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Halifax 2004

Halifax 2004. Canada’s 2004 National Parks and Recreation Conference and Trade Show “Proving Recreation Keeps Kids Off Streets, and Social Costs Down” Gina Browne, PhD, RegN. When the Bough Breaks. Proactive and Comprehensive Versus Self-Directed Services for

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Halifax 2004

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  1. Halifax 2004 Canada’s 2004 National Parks and Recreation Conference and Trade Show “Proving Recreation Keeps Kids Off Streets, and Social Costs Down” Gina Browne, PhD, RegN

  2. When the Bough Breaks Proactive and Comprehensive Versus Self-Directed Services for Sole-Support Parents on Social Assistance is More Effective and Less Expensive

  3. Gina Browne, Ph.D., Reg.N. Carolyn Byrne, Ph.D.(C), Reg.N. Jacqueline Roberts, M.Sc., Reg.N. Amiram Gafni, Ph.D. (Econ.) Susan Watt, D.S.W., C.S.W. in Collaboration with Bonnie Ewart, Commissioner, Social Services Michael Schuster, Commissioner, Social Services Jane Underwood, Director, Public Health Sheila Flynn-Kingston, Director, Public Health Kathy Rennick, Family Benefits Scott Haldane, CEO, YMCA Ida Thomas, General Manager, YMCA

  4. Collaborative Project“Together for Kids” School of Nursing Clinical Epidemiology University Centre for Health Economics & Policy Analysis System-Linked Research Unit School of Social Work Community YMCA Hamilton/Burlington Commissioners of Social Services Hamilton/Halton • Funded by: • 1994 - 1999 • Health Canada-Children’s Mental Health Div. • Hamilton Community Foundation • National Health Research and Development Program 21 other youth serving organizations

  5. WHEN THE BOUGH BREAKS SERVICES • Proactive and Comprehensive Versus Self Directed Services for • SOLE-SUPPORT PARENTS ON SOCIAL ASSISTANCE • IS MORE EFFECTIVEAND LESS EXPENSIVE

  6. PROBLEMS: • Many Programs • Work with the CHILDREN and by pass the MOTHER • -School Lunch Programs • -Early Child Development Program • Or Work with the MOTHER and by pass the CHILDREN -Ontario works • Assume one approach will meet the varied needs of CHILDREN and MOTHERS

  7. EFFECTIVE TREATMENT • Employment retraining (MCSS) • In-home visits by Public Health Nurses (Olds) • Quality Child Care/Recreation (Doherty; Reid, Trembley) • Supplemental Income • Pharmacotherapy and Counselling (Reizer)

  8. 765 sole-support parents and 1330 children (45% of those eligible) R • Comprehensive • Public Health • Employment Retraining • Subsidized Child Care/Recreation Public Health Employment Retraining Subsidized Child Care/Recreation Self-Directed Care

  9. Primary Outcomes Effects Parental MOOD Parental ADJUSTMENT Childhood BEHAVIOR Expense Utilization

  10. 50% Of Welfare clients are sole support parents • 45% Of sole support parents are depressed • 60.4% Of your clients have 2 or more mental health problems • 33.3% Of client’s children have behavior disorders • 29.3% Live with pain which limits activities • 38.8% Have 2 or 3 health problems • 61.0% Have children over 7 years

  11. Engagement Rates by Group Group I Time 1 N = 151 Public Health* Employment Retraining % of Group (households) ** % of Group (households) Children’s Services*** % of Group (Households) * Engaged = at least one (1) home or office visit or telephone > 10 min ** Engaged = at least one (1) home or office visit or telephone > 10 min ***Engaged = at least one (1) child in at least one (1) program (recreation, daycare, etc.) / per family

  12. Engagement Rates by Group Group V N = 153 Group II Group III Group IV N = 155 N = 153 N = 153 Public Health* % of Group (households) ** Employment Retraining** % of Group (households) Children’s Services*** % of Group (Households) * Engaged = at least one (1) home or office visit or telephone > 10 min ** Engaged = at least one (1) home or office visit or telephone > 10 min ***Engaged = at least one (1) child in at least one (1) program (recreation, daycare, etc.) / per family c:\data\gwamain\benfg3&4.ppt

  13. Time 1 Time 3 The Reduction in Proportion of Parents With a Mood (Depressive) Disorder Receiving Five Approaches to Service PHN Employment Retraining Recreation Services Self Directed Full Intervention

  14. Per Person Annual Expenditures for Health and Social Services Utilization Full Intervention PHN Employ-Retraining Recreation Services Self Directed Time 1 Time 3

  15. Percent of Single Parents Exit from Social Assistance Within One Year % % % % % % Full Intervention PHN Employ-Retraining Recreation Services Self-Directed Care

  16. Comparison of Total Cost Per Family on Social Services: Those Receiving Proactive Subsidized Recreation (1) vs. Those in Self Directed and Self Financed Programs (2) Reduction in Social Assistance Costs Per 100 Families: Subsidized Recreation vs. Non-Subsidized COST LESS: SAVES MORE: 3809 400 200 3389 1 2 1 2 1=Subsidy 2=No Subsidy Total Includes Health, Correctional Recreational and Special Educational Services

  17. RECREATION/CHILD CARE PAYS FOR IT SELF BY REDUCTIONS: • ½ THE USE OF SPECIALISTS • ½ USE OF C.A.S SERVICES • ¼ USE OF OCCUPATIONAL THERAPIST • 1/3 USE OF PHYSIOTHERAPISTS • ½ USE OF PSYCHOLOGIST • 1/10 USE OF SOCIAL WORKERS • 1/10 USE OF PROBATION OFFICERS • ½ USE OF CHIROPRACTORS • ½ USE OF 911 SERVICES

  18. BENEFITS FOR RECREATION FOR CHILDREN • INCREASE IN ACADEMIC, SOCIAL AND INTERPERSONAL COMPETENCE FOR CHILDREN WITH A DISORDER • BENEFITS OF RECREATION FOR PARENTS • DECREASE IN NERVOUSNESS, ANXIETY, SLEEP PROBLEMS AND USE OF FOOD BANKS

  19. LESSONS: • Raising Children is a Community Responsibility • Reaching out is better than waiting to be asked • Support Services work best when they: • - comprehensive (health and social) • - work together • -tailored/customized • Poor is Poor, Welfare and Working Poor

  20. FINDINGS REFUTE THE NOTION THAT • Helping Perpetuates Dependence • That Single Parents are “Unemployable” • Cutting Public Health/Recreation Saves the System Money • That Employment Retraining is All That is Needed

  21. INVESTMENTS IN COMPREHENSIVE PROGRAMMING FOR FAMILIES WITH CHILDREN ON WELFARE: SERVICES FOR SINGLE PARENT MOTHERS AND CHILDREN ON WELFARE PAYS FOR ITSELF WITHIN ONE YEAR

  22. Re-Investments Intersectoral Services Financing: Public Private Voluntary Foci Savings .. Health .. Social Savings .. Education .. Recreation Seniors .. Corrections Savings Adults Children

  23. on Health and Social Service Utilization For further information, contact: Dr. Gina Browne at browneg@mcmaster.ca And visit our website at: http://www.fhs.mcmaster.ca/slru Or call us at: (905)-525-9140 ext. 22293

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