of f Health Across the Lif ife Span November 12, 2019 12:00 PM EST - - PowerPoint PPT Presentation

Fall ll Prevention and the Socia ial Determinants

• f

f Health Across the Lif ife Span

November 12, 2019 12:00 PM EST Sandra Newton and Jennifer Russell THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE

EMAILED AFTER THE WEBINAR.

STAY IN THE LOOP!

WWW.FALLSLOOP.COM WWW.JR.FALLSLOOP.COM

THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE

EMAILED AFTER THE WEBINAR.

STAY IN THE LOOP!

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Fall ll Prevention and the Socia ial Determinants

• f

f Health Across the Lif ife Span

November 12, 2019 12:00 PM EST Sandra Newton and Jennifer Russell

Fall Prevention and the Social Determinants of Health Across the Life Span

Sandra Newton, Child Safety Link Jennifer Russell, Atlantic Collaborative on Injury Prevention

Welcome & Introductions

Jennifer Russell, Executive Director Atlantic Collaborative on Injury Prevention (ACIP) www.acip.ca Sandra Newton, Manager Child Safety Link (CSL) – IWK Health Centre https://childsafetylink.ca

Questions

• 1. What province/territory do you serve?
• 2. What sector do you work in?
• 3. Who is your primary target audience?

Outline

• Purpose
• Background and Framing Context
• ACIP efforts
• CSL efforts
• Injury prevention spectrum
• Linking Fall Prevention and the SDOH
• The “so-what?”
• Conclusion and Next Steps
• Questions?

Purpose

To help participants:

• Learn about the links between fall-related injuries and social and

economic conditions

• Reflect on the social determinants of health links and what these

mean in our work (using examples)

• Demonstrate how we can move forward in addressing fall

prevention across the lifespan using social policy examples

Social policy initiatives can reduce injuries by improving social and economic conditions and enabling individuals to increase control over and improve various aspects of their health.

Background & Framing Context

Fall-Related Injuries

Falls rank high in injury-related deaths, hospitalizations, emergency room visits, permanent partial disabilities, and permanent total disabilities. The most frequent causes of falls are:

• falls on stairs
• falls on the same level, and
• falls from furniture

Other causes include:

• falls from playgrounds;
• falls from sport-related activities, such as falls from skates; and
• falls from ladders/scaffolding

Fall-Related Injuries

Child & Youth 0-14 years old In Canada

• Falls are the #1 cause of injury hospitalization in children

0-14 years old.

• In 2010, over 7000 children and youth aged 0-14 years

were admitted to a hospital and over 150,00 visited an emergency department as a result of a fall.

• Falls in children ages 0-14 years cost an estimated $1.2

billion.

Fall-Related Injuries

Seniors (65 + years old) In Canada

• Between 20% - 30% of seniors in Canada experience at least one fall

every year

• Fall-related hospitalizations of those living at home and in residential

care are more frequent among women than men.

• Traumatic brain injury, including concussions, and related mortality

are significantly higher in older women and men.

• In 2015, more than 28,000 older adults died and 3 million more were

treated in emergency departments for non-fatal fall injuries.

• In 2015, total medical costs for falls reached $50 billion (US), making

falls one of the costliest health conditions among people aged 65 years and older.

ACIP’s Efforts

In 2011, ACIP produced a report titled The Social Determinants of Injury:

• An overview of the social and

economic factors that contribute to intentional and unintentional injuries;

• Importance of primordial

prevention;

• Identified those at higher risk for

injury

• Recommendations for improving

data collection and prevention activities in the context of social and economic disparities.

ACIP’s Efforts

In 2019, ACIP produced a report titled Fall Prevention Among Seniors and the Social Determinants of Health: A Social Policy Lens:

• Background information on fall-related

injuries among seniors

• The social determinants of health and the

evidence linking the social determinants of health to seniors fall prevention

• Activities that seek to address the social

determinants of health in preventing seniors falls

• Current fall prevention initiatives by

Atlantic Province

• Examples of social policies

CSL’s Efforts

Workshop

• Children’s Falls Prevention - Reaching for new heights at 2018 ACIP conference (NL)

Educational Resources

• Backgrounder document Preventing Young Children's Falls in

the Home (2018)

• Infographic on child & youth fall prevention (2018)
• CSL Educational resources on home safety including falls

prevention (E/F).

• Videos on Fall prevention (2012) including “The Great Child

Safety Challenge” for Family Resource Centres (2014)

• TV Public Service Announcements on falls/playground falls

CSL’s Efforts

Research (includes fall prevention)

• Preventing Serious Injuries in Children and Youth in

Atlantic Canada: A Guide for Decision Makers (E/F)

• Atlantic Canada: Child & Youth Unintentional Injury

Hospitalizations – 10 Years in Review (2004-2013)

• Challenges for safety & injury prevention for families

in low-rental housing (2012)

Former initiatives

• Home Safety Curriculum for Family Resource

Centres (2009-2017)

• Virtual Safety House (2004-2012)

Framing

Encouraging stakeholders to think beyond individual interventions. Encouraging the use of multiple strategies in order to achieve the highest degree of effectiveness.

The Spectrum of Prevention

Source: The Prevention Institute. (n.d.). The Spectrum of Prevention. Retrieved from http://preventioninstitute.org/component/jlibrary/article/id-105/127.html

A program teaching individuals exercise movements to increase balance

Public awareness campaigns Canadian Fall Prevention Curriculum The Loop Long-term care facility implementing a safety practice Adopting safe housing legislation

Examples

Influencing Policy and Legislation Changing Organizational Practices Fostering Coalitions and Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge and Skills

Linking Fall Prevention and the Social Determinants of Health

Social Determinants of Health and Injury

Injury does not affect all people equally. The conditions in which we live, work, and play =

social determinants of health

Social Determinants of Health

• Income and socio-economic

status

• Education and literacy
• Employment and working

conditions

• Early childhood

development

• Physical environments
• Social supports and coping

skills

• Access to health services
• Healthy behaviours
• Biology and genetic

endowment

• Gender
• Culture

SDOH and Fall Prevention

SDOH – INCOME

WORKING CONDITIONS LIVING CONDITIONS PLAY ENVIRONMENT

NEGATIVE EXPOSURES

INCREASED RISK FOR INJURIES

How can we prevent fall-related injuries in the context of the social determinants of health?

The “so-what”

What Can We Do?

Social Policy = Injury Prevention Policy

By improving daily living conditions, we can reduce rates of injury.

Social Policy

• A range of benefits, programs, and supports that protect

citizens through various life changes that can affect their health.

• Function as a social safety net to ensure that people are

not negatively impacted by these life changes whether they are positive or negative changes.

• Considers the different roles of society, governments,

communities, individuals, and other agencies in providing supports and services across the life span.

Social Policy

Examples include (but not limited to):

• Family allowances
• Childcare
• Employment insurance
• Health and social services
• Social assistance
• Disability benefits
• Home care
• Retirement pensions

Social Policy

SOCIAL POLICIES

TAX CREDITS SOCIAL ASSISTANCE VULNERABLE POPULATIONS DECREASED INJURIES

IMPROVED HEALTH

Implications for Injury Prevention

Adequate investment into social policies would reduce injuries and other health issues in Canada.

Social Policy Examples in Atlantic Canada to Support Fall Prevention Efforts

Child & Youth Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Provincial Child Benefit

• Dept. of Community

Services (NS) Finance & Treasury Board (NB)

• Dept. of Advanced

Education, Skills & Labour (NL) Financial Assistance to lower income families with children (can be used towards safety equipment (e.g. baby gates)

Child & Youth Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Enhanced Home Visiting Programs Best Start (PEI) Healthy Beginnings (NS) Health PEI: Public Health Nursing

• Dept. of Health &

Wellness Provides an opportunity to identify hazards in the home and educate parents about preventing falls.

Seniors Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Home First Strategy (NB)

• Dept. of Social

Development

• Dept. of Health

Support seniors to stay in their home longer and promote active living

• Social connectedness
• Strength & balance
• Access to home based

medical equipment

• Access to community-based

allied health professional teams (e.g. rehabilitation support)

Seniors Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Income Supplement & Seniors Benefit (NL)

• Dept. of Finance

Financial assistance for seniors living on lower income which can contribute to cost savings for fall prevention support (e.g. Assistive devices)

Seniors Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Caseworker’s role with the Department of Community Services (NS)

• Dept. of

Community Services Helps connect seniors with various programs, supports, and services for assistance in their community and to act as an advocate on their behalf. This provides a form of social support for seniors to help them navigate services, so they can receive assistance and other benefits that are available to them.

Seniors Social Policy and Fall Prevention

Social Policy Example to support fall prevention efforts Partner/Sector Links to SDOH & Fall Prevention Caring for Older Adults in the Community and at Home (COACH) Program (PEI)

• Health PEI

Provides seniors, specifically those who are frail, with in-home support to help support and manage their complex health needs. Helps with daily living needs in their home. This addresses any transportation barriers and provides a social connection for seniors in their home while also supporting their health needs.

Conclusion and Next Steps

Conclusion

There are many opportunities for stakeholders to participate in different aspects of social policy. The following slides provide examples of

• pportunities/roles in social policy by stakeholder.

Stakeholder roles

EXAMPLES

Example Stakeholders Example Opportunities/Roles in Social Policy by Stakeholder Family Resource Centres Front Line Public Health Staff (nurses, home care workers, community facilitators, etc.)

• Translate understanding of individual/family issues

into suggestions for policy change at a population level.

• Develop and maintain meaningful community

partnerships and networks to increase collaboration and understanding of community issues.

• Use social media platforms to draw attention to

important links between fall prevention and the social determinants of health as well as to directly communicate with key audiences on social policy

• pportunities (i.e. tax credit and other benefits

available to these key audiences).

Example Stakeholders Example Opportunities Roles in Social Policy by Stakeholder Specialists/Managers Injury Prevention Specialists

• Identify local issues with public policy solutions

through practice and community partners.

• Provide content and process expertise to advocacy

actions.

• Facilitate dialogue within your organization to support

policy action.

• Develop, initiate, and contribute to background

documents, including position statements where applicable, to increase understanding and awareness within internally and externally.

• Share expertise and evidence on fall prevention and

social determinants of health issues through government and stakeholder engagement activities.

• Identify trends and interpret epidemiological data on

issues.

Example Stakeholders Example Opportunities Roles in Social Policy by Stakeholder Directors/Executive Members Physicians

• Work with communication teams and other

stakeholders to engage in timely, proactive communications activities such as op eds, letters to editors, articles or media briefs in their fall prevention areas of expertise.

• Be available to communication teams (media

relations) to comment on social policy-related issues in their areas of fall prevention expertise.

• Coordinate resources and collaborative efforts to

more effectively advocate for social policy.

• Support the development of organizational position

statements.

• Encourage and support organizational capacity

building on advocacy and social policy.

Example Stakeholders Example Opportunities Roles in Social Policy by Stakeholder Researchers

• Identify trends and interpret epidemiological data on issues.
• Monitor the process, the results and the policy context.

Non-Government Organizations

• Provide human or financial resources to support advocacy

actions for social policies.

• Develop organizational position statements.
• Provide evidence/context or expertise on specific fall

prevention issues to support policy implementation.

• Access to the target audience.
• Partnerships with other organizations in other jurisdictions

and learn from each other’s experiences.

• Direct relationships with government.
• Assessment of public and government readiness.
• Education and awareness campaigns.

A program teaching individuals exercise movements to increase balance

Public awareness campaigns Canadian Fall Prevention Curriculum The Loop Long-term care facility implementing a safety practice Adopting safe housing legislation

Examples

Influencing Policy and Legislation Changing Organizational Practices Fostering Coalitions and Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge and Skills

Next Steps – Follow Up

Follow up survey to help us move this work forward Use the feedback from the survey on barriers/challenges to inform next steps in ACIP/CSL work Example questions:

• What type of fall prevention work do you do?
• Who is the target audience for your fall prevention work?
• What are some examples of social policy work you are currently doing (if

any) in fall prevention?

• What are the barriers/challenges to social policy or addressing the social

determinants of health in fall prevention?

• What do you think are some solutions to addressing these

barriers/challenges?

Resources

Canadian Injury Prevention Resource:

https://parachute.ca/wp-content/uploads/2019/08/Canadian-Injury- Prevention-Resource.pdf

ACIP reports

Social Determinants of Injury report: https://bit.ly/2qFDd3L Seniors’ Fall Prevention and the Social Determinants of Health: A Social Policy Lens https://bit.ly/2BCFFdo

Resources

Child Safety Link reports

Decision Maker Guide: https://childsafetylink.ca/library/atlantic-canada- injury-reports/decision-makers-guide/ Infographic https://childsafetylink.ca/wp- content/uploads/2019/11/Childrens-injuries-in- atlantic-canada.pdf

Resources

ACIP website: www.acip.ca Child Safety Link website: www.childsafetylink.ca LOOP: https://www.fallsloop.com/ LOOP JR: https://jr.fallsloop.com/ National Falls Prevention Month website: https://www.fallpreventionmonth.ca/

Questions?

Jennifer Russell: jrussell@acip.ca Sandra Newton: Sandra.newton@iwk.nshealth.ca

Questions?

Type your questions into the Q&A box. THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE

EMAILED AFTER THE WEBINAR.

STAY IN THE LOOP!

WWW.FALLSLOOP.COM WWW.JR.FALLSLOOP.COM