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Program Shifts - 2005. Social Determinants of Health Onset of another period of rapid change. Social Determinants of Health. Greater focus and acceptance based on research of the concepts of social determinants have large impact on health of individuals (communities, societies)
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Program Shifts - 2005 • Social Determinants of Health • Onset of another period of rapid change
Social Determinants of Health • Greater focus and acceptance based on research of the concepts of social determinants have large impact on health of individuals (communities, societies) • 2002 Conference at York University identified: Aboriginal Status,early life,education,employment and working conditions, food security, health care services, housing, income and distribution, social safety net, social exclusion and unemployment and employment security
DNSSAB Mandate • Concept of Social Determinants of health gives us another way to frame our work • Our mandated role provides opportunity to impact in some way on early life, early education, food security, health care services (EMS), housing, income distribution, social safety net – 7 of 11 • Not in position to develop new major programs but we can influence how programs designed by Federal and Provincial Gov’t’s work for disadvantaged populations
Rapid Change in Programs • Children’s Services – program planning, program expansion, focus on early education and child development, new fee subsidy policies, quality monitoring • Emergency Medical Services – Funding Issues, Ambulance Base, Cross-Border Billing
Rapid Change in Programs • Ontario Works – new Employment Assistance performance measures in support of a new funding model, • Closure of ISU’s and return to in-person applications in local offices by June 2005, 20 other Program changes announced in December with more expected early in 2005 • Pilot project to commence in first half of 2005 which will involve employment information sessions, Participation Agreement update and referral of approximately 375 clients
Rapid Change in Programs • Community Housing Services – funding benchmarks, new performance measures for PHIF, new Affordable Housing initiatives anticipated, Housing needs study • ODSP – MCSS/DNSSAB review of demand for services and capacity in Nipissing District
Summary • Anticipate a very active year of program changes which present implementation challenges • The changes also present opportunities to obtain better results on the social determinants for the disadvantaged