FAMILY HEALTH SERVICE Carolyn Shoreman November 9, 2006

FAMILY HEALTH SERVICE
Board of Health Orientation
April 1, 2015
Family Health Service
Goal: To enable individuals and
families to achieve optimal
preconception health,
experience a healthy
pregnancy, have the healthiest
newborn(s) possible, and be
prepared for parenthood
(OPHS, 2008).
Goal: To enable all children to
attain and sustain optimal
health and developmental
potential (OPHS, 2008).

Family Health services are
directed at children, youth,
parents, caregivers and people
in their reproductive years who
are making choices about their
future family life.

The program is intended to
protect and promote the health
of families, prevent disease
and assist in the attainment of
an optimal level of health.
Family Health Service Programs
All programs in FHS delivered
decentralized across Simcoe
Muskoka working out of all health
unit offices

59 members make up the service
area

Reproductive Health Program
 Lori Webel-Edgar, Manager

Child Health Program
 Natalie Riewe, Manager

Healthy Babies Healthy Children
Program
 Aira Chapman, Manager
 Mary Jean Watson, Manager
Family Health Organizational Chart
Administrative
Coordinator
Child Health
Program
Manager
Public Health
Nurses
Public Health
Nutritionist
Public Health
Dietitian
Program Assistant
Family Health Service
Program Director
Reproductive
Health Program
Manager
Healthy Babies
Healthy Children
Program
Manager
Healthy Babies
Healthy Children
Program
Manager
Public Health Nurses
Health Promotion
Specialist
Program Assistant
Public Health
Nurses
Program Assistant
Family Home
Visitors
Reproductive Health
Program
“Investing in expectant mothers
and their young children is a
powerful equalizer and a key tool
for economic and social stability.”
(Mustard, Early Years Study 3 2011, p. 7)
Reproductive Health Staffing
Total of 10.7 FTE in Reproductive Health Program

1.0 FTE Program Manager-Lori Webel-Edgar

7.7 FTE Public Health Nurses (10 individuals)

1.0 FTE Health Promotion Specialist

1.0 FTE Program Assistant
Program Components
PRECONCEPTION HEALTH
 An increased proportion of
individuals in their reproductive
years are physically, emotionally,
and socially prepared for
conception.
HEALTHY PREGNANCIES & BIRTH
OUTCOMES
 An increased proportion of
pregnant women and their families
adopt practices to support a
healthy pregnancy.
PREPARATION FOR PARENTHOOD
 An increased proportion of
expectant parents are physically,
emotionally, and socially prepared
to become parents.
Preconception Health

Reproductive Health Lesson
Plan: curriculum support for
high schools teachers

Provided to: SCDSB ,
SMCDSB & Trillium Lakelands
District School Boards

FASD Lesson Plan
www.smdhu.org/pregnancy
Prenatal Education

Getting Ready For Baby
Series: prenatal sessions
delivered to expectant parents
by Public Health Nurses

Topics include:
 Nurturing your baby
 Keeping your baby safe
 Feeding your baby
 Becoming a parent
 What life will be like with
baby in the first few weeks
Gestational Weight Gain
Health Care Providers:
Pregnant Women:
Canada Prenatal Nutrition Projects
Weekly program for pregnant women and their
children up to 6 months come together for
education, support and nutritious food.
 PHN focus on healthy pregnancy,
breastfeeding, smoking cessation,
preparation for parenthood
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Mothercare-Simcoe
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Alliston
Angus
Barrie
Bradford
Collingwood
Innisfil
Midland
Orillia
Penetanguishene
Wasaga Beach
Great Beginnings-Muskoka
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Bracebridge
Gravenhurst
Huntsville
Breastfeeding Initiation

87.9 women intend to breastfeed
(BORN, 2011)

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> 80% of mothers in Simcoe and
Muskoka initiate breastfeeding (CCHS)
~28% of infants age of six months
are exclusively breastfeeding (CCHS,
2009/10)

most women make their decision
about infant feeding before
pregnancy

breastfeed intention is a strong
predictor of breastfeeding initiation
and duration rates

programs focus on preconception,
prenatal and early postpartum
decision-making about infant
feeding.
Alcohol and Tobacco During Pregnancy
Alcohol

No safe amount, no safe time and no safe kind of
alcohol to have during pregnancy

Chair Simcoe County Fetal Alcohol Spectrum
Disorder Prevention Committee

Member of the Simcoe County Fetal Alcohol
Spectrum Disorder Advisory Committee
Tobacco:
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More than 4,000 chemicals pass from
mother to fetus
Exposure to smoke and these
chemicals causes oxygen level in
blood to fall
Cessation counselling with a Public
Health Nurse available to pregnant women
and their partners or household members
through Health Connection
External Partnerships
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Public Health Nurses have key partnerships with:
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Midwives:
 Barrie Midwives (RVH)
 Caring Hands Midwifery (Stevenson Memorial)
 Midwives of Muskoka (Orillia Soldiers Memorial, Bracebridge Hospital and Huntsville
Hospital)
 Midwives Nottawasaga (Collingwood General and Marine Hospital and Georgian Bay
Hospital-Midland)
 Orillia Midwives
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Family Health Teams and Community Health Centres:
 Algonquin Family Health Team (Huntsville)
 Alliston Family Health Team
 Barrie Community Family Health Team
 Barrie Community Health Centre
 Chigamik Community Health Centre
 Cottage Country Family Health Team
 Couchiching Family Health Team
 Georgian Bay Family Health Team
 North Simcoe Family Health Team
 Orillia Family Health Network
 South Georgian Bay Community Health Centre
Child Health Program

Breastfeeding and Healthy Infant/Child
Nutrition
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Positive Parenting and Healthy Family
Dynamics
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Healthy Growth and Development
Child Health Program Staffing
Total of 11.1 FTE in Child Health Program

1.0 FTE Program Manager-Natalie Riewe

7.1 FTE Public Health Nurses (10 individuals)

1.0 FTE Public Health Nutritionist

1.0 FTE Public Health Dietitian

1.0 FTE Program Assistant
Breastfeeding and Healthy Infant/Child Nutrition
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20 hour Breastfeeding Course for Health
Care Professionals by PHN
Supports local providers to be able to
support breastfeeding women with current
and accurate and consistent breastfeeding
information
Breastfeeding Support Groups
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Breastfeeding Place (once a week at 3 of OEYC locations – Barrie,
Alliston and Collingwood)
Best Feeding Group (once a month at OEYC location in Midland)
Baby Talk (once a month, visit of PHN at sessions in Gravenhurst and
Huntsville)
Breastfeeding Community Work
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Breastfeeding Local Community Coalitions
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Breastfeeding Referral Maps
$25 000 Community Breastfeeding Best Start Grant
 women without a partner/low social support
Communication campaign
 Grandmothers/female relatives outreach
 Health Care Provider Education
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Support development of Breastfeeding Friendly Places policies in
municipalities
World Breastfeeding Week
October 1-7, 2014
Baby-Friendly InitiativeAccountability Agreement
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Baby-Friendly Initiative Designation
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SMDHU Baby-Friendly Initiative Implementation
Committee
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focus on steps to achieving Baby Friendly Initiative
compliance and designation for agency
Inclusive of all services and programs
Agency Baby-Friendly Initiative Policy
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Globally recognized quality standard
MOHLTC accountability agreement requirement of all
health units
Inclusive of all babies
Protect, promote and support breastfeeding
Assists in creating an organizational environment that
protects, promotes and supports breastfeeding
Identifies knowledge expectations through the BFI
Minimum Standards of Practice
Agency Breastfeeding Friendly Workplace Policy
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Supports employees of the Health Unit who are
breastfeeding.
Positive Parenting and Healthy Family Dynamics
Parenting :
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Triple P® - Positive Parenting Program, Select Seminar Series
and Tip Sheet Sessions
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Cross-sectoral implementation planning at multiple levels
including local, county/district wide, provincial and national
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Part of a system of service delivered within the community
including program partners like OEYCs, Children’s Mental
Health providers, early Intervention Services and CAS.
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Triple P Ontario website
http://www.triplepontario.com/en/home.aspx
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Ontario Early Years Centres – connecting regularly and upon
request to support local services
Positive Parenting and Healthy Family Dynamics
Fathering Group –
partners planning for
father-friendly services
in the community
Funding received from
provincial Fathering
Involvement InitiativeOntario Network.
Muskoka Fathering
Coalition “Dads ‘N Kids”
Hike May 23, 2015
Avery Beach
Healthy Growth and Development
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Play together—Grow together :
Facebook page devoted to
parents and caregivers of infants
and preschoolers in Simcoe and
Muskoka.
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Promotion of the Enhanced 18month Well Baby visit
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Support for primary care
providers to access provincial
supports and tools
www.18monthvisit.ca
NutriSTEP:
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A nutrition risk
screening tool for the
early years
Accountability
Indicator
Healthy Growth and Development
Roots of Empathy
Provided as a member of a partnership of
community agencies in the Simcoe
Muskoka Catholic District School Board
Evidence-based classroom program to:
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foster the development of empathy
develop emotional literacy
reduce levels of bullying, aggression and
violence, and promote children's pro-social
behaviours
increase knowledge of human development,
learning, and infant safety
prepare students for responsible citizenship
and responsive parenting
Healthy Babies Healthy Children Program
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Funded under the
Ministry of Children
and Youth Services
Healthy Babies Healthy Children
Program Staffing
Total of 26.8 FTE in HBHC Program

2.0 FTE Program Managers-Aira Chapman and
Mary Jean Watson
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15.6 FTE Public Health Nurses (17 individuals)
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8.2 FTE Family Home Visitors (11 individuals)
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1.0 FTE Program Assistant
HBHC Program Vision
Women and their families in
the prenatal period and
families with children from birth
until their transition to school,
identified with risk will be
provided with opportunities to
achieve their potential.
Every child and parent
identified with risk in Ontario
will have access to evidenceinformed programs and
services that support healthy
child development and
effective parenting.
HBHC Program Components
These components can occur, with client consent, during
the prenatal, postpartum and early childhood periods:
Screening
 Assessment
 Support services
 Blended of home visiting
 Service planning and coordination
 Referrals and/or recommendations
 Participation in service and system integration
 Evaluation and Research
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HBHC - Screening
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Screening is done through:
 health service providers, or
 referrals received from
other agencies/individuals
(e.g. CAS)
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Reason for screening:
 identify possible risks to
healthy child development
 Referral to HBHC
Score of 2 or
more
=
“with risk”
HBHC Without Risk Contact
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Letter mailed to all
new mothers
without risk
HBHC Blended Home Visiting Services
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Home visits provided by a
public health nurse (PHN) and
lay home visitor (FHV) to
consenting families following
an in-depth assessment.
HBHC Client/Family Goals
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Optimal growth and
development
Optimal prenatal
health/parental health
Breastfeeding
Attachment,
relationships
Positive parenting
Addiction/dependency
management
Education/employment
Settlement/cultural
adaptation
 Financial stability
 Housing stability
 Life skills
 Nutrition, food
security
 Self- care
 Safe environment

Referrals/Recommendations
Referrals and/or
recommendations to
community services
for families with
children
Service Coordination
A family-centred process with the
following objectives:

Family identification of goal and
services needed.
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Assist to access services.
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Remove barriers.
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Communication, coordination,
collaboration with partners to
maximize service resources/minimize
duplication.
Advocacy
The Orillia Packet and Times
November, 2010
Reporting to Children’s Aid
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“Boards of health need to be knowledgeable about their
duties and responsibilities as specified in other applicable
Ontario laws, including but not limited to…
 Child and Family Services Act, R.S.O. 1990, c. C.11
R.R.O. 1990, Reg. 70 (p.g. 6 & 7)
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SMDHU Policy “Report to Children's Aid Society”
(LG0102)
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“If any Health Unit employee in the performance of his/her
duties suspects that a child is or may be in need of protection,
that individual is obligated by the Child and Family Services Act
(CFSA) to report these findings as soon as possible to the
closest CAS. This process is referred to as the Duty to Report”.
Healthy Babies Healthy Children Protocols
 Children’s Aid Society of Simcoe County
(September, 2006)
 Family Youth & Child Services of Muskoka (July,
2008)
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Purpose:
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Enhance quality of services to families
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Establish procedures to optimize
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communication
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collaboration
•
coordination of services
Community Planning
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Child, Youth and Family
Services Coalition of
Simcoe County:
To maximize the capacity,
effectiveness, and cultural
uniqueness of the child, youth and
family services system through
collective efforts.
www.simcoecountycoalition.ca
 Board
to Board Meeting
May 8th
 Kempenfelt Conference
Centre
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Moving on Mental Health
Special Needs Strategy
Proposed Amalgamation
CAS/FYCSM
NSM LHIN Care
Connections Maternal
Newborn Child Youth
Health Coordinating
Council
Community Planning
Muskoka
Leadership Summit
and ongoing
planning
Purpose:
To engage in
collaborative action and
prevention planning in
the development,
implementation and
monitoring of services
and programs for
children and youth in
the District of Muskoka.
Family Health Service
Contact:
Carolyn Shoreman
Program Director
Family Health Service
Simcoe Muskoka District Health Unit
15 Sperling Drive
Barrie, Ontario
L4M 6K9
(705) 721-7520 ext 7361
carolyn.shoreman@smdhu.org