Category: Uncategorized

A pep talk to develop the “will” to shift policy from shelters, to housing people

While not news for anyone working in the homelessness sector of support and care, Mitchell Katz bolsters at least my own courage and better still multi level community, government policy focus to shift the shelter focus of homelessness.

the intersection of housing and health

Please see the interview herehttps://www.tvo.org/video/an-urban-homelessness-crusader

The health minister lays out, the plan

See the interview here: https://www.tvo.org/video/programs/the-agenda-with-steve-paikin/a-historic-health-care-restructuring#disqus_thread

What struck me in the discussion, which was quite straight forward on the big aims front, was that the health ministry continues to frame care without taking into account the need for inter-ministry collaboration if we are ever to actually address the downstream from the hospital issues – Social deterrents of health – access to transpo, housing (beyond a nursing home) etc.

The mental health commission’s “Out of the Shadow’s” made it clear that this is critical to successful integration and addressing: rehabilitation, recovery, wellness and effectively managing success in acute care situations.  https://sencanada.ca/content/sen/committee/391/soci/rep/pdf/rep02may06part1-e.pdf


Here is the legislation being planned, with thanks to CMHA Ontario.  

Bill 74, The People’s Health Care Act, 2019

https://www.ola.org/en/legisla…42/session-1/bill-74

 

MEN AND THE GENDER EQUALITY REVOLUTION – Octopus book launch and discussion

Please consider joining the discussion with Micheal Kaufman at the book launch, it should be a good one. 

Thursday February 28th, 5-7 pm, 251 Bank Street. (note not at the store, rather the annex)

From closing the wage gap, challenging toxic masculinity, ending violence against women, to dismantling the patriarchy itself, the time has come for men to join the fight for gender equality.

Join Michael Kaufman and guests for a discussion that will explore the damaging effects of our patriarchal culture, and how changes in our workplaces, in the ways we raise boys to be men, and in the movement to end men’s violence will bring significant rewards in our community and all around the world.

Michael Kaufman is the cofounder of the White Ribbon Campaign—the largest international network of men working to end violence against women—and for decades has been an advisor on gender equality to the United Nations, governments, NGOs, schools, and workplaces around the world. With honest storytelling, compassion, and hard-hitting analysis, The Time Has Come is a compelling look at why men must take a stand in the fight for gender equality.

See Event Details Here: http://octopusbooks.ca/event/men-and-the-gender-equality-revolution-the-time-has-come-book-launch-with-michael-kaufman

A front line practice change snapshot of: Advice

This article from Journal of Implementation Science helps to frame the infrastructure of implementing practice change, via a snapshot of the players and mezzo system in actual practice.

I found it helps me as a front line worker think about my own efforts at practice change can be understood— my place in the dynamic and how I could be more strategic in seeking and giving advice.

Understanding professional advice networks in long-term care: an outside-inside view of best practice pathways for diffusion

network building

…In this paper, we report our qualitative findings. We identified four themes from the data. One theme related to characteristics of particular network roles: opinion leaders, advice seekers, and boundary spanners. Opinion leaders and boundary spanners have long tenures in LTC, a broad knowledge of the network, and share an interest in advancing the sector. Advice seekers were similarly committed to LTC; they initially seek and then, over time, exchange advice with opinion leaders and become an important source of information for them. A second theme related to characterizing advice seeking relationships as formal, peer-to-peer, mentoring, or reciprocal. The third and fourth themes described motivations for providing and seeking advice, and the nature of advice given and sought. Advice seekers initially sought information to resolve clinical care problems; however, over time, the nature of advice sought expanded to include operational and strategic queries. Opinion leaders sought to expand their networks and to solicit information from their more established advice seekers that might benefit the network and advance LTC. …

See the article here: https://implementationscience….wtj514iJfkGYYOVAKMPY

Former Deputy Minister, Dr. Bob Bell talks about the relevance and role of LHIN’s, in the context of potential axing as a cost saving measure.

From District Health Councils to the LHIN’s our decades struggles on how to manage health governance continues.  The 10 minute discussion on CBC is worth a listen.

 Show host graphic

Ottawa Morning with Robyn Bresnahan

 In defense of the LHIN

Jan 18, 2019

The CBC has learned province is putting Ontario’s fourteen regional health agencies on the chopping block. Bob Bell, former deputy minister of health and long-term care, is with us.

https://www.cbc.ca/listen/shows/ottawa-morning/segment/15664571

Annual Community Forum on Ending Homelessness

Alliance to End Homelessness annual conference.  An unusual event due to its efforts to improve practice, while addressing policy and planning.

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The Annual Community Forum on Ending Homelessness is the only event of its kind in Ottawa, bringing over 250 housing researchers, practitioners, front line workers, policy makers, community organizations and governments together to work collaboratively to build solutions to ending homelessness in Ottawa.

Our program provides an opportunity for local agencies to meet collectively and exchange learning, best-practices and strategies from a growing local and Canadian body of knowledge on ending homelessness, and will offer practical information, tools, research, discussion and much inspiration!

We are excited to announce the upcoming Community Forum is taking place:

Thursday January 24th, 2019 @ RA Centre – 2451 Riverside Drive, Ottawa, ON 

REGISTRATION NOW OPEN!

Please visit our Eventbrite page to register today.

Learn more about the conference – https://www.endhomelessnessottawa.ca/community-forum-on-ending-homelessness

Resource to think about individual anxiety and bureaucracy – in care organizations

This article by Yiannis Gabriel  thinks about anxiety and organizations – social context with a psycho-dynamic-analytical approach as researched by Isabel Menzies Lyth. https://www.academia.edu/14309839/ISABEL_MENZIES_LYTH_1917_2008

That’s a pretty rare focus for us these days in adult mental health, but worthy of its efforts to address our actual emotional feelings, whatever you think of psycho-dynamic constructs.  It looks at a health care context and while reflecting on research on nurses, can be applied to any of us, including managers/leaders.

  

(image from: http://www.melanie-klein-trust.org.uk/menzies-lyth)

It brings us to think about individual and organizational responses, the unhelpful one’s and suggests more helpful approaches.  I found that it could help me out on how to manage my individual rich pool of anxiety involved with individual, family, care system… interactions that lead to: the good, the bad patient, the good, the bad clinician.

The unbearable, which in turn leads us to approaches/stances/practices that are defensive and are intricately linked to group/program/organizational contexts manifested under the heading of: bureaucracy.-

“…its rules, rota’s, task lists, checks, counterchecks, hierarchies … for defensive techniques.  By allowing for ritual task performance by depersonalizing relations with the patients, by using organizational hierarchies, nurses contain their anxiety. Thus a patient becomes “the kidney in bed 14 or “the tracheotomy in ward B”, …

Rules, task lists, checks, themselves are for sure critical to good care, it is when we pour our focus onto them, that we loose ourselves and the people we are caring for. So this article is not a threat to practice change advocates and implementors and instead helps out the process approach.

The article says a lot more, but a little silly of me if I am trying to summarize a summary of a summary.  In the current work force context where organizations are deploying campaigns for individual worker wellness and stress management, it would be great to  hear from others about resources that help us to reflect on the individual in a care organization, but beyond the usual individual approaches – of: take a break, exercise, … take a bubble bath.

Please look at the article here:  https://abetternhs.files.wordpress.com/2013/02/why_managing_emotion_is_such_a_crucial_task.pdf