A Healthy Sarnia-Lambton - Lambton Public...
Transcript of A Healthy Sarnia-Lambton - Lambton Public...
C O M M U N I T Y P I C T U R ER E P O R T
Ma r c h 2 0 1 1
A Healthy Sarnia-Lambton
P R E PA R E D FO R :The Ministry of Health Promotion and Sport Healthy Communities Fund – Partnership Stream
S U B M I T T E D BY :County of Lambton Community Health Services DepartmentHealthy Living Lambton - Healthy Communities Partnership
A H E A L T H YS A R N I A - L A M B T O N
C O M M U N I T YP I C T U R E
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E X EC U T I V E S U M M A RY • LambtonCountyishometoapproximately128,000residents. • Lambtonhasagreaterpercentageofadultsaged50yearsandolderthandoestherestofOntario. • Overthelastthreecensusperiods,therehasbeenaconsistentlossofyoungadultsaged20-29inallmunicipalities. • Lambtonhasalowproportionofrecentimmigrantscomparedtotheprovinceandvisibleminoritiesrepresentonly 2.7%ofthepopulation. • LambtonCounty’sAboriginalpopulationaccountedfor4.6%ofthetotalpopulation,comparedtoaprovincial averageof2.0%. • 2.4%ofthepopulationreportsthattheirmothertongueisFrenchorFrenchandEnglish. • WhileLambtonhasalowerproportionofuniversitygraduatescomparedtoOntario,ithasahigherproportionwith collegeorapprenticeshipcredentials. • 6.5%ofindividualsinLambtonCountywereclassifiedashavinglow-incomestatusin2005,including7.8%of childrenandyouthaged0-17years.
TheCountyofLambtonCommunityHealthServicesDepartmenthasprovidedcoordinationandsupportinbringingcommu-nitypartnerstogethertocreatetheHealthyLivingLambtonHealthyCommunitiesPartnership-workingtogethertomakeourcommunityahealthierplace,toliveworkandplay.
ThisCommunityPicturesummarizesinformationfromHealthyLivingLambton’scommunityplanningandassessmentactivi-tiesundertakenwithinthescopeandframeworkoftheMinistryofHealthPromotionandSport(MHPS)HealthyCommunitiesFund–PartnershipStream.TheHealthyCommunitiesFundfocusesonsixpriorityareas:(1)physicalactivity,sportandrecre-ation;(2)healthyeating;(3)tobaccouse/exposure;(4)injuryprevention;(5)substanceandalcoholmisuse;and(6)mentalhealthpromotion.
Communityconsultationwasconductedtoinformtherecommendedactionsineachofthesixpriorityareas.Methodsincluded: • keyinformantinterviewswithprioritypopulations:francophone,lowincome,youth,andolderadults • keyinformantinterviewswithcommunityleadersineachpriorityarea • networkmappingwithlocalorganizationsandnetworks • acommunitysurvey • areviewofexistingcommunityreports • ascanoflocalpoliciesthatsupporthealthinmunicipalities • areviewofstatisticsfeaturingsocio-demographicandhealthbehaviourdata • twocommunityprioritysettingexercises
ItishopedthattheRecommendedActionsservetofocustheeffortsofcommunityorganizationsworkingintheseareas,buildnewandstrongerpartnerships,andseektoaddresskeyissuesininnovative,effectiveways.
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L A M b To n Co U n T Y R ECo M M E n d E d AC T I o n S A n d Po L I CY d I R EC T I o n S
Physical Activity, Sport and Recreation Recommended Actions 1. Increasestudents’opportunitiestobeactiveintheschoolsetting,throughnon-competitiverecreationprogramming, supportstoeducators,andactivetransportationopportunitiesforstudents. 2. Increaseaccesstolowcost/nocostsportandrecreationalactivitieswithinthecommunityforallages.
Policy Directions • WorkwithParentCouncilsintheschoolsettingtoestablishanactivetravelpolicythatpromotessafe,activetravel toandfromschool. • Establishlocalpoliciesthatreducebarrierstoparticipationinsportandrecreationprograms,suchasprogramfees, equipmentcosts,transportation,etc.
Healthy EatingRecommended Actions 1. Increaseaccesstoaffordable,healthyfoodforallresidents. 2. Increasefoodskillsamongcommunitymembers,particularlyamongyouthandyoungadults.
Policy Direction • Establishmunicipalplanningandtransportationpoliciesthatincreaseaccesstohealthyfood.
Tobacco Use/ExposureRecommended Actions 1. Addresshighyouthsmokingratesthrougheducationaswellastheprovisionofsmokingcessationprograms. 2. Createsmoke-freepublicplacesandoutdoorareasincludingparks,sportsfieldsandbeaches,inadditiontoexpanding smoke-freeareasaroundentranceways.
Policy Direction • AmendtheLambtonCountytobaccobylawtoincludeoutdoorareas.
Alcohol and Substance MisuseRecommended Actions 1. Providepositiveoptionsandactivitiesforteensthatareincompatiblewithalcoholandsubstancemisuse. 2. Provideschool-based,preventionfocused,integratedstrategiesforchildrenandyouthandtheirfamilieswhichwill discouragealcoholandsubstancemisuse.
Policy Directions • Developpoliciestodesignateyouth-friendlyeventsasalcoholfree. • Developcomprehensiveschooldrugandalcoholpolicies.
Mental Health PromotionRecommended Actions 1. Providepositivementalhealthinitiativesforyouthwhichstrengthenself-esteem,provideskillsrelatedtohealthy relationshipsandangermanagement,andreducephysicalandpsychologicalisolation. 2. Increasethecoordinationofmentalhealthservices.
Injury PreventionRecommended Actions 1. Developlocalpolicytoaddressmodifiable“builtenvironment”factorswhichcontributetofallsandrelatedinjuries. Factorstobeaddressedincludesnowremovalonsidewalks,lightingandothersafetyfeaturesinpublicareas. 2. Developsafetyinitiativeswithafocusonincreasinghelmetusageforallsportandrecreationalactivities.
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TA b L E o f Co n T E n T S
Purpose of the Report....................................................................................................... 2
Overview of the Healthy Communities Fund.................................................... 4
MethodologyDocumentReview.................................................................................................................. 6StakeholderConsultation....................................................................................................... 6PriorityPopulations................................................................................................................ 6PolicyScanUpdate................................................................................................................. 7CommunitySurvey................................................................................................................ 7CommunityPlanningandPrioritySettingMeetings.............................................................. 7
Demographic ProfileLocal Government ........................................................................................................................ 9
Population Characteristics............................................................................................................. 9
Socio-economic Characteristics FamilyComposition....................................................................................................... 11 Income........................................................................................................................... 12 Employment&Workforce............................................................................................. 12 Education....................................................................................................................... 12 Housing......................................................................................................................... 12
Priority Populations FrancophoneResidents................................................................................................... 13 VisibleMinorities&EthnicPopulations........................................................................ 13 AboriginalResidents....................................................................................................... 14 OlderAdults................................................................................................................... 14 Youth.............................................................................................................................. 14
Health Status IndicatorsOverallHealthandWell-being............................................................................................. 16HealthBehaviourandRiskFactors....................................................................................... 16ChronicDiseases................................................................................................................. 17
Healthy Communities Fund Priority AreasTobacco Use/Exposure
• StatisticsandTrends....................................................................................................... 21• EmergingIssues.............................................................................................................. 23• SuggestedActions........................................................................................................... 24• ProgramsandServices.................................................................................................... 25• PolicyUpdate................................................................................................................. 27
Physical Activity, Sport and Recreation• StatisticsandTrends....................................................................................................... 27• EmergingIssues.............................................................................................................. 28• SuggestedActions........................................................................................................... 29• ProgramsandServices.................................................................................................... 31• PolicyUpdate................................................................................................................. 31
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Healthy Eating• StatisticsandTrends....................................................................................................... 31• EmergingIssues.............................................................................................................. 33• SuggestedActions........................................................................................................... 33• ProgramsandServices.................................................................................................... 34• PolicyUpdate................................................................................................................. 34
Alcohol and Substance Misuse• StatisticsandTrends....................................................................................................... 35• EmergingIssues.............................................................................................................. 37• SuggestedActions........................................................................................................... 37• ProgramsandServices.................................................................................................... 39• PolicyUpdate................................................................................................................. 41
Mental Health Promotion• StatisticsandTrends....................................................................................................... 41• EmergingIssues.............................................................................................................. 43• SuggestedActions........................................................................................................... 43• ProgramsandServices.................................................................................................... 44• PolicyUpdate................................................................................................................. 47
Injury Prevention• StatisticsandTrends....................................................................................................... 47• EmergingIssues.............................................................................................................. 49• SuggestedActions........................................................................................................... 50• ProgramsandServices.................................................................................................... 50• PolicyUpdate................................................................................................................. 50
Setting Community Priorities • OverviewofthePrioritySettingProcess......................................................................... 52• LambtonCountyRecommendedActionsandPolicyDirections.................................... 52
Conclusion............................................................................................................................ 55
Acknowledgment ............................................................................................................. 57
References.............................................................................................................................. 59
Appendix A: Key Informant Survey Priority Area.............................................................. 62
Appendix B: Key Informant Survey Priority Population................................................... 63
Appendix C: Lambton County Policy Scan Update Table................................................. 64
Appendix D: Community Survey - Mind your Health Lambton County......................... 65
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P U R Po S E o f T h E R E Po RT
ThisCommunityPicturereportsummarizesinformationfromHealthyLivingLambton’scommunityplanningandassessmentactivitiesundertakenwithinthescopeandframeworkoftheMinistryofHealthPromotionandSportHealthyCommunitiesFund–PartnershipStreaminitiative,betweenAugust2010andMarch2011.
Thisreportcontainsinformationonselectedchronicdiseasemorbidityandmortalityindicators,individualhealthbehaviourstatisticsaswellaskeysocialdeterminantofhealthstatusindicatorsforLambtonCountyresidents.Whileitisbroadlyrecognizedthatindividualsexperienceill-healthwithinamuchbroaderandcomplexarrayofsocio-economicconditions,thisreportplacesaspecificemphasisonchronicdiseaseriskfactorssuchastobaccouseandexposure,healthyeatingandaccesstonutritiousfoods,physicalactivity,sportandrecreation,substanceandalcoholmisuse,aswellasinjurypreventionandmentalhealthpromotion.Thesesixtopicareasarereferredtoas“priorityareas”throughoutthereport.
ThisCommunityPictureincorporatesthekeyfindingsandrecommendationsrelatedtothesesixpriorityareas,asoutlinedinrecent,localplanningdocumentsandprojectreports,inadditiontoinformationgatheredfromstakeholderconsultationandcommunityengagementactivities.Localcontentexpertsineachofthesixpriorityareaswereconsulted,andtheperspectivesofthosewhoservespecificprioritygroupswithinthecommunitywereactivelysolicited.Theopinionsofmunicipalleaders,administratorsandcommunityplanners,aswellasSarniaLambtonresidentsarealsoreflectedinthisdocument.
ThereportwilldescribethecommunitypriorityselectionprocessthathasledtoSarnia-Lambton’sRecommendedActionsineachofthesixpriorityareas.TheseRecommendedActionsarebeingsubmittedasthekeyissuesthatthiscommunitywilladdressinthecomingyears,andideally,willservetointegrateandstreamlineLambtonCounty’scommunity’shealthpromotionstrategiesandactivities.Inaddition,itishopedthattheserecommendedactionswillinformtheMHPSHealthyCommunitiesFund-GrantStreamallocationprocess.
ThisCommunityPictureispresentedasan“EvergreenDocument”withtheunderstandingthattheinformationandperspectivescontainedinthisreportwillbediscussed,refinedandupdatedtoreflectnewinformationthatbecomesavailablethroughouttheongoingcommunityplanningprocess.Thisreportreferencesandbuildsonseveralkeydocumentssummarizingrecentsituationalassessmentsandcommunityplanningprocesses.Whilekeyfindingsandrecommendationshavebeendistilledinthisreport,thereaderisreferredtotheseworksformoredetailedinformationonavarietyofLambtonCountyspecifictopics.
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oV E RV I Ew o f T h E h E A L T h Y Co M M U n I T I E S f U n d
Inthesummerof2009,theMinistryofHealthPromotion[nowknownastheMinistryofHealthPromotionandSport(MHPS)]launchedtheHealthyCommunitiesFund(HCF)-aone-windowapproachtofundingcommunitypartnershipstoplananddeliverintegratedprogramsthatimprovethehealthofOntarians.ThevisionoftheHCFis:“HealthyCommunitiesworkingtogetherandOntariansleadinghealthyandactivelives.”TheHealthyCommunitiesFundhasfourexplicitgoals:
• Createacultureofhealthandwell-being • Buildhealthycommunitiesthroughcoordinatedaction • CreatepoliciesandprogramsthatmakeiteasierforOntarianstobehealthyand • Enhancethecapacityofcommunityleaderstoworktogetheronhealthyliving
TheobjectivesoftheHealthyCommunitiesFund–PartnershipsStreaminclude: 1. Identifyingrecommendedactionsthataresupportedbycommunitypartnersandcommunitymembers 2. Increasingtheknowledgewithinthecommunityofeffectiveinterventionsthatimpacthealthandtheroleof policiesininfluencinghealth 3. Increasingthequantityandimpactoflocalpoliciesthatsupporthealth 4. Strengtheningthecapacityofcommunitypartnershipstoplanandcreatesupportiveenvironmentsforhealth 5. Empoweringcommunitiestoensuresustainabilityofhealthissuesbeyondtime-limitedfundingprograms
TheHCFframeworkwasbuiltontheworkoftheOntarioHeartHealthinitiativewhere36Ontariocommunitieswereprovidedwithsupporttotakeactionintheareasoftobaccouse,physicalactivityandhealthyeating.TheHCFinitiativebroadenedthescopeofissuestobeaddressedtoincludementalhealthpromotion,alcoholandsubstancemisuse,aswellasinjurypreventionandplacedarenewedemphasisonworkingtowardshealthypublicpolicyatthelocallevel.Itisanticipatedthatthisprocesswillleadtoimprovedcoordinationandstrategicintegrationbetweencommunitiesandtheprovince.
TheHCFincludesthreecomponents:
Healthy Communities Fund (HCF) Grant Stream
Provincialandlocalcommunity-basedorganizationscanapplyforfundingtodevelopanddeliverhealthpromotioninitiativesinpartnershipwithother
organizations.
Healthy Communities Fund (HCF) Partnership Stream
Promotecoordinatedplanningandactionamongcommunitygroupstocreatepoliciesthatmakeiteasierfor
Ontarianstobehealthy.
Healthy Communities Fund (HCF) Consortium
HealthpromotionresourcecentreswillprovidetrainingandsupporttobuildcapacityforthoseworkingtoadvancehealthpromotioninOntario,includinglocalpartnershipsandorganizationsthatapplyforfundingthroughtheHCF.
IntheplanningprocessdevelopedbytheMHPS,communitypartnershipshavebeenaskedtocompileacomprehensivecommunitypicturedetailingthedemographicmakeup,healthstatusdata,currentinitiativesandpoliciesthatimpacthealthandwell-beingatalocallevel,withtheexpectationthatasaclearpictureemerges,communityassets,existingmobilizationstrategiesaswellaslocalprioritiesintheformofrecommendedactionsacrossallsixHealthyCommunitiespriorityareaswillbeidentified.
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M E T h o d o Lo gY
Informationcontainedinthisreportcomesfromavarietyofsourcesandprocessincluding: • Areviewofidentifiedandrecommended,locallyrelevantreports • StakeholderConsultationswithlocalcontentexpertsineachofthesixpriorityareas,aswellaswithcommunity leaderswhoseorganizationsworkwiththeidentifiedprioritygroups • Discussionswithmunicipalofficialswithrespecttorecentpolicyworkrelatedtothesixpriorityareas • CommunityConsultationandEngagementactivitiesincluding:
o Communityresidentinputreceivedviaanonlinesurveyo CommunityPlanningandPrioritySettingmeetingswithkeystakeholdersand theHealthyLivingLambton’sCoordinatingCommittee
Document Review
Locallyrelevantcommunityreports,surveysandotherinformationwereidentifiedprimarilybyCountyofLambton’sCommunityHealthServices’HealthyCommunitiesCoordinator,EpidemiologistandResearchCoordinator.Additionalreportsandinformationwassuggestedbycommunitystakeholders(viaanetworkmappingsurveyconductedbyHealthNexus).Finally,aninternetsearchforissue-specificdocumentswasconducted.
Documentselectioncriteriawereestablishedincluding: 1. Reportswerenoolderthan5yearsold 2. Reportsaddressedatleastoneofthepriorityareasand/oroneofthesocialdeterminantsofhealth 3. Reportswerenotconsideredconfidential 4. Reportswereavailableelectronically(exceptionsmightbemade) 5. Internalagencydocumentsandothercorrespondence(i.e.recommendationstomunicipalorcountycouncils, schoolboardmeetingminutesetc.)wouldbeconsidered
Atotalof28documentswerereviewed.Thisreporthighlightstheresultsofpreviouscommunityhealthandissue-specificplanningactivitiesthathaverecentlytakenplacewithinSarniaLambton,anddrawsoninformationfromseveralrecentcommunityprofilesincluding:LambtonCounty’sCommunityHealthServices’HealthStatusReport,LIFEinSarnia-Lambton,CommunityProfile2010-2011,theSarnia-LambtonDrugStrategy(UnitedWay,2008);Trends,OpportunitiesandPriorities(Sarnia-LambtonWorkforceDevelopmentBoard,2009.ThereaderisreferredtothesedocumentsforadditionalinformationonmanyfacetsofcommunitylifeinLambtonCounty.
Stakeholder Consultation
Inadditiontoidentifyingkeyissues,gapsandrecommendedactionsthroughthedocumentreview,theperspectivesoflocalcontentexpertsandthoseworkingwithidentifiedprioritygroupsweregatheredthroughkeyinformantsurveys.Communitycontentexpertsineachofthesixpriorityareaswereidentifiedandaskedtocompleteasurvey.Informationfromthesesurveysisincludedundertheissuespecificareaunder‘EmergingIssuesandSuggestedActions’.AsampleofakeyinformantsurveyquestionsisfoundinAppendixA.
Atotalof20keyinformantsurveyswithcontentexpertsandleaderswhoseorganizationsserveidentifiedprioritypopulationsinSarnia-LambtonwerecarriedoutbetweenDecember2010andJanuary2011.
Priority Populations
Theperspectivesofspecificprioritypopulationswerealsosolicited:AboriginalandFrancophoneresidents,olderadults,youthandindividualslivinginlowincomewereactivelysolicitedbyconnectingwithorganizationsthateitherrepresentedtheseindividuals,orwhoseorganizationsservedtheseprioritypopulations.Carewastakentoensurethatindividualswithinthesegroupswereapproachedinasensitive,respectfulmanner.TheperspectiveofmembersofthesegroupscanbefoundineachpriorityissueareaunderEmergingIssuesandSuggestedActions.AsampleofakeyinformantsurveyquestionscanbefoundinAppendixB.
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Policy Scan Update
IntheFallof2009,theOntarioHeartHealthNetworkconductedascanforpoliciesacross37Ontariocommunitiesinfiveareas1)accesstonutritiousfoods;2)accesstorecreationandphysicalactivity;3)activetransportationandthebuiltenvironment;4)preventionofalcoholmisuseand5)preventionoftobaccouseandexposureacrossthreesectorsa)Government(district/region;county;municipality;township);b)Education:schoolboardsandc)HealthCare:hospitalsasaworksite(e.g.workplacehealthpolicies).
Eachofthe37communitiesthatparticipatedwithintheprovincewereprovidedwithasummaryreportofrelevantpolicieswithintheirjurisdiction(HealthyLivingLambtonPolicyScan,2009).WiththeMHPScontinuedemphasisonthedevelopmentofpolicyinitiativesineachofthesixpriorityareas,eachofLambtonCounty’s11municipalitieswascontactedtodetermineiftherewereanysignificant,newactivitiestobenotedinanyoftheissueareaspreviouslysurveyed.
TelephonemeetingswithmunicipalofficialsoccurredbetweenNovember2010andJanuary2011,andinformationonpolicy-relatedworkineachofthesixpriorityareaswasnotedinordertoupdatetheOntarioHeartHealthNetworkPolicyScan,2009(AppendixC).Informationonrecentpolicyactivitiesandrelevantupdatesarenotedintherespectivesectionswithinthereport.
Community Survey
ResidentsofLambtonCountyovertheageof18wereinvitedtorespondtoanonlinesurveytoprovidetheirideastoimprovethehealthofthecommunityrelativetothesixpriorityareasoftheHCF.AllhouseholdsreceivedamailedpostcardprovidinginformationonHealthyLivingLambton,includingtheaddressofanonlinesurvey.ThesurveywasavailablebetweenJanuary1andJanuary19,2011.Atotalof277peopleparticipatedinthesurvey,andthreewinnerswererewardedwitha$150prepaidVISAforprovidingbothpracticalandcreativesuggestionsforahealthierLambton.TheonlinesurveyquestionsandasummaryofthemedcommentsandsuggestionscanbefoundinAppendixD.
Community Planning and Priority Setting Meetings
Onceinformationfromtheliteraturereview,stakeholderconsultationsandonlinecommunitysurveyweresynthesized,thisinformationwaspresentedtokeystakeholdersattwocommunityplanningmeetingsheldintheCityofSarniainFebruary2011.
Asummaryofavailableinformationwascompiledanddistributedtocommunitystakeholdersforreviewanddiscussion.Attheendofaday-longfacilitatedplanningsession,RecommendedActionswereidentifiedineachofthesixpriorityareas.AtafollowupmeetingwiththeHealthyLivingLambtoncoordinatingcommitteetheseRecommendedActionswerefurtherreviewedandprioritizedwithpolicyactionstomoveforwardintheOperationalPlan.Thisprocessisexplainedingreaterdetaillaterinthereport.
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d E M o g R A P h I C P Ro f I L E
SarniaLambtonislocatedatthesoutherntipofLakeHuronontheOntarioMichiganborder.Mostoftheregioniscomprisedofsmalltowns,villagesandagriculturallandwiththelargesturbanareabeingtheCityofSarnia.Theregionhasmanynaturalandinfrastructuralresourcesincludingfertilelandbase,directaccesstoAmericanmarketsbybridgeorrailtunnels,waterwaysfortransportationorrecreation,aswellasanexistinginfrastructureforheavyindustry(TOP,2009).Thecountyboastssomeoftherichestagriculturallandintheprovinceandproducesavarietyofcropsincludingcorn,soybeans,wheat,andsugarbeets.Lambtongrowersproducethousandsofacresofapples,peaches,cherries,strawberries,sweetcorn,onions,tomatoes,peppers,andmanyothertable-readyfruitsandvegetables(CommunityNutritioninAction,2009).
ThedistinctruralnatureandagriculturalheritageofSarnia-Lambton(i.e.asmallpopulationlivinginageographicallyvastarea)isasourceofprideforarearesidents,butlikeotherruralareasinOntario,ruralLambtonCountyresidentsfacetransportationchallenges,decreasedaccesstointernetaccess(whichhasimplicationsforemployment,informationandsocialconnectivity)andincreasingnumbersofresidentstraveltourbancentresforworkandchildcare.Socialisolationforstayathomeparentsandfarmfamilieshasalsobeennotedasimportantsocialissues(LIFEinSarnia-Lambton,2008).
Local Government
LambtonCountyiscomprisedof11municipalities,includingthecityofSarnia.Eachofthemunicipalitieshasanofficialwebsite,wherecommunitycharacteristics,amenitiesandthedetailsoflocalgovernmentareoutlined(http://www.lambtononline.com/local_municipalities).
TheCountyofLambtonhasan“upper-tier”anda“lower-tier”government.Theupper-tieristheCountygovernmentitself,whilethelower-tieriscomprisedofeleven“lowertier”or“local”municipalities.Thelocalmunicipalitiesareresponsibleforareassuchastaxcollection,recreation(arenas,parks,etc.),fireprotection,policing,animalcontrol,garbage&recyclingcollection,water,sewers,municipaldrainsandparkingenforcementamongothers.Membersoflocalmunicipalcouncilsareelectedeverythreeyearsbytheeligiblevotersofeachmunicipality.
TheCountygovernmentorupper-tierisresponsibleforProvincialOffencesCourtadministration,landuseplanning,long-termcarefacilities,communityhealthprotection,socialservices,housingservices,landfills,librariesandmuseumsamongothers.Boththeupper-tierandlower-tiergovernmentsshareresponsibilitiesforthecareandmaintenanceofroads,bridgesandbuildinginspection,zoningandadministration(www.lambtononline.com).
Population Characteristics
Accordingtothe2006Census,thepopulationofLambtonCountyhasreached128,204,anincreaseof1.0%overthe2001population(126,971).Incomparison,thepopulationofOntarioincreasedby6.6%overthesameperiod(StatisticsCanada,2007).Table1showsthepopulationcountsand%changeforeachmunicipalityinLambtonCounty.ThegreatestgrowthoccurredinPetroliaandLambtonShores,whilethelargestdeclineshavebeeninDawn-EuphemiaandOilSprings.
LambtonCountyhasalandareaof3,002squarekilometresandapopulationdensityof42.7personspersquarekm(StatisticsCanada,2007).AsshowninTable1,thepopulationdensityvariesgreatlybetweenmunicipalities,rangingfrom4.9persq.kminDawn-Euphemiato618.1persq.kminPointEdward.
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Table 1: Population counts, percent change between 2001 and 2006 and population density (per sq. km), Lambton County municipalities (2006 Census).
Municipality 2006 % Change Pop. Density Pop. Population 2001 to 2006 Pop./Sq. Km Brooke-Alvinston 2,661 -4.5 8.5 Dawn-Euphemia 2,190 -7.6 4.9 Enniskillen 3,122 -4.2 9.2 Lambton Shores 11,150 5.5 33.7 Oil Springs 717 -5.4 87.7 Petrolia 5,222 7.7 411.7 Plympton-Wyoming 7,506 2.0 23.5 Point Edward 2,019 -3.9 618.1 Sarnia 71,419 0.8 433.8 St. Clair 14,649 -0.1 23.7 Warwick 3,945 -2.0 13.6
Total - Lambton County 128,204 1.0 42.7
Statistics Canada. 2007. Lambton & Municipalities (tables). 2006 Community Profiles. 2006 Census. Statistics Canada
Catalogue no. 92-591-XWE. Ottawa. Released March 13, 2007.
Accordingtothereport,Population:SummaryTrends&Projections,CensusYears2006-2031,asof2006,allLambtonmunicipalities,liketherestofOntarioshowageneral“boom,bustandecho”agedistribution–apeakinpopulationaroundages40-50,adeficitaroundages25-29andasmallerpeakaroundages15-19.LambtonasawholeisolderthanOntario.AsshowninFigure1,Lambton’sproportionofresidentsaged45-49isgenerallycomparabletoOntario,howeverLambtonhasagreaterpercentageof50+adultsandalowerpercentageofadults25-44thandoestherestofOntario.Lambtonalsohasalowerproportionofchildrenages0-9yearscomparedtoOntario.ThemedianageofLambtonCountyresidentswas42.8yearsin2006,upfromthe2001figureof40years.Themedianagefortheprovincein2006was39.0years,upfroma2001figureof37.2(StatisticsCanada,2007).
Source: Statistics Canada. 2007. Lambton, Ontario (Code3538) (table). 2006 Community Profiles. 2006 Census. Statistics Canada Catalogue no. 92-591-XWE. Ottawa.
Released March 13, 2007, (accessed March 8, 2011).
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Overthelastthreecensusperiods,themostnote-worthypopulationtrendhasbeentheconsistentlossofyoungadultsaged20-29inallmunicipalitiesandthelossofyouthaged15-19inmostmunicipalities.Lossesinthe20-29yearagegroupshavegenerallybeenaround15-25%fromonecensustothenext.TheCityofSarniahaslowerbirthratesandappearstobelosingyoungfamilies(agegroups5-9and30-39).Incontrast,areassuchasLambtonShoresandtheruralareasaregrowingintheseagegroups.Theprojectionsproducedbythereport,Population:SummaryTrends&Projections,CensusYears2006-2031,suggestthat,ifthegrowthtrendsineachagegrouparesimilartotheratesofthelast3censusperiods,therecouldbesignificantpopulationdeclinefortheCountyasawholeby2031.
Socio-economic Characteristics
Table2providesanoverviewofthesocialanddemographiccharacteristicsofLambtonCounty.Comparedtotheprovince,Lambtonhasa: • higherproportionofseniors, • lowerproportionofpopulationinlowincome, • lowerproportionofuniversitygraduates, • higherproportionwithcollegeorapprenticeshipcredentials, • lowerproportionofimmigrantsandvisibleminorities,and • higherproportionidentifyingasAboriginals.
Table 2: Socio-demographic characteristics
Lambton Ontario
Families (with children) headed by a lone parent 14.3% 12.9%
Population in low income (after tax) 6.5% 11.1%
Population (age <18) in low income (after tax) 7.8% 13.7%
Unemployment rate (age 15+) 6.5% 6.4%
Labour force participation rate (age 15+) 64.3% 67.1%
Population (age 25-64) with less than high school education 13.0% 13.6%
Population (age 25-64) with completed postsecondary education 58.2% 61.4%
Population (age 25-64) with a university degree 13.3% 26.0%
Population (age 25-64) with a college certificate/diploma 28.2% 22.0%
Population (age 25-64) with apprenticeship/trades certificate/diploma 14.0% 8.8%
Population with mother tongue French or French and English 2.4% 4.3%
Population with no knowledge of English or French 0.2% 2.2%
Population who are immigrants 11.6% 28.3%
Population who are recent immigrants – within 5 years 0.8% 4.8%
Population who are visible minorities 2.7% 22.8%
Population of Aboriginal identity 4.6% 2.0%
Source: Statistics Canada. 2007. Lambton, Ontario (table). 2006 Community Profiles. 2006 Census. Statistics Canada Catalogue no. 92-591-XWE. Ottawa. Released March 13,
2007. (accessed May 11, 2010)
Family composition
In2006,5,355ofLambtonCounty’scensusfamilieswerelone-parentfamilies,representing14.3%ofallfamiliesintheCounty.Oftheseloneparentfamilies,81.7%wereledbyfemales,similartotheprovincialaverageof81.6%(StatisticsCanada,2007).
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Income
In2005,themedianincomeforLambtonCountycensusfamilieswas$68,703,whichwaslowerthantheprovincialmedianincomeof$69,156.Lone-parentfamiliesinLambtonreportedamedianincomeof$35,370,whichwas$3,078lessthantheprovincialmedianincomeforthisgroup.Femalelone-parentfamilieshadlowermedianincomesatthelocal($33,159)andprovinciallevels($38,448)ascomparedtomalelone-parentfamilies($51,800and$50,339)(StatisticsCanada,2007).
Thelow-incomeincidence(aftertax)forindividualsinLambtonCountywas6.5%in2005,comparedtoaprovincialrateof11.1%(StatisticsCanada,2007).
Employment and Workforce
TheSarniaLambtonWorkforceDevelopmentBoard’swebsiteisanexcellentresourceforthelatestlabourforceinformation,includingcurrentparticipationrates,unemploymentratesandtrendsovertime(http://www.sltb.org/main/ns/34/doc/28/lang/EN).SarniaLambton’sunemploymentratehasrisensharplyoverthepastseveralyears,increasingfromanannualrateof6.5%in2006toapproximately10%in2010/2011.Peopleunderage25havehadthehighestrateoflabourforcewithdrawsincethebeginningoftherecentrecession(WorkforceFocus,2010).Accordingtothe2006census,theprimaryoccupationsheldbyLambtonCountyresidentswere:salesandserviceoccupations;trades,transportandequipmentoperatorsandrelatedoccupations;andbusiness,financeandadministrationoccupations(StatisticsCanada,2007).
The2009TOPSreport(Trends,OpportunitiesandPrioritiesreport)producedbytheSarniaLambtonWorkforceDevelopmentBoard,outlinesactionplansaddressingthefollowingsixpriorityareas: - Agingworkforce - Lackofessentialskillsamongcurrentandprospectiveemployees - Increasingrequirementforhigherlevelsofeducation - Economicdiversification - Rural–urbandisparity - Workforceshortages
Theyalsonotethatthiscommunitystruggleswithalackofskilledtrades’people,peopleleavingthecommunitytofindwork,andlocal,independentbusinessesstrugglingtocompetewithlargerbusinesschains,especiallyinthefaceofanincreasinglocaltaxburden(TOPSreport,2010).It’sestimatedthatareasoffutureemploymentgrowthinclude:renewableenergy,InformationTechnology,ContactCentres,tourism,andaerospace(WorkforceFocus,2010).
Education
Whiletheproportionofresidentswhohavepostsecondarycertificates,diplomasordegreesissimilarinLambton(48.4%)andOntario(50.0%),LambtonandOntariodifferwithrespecttothetypesofdiplomas/degreeobtained(StatisticsCanada,2007).Incomparisontotheprovince,LambtonCountyhasahigherpercentageofresidentshavingachievedahighschoolcertificateorequivalent,anapprenticeship/tradescertificateordiploma,andacollege,CEGEPorothernon-universitycertificateordiploma.However,therearealowerpercentageofresidentshavingachievedauniversitycertificate,diplomaordegree.
Housing
In2006,thetotalnumberofprivatedwellingsinLambtonCountywas51,955,aslightincreasefrom50,165in2001.In2006,24.0%ofalldwellingswererented.TheaveragevalueofanowneddwellinginLambtonwas$183,756,substantiallylowerthantheprovincialaverageof$297,479(StatisticsCanada,2007).
Thereisalimitedrangeofaffordablehousingoptionsavailabletoallsegmentsofthepopulation,andespeciallyforolderadultsandthosewithmentalillness(CommunitySummit2010,2010).
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KeyfindingsfromtheCountyofLambtonLong-termAffordableHousingStrategy(2009)foundthat: • TheAffordableHousingAnalysisidentifiedthatalmost40%ofrenterhouseholdsinLambtonCountyearnlessthan $20,000andcanaffordtospendamaximumof$500onrent.Withtheaveragerentforaone-bedroomunit(Sarnia CA)at$497,manyfinditdifficulttoaffordaccommodations.Twoandthreebedroomunitsarenotaffordableforthe segmentofthepopulationthatearnslessthan$20,000perannum. • 43.2%ofrenterhouseholdsspendmorethan30%oftheirincomeonrentand20.8%spendmorethan50%oftheir incomeonrent. • Shortagesofappropriatehousingexistforindividualswhorequirebarrierfreelivingaccommodation.Thereisalsoa growingneedforsupportivehousingforindividualswithmentalillnesses,intellectualdelays,andotherlimitations. • Lambtonhasanaginghousingstock.Olderhomesaretypicallylessexpensivetopurchaseorrentbuthavehigh maintenanceandoperatingcosts.Thehighcostofmaintainingageinghousingstockwillaffecthouseholdswithfixed incomes,includingseniorsandpersonswithdisabilities,andthosewithlowincomes. • EmergencyshelterusageinSarnia-Lambtonaveraged250permonthbetweenJanuaryandSeptember2009.Forthe sameperiodoftimetherewere2,014requestsforassistancefromtherent/utilitybank.However,duetoeligibility requirements,only57%ofthoseindividualsactuallyreceivedhelp. • AsofSeptember30,2009therewere512householdsonthewaitinglistforRentGearedtoIncomeHousing(RGI). Waittimesvarybylocationandunittype.
Priority PopulationsFrancophone Residents
LambtonCountyishometo3,105residentswhoreportthattheirmothertongueisFrenchorFrenchandEnglish.Thisrepresents2.4%ofthetotalpopulationofLambtonCounty,ascomparedtotheprovincialaverageof4.3%(StatisticsCanada,2007).
A2010OntarioTrilliumFoundationreportnotesthattheFrancophonecommunityinEssex,Kent,Lambton(EKL)facesuniquechallengesduetoitsrapidlyagingpopulation.Thereporthighlightsthefollowinglocaldataandtrends: • EKLhasalong-establishedFrancophonecommunity–butitsnumbersaredecreasing, • ComparedtoEKLoverallandOntario’sFrancophonecommunityingeneral,Francophone’sinEKLaremucholder andagingmorerapidly, • WhilenotasdiverseasotherFrancophonecommunitiesacrosstheprovince–6.8%ofFrancophone’sinEKL identifiedasmembersofavisibleminority, • Francophone’sinEKLwhoidentifyasvisibleminoritiesearnabouthalfthatoftheoverall,Francophone communityinEKL.
Visible Minorities and Ethnic Populations
In2006,2.7%ofLambtonCountyresidentsindicatedthattheybelongedtoavisibleminoritypopulation(aslightincreasefrom2.3%in2001).Attheprovinciallevel,visibleminoritiesaccountfor22.8%ofthetotalpopulation(StatisticsCanada,2007).ThemostcommonvisibleminoritygroupsincludedSouthAsian,ChineseandBlack,thoughthesepopulationseachonlyrepresented0.5-0.7%ofthetotalLambtonpopulation.ItshouldbenotedthattheAboriginalpopulationisnotincludedinthevisibleminoritypopulation.
In2006,Sarnia-Lambton’spopulationincluded14,700immigrants,whocombinetomakeup11.5%ofthetotalpopulation.Ontario’simmigrantpopulationaccountsfor28.3%oftheprovincialpopulation.MostofSarnia-Lambton’simmigrantpopulation(82.0%;12,060persons)arrivedbefore1991.Newlyarrivedimmigrants(2001-2006)accountfor0.8%ofSarnia-Lambton’stotalpopulationcomparedtoaprovincialaverageof4.8%(StatisticsCanada,2007).
ThemostcommonbirthplacesofrecentimmigrantstoSarniafortheperiod2001to2006wereIndiaandtheUnitedStates,accountingfor26.7%and17.6%ofallrecentimmigrantsrespectively(StatisticsCanada,2007b).
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Aboriginal Residents
Accordingtothe2006Census,LambtonCounty’sAboriginalpopulationaccountedfor4.6%ofthetotalpopulation,comparedtoaprovincialaverageof2.0%(StatisticsCanada,2007).TheaverageageoftheAboriginalpopulationinLambtonCountyisapproximately29years,comparedto42.8yearsforallofOntario(BestStart,2009).
TherearethreeFirstNationsreserveslocatedinLambtonCounty:Aamjiwnaang(n=706),ChippewasofKettleandStonyPoint(n=1,020)andWalpoleIsland(n=1,878)(StatisticsCanada,2007).ThesepopulationcountsoftenunderestimatethetruepopulationduetotheincompleteenumerationonIndianreservesandsettlementswiththecensus.
Older Adults
In2006,thepercentageofthepopulationinLambtonCountythatwasofretirementage(65+years)was16.9%,anincreasefrom15.8%in2001.The2006figureishigherthantheprovincialaverageof13.6%(StatisticsCanada,2007).
Theseniordemographicdependencyratioistheratioofseniors(65+years)totheworking-agepopulation(20-64years).Asizeableshareofseniorsaged65orolderarelikelytobesociallyand/oreconomicallydependentonworking-ageCanadians,andtheymayputadditionaldemandsonhealthcareservices.Theseniordemographicdependencyratiomeasuresthesizeofthe“dependent”populationinrelationtothe“workingage”populationwhotheoreticallyprovidesocialandeconomicsupport(StatisticsCanada,2010).InLambtonthereareapproximately29seniorsforevery100working-agepeople,whichishigherthantheOntarioaverageof22seniorsper100.
Youth
In2006,childrenbetweentheagesof0to6madeup7%ofthetotalpopulationinLambtonCounty,representingapproximately8,870children(StatisticsCanada,2007).
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h E A L T h S TAT U S I n d I CATo R S
Overall Health and Well-being
LambtonresidentsaresignificantlylesslikelythanOntarioresidentstoreportalotoflifestressandtheyaresignificantlymorelikelytoreportasenseofcommunitybelonging.Figure2showsseveralindicatorsofoverallhealthandwell-being.LambtonissimilartoOntariowithrespecttoperceivedhealth,perceivedmentalhealth,participationandactivitylimitationandlifesatisfaction.
*Significantly different from provincial rate
Source: Canadian Community Health Survey (CCHS), 2007/08
Health Behaviours & Risk Factors
Certainhealthbehavioursareknowntoberelatedtoincreasedriskofchronicdisease,mortalityanddisability.Figure3showsthat,relativetotheprovince,Lambtonresidentsaresignificantlymorelikelytobedailyoroccasionalsmokers,heavydrinkers,andoverweight/obese.BasedonBodyMassIndex(BMI),35.5%ofLambtonresidentsareclassifiedasoverweightand21.4%areclassifiedasobese.Comparedtotheprovince,Lambtonresidentsaresignificantlylesslikelytoreporteatingatleast5servingsoffruitsandvegetableseachday.InbothLambtonandOntario,approximatelyonehalfofresidentsreportthattheyarephysicallyinactive.
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*Significantly different from provincial rateSource: Canadian Community Health Survey (CCHS), 2007/08
Chronic Diseases
Chronicconditionsplaceahighburdenonthehealthcaresystemandreducethequalityoflifeofthosewhosufferfromthecondition.BasedontheCountyofLambtonMortalityandChronicDiseaseReport(2008),cardiovasculardisease,particularlyischemicheartdisease,representsthegreatestburdenonthepopulation,thegreatestimpactonthehealthcaresystemandistheleadingcauseofdeath.WhilethiswastruethroughoutthesouthwestregionandOntario,malesandfemalesinLambtonareaffectedatsignificantlyhigherrates.
However,itisimportanttonotethatinCanadafrom2000to2007,thenumberofdeathscausedbymajorcardiovasculardiseaseshasbeendeclining,whilethenumberofdeathscausedbycancerhasbeenrising(Figure4)(StatisticsCanada,2010b).In2005,theage-standardizedrateofcancerexceededthatforcardiovasculardiseasesandin2007thenumberofdeathsduetocancerexceededthatduetocardiovasculardiseases.Localmortalitydataiscurrentlyonlyavailableupto2005,soitisnotknownwhethercancerhassurpassedcardiovasculardiseaseastheleadingcauseofdeathinLambton.
Note: Age-standardized mortality rates per 100,000 standard population (1991 Canadian population).Source: Statistics Canada, CANSIM table 102-0552.
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Figure5showsthatcomparedtoOntario,Lambtonhasasignificantlyhigherprevalenceofosteoarthritis,asthma,COPD,arrhythmiaandischemicheartdisease.Prevalenceofdiabeteswasslightly,butsignificantlylowerinLambtoncomparedtoOntario.Prevalenceofcerebrovasculardisease(includingstroke)wassimilarinLambtonandOntario.
*Significantly different from provincial rateSources: ICES in Tool; Extracted June 2010 and January 2011 (asthma); age and sex standardized; osteoarthritis (2006/07, 20 years+), asthma (2006/07, all ages); diabetes
(2004/05, 20 years+), arrhythmia (2006/07, 20 years+), cerebrovascular disease (2006/07, 20 years+), ischemic heart disease (2006/07, 20 years+); COPD (2006/07, 35 years+).
ForacompletepictureofcancerratesinLambtonCounty,seetheLambtonCounty2007HealthStatusReportonCancer.BelowaresomehighlightsrelatedtospecificcancerswithknownlinkstothePriorityAreas.
LungCancer:(Figure6)IncidenceandmortalityratesinLambtonwereelevatedaboveOntarioratesinbothmalesandfemalesbetween1995and2003.RatesamongLambtonmaleshavebeendeclining,butnottothesameextentasOntariorates.RatesamongLambtonandOntariofemaleshavebeenincreasing,butLambtonrateshaveincreasedmoresharplysincethelate1990’s.Smokingandoccupationalexposures(particularlyasbestos)arelikelymaincontributorstoelevatedlungcancerratesinLambton.
Source: Cancer Incidence 1986-2003, Cancer Care Ontario, Release 5, October 2006.
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ColorectalCancer:(Figure7)IncidencerateswerehigheramongmalesinLambtonversusOntariobetween1986and2003.NodifferencesinmalemortalityrateswereobservedandfemaleincidenceandmortalitydidnotdifferbetweenLambtonandOntario.Higherscreeningrates,dietandheavyalcoholconsumptionmayaccountforhigherratesamongLambtonmales.
Source: Cancer Incidence 1986-2003, Cancer Care Ontario, Release 5, October 2006.
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h E A L T h Y Co M M U n I T I E S f U n d P R I o R I T Y A R E A S
TheHealthyCommunitiesFund–PartnershipStreaminitiativefocusesonsixPriorityAreasidentifiedbytheMinistryofHealthPromotionandSport.Eachofthesepriorityareaswillbeaddressedseparately.
Foreachpriorityarea,localdataandtrendswillbepresented,alongwithemergingissuesandsuggestedactionsidentifiedfromthedocumentreview,keyinformantsurveys,thecommunityonlinesurveyandstakeholderconsultations.Aninventoryofprogramsandservicesisalsoprovided,alongwithasummaryofrecentpolicyrelatedactivities.
To bACCo U S E / E X Po S U R E
Statistics and TrendsTobacco Use
InLambtonCounty,therehavebeennostatisticallysignificantchangesinthepercentageofcurrentdailyoroccasionalsmokersbetween2000and2008(Figure8).Also,formostyearsstudied,smokingrateswereslightlyorsignificantlyhigherinLambtonascomparedtoOntario.
*Significantly different from provincial rate
Source: Canadian Community Health Surveys 2000/01, 2003, 2005, 2007/08, 2009
In2007/08,smokingratesweresimilaramongLambtonandOntariomales(24.3%vs.23.6%),butsignificantlyhigheramongLambtonfemalescomparedtotheirprovincialcounterparts(24.5%vs.17.1%)(CCHS,2007/08).
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Figure9showsdailyandoccasionalsmokingratesbyagegroup.In2007/08,smokingratesamongthose12-64wereslightlyhigheramongLambtonresidentscomparedtotheirprovincialcounterparts,butthesedifferenceswerenotstatisticallysignificant.InLambton,thehighestsmokingrateswereamongthoseaged20-44yearsofage,withapproximately31%ofLambtonresidentsinthisagegroupreportingsmoking.
*Significantly different from provincial rateSource: Canadian Community Health Surveys 2007/08
Tobacco Use during Pregnancy
Between2006and2009,thepercentageofLambtonresidentsgivingbirthatBluewaterHealthwhoreportedsmokingduringpregnancyrangedfrom22-24%.Figure10showstheratesofsmokingduringpregnancybyagecategory.Thehighestrateofsmokingwasamongthose19yearsofageandyounger(43%).Asmaternalageincreases,therateofsmokingduringpregnancydecreases.
Source: NIDAY Perinatal Database, Extracted August 2010.
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Smoking Cessation
InOntarioin2009,58%ofsmokersingrades7to12reportedatleastonequitattemptduringthe12monthsbeforethesurvey.Amongthosewhoattemptedtoquit,mostreportattemptingtodosomorethanonce(OSDUHS2009).
Support for Smoke Free Public Places
AccordingtotheRapidRiskFactorSurveillanceSystem(RRFSS),Lambtonresidentssupportmakingvariouspublicplacessmokefree(Figure11).Thehighestlevelofsupportwasformakingdoorwaystopublicplacesandworkplacessmokefree.Nonsmokersweremoresupportivethansmokers.
Source: RRFSS (October 2008 – April 2009 & January 2010 – April 2010), Lambton Community Health Services Department and Institute for Social Research, York University.
Emerging IssuesSmoke-free outdoor public Spaces • Increasedsupportforsmoke-freeoutdoorpublicspaces
Easy, inexpensive, non-traditional tobacco • Availabilityofinexpensivecontrabandtobacco“cheapsmokes”underminespublichealtheffortstoreducesmoking rates,especiallyamongprioritypopulations(smokingrateshaveflat-lined) • Increaseduseofchewingtobaccobyyouth,especiallysportsteams,putsyouthatrisk • Newinterestincigars(especiallyyoungmales)isgainingpopularity • Hookahsandhookahbarsaregainingpopularityamongyouthadults
Ongoing need for Education • Continuingeffortstoeducatethepublicaboutthenegativehealtheffectsoftobaccouseandthehealthrisksof exposuretosecond-handsmoke,especiallyamongchildren
Tobacco Cessation and Relapse Prevention • Cessationprogramsforyouth • AccesstofreeNicotineReplacementTherapy(NRT),especiallyamongprioritypopulations,isabarrierto quittingsmoking • DifficultyservicingprioritypopulationsinruralpartsofLambton(cessationsprograms)impactsnegativelyon Lambton’ssmokingrates
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• Smoker’sHelplineisanunder-utilizedprovincialresourcethatmustbepromotedtoyouth,adults,andpregnant womentoenhancelocalcessationeffortsandrelapsepreventionthroughfollow-upphonecalls,textmessaging,and onlinesupport
Smoking during Pregnancy • Youngwomensmokingduringpregnancy,puttingtheirchildatriskforSIDS,reducedbirthweight,ADHD, respiratoryandotherserioushealthproblems
Suggested ActionsDevelop more comprehensive policies and/or bylaws • InordertoensurethatallLambtonresidents(especiallychildren)areprotectedfromsecond-handsmokeinall outdoorspaces(throughenforceablelegislation),Lambton’sSmoke-freePublicPlacesandWorkplacesBylawneeds tobeenhanced • Buy-inisrequiredfromlocalmunicipalitiesforsmoke-freepublicspaces • Privatesectorpoliciesregardingsmoke-freepublicspacesshouldbeencouraged • Provisionofdesignatedsmokingareasinpublicoutdoorspacestoprotectthepublicfromexposuretosecond-hand smokeandprovisionofreceptaclestoeliminatelitter • Strengthenorexpandsmoke-freepublicspacesbyencouragingdevelopmentofa9-metrerulepolicyaroundentrances topublicbuildings • Bansmokinginparks,beaches,arenas,outdoorrestaurants,fleamarkets,parades,racetracks,zoos,busstops,andin locationswherechildrenplay
Engage Youth • Engagemorelocalyouthinpromotingsmoke-freeoutdoorspaces,peer-to-peertobaccousepreventioninitiativesand smokingcessationchallenges
Support people who want to quit • Developpubliceducation/awarenesscampaignfocusingonbehaviourchangestrategiesthatsupportsmokingcessation andhowtorecognizeanddealwithwithdrawalsymptoms • Provideeducationandawarenessonquittingmethodsandcommunityresources/partnersthatprovidecessation assistanceandsupport • Developasupportsystemtopreventrelapsetosmoking • Provideaccesstofreeorcost-reducednicotinereplacementtherapyandprescriptionmedicationforquittingsmoking • Engagedoctorsandotherhealthprofessionalsinsmokingcessationinterventionsandbriefcounsellingtomotivate smokingcessation • Providefreecounsellingforsmokingcessationandrelapseprevention
Enforcement and Education • Provideongoingeducation,especiallytonon-compliantandnewestablishments • Ensuresignagerelevanttolocationisinplace.Developcatchysigns-Oxygenneededhere,YoungLungsatWorkto “gently”remindpeoplenottosmoke
Other education efforts • Teachyouthearly–tobaccousepreventioneducationinschools(presentations,curriculumresources) • Provideseminars,workshops,andothereducationactivitiesinworkplaces • Focusededucationonpregnantwomenemphasizingthenegativehealtheffectsofsmokingonherhealthandthe baby’s;buildself-efficacyandcreateawarenessoftheimportanceofparental“rolemodelling”ofhealthybehaviours
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Programs and ServicesProgram Name Description
Bylaw Development Smoke-freepublicspacesmunicipalcampaigninvolvesmeetingwithclerksof11municipalitiesinLambtonCountytoadvocateformunicipalby-lawdevelopmenttoprotectthepublicfromexposuretosecondhandsmokeindesignatedpublicoutdoorsettings(publicentrancestobuildings,parks,playgrounds,busshelters,playingfields,beaches).DiscussionsareunderwaywiththeTownofPetroliaandtheCityofSarniaregardingsmoke-freepublicspacesby-laws.AllmunicipalitiesreceivedTFSRinformationpackagesfromtheTFSRCollaborative(advocatingforby-lawdevelopment).
CHSDisintheprocessofpreparingareporttoLambtonCountyCouncilrequestinganamendmenttotheLambtonSmokingSmoke-FreePublicPlacesandWorkplacesBy-lawtoincludeoutdoorpublicspaces.
CHSDisdeveloping“NoSmoking”signsforplaygroundsandpublicentrances.Signswillbeprovidedtomunicipalitiesthatmoveforwardwithby-lawdevelopmentfortobacco-freeoutdoorpublicspaces.
Community Education and Awareness AcommunityadvocacycampaignisunderwayinLambtontohelpadvocateforsmoke-free/tobacco-freepublicspaces.TheconceptofSmoke-freeparks/playgroundswillbeintroducedtothepublicinSarniaataTownHallmeeting(hostedbyCHSD)inearlyMarch2011.
Radioadsadvocatingforsmoke-freepublicspacesairedthroughthemonthofNovember2010(Isn’tittimeforLambton).Printadswerepublishedin2localnewspapersduringthemonthsofNovemberandDecember2010.Aking-sizebusadpromotingTFSRwillrununtilJuly2011.TFSRrinkboardswerepurchasedattheSarniaArena.
YouthCHAT(YouthCommunityHealthActionTeam)hostspubliceventstopromoteTFSRacrossourcommunity.Eventsincludeinformationbooths/promotionalgiveawaysatGirlsSilverstick,SarniaStinggames,CanadaDay,BrigdenFair,Bayfest,NovaSafetyDays,CaptainKidDaysandotherlargecommunityevents.
RadioadscreatingawarenessthatundertheSmoke-FreeOntarioActitisillegaltoselltobaccotominorsranfor3weeksinJanuary2011.
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Program Name Description
Research and Surveillance at the local level RapidRiskFactorSurveillanceSystemsurvey(RRFSS)hasbeenconductedlocallytogatherdataonpublicsupportforthefollowing:
-SFpublicplaygrounds
-SFpublicbeaches
-SFpublicsportfieldsandspectatorareas
-SFdoorwaystopublicplaces
-SFoutdoorpublicpatios
DatahasbeengatheredsinceOctober2008,andresearchisongoing.
Cessation Programs, Community Education and Awareness HealthCareProviderCampaigniscurrentlyunderwaywithagoaltoencourageallhealthcareproviderstoaskpatientsabouttobaccouseandreferthemtolocalprogramsandservices--thisbriefinterventionstrategyusesthe4-A’sapproach(Ask,Advise,Assess,Assist).
CHSDisdeliveringapresentationtoSarnia-LambtonOccupationalHealthNursestoadviseoflocalcessationservicesandencouragebriefsmokingcessationinterventionstrategies.
CHSDofferstheiquitSmokingProgramforadults(6sessionsovera3weekperiod)onaquarterlybasis.
CHSDisestablishinga‘pilot’NRTCouponProgramwhere25clientswillreceive5-weeksoffreeNicotineReplacementTherapy.CouponswillbeacceptedatHoganPharmacieswherePharmacistswillprovidecounsellingonaweeklybasis.
CHSDpartnerswiththeCentreforAddictionandMentalHealth(CAMH)todistributefreeNRTthroughtheSTOPstudy.
CHSDwasinstrumentalinmobilizingcommunitypartnerstoformtheLambtonTobaccoNetwork(LTN).LTNisacommunitypartnershipmadeupofrepresentativesfromvariouscommunitysectorsthatcollaboratetoreducesmokingratesinLambton.Formedin2006,thiscommunitypartnershipbringstogethercessationprogramfacilitatorsandothercommunitypartnerstoshareresourcesandcoordinatecomprehensivesmokingcessationprogramsandservicedelivery.
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Program Name Description
Cessation Programs, Community Education and Awareness, continued
PromotionoftheprovincialCanadianCancerSocietyDriventoQuitContesttakesplacefromDec.2010toFeb.28,2011.Manycommunitypartners,employers,communityagenciesparticipateinpromotingtheDriventoQuitChallenge.
ThroughtheSmoke-freeOntarioYouthEngagementStrategy,CHSD’syouthcoalition(Y-CHAT)areinvolvedindevelopingpromotionalmaterial,andmonitoringthewebsiteforthesouthwest“Inthenic-o-time”youthsmokingcessation,reductionortotalabstinencecontestfor14–19yearolds.
Y-CHATispartneringwithLambtonCollegetosupportthe“LeavethePackBehind”quitsmokingcontest.
Policy Update • Severalmunicipalitiesexpressedinterestinexpandingsmoke-freepublicplacestoincluderecreationalandsport facilitieswherekidsplay • CommunityHealthServiceshasexpressedinterestinexpandingsmoke-freeplacestooutdoorareas • TheCountyhasadoptedasmoke-freepolicyinsubsidizedhousing(2010)
P h YS I CA L AC T I V I T Y , S Po RT A n d R EC R E AT I o n
Statistics and TrendsPhysical Activity
Between2000/01and2007/08,therehasbeennosignificantchangeintheproportionofLambtonandOntarioresidentswhoreportbeingmoderatelyactiveoractive(Figure12).LambtondidnotdiffersignificantlyfromOntariowithrespecttotheproportionofresidentswhoareactive.Malesaremorelikelythanfemalestoreportbeingmoderatelyactiveoractive(56.2%ofLambtonmalesand43.9%ofLambtonfemalesareactive).
Source: Canadian Community Health Surveys 2007/08
In2007/08,LambtonandOntarioresidentsages12-19yearsweremostlikelytoreportbeingactive(Figure13).Physicalactivitydecreasessharplyasageincreasesfrom12-19yearsto35-44years.Lambtonresidentsages12-34appearmorelikelythantheirprovincialcounterpartstoreportbeingactive,whilethoseages35-65yearsappearlesslikely,thoughthesedifferencesarenotstatisticallysignificant.
Source: Canadian Community Health Surveys 2007/08.
ItisimportanttonotethattwoarticlesintheJanuary2011issueofHealthReportsfoundthatself-reportedphysicalactivitylevelsmaybegreatlyoverestimated(Colleyetal.2011a&2011b).Whiletheaboveestimatesindicatedthatapproximately50%ofthepopulationisinactive,objectivemeasurementsofphysicalactivityusingaccelerometersindicatethat85%ofCanadianadultsarenotactiveenoughtomeetCanada’snewphysicalactivityrecommendationof150minutesofmoderate-to-vigorousactivityperweek.Furthermore,theauthorsfoundthatonly7%ofCanadianchildrenaged5to17achievedtherecommended60minutesofmoderate-to-vigorousactivitydaily.
Overall,adultsandchildren/youthspendanaverageof9.5and8.6hoursadayinsedentarypursuits.Amongteenagersaged15to19,sedentarytimesurpasses9hoursaday.Over60%ofourwakinghoursarespentsedentary.
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Recreational Opportunities
In2008/09,90.8%(±2.2)ofLambtonresidentsreportedthattheywereawareofwalking,bikingornaturetrailsintheirneighbourhood,while57.8%(±3.7)reportedusingatrailinthepast12months(RRFSS,October2008–April2009,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
In2010,Lambtonresidents(18yearsandolder)reportedwalkingaroundtheirneighbourhoodatvaryingfrequenciesinatypicalweek(reasonforwalkingcouldbeforfunandexerciseortogofromplacetoplace): • 30.7%(±3.2)walkedonehourorless • 47.2%(±3.4)walkedfrom1to5hours • 12.9%(±2.3)walkedfrom6to10hours • 7.7%(±1.8)walkedmorethan10hours
Frequencyofwalkingaroundtheneighbourhooddidnotvarybetweenmalesandfemales,butdiddecreasewithage.Thepercentageofadultswalking1hourormoreinatypicalweekwereasfollows: • 18-24years 84.0%(±10.2) • 25-44years 71.7%(±5.8) • 45-64years 70.4%(±4.8) • 65yearsandolder 52.9%(±7.5)
(RRFSS,January2010–August2010,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
Active Transportation
In2006,7.0%ofLambton’semployedlabourforce(15yearsandolder)reportedwalkingorbikingtogettowork(StatisticsCanada,2007).
Beingwithinwalkingdistancetoschools,grocerystoresandparks,trailsandopenspacesareviewedasmostimportantwhenmakingdecisionsaboutwheretolive(RRFSS,January2010–April2010,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
Accordingtothesamesurvey: • 90.6%(±2.8)ofLambtonresidentsfeelthattheirneighbourhoodisanexcellent,verygood,orgoodplace towalkforleisure. • 69.4%(±4.4)ofLambtonresidentsfeelthattheirneighbourhoodisanexcellent,verygood,orgoodplacetowalkto forreasonsotherthanleisure. • Moredataisrequiredtoassesswalkabilitybymunicipality.PreliminaryresultssuggestthatPointEdward,Lambton ShoresandSt.Clairareratedhighestasplacestowalkforleisure.PointEdwardandPetroliaappeartoberatedthe highestasplacestowalkforreasonsotherthanleisure.
Emerging IssuesActive Transportation to School • “SafeRoutestoSchool”.Thereisagapforpromotingsaferoutestoschoolwithinbothschoolboards.Theconcerns withliabilitylimitswhatcanbedonetopromotesafeschooltravel.Thereislimitededucationonbicycling safetywithinschools
Low Cost/No Cost Recreational Opportunities • Residentswantopportunitiestoparticipateinactivitiesthatarelowornocost,availableintheirneighbourhoodsand organizedforsmallgroupsorfamilies • Fundstoparticipateinsportsforkids-thecostofequipmentandtravel
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Focus on Recreation, not Competition • Morenon-competitivesportsforkidsPickupsports(“Tiredofhavingto“makeateamtoplaysports”;Toomuch emphasisonsportandnotactivity;Stigmaattachedwithoutplayingtravelorthetopteam) • Therearefewopportunitiesavailableforages13–30s,unstructured/unorganizedsport
Increased Access for Certain Groups (Disabled, Older Adult, Youth/Young Adults) • Peoplewithdisabilitieswouldliketheopportunitytohaveaccesstothesesameprogramsthroughimproved transportationandmodificationstotheprogramstosuittheirabilities • Greaterneedsfortheolderadultstohaveaccesstoprogramsandfacilitiesthatpromotephysicalactivity
Communication of available Programs • Therearemany(recreation)opportunitieswithinSarniaLambtonbutakeycomponentisthelackofawarenessof thoseopportunities.Thereisnocentral,one-stopshoppingsourceofavailableactivities
Suggestions for Actions Increase awareness of Physical Activity • Continuewithincreasingcommunitiesawarenessoftheimportanceofbeingphysicallyactive • Promotephysicalactivityintoeverydayliving
Increase access • Develop“EverybodyGetstoPlay”policiestoremovefinancialbarrierstoaccessingrecreation
Consider different Recreation Programs, or ways of Offering Programs • Morecommunitywalks • Exercisestationsatlocalparks • Freeexerciseprogramsinparkswithfamilyactivities • Outdoorfreerinksforskatingandsummerforballhockey-havevolunteers/adults/seniorshelpteachkids howtoskate • Offermorerecreationalteams-certaintimeseachweek,samespot • Morewinterprogramming(winterbreakcamps,SaturdayFunDays),Indoorwalkingtrack • Morefreeswims • Placestorentequipment-skiing,bikes,canoes,paddleboats,etc • Exercisestationsinthearenaswhenyouaretherewatchingkidsplayhockey • Addmorenaturetrails • Openschoolgymnasiumsduringtheeveningsorsomeweekends • Mallwalkersprograms-morepromotionandmoreorganizedandFUN! • Selfguidedorgroupdirectedwalkingtourshighlightingthehistoryoftheareas • Needmultipurposefacilitiestomeetavarietyofneeds–i.e.washstationsincommunitycentresforart,suitable flooringforexerciseprograms,etc. • Accesstounorganizedsport/fitnessopportunitiesi.e.pavedtrails,dirttrails • Encouragepeopletotrysomethingdifferent.Clubs,organizations,associationsshouldofferafreetry-itevent throughoutthecountyandatappropriatetimesoftheyear
Focus on Specific Groups • Recruitandtrainvolunteerstoorganizeandmodifyrecreationalopportunitiesforyoungpeople,olderadults,and peoplewithdisabilities • Bringbackprogrammingforages3to13tore-engagetheyouth • Focusonpregnantwomanandpregnancyweight
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Promotion/Incentives • Monthlychallengesinourcommunity-introducenewwaystobeactive • Taxcreditforadultssimilartochildren • Offerfreefamilydaypassesforcommunityreccentres/pools/gyms,etc.MorepassesthatareFREE
Communication of Existing Programs/Services • Developaninformationwebsite-easytofindprogramtimes,costs,locations • Createadirectoryofwhatphysicalactivities/recreationisavailableinthecommunity.Thedirectoryshouldcoverall agegroupsandincludethecostofmembershipandavailablefundingorfeereduction.Thedirectorycouldhave informationontransportationi.e.busroutesorweblinks.Thedirectorycouldbeonlineordiscandupdatedyearly • Createaresourceforolderadultsforhealthpromotionservices
Active Transportation to School • ImplementWalktoSchoolprograms.ThesecouldlinkintoaBacktoSchoolSafetycampaignthatwouldeducate roadusers • InvestigateActive&SafeRoutestoschoolpolicywithMinistryofEducationthatrequiresallschoolstohaveASRTS Plan/Policy.Promotesaferoutestoschool,bike/pedestriansafetyandreadytolearnbenefits • Advocateforpolicyonschool-based,mandatorybikesafetyprogramsmandatoryforstudents
Built Environment/Urban Design • Officialplans(andtheMinistryofEducation)shouldlocatenewschoolstofavourwalking/bikingtoschooland reduceriskofcrossingbusystreetsetc • Createtransportationmasterplansthatincludeactivetransportation,trails,pedestrians,cyclistsandpersonswith accessibilityissues • Developwalk-able,compactneighbourhoodsthroughmixedlanduses,live-workoptions,diversebuildingformsand wide-rangingtransportationoptions • Walkablesidewalks(bettermaintained)sidewalkswithdipsforstrollers,wheelchairs • Sidewalksoneverystreet-betterlighting.Cleansidewalksofsnow • Crosswalksigns.Bettermarkingforcrossings-morepaint! • CloseFrontStreettotrafficonweekends.Novehiclezonesforsomeevents/activities • Morebikelanes/multi-purposelanes • BetterpromotionofSarnia’sbikerackprogram • Availabilityofbikes-rentabikeprogram-refurbishesbikesforkidsunder12 • Moretrails-lightingontrails • Streetsdesignedwithbikinglanesandclearlymarked.Chargeayearlybikingfeetoimprovepaths.Connectwith serviceclubs,localbusinessestohelpsupport • Morebikeracksoutsidecommunityestablishments • Establishbikeroutesthatconnect-scenicroutethroughoutthecityandpromotetotourism • Betterbusroutes-accessibility.Morebussing • Free/discountedbusservicetoparks
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Programs and Services
Program Name Description
Municipal Sports and Recreation Guides Eachmunicipalityoffersavarietyofrecreationprograms,andproducesaWinterandSpringbrochuretoinformsresidents(theseareavailableonlineoneachofthemunicipality’ssites.
http://www.lambtononline.com/local_municipalities
Community Health Centre CommunityHealthCentresprovidegreatprogramsatnocost,mostlytargettoolderadultsandyouthunder13years.
Trails Map InformationonLambtonCountyparkandtraillocationscanbefoundatwww.lambtongis.ca/lambtontrails.
LambtonCountyTrailMapsareavailableatallLambtonCountylibraries.
Policy Update • Mostmunicipalitieshadapractice(ifnotpolicies)inplacelocallytoensurethatallresidentswereabletoparticipate inorganizedrecreationalactivitiesregardlessoffinancialability
h E A L T h Y E AT I n g
Statistics and TrendsFruit and Vegetable Consumption
Between2000/01and2007/08,therehasbeennosignificantchangeintheproportionofLambtonandOntarioresidentswhoreporteatingtherecommendednumberofservingsoffruitsandvegetableseachday.Furthermore,itappearsthattherehasbeenlittlechangesince1990,whenonly32%ofLambtonresidentsreportedconsuming5ormoreservingsperday(OntarioHealthSurvey1990).In2005and2007/08,LambtonresidentsweresignificantlylesslikelythanOntarioresidentstoreporteatingfiveormoreservingsoffruitsandvegetableseachday(Figure14).
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*Significantly different from provincial rateSource: Canadian Community Health Surveys 2000/01, 2003, 2005, 2007/08
Malesaresignificantlylesslikelythanfemalestoeattherecommendednumberofservingsoffruitsandvegetablesperday(Lambton:28.4%vs.44.3%)(CCHS2007/08).WhilebothLambtonmalesandfemaleswerelesslikelythanOntariocounterpartstoeattherecommendednumberofservings,thisdifferencewasonlystatisticallysignificantformales(28.4%vs.35.1%).
Whiletherewasnotgreatvariabilitybetweenagegroups,LambtonandOntarioresidentsages65yearsandolderweremostlikelytoeattherecommendednumberofservingsoffruitsandvegetableseachday(Figure15).
*Significantly different from provincial rate; ‘ : Interpret with caution, large variabilitySource: Canadian Community Health Survey 2007/08
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Restaurant and Fast Food Frequency
In2008,81.0%(±3.6)ofLambtonresidentsreportedeatingatarestaurantorfastfoodestablishmentorpickingupready-to-eatmealsatleastonceinthepastweekand55.6%(±4.5)didsotwoormoretimesinthepastweek(RRFSS,July2008–December2008,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
Food Security
In2008-09,8.0%(±2.0)ofLambtonresidentsexperiencedsomedegreeoffoodinsecurity-worryingabouthavingenoughfood,runningshortonfood,orsacrificingthequalityoffood(RRFSS,October2008–April2009,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
The2010NutritiousFoodBasket,basedonthelowestpricesof67fooditemsatnineLambtongrocerystores,founditcostsaLambtonCountyfamilyoffour(twoparentswithasonandadaughter)$708.99permonthtobuygroceriesforanutritionallyadequatediet.Thecosttofeedafamilyoffourhasbeenrisingsteadily.Between2000and2009,thecostrose39.5%or$42.38perweek.
Emerging IssuesFarm to Table Education • Needforpubliceducationaboutwherefoodcomesfrom,andhowit’sgrown
Nutrition Education • Lackofknowledgeabout“Whatishealthy”,limitedaccesstoinformationonhealthyeating • Confusionabout“what’sinfastfood”andhowtomakebetterchoicesthatarequickandeasy • YouthfeelCanada’sFoodGuidetoHealthyEatingislame,toomuchtoread,complicatedlookingeven thoughitisn’t,neverlookatitevenwhenit’shandedout,anditishardtogetcopies,notaccessibleforyouth
Access to Healthy food • Foodisnotavailablethroughoutourcommunity.“FoodDesserts”existinourcommunityalthoughthishas notbeenformallymappedout • Transportationisanissueinruralcommunitiesandeveninthecity,togettoagrocerystore • Costofhealthyfood • Accesstotransportationtogettoagrocerystoreifyouhavemobilityissues(wheelchair) • Limitedhealthychoicesinvendingmachines
Food Skills • Lackoffoodpreparationskills:canning/freezingskills(generalpopulation);labelreading;cookingskillsingeneral makinghealthyeatingeasierespeciallycookingforone
Suggestions for Actions Food Skill Development • DevelopFoodSkills(Children,youthandyoungadults,collegestudents-programstosupportfoodskills,budgeting, mealplanningetc..;CookingClubsateveryschool;Communitykitchens,forseniorpopulation.Onemealfocus “dinnersclubs” • SchoolBoardstosupportFoodskills.ReintroduceHomeEconomicsintoschool • Morecommunitygardens-teachpeoplehowtogrowfood
Education • Requirefastfoodrestaurantstopostnutritionalinformationoffoodbyfooditems • Promotehealthydinnerideas,shoppingonbudget,oncommunityhealthwebsite.Updatetipsmonthly • Needprogramstoteachabouteatingwell-abalanceddiet-followingCanada’sFoodGuide • Providefieldtripsforstudentstolocalfarms
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Access • EncourageCityofSarniatodonatelandforcommunitygardens/increasecommunitygardens • DecreasethenumberoffastfoodrestaurantsinSarnia • DeveloppolicyforLocal/healthyfoodinrecreation/arenasinLambtonCounty • Developmunicipalbylawstodecrease“fooddesserts”inLambtonCounty • ContinuedevelopingaFoodCharterin2011. • ImplementandsupportOntarioMinistryofEducation-PPM150-healthyeatingpolicy forschoolsimplementedinSept2011 • Increaseadvertisingofprogramsavailableinourcommunity-GoodFoodBox(GardenFreshBox) • Increaseaccesstolocalfoodinourgrocerystores • IncreaseFarmersMarketsinourcommunity-throughoutLambtonCounty.Offermobilefarmersmarket • Offerhealthyfoodchoicesatpublicevents-Bayfestandparks • Connectwithtourismtopromotelocalfood:farmersmarkets,etc. • Lobbytoincreasecostof“junkfood”tobecomparabletohealthyfoodcosts • Requiregrocerystorestohavehealthyfoodateyelevel,versusunhealthyfood • Removeunhealthyfoodatcheckout • Healthierfoodchoicesatschool,work,publicplaces,hospitals • VendingmachinesinLambtonCountythatcarryONLYhealthyfood
Programs and ServicesProgram Name Description
Good Food Box (Garden Fresh Box) Amonthlyfruitandvegetablebuyingprogramwithcentralizedbuyingandco-ordinationthroughtheCountyofLambtonCommunityHealthServicesDepartment(CHSD).
Student Nutrition Programs StudentNutritionProgramsarepromotedandsupportedbytheCountyofLambtonCommunityHealthServicesDepartment(CHSD)andtheLambtonStudentNutritionAdvisoryCommittee(LSNAC).
Peer Nutrition Program Themainpurposeistotrainlaypeopletoencouragehealthyeatingamongcommunitypeersthroughcookingclasses,fooddemonstrations,andotherfood-relatedopportunities.
Lambton County Farm Map LambtonCountyFarmMap.NutritionstaffhavepartneredwiththeLambtonFederationofAgriculturetoproduceaLambtonCountyFarmMap.
Cooking on a Shoe String CookingonaShoestringisa4weekhandsoncookingclassheldinpartnershipwithlocalcommunityagencies.Thegoalistoteachprioritygroupsbasiccookingskillsonalimitedbudget.
Policy Update • Nopolicyupdateswerenotedintheareaofhealthyeatingandaccesstonutritiousfood,althoughattheCountylevel, thereisinterestinaddressingtheissueofcommunitymarketsasawaytoaddressaccesstofood • ThereisaninterestindevelopingaFoodCharterforLambtonCounty
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A LCo h o L A n d S U b S TA n C E M I S U S E
Statistics and TrendsAlcohol Use
Frequentheavydrinkingiscommonlydefinedashaving5ormoredrinksononeoccasion,atleastonceamonthinthepastyear.Between2000and2008,ahigherproportionofLambtonresidentsreportfrequentheavydrinkingcomparedtotheprovincialaverage(Figure16).Thisdifferencewasstatisticallysignificantin2000/01,2005and2007/08.
*Significantly different from provincial rateSource: Canadian Community Health Survey 2007/08
Heavydrinkingismorecommonamongmalesthanfemales(Lambton:33.4%vs.12.6%)(CCHS,2007/08).Heavydrinkingismostcommonamong20-34yearolds(Figure17),with54.3%ofLambtonmalesand26.0%ofLambtonfemalesinthisagegroupreportingheavydrinkingoverthepastyear(CCHS2007/08).
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*Significantly different from provincial rate; NR: Not Released; ‘ : Interpret with caution, large variabilitySource: Canadian Community Health Survey 2007/08
DatacollectedthroughtheOntarioStudentDrugUseandHealthSurvey(OSDUHS)suggeststhatalcoholuseandbingedrinkingisevenmorewidespreadamongyouththanfoundintheCCHS.OSDUHSdefines“binge”drinkingashaving5ormoredrinksononeoccasioninthepast4weeks.In2009,46.5%(34.0-59.0)ofsecondaryschoolstudents(Grades9to12)intheErieSt.ClairandSouthWestLHINs1reportedbingedrinking.Thiswassignificantlyhigherthantheprovincialaverage(32.9%(95%CI:30.3-35.6)).Thisratehasremainedconstantintheregionandtheprovinceduringthe10yearperiod,1999-2009.
Substance Use and Driving
In2008,7.2%(±2.0)ofLambtonresidents,aged18yearsandolder,reporteddrivingamotorvehicleinthepastyearafterhaving2ormoredrinksinthehourbeforetheydrove,including11.6%(±3.7)ofmalesand3.5%†(±1.9)offemales(RRFSS,June2008–December2008,LambtonCommunityHealthServicesDepartmentandInstituteforSocialResearch,YorkUniversity).
In2009,OntariostudentsinGrades10-12weremorelikelytoreportdrivingamotorvehicleaftercannabisuse(16.6%)thanwithinanhourofdrinking2ormoredrinksofalcohol(11.9%)(Paglia-Boaketal.2009).Malesweresignificantlymorelikelytoreportbothbehavioursthanfemales.Amongstudents,therehasbeennosignificantchangeintherateofdrivingafteralcoholorcannabisuseinthepastdecade(1999-2009);however,drinkinganddrivingrateshavedecreasedsignificantlysincemonitoringbeganinthe1970s(highof46%in1979)(Paglia-Boaketal.2009).
Substance Misuse
AccordingtotheOSDUHS(2009),cannabisisthemostoftenusedillicitdrugin2009,with38.8%(32.0-46.1)ofsecondaryschoolstudents(Grades9-12)intheErieSt.ClairandSouthWestLHINs1reportinguseinthepastyear(Paglia-Boaketal.2009).Therehasbeennosignificantchangeintheprevalenceofcannabisuseoverthepastdecade(1999-2009)intheregionortheprovince.-----------------------------------------------------------------
1Erie St. Clair and South West LHIN include: Lambton, Chatham-Kent, Windsor-Essex, London-Middlesex, Huron, Grey Bruce, Perth, Elgin, Norfolk
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ThesecondmostcommonlyuseddrugsareopioidpainrelieverssuchasPercocet,Percodan,Tylenol#3,Demerol,OxyContinandcodeine.IntheErieSt.ClairandSouthWestLHINs,22.0%(14.9-31.1)ofstudentsreportedthenon-medicaluseofthesedrugsinthepastyear.WhiletherateofOxyContinuseisnotavailableattheLHINlevel,provincialrateswere2.2%(1.8-2.7),indicatingthatotheropioidsaremorecommonamongthestudentpopulation.Therehasbeennostatisticallysignificantchangeinopioidusebetween2007and2009intheregionortheprovince.Attheprovinciallevel,females(20%)aremorelikelythanmales(16%)touseanopioidpainrelievernon-medically.
InthemergedLHINarea,38.6%(31.1-46.7)ofstudents(Grades9-12)reportedusingopioidpainrelieversformedicalpurposes,withaprescriptionorastoldbyadoctor.Three-quartersofthosewhousedanopioidpainrelievernon-medicallyreportobtainingitfromhome.
Opioiduseisalsoaconcernamongtheadultpopulation.TheagerangeofclientsattheBluewaterMethadoneClinic(BMC)is18-30years,witharecenttrendtowardsmoreclientsinthe18-25agerange.Whilethereareapproximately820methadoneclientslocally,thisisnotaclearindicationofthelocalsituationsincesomeLambtonresidentsusefacilitiesinLondon,St.ThomasorChatham.BMCalsoservicesoutoftownclients.
Emerging Issues • Lackoflocaldata.WhileCAMH’sstudentdrugusesurvey,doneeverytwoyears,providessubstancemisusedata,the dataarenotspecifictoourcommunitybutratherlumpedintoregionalstats • Opiateaddictionisaprobleminourcommunity,andmethadoneisbeingdeliveredasalifeline.Thereisalackof methadonesupportgroupsorcounsellingservices
Education • Thereisalackofeducationopportunities/publicforumsforstudents,parents,community,professionals
Availability of Drugs in Schools • Steroidsrampantinschools;cangetdrugseasilyanytimetheywant,cheap/sellingPerk’sandOxy’s.
Coordination of Services • Anoverlapandalackofco-ordinationofservices,lackoffundingandpartnerships
Professional support for Prescription Meds Misuse • Needthesupport/educationofphysicians/pharmacists,etc.“Firstdealwiththeaddictionsand otherissueswillbeeasier”
Suggested ActionsEducation for Health Professionals • EducatethehealthcaresectoronappropriateprescribinganddispensingofOpiotes,Percocet,Oxycotinforpainrelief throughworkshops,educationalcredits,seminars
Education and skill building for parents • Educationtoparents-howtotalktoyourkidaboutdrugsandalcohol • Provideeducationonparent-teenrelationships–i.e.talkingtoaparentorteen,suchaswhenateenasksquestions aboutdrugs
Education • Schoolboardsmustrecognizeandencourageactiveparticipationinsubstancemisuseactivities • Programsmusttargetyouthearlierratherthanlatertomitigatetheriskofdevelopingmentalhealthillnessordrug abuse.Targetchildren,youthandparentsinanintensivemanner.Foryouthintroubleordroppedout,keepingthem engagedintheschoolsystemisessential • FetalAlcoholSpectrumDisorder.Needtoinformandremindwomenthatnoalcohol,noamount,atnotimeduring pregnancyisthesafestbet • Thelink/relationshipbetweenalcoholandchronicdiseaserequiresgreateremphasis
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• Peertopeerpresentations.Storytelling,sharingexperiencesfromthosethatbeenchangedbyalcoholanddrugmisuse. Olderadultseducatingyoungeryouth • Educationearly-assembliesatschoolsguestspeakerswhoarerecoveringaddicts.Videosinschool • Mandatoryseminarforallgrades(8).Smallgroupstoallowdiscussion • Increaseawarenessofexistingprograms
More Alcohol-free Events in the Community • Affordable/freeactivitiesforyouth/freesportsprograms/afterschoolprogramming • Morecommunityeventsthatarealcoholfree • Moreyoutheventsforyouth-youthnightSarniaStinggames(reduceprice) • Morefungatheringplaceforyouthtohangoutalcoholanddrugfree-socialactivities
Priority populations and Youth Engagement • Needtoimprovewayweworkwithprioritypopulations.Youthforumtogetinput • Usegraphicimagessuchas(liverdamage)toengageandeducate • Haveyouthwritearticlesinlocalmediaonconcernsofalcoholanddrugs/troublewithit • Localindustrytosupportcompetitionforschoolstodevelopthemosteffectiveantidrugalcoholor smokingvideo(YouTube) • Youthcoalitiontoaddressthepreventionandusageofalcoholandotherdrugs • Mentorsintheschooltosupportyouth;Counsellorsinelementaryschoolaswellashighschool • Websiteforyouth-linktosupport
Implement Previous Recommendations in Drug Strategy • ThereisaneedforthecreationofanAlcohol/DrugStrategyTaskForceasindentifiedintheSarnia-LambtonDrug Strategy,andwhichwasrecognizedandsupportedbyLambtonCountycouncil
Alcohol and Recreation Policy Development • Developmentofalcoholpolicies,tohelpcommunitiesandgolfcoursesinLambton,reducerisksandliabilityfrom alcoholconsumption
Policy development restricting Advertising • Developpolicyrestrictingalcoholadvertisingwithinacertaindistanceofschools,playgrounds • Developpolicyrestrictingalcoholadvertisingonmunicipally-ownedproperty,parks,buses,etc
Workplace Policies • Updateorcreatesubstancemisusepolicieswithinworkplaces,municipalities
Drinking and Driving • MorefrequentRideChecks(notjustonholidays) • Alcoholfreedriverprogram • Nonalcoholdrinksforfreetothedesignateddriver
Police Enforcement • Regular-randomdrugsearchesatschool
Treatment Facilities • Morecounselling/treatmentprogramsandservicesandaDetoxfacility
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Programs and ServicesProgram Name Description
SarniaRebound Providesanumberofpositiveprogramsthatareproactiveandreactivetorelatingtoanumberofissuesincludingsubstancemisuse.
Racing Against Drugs RacingAgainstDrugsisafun,interactive,learningexperiencethatgiveselementarystudents(Grade5)inourcommunityinformationtheyneedtostayontrackandtolivedrug-free.
Racing Against Drugs, held during National Drug Awareness Week in late November,promotespublicawarenessofsubstancemisuseissuesandhealthylifestylealternativesforchildren.TheRoyal Canadian Mounted Policesponsoredeventnowusesdigitalracingtechnologywithsixvideoconsolesinsteadofaslot-carracetrack.Notdoesonlyitcapturetheattentionofyoungpeople,ithelpscommunicateamessageofhealthy,drug-freelivingthroughautoracing–ahigh-profileandexcitingsportthatdoesnottoleratesubstanceabuse.
Communityagenciesandorganizationsman“pit stops” topromotehealthy,drug-freelifestyles.Studentsactivelyparticipateastheyworkwithpeersinafun,competitiveandchallengingsetting.
Students Acting Against Drugs Audience:Grades7/8students.ProgramdeliveredbyGrades11/12secondaryschoolstudentsinconjunctionwithCHSD,policeandLDAAC.
Thetransitionfromelementaryschooltohighschoolisfraughtwithexcitement,changingsocialrolesandrelationships,experiences,expectationsandexperimentationthathelpdevelopskillsforadulthood.
Althoughadolescenceisgenerallyatimeofgoodhealth,teenyearscanbeatimeofexperimentationinpotentiallyharmfulactivitiesthatcanresultininjury,depression,substanceuse,violenceandriskysexualactivitiesthatposethreatstothehealthandwell-beingofthisagegroup.
Grades 7 and 8(usuallyages12-13)areimportantyearsforsubstancemisusepreventionformanyreasons.Typically,druguseincreasessignificantlybetweenseniorgradesofelementaryschoolandsecondaryschool,andstudentsaremorevulnerableduetodevelopmentalchangesandchangesinschool,friends,academicpressures,andtheirenvironment(e.g.,greateraccessibilitytovarioussubstances).Preventiveeffortsneedtobedonepriortothetransitiontosecondaryschool.
Dramaisapowerfultooltoconveythatmessage.
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Program Name Description
Students Acting Against Drugs, continued SAADisapeer-to-peersocialdramainitiativeleadbyseniordramastudentsatthesecondaryschoollevel.Theywrite,directandperformaplaythatdealswiththerisksandtheconsequencesofsubstanceuseandabuse.
Aquestionandanswerperiod,withquestionsfromtheaudience,ishandledbythehighschoolperformers.
Students Acting Against Drugs,underthedirectionofCountyofLambtonCommunityHealthServicesDepartment,LambtonDrugAwarenessActionCommitteeandpolice,isdesignedto:•increaseknowledgeaboutsubstancemisuseandtheconsequences•improvelifestyle,educationalandsocialbehavioursinourcommunities•providepositivepeermessaging•emphasizeconsequencesratherthanportraypartyingasattractive•translateknowledgeintopositivebehavioursamongLambtonyouth.
Alcohol Free Family New Year celebration The Alcohol-Free Family New Year’s CelebrationoffersfamiliesanaffordablealternativetoringintheNewYeartogether,asafamily,inasmoke-freeandalcohol-freeenvironment.
Eventhasbeenheldfor12yearsonDecember31,inlatemorningearlyafternoon.Attendancevariesfrom1200-2000.
Theeventpromotes,educatesandraisesawarenessofsubstanceuseissuesalongwithpromoting/encouraginghealthylifestylechoicesvitaltofamiliesandyouth.Thecommunitycelebrationincludesskating,musicalentertainment,crafts,facepainting,inflatableamusements,gamesandpopularchildren’scharactersincostume.FestivitiesincludeaNewYear’scountdowncompletewithaballoondrop,gingeraletoastandcake.
LDAACalsoprovidesresidents-in-needwithticketsandtransportationtoensureeveryoneisabletoattend.
Values Influence and Peers (VIP) - Sarnia Police, OPP School-basedprogramforyouthtobuildresiliencyandavoidinfluencestouse/abusesubstances.
Skills Link Skilldevelopmentforindividuals18-30yearsold
Narcotics Anonymous Peersupportprogramforthosemisusingsubstances
Alcoholics Anonymous Peersupportprogramforsobriety519-337-5211for meetingschedules
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Policy Update • Severalmunicipalitiesdid,infact,havemunicipalalcoholpoliciesinplace
M E n TA L h E A L T h P Ro M oT I o n
Statistics and TrendsSelf Perceived Mental Health
ThemajorityofLambtonandOntarioresidentsperceivetheirmentalhealthasgood,verygoodorexcellent.In2007/08,2.6%ofmalesand4.8%offemalesratedtheirmentalhealthasfairorpoor(Figure18).Localrateswerelowerthanprovincialratesand
thisdifferencewasstatisticallysignificantformales.
*Significantly different from provincial rateSource: Canadian Community Health Surveys 2007/08
BasedontheOSDUHS(2009),16.3%(11.8-22.1)ofstudents(Grades9-12)inthecombinedLHINregion(ErieSt.ClairandSouthWest)ratedtheirmentalhealthasfairorpoor(Paglia-Boaketal.2010).Whileslightlyhigherthantheprovincialaverage(13.1%),thedifferencewasnotstatisticallysignificant.Furthermore,35.0%(31.0-39.2)ofstudentsintheregionreportedelevatedpsychologicaldistress.Thiswassimilartotheprovincialaverage(35.1%).Approximately23%ofstudentsintheregionandtheprovincereoprtedthattheyvisitedamentalhealthprofessionalinthepast12months.
Life Stress and Satisfaction
In2007/08,16.4%ofLambtonresidentsreportedthattheyhad“quitealot”oflifestress(Figure19).Thiswassignificantlylowerthantheprovincialaverage(22.2%).IncomparisontoOntario,Lambtonrateswereparticularlylowforthose35-64yearsofage.RatesoflifestresswereslightlyhigherinLambtonvs.Ontarioforyouthages12-19years,buttherewashighvariabilityinthisestimateduetoasmallsamplesize,soresultsmustbeinterpretedwithcaution.
Also,in2007/08,92.8%ofLambtonresidentsreportedbeingsatisfiedorverysatisfiedwithlife.Thiswassimilartotheprovincialaverage(90.7%).
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*Significantly different from provincial rateSource: Canadian Community Health Surveys 2007/08
Suicide
Atthelocallevel,thereissubstantialvariationintheannualrateofdeathduetosuicide(Figure20).Insomeyears,localrateswillbehigherorlowerthanprovincialrates.Onaverage,between2000and2005therewereapproximately3suicidesperyearamongLambtonfemales(range:1-4peryear)and10suicidesperyearamongLambtonmales(range:6-18peryear).RatesforLambtonfemalesduringthisperiodweresimilartotheprovincialrate.RatesforLambtonmaleswereslightlyhigherthanOntariomales;however,thedifferenceisnotconsideredstatisticallysignificant.Between2000and2005,5.6%ofsuicidedeathsoccurredinyouthaged10-19years.
Data Source: intelliHealth, Ontario Mortality Database, 1986-2005, Extracted August 10, 2010
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Bullying
RatesofbullyingvictimizationandbullyingperpetrationatschoolweresignificantlyhigherinthemergedLHINarea(ErieSt.ClairandSouthWest)ascomparedtotheprovincialaverage(Paglia-Boaketal.2010).Intheregion,38.6%(31.0-46.8)ofstudentsreportedbeingbulliedand38.4%(30.0-47.4)ofstudentsreportedbullyingothers(comparedto27.9%and25.8%ofOntariostudentsrespectively).
OfthetypesofmaltreatmentexperiencedbyLambtonCountychildren,66%wereduetoexposuretodomesticviolence(AReportontheWell-BeingofLambtonCounty’sYoungChildren,2008).
Approximately7outof10familiesreferredtoCASaresingleparentmother-ledhouseholds.1outof5womenhavebeendiagnosedwith,ordescribedas,havinglevelsofclinicaldepressionthatinterferewiththeirparentingabilities(AReportontheWell-BeingofLambtonCounty’sYoungChildren,2008).
Emerging IssuesEducation and Awareness • Greaterawarenessofmentalhealthissuesamongstyouthincludingsubstanceuseandabuse;informationavailable onlineisnotalwaysaccurateorhelpful,thecommunitiesabilitytocorrectinaccurateinfoandrespondquicklyor proactivelyisverylimited
Stigma • Mentalhealthisnotselfidentified,thereisstigmaassociatedandyoudon’twanttohavethat“label”
Children’s Mental Health • Children’smentalhealthiscriticalwiththerecentsuicidesinourcommunity • BullyingaproblemespeciallywithGaypeopleintheolderyouthage.Youngerkidssaybullying“Ok“ifitisnotreally mean,butjustteasing • Believethatolderadultsandthemediapainta“perfectimageofyouth”andfindithardtoliveuptotheimage,infact don’twantto.Wanttobeheard • (We,i.e.youth)areover–organizedbyAdults.Notsurewhattodobecauseadultsintheschoolswanteverythingso organizedthatyouthseemhelplesstoorganizesomething • Notsureoftheagenciesavailableandwheretheyareandcanyoujustshowupandaskforhelp
Older Adult’s Mental Health • Socialisolation,lackofmobilityforolderadultscanleadtodepression.“Ifyoudon’thaveyourmentalhealth,there’s notmuchyoucando!”
Treatment Issues • Oneofthegreatestgapsisatrendtowarddiagnosisofseriousmentalillnessamongyouthatayoungerage.However, traditionalchildren’smentalhealthserviceshavenotadaptedtheirresponsetoabiopyschosocialintegratedtreatment modeltobettertreatseriousmentalillnessamongyouth
Suggested Actions Education and Awareness • Increasepublicawarenessofmentalillnessthruads.MindYouthHealthsectioninthenewspaper,TVads,and handoutsatschool • Morepromotionaboutmentalhealthissues,radiobroadcasts,TV,printads.Developflyersformail • Increaseawarenessofcurrentserviceagenciesinthecommunity • Developfacebookaccounttoshareinformation/opinions/services,etc • Callinradioshowformat.Toanexpert(whocouldprovideadviceontheair)
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Destigmitization • Discrimination–Thereisastruggletomakethecommunitymoreinclusiveandtoaddressbiasesaroundallages, culturesandpersonswithspecialneeds
Education, Support and Counselling for Youth • Peersupportprogramfacilitatedbylocalagencies,socialworkers • Leadershipprogramsforyouthinschoolstohelpoutyouth(mentoring) • Createmoreafterschoolprogramming • Counsellorsinschoolsforyouthandoutsideschools(dropincentres)whereyouthplay/socialize • Moreworkshopsatschools/speakers • Bringyouthandelderstogetherforstorytellingaboutlife • Morehouseleaguesportsencouragefunplay,socialinteraction • Educationintheclassroomineverygrade(mandatory)toteachkidsatayoungageaboutcopingskills,lifestress,etc • Help/Hotlineestablished
Older Adults • Socialprogramsforolderadultsinor“closetohome”tokeepthemengagedandinteractingwithothers
Workplace Mental Health Promotion • Eachworkplacetohavemandatorymentalhealthworkshopsforemployees • Workshops/speakerseries/lunchandlearnsessions
Early Support and Counselling • Developsupportgroupsforstressmanagement,notjustaddiction • HotlineforfreecounsellinglikeCMHAoffers • Improvedtrainingandcommunityawarenesstoidentifyandtreatseriousmentalillnessandserious substanceabuseearlier
Recreation as a Protective Factor • Increaseaccesstolowcostphysicalactivity
Programs and ServicesProgram Name Description
Community Mental Health Services – Lambton County Branch
(http://www.cmhalambton.org/)
Anextensiverangeofmentalhealthprograms,servicesandsupportsareofferedthroughCommunityMentalHealthServices–LambtonCountyBranch.Areviewoftheirwebsiteidentifiednumerousprogramsaimedatincreasingawarenessandunderstandingofmentalhealthissues,aswellasidentifyingspecificprogramsandsupportsforthoseaffectedbymentalillness.
Preventive Education Program (PEP) PresentationsdeliveredthroughthePreventiveEducationProgramaredesignedtoenhancethepublic’sgeneralunderstandingofmentalillness,toreducethestigmathatissooftenassociated,andtopromoteemotionalwellnessinschools,workplaces,andthecommunity.
Mental Illness Awareness Presentations MentalIllnessAwarenessPresentationsprovideanoverviewofseriousmentalillnessincludingdetaileddiscussionofMoodDisorders
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Program Name Description
Mental Health Works ThisfulldayworkshopisofferedtoManagers,Supervisors,andHumanResourceRepresentatives,andisspecificallydesignedtohelpemployersidentifywarningsignsofmentalillness;discussmentalillnesswithemployees;assessrisks;separateperformanceissuesfrommentalhealthissues;makeappropriateaccommodationsintheworkplace,andavoidHumanRightsviolations.
Suicide Awareness Thisstandardizededucationpackagepromotesaconsistentknowledgebasewithrespectto:suicidewarningsigns,assessmenttechniques,andcommunityresources
Mental health Promotion Thishalf-dayworkshopexploresfivekeycharacteristicsofgoodmentalhealthandassistsindividualsinidentifying,andpromoting,theirownlevelofmentalhealthfitness.
Mental Illness Awareness: Partnership Speakers Bureau Apanelpresentationfeaturesthepersonalstoriesofindividualsandtheirfamilymembers,livingwithamentalillness.
Self-Esteem is Elementary Thissix-weekclassroomseriesisdesignedtogivechildrentheconfidencetofacelife’schallenges.
Kids Have Stress Too Astressmanagementprogramdesignedtohelpparents,andcaregivers,identifyandunderstandstressinchildren,andtoempowerthemtoteachtheirchildreneffectivewaysofmanagingstress.
Crisis Intervention and Specialized Short-term Services 24 hour Telephone and Mobile Crisis Intervention: Telephoneandmobile(in-personsupportisavailablewithintheCityofSarnia)crisisresponseisavailable24hoursperday,365daysayear(includingholidays)toanyonewhomaybesufferingfrommentalillness.
Short-term Services:TogetherwithaCommunityNurseorSocialWorker,individualswithmoderatementalillness,includingAnxietyDisordersandDepression,willworkonsymptommanagement,healtheducation,andcrisis/relapsepreventionplanning,onashort-termbasis..
Discharge Planning:DischargePlanningservicesareavailableforallreferredpatientsfromtheMentalHealthUnitatBluewaterHealth.
Court Diversion Services:SupportisprovidedtoindividualswhohaveamentalillnessandareinvolvedwiththeJusticeSystem.
Release from Custody:In-reachservicesandfollow-upcareareprovidedtoindividualsinsecurecustody.
Crisis Safe Beds and Emergency Housing:Immediatesupportandoutreachisprovidedtoindividualssufferingfrommentalhealthissueswhoareinneedofemergency,orstable,housing.
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Program Name Description
Crisis Intervention and Specialized Short-term Services. continued
Dual Diagnosis Nurse Specialist:Nursingassessmentandsupportisprovidedtoduallydiagnosedindividuals(individualswithamentalillnessandadiagnosisofdevelopmentaldelay).TheNurseworkswithindividuals,theirfamiliesandotherserviceproviderstodevelopcrisispreventionplans,facilitatecommunityintegrationandcoordinatedevelopmentalandmentalhealthservices.
ACCESS Committee / Intake and Assessment:TheAccessCommitteeprovidesasinglepointofaccess,andinitialassessment,forallcommunity-basedadult(16yearsandolder)mentalhealthservicesinLambtonCounty.
Community Case ManagerprovidesassistancetoreferredindividualswhoarepreparingfordischargefromtheIn-patientUnitatBluewaterHealth(commonlyknownas“3-East”).Assistancemayincludehelpwithhousingandfinances,aswellasreferralstoappropriatecommunityresources.
Intensive Case Management:Rehabilitation(knownas“biopsycho-socialrehabilitation”)emphasizingclientchoice,empowerment,andindividualstrengths,isprovidedona1:1ratio.
Vocational Program:Individualswithmentalillnessareassistedtoexplore,secureandmaintaineducational,volunteerandemploymentrelatedactivities.
Depot/Clozaril Clinic Services:Administrationofpsychiatricmedication,aswellasassessmentandmonitoringofindividualsreceivinginjectionsandoralClozaril,isprovided.
Diabetic Clinic:AmultidisciplinaryDiabetesscreening,preventionandsupportprogram,includingfootcare,thesupportofaNursePractitioner,andhealthteachingrelatedtonutritionandlifestylechanges.
Early Detection and Intervention Services (EDIS):providesearlyinterventionservicestoindividualswhoareexperiencingafirstonsetofPsychosis.Servicesinclude:screening,comprehensiveassessment,linkagewithapsychiatristandothercommunitysupport.
Concurrent Disorders Case Manager:ProvidesscreeningofallclientsinreceiptofCMHAServicesforconcurrentdisorders(mentalillnessandaddiction).
Psycho-educational Groups:Openandclosed-endedgroupsprovideeducationandsupporttoclients.Educationtopicsareidentifiedbymembersanddealwithavarietyofissues.Groupsmeetonaweeklybasis.
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Program Name Description
Crisis Intervention and Specialized Short-term Services. continued
Trustee Services:Individualswithseriousmentalillnessareassistedtodevelopthenecessaryskillstomanagetheirfinancialaffairs.
First Nations Community Support Services:IntensiveCaseManagementsupportisalsoofferedonsiteattheKettlePointHealthCentre.
After Care Program:TheAftercareProgramprovidessupporttoindividualsthatnolongerrequireIntensiveCaseManagementServices.Theprogramisinitiatedafteranindividual’streatmentplanhasbeencompleted,andastheyareapproachingdischargefromservices.
Lambton Family Initiative LambtonFamilyInitiativeisasupportserviceforfamilymembers,significantothersandconcernedfriendsofindividualswithanyformofmentalillness.Itisaplacetoreceiveinformation,supportandunderstandinginaconfidentialatmosphere.
The ‘St Clair Child and Youth’ Agency St.Clair&YouthServicesisachildren’smentalhealthcentreandisregardedastheprimaryadvocateandsourceforservicesrelatedtothementalhealthofourchildrenandyouth.St.Clair&YouthServicesisamemberofChildren’sMentalHealthOntario
Policy Update • Nopolicyupdateswereidentifiedinthestakeholderconsultationorcommunityengagementactivitiesintheareaof mentalhealthpromotion
I n j U RY P R EV E n T I o n
Statistics and Trends
BasedontheOntarioStudentDrugUseHealthSurvey(2009),40.5%(31.7-49.9)ofstudents(Grades9-12)inthemergedLHINarea(ErieSt.ClairandSouthWest)reportedthattheyhadbeentreatedforaninjuryatleastonceinthepast12months(Paglia-Boaketal.2009).Thiswasequaltotheprovincialrate(40.6%).
Falls
In2009,therewere5,164visitstotheEmergencyRoom(ER)forfallrelatedinjuriesbyLambtonCountyresidents.ERvisitsweremostcommonamongthoseaged1-4and10-14years,butage-specificrateswerehighestforthose80yearsandolder(Figure21).Anothernoticeablepeakoccurredat50-54years.Malesandfemalesunder40yearsofagevisitedtheemergencyroomatasimilarrate,butafterage40,femalesweremorelikelythanmalestovisittheERforfall-relatedinjuries.
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Data Source: intelliHealth Ontario, Ontario Ambulatory Visits Database, 2002-2009, Extracted November 16, 2010
InLambton,6.9%(±1.9)ofadults,18yearsandolder,reportedhavingaseriousfallinthepast12monthsand12.4%(±2.5)ofadultshadafallthatwasnotserious(i.e.didnotaffectabilitytododay-to-dayactivities)(RRFSSJune-December2008).
Motor Vehicle Traffic Collisions
In2009,therewere606visitstotheEmergencyRoomforinjuriesduetoMotorVehicleTrafficCollisions(MVTC)byLambtonCountyresidents.Youthaged15-19weremostlikelytovisittheERforMVTCrelatedinjuries,andratesdecreasedwithageafterthispoint(Figure22).MalesandfemaleswereequallylikelytovisittheERforMVTCrelatedinjuries.
Data Source: intelliHealth Ontario, Ontario Ambulatory Visits Database, 2002-2009, Extracted November 16, 2010
Pedestrian (traffic-related) Injuries
In2009,therewere220visitstotheEmergencyRoomforpedestrian(traffic-related)injuriesbyLambtonCountyresidents.ERvisitswerehighestamongthoseaged15-19,accountingfor20%ofallvisits.ERvisitsforpedestrianinjuriesweresimilaramongmalesandfemales.
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Cycling Injuries
In2009,therewere401visitstotheEmergencyRoomforpedalcycleinjuriesbyLambtonCountyresidents.Over50%ofvisitswereamongchildrenandyouth19yearsandunder,withthehighestratesamongthose10-14yearsold(Figure23).Nearly75%ofallvisitswereamongmales.
Data Source: intelliHealth Ontario, Ontario Ambulatory Visits Database, 2002-2009, Extracted November 16, 2010
Bicycle Helmet Use
In2008/09,parentsinLambtonreportthat56.9%(±6.8)ofchildrenages5-17whorideabicyclealwayswearahelmet.Thoseaged5-12yearsweremorelikelythanthoseaged13-17yearstowearahelmetallthetime(69.5%±11.7vs.40.0%†±13.6)(RRFSSJuly2008–April2009).
In2009,Lambtonresidents,ages12andolder,werelesslikelythanOntarioresidentstoreportalwayswearingahelmetwhenridingabicycleinthepastyear(23.5%†vs.34.3%)(CCHS2009).
Activity Limitation
In2009,17.9%ofLambtonresidentsreportedhavinganinjurywithinthepast12monthscausinglimitationofnormalactivities,including22.5%†ofmalesand13.4%†offemales.Theserateswerehigherthantheprovincialaverage,butthedifferencewasnotstatisticallysignificant(CCHS2009).
Emerging IssuesSidewalks and Snow • Oftensidewalksarenotclearedofsnow,unevensurfaces,andcrumbling
Wearing the Gear “Not Cool” • InjuryPreventionis“Uncool”i.e.nohelmetsunlessinextremesports.Youthappeartounderstandthebenefitsbut taketheriskanyway • Properequipmentforsportsisimportant
Built Environment and Senior Safety • Lackofstrategiesthatidentifyandreduceareasofriskinthepublicenvironmentthatcontributestofallsandfall- relatedinjuriesamongseniorsinLambtonCounty
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Suggestions for Actions Make Seniors Safety a Priority • Organizationsandgovernmentneedtorecognizeremoveandreduceenvironmentalhazardsthatseniorsface • Makeexistingpublicenvironmentssaferforseniors:promotesafetyandreducedriskofinjuryorharminthedesign ofpublicplaces,publictransportationandinfrastructurethatisappropriatetoseniors’needsandabilities • Organizationsandgovernmentneedtorecognize,removeandreduceenvironmentalhazardsthatseniorsface (beproactive)
Create or Improve “Safe Environments”/ Built Environment • Regularinspectionsofplaygroundsandpublicspaces • Playgroundsandsportfieldswelllit • Ensureparksaremaintained-safeequipment/upgraded-noneedles.Providesoftgroundcoveringsaroundplayareas • Sidewalksmaintained,clearedsnowandice • Morecrosswalksandwellpainted • Dedicatedbikelanes-clearlymarked • Morecrossingguards • InstituteBlockparent-neighbourhoodwatchprogram
Skills Training to Improve Safety • Safetytrainingforeverygrade • Teachhighschoolstudentsaboutworkplacesafety(CPR/firstaid) • Enforcehelmetuseforeveryone • Allschoolagechildrenshouldlearnhowtoswim • Cyclingprogramtoteachpeoplehowtocyclesafely
Programs and ServicesProgram Name Description
Learn to Swim SwimmingLessonsofferedthroughouttheCountyandpublicizedthroughRecreationandLeisureGuides
City of Sarnia /Parks and Rec. BikeSafetyCamp-age7-12years/1week
Community Health Services Department /Sarnia Police BicycleSafetyProgramisofferedtoelementaryschoolsintheSpringforgrade4students.Wearhelmetproperly,roadrules,howtorideandbikemaintenance.
Lambton County Catholic Women’s League Indorsethewearingofbikehelmetsforeveryone.Importanceofwearinghelmeteducationcampaignsprovidedatindividualchurches.
Community Health Services Department promotes Safe Kids Week
Awarenessandeducationcampaign.Helmetuse
Policy Update • NoInjuryPreventionrelatedpolicieswereidentifiedinthecommunitystakeholderandengagementactivities
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S E T T I n g Co M M U n I T Y P R I o R I T I E S
oV E RV I Ew o f T h E P R I o R I T Y S E T T I n g P Ro C E S S
OnFeb7,2011,twenty-fiverepresentativesfromadiversegroupofsectorscametogetherforafulldayplanningsessiontoreviewstatistics,trendsandcurrentinitiativesineachofthesixpriorityareas,provideadditionalinformationonprogramsandservicesavailableinthecommunity,andtoparticipateinaprioritysettingexercisewhichwouldidentifyRecommendedActionsineachofthesixpriorityareas.Participantsrepresentedadiversenumberofsectorsincluding:communityandpublichealth,education,lawenforcement,municipalplanning,nutrition,recreation,andcommunityandsocialservices.Representativeswithcontentexpertiseintheareaoftobacco,nutrition,physicalactivity,mentalhealth,alcoholandsubstanceabuseandinjurypreventionwereinattendance.
LambtonCounty’sepidemiologistprovidedanoverviewofkeystatisticsandtrendsineachofthesixpriorityareas,andsummarysheetsforeachissueareawereprovidedforfurtherreviewandsmallgroupdiscussion.Eachsmallgroupwasaskedtodiscusstheinformationthatwaspresentedtothem,andthentoreachconsensusontheirtoptwoissuesineachofthesixpriorityareas.Alistofeachgroups“toptwo”issueswerepostedonflipchartpaperforreviewanddiscussionbythewholegroup.Then,participantswereaskedtocasttheir“vote”onwhattheyfeltwerethetoptwoissuesineachofthesixareas.ThisdotmocracyexerciseallowedthegrouptoselecttwoRecommendedActionsineachofthesixpriorityareas.
AtasubsequentplanningmeetingoftheHealthyLivingLambtonCoordinatingCommitteeonFebruary22,2011theseRecommendedActionswerebroughtforwardforfurtherreviewandendorsement.ThegroupthenconsideredavarietyofpossiblepolicyoptionsthatalignedwitheachoftheRecommendedActions.ThesepolicyoptionswerepreselectedfromtheOntarioChronicDiseasePreventionAlliance’sKeyMessagedocument(2010)andtheaccompanyingdraftworkbook(2010).Thesewerepresentedasevidence-informedpolicyoptionsforconsiderationbythegroup,withthecaveatthatthislistwasnotexhaustive.Afternarrowingdownthelistofpolicyoptionstoonesthatweremostrelevantandcommunityappropriate,eachmemberofthecoordinatingcommitteethenvotedontheirtoptwopoliciesthatshouldbemovedforwardbythePartnership.Theresultsofthecommunityprioritysettingprocessareoutlinedbelow,andincludetwoRecommendedActionsforeachofthesixpriorityareas,aswellaspotentialpolicydirections.ThetoptworecommendedpoliciestomoveforwardthroughtheOperationalPlansubmissionare: • Establishlocalpoliciesthatreducebarrierstoparticipationinsportandrecreationprograms,suchasprogramfees, equipmentcosts,transportation,etc;and • Establishmunicipalplanningandtransportationpoliciesthatincreaseaccesstohealthyfood.
L A M b To n Co U n T Y R ECo M M E n d E d AC T I o n S A n d Po L I CY d I R EC T I o n S
Physical Activity, Sport and Recreation Recommended Actions 1. Increasestudents’opportunitiestobeactiveintheschoolsetting,throughnon-competitiverecreationprogramming, supportstoeducators,andactivetransportationopportunitiesforstudents. 2. Increaseaccesstolowcost/nocostsportandrecreationalactivitieswithinthecommunityforallages.
Policy directions • WorkwithParentCouncilsintheschoolsettingtoestablishanactivetravelpolicythatpromotessafe,activetravelto andfromschool. • Establishlocalpoliciesthatreducebarrierstoparticipationinsportandrecreationprograms,suchasprogramfees, equipmentcosts,transportation,etc.
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Healthy EatingRecommended Actions 1. Increaseaccesstoaffordable,healthyfoodforallresidents. 2. Increasefoodskillsamongcommunitymembers,particularlyamongyouthandyoungadults.
Policy direction • Establishmunicipalplanningandtransportationpoliciesthatincreaseaccesstohealthyfood.
Tobacco Use/ExposureRecommended Actions 1. Addresshighyouthsmokingratesthrougheducationaswellastheprovisionofsmokingcessationprograms. 2. Createsmoke-freepublicplacesandoutdoorareasincludingparks,sportsfieldsandbeaches,inadditiontoexpanding smoke-freeareasaroundentranceways.
Policy Direction • AmendtheLambtonCountytobaccobylawtoincludeoutdoorareas.
Alcohol and Substance MisuseRecommended Actions 1. Providepositiveoptionsandactivitiesforteensthatareincompatiblewithalcoholandsubstancemisuse. 2. Provideschool-based,preventionfocused,integratedstrategiesforchildrenandyouthandtheirfamilieswhichwill discouragealcoholandsubstancemisuse.
Policy Direction • Developpoliciestodesignateyouth-friendlyeventsasalcoholfree. • Developcomprehensiveschooldrugandalcoholpolicies.
Mental Health PromotionRecommended Actions 1. Providepositivementalhealthinitiativesforyouthwhichstrengthenself-esteem,provideskillsrelatedtohealthy relationshipsandangermanagement,andreducephysicalandpsychologicalisolation. 2. Increasethecoordinationofmentalhealthservices.
Injury PreventionRecommended Actions 1. Developlocalpolicytoaddressmodifiable“builtenvironment”factorswhichcontributetofallsandrelatedinjuries. Factorstobeaddressedincludesnowremovalonsidewalks,lightingandothersafetyfeaturesinpublicareas. 2. Developsafetyinitiativeswithafocusonincreasinghelmetusageforallsportandrecreationalactivities.
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Co n C LU S I o n
TheHealthyCommunitiesFundInitiativehasprovidedcommunitiesacrosstheprovince,withtheopportunitytobeginabroad-basedcommunityplanningprocesswhichbuildsonpastlocalplanningefforts,andfocusesinonseveralkeyriskfactorsandconditionswhichcontributetotheburdenofchronicdisease.
InSarnia-Lambton,thereappearstobegeneralconsensusontheareaswherethecommunityisinterested,motivatedandhasthecapacitytoaddresskeyissuesintheareaofaccesstorecreationandhealthyfoods,broadeningthereachofexistingtobaccocontrolinitiatives,buildingoninjurypreventionawarenessissuesandensuringenforcementofexistingmunicipalbylawswhichcontributetofall-specificinjuries.
Mentalhealthpromotionisseenasanimportantissueinthiscommunity,andwhileaccesstoprimarycareprogramsandservicesisidentifiedasakeyissuetobeaddressed,increasingyouthresiliencyandreducingthestigmaofmentalillnessemergeasimportant,addressablecommunityissues.ItishopedthattheRecommendedActionsoutlinedinthisCommunityPictureservetofocustheeffortsofcommunityorganizationsworkingintheseareas,buildnewandstrongerpartnerships,andseektoaddresskeyissuesininnovative,effectiveways.ThisCommunityPicturewillberefinedintheyearsaheadasnewinformationand“communitylearnings”becomeapparent.
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AC k n ow L E d g M E n T S
WewouldliketothankmembersoftheHealthyLivingLambton,HealthyCommunitiesPartnership:
Alison Mahon
Dave Brown
Dave Posliff
Ian Foss
Kevin Churchill
Kevin Edwards
Lola Dudley
Lorri Kerrigan
Lise Ruest
Myles Vanni
Aswellas,CommunityHealthServicesDepartmentstaffforprovidingtheirtimeandexpertisetowardsthesuccessfulcompletionofthisreport.
Aspecialthanksgoestothereportdevelopmentteam: • Kim Hodgson,Consultant • Crystal Palleschi,Epidemiologist,CommunityHealthServicesDepartment • Patti Sisler,ResourceCoordinator,CommunityHealthServicesDepartment • Lana Smith,PublicHealthNutritionist,CommunityHealthServicesDepartment
FundedbytheGovernmentofOntario.
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SarniaLambtonWorkforceDevelopmentBoard(SLWDB).2010,November.Non-ParticipantsintheLabourForce.Workforce Focus,5(4).
Top Report, Trends, Opportunities, Priorities [of Sarnia Lambton].Sarnia,Ontario:SarniaLambtonWorkforceDevelopmentBoard(SLWDB):March,2009.Web.2011. http://www.slwdb.org/documents/TOP_2009.pdf
VanDorp,Renateetal.Alcohol Consumption in Lambton County: A Community Profile.PointEdward:CountyofLambton,CommunityHealthServicesDepartment:2007.Web.2011. http://www.lambtonhealth.on.ca/resources/Alcohol%20report/Local_Alcohol_HPPS%20Committee%20Report%20May%202007%20_3_.pdf
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k EY I n fo R M A n T S U RV EY - P R I o R I T Y A R E A - M E n TA L h E A L T h P Ro M oT I o nIntro
TheHealthyLivingLambtonaHealthyCommunitiesPartnershipisengagingwithnetworks,communityleaders/membersanddecisionmakerstodevelopaCommunityPicturethatidentifiesrecommendedactionsrelatedto a. TobaccoUseandExposure b. Healthyeating c. Physicalactivity,SportandRecreation d. Mental Health Promotion - Increase resiliency in youth e. InjuryPrevention f. Substance&AlcoholMisuse
Thisprocesswillassistustocreateasharedvisiontobuildahealthiercommunity
1. What do you think are the emerging Needs in our community based on Mental Health Promotion (Increase resiliency in youth)?
2. What programs or services are currently available in our community to support this?
3. What Gaps do you think exist in each of this area?
4. Are there specific types of policies that should be created in our community to address these areas?
5. Do you know of any organizations or agencies that are currently addressing policy?
6. Do you think a representative of your organization would want to be involved in playing a leading role as a member of the HLL Coordinating Committee or join our distribution list to receive updates on opportunities, events, and new developments? If yes, please provide name and contact.
7. Are there any other points that you would like to make?
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k EY I n fo R M A n T S U RV EY - P R I o R I T Y Po P U L AT I o nIntro
TheHealthyLivingLambtonaHealthyCommunitiesPartnershipisengagingwithpeoplefromdiversegroupsinourcommunitytoidentifycommunitypriorities/localneedsrelatedto: a. TobaccoUseandExposure b. Healthyeating c. Physicalactivity,SportandRecreation d. MentalHealthPromotion e. InjuryPrevention f. Substance&AlcoholMisuse
Thisprocesswillassistinidentifyingrecommendedactionsthataresupportedbyourcommunitytocreateasharedvisiontobuildahealthiercommunity.
1. Whatdoyouthinkthatthemain issues or needsareineachoftheseareasinourcommunity?
2. Which,ifanyoftheseissues,doyouthinkismost importanttoyouandwhy?
ACommunitymeetingwillbeheldinJanuary2011,todeterminewheretofocusoureffortsinordertocreateahealthierSarnia-Lambton.Ifyouwouldliketobeinvolvedwiththisprocess,pleaseprovideyournameandcontactinformationtobeaddedtoouremaildistributionlist.
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A P P E n d I X C
L A M b To n Co U n T Y Po L I CY S CA n U P dAT E TA b L E
Municipality Nutrition Recreation & Physical Activity
Active Transportation/ Built Environment
Alcohol Misuse Tobacco
Oil Springs Trailspromotion
Trailspromotion Seekingapprovaltopostsignageforsmoke-freesportsandrecreationareastoprotectchildrenfromsecond-handsmoke
Brooke-Alvinston Amunicipalalcoholpolicywaspresentedtocouncillastyear,butnotadopted
Localpolicyprohibitingcoachesfromsmokingindug-outsforbaseball
Dawn-Euphemia MunicipalAlcoholPolicyisineffect(notnotedpreviouslyinscan)
Plymtom-Wyoming NewMunicipalAlcoholPolicy
Enniskillin Township
Petrolia
Warwick Township UpdatedMunicipalAlcoholPolicy
Point Edward
Lambton Shores DraftRecreationandLeisureMasterPlanreleasedOctober2010
MunicipalAlcoholPolicyisineffect(notnotedinpreviousscan)
St. Clair Township Townshipwebpagepromotesthetrailsystemthatrunsthroughouttheirtownship(activetransportation)http://www.stclairrivertrail.com/
County of Lambton Increasedinterestintrailsystemdevelopmentandconnectivity,andpromotion
LambtonCountyRegionalTrailSystem
OfficialPlanincludesstrongemphasisonactivetransportation.
Smoke-freesubsidizedhousingpolicyineffect(2010)
Appearstobeinterestinmovingforwardonsmoke-freeoutdoorspaces,butnotyetatformallydevelopingapolicy.
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Co M M U n I T Y S U RV EY - M I n d Yo U R h E A L T h L A M b To n Co U n T Y
Injury Prevention:
How can we make Lambton County a safer place to live, work and play?
Safetytrainingforeverygrade
Teachhighschoolstudentsaboutworkplacesafety(cpr/firstaid)
Regularinspectionsofplaygroundsandpublicspaces
Playgroundsandsportfieldswelllit
Enforcehelmetuseforeveryone
Allschoolagechildrenshouldlearnhowtoswim
Sidewalksmaintained,clearedsnow,ice
Morecrosswalksandwellpainted
Morewalkingandbiketrails
InstituteBlockparent-neighbourhoodwatchprogram
Ensureparksaremaintained-safeequipment/upgraded-noneedles.Providesoftgroundcoveringsaroundplayareas.
Moresidewalks
Dedicatedbikelanes-clearlymarked
Morecrossingguards
Cyclingprogramtoteachpeoplehowtocyclesafely
Healthy Eating:
What can be done in our community that would allow people to buy healthier food for themselves and their families?
Morecommunitygardens-teachpeoplehowtogrowfood
Increaseaccesstolocalfoodinourgrocerystores
Increaseadvertisingofprogramsavailableinourcommunity-GoodFoodBox
IncreaseFarmersMarketsinourcommunity-throughoutLambtonCounty.Mobilefamersmarket
Offerhealthyfoodchoicesatpublicevents-Bayfestandparks
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Connectwithtourismtopromotelocalfood:farmersmarkets,etc.
Lobbytoincreasecostof“junkfood”tobecomparabletohealthyfoodcosts
Requirefastfoodrestaurantstopostnutritionalinformationoffoodbyfooditems
Requiregrocerystorestohavehealthyfoodateyelevel,versusunhealthyfood
Removeunhealthyfoodatcheckout
Betterfoodchoicesatschool,work,publicplaces,hospitals
OnlyhealthyvendingmachinesinLambtonCounty
How can we improve “food skills” among members of our community (food skills include: menu planning, food budgeting, grocery shopping, food preparation and cooking)
Offercookingclasses.Developcookingskills
Promotehealthydinnerideas,shoppingonbudget,oncommunityhealthwebsite.Updatetipsmonthly
Educationtochildreninschoolabouthealthyeatingandtoteachchildrenhowtocook,labelread
Mental Health Promotion:
How can we help youth deal with stress and cope with challenging life situations?
Peersupportprogramfacilitatedbylocalagencies,socialworkers,
Leadershipprogramsforyouthinschoolstohelpoutyouth(mentoring)
Createmoreafterschoolprogramming
Counsellorsinschoolsforyouthandoutsideschools(dropincentres)whereyouthplay/socialize
Increasepublicawarenessofmentalillnessthruads.MindYouthHealthsectioninthenewspaper,TVads,andhandoutsatschool
Educationintheclassroomineverygrade(mandatory)toteachkidsatayoungageaboutcopingskills,lifestress,etc
Moreworkshopsatschools/speakers
Bringyouthandelderstogetherforstorytellingaboutlife
Morehouseleaguesportsencouragefunplay,socialinteraction
Help/Hotlineestablished
How can we help adults deal with stress and cope with challenging life situations?
Eachworkplacetohavemandatorymentalhealthworkshopsforemployees
Increaseaccesstolowcostphysicalactivity
Developsupportgroupsforstressmanagement,notjustaddiction
HotlineforfreecounsellinglikeCMHAoffers
Workshops/speakerseries/lunchandlearnsessions
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Morepromotionaboutmentalhealthissues,radiobroadcasts,TV,printads.Developflyersformail
Increaseawarenessofcurrentserviceagenciesinthecommunity.
Developfacebookaccounttoshareinformation/opinions/services,etc
Callinradioshowformat.Toanexpert(whocouldprovideadviceontheair)
Physical Activity Sport and Recreation:
What could be done in our community that would allow more people to participate in recreational and physical activities?
Morecommunitywalks
Offerfreefamilydaypassesforcommunityreccentres/pools/gyms,etc.MorepassesthatareFREE
Freeexerciseprogramsinparkswithfamilyactivities
Exercisestationsatlocalparks
Monthlychallengesinourcommunity-introducenewwaystobeactive.Promotephysicalactivityintoeverydayliving
Outdoorfreerinksforskatingandsummerforballhockey-havevolunteers/adults/seniorshelpteachkidshowtoskate
Offermorerecreationalteams-certaintimeseachweek,samespot
Placestorentequipment-skiing,bikes,canoes,paddleboats,etc
Addmorenaturetrails
Promotionofwhatisavailable-annualmailerteamsevents,etc(LambtonCountyDirectory)
Morewinterprogramming(winterbreakcamps,SaturdayFunDays),Indoorwalkingtrack
Morefreeswims
Taxcreditforadultssimilartochildren
Exercisestationsinthearenaswhenyouaretherewatchingkidsplayhockey
Developaninformationwebsite-easytofindprogramtimes,costs,locations
Openschoolgymnasiumsduringtheeveningsorsomeweekends
Mallwalkersprograms-morepromotionandmoreorganizedandFUN!
Selfguidedorgroupdirectedwalkingtourshighlightingthehistoryoftheareas
What changes can we make in our community that will make it easier to get from place to place while being active (e.g. biking, walking, inline skating)?
Walkablesidewalks(bettermaintained)sidewalkswithdipsforstrollers,wheelchairs
Morebikelanes/multi-purposelanes
CloseFrontStreettotrafficonweekends.Novehiclezonesforsomeevents/activities
Betterbusroutes-accessibility.Morebussing
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Sidewalksoneverystreet-betterlighting.
BetterpromotionofSarnia’sbikerakeprogram
Availabilityofbikes-rentabikeprogram-refurbishesbikesforkidsunder12
Moretrails-lightingontrails
Streetsdesignedwithbikinglanesandclearlymarked.ChargeayearlybikingfeetoimprovepathsConnectwithserviceclubs,localbusinessestohelpsupport
Morebikeracksoutsidecommunityestablishments
Cleansidewalksofsnow
Crosswalksigns.Bettermarkingforcrossings-morepaint!
Free/discountedbusservicetoparks
Establishbikeroutesthatconnect-scenicroutethroughoutthecityandpromotetotourism
Substance & Alcohol Misuse:
How can we prevent youth from using alcohol and other drugs? How can we involve youth in these prevention strategies?
Peertopeerpresentations.Storytelling,sharingexperiencesfromthosethatbeenchangedbyalcoholanddrugmisuse.Olderadultseducatingyoungeryouth
Educationearly-assembliesatschoolsguestspeakerswhoarerecoveringaddicts.Videosinschools
Mandatoryseminarforallgrades(8).Smallgroupstoallowdiscussion
Affordable/freeactivitiesforyouth/freesportsprograms/afterschoolprogramming
Mentorsintheschooltosupportyouth
Localindustrytosupportcompetitionforschoolstodevelopthemosteffectiveantidrugalcoholorsmokingvideo(YouTube)
Morecommunityeventsthatarealcoholfree
Moreyoutheventsforyouth-youthnightSarniaStinggames(reduceprice)
Youthforumtogetinput
Educationtoparents-howtotalktoyourkidaboutdrugsandalcohol
Graphicimages(liverdamage)
Haveyouthwritearticlesinlocalmediaonconcernsofalcoholanddrugs/troublewithit
Morefungatheringplaceforyouthtohangoutalcoholanddrugfree-socialactivities
EducationtodoctorshandingoutPercocetandOxycotinforpainrelief-overprescribingdrugs
Youthcoalitiontoaddressthepreventionandusageofalcoholandotherdrugs
Moretreatmentfacilities
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Regular-randomdrugsearchesatschool
Websiteforyouth-linktosupport
Increaseawarenessofexistingprograms
Counsellorsinelementaryschoolaswellashighschool
How can we prevent adults from misusing alcohol and other drugs?
Detoxfacility.Bettertreatmentcentres
EducationtoDr’soverprescribingpainreliefdrugs
Promotionalmaterialsinworkplaces
Peersupport
UsetheRIDEprogrammoreextensively!Notjustonholidays
Morecommunityactivitieswithnoalcohol-FirstMondayisagreat
Moreyouthfocusforstrategiestopreventolderadultissues/abuse
Alcoholfreedriverprogram
Nonalcoholdrinksforfreetothedesignateddriver
Morerehabprograms-increaseavailabilityofcounselling
Tobacco Use/ Exposure:
What ideas do you have to create more tobacco-free spaces?
Bansmokinginallpublicspace(Bylaws)parks,beaches,arenas,outdoorrestaurants,fleamarkets,parades,racetracks,zoos,etc
Nosmokingatbusstops
Increasedistanceofsmokinginfrontofdoorways.
Laws-nosmokingkidssportactivities
Enforcingcurrentbylawentrancesfornonsmoking-actuallyhandoutfines
Putupsigns“Nonsmoking”.Developcatchysigns-Oxygenneededhere,YoungLungsatWork
Getyouthinvolvedinchallengesandcleaningupsmokingareas
What do people need to help them quit smoking or no longer use tobacco products (i.e. chew)?
Supportsystem
Freequitsmokingproducts(nicoret,patches)
Education/Awareness-howtoquit,dealwithwithdrawal,programs
Doctorsupport
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Freecounselling
How can we better educate the public about the risks of tobacco use?
Teachingyouthearly-educationinschools(pamphlets,speakers)
Campaigns-graphicimagesaffectsoftobacco
Seminarsinworkplaces
Educatepeopleonmethodsforquitting,options,wheretogoforhelp
Focusededucationonpregnantwomen-emphasizingtheeffectsonadevelopingbaby