Opportunity Area About the East Who is the population of focus? Taylor-Massey (Crescent Town) - High needs neighborhood • Population (2011): 269,756 Taylor Massey (Crescent Town) with low access to primary care and high mental health ED • # Neighbourhoods: 21 and inpatient utilization • Split neighbourhoods: To note, • Population for Taylor Massey: Total: 15,595 ; 20+ South Riverdale neighbourhood is yrs.: 15-24: 65+: . It is important to have a consistent primary health care provider. 11,795, 1,760, 1,605 divided between East Toronto and Consistent primary care providers play an essential role as the first points • % Visible Minority (by Total Population in Private of entry into the health care system, providing ongoing prevention and Mid-East Toronto sub-regions Households) (2011): 64.90% • Highest proportion of recent immigrants in East treatment while knowing patients and their history. • 5 designated Neighbourhood Improvement Areas: Toronto: 36.40% . There is a need to re-examine and strengthen our efforts to support (Thorncliffe Park, Victoria Village, Oakridge, Flemingdon • Second highest proportion of people living below low newcomers, especially those whose health risks are compounded by their Park and Taylor-Massey (formally known as Crescent Town)) income measure in East Toronto: 35.50% income level, gender, immigration status, ethno-racial background • Eglinton Ave. to the North, Warden Ave. to the Bounded by: • Top three languages other than English spoken at East, Lake Ontario and Lake Shore Blvd. East to the South home include Bantu languages, Urdu and Tamil Why This Opportunity Was Identified and Leslie St, Jones Ave. Gerrard St. East, and Don Valley Parkway to the West. Taylor-Massey has the highest hospitalizations for mental health • Highest age-standardized mental health visit conditions in East Toronto: prevalence rate for 20+ population in East Toronto Age-standardized average annual rate of hospitalizations for (FY 2014/15) at 12% 2,500 mental health conditions per 100,000 age 20+ (2012-13 and 2253.2 • Highest number of hospital admissions for mental 2013/14) 2,000 health conditions (FY 2012/13 and 2013/14), Ages 20+ : 559 1,500 1018.0 854.8883.9924.0 709.4754.4754.5773.9812.4 • Number of ED visits that are Mental Health and 1,000 588.8601.6688.7702.3705.3 463.5509.8580.0 500 269.3298.0 Addiction-related visits among young adults fin 2012/13 to 2014/15, Age 16-25: (Highest in East 0 493 Toronto and second highest in TC LHIN) Rate Rate per 100,000 pop 20+ • Highest average annual rate of mental health ED visits in TC LHIN at 91/1,000 population • Third highest number of all ED visits (FY 2013/14) , Taylor-Massey has the second highest proportion of low income All Ages 0+ in East Toronto : 7,869 population in East Toronto: • Taylor Massey has the third lowest level of primary % of Population - Low Income (After-Tax) (2010) care continuity (enrolled and non-enrolled) in East Toronto at Oakridge City of Toronto: 22.2% 36.2 23.3% Crescent Town 35.5 Flemingdon Park 34.3 Thorncliffe Park 32.7 Blake-Jones 28.6 Clairlea-Birchmount 27.2 Victoria Village 24.9 Considerations Greenwood-Coxwell 23.6 Broadview North 22.0 O'Connor-Parkview 21.8 Feedback from providers: East End-Danforth 20.2 Woodbine Corridor 17.6 . Area has a high proportion of new immigrants Danforth East York 16.7 Woodbine-Lumsden 15.2 that have challenges with settlement, long wait Birchcliffe-Cliffside 14.5 Danforth Village -… 14.2 time for mental health services and language North Riverdale 13.5 barriers Old East York 13.4 Playter Estates-… 12.9 The Beaches 9.8 . Opportunities for improving access to culturally 0.0 10.0 20.0 30.0 40.0 appropriate primary care A Opportunity Area About the East Who is the population of focus? Oakridge – High needs low income area with patients with • Population (2011): 269,756 • Population all ages: 13,505, children and youth (ages 0- complex medical and social needs, high chronic diseases, • # Neighbourhoods: 21 19): 3,720, adults (ages 20+): 9,785 ED visits and MH admissions for some age-groups. • Split neighbourhoods: To note, South • Second highest proportion of children and youth (27.5%) Riverdale neighbourhood is divided • Relatively lower proportion of seniors compared to sub- between East Toronto and Mid-East region, however the third highest proportion of seniors . Vulnerable populations such as low income people are at higher risk of Toronto sub-regions living alone ( ) getting chronic diseases. Some immigrant and ethno-racial groups are 38.7% • Highest rate of persons living under the low income at higher risk for specific chronic diseases, including diabetes and high • Neighbourhood Improvement Areas: Thorncliffe Park, Victoria measure at 36.2% blood pressure. Village, Oakridge, Flemingdon Park and Taylor-Massey (formally . There is a need to strengthen efforts to support newcomers, especially known as Crescent Town) • High immigrant (58.4%) and recent immigrant (33.1%) population those whose health risks are compounded by their income level, • Bounded by: Eglinton Ave. to the North, Warden Ave. to the East, immigration status, ethno-racial background and language abilities. Lake Ontario and Lake Shore Blvd. East to the South and Leslie St, • High rate of visible minorities: 68.7% Jones Ave. Gerrard St. East, and Don Valley Parkway to the West. • Top three languages spoken at home other than English: Bantu languages, Urdu, Persian (Farsi) Why This Opportunity Was Identified High density area with subsidized housing High rates of chronic diseases, ED visits and MH admissions • Oakridge is a high density area with 4 large subsidized for some age groups in Oakridge high rise buildings and townhouse complexes. • Diabetes: 1,830 adults (higher in males) • Toronto Community Housing Corporation (TCHC) • High Blood Pressure: 3,129 adults (higher in females) buildings in Oakridge: • Warden Woods • Mental Health Visits: 1,327 adults (higher in females) • Teesdale Pharmacy • COPD: 907 adults (higher in males) • Byng Towers • High rates of high urgency ED visits for ages 45-64 (334.8) • Woodland Acres (North and South) • Mental Health inpatient admissions: 688.7 • Rate of low continuity of primary care (23.0%) Considerations Also, Oakridge has the highest percentage of population living below the Feedback from providers/ qualitative interview: low income measure. • Approximately 2,000 residents in the 4 community % of Population - Low Income (After-Tax) (2010) buildings 30-40% who are complex with mental health Oakridge City of Toronto: 22.2% 36.2 Crescent Town 35.5 issues, high use of EMS and Michael Garron Hospital Flemingdon Park 34.3 ED and inpatient services. Thorncliffe Park 32.7 Blake-Jones 28.6 • Inadequate living conditions e.g. bed bugs. High crime Clairlea-Birchmount 27.2 Victoria Village 24.9 rate, prostitution and drug dealers. Greenwood-Coxwell 23.6 Broadview North 22.0 • Inadequate primary care and health services for O'Connor-Parkview 21.8 residents East End-Danforth 20.2 Woodbine Corridor 17.6 • High rates of chronic disease and a question of Danforth East York 16.7 Woodbine-Lumsden 15.2 primary care coverage for these residents. Birchcliffe-Cliffside 14.5 Danforth Village -… 14.2 • OpenLab noted the inaccessibility of fresh food North Riverdale 13.5 options in this area. Old East York 13.4 Playter Estates-… 12.9 • Opportunity for a pilot that can be replicated across The Beaches 9.8 neighbourhoods with similar needs. 0.0 10.0 20.0 30.0 40.0 B Opportunity Area About the East Who is the population of focus? Thorncliffe Park – High needs neighborhood with high • Population (2011): 269,756 • Population all ages 0+: 19,235, children 0-19yrs: proportion of children and youth, high recent immigrants • # Neighbourhoods: 21 6,200 and high rate of prenatal hospitalizations • Split neighbourhoods: To note, South Riverdale neighbourhood is • High rate of persons living below low income . There is a need to strengthen efforts to support newcomer families, divided between East Toronto and measure (after-tax): 32.7% especially those whose health risks are compounded by their income Mid-East Toronto sub-regions level, immigration status, ethno-racial background and language • Highest proportion of immigrants (65.2%) abilities. • Neighbourhood Improvement Areas: Thorncliffe Park, • High proportion of recent immigrants . High prenatal hospitalizations may indicate lack of adequate prenatal Victoria Village, Oakridge, Flemingdon Park and Taylor- (33.5%) care. Mothers who get late or no prenatal care are more likely to Massey (formally known as Crescent Town • Low Knowledge of English and French (7.3%) have babies with health problems • Bounded by: Bounded by Eglinton Ave. to the North, • Top 3 languages other than English Warden Ave. to the East, Lake Ontario and Lake Shore Blvd. spoken at home: Urdu, Persian (Farsi) East to the South and Leslie St, Jones Ave. Gerrard St. East, and Gujarati Why This Opportunity Was Identified and Don Valley Parkway to the West. • Highest proportion of visible minorities (77.4%) Highest proportion of children and youth in East sub-region: 40.0% % of Total Population Ages 0-19, Both sexes (2011) • Asthma, 0-15yrs: 731 (higher in males) 32.2% • Highest volume of hospitalizations for prenatal 30.0% 26.7% 22.4% 23.2% 23.8% conditions, women 19-49: 434 hospitalizations 20.1% 20.9% 21.2% 18.3% 19.8% 20.0% Toronto Central LHIN: 18.7% • Highest % of low continuity (27.8%) in East Toronto 18.0% 19.4% 20.0% 20.5% 21.0% 21.9% 22.5% 23.5% 24.4% 27.5% 10.0% Considerations 0.0% Feedback from