Hi Alison,
I am so glad to see this posted to this listserv. I read this article with a great deal of excitement, especially the first few paragraphs as they really struck home. I thought the article was incredibly accurate in describing where many of us are at, and motivating to really start pushing to refocus our efforts to start addressing the social determinants of health in our work and to truly acknowledge that chronic diseases are not going to be addressed by focusing mainly on lifestyle and behaviour change.
Thanks Alison for posting this and opening the discussion on this very important topic. I, for one, look forward to hearing what others have to say and find out what others are doing to address this in their neck of the woods.
Tanya
Tanya Beattie, BScH
Public Health Promoter
KFL&A Public Health
221 Portsmouth Avenue
Kingston, Ontario K7M 1V5
613-549-1232, ext. 1293
Fax: 613-549-7896
www.kflapublichealth.ca
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-----Original Message-----
From: Health Promotion on the Internet [mailto:[log in to unmask]] On Behalf Of Stirling, Alison
Sent: Tuesday, September 01, 2009 1:28 PM
To: [log in to unmask]
Subject: [CLICK4HP] OHPE Bulletin article - How Organizational Values Can Affect Responses to CDPM
Check out this article in last Friday (28 August 2009) Ontario Health Promotion E-newsletter (OHPE) by Lise Labreque.
http://www.ohpe.ca/node/10748
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If you've been working in health promotion in Ontario in the past four years, you can't help but have noticed that there is a big train moving through our sector. It is called Chronic Disease Prevention and Management (CDPM). It's an express train, it's moving very fast, and we've all had to jump on board...or else be left in the metaphorical dust!
You might be a health promoter, community developer, manager or executive director of an agency that works in the realm of CDPM. You feel pressured to deliver individual-focused strategies such as physical activity assessments, self-management programs, or nutritional counselling. Yet you know that the research is unequivocal - chronic diseases are not caused exclusively by biomedical factors and individual lifestyle choices, but are also due in large part to social, economic and structural factors ... You see poverty eradication and health equity as the long-term solution to chronic diseases.
Does this describe your situation? As health promotion practitioners we are often faced with such dilemmas. Perhaps your personal values clash with the agency where you work, or with the communities that you serve. Maybe your agency's value of and work in community capacity building is "in tension" with your funders' request for data on individual interventions. While we may claim to be neutral or objective in our work, the reality is that values influence the decisions we make as front-line workers, as managers, executive directors and boards, and as funders.
The purpose of this article to describe how one agency, the Centretown Community Health Centre (CHC) has taken on this challenge of balancing our organizational values with the larger context in which we deliver services. More specifically, our experience with CDPM.
[more at http://www.ohpe.ca/node/10748]
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Let's have some discussion here in CLICK4HP about the issues raised, and the approaches taken by CCHC, as described by Lise Labreque.
Alison
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Alison Stirling,
Knowledge Management Developer,
Health Nexus Santé
180 Dundas Street W., Suite 1900
Toronto, ON M5G 1Z8
Direct: 416-408-6918 or 416-408-2249 x 2227
Toll-free (in Ontario) 1-800-397-9567 x2227
Email: [log in to unmask]
www.healthnexus.ca www.nexussante.ca
Formerly Ontario Prevention Clearinghouse/Anciennement Le Centre Ontarien d'information en prévention
To manage subscriptions/passwords, or view archives, go to http://listserv.yorku.ca/archives/click4hp.html . [log in to unmask] is run in collaboration with Health Nexus: http://www.healthnexus.ca/index_eng.php
To manage subscriptions/passwords, or view archives, go to http://listserv.yorku.ca/archives/click4hp.html . [log in to unmask] is run in collaboration with Health Nexus: http://www.healthnexus.ca/index_eng.php
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