‘improving the health participation’ · 2015-09-22 · health services based on the award...
TRANSCRIPT
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‘Improving the health of communities through participation’
Presenters:Catherine Morley - CEODr Kaye Knight – LearnPRN/La Trobe University
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Where it all began
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Where we are in the world
Warracknabeal
Melbourne
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The community participation project• A partnership between the La Trobe Uinversity and three rural
health services based on the award winning Scottish, evidence based community participation method; Remote Services Futures (RSF).
• It is an evidence-based community participation method that engages local people in considering health data, identifying their priority health issues, and designing sustainable, locally responsive services.
• A full time PhD student was funded by the health service to work with the community and stakeholders.
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The community participation projectThe aims of the project were to:
• Develop a sustainable mechanism of working with community members to explore and test ideas, and in partnership, design evidence-based approaches to maximise health outcomes.
• Identify priorities and capture innovative approaches that communities design given a range of data, information and research evidence.
• Forge a strong partnership with a leading university to ensure the project reflected world-class best evidence on community participation so that knowledge gained could be translated to the broader sector.
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The community action research group• Regular meetings to discuss, develop, test and refine health and well-
being ideas that formed a document to be used by the health service in their future healthcare planning.
• Based on a community participation model, there were a mix of community members, health service staff and key stakeholders in each group learning from each other
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How did we engage with our community in the past?
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Time for a turbo sessionThis will give you a taste of what we did (18months in 10mins)
• First thing – find some friends and imagine you are part of our community
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Demographics
•Rural, farming community
•Population: Warracknabeal 2,745/Catchment 7000
•343km/213miles to Melbourne (4hr drive/1 bus)
•40mins drive to Horsham/2hr 40min to Ballarat
•24.6% over 65yrs
•25% children complete high school
•45% population volunteer
What might you want the health & wellbeing of this community to be like in 20 years?
Please consider the question in your groupand come up with some ideas.
You have 1 minute
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Health issues in our community
•Obesity
•Heart disease
•Cancer (x 2 State average in men)
•High disabled & aged care population
•Socio-economic disadvantage
Understanding our community
Educating the community about the identified health issues based on data
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Health Iceberg Activity - helps to determine contributing factors
that the community may be able to address.
Obesity access to fresh food, knowledge about healthy eating.
Guest speakers
Talking to the wider community
Source: Talbot, L. & Verrinder, G. (2014) Promoting health: the primary health care approach.
Chatswood. Churchill Livingstone.
Unpacking the issues
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Health issues in our community
•Obesity
•Heart disease
•Cancer (x2 State average in men)
•High disabled & aged care population (it’s a NORC!)
•Socio-economic disadvantage
In light of your 20 year vision and the health issues of our community, what health & wellbeing issues are you most concerned about?
Please consider the question in your group and select one health & wellbeing concern.
You have 1 minute
Community Prioritising Activity
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Community Prioritising Activity
Please nominate 1 priority issue that your group believes the community should pursue.
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Our health service
Community reviews the health service.
What are our:
• Priorities
• Services
• Boundaries & limitations
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Re-prioritising Activity
Review the priority issues identified by the community.
In light of the health service priorities & limitations vote on your top issue with a show of hands.
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Our community priorities
• Social Isolation
• Access/Transport (food, phone, internet, schooling)
• Ageing and living at home
• Mental Health
• Communicating about health and keeping healthy
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The outcomes from our project• Major mental health forums, including an ICE drug forum
attended by 350 people.
• Community gardens in three communities to support intergenerational socialization and distribution of health information.
• Aged care expos in two communities.
• Seasons of wellness
• We have a group of engaged community members.
• The board of management can set some new strategic goals based on the feedback from the community members.
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Our challenges• There was no money available to expand services.
• Getting the right mix of community members attending so that we had all demographics and communities represented.
• The governance structure was not in place from the beginning and we had to find the right community members to be part of it.
• The eagerness of the community to get things happening quickly.
• There were so many ideas suggested and many of them were not the health services responsibility.
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What worked
• The ideas the community came up with.
• Working with the university (community PhD student).
• Community engagement.
• Improving partnerships.
• Delivering on the suggestions.
• Letting the community own the ideas and the outcomes.
• Designing our therapeutic landscapes
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Lessons learned• One size does not fit all and you need to have a localized
individual approach.
• It needs leadership from the top, the community and the independent facilitator.
• The ideas were simple, inexpensive and focused on the identified gaps in health and wellbeing that the group had identified.
• The group were really not focused on service delivery.
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Questions?
Winner
People’s Choice Award
Victorian Healthcare Association Annual Conference 2014
Australian Regional Development Award
2015
Acknowledge: Prof Jane Farmer & Community Participation Project Team La Trobe Rural Health School, John Aitken PhD Candidate, Yarriambiack Community