Determined to Address the Determinants

1
Determined to Address the Determinants

• Anthony Mohamed
• Diversity and Special Projects
• St. Michaels Hospital
• Kwasi Kafele
• Director, Corporate Diversity
• Centre for Addiction and Mental Health

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Background (St. Michaels Hospital)

• Founded 1892 - Sisters of St. Joseph
• Mission Core Values Healing Ministry
• HUMAN DIGNITY
• EXCELLENCE
• COMPASSION
• SOCIAL RESPONSIBILITY
• COMMUNITY OF SERVICE
• PRIDE OF ACHIEVEMENT

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Inner City Health Mandate
INNER CITY HEALTH

• Reduce barriers to health for high-risk and
  priority populations
• Address social and economic determinants of
  health that affect inner city populations
• Provide an integrated continuum of primary to
  tertiary care, and community outreach

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Centre for Addiction and Mental Health

• Largest mental health and addiction agency in
  Canada
• Build an integrated system
• Provide Specialized Clinical services
• Expand support for Best Clinical Practice,
  Professional Education and Professional
  Development
• Maximize reach and impact of research
• Foster a healthyworkplace

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Social Determinants of Health (Public Health
Agency of Canada)

• Physical Environment
• Coping skills
• Child development
• Biology/genetic endowment
• Health services
• Gender

• Income and Social Status
• Social Support Networks
• Education and Literacy
• Employment
• Social Environment
• Culture

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Inclusions in the SDOH

• Racial grouping, place of origin, language
• Sexual Orientation and Gender Identity
• Housing or lack of housing
• Physical Ability
• Age
• War/torture/political unrest
• Discrimination
• Celebrating and Valuing Diversity
• Health stigma (i.e.. AIDS, cancer)
• Spiritual, emotional, mental health

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Understanding Discrimination

• Systemic Discrimination
• - The way we do things around here
• - How our multiple identities intersect with
  each other to compound discrimination
• - A social institution that uses its power to
  discriminate on the basis of race, sex, gender
  identity, sexual orientation, ability, faith,
  age, language, country of origin, etc.. Results
  in increased barriers to housing, jobs or
  services. It can impact overall health including
  self esteem, increase harmful behavior towards
  self and others, and increase vulnerability for
  particular illnesses.
• Discrimination
• An action resulting from prejudice and
  stereotype, of an individual or small group of
  people of treating someone differently. No one
  benefits from discrimination as unique skills and
  ways of thinking are never applied.
• Prejudice
• Making a decision about a person without
  getting all the facts, usually based on a
  stereotype.
• Stereotypes
• A negative generalization applied to all
  members of an identified social/cultural group.

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How you can help

• A To Do List (Assessment)
• Leadership and Governance
• Human Resources
• Client Community Centred Care
• Desired Culture
• Adopt a diversity change process that is
• intersectional, integrated, proactive and
  on-going

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Leadership

• Strong board and senior management support
• Diversity decision making, planning and
  governance capacity
• Clear and consistent performance accountabilities
  at all levels
• Tracking and measurement tools
• Lead on commitment to share/shift power

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Human Resources

• HR plan and strategy
• Employment Equity policy and bias -free hiring
  commitment
• Training support and resources for managers and
  staff
• Staff demographic tracking and monitoring

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Client and Community Centered Care

• Organization- wide Cultural Competence Standards
  in place
• Clinical practice framework meaningfully includes
  Cultural Competence guidelines
• Clinical performance accountabilities clearly
  articulated re diversity and cultural competence
• Community engagement strategy incorporates
  equity, transparency, accountability and
  inclusiveness

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Desired Culture

• Articulate core values of diversity
• Develop communication and training strategies to
  incorporate and integrate diversity values
  throughout the organization
• Develop policies to formalize commitments
• Focus on workplace wellness and safety
• Normalize behavior through creative learning and
  sharing opportunities
• Celebrate small and big victories!

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Some Helpful Resources

• GTA Diversity and LHINs Working Group
• Diversity Health Practitioners Network (DHPN)
• Health, Equity and Diversity Conference
• Soon to Launch Health Equity Council
• Among others
• contact us for more information

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Contact and Questions

• Anthony Mohamed,
• Diversity and Special Projects,
• St. Michaels Hospital,
• 30 Bond Street
• Toronto, Ontario,
• M5B 2N1, CANADA
• 416-864-5087 office,
• E-mail mohameda_at_smh.toronto.on.ca

• Kwasi Kafele
• Director, Corporate Diversity
• Centre for Addiction and Mental Health
• 1001 Queen Street West
• Toronto, ONT. M6J 1H4
• 416. 535.8501 ext. 6539
• E-mail kwasi_kafele_at_camh.net