THE ROLE OF FOOD AND NUTRITION IN MENTAL HEALTH:...

Spring 2019 Newsletter

THE NATIONAL ABORIGINAL DIABETES ASSOCIATION ENVISIONS DIABETES-FREE HEALTHY COMMUNITIES

THE ROLE OF FOOD ANDNUTRITION IN MENTAL

HEALTH: HOW A DIETITIAN CAN HELP

DIVERSITY AND INCLUSION STRATEGIES IN

DIETETICS ARE NEEDED

SOAR: PATHWAY TO WELLNESS PROGRAM

NEW INSIGHTS INTO THE ROLE OF GENES AND THE

ENVIRONMENT IN THE DEVELOPMENT OF TYPE

2 DIABETES AMONG ANISHININIIWUK

(OJI-CREE) YOUTH

2 • The National Aboriginal Diabetes Association Newsletter • www.nada.ca

FEATURES

04 Dietitian’s Feature: The Role of Food and Nutrition in Mental Health: How a Dietitian Can Help by Melissa Hardy

06 Diversity and Inclusion Strategies in Dietetics are Needed by Natalie Riediger PhD, Kayla Farquhar RD, and Kerry Spence MSc

08 SOAR: Pathway to Wellness Program by the Diabetes Alliance Team at Western University

10 New Insights Into the Role of Genes and the Environment in the Development of Type 2 Diabetes Among Anishininiiwuk (Oji-Cree) Youth Research Abstract by Taylor Morriseau

12 Lunchtime Learning Series: Community Engagement and Transformative Research About a Controversial Food Policy Natalie Riediger, PhD

13 SFBLF National Recognition Program In-School Support for Students with Diabetes Program


NADA newsletters are distributed on a bi-monthly basis. The next newsletter will be June 21, with submission deadline of June 14, 2019. We welcome submissions related to all things related to wellness of First Nations, Inuit and Métis Peoples.

Please send submissions to [email protected]

The National Aboriginal Diabetes Association Newsletter • www.nada.ca • 3

Caroline DaigneaultElder

Robert FentonElder

Roslynn BairdChair Person

Dr. Agnes CoutinhoPast Chairperson

Lyle DanielsBoard Director

David GillBoard Director

Wendy McNabBoard Director

Virgil E. NathanielSecretary

Melita PaulBoard Director

Troy PaulTreasurer

Catherine TurnerBoard Director STAFF:

Sylvia SentnerAdministrative Coordinator

Jeff LaPlanteExecutive Director

Message from the Executive Director

BOARD & STAFF

Happy Spring!

NADA is changing the theme, frequency and distribution of our newsletters to better reflect the change, activities and harvests of seasons.

We welcome submissions related to all things related to wellness of First Nations, Inuit and Métis Peoples... diabetes and healthy-living, Aboriginal Diabetes Initiative, seasonal recipes, seasonal physical activity, kids’ activities, eye care, physical activity, foot care, mental health, food sovereignty, food security, nutrition, research, community and personal success stories with diabetes management and prevention.

The first Friday in May is National Aboriginal Diabetes Awareness Day and this year it falls on Friday, May 3, 2019. NADA encourages communities to host healthy living events on this day to promote wellness and diabetes prevention. We will be teaming up with the diabetes team at Opaskwayak Cree Nation, Spirit Meter, and the Diabetes Integration Project to host a fun and informative event in OCN on May 3.

We would like to sincerely thank Melissa Hardy, Natalie Riediger, Kayla Farquhar, Kerry Spence, Taylor Morriseau, Patricia Roche, and the Sir Frederick Banting Legacy Foundation for sharing the included articles with our readers.

NADA members can expect a couple new resources early in 2019, as we are wrapping up work on them and preparing them for release.

All my relations,

Jeff LaPlanteExecutive Director


Have you ever discussed the role of food for mental health prevention and treatment with your dietitian? If not, the time is now for nutrition to be considered in every day discussions around treatment of mental health.

Just like the heart, stomach, and liver, the brain is an organ that is sensitive to the foods we consume on a regular basis. Diabetes Canada statistics report that people living with diabetes have higher rates of a wide range of psychiatric disorders when compared to people without diabetes. Approximately 30% of people living with diabetes have depressive symptoms and rates of mental illness increase with the number of years living with diabetes.

To optimize brain function we need to consume complex carbohydrates, essential fatty acids, amino acids, vitamins, minerals and water on a daily basis. We often hear about foods to avoid if you are experiencing mental illness, but for the purpose of this article I choose to focus on foods to include regularly in your diet.

The two most common deficiencies I see in practice are iron and omega 3 fatty acids, and they are perhaps the most important for optimal mental health - here’s why...

Iron deficiency is the most common nutrient deficiency in the world and some Indigenous

populations in Canada have rates of deficiency 8 times higher than non-Indigenous population. Iron plays a vital role in cognitive and behaviour function and research is showing higher rates of iron deficiency in children and adolescents with attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), perhaps suggesting that iron deficiency is playing a role in psychiatric disorders. The good news is, as Indigenous people we have the ability to prevent and treat iron deficiency through traditional diet. The best source of iron is organ meats, specifically liver. Other sources of meat, fish and poultry do not compare in nutrient status when alongside game organ meats.

For example, moose liver has 4 times as much iron as beef liver and seal liver has 8 times as much! One serving of moose liver has over the daily recommended amount of iron for children and adults of all ages, with the exception of pregnant women who require slightly more. Think you are meeting your iron requirements by eating meat 2 times per day? Think again! It’s time we re-think iron’s role in mental illness. Talk with a dietitian about safe intakes of organ meats.

The Role of Food and Nutrition in Mental Health:How a Dietitian Can Help

by Melissa Hardy

Melissa Hardy is Mi’kmaw from unceded territory of the Qalipu Mi’kmaq First Nation, a Registered Dietitian, Certified Diabetes Educator, and a Board Certified Sports Dietitian with a graduate Diploma in Sports Nutrition through the International Olympic Committee. She is a proud Newfoundlander who left home for Nova Scotia in 2010 to pursue a Bachelor of Science in Human Nutrition and an Integrated Dietetic Internship Diploma at St. Francis Xavier University (StFX). Melissa spent the first 4 years of her career working in diabetes education throughout fly-in Cree First Nations on the James and Hudson Bay coast in Northern Ontario. Melissa relocated to Southern Ontario in 2018 and now works full time at a community health centre servicing rural communities in Grey County. In her spare time, she enjoys recreational racing and outdoor activities such as hiking, sailing and building igloos!


The Role of Food and Nutrition in Mental Health:How a Dietitian Can Help

by Melissa Hardy

Fish and seafood are the best sources of omega 3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) and omega 3 fatty acids are the preferred fatty acids in the brain and nervous system. Fat is vital for proper brain functioning given that the brain is made up of approximately 60% fat (the fattest organ in your body), and the fatty acid composition in the brain is reflected on a person’s dietary food intake.

There is a correlation between low intakes of fish and seafood by a country and high levels of depression amongst the people who live there. In countries where there are higher intakes of fish and seafood, the research shows lower incidents for major depression, postpartum depression, seasonal affective disorder and bipolar affective disorder. Fish and seafood are the best sources of Omega 3 EPA and DHA.

If you must avoid fish and seafood there are plant sources of omega 3 called alpha-linolenic acid (ALA), but unfortunately even when adequate levels are consumed in diet the bioavailability in the body is extremely low. ALA is a precursor for EPA and DHA in the body, but sadly the conversion of ALA to EPA

is less than 10% and the conversion for ALA to DHA is less than 3%.

Therefore, consuming rich sources of EPA and DHA from salmon, sardines, trout, herring, mackerel, mussels, etc. is the best way to meet dietary intakes. If you cannot consume (or choose not to consume) fish and seafood talk with dietitian to optimize your omega 3 intake.

Not only does traditional food consumption have cultural, spiritual, and health benefits, there is plenty of research documenting an increase in nutrient composition with traditional food consumption in Indigenous children and adults in Canada. When it comes to dealing with mental health crisis with Indigenous peoples across Turtle Island, dietitians are an integral, yet under underutilized, part of the interdisciplinary healthcare team. Let’s change this together for better health outcomes in nations affected by the diabetes epidemic.

Melissa Hardy shows the journey of food from land to table - December 2018.


Diversity and Inclusion Strategies in Dietetics are Neededby Natalie Riediger PhD, Kayla Farquhar RD, and Kerry Spence MSc

When the three of us completed our undergraduate degrees in nutrition, we observed and experienced barriers to completing the degree and in pursuing a dietetic internship. Given the disproportionate burden of type 2 diabetes among Indigenous populations and the importance of nutrition in managing the disease, it is naturally important to have a sufficient number of Indigenous Registered Dietitians (RD) to best serve the Indigenous population. As First Nations RDs (Kayla Farquhar and Kerry Spence), we knew this issue needed to be explored. In discussing our experiences with Dr. Natalie Riediger at the University of Manitoba, we decided to conduct a study to:

• explore potential barriers to becoming a Registered Dietitians (RD) in Manitoba;

• examine employment outcomes for University of Manitoba RDs; and

• compare the preferred area of practice and geography before hire to past and current employment.

We created an online questionnaire and sent it to all of the University of Manitoba’s Human Nutritional Sciences alumni who graduated between 2006-2015. In total, there were 195 participants, including 68% who were an RD and 31% who did not.

Despite more than two-thirds of non-RDs

originally wanting to become an RD, they did not. Amongst those with intentions to pursue an internship, 32% applied but were not accepted to the internship program, 27% did not apply due to the stress associated with the application process, and 20% said they did not apply due to financial issues.

Dr. Natalie Riediger is a settler ally and Assistant Professor in the Department of Food and Human Nutritional Sciences at the University of Manitoba. She is also a wife and mother to two busy boys.

Kayla Farquhar is a member of Rolling River First Nation and a Registered Dietitian working with the Diabetes Integration Project at First Nations Health and Social Secretariat of Manitoba. She is also a wife and step-mother of two growing tweens.


Diversity and Inclusion Strategies in Dietetics are Neededby Natalie Riediger PhD, Kayla Farquhar RD, and Kerry Spence MSc

The results also indicated that white students had 3.8 times higher odds of being an RD than students of other ethnic backgrounds. In addition, those who received student loans for tuition funding had 58% lower odds of becoming an RD.

The majority of participants (61.2 %) were employed in an urban center within Manitoba and of those participants, 92.5% were working in their preferred location. On the other hand, 19.8% were currently working in a rural or remote area and 37.3% reported having worked in a rural area during their career. Of the RDs who have or were working in rural or remote locations, only 56.0% selected that it was their preferred location. This indicates that a substantial number of RDs are likely working in rural/remote settings despite not wanting to and this is likely contributing to high turnover of RDs in rural/remote areas; areas that likely also serve a disproportionate number of Indigenous clients.

The findings of this study suggest that significant barriers to dietetics training exist that are impacting diversity in the field. The effects of this are likely far-reaching, as RDs contribute significantly to food policy development in Canada. Additionally, the study showed the inconsistencies between preferred working location with past and present employment. Consequently, rural locations may have high turnover rates for RDs, which

may result in negative effects on continuity of dietetic care, particularly among Indigenous patients. Further research is needed to identify and rectify systemic barriers in dietetic training for under-represented groups, including Indigenous RDs.

References

Riediger ND, Kingson O, Mudryj A, Farquhar KL, Spence KA, Vagianos K, Suh M. Equity and diversity in dietetics and undergraduate nutrition education in Manitoba. Canadian Journal of Dietetic Research and Practice 2018; Nov 15:1-3. doi: 10.3148/cjdpr-2018-034.

Mudryj A, Farquhar KL, Spence KA, Vagianos K, Suh M, Riediger ND. Employment outcomes among Registered Dietitians following graduation in Manitoba. Canadian Journal of Dietetic Research and Practice 2018; Nov 15:1-4. doi: 10.3148/cjdpr-2018-035.

Kerry Spence is a member of Lake Manitoba First Nation and is currently enrolled in the Human Nutritional Sciences PhD program at the University of Manitoba. She completed the dietetic internship program in Manitoba in 2016. She is also busy raising two beautiful children.


Some folks make resolutions in January, often with the idea to take steps towards a healthier lifestyle. I’d like to suggest that March is the perfect time to assess your own habits and how they contribute to your overall health and well-being.

March 20 is the first day of Spring, sometimes also known as the Spring equinox. Traditionally, this is a special time of year. Many First Nations will be celebrating with ceremonies and feasts to mark this change in season.

I live in Winnipeg, Manitoba, where Spring marks an end to many months of snow and ice, and the habit of putting extra layers of clothing on before leaving the house.

Some of us also put on extra weight over the winter. Like bears, we may have been in a type of hibernation, staying inside to avoid discomfort

and perhaps eating comfort food throughout the cold months.

I try to stay active over the winter, with my favourite activity being hot yoga. It’s 40 Celsius in the yoga room. When I’m in there it feels like I’m visiting a tropical island for a

brief respite from the cold. It’s only a one-hour class but this activity also helps my mental and spiritual health. That’s one of the benefits we all need to remember when thinking about physical activity—it helps our minds and spirits stay healthy in addition to the benefits it has on our bodies.

Despite my yoga practice, my pants are feeling too tight at the moment. This new season is a great opportunity to take a look at what I’m eating along with assessing my daily activity levels.

I’m a writer. My sedentary occupation means I’m often sitting for 35-40 hours a week. This Spring I will revisit my commitment to get at least one hour of moderate physical activity every day to combat all of the sitting that I do.

If you also have a job where you sit (or perhaps are a student who needs to study at a desk for many hours), I’d like to encourage you to consider incorporating physical activity into your daily life this Spring.

Some ideas for living a more active lifestyle:

• Think about planting seeds to grow a garden—if you don’t have any land, think about container gardening, community gardening, or windowsill gardening—

Getting active: Spring is a Great Time to Set Physical Activity Goals

by Melanie Ferris

Melanie Ferris is a writer based in Winnipeg, Manitoba. She is a Band member of the Long Plain First Nation and is a proud mom to a 13-year-old who loves cycling and playing basketball and football. Melanie has written numerous books, including Let’s Be Healthy Together: Getting Active. This book has tips on getting active with your children. You can find a free copy of this resource here: https://www.beststart.org/resources/hlthy_chld_dev/pdf/Book_Getting%20Active.pdf


Getting active: Spring is a Great Time to Set Physical Activity Goals

by Melanie Ferris

once your seedlings grow, you can plant them and create a garden, which might encourage you to get outside and move almost every day in the summer and even into the Fall months depending on what plants you grow

• Grab a garbage bag and go out and clean up some of the garbage that was hidden by the snow—do you part to care for Mother Earth. This is also a great role modelling activity you can do with children of all ages

• Go for a walk—if you must, pick a destination or add some music to keep it interesting. I’ve also heard of some offices that incorporate “walking meetings” to catch up with colleagues while being active together

• Think about some seasonal activities—what traditional activities did your ancestors do that helped them stay active?

• Consider getting yourself a bike—keep your eye open for sales, join a bike-building club if there is one in your community, or look at online community sale websites

• My last suggestion is to think about your childhood—what type of activity made you smile and laugh? Try to identify something that appeals to your inner child to help you feel excited about being active on a regular basis

The last idea I want to share is to explore how you will keep yourself motivated. Think about some goals that will keep you going. Start small so you don’t discourage yourself. Some examples might be to get physically active every day for 30 minutes to start, or perhaps even 30 minutes 5 days per week. You might

have a goal of making sure your wardrobe fits properly so you don’t need to buy bigger clothes. You might even have a goal of being able to ride your bike comfortably or throw a ball for long enough to play catch with your child or grandchild for 30 minutes to 1 hour without stopping.

One way I’m keeping myself motivated is to write my activity on my wall calendar every day once I have completed it. This gives me a visual that motivates me to be active again the next day.

Growing up, I received inconsistent messaging about physical activity and how important it is to our daily lives. I learned in my adult years that we absolutely need to be active to be healthy (mind, body, spirit, and emotions) and we should be role modelling healthy habits for our children every day. For Spring 2019, I’d like to remind you that being active every day is traditional and it can be fun and enjoyable. I wish you the best in finding a fun activity to practice or learn this year.


In May 2018, healthcare and community leaders from four First Nations communities and healthcare institutions gathered in London, Ontario to embark on an 18-month journey to improve diabetes prevention and clinical care in their communities through the SOAR: Pathway to Wellness program.

SOAR is built on an approach known as quality improvement (QI), which is guided by the belief that change is needed to improve current standards of care and requires the combined efforts of everyone – including health professionals, patients, families, researchers, planners, and educators.

Communities and institutions partnered in SOAR work alongside the Diabetes Alliance – a dedicated staff of researchers, students, healthcare professionals and volunteers at Western University. As architects and leaders of the program, each SOAR program partner determines their own dedicated QI Team, QI Facilitator, and a Data-Keeper to engage in community-driven initiatives and clinical data collection.

The SOAR program provides a creative space that encourages QI Teams to identify healthcare priorities, set specific goals, develop ideas for changes that can lead to improvement, and then test these ideas in their community. This approach provides a unique opportunity to

learn by studying what works and what doesn’t work on a quick and small scale. QI Teams build on their efforts and act on what they learn so that changes can be rolled out in their community or healthcare organization, and spread to other programs and institutions.“We are working with communities, within the resources that they already have, and redesigning care to work for each individual circumstance” – Mariam Hayward, Research & Knowledge Translation Manager, Diabetes Alliance.

Throughout this journey, the Diabetes Alliance provides on-going coaching, support and training to assist QI Teams. Three

SOAR: Pathway to Wellness programby the Diabetes Alliance Team at Western University

The Diabetes Alliance is a bedrock for healthcare innovations and research in Canada. Located at the Centre for Studies in Family Medicine at Western University, the Diabetes Alliance pursues a diverse research portfolio to close the gap in chronic disease care and enhance its understanding and clinical management. Under the leadership of Dr. Stewart Harris, the Alliance has completed over 40 projects, partnered with more than 30 Indigenous communities & healthcare partners and brought-in over $25M in research funding.


SOAR: Pathway to Wellness programby the Diabetes Alliance Team at Western University

interactive QI Workshops are held to provide opportunities for QI Teams to learn and share their experiences in the program, collaborate as a group, and develop creative solutions to pressing challenges.

The time spent between workshops – known as Action Periods – create opportunities for QI Teams to put their new ideas into practice and test whether these changes lead to meaningful improvements. The Diabetes Alliance offers support during this time through telephone and email communications, as well as virtual platforms such as webinars and online training tools. Access, training and coaching are also provided for a Diabetes Registry & Surveillance

System that QI Teams can use to identify and evaluate their innovations and enhance patient clinical interactions.

Together, the Diabetes Alliance and SOAR program partners share the vision of building a nation-wide strategy to improve the status of diabetes among Indigenous peoples. By drawing on local knowledge and existing resources, SOAR aims to scale-up this community-driven strategy that can adapt to every Indigenous community across Canada. The healthcare and community leaders partnered in SOAR are:

• Sheshatshiu Innu First Nation • Oneida Nation of the Thames working with

the Southwest Ontario Aboriginal Health Access Centre (SOAHAC)

• Serpent River First Nation working with the N’minoeyaa Aboriginal Health Access Centre (NAHAC)

• Abegweit First Nation working with the First Nation & Inuit Health Branch - Atlantic Region

The Diabetes Alliance is preparing to launch a new national program in 2019 that will be available to all First Nations communities across Canada. For more information about SOAR or the Diabetes Alliance, please visit www.uwo.ca/diabetesalliance or contact Harsh Zaran.


New Insights Into the Role of Genes and the Environment in the Development of Type 2 Diabetes Among

Anishininiiwuk (Oji-Cree) YouthResearch Abstract by Taylor Morriseau

In the 1980s, Drs. Dean, Mundy, and Moffatt shifted the medical landscape with twenty highly-contested cases of type 2 diabetes (T2D) in school-age children. Surprisingly, these young Anishininiiwuk patients were united by their heritage to four First Nations communities in northeastern Manitoba. Given the localization and pervasiveness of this disease, a unique genetic variant within the hepatocyte nuclear factor-1α gene (known as HNF-1αG319S) was soon identified.

Hailed as the strongest genetic predictor of T2D currently known, approximately 40% of Manitoban Indigenous youth with T2D today carry at least one copy of this G319S variant.

Interestingly, carriers of the G319S variant with T2D were found to be less overweight, had lower insulin levels in their blood, and showed fewer signs of insulin resistance compared to diabetic children without this genetic variant. This suggested to the doctors and scientists that obesity (the most common risk factor for T2D) was not the main driver in disease progression, but rather pointed to an apparent problem within the insulin-secreting pancreatic β-cells (i.e. not enough insulin was being made by the pancreas of people carrying the G319S variant). To determine if this is the case, the laboratory of Dr. Christine Doucette

has used the latest gene editing technology (CRISPR/Cas9) to make a mouse model that carries the G319S variant.

Using this model, we can examine markers of metabolic health and diabetes development from birth to old age, including assessments of insulin secretion capacity, blood sugar levels and changes in gene expression that occur in the pancreas. Using this model, we have compelling evidence that suggests the G319S variant more strongly affects female mice who become modestly glucose intolerant (i.e. blood sugar levels go higher after a meal) at an early age and is sustained over time. Given the predominance of T2D among adolescent girls, we are interested in understanding these sex-dependent differences in future studies.

Despite the apparent association of the G319S variant with T2D in Anishininiiwuk youth, we recognize that the diabetes epidemic coincided with a profound shift away from land-based food strategies; a consequence of colonization that cannot be accounted for solely by one’s genetic status. Given that T2D among Indigenous communities were incredibly low just two generations ago, the recent dietary transition caused by colonization may be largely responsible for the rise in T2D. Moreover, the G319S variant may accelerate pancreas

Taylor Morriseau is a member of the Peguis First Nation with mixed British and Cree ancestry. A recent graduate of a Science (Double Honours) degree, she is now pursuing a PhD in Pharmacology to study the genetic and environmental mechanisms contributing to early-onset Type 2 Diabetes among Oji-Cree youth. Taylor’s personal and academic ambitions act in synergy, fueled by a desire to redress health inequities and uplift the next generation of Indigenous youth. In 2018, Taylor was awarded a prestigious CIHR Vanier Scholarship valued at $150,000 to pursue her doctoral studies. One of her research aims will explore how a traditional Oji-Cree diet may attenuate diabetes development. As a third-year graduate of the Indigenous Circle of Empowerment (I.C.E.), she co-founded the Bannock and Backpacks initiative where each year, over 100 backpacks are filled with essential supplies and distributed in collaboration with “Got Bannock?”. Taylor has also dedicated over three years striving for culturally-appropriate research initiatives and advocacy for water security in First Nations communities with the NSERC Create H2O program.


New Insights Into the Role of Genes and the Environment in the Development of Type 2 Diabetes Among

Anishininiiwuk (Oji-Cree) YouthResearch Abstract by Taylor Morriseau

failure under these adverse environmental conditions. Within our experimental model, we are beginning to unravel how different nutrient sources (glucose/fats/proteins) influence insulin secretion in G319S-expressing β-cells. Interestingly, both fats and amino acids abundant within traditional food sources elevated insulin secretion, and G319S-expressing β-cells were protected from fat-induced stress.

To study the contribution of diet further, we will modify the diets consumed by our mice to reflect modern (high glucose/high fat) vs. historical Anishininiiwuk (low glucose/high fat) diets and then assess markers of metabolic health. Based on our current evidence, we suspect that a diet rich in animal fats/proteins (and low in carbohydrates) consistent with traditional food sources may prevent or delay T2D in G319S-expressing mice.

Overall, we hope that this study will further our understanding on the role of the HNF-1αG319S variant in a model system inclusive of Anishininiiwuk history. By situating our science within the legacy of colonization and present-day food insecurity, we hope to inform nutritional interventions and support community-led efforts to access traditional, culturally-safe foods. Importantly, this project delves into the complex relationship between genetics, diet, and diabetes, which requires continual methodology refinement through consultation with an established Indigenous stakeholder committee. Together, we are bound by the hope that these youth with leave their own legacies unburdened by disease.



P.O. Box 137, Alliston, ON, Canada, L9R 1T9 www.bantinglegacy.ca Charitable Registration No. 80740 6145 RR0001

Program Objectives a. Recognize and reward schools that undertake sustained implementation of an In-School Support

program for students living with diabetes (Type 1 and Type 2). b. Encourage proactive initiatives to raise general awareness and support prevention of youth-onset

Type 2 diabetes and complications in Type 1 and Type 2. c. Enlist the help of schools to improve insights regarding the prevalence of youth-onset diabetes

across Canada.

Eligibility * All elementary and secondary schools across Canada, irrespective of governing authority. * Any school for which a Nomination Form has been received from a parent, student, healthcare

professional, member of the public or as a ‘self-nomination’ directly from a school. * All nominated schools that complete the required Application Form following a nomination.

How the Program works * A Nomination Form can be submitted at any time. [bantinglegacy.ca/nominate-a-school] * A nominated school will be asked to complete an Award Application Form. * The SFBLF Assessment Committee will determine Award Winners based on the content

of the Application and answers to clarifying questions where necessary. * Winners will be advised within 6 weeks of receipt of an Application.

What the school receives *. All winning schools will receive * an Award Certificate for display in the school * use of the Award logo on relevant school collateral material * inclusion on the SFBLF Wall of Champions web page. *. Schools that excel will also receive a trophy.

Award Criteria – Summary * Progress in meeting support expectations of the Canadian Paediatric Society * Inclusiveness for all students living with either type of diabetes * Training program – general and for designated support staff and teachers * Requirement for, and effective use of, Individual Care Plans * Collaboration and communication with parents and local healthcare providers * School-wide, youth-onset diabetes awareness and prevention initiatives * Processes for continuity of care and transition support * Effective recordkeeping, tracking and reporting

Note: Implementation of in-school support programs is uneven across Canada. The Award Program includes opportunity for further recognition of subsequent progress. For more information, contact: [email protected]

SFBLF – National Recognition Program

In-School Support for Students with Diabetes Program Release – February 2019



MOBILE FRIENDLY

NADA.CAG A I N I N F O R M A T I O N O N T H E G O

Date post:	27-May-2020
Category:	Documents
Upload:	others
View:	5 times
Download:	0 times

THE ROLE OF FOOD AND NUTRITION IN MENTAL HEALTH:...

Documents