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Program

Wednesday, February 6, 2013
Preconference-Sessions

8:45 am - 4:15 pm

PC1 – Aboriginal Child Health: Sharing the Caring

Supporting healthy Aboriginal children and their families

Presented by Lois MacDonald and Alison Benedict MSW, Best Start Resource Centre, Health Nexus

Learning objectives:

  • To understand the historical foundation for current realities confronting Aboriginal children and their families
  • To learn about the current realities of Aboriginal child health
  • To learn about practices which support healthy Aboriginal child development and mediate the contributing factors for the current challenges

PC2 Healthy Babies Healthy Children: Integrating Reflective Practice

This pre–conference day is reserved for Ontario Healthy Babies Healthy Children (HBHC) staff. It will offer practical suggestions for Public Health Nurses in key areas of their work. Networking and resource sharing opportunities will complement the presentation on the topic of Reflective Practice by Dr. Kristie Brandt.

This workshop is designed for providers that work with infants, children, and/or parents, and focuses on reflective practice as a strategy for enhancing skills, understanding our reactions and responses when working with others, and examining the emotional content of our experiences in ways that can reduce work stress, and improve our sense of competence and well-being. Simple ways to expand our reflective activities will be discussed and the relationship between our own reflective capacities and our ability to support others in their journey will be explored.

LEARNING OBJECTIVES:

As a result of this training, participants will be able to:

1. Describe the differences in reacting and responding in the context of encounters with families;
2. Inventory activities that support practitioners in exploring, enhancing, and understanding their work;
3. Discuss the benefits of reflective activities;
4. Identify opportunities for reflecting on their work;
5. Describe the relationship of reflective activities to reflective practice; and,
6. Explain the concept of “Parallel Process” in working with families.

PC3 Tackling the challenge of reducing child obesity in Ontario

Canadian Task Force on Preventive Health Care – development of guidelines for primary care practitioners for child obesity prevention work in progress
Patricia Parkin, MD, FRCPC, Pediatrician, Hospital for Sick Children
The objectives of the sessions are:

  • Describe the Canadian Task Force on Preventive Health Care
  • Describe the work in progress by the Child Obesity Prevention Working Group for the development of guidelines for primary care practitioners
  • Describe the TARGet Kids! research initiative

Please join us for this full day program.  Learn what the experts are recommending to help tackle the challenge of reducing childhood obesity by 20 per cent over five years. The session will share effective practices and practical strategies to minimize the factors that contribute to obesity during childhood and to improve childhood health outcomes.

Childhood Obesity Prevention: Evidence and Action
Dr. Heather Manson, Chief, Health Promotion, Chronic Disease and Injury Prevention (HPCDIP), Public Health Ontario

The increasing prevalence of overweight and obesity in children and youth is a serious public health problem requiring immediate action. Dr. Manson provides a brief overview of the trends, risk and protective factors associated with obesity to set the stage for a discussion on where intervention activities should be focused. This discourse will be based on the evidence synthesized from a systematic literature review on the effectiveness and cost-effectiveness of childhood obesity interventions. Additionally, a summary of the intervention activities to reduce the prevalence of childhood obesity that have already been implemented within Ontario and other national and international jurisdictions will be presented. The importance of the preconception, pre-natal and early years periods will be touched upon and the need for a surveillance system to monitor childhood obesity in Ontario will be highlighted. 

Strategic Actions to Address Childhood Obesity: A Report Developed by the Collaborative Chronic Disease Prevention Work Group and The Nutrition Resource Centre: An Update on New Strategic Directives
Siu Mee Cheng, Executive Director, Ontario Public Health Association
A look into the development of the report, Strategic Actions to Address Childhood Obesity, an initiative of the collaborative Chronic Disease Prevention Work Group in support of provincial efforts to address healthy weights, specifically, childhood obesity. The collaborative is a compilation of public health professional associations and societies representing a broad spectrum of professionals and disciplines within the public and community health sectors. This report outlines five recommended government courses of action to address childhood obesity within Ontario: (1) create supportive physical environments that promote healthy behaviours, (2) Enhance training and education of all professionals working with children (3) enhance public education, skill building and awareness with a specific focus on children (4) ensure public reporting of key health promotion and prevention performance indicators, and (5) build capacity within the public health sector to adequately address childhood obesity. Following this, Siu Mee will provide an overview of the Nutrition Resource Centre’s new strategic directives and progress towards fulfillment of these.

The role of obesity and excessive gestational weight gain in maternal, fetal and downstream child outcomes 
Zachary M. Ferraro, MSc, PhD, CSEP-CEP

This presentation will guide the audience through an evidence-based overview of population level studies which demonstrate that maternal obesity and excessive gestational weight gain (GWG) can independently increase the risk of having a large for gestational age baby. The risks of fetal overgrowth to mother and child will be discussed. Preliminary evidence from laboratory and clinical studies will be provided to help substantiate the link between maternal characteristics and fetal outcomes particularly downstream child obesity. As a result of attending this workshop participants will:

  1. Gain a clearer understanding of how prepregnancy obesity can impact fetal growth
  2. Appreciate the independent contribution of exceeding recommended GWG guidelines with respect to fetal overgrowth. It’s not just about pregravid BMI.
  3. Become aware of the many pregnancy related complications posed by maternal obesity
  4. Understand that although altering body mass index (BMI) prior to conception may be difficult GWG is a modifiable risk factor for fetal growth and warrants attention during prenatal counselling
  5. Appreciate the value of healthy, active living for optimal maternal-fetal outcomes

Early childhood obesity prevention through maternal lifestyle intervention 
Michelle Motolla, PhD FACSM

There is a robust link between the fetal environment and its long-term influence on health and susceptibility to future chronic disease in the offspring. An unhealthy metabolic state during pregnancy can have a profound influence on the risk of early obesity development in the child. Excessive pregnancy weight gain and high pre-pregnant body-mass index (BMI) have been linked to birth weight and is directly associated with future offspring BMI. Reversing the obesity epidemic will involve a lifetime of effort by the medical and research communities. Targeting pregnant women with a healthy lifestyle approach using the Nutrition & Exercise Lifestyle Intervention Program (NELIP) may help slow down the obesity epidemic by preventing excessive weight gain by promoting a healthy fetal environment. 
Funding: Canadian Institute of Health Research, Rx&D Health Research Foundation.

PC4 – Petite enfance et famille – Au cœur de nos priorités

Cette journée se déroulera entièrement en français et sera d’intérêt particulier pour les intervenants francophones travaillant dans le domaine de la petite enfance. Le conférencier principal sera Mathieu Lyons, de l’organisme Consultation familiale Le Repère. Cet organisme est accrédité pour présenter selon l’approche de l’Institut Neufeld sur le thème « Intervenir auprès des enfants d’âge préscolaires et des jeunes enfants avec l’attachement en tête ». Cette présentation permettra aux participants de mieux comprendre le profil développemental de la petite enfance ainsi que les interventions nécessaires pour soutenir le développement social et émotionnel. Le matériel met l’emphase sur l'importance de la relation d'attachement dans le développement du jeune enfant. Le contenu théorique est appuyé par différents exemples afin de permettre aux participants de bien intégrer la matière.
Des activités de réseautage seront intégrées à la journée. La journée sera clôturée par une présentation sur la campagne de sensibilisation « Bébé en santé – Cerveau en santé » du Centre de ressources Meilleur départ. À l’automne 2012, le Centre de ressources Meilleur départ a lancé une campagne de sensibilisation sur le développement du cerveau. Cette session offrira un survol des recherches effectuées pour développer les messages et les stratégies de cette campagne. Les participants apprendront aussi comment les composantes ont été développées et comment ils peuvent utiliser celles–ci à travers leur programmation. Ils recevront aussi des résultats préliminaires sur l’évaluation de la campagne.

Intervenir auprès des enfants d'âge préscolaire et jeunes enfants avec l'attachement en tête
Mathieu Lyons, Mss, TSI

Bébé en santé, Cerveau en santé – Compte–rendu de la campagne
Louise Choquette, Consultante bilingue en promotion de la santé, Centre de ressources Meilleur départ

Thursday, February 7, 2013

8:30 am - 9:00 am Welcome

9:00 am - 10:30 am - Keynote

Addressing the Social Determinants of Aboriginal Child and Family Health
Sylvia Maracle, Executive Director, Ontario Federation of Indian Friendship Centres

In the new health and learning environments prevention and early development are words we hear and see.  These words are not our lived reality.  Ms. Maracle will address the shift occurring in Aboriginal communities, organizations and in levels of government which will have to be addressed to meet Aboriginal child and family needs.  Ms. Maracle will reflect on both historical and current developments in Aboriginal social determinants of health affecting children and their families and propose approaches to move forward.

10:30 am - 11:00 am - Break

11:00 am - 12:30 pm - Concurrent Sessions A (1-5)

A1 – Pauktuutit Inuit Women of Canada
Geri Bailey, Manager, Health Policy and Programs
Annie Aningmiuq, Coordinator of Health Programs

A2 – Key Message to Support the Baby–Friendly Initiative
Hiltrud Dawson, RN, BTech, IBCLC
Health Promotion Consultant, Best Start Resource Centre, Health Nexus

As organizations across Ontario implement the Baby–Friendly Initiative there is a need for evidence–based common messages. This session will present the new resource from the Best Start Resource Centre and encourage participants to explore how to use the messages though case scenarios featuring examples from various implementation strategies.

A3 – Food allergy in infants and children
Dr. Elana Lavine, MD FRCPC 
Humber Regional Hospital

In this session, we will explore the who, what, how and when of food allergy. We will also touch upon the question of "why" allergy is increasing in prevalence. We will discuss how medical advice to has changed regarding how and when to introduce potentially allergenic foods to our infants. We will review the management of food allergies and anaphylaxis. As well, we will explore some of the unvalidated tests for food allergy that are being advertised in the community to our clients and patients.

A4 – Promoting Mental Health in the Family Support Sector– A Cross Canada Perspective
Janice MacAulay, Executive Director, The Canadian Association of Family Resource Programs
Christine Colbert, Project Coordinator, The Canadian Association of Family Resource Programs

This session will explore the impact of mental health and mental illness, currently the leading cause of disability in Canada, in the context of how family mental health is being addressed at community–based family–serving organizations which are not typically considered part of the mental health system.

Results from a national survey, interviews and site visits to family resource programs revealed that much is being done in the area of mental health promotion using evidenced–based programs and everyday family support practices. Suggested tools for staff training and strategies to support family mental health will be shared focusing on the role that family–support practitioners can play in the area of mental health promotion. Participants will be invited to share effective practices as well as challenges from their own experience working with families.

A5 – Lessons in Community Engagement
Lorna McCue, MSW, Executive Director, Ontario Healthy Communities Coalition (OHCC)

Community engagement is an important strategy for many health promotion initiatives, but often time, resources and other constraints create challenges to its effectiveness. In this session you will learn about the various  components of the community engagement continuum, principles of effective community engagement, how to uncover local assets, and tools for community engagement. We will discuss some case examples and explore issues involved in specific contexts, such as rural or diverse communities. Participants may also present scenarios from their own practice for discussion.

12:30 pm - 1:30 pm - Lunch

1:30 pm - 2:30 pm - Keynote

Measuring the Health of Infants, Children and Youth: Indicators of relevance to Public Health in Ontario
Dr. Heather Manson, Chief, Health Promotion, Chronic Disease and Injury Prevention (HPCDIP), Public Health Ontario

Improving access to high-quality, timely, comparable information on child and youth health has been identified as a priority issue in Ontario. However, public health practitioners focused on child and youth health in the province experience challenges accessing information for surveillance, planning and evaluation purposes. As a first step towards meeting this need, Public Health Ontario is completing a report which identifies existing indicators that can be used to measure child and youth health (from birth to 19 years) in areas that are important to public health. The report also provides recommendations for filling indicator gaps and developing an approach for ongoing population health assessment and surveillance of child and youth health in Ontario. Dr. Manson will provide participants with a preliminary overview of the process and findings from the final report.

2:30 pm – 3:00 pm - Break

3:00 pm - 4:30 pm - Concurrent Sessions B (1-5)

B1 –Inclusivity as process for Aboriginal populations
Karen Lawford, R.M., A.M., B.Sc., B.H.Sc., Midwifery

Efforts to achieve inclusive health care services for Aboriginal populations in Ontario face numerous challenges, notably the historical context and impacts of colonialism.  Based on key informant interviews and an overview of the literature - including critiques of social inclusion - this presentation will focus on opportunities for building inclusive health care programs, resources, and services in Ontario.

B2 – How Can We Build a “Culture of Resilience”?
Jennifer Pearson, Lead Writer/Trainer, Reaching IN…Reaching OUT (RIRO)

Building healthy, resilient and inclusive communities means starting early with our youngest members and their families. Through positive role modeling and caring relationships, service providers have a unique opportunity to build “cultures of resilience” in their communities and professional and personal environments. Through presentation, video and discussion, this workshop will provide an overview of resilience–building strategies, resources and skills training opportunities that participants can use personally and in their work with children and families. Bounce Back & Thrive!, a new resiliency skills training program for parents of young children, will be highlighted.

B3 – Welcoming and Celebrating Sexual Orientation and Gender Diversity in Families: From Preconception to Preschool
Rachel Epstein, Coordinator, LGBTQ Parenting Network, Sherbourne Health Centre

Welcoming LGBTQ people and families into programs and services can mean concrete things like re-designing intake forms, putting up posters and incorporating books that reflect gender, sexual and family diversity.  It can also mean deepening your understanding of how assumptions about gender, sexuality and family composition shape your everyday practice.

This workshop will explore what it means to effectively work with LGBTQ families, and to support a broad range of gender expression in children.  Based on a new resource from the Best Start Resource Centre, the workshop will address issues for those working with families from preconception to preschool.  

B4 - Walking on Eggshells: New Fathers' Transition to Parenthood when their partners have PPD
Janet Siverns, RN Public Health Nurse Halton Region Health Department

Are you working with new families affected by postpartum depression (PPD)? Have you considered how PPD affects the new father, the infant, and the partner relationship?  Are you interested in learning more about what men wants when it comes to health teaching about PPD? PPD is a major public health concern affecting mothers, their infants, and their partners. While there is a great deal of research about the impact of maternal PPD on maternal/infant attachment and on the partner relationship, there are relatively few studies about the impact of maternal PPD on the transition to fatherhood for fathers.  This session will explore the results of the presenter’s original research on the topic, based on new fathers sharing photographs and in-depth interviews.  Key themes and sub-themes that emerged from the interviews will be discussed, including From two to three, Connecting with baby, PPD and the partner relationship, Heightened involvement with baby, and What I wish had been in place. Implications for policy, practice, and education of both family members and health care providers will be discussed.

As well, there will be facilitated discussion of resources currently in use to support new fathers whose partners have PPD and an opportunity to share regarding approaches used in your area of practice.

B5 – Health Baby, Healthy Brain Campaign
Louise Choquette, Bilingual Health Promotion Consultant, Best Start Resource Centre, Health Nexus

In the fall of 2012, the Best Start Resource Centre launched an awareness campaign on early brain development. In this session, participants will be provided with some background on the research done to develop the messages and strategies. They will find out how the campaign components were developed and how they can use these through their programming. They will also receive some preliminary results of the campaign evaluation. 

4:30 pm - Adjournment

5:00 pm - 7:00 pm - Réseautage en français!

Une session de réseautage pour les francophones fournissant une opportunité d’échanger des idées et des ressources. Les participants seront encouragés à discuter de thèmes associés à leur travail en milieu francophone. Cette session informelle sera facilitée Louise Choquette et Marie Brisson, consultantes bilingues en promotion de la santé, Centre de ressources meilleur départ, Nexus santé.

6:00 pm – 9:00 pm – Aboriginal Networking Session

This networking event will provide an opportunity to exchange ideas and resources. It will also include a craft and an Aboriginal teaching.
Please note that the registration for this evening session is limited to 50 participants and will be offered on a first– come first– served basis.   

Friday, February 8, 2013
9:00 am - 12:00 pm- Concurrent Sessions C (1-5)

C1 – NOFAS– Making a Difference: Twenty Four Years of Programs and Initiatives to Prevent and Support Families Living with FASD
Kathleen Mitchell, MHS, LCADC,  Vice President and International Spokesperson, National Organization on Fetal Alcohol Syndrome (NOFAS), Washington USA

The National Organization on Fetal Alcohol Syndrome (NOFAS) is a U.S. charity non–profit organization in their twenty–fourth year of operations. NOFAS is the leading voice on issues of FASD in the U. S. and is committed to both prevention of FASD and creating a society that supports individuals living with the disorders. The presenter, Kathleen Mitchell, has been with NOFAS since the inception of the organization, and will provide an overview and timeline of the rich history of lessons learned on FASD advocacy, prevention campaigns, government influence, school and youth programs, birth mother initiatives, FASD parent support groups, coalition–affiliation development, and working with media. The presenter is a parent of an adult child with FAS and her story–telling teaching style will allow for an interactive session with attendees. Participants will receive free FASD prevention materials and be introduced to web–resources.

C2 – Understanding Vulnerability to Poor Mental Health of Infants
Dr. Chaya Kulkarni, The Hospital for Sick Children, Toronto

C3 – Preconception Health in Ontario:  Perspectives from Practice, Current Evidence and an Opportunity for Networking
Joanne Enders, R.N., BScN, Chair, Ontario Public Health Association, Public Health Nurse, Region of Waterloo Public Health
Angela Swick, R.N, BScN, Public Health Nurse, Haldimand Norfolk Health Unit

Come learn, share and explore what is known about preconception health and what could lie ahead.  This interactive workshop will focus on creating an environment for dialogue and networking, reviewing current evidence, highlighting innovative work being done in Ontario, and exploring strategies for building preconception health capacity both locally and provincially.  Facilitated by members of the Ontario Public Health Association Reproductive Health Workgroup, a draft position paper on preconception health will also be shared.

C4 – Social Media 101: The what, why and how of creating your online presence 
Melissa Potvin, Communication Specialist, Health Nexus
Robyn Kalda, Health Promotion Specialist – Technology Specialization, Health Nexus

This social media workshop will cover the basics about the most commonly used social media platforms today, Twitter, Facebook, Tumblr, LinkedIn, Google Docs, YouTube and Pinterest. We will review the what, why and the how these tools can be applied to organizational or professional use.  The flow of the workshop will be fitted as best possible to the needs identified from a brief electronic survey that will be sent to all participants prior to the conference. In order to make this workshop as hands on as possible we ask that participants who have access to a laptop bring it with them. Wireless internet access will be provided to all participants during this workshop.

Participants will leave the session with a better understanding of the:

  • various social media platforms and how they differ from one another
  • requirements of organizational social media use
  • first steps to getting social

Please note: Handouts from our PowerPoint presentations will not be shared at this session. All resources will be shared via Google Docs at the end of the session.

C5 – Prescription Drug Misuse in Pregnancy and Early Parenting Among Aboriginal Women in Ontario: Strategies for Service Providers
Dr. Rose–Alma J. McDonald,  D.Ed., C.A.S., M.Ed., B.A.

The three hour workshop will discuss the issue of Prescription Drug Abuse in Pregnancy and Early Parenting Among Aboriginal Women in Ontario: Strategies for Service Providers. The information that will be presented will be based on a Manual on Prescription Drug Abuse in Pregnancy and Early Parenting Among Aboriginal Women in Ontario that is being developed by the Ontario Best Start Resource Centre. The purpose of the manual is to provide targeted and effective strategies for service providers focused on preventing and addressing prescription drug abuse among Aboriginal families during pregnancy and early parenting.
 
The questions that will be raised in the workshop will be related to the extent of the problem of prescription drug misuse among young Aboriginal women in Ontario and what challenges are posed as a result of the problem. Questions will be raised as to how serious the problem is within the province of Ontario and what the participant's perspectives are on the problem from their work, community or as an individual as well as what challenges they are facing to address the problem.
 
The topic will cover what prescription drug abuse is, the causes, effects and outcomes. Participants will get an overview of what was learned from our research which included key informant interviews with front line workers and community representatives. The workshop will also cover suggested effective strategies for prevention of drug abuse in pregnancy and early parenting among aboriginal women in Ontario from the key informants perspectives. 
 
What is hoped that will be achieved from my presentation is that participants will be able to walk away with a good knowledge of the problem, its causes, effects, outcomes and effective strategies as well as best practices that are culturally appropriate to address the problem. Practical examples will be provided along with related resources from the Ontario Best Start Resource Centre. 

12:00 pm - 1:00 pm - Lunch

1:00 pm - 2:30 pm - Keynote

From Seedling to Forest: Celebrating the Life–Changing Work You Do
Ann Douglas

Sometimes it’s hard to see the forest for the trees. You’re too busy tending to the seedlings. But that doesn’t make the forest any less important. In this keynote address, Ann Douglas will encourage you to take in the wonders of the forest: to celebrate the lasting legacy of the work you do. This is an opportunity for you to pause, reflect, and be mindful of the impact you are having—and that you will continue to have—through your life’s work.

2:30 pm - Adjournment

 
















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