T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

200 Queens Avenue, Suite 260 London, ON, N6A 1J3

T: (519) 673-3242F: (519) 673-1022| | www.adstv.on.ca

IT’S POSSIBLE

ADDICTION SERVICES OF THAMES VALLEY

THE POSSIBLE OUTCOMES

Mamta Chail-Teves mteves@adstv.on.caJoanne Humphrey

jhumphrey@adstv.on.ca

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

The Possible Outcomes: Re-defining success in community

treatment to include addressing the social

determinants of health•Defining success with our clients

•How we re-defined success

•History & Definition of SDOH

•How we address & measure the SDOH

•Benefits of SDOH

•Client’s success through the SDOH lens

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Addiction Services of Thames Valley (ADSTV)•Addiction Services of Thames Valley is a community based service.•Our agency operates in co-operation with local addiction and health care agencies, through the Southwest Local Health Integration Network.•There are ten programs that are operated by Addiction Services of Thames Valley (ADSTV).

1. Substance Abuse Program 6. Addiction Supportive Housing Program

2. Problem Gambling 7. London Drug Treatment Court3. Back on Track 8. Telewithdrawal & Crisis Support4. Heartspace Program 9. Community Opiate Addiction Program5. Fresh Start Program 10.London CAReS

www.adstv.on.ca

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Definition of Success

How do you define success?

“Accomplishment of an aim”-Oxford Dictionary

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Redefining Success

“How do you achieve success? Well, for one thing, you don't define it before you achieve it”. ~Robert Brault

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Our Story

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

T.F. Hodge

“To conquer frustration, one must remain intensely focused on the outcome, not the obstacles.”

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

HISTORY of SDOH

•The concept of Social Determinants of Health (SDOH) emerged in literature in the 1970’s but the evidence linking health status and health inequity to the SDOH has grown exponentially in recent years

•The social determinants of health, a term coined by the World Health Organization in the mid 1980’s

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Defining it.....•Social determinants of health are the economic and social conditions that influence the health of individuals, communities and countries.

•Social determinants of health refer to the quantity and quality of a variety of resources that a society makes available to its members.

Source: Raphael, D. (2004). Social Determinants of Health: Canadian Perspectives. Canadian Scholar’s Press Inc. Toronto.

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

•Evidence states quality of the social determinants of health Canadians experience explains the wide health inequalities that exist among Canadians.

Click icon to add chart

•The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system.

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Why are they important?SDOH can affect health in a number of ways:•Social determinants define the prerequisites for health, such as shelter, food, warmth, and the ability to participate in society;

•Social determinants can cause stress and anxiety which can damage people’s health;

•Social determinants limit peoples’ choices and decreases likelihood of desirable changes in behaviour.

•Source: Adapted from Benzeval, Judge, & Whitehead, 1995, p.xxi, Tackling Inequalities in Health: An Agenda for Action

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

•Health equity is when everyone has the opportunity to attain their full health potential

Click icon to add chart

•Addressing social determinants of health is a primary approach to achieving health equity.

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

The Possible Outcomes

= IMPROVED LIVING CONDITIONS

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Joe’s Story

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Addressing the SDOH at ADSTV:

• Heartspace• Freshstart• Specialized programs• SIS (supportive

information sessions)• OTN / Telewithdrawal• Wm’s only programs• Family Group• Yoga• NRT training• Harm Reduction

• Advocate• Collaborate• Many roads to recovery• Recognize our limits• Invite agencies in• Culturally informed• Value client experience• Research & Consult• Referrals & tracking

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Citizen involvement is a primary means of influencing the quality of the Social Determinants

of Health and affecting health and health care outcomes

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

RE-ADMINISTER:

ADAT – PSS, DTCQ Drugs / Alcohol, Basis 32

GAIN

Health Screens

Add info to Intake / termination forms (ER visits, status of housing, family doctor)

Surveys / Questionnaires

Perception of Care

Track Referrals

Measuring SDOH

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

CREATING MEANING:What to do with the info?

• Integrate information into Tx planning

• What are our service delivery gaps?

• What are the gaps in the community?

• What are we doing right? What can we do better?

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

How do your existing programs address:- Culture- Income & Social Status- Social Support Networks- Education- Employment & Working conditions- Physical Environments- Biology & Genetics- Personal Health Practices & Coping Skills- Healthy Child Development- Health Services & Social Services- Social Environments- Gender

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

The Benefits:

How will supporting clients through this lens benefit clients, counsellors, your

agency, the community and taxpayers?

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

See no change

Witness to their own changes

New perspective

Resources emotional

& practical

Increase supports

Collaborate

CLIENT

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

“I learned that addiction is strong.” “The other necessities in life like finding a doctor, getting ID,

getting a bank account, all the normal everyday things that people take for granted. It took a while, I had none of the above for about 10 years.”

“Now I don’t wake up sick”

“Now when something bothers me I tell you. Before I would just lie about my problems.”

“My relationship with my family is better. I don’t see my kids all the time but when I do it’s quality time, not like before.”

Anonymous ADSTV Clients

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

“I wouldn’t have known what to say about success before.”

“I quit doing needles”

“I saw a dentist”

“I’m taking care of my Hep C for the first time.”

“My relationship with my family is better. A family member told me he wants to see me now because I’m doing good. Last time it was upsetting for him because I was on pills”.

Anonymous ADSTV Clients

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Redefining failure

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

“I know that I wasn’t honest. I thought about everything when I was in jail and things started to

make sense. Now I know what you were trying to do and tell me.”

“I have learned to meditate”

“I’ve started to eat healthier and exercise a lot more”

“I went to treatment, I did programs and I did community service hours. I completed things I set out to do.”

“I talk to more people”

Anonymous ADSTV Clients

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

“I learned things that I never knew which was cool.”

“I felt good about myself and for the first time I learned what my problem was, acknowledged it and talked about it for the first time. (client disclosed traumatic incidents for the first time)”

“The most important thing is that I identified my real problem”

Anonymous ADSTV Clients

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Stage for Change 2012:

TABITHA’S STORY

http://www.youtube.com/watch?v=ei_RLtE58d0

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

COUNSELLOR

Foster collaboration

Know our role

Effective Contributions

Links become visible

Understanding of client & barriers

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

We can’t do it allWe can’t do it all

We can’t do it all We can’t do it all

We can’t do it all

We can’t do it all We can’t do it all

We can’t do it all We can’t do it all We can’t do it all

We can’t do it all

COUNSELLOR

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

COMMUNITY & TAXPAYERS Decrease stigma Resources used effectively Increase capacity for all Identify gaps in service Stats

Decrease costs – duplication, less strain, increase in client’s overall health and stability

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

COMMUNITY & TAXPAYERS“I never had an address for more than a few months before – I used to travel light”

“I have food in my fridge”

“I’m not shoplifting anymore”

“I’m not doing any crime and I’m not in jail”

“Doing volunteer work has become a bit part of my recovery plan and an anchor”.

“I’m trying to be a really good parent and taking parenting courses that I would never take when I was high”

“Now I have more money. My welfare check lasted me almost until the end of the month last month”

Anonymous ADSTV Clients

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Joe’s story

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

http://adstv.on.ca/its-possible/

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

Resources1. Social Determinants of Health /Canadian Best Practice Portal

http://cbpp-pcpe.phac-aspc.gc.ca/public-health-topics/social-determinants-of-health/

2. Social Determinants of Health –The Canadian Facts http://ywcacanada.ca/data/research_docs/00000131.pdf

3. Health Equity Assessment

http://www.health.gov.on.ca/en/pro/programs/heia/

4. World Health Organization Commission on Social Determinants of Health - final report

ww.who.int/social_determinants/thecommission/finalreport/en/index.html

T: (519) 673-3242F: (519) 673-1022

200 Queens Avenue, Suite 260, London, ON, N6A 1J3

www.adstv.on.ca___________________________________________

___

____

___

QUESTIONS?