Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice最新文献

{"title":"Integrating social prescribing in a Canadian regional health system to support healthy aging.","authors":"Margaret Chen-Mei Lin, Grace Park, Maureen C Ashe","doi":"10.24095/hpcdp.44.9.06","DOIUrl":"10.24095/hpcdp.44.9.06","url":null,"abstract":"<p><strong>Introduction: </strong>Social prescribing (SP) is a rapidly growing health and social model of care. The concept of social prescribing is based on well-known clinical practices such as community referrals, integrated health and social care, and navigator models. Although SP began in the United Kingdom's mental health and social care field, there are many examples of different models of SP foci and pathways. Here in Canada, SP is emerging at several provincial locations, with differences in its delivery reflecting the local context of people and places.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"392-396"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilizing the determinants of healthy aging to guide the choice of social prescriptions for older adults.","authors":"Beth Mansell, Anne Summach, Samantha Molen, Tammy O'Rourke","doi":"10.24095/hpcdp.44.9.05","DOIUrl":"10.24095/hpcdp.44.9.05","url":null,"abstract":"<p><p>Executive summary: The age of Canada's population is increasing, necessitating innovative methods and tools for assessing the needs of older adults and identifying effective health and social prescriptions. In Alberta, a community-based, senior-serving organization undertook the development and piloting of the Healthy Aging Asset Index, an assessment tool and social prescribing guide for use by a variety of professionals within the community. Tool development was rooted in medical complexity assessment and social work practice, and adhered to the determinants of healthy aging established by Alberta's Healthy Aging Framework, which is based on the determinants of healthy aging published by the World Health Organization. Results from the pilot showed improvement in the functionality of older adults within the determinants over time, as they were supported in addressing areas of personal vulnerability. Adopting tools such as the Healthy Aging Asset Index can bring cohesiveness to the support that older adults receive across the care continuum and has the potential to shift the balance of care away from the health system and towards the community, thus improving the capacity of health systems and government to meet the needs of Canada's older adults.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"385-391"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guides for facilitating the implementation and evaluation of social prescribing: lessons from the \"Access to Resources in the Community\" model.","authors":"Kiran Saluja, Simone Dahrouge","doi":"10.24095/hpcdp.44.9.07","DOIUrl":"10.24095/hpcdp.44.9.07","url":null,"abstract":"<p><p>Social prescribing (SP) embodies a comprehensive approach to addressing the social determinants of health. Access to Resources in the Community (ARC) is an innovative SP program offering bilingual services that involves a single point of entry for health and social needs and introduces practice changes to assist primary care providers in engaging patients, along with a nonclinical lay navigator who supports patients in accessing relevant community resources. The ARC team has created a SP toolkit offering practical guidance for setting up, implementing, monitoring the progress of and evaluating SP programs. The four ARC guides can be easily customized for application in diverse practice and research settings.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"397-400"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging integrated youth services for social prescribing: a case study of Youth Wellness Hubs Ontario.","authors":"Aaron Turpin, Deb Chiodo, Maria Talotta, Jo Henderson","doi":"10.24095/hpcdp.44.9.02","DOIUrl":"10.24095/hpcdp.44.9.02","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated youth services (IYS) presents a unique opportunity to adopt social prescribing (SP) strategies within the IYS service model by developing and leveraging a highly connected multidisciplinary network of clinical and community-based service providers to tackle health inequities and enhance service access and outcomes for youth. This paper outlines a case study of Youth Wellness Hubs Ontario (YWHO), Canada, a collective of youth-serving organizations integrated and networked, and operating as a learning health system implementing SP services. The main study objective was to document how YWHO hubs engage in social prescribing through service provision.</p><p><strong>Methods: </strong>We adopted an embedded case study approach. Data were collected from youth (n = 6361) aged between 12 and 25 years who were seeking services at a YWHO hub. Descriptive analyses, including frequencies across categories, were generated from service data, including reason for visit, needs addressed and service provided.</p><p><strong>Results: </strong>A comparative analysis of services requested and provided found that youth across visits to YWHO hubs were engaging with multiple services and service providers, with a wide range of health, mental health and social support needs being addressed.</p><p><strong>Conclusion: </strong>YWHO implements SP services that aim to improve mental health resilience by supporting the vocational, educational and socialization needs of young people accessing IYS through YWHO hubs.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"358-366"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the capacity of older adults and community: findings from a developmental evaluation of United Way British Columbia's social prescribing programs for older adults.","authors":"Laura Kadowaki, Bobbi Symes, Kahir Lalji, Grace Park, Wynona Giannasi, Jennifer Hystad, Elayne McIvor","doi":"10.24095/hpcdp.44.9.04","DOIUrl":"10.24095/hpcdp.44.9.04","url":null,"abstract":"<p><strong>Introduction: </strong>Older adults with higher needs are ideal candidates for social prescribing interventions, given the complex and intersectoral nature of their needs. This article describes findings from a developmental evaluation of 19 social prescribing programs for older adults at risk of frailty.</p><p><strong>Methods: </strong>An evaluation of the programs was conducted from 2020 to 2023. We used data from three components of the evaluation: (1) initial evaluation data collected in 2020 and 2021; (2) program profiles developed in 2022; and (3) co-creation sessions conducted in 2023.</p><p><strong>Results: </strong>From startup until March 2023, the programs served a total of 2544 older adults. The community connectors identified factors at the individual, interpersonal, institutional, community and policy levels that contributed to the successful implementation and delivery of their programs (e.g. physician champions, communities of practice, strong pre-existing relationships with the health care system), as well as challenges (e.g. limited capacity of family physicians, lack of community resources). There was strong agreement among community connectors that successful social prescribing programs should include the following core elements: (1) making connections to needed community resources; (2) co-creation of a wellness plan with long-term clients or clients who require intensive supports; (3) ongoing follow-up and check-ins for clients with wellness plans; and (4) an assessment and triaging process for the prioritization of clients.</p><p><strong>Conclusion: </strong>To leverage the full potential of social prescribing interventions, it is essential that programs engage with a range of health and social care providers, that community connectors are skilled and well supported, and that adequate investments are made in the nonprofit and voluntary sector.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"376-384"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social prescribing needs and priorities of older adults in Canada: a qualitative analysis.","authors":"Cindy Yu, Simran Lail, Sandra Allison, Srija Biswas, Paul Hebert, Sonia Hsiung, Kate Mulligan, Michelle L Nelson, Marianne Saragosa, Vivian Welch, Kiffer G Card","doi":"10.24095/hpcdp.44.9.03","DOIUrl":"10.24095/hpcdp.44.9.03","url":null,"abstract":"<p><strong>Introduction: </strong>Social prescribing (SP) is a holistic and collaborative approach to help individuals access community-based supports and services for their nonmedical social needs. The aim of this study was to assess the needs and priorities of Canadian older adults (aged 55 years and older), with a focus on optimizing SP programs for those who are systemically disadvantaged and socially marginalized.</p><p><strong>Methods: </strong>Semistructured focus groups (N = 10 groups, 43 participants) were conducted online via Zoom with participants from across Canada. Data transcription and thematic analysis were completed in NVivo. Analyses were informed by self-determination theory.</p><p><strong>Results: </strong>Our results suggest that older adults desire SP programs that respect their ability to maintain their autonomy and independence, aid and facilitate the development of connectedness and belonging, are built on a foundation of trust and relationship-building in interactions with providers and link workers, and prioritize the person and thus personalize SP to the unique needs of each individual.</p><p><strong>Conclusion: </strong>SP programs should be informed by the values of older adults. As work is currently underway to formalize and scale SP in Canada, personalizing these programs to the unique circumstances, needs and priorities of participants should be a top priority.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 9","pages":"367-375"},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11507327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Housing status and accidental substance-related acute toxicity deaths in Canada, 2016-2017.","authors":"Amanda VanSteelandt, Brandi Abele, Raahyma Ahmad, Aganeta Enns, Beth Jackson, Tanya Kakkar, Fiona Kouyoumdjian","doi":"10.24095/hpcdp.44.7/8.03","DOIUrl":"10.24095/hpcdp.44.7/8.03","url":null,"abstract":"<p><strong>Introduction: </strong>There is a complex relationship between housing status and substance use, where substance use reduces housing opportunities and being unhoused increases reasons to use substances, and the associated risks and stigma.</p><p><strong>Methods: </strong>In this descriptive analysis of people without housing who died of accidental substance-related acute toxicity in Canada, we used death investigation data from a national chart review study of substance-related acute toxicity deaths in 2016 and 2017 to compare sociodemographic factors, health histories, circumstances of death and substances contributing to death of people who were unhoused and people not identified as unhoused, using Pearson chi-square test. The demographic distribution of people who died of acute toxicity was compared with the 2016 Nationally Coordinated Point-In-Time Count of Homelessness in Canadian Communities and the 2016 Census.</p><p><strong>Results: </strong>People without housing were substantially overrepresented among those who died of acute toxicity in 2016 and 2017 (8.9% versus <1% of the overall population). The acute toxicity event leading to death of people without housing occurred more often in an outdoor setting (24%); an opioid and/or stimulant was identified as contributing to their death more frequently (68%-82%; both contributed in 59% of their deaths); and they were more frequently discharged from an institution in the month before their death (7%).</p><p><strong>Conclusion: </strong>We identified several potential opportunities to reduce acute toxicity deaths among people who are unhoused, including during contacts with health care and other institutions, through harm reduction supports for opioid and stimulant use, and by creating safer environments for people without housing.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 7-8","pages":"319-330"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement of people with lived and living experience in the editorial process: reflections on the special series on the unregulated drug toxicity crisis in Canada.","authors":"Pam Young, Charlene Burmeister, Amanda Slaunwhite, Heather Palis","doi":"10.24095/hpcdp.44.7/8.01","DOIUrl":"10.24095/hpcdp.44.7/8.01","url":null,"abstract":"<p><strong>Introduction: </strong>Unregulated drug toxicity deaths (or \"overdoses\" or \"poisonings\") remain an ongoing national public health emergency in Canada.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 7-8","pages":"303-305"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Release notice - Perinatal Health Indicators (PHI) Data Tool.","authors":"Stephanie Metcalfe, Jennifer Lye, Hongbo Liang, Holly Arscott, Chantal Nelson, Wei Luo","doi":"10.24095/hpcdp.44.7/8.07","DOIUrl":"10.24095/hpcdp.44.7/8.07","url":null,"abstract":"<p><p>The Maternal and Infant Health Section of the Public Health Agency of Canada (PHAC) is pleased to announce an update to the Perinatal Health Indicators (PHI) Data Tool. The interactive Data Tool on the PHAC Infobase website presents statistics on maternal, fetal and infant health in Canada based on data from the Canadian Institute for Health Information's (CIHI) Discharge Abstract Database (DAD), the Canadian Community Health Survey (CCHS), and the Canadian Vital Statistics (birth, stillbirth and death databases). The data include 20 indicators grouped into four key health domains: health behaviours and practices, health services, maternal outcomes, and infant outcomes. For this update, five new indicators were added and three existing ones were modified. To access the latest Perinatal Health Indicators Data Tool, visit https://health-infobase.canada.ca/phi/.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 7-8","pages":"349"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic pain and accidental acute toxicity deaths in Canada, 2016-2017.","authors":"Jeyasakthi Venugopal, Amanda VanSteelandt, Lindsey Yessick, Keltie Hamilton, Jean-François Leroux","doi":"10.24095/hpcdp.44.7/8.02","DOIUrl":"10.24095/hpcdp.44.7/8.02","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple Canadian jurisdictions have reported a pattern of chronic pain among people who died from substance-related acute toxicity. This study examined the prevalence and characteristics of those with chronic pain using data from a national study of people who died of accidental acute toxicity.</p><p><strong>Methods: </strong>A cross-sectional analysis of accidental substance-related acute toxicity deaths that occurred in Canada between 1 January 2016 and 31 December 2017 was conducted. The prevalence of pain and pain-related conditions were summarized as counts and percentages of the overall sample. Subgroups of people with and without a documented history of chronic pain were compared across sociodemographic characteristics, health history, contextual factors and substances involved.</p><p><strong>Results: </strong>From the overall sample (n = 7902), 1056 (13%) people had a history of chronic pain while 6366 (81%) had no documented history. Those with chronic pain tended to be older (40 years and older), unemployed, retired and/or receiving disability supports around the time of death. History of mental health conditions, trauma and surgery or injury was significantly more prevalent among people with chronic pain. Of the substances that most frequently contributed to death, opioids typically prescribed for pain (hydromorphone and oxycodone) were detected in toxicology more often among those with chronic pain than those without.</p><p><strong>Conclusion: </strong>Findings underscore the cross-cutting role of multiple comorbidities and unmanaged pain, which could compound the risk of acute toxicity death. Continued prioritization of harm reduction and regular patient engagement to assess ongoing needs are among the various opportunities for intervention.</p>","PeriodicalId":51316,"journal":{"name":"Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice","volume":"44 7-8","pages":"306-318"},"PeriodicalIF":2.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11498322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}