Heidi Schaeffer

Knowledge Management and Learning

AOHC

Canadian Index of Wellbeing Applications for Community Health

Anna Piszczkiewicz

Knowledge Transfer and Communications

AOHC

Gary Machan

Canadian Research Advisory Group

Canadian Index of Wellbeing

communityhealthandwellbeing.org #ACAC2015

Objectives

1 The journey we are on - the Model of Health and Wellbeing and the best possible health and wellbeing for everyone.

2 Understand the Canadian Index of Wellbeing framework in measuring what matters to Canadians.

3 Get Inspired by how community-governed primary health centres are adapting and adopting the CIW for evidence, engagement, partnership, advocacy and policy change.

To achieve the best possible health and wellbeing for everyone things need to shift: • From a fragmented non-system focused on sickness to an

integrating health and wellbeing system • From downstream focus to upstream focus on a complete sense

of health and wellbeing • From health disparities to health equity

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Using the CIW to measure what matters

Living Standards

Canadian Index of

Wellbeing

Time Use

Community Vitality

Democratic Engagement

Education

Leisure and Culture

Environment

Healthy Populations

Gary Machan Canadian Research Advisory Group

Canadian Index of Wellbeing and

Bryan Smale, Ph.D. Director, Canadian Index of Wellbeing

University of Waterloo

The Canadian Index of Wellbeing: Applications for Community Health

Canadian Association of Community Health Centres, 2015 National Conference “Community Health Centres: Agents of Care, Agents of Change”

Ottawa, Ontario – September 16-18, 2015

Wellbeing as a basic human right

“People are much more than the goods and services they produce! Their health and quality of life come from the conditions of their daily living – the circumstances in which they are born, grow, live, work, and age.”

The Honourable Monique Bégin Former CIW Advisory Board Co-Chair

Former Canadian Commissioner WHO Commission on Social Determinants of Health

CIW Mission

The CIW's mission is to: Conduct rigorous research related to, and regularly and publicly report on, the quality of life of Canadians;

Encourage policy shapers and government leaders to make decisions based on solid evidence; and

Empower Canadians to advocate for change that responds to their needs and values.

Rooted in Canadian Values

The presence of the highest possible quality of life in its full breadth of expression, focused on but not necessarily exclusive to:

high levels of democratic participation

access to and participation in leisure and culture

good living standards

robust health

a sustainable environment

vital communities

an educated populace

balanced time use

Collaborative development Public Consultations

Research Teams

Sharing Results

Domains and indicators

selected, reports released

1st composite index released,

permanent home at University of

Waterloo

Community organisations,

special interest groups, general

public

Policy makers, government agencies

Consultants, academics,

researchers

2002 2010 2015 2000 2005 to 2009

How are Canadians really doing?

Trends in domains of wellbeing…

A Global Movement Realized Locally

CIW Community Wellbeing Survey

CIW Community Wellbeing Survey The survey asks residents of a community to indicate how they are really doing with respect to a variety of aspects linked directly to each of the domains of the CIW, as well as to indicate their wellbeing overall. The data collected reflect the complex interplay among domains and provide the opportunity to track trends and to make comparisons among communities using a common set of measures. Additional questions customised to address community-based issues provide the opportunity to understand local needs and create targeted, effective solutions.

Leading to Action and Impact

Leaders working with the CIW to make evidence-based decisions: City of Guelph mobilized the community to use the CIW, determining priority areas for action Kingston and Area Community Foundation focused efforts on improving civic engagement and community vitality Fort McMurray/Wood Buffalo convened community partners around priority issues Association of Ontario Health Centres is fundamentally shifting the conversation from an illness system to a health and wellbeing system Ontario Trillium Foundation is transforming the way its grantmaking happens and is measured

Community-level survey reports focused on the wellbeing of residents and based on the CIW conceptual framework. Impact: Leads to civic engagement and improved services and policies.

The CIW national report adapted to the provincial level. Impact: Informs progressive and relevant policy development on wellbeing in our distinct constituencies.

National

Community

Provincial

CIW Data Repository

Archive of CIW data. Impact: Enables ongoing monitoring of trends, research, and sharing of best practices.

Rigorous and academically grounded national report. Impact: Companion to national discourse on GDP. Educates and empowers Canadians to advocate for change.

Building knowledge and understanding of

Wellbeing from National to the Community

@ciwnetwork #wellbeing www.ciw.ca

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Ontario Trillium Foundation has funded AOHC to explore:

Using the CIW as a vehicle • to guide development, delivery and improvement of health promotion and community development initiatives, • for public communications and local partnership development; • and to promote province-wide dialogue about how the CIW can kick start a shift to upstream interventions in communities

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In order to evaluate the impact of our investments, OTF will use the CIW as both a measurement framework and a baseline.

—Andrea Cohen Barrack CEO, Ontario Trillium Foundation

Ontario Trillium Foundation redesigns investment strategy

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Advancing the CIW as a tool with health authorities

Within the next 3 years, 2 of 5 LHIN sub-geographic areas will adapt the CIW as a tool to reframe thinking about health and wellbeing and engaging the community. North Simcoe Muskoka LHIN is taking a focus on the belonging indicator of the CIW.

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Ottawa Wellbeing Report

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Bridging the Gap: Our Format

1 Educate people about the CIW

2 Provide statistics for each domain coupled with live interviews

3 Showcase the good work that is happening

4 Conclude with key policy asks

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Call to action for municipal leaders

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Civic Engagement for Policy Change

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We will fail or flourish according to the extent to which

we hold true to our commitment to civic engagement.

- Jack McCarthy, Executive Director, Somerset West CHC

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In Vaughan: Using the CIW as a civic engagement tool

Using the Ottawa report “Bridging the Gap” as a template, Vaughan CHC is producing its own Vaughan Community Wellbeing Report, based on CIW indicators, scheduled for release in fall 2015.

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Building effective community collaboratives

The Woodstock CHC has applied the CIW to initiate a multi-partner community wide process that is addressing how to improve community vitality and people’s “sense of belonging”

Public Health is a key partner

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Community Vitality and Belonging Resource Guide

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In Woolwich: Planning around people, not providers

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South Riverdale: Evaluating health promotion and community development initiatives

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We had this window of opportunity to do more intake, take more clients into the centre. And I think [the Be Well survey] offers a good way to see the needs of our residents from a community perspective

and not just from a physical perspective.”

- Yves Barbeau, Executive Director of Kapuskasing CHC

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“Be Well” Survey Purposes

1. Understand and start to collect data on the wellbeing needs of our clients and communities

2 Develop standardized core questions for wellbeing data comparability over time across member centres & where possible with CIW’s provincial data sources.

3 Maintain comparability, validity, and reliability of the core and extended wellbeing questions.

4 Inform decisions around local, regional and provincial healthy public policy and advocacy work.

“Be Well” Survey Questions

Core survey = 16 wellbeing questions. All CIW domains with focus on Community Vitality plus socio-demographic questions. Extended survey = 27 wellbeing questions with more from CIW framework & food security. Paper surveys available in English; French; Spanish; Chinese (Simplified); Urdu; Ojibway and Arabic.

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Use of Wellbeing Measures

Identify areas or domains where wellbeing is lower, so that health organizations can change or adapt services offered to better meet client/community needs.

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Assist in measuring improvements in health and wellbeing outcomes attributed to programs and initiatives.

Use of Wellbeing Measures

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Enhance the ability of health organizations to engage clients in a discussion about their personal health and wellbeing needs. Provide input into strategic planning and inform the development of collective impact initiatives and partnerships which aim to address gaps and the broader health and wellbeing goals of the community.

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Comparing Indicators

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According to the Public Health Agency of Canada (2015) in “What makes Canadians healthy or unhealthy?”, the people with adequate social relationships are at a 50% lower risk of

death than those with poor or insufficient relationships.

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“Be Well” Survey: Provincial Report

• A provincial baseline report will be produced by this November with surveys collected April-July, 2015.

• A second report will be produced in March 2017 with surveys collected September – December 2016.

• Centre support available with planning for use, sampling design, interpretation and decision support.

• Centre support available to address gaps in results and support with planning and evaluation.

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Building a network of CIW adopters

• AOHC is supporting the work of a growing CIW Adopters Network

• Approximately 30 Community Health Centres are now working with the CIW framework in different ways

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THE CONVERSATION CONTINUES AT www.communityhealthandwellbeing.org