nobody knows a community better Development but measuring community health than the people that live there. This Biology and Genetic goes far beyond studying rates of 9 work to address priority areas is Endowment disease and the availability of health being driven by a local committee care services. Health services account that is passionate about the well- 10 Health Services for only 10% of what influences our being of the community. With 11 Gender health (see pie chart), which is why support from Horizon and other Horizon is working with individuals stakeholders, they are advocating for 12 Culture and agencies at a community level to your health. Photo: Village of Minto What influences our health? 40% Health Behaviours 40% Social & Economic Factors 10% Physical Environment 10% Health 4 Services What is primary health care? Primary health care refers to an approach Mental Primary Home Care to health and a spectrum of services beyond Health Health Care the traditional health care system. It includes all services that play a part in health, such as income, housing, education, and environment. Primary care refers to health Common promotion, illness and injury prevention, and the diagnosis and treatment of illness Themes and injury. (Health Canada) Transportation Emerging Recreation 13 Community Health Needs Acute Assessments Care Access to Information, completed to date Awareness Intersectoral/ Obesity, Community Food Partnership Insecurity Housing Substance Poverty Abuse The province is divided into 33 unique communities to ensure a better perspective of regional and local differences. Community Health Needs Assessments have been completed in 13 of them. First • Oromocto and • Moncton and Supporting Language Area Surrounding Families Nations Issues • Fredericton and Area Surrounding • Grand Lake Area Area In your community • St. Stephen, St. • Neguac Area Knowing what is happening in your community is important. In the first Andrews and • Miramichi Area issue of In Your Community, Horizon collaborated with three communities Surrounding • Tantramar Area that had completed CHNAs: the Fredericton and Oromocto Areas and Area the communities of Petitcodiac, Salisbury, Elgin and Havelock. This, our • Petitcodiac, • Central NB second issue, profiles what is happening in two more communities with Salisbury and • Albert County completed CHNAs: Saint John and the Grand Lake Area. In the pages that Surrounding • Carleton follow you will get a better understanding of what they are doing to build Area County healthier communities and we will dig deeper into the specific priorities, • Saint John challenges, and successes they face. Watch for our next issue that will feature news from other 5 Horizon communities. About Grand Lake Key Stakeholders Advisory Committee • Healthy and Inclusive Communities / Department of Area Social Development – Wellness Branch (Wellness Consultant) • Christian Community Church, Minto • Chipman Forest Avenue School • Minto Memorial High School • Cambridge Narrows The Grand Lake Area includes The area experiences elevated Community School • Chipman Village Council the villages of Minto, Chipman, rates of mental illness, higher • Minto Village Council Cambridge-Narrows and 14 other than the New Brunswick average, • Chipman Health Centre communities spread across the therefore much of the work to date (Management) predominantly rural region of New has focused on enhancing both • Queens North Community Brunswick. treatment and prevention services. Health Centre (Management) • J.D. Irving Mill In 2015, the results of the Today, there is a strong,