Poverty & Social Poverty & Social Inclusion Inclusion A - - PowerPoint PPT Presentation

Poverty & Social Poverty & Social Inclusion Inclusion

A Community A Community-

• University Research

University Research Alliance (CURA) Alliance (CURA)

Agenda Agenda

9:00am 9:00am – – Welcome Welcome 9:15am 9:15am – – Overview of Project Overview of Project 9:45am 9:45am – – A History of Partnerships A History of Partnerships 10:00am 10:00am – – Your Place in this Plan Your Place in this Plan 10:15am 10:15am – – Break Break 10:30am 10:30am – – Conversational Caf Conversational Café é 11:00am 11:00am – – Book Presentations Book Presentations 11:10am 11:10am – – Cake cutting celebration Cake cutting celebration

Research Team Research Team

• Dr. Cheryl
• Dr. Cheryl Forchuk

Forchuk (UWO, LHRI) (UWO, LHRI)

• Susan

Susan Ouseley Ouseley (Can (Can-

• Voice)

Voice)

• Betty Edwards (Can

Betty Edwards (Can-

• Voice)

Voice)

• Stewart Perry (Canadian Centre for Community Renewal)

Stewart Perry (Canadian Centre for Community Renewal)

• Mike

Mike Godin Godin (CMHA (CMHA-

• London)

London)

• Sheela

Sheela Subramanian (CMHA Subramanian (CMHA-

• Ontario)

Ontario)

• Mo

Mo Jeng Jeng (City of London) (City of London)

• Richard

Richard Csiernik Csiernik (King (King’ ’s University College) s University College)

• Peter Hall (Simon Fraser University)

Peter Hall (Simon Fraser University)

• Michael

Michael Buzzelli Buzzelli (UWO) (UWO)

• Abraham Rudnick (UWO)

Abraham Rudnick (UWO)

• Mark

Mark Speechley Speechley (UWO) (UWO)

• Benita Cohen (University of Manitoba)

Benita Cohen (University of Manitoba)

• Jeffrey Hoch (University of Toronto)

Jeffrey Hoch (University of Toronto)

Background: Poverty and Mental Background: Poverty and Mental Health Health

• In Canada, 27% of psychiatric survivors live in poverty,

In Canada, 27% of psychiatric survivors live in poverty, compared to 12.6% of non compared to 12.6% of non-

• disabled persons

disabled persons

• A single person living on ODSP receives less than

A single person living on ODSP receives less than $12,000 per year (63% of poverty line) $12,000 per year (63% of poverty line)

• 3 relational patterns between poverty and MH:

3 relational patterns between poverty and MH:

– – ‘ ‘Additive Additive’ ’ relationship (poverty relationship (poverty’ ’s adverse effects contribute to s adverse effects contribute to the poor functioning caused by illness) the poor functioning caused by illness) – – ‘ ‘Interactive Interactive’ ’ relationship (poverty relationship (poverty’ ’s potentially negative s potentially negative effects are intensified by presence of other illness factors) effects are intensified by presence of other illness factors) – – ‘ ‘Transforming Transforming’ ’ relationship (poverty and illness relationship (poverty and illness’ ’ interrelation interrelation can result in each being different than when occurring can result in each being different than when occurring separately) separately)

Background: Social Inclusion Background: Social Inclusion

• Individuals with psychiatric disorders experience

Individuals with psychiatric disorders experience discrimination in the housing market, employment and discrimination in the housing market, employment and social relationships social relationships

• Loss of connections and housing are more related to

Loss of connections and housing are more related to societal responses to psychiatric illness than the illness societal responses to psychiatric illness than the illness itself itself

• Social exclusion and discrimination for this population

Social exclusion and discrimination for this population exacerbates the problems of poverty exacerbates the problems of poverty

• Greater impetus on social inclusion for psychiatric

Greater impetus on social inclusion for psychiatric survivors is still required to overcome the exclusionary survivors is still required to overcome the exclusionary nature of current social policies nature of current social policies

Current Project: Purpose and Goals Current Project: Purpose and Goals

• Overall purpose:

Overall purpose:

– – To better understand the inter To better understand the inter-

• relationships between poverty

relationships between poverty and social inclusion for psychiatric survivors and social inclusion for psychiatric survivors – – To engender community To engender community-

• based initiatives to promote their

based initiatives to promote their effects effects – – To identify and explore how psychiatric survivors can To identify and explore how psychiatric survivors can

• vercome existing marginalization and social disadvantage
• vercome existing marginalization and social disadvantage

– – To develop concrete data with community partners in order To develop concrete data with community partners in order to increase our capacity to evaluate successful policies to increase our capacity to evaluate successful policies

• Timeline: We have received a 5

Timeline: We have received a 5-

• year grant from SSHRC

year grant from SSHRC (March 2011 (March 2011 – – February 2016) February 2016)

Components to Project Components to Project

• This CURA will consist of 3 components:

This CURA will consist of 3 components:

• 1. Research
• 1. Research
• 2. Training (e.g. in the context of research
• 2. Training (e.g. in the context of research

projects, activities credited as part of projects, activities credited as part of coursework, etc.) coursework, etc.)

• 3. Community Capacity Development (e.g.
• 3. Community Capacity Development (e.g.

workshops, seminars, publications, public workshops, seminars, publications, public lectures, etc.) lectures, etc.)

Research: Research: Quantitative Component Quantitative Component

• 380 individual interviews (190 men, 190 women)

380 individual interviews (190 men, 190 women)

– – Individuals will be contacted annually to complete a total of 4 Individuals will be contacted annually to complete a total of 4 interviews interviews – – Final expected (hoped for?) sample: 300 (Interviewing 380 in Final expected (hoped for?) sample: 300 (Interviewing 380 in first year to account for potential drop out rates) first year to account for potential drop out rates)

• Representative of housing types (homeless/shelter,

Representative of housing types (homeless/shelter, group home, independent living) and employment group home, independent living) and employment status as a proxy for a variety of economic situations status as a proxy for a variety of economic situations

• 2

2-

• hour structured interview: quality of life, housing

hour structured interview: quality of life, housing history and preferences, community integration, social history and preferences, community integration, social support, experience of stigma, well support, experience of stigma, well-

• being, service use

being, service use

Research: Research: Qualitative Component Qualitative Component

• Open

Open-

• ended questions in individual interviews

ended questions in individual interviews (experience of poverty, experience of stigma, (experience of poverty, experience of stigma, fairness of system) fairness of system)

• Focus groups with key stakeholders:

Focus groups with key stakeholders:

– – Psychiatric survivors Psychiatric survivors – – Family members Family members – – Social service providers Social service providers – – Employers Employers – – Policy decision Policy decision-

• makers

makers

Research: Research: Policy and Ethical Analysis Policy and Ethical Analysis

• Policy analysis will address policy implications that

Policy analysis will address policy implications that arise from the issues identified in the interviews arise from the issues identified in the interviews

• Policy documents related to income, employment

Policy documents related to income, employment and income support will be collected and income support will be collected

• The project

The project’ ’s empirical findings will be compared to s empirical findings will be compared to ethical standards derived from welfare theory and ethical standards derived from welfare theory and accepted ethical principles of service providers accepted ethical principles of service providers

Training Component Training Component

• Multiple opportunities for university students of all

Multiple opportunities for university students of all levels to participate in CURA levels to participate in CURA

• Represented disciplines: Planning, Law, Nursing, Social

Represented disciplines: Planning, Law, Nursing, Social Work, Philosophy, Psychology and Psychiatry Work, Philosophy, Psychology and Psychiatry

– – Research assistant positions and practice placements will be Research assistant positions and practice placements will be made available to students from all of these disciplines made available to students from all of these disciplines

• A new graduate level interdisciplinary course will be

A new graduate level interdisciplinary course will be developed developed

• Employment for students to assist in data collection

Employment for students to assist in data collection will be made available every summer of the project (6 will be made available every summer of the project (6 employed currently) employed currently)

• Opportunities for community engagement

Opportunities for community engagement

Pulling it Together Pulling it Together

• Community projects

Community projects – – specific needs and specific needs and solutions solutions

• Annual community forums

Annual community forums – – help identify help identify emerging issues, feedback on research in emerging issues, feedback on research in process, community capacity building, engaging process, community capacity building, engaging public public

Expected Outcomes Expected Outcomes

• Increased understanding of poverty as experienced by

Increased understanding of poverty as experienced by psychiatric survivors and the role played by inclusion psychiatric survivors and the role played by inclusion and exclusion and exclusion

• New university

New university-

• level curricula and positions for

level curricula and positions for students students

• Community

Community-

• based projects addressing poverty and

based projects addressing poverty and social inclusion on individual, community and societal social inclusion on individual, community and societal levels levels

• Critical assessment of current policies and

Critical assessment of current policies and recommendations for social inclusion strategies recommendations for social inclusion strategies

Contact Contact

• Academic Director: Cheryl

Academic Director: Cheryl Forchuk Forchuk

– – UWO/LHRI UWO/LHRI – – Phone: (519) 679 Phone: (519) 679-

• 2111 ext. 86591

2111 ext. 86591 – – E E-

• mail:

mail: cforchuk@uwo.ca cforchuk@uwo.ca

• Community Co

Community Co-

• Directors: Susan

Directors: Susan Ouseley Ouseley and and Betty Edwards Betty Edwards

– – Can Can-

• Voice

Voice – – Phone: (519) 434 Phone: (519) 434-

• 8303

8303 – – E E-

• mail:

mail: canvoice@gtn.net canvoice@gtn.net

Contact Contact

• Project webpage:

Project webpage:

– – http://publish.uwo.ca/~cforchuk/cura2/ http://publish.uwo.ca/~cforchuk/cura2/

• CURA office:

CURA office:

– – London Health Sciences London Health Sciences – – Research Research – – South Street Hospital, Room E208 NR South Street Hospital, Room E208 NR – – Phone: (519) 685 Phone: (519) 685-

• 8500 ext. 75896

8500 ext. 75896 – – Project Coordinator: Amanda Kurtz Project Coordinator: Amanda Kurtz (email: (email: Amanda.Kurtz@lhsc.on.ca Amanda.Kurtz@lhsc.on.ca) )

A History of Partnerships A History of Partnerships

Partners from Previous CURA Partners from Previous CURA

• Alcohol and Drug Services of Thames Valley

Alcohol and Drug Services of Thames Valley

• At^Lohsa

At^Lohsa Native Family Healing Services Native Family Healing Services

• Can

Can-

• Voice

Voice

• City of London

City of London

• CMHA

CMHA-

• London

London

• Concordia University

Concordia University

• Crouch Centre Community Resources

Crouch Centre Community Resources

• King

King’ ’s University College s University College

• Lawson Health Research Institute

Lawson Health Research Institute

Partners from Previous CURA Partners from Previous CURA

• London & Middlesex Housing Corporation

London & Middlesex Housing Corporation

• London

London InterCommunity InterCommunity Health Centre Health Centre

• London Mental Health Crisis Services

London Mental Health Crisis Services

• London Police Services

London Police Services

• Margaret

Margaret’ ’s Haven Non s Haven Non-

• Profit Housing

Profit Housing

• Ministry of Health and Long Term Care

Ministry of Health and Long Term Care

• Mission Services of London

Mission Services of London

• Ontario Works

Ontario Works

Partners from Previous CURA Partners from Previous CURA

• St. Joseph
• St. Joseph’

’s Health Care s Health Care

• Street Connection

Street Connection

• The Salvation Army

The Salvation Army-

• Centre of Hope

Centre of Hope

• The Salvation Army

The Salvation Army – – Men Men’ ’s Hostel s Hostel

• University of Waterloo

University of Waterloo

• University of Western Ontario

University of Western Ontario

• WOTCH (Western Ontario Therapeutic Community

WOTCH (Western Ontario Therapeutic Community Hostel) Hostel)

• Wilfred Laurier University

Wilfred Laurier University

• Women

Women’ ’s Community House s Community House

Partnership Partnership

• We can do a lot more together than separately!

We can do a lot more together than separately!

• Our partnerships are a precious resource that we

Our partnerships are a precious resource that we need to treasure and continue to build upon need to treasure and continue to build upon

Partners for Current CURA Partners for Current CURA

• Partners Involved in this Grant

Partners Involved in this Grant

– – CMHA (Canadian Mental Health Association) London CMHA (Canadian Mental Health Association) London – – CMHA CMHA-

• Ontario

Ontario – – CMHA CMHA-

• Sudbury

Sudbury – – Can Can-

• Voice

Voice – – Centre for Research and Education on Violence against Women Centre for Research and Education on Violence against Women and Children and Children – – City of London, Community Services Department City of London, Community Services Department – – Lawson Health Research Institute Lawson Health Research Institute – – London London InterCommunity InterCommunity Health Centre Health Centre – – MerryMount MerryMount Children Children’ ’s Centre s Centre – – Mission Services of London Mission Services of London

Partners for Current CURA Partners for Current CURA

• Partners Involved in this Grant

Partners Involved in this Grant

– – Neighborhood Legal Services Neighborhood Legal Services – – Raising the Roof Raising the Roof – – Regional Mental Health Centre Regional Mental Health Centre – – The Salvation Army The Salvation Army – – University of Manitoba University of Manitoba – – Nursing Nursing – – Western Western – – WOTCH (Western ON Therapeutic Community Hostel) WOTCH (Western ON Therapeutic Community Hostel) – – Women Women’ ’s Community House s Community House – – Youth Opportunities Unlimited Youth Opportunities Unlimited

Spotlight on: Can Spotlight on: Can-

• Voice

Voice

An example of one agency An example of one agency demonstrating a rich history of demonstrating a rich history of research leadership & participatory research leadership & participatory roles roles

Research History: Can Research History: Can-

• Voice

Voice

• Mid 1990s

Mid 1990s: Can : Can-

• Voice began relationship with

Voice began relationship with Dr.

• Dr. Forchuk

Forchuk when they were invited to when they were invited to participate in discussion for the next stages of Dr. participate in discussion for the next stages of Dr. Forchuk Forchuk’ ’s s “ “Bridges Bridges” ” pilot project pilot project

– – This involved meeting with other consumer This involved meeting with other consumer-

• survivor

survivor groups groups

• 1998

1998: 3 : 3-

• year grant for

year grant for “ “Therapeutic Relationships Therapeutic Relationships from Hospital to Community from Hospital to Community” ”

– – Can Can-

• Voice had lead role for London peer support

Voice had lead role for London peer support

Research History: Can Research History: Can-

• Voice

Voice

• 1999

1999: United Way of London and Middlesex : United Way of London and Middlesex funded a seed grant to explore a Connections funded a seed grant to explore a Connections program with Dr. program with Dr. Forchuk Forchuk

• April 2000

April 2000-

• 2003

2003: : “ “Connections Connections” ”

– – Trillium Grant for $655,000 Trillium Grant for $655,000 – – Can Can-

• Voice was the lead agency for this project & Sue

Voice was the lead agency for this project & Sue Ouseley Ouseley ED was the PI ED was the PI – – Buddies were provided for individuals being Buddies were provided for individuals being discharged from the hospital into the community discharged from the hospital into the community – – Involved 11 Involved 11 CSIs CSIs from Windsor to Lindsey from Windsor to Lindsey

Research History: Can Research History: Can-

• Voice

Voice

• 2000

2000-

• 2006

2006: CURA1: Mental Health and Housing : CURA1: Mental Health and Housing

– – Margaret Margaret’ ’s Haven started as the lead community s Haven started as the lead community agency for this project agency for this project – – Can Can-

• Voice became the lead for the final 2 years of

Voice became the lead for the final 2 years of project (2005 project (2005-

• 2006) (S.

2006) (S. Ouseley Ouseley & B. Edwards co & B. Edwards co community directors) community directors)

• 2003

2003-

• 2006

2006: Can : Can-

• Voice Executive Director Sue

Voice Executive Director Sue Ouseley Ouseley was co was co-

• investigator on CIHR grant

investigator on CIHR grant focusing on knowledge transfer related to focusing on knowledge transfer related to transitional discharge transitional discharge

– – 40 hospital wards throughout Ontario and 26 40 hospital wards throughout Ontario and 26 consumer groups involved consumer groups involved

Research History: Can Research History: Can-

• Voice

Voice

• 2003

2003-

• 2004

2004: CIHR Travel Grant : CIHR Travel Grant – – Can Can-

• Voice ED Sue

Voice ED Sue Ouseley Ouseley was part of research team that was part of research team that traveled to Europe to assist in international development of traveled to Europe to assist in international development of transitional discharge model (Finland, Estonia, Scotland) transitional discharge model (Finland, Estonia, Scotland)

• 2006

2006-

• 2008

2008: : “ “CIPHER CIPHER-

• MH: Creating

MH: Creating Interprofessional Interprofessional Collaborative Teams for Comprehensive Mental Health Collaborative Teams for Comprehensive Mental Health Services Services” ” – – Helped 15 professions learn to work collaboratively with Helped 15 professions learn to work collaboratively with individuals with mental health challenges individuals with mental health challenges – – Workshops were main teaching method Workshops were main teaching method – –

• Betty Edwards, Walter

Betty Edwards, Walter Osoka Osoka participated on steering participated on steering committee and several subcommittees, 12 Can committee and several subcommittees, 12 Can-

• Voice

Voice members were regular participants members were regular participants

Research History: Can Research History: Can-

• Voice

Voice

• 2011

2011-

• 2016

2016: CURA2: Poverty & Social Inclusion : CURA2: Poverty & Social Inclusion

– – Can Can-

• Voice is the community co

Voice is the community co-

• chair for this project

chair for this project

• Can

Can-

• Voice has also participated in many other

Voice has also participated in many other studies with Dr. studies with Dr. Forchuk

• Forchuk. Over the last 14 years

. Over the last 14 years these have included (to name a few): these have included (to name a few):

– – Preventing Discharge to No Fixed Address (pilot, Preventing Discharge to No Fixed Address (pilot, acute care, tertiary care and ER phases) acute care, tertiary care and ER phases) – – Youth Matters in London Youth Matters in London – – Poverty and Mental Health Poverty and Mental Health

A History of Partnership A History of Partnership

• Can

Can-

• Voice provides one community example of the

Voice provides one community example of the growth that can occur with long growth that can occur with long-

• standing relationships

standing relationships

• Example demonstrates the greater potential by working

Example demonstrates the greater potential by working longitudinally on linked projects longitudinally on linked projects

• We have many other strong examples in our

We have many other strong examples in our community community – – the continuity between CURA1 & the continuity between CURA1 & CURA2 is a testament to this CURA2 is a testament to this

• We are all interested in meaningful partnership &

We are all interested in meaningful partnership & involvement involvement – – not tokenism or simply endorsement not tokenism or simply endorsement

Your Place in this Plan Your Place in this Plan

Your Place in this Plan: Your Place in this Plan: Subcommittee Opportunities Subcommittee Opportunities

Break & Conversational Break & Conversational Caf Café é

Feedback from Feedback from Conversational Caf Conversational Café é

Book Presentation Book Presentation

• Hot off the press

Hot off the press

• Collection of articles

Collection of articles from our previous from our previous CURA CURA