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2010 Annual Report (PDF) - Parkdale Community Health Centre

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Joint message from the President of the Board and the Executive Director<br />

2009-<strong>2010</strong> has been a year of transition and renewal for<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong>. The fall of 2009 saw the<br />

departure of our previous executive director. With this the<br />

Board of Directors embraced one of its most important roles –<br />

the hiring of a new executive director. The Board embarked<br />

on a process of creating the tools necessary for recruitment of<br />

our most senior management position. In order to attract a<br />

candidate that upheld the values of our <strong>Centre</strong> we developed a<br />

hiring process and criteria that reflected our commitment to<br />

access and equity. From the creation of the job posting, to the<br />

interview format, questions, rating and reference checks we<br />

implemented a process that resulted in the hiring of our new<br />

executive director. In the end we selected a candidate whom<br />

we determined would be the strongest candidate to deliver<br />

operationally on our organizational goals of improving health<br />

within the communities we serve, strengthening our health<br />

promotion initiatives, empowering clients to make decisions<br />

about their own health and influencing public policy. We are<br />

proud to welcome Carla Ribeiro as our new Executive Director<br />

who began working with us in January, <strong>2010</strong>.<br />

As a result of the hiring the Board also focused its energy on<br />

implementing an executive performance evaluation process,<br />

the first stage of which was successfully completed in July<br />

<strong>2010</strong>. The Board approved governance policies for executive<br />

director performance, the focus of which was the achievement<br />

of organizational goals (our ENDS statements) and monitoring<br />

performance within executive limitations policies, which<br />

set parameters for the executive director’s role and<br />

responsibilities in managing the day to day operations of the<br />

health centre. In its ongoing commitment to ensuring that<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> is meeting the health care<br />

needs of the communities we serve, the Board will continue to<br />

build its own capacity in terms of defining our organizational<br />

goals or ENDS and regularly monitoring achievement of those.<br />

In the past year the Board was also busy with its policy agenda,<br />

successfully updating, revising and approving a number of<br />

key policies that act as a framework for the governance and<br />

operations of the <strong>Centre</strong>, e.g. Access and Equity policy,<br />

Financial policy, and various HR policies.<br />

On an operational level, with a new Executive Director at the<br />

helm we have been busy recruiting to fill staffing vacancies<br />

and charting a new course for the future. In the spring of <strong>2010</strong><br />

the entire staff team spent a day off site, reflecting on the<br />

successes of the past, considering the feedback from our<br />

clients, agency partners and community members, and<br />

planning for the future. Out of this work we have reaffirmed<br />

our commitment to providing high quality primary and<br />

population health programs and services and we have set<br />

our priorities for the next two years. These are:<br />

• To improve access to health resources for underserved<br />

populations, with a particular focus on newcomers,<br />

people with mental health and addictions, and LGBTTTIQQ<br />

communities<br />

• To continuously promote quality improvement and identify<br />

and support best practices<br />

• To foster a healthy work environment<br />

• To develop strategic partnerships to increase visibility,<br />

leverage access to services and build community capacity<br />

• To engage in advocacy as a means to influence public policy,<br />

in order to improve the lives of priority populations<br />

We have also taken the opportunity to engage in a comprehensive<br />

evaluation of our Cross Agency Team Framework, which<br />

is designed to enhance inter-professional collaboration, a<br />

proven outcome of which is better access to services and<br />

better healthcare outcomes for priority populations. Based<br />

on our experiences and the recommendations of the evaluators<br />

we have worked to entrench the idea of teamwork as an<br />

organizing principle in our centre and have put additional<br />

resources and supports in place to ensure the success of<br />

the Cross Agency Team Framework.<br />

Finally we look forward to the coming year and all the promise<br />

it holds. We are excited about the possibilities of what we can<br />

achieve together, with our committed and dedicated Board<br />

members, staff and volunteers, and with the help and support<br />

of our agency partners, community members and clients.<br />

Working together we will improve the health and well being<br />

of the most vulnerable members of the <strong>Parkdale</strong> community.<br />

Stacey Papernick<br />

Chair of the Board of Directors<br />

Carla Ribeiro<br />

Executive Director<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

1


Stacey Papernick, Chair of the Board – PCHC’s 25th Anniversary Cake Cutting.<br />

Mission Statement<br />

STRONG COMMUNITY. BETTER LIVES.<br />

Vision Statement<br />

All members of our diverse community<br />

will have access to integrated<br />

primary health care services to improve<br />

their quality of life.


Primary <strong>Health</strong> Care Services<br />

In addition to recruiting a new Executive Director in the last year,<br />

<strong>Parkdale</strong> CHC also welcomed a new Director of Primary <strong>Health</strong> Care.<br />

I joined <strong>Parkdale</strong> in April, <strong>2010</strong> and since then have gradually become<br />

familiar with the range of programs and services provided to this<br />

amazing community. I have also gotten to know the Primary <strong>Health</strong><br />

Care team members who deliver many of the services offered at<br />

our centre.<br />

I wish to congratulate the physicians, nurses, nurse practitioners,<br />

dietitians, naturopaths, physiotherapist, chiropodists, medical<br />

secretaries, Hepatitis C workers, social workers, psychiatrists and<br />

administrative staff for their compassion, skill, and dedication in<br />

meeting the complex health care needs of our community. I particularly<br />

would like to thank Dr. Maryrose Macdonald who stepped into<br />

the role of Director during the interim and filled it with aplomb.<br />

Over the past year, Primary <strong>Health</strong> Care has been extremely busy.<br />

<strong>Community</strong> <strong>Health</strong> Day gave PCHC the opportunity to participate in a<br />

CHC – wide initiative to focus on <strong>Health</strong> Equity by advocating for the<br />

restoration of funding for the special diet allowance. We collected<br />

almost 50 signatures from our community which will be delivered to<br />

our provincial Member of Parliament and to the Premier of Ontario.<br />

This funding would go a long way to support better health outcomes<br />

for people who are living with a chronic disease and who do not have<br />

the financial means to purchase quality healthy food.<br />

PCHC has been working hard to recruit new staff to fill some vacant<br />

positions in our Primary <strong>Health</strong> Care services. Over the last year<br />

Jennifer Wyche, Registered Dietitian, Dr. Sheryl Spithoff, and<br />

Dr. Gerald Fung, Physicians, and, Ana Maria Navarro, Physiotherapist,<br />

joined our clinical team. Charlene Holland and Lee-Ann Miller are<br />

new additions to the Medical Secretary Relief pool; and Laura Mulder,<br />

our newest staff member, provides invaluable administrative support<br />

to us all.<br />

Consistent with the TC-LHIN's strategic plan, Primary <strong>Health</strong> Care<br />

services continue to make the links between the social conditions<br />

faced by many of our community members, such as poverty, low<br />

income, discrimination, violence, racism, and homophobia and their<br />

ability to achieve good health. Many services and vital community<br />

partnerships implemented at PCHC continue to reduce the barriers<br />

to health care access. More than 3000 clients made over 28,000 visits<br />

to our services. 57% of our clients report income under $20,000.00<br />

and more than 30% of our clients live with mental health issues.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

3<br />

continued on next page


Diwali Celebration


Primary <strong>Health</strong> Care Services continued<br />

Targeted initiatives have been directed towards improving access to<br />

communities who face multiple barriers in accessing health care<br />

services. Our focus on chronic disease management has included<br />

specific outreach to the Aboriginal community. This has led to a rise<br />

in participation by Aboriginal community members in Hepatitis C<br />

outreach and education activities.<br />

The Diabetes team has directed dietitian and nursing services to<br />

homeless people, seniors and to people living with mental health<br />

issues. Through partnerships with Bailey House as well as with<br />

<strong>Community</strong> Resources Connections Toronto it has provided diabetes<br />

management support to under resourced communities often living<br />

with more than one chronic disease.<br />

Our participation in the Toronto Urban <strong>Health</strong> Alliance has assisted<br />

<strong>Parkdale</strong> residents to access psychiatric as well as counseling<br />

interventions. Our partnership with Stonegate CHC has provided<br />

access to asthma assessments and interventions. It also has partnered<br />

with our diabetes team to implement a smoking cessation program.<br />

Chiropody services include targeted outreach to seniors as well as<br />

the homeless community. Physiotherapy services have also provided<br />

opportunities for collaboration with seniors’ initiatives and diabetes<br />

initiatives to incorporate increased activity and movement, directed<br />

towards chronic disease management and prevention.<br />

In addition to the range of health services that the Primary <strong>Health</strong><br />

Care team delivers, we have also participated in research activities<br />

with CAMH as well as with Ryerson University. The importance of<br />

good data collection to track our activities and evaluate our services<br />

is front and centre in our work. We also look forward to planning<br />

the implementation of an electronic medical record in the next year.<br />

We are looking forward to continuing to work with the PCHC staff<br />

and community to help improve the health and quality of life of those<br />

we have the privilege to serve.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

5<br />

Shirley Roberts, Director of Primary <strong>Health</strong> Care


Values Statement<br />

The <strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong>’s work is integrated within a framework that<br />

expresses our core values, articulates our vision for the <strong>Parkdale</strong> <strong>Community</strong>, and is<br />

aligned with the CHC Model of Care which focuses on five service areas, including<br />

primary care, illness prevention, health promotion, community capacity building and<br />

service integration.<br />

At <strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> our work is driven by our core values of:<br />

<strong>Annual</strong> Client Celebration<br />

• Access <strong>Health</strong> services and supports when and where they are needed.<br />

• Equity Ensuring everyone is treated according to their needs.<br />

• Client-centered Working together with the client who shares in the decision-making.<br />

• Dignity and respect Acknowledging that every person has value and recognizing<br />

diversity as an asset.<br />

• Social justice Supporting individual and collective rights so that everyone can fully<br />

take part in society.


Diabetes Management Program<br />

The Diabetes Management Program, run by a registered nurse and<br />

registered dietitian, provides individual counselling and group programs<br />

to improve diabetes management and prevention among our<br />

community members. Our target population includes clients who<br />

are at higher risk for developing diabetes due to a variety of factors,<br />

including: being a senior or newcomer, living in poverty, and/or living<br />

with mental illness or addictions. The Diabetes Management Program<br />

has maintained partnerships with COTA <strong>Health</strong> (a community mental<br />

health organization) and Habitat Services (a community housing<br />

organization) to better meet the needs of marginally housed<br />

community members with severe mental illness and diabetes.<br />

This year, the PCHC diabetes team is excited to be participating in<br />

an innovative, new, peer-led program for those living with mental<br />

illness and diabetes, called ‘take the extra step’. We will also be<br />

running a new program to help those with diabetes cope with the<br />

stress of “diabetes burnout”.<br />

The following programs continue to run on a regular basis at PCHC:<br />

• You Can Do It: a hands-on diabetes management group aimed at<br />

increasing members’ knowledge, skills, and confidence relating<br />

to diabetes management.<br />

• Living Well Lunch Club: a monthly drop-in where clients with<br />

diabetes are able to support each other through their emotional<br />

journey with diabetes.<br />

• Steps Across <strong>Parkdale</strong>: a weekly walking group targeting those<br />

with diabetes to increase activity and decrease social isolation.<br />

• The Good Food Box: a program offered in partnership with FoodShare<br />

aimed at increasing access to affordable fresh fruits and vegetables.<br />

• Smoking Cessation Support to Quit Group: a program that provides<br />

clients with diabetes in the high priority groups (smokers with<br />

other chronic diseases, persons in low income occupations or<br />

unemployment, homeless, heavily addicted smokers, and smokers<br />

with other dependencies) with behavioural strategies, motivation,<br />

confidence and support to quit.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

7<br />

Jane Rajah, RN<br />

Jennifer Wyche, Dietitian<br />

Diabetes Management Team<br />

continued on next page


Seniors Month Celebration


Diabetes Management Program continued<br />

Circle of Prevention Project update and<br />

2 firsts for the health centre!<br />

The second phase of the Circle of Prevention: Talking about <strong>Health</strong>,<br />

Holistic Support and Hepatitis C Education project started April 1, <strong>2010</strong><br />

and will span until March 31, 2011. We ended our first year with a<br />

successful Spring Equinox Celebration, showcasing art created by<br />

group members, unveiling the front lobby mural (original painting by<br />

David Morrisseau) and enjoying traditional aboriginal food and dancing.<br />

We served over 100 community members that day and prepared to<br />

launch into our second year of programming.<br />

Our second phase of funding is centered on discussion groups about<br />

Hepatitis C to further aid in disseminating knowledge and creating<br />

community. We’ve also added a monthly Aboriginal group to be led<br />

by Les Harper. Our artistic endeavours will take a different approach<br />

in this phase, as we develop culturally relevant materials about the<br />

prevention of HCV for distribution. The Circle of Prevention has<br />

continued to put a strong emphasis on peer work and has invited<br />

participants from the first phase to be trained to take leadership<br />

roles to facilitate the various project activities.<br />

This year, we held PCHC’s first event to highlight World Hepatitis<br />

Day. The day encompassed talking about liver health from a variety<br />

of perspectives. David Morrisseau spoke of the spiritual, traditional<br />

symbols found in his painting (used for the front lobby mural) and<br />

related it back to our own journeys of healing. A nurse practitioner<br />

was available to answer questions about diagnosis and treatment<br />

of Hepatitis B & C and an info table offered practical information<br />

about the disease.<br />

Another first for the health centre was our celebration of National<br />

Aboriginal Day on June 21 st . Through a community partnership with<br />

PARC, the Meeting Place (St. Christopher House) and Queen West<br />

CHC, PCHC staff coordinated a day in the park, serving up homemade<br />

BBQ’d burgers and hosting a lively baseball game. It was also the<br />

summer solstice, so it seemed fitting to gather on the longest day<br />

of the year, to acknowledge our connectedness with Nature, while<br />

honouring Aboriginal peoples in our city and across the country. If<br />

you weren’t one of the 200+ people who came that day, hopefully we’ll<br />

see you next year!<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

9<br />

Les Harper & Tamara Robert, Hep C Educators


LEVEL 3: Influence <strong>Health</strong>y Public Policy<br />

Childminding Graduates<br />

PCHC Ends Statements<br />

LEVEL 1: Improvement of <strong>Health</strong> Within the <strong>Community</strong><br />

1 a) Improved <strong>Health</strong> Outcomes for Priority Population.<br />

1 b) Barriers are reduced (to services at <strong>Parkdale</strong>).<br />

LEVEL 2: <strong>Health</strong> Promotion Empowerment<br />

2a) People have the information they need to<br />

exercise ownership and control regarding<br />

decisions about their health and well-being.<br />

3a) <strong>Community</strong> is represented in public policy.<br />

3b) Collaborate broadly to inform public policy.


Population <strong>Health</strong> Services<br />

Over the last twelve months the Population <strong>Health</strong> Team (PHT) and cross<br />

agency teams have continued to operate key programs serving identified<br />

priority groups. This has included serving women who have experienced<br />

violence and abuse, individuals who struggle with homelessness, individuals<br />

living with mental illness and/or addictions, intravenous drug users,<br />

newcomers, families, and seniors. Many of the clients served through the<br />

range of programs we offer have multiple and complex needs which are<br />

compounded by poverty, lack of, or inadequate housing, social isolation,<br />

and experience diminished access to health and social services.<br />

In the past year we have witnessed more people becoming homeless for<br />

many reasons that are beyond their control, e.g. illness, unemployment,<br />

abusive relationships, to name just a few. In addition we have seen many<br />

of our clients face exacerbated hardships due to the economic downturn<br />

and the provincial cut backs to the special diet allowance. In terms of<br />

changes in the population we and other service providers in the <strong>Parkdale</strong><br />

area have also witnessed the increase in Roma people accessing our<br />

services. At PCHC our Newcomers Cross Agency Team is working to<br />

make links in this community, in order to help us better understand<br />

the needs of the people and plan programs and services that will be<br />

responsive to those needs.<br />

The Population <strong>Health</strong> Team continues to deliver programs and services<br />

that are aimed at addressing the social determinants of health, which<br />

we understand to be a crucial component in reducing barriers to health<br />

care and improving the overall health and well-being of our clients. Some<br />

of the programs and services we provided (individually or in partnership<br />

with others) in the past year include:<br />

• Child Minding training program<br />

• <strong>Health</strong>y cooking with moms<br />

• <strong>Parkdale</strong> Young Parents group<br />

• Relaxation Group for women (survivors of violence)<br />

• When Love Hurts Workshop series<br />

• Seniors programs – Drop in, salad making group,<br />

English conversation group<br />

• Intergenerational Drumming group for seniors and children<br />

• South Asian Women’s group<br />

• Women’s Expressive Arts Group<br />

• Tibetan group<br />

• Gardening group<br />

• ID clinic<br />

• Income Tax Clinic<br />

• Tamil Healing Circle<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

11<br />

continued on next page


Losar Celebration – Tibetan New Year


Population <strong>Health</strong> Services continued<br />

• Needle Exchange and HIV/AIDS Outreach<br />

• F.U.N. (Finally Understanding Narcotics) Group<br />

• Knowledge and Power (KAPOW) group for women sex trade workers<br />

• Individual/family counseling and accompaniments<br />

In addition the PHT participated in or hosted a range of community<br />

events such as International Women’s Day, Take Back the Night, and the<br />

commemoration of the December 6th massacre, and celebrations to<br />

mark Black History Month and Losar, the Tibetan Lunar New Year. Along<br />

with community partners we helped to organize the <strong>Parkdale</strong> Area<br />

<strong>Community</strong> Crisis Response Network with the City of Toronto to support<br />

the <strong>Parkdale</strong> <strong>Community</strong> in times of crisis. The committee comes<br />

together when the community identifies a crisis, determines what<br />

services and supports are needed and ensures that these services<br />

are available to the community.<br />

We also continue to explore new initiatives to remove barriers and<br />

improve access to health care. In partnership with Partners for <strong>Parkdale</strong><br />

<strong>Health</strong> Network (PPHN is a partnership of the following agencies:<br />

<strong>Parkdale</strong> CHC, LOFT <strong>Community</strong> Services, <strong>Parkdale</strong> Intercultural<br />

Association, Sistering, St. Joseph’s <strong>Health</strong> <strong>Centre</strong>, Toronto <strong>Community</strong><br />

Housing, George Brown College and UHN: Toronto Western Hospital,<br />

and Toronto Pubic <strong>Health</strong>), a proposal was submitted to the provincial<br />

government requesting funding to provide much needed oral health<br />

services in the community. Since 2006, PPHN has operated a once per<br />

month, West End Oral <strong>Health</strong> Clinic with a volunteer dentist, hygienist<br />

and coordinator, in donated space at St. Joseph’s Hospital. The program<br />

has offered basic oral health services to adults aged 19 to 64, who<br />

have no dental coverage and live in a vulnerable community. If the<br />

funding proposal is approved there will be a brand new, full time, Toronto<br />

Public <strong>Health</strong> run oral health clinic housed at PCHC, providing much<br />

needed oral health services for community members. Let’s keep our<br />

fingers crossed!<br />

Finally, population health is all about community engagement and<br />

collaboration and we have had lots of both. We would like to say thank<br />

you to all the community partners, funders, networks and community<br />

members, staff and especially clients who contributed to the many<br />

successful programs and services we were able to offer in the past year.<br />

We would especially like to acknowledge and honour the contribution<br />

of the many clients and community members who participated on our<br />

Cross Agency Team Advisory Groups. We value your input which helps<br />

to make our <strong>Centre</strong> truly inclusive and responsive to the needs of the<br />

communities we serve. We look forward to building new initiatives and<br />

collaborations in the year ahead.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

13<br />

Carla Ribeiro, Executive Director<br />

Myrtle Robichaud*, Director of Population <strong>Health</strong>


The Intergenerational Drumming Group


Cross Agency Team <strong>Report</strong>s<br />

Homelessness, Addictions<br />

and Mental <strong>Health</strong> (HAMH) Team<br />

The Homelessness, Addictions and Mental <strong>Health</strong> team continues to<br />

offer a wide range of programs, services and primary health care<br />

options. Recent changes to our programs and services include; the<br />

addition of a West End <strong>Health</strong> Bus, this new route will provide greater<br />

access nursing services and community resources to sex workers in<br />

the west end. Also new this year is the Take the Extra Step partnership<br />

with <strong>Community</strong> Resource Connections of Toronto which encourages<br />

physical activity for those with diabetes and mental health issues.<br />

Among our continuing programs is the women’s only drop-in KAPOW<br />

(knowledge and power of women) that continues to support sex<br />

workers in collaboration with the <strong>Parkdale</strong> Activity-Recreation <strong>Centre</strong>.<br />

The Circle of Prevention: a project which provides health, holistic<br />

support and hepatitis C education, has been successful in engaging<br />

new participants in their programs. The Harm Reduction Room and<br />

Exchange also continues to provide an important service and this year<br />

became more accessible for Anonymous HIV testing. This coming<br />

year, <strong>Parkdale</strong>’s longest running harm reduction support group<br />

(F.U.N. Group – Finally Understanding Narcotics) is looking forward<br />

to celebrating its 20th Anniversary.<br />

Through an interdisciplinary and holistic team approach we address<br />

the array of physical, psychological, social and practical challenges<br />

that face our clients. Our team’s core disciplines include: primary<br />

care physician, psychiatrist, nurse practitioners, chiropodist, social<br />

worker, case manager, homeless outreach worker, HIV/AIDS outreach<br />

coordinator and peer outreach workers. Our integrated team approach<br />

aims to meet the specific needs of each person in a flexible and<br />

client-centered manner.<br />

We partner with our clients to pursue their goals and as active<br />

members of our community. We support our clients in their efforts<br />

to live balanced, healthy lives through access to primary health care,<br />

community resources, adequate housing, mental health programs<br />

and harm reduction practices.<br />

Mark Blackstone, Case Manager<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

15<br />

Families Team<br />

The Families Team is made up of a health promoter, two nurse<br />

practitioners, a social worker, a dietitian, a medical secretary and<br />

a physician.<br />

The 2009/<strong>2010</strong> fiscal year has been a year of growth for the Families<br />

Team. We have continued to work closely with the community to<br />

continued on next page


Black History Month


Cross Agency Team <strong>Report</strong>s continued<br />

address a range of issues across the determinants of health.<br />

From “<strong>Health</strong>y Cooking with Moms” to the “Let’s Talk” language<br />

development/social support program, this year’s programs have<br />

given parents the tools they need to nourish their families and empower<br />

them to access and interact effectively with community resources that<br />

can help them and their children learn and grow. The Child-Minding<br />

Training partnership with Four Villages <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong><br />

continues to draw large numbers of participants and was recognized<br />

by George Brown College’s Early Childhood Education program as an<br />

asset for applicants wishing to pursue further studies in the field. The<br />

training has provided numerous economically marginalized mothers<br />

with an opportunity to secure meaningful employment, one of the most<br />

crucial social determinants of health. This year was marked by an<br />

innovative internal partnership between the Families and Seniors<br />

Cross-Agency Teams with the development of the Intergenerational<br />

Drumming Project that will bring together diverse children and seniors<br />

from the community. The team is also excited to welcome a number<br />

of new members who bring a wealth of skills and knowledge to our<br />

holistic efforts to enhance the well-being of <strong>Parkdale</strong>’s families.<br />

Connie Collinson, <strong>Health</strong> Promoter<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

17<br />

Families Team Members share<br />

some highlights from the past year<br />

As a Nurse Practitioner who has contributed to the Child Minding<br />

Course by facilitating several seminars on Common Childhood<br />

Illnesses, I have had the pleasure to witness the graduation of women<br />

whose employment opportunities increase as a result of this course.<br />

In addition, upon graduation from this course, one can see the<br />

gratitude and joyful expressions on all the graduates. Not only does<br />

the graduating class enrich their skill level through the child minding<br />

course but they also renew their zest for taking care of young children<br />

in general. It is a real pleasure to be a part of the Families’ Team<br />

and we will continue to provide and deliver quality services.<br />

Kendra Kusturin, Social Worker, Women’s Connection Program<br />

The stresses associated with the relentless demands of parenting can<br />

seem endless. This year I have had the privilege of facilitating several<br />

Mindfulness Meditation workshops with parents in the community.<br />

The ability to cultivate mindfulness allows parents to be present with<br />

their children, reduce reactivity to stress, and to respond in challenging<br />

moments with compassion and creativity. At a time where moments<br />

of quietude may be few and far between, it’s been a pleasure to create<br />

a forum that allows parents to tune into stillness.<br />

Raymond Macaraeg, RN (EC), Primary <strong>Health</strong> Care Nurse Practitioner<br />

continued on next page


Staff & Board at AOHC Conference<br />

Picnic in the Park Aboriginal Day Celebration


Newcomers Team<br />

The Newcomers Cross Agency Team consists of a Physician, Triage<br />

Nurse, Social Worker, Tamil speaking Counselor, Medical Secretary,<br />

<strong>Community</strong> Worker, Women’s Connection <strong>Community</strong> Development<br />

Worker and a <strong>Health</strong> Promoter.<br />

The team has been working to help newcomers overcome obstacles<br />

to physical, emotional, and social wellbeing by providing access to<br />

holistic services and resources in a welcoming environment, where<br />

community is strengthened and where all community members are<br />

equally respected and appreciated. To us newcomers include refugees,<br />

immigrants, and those without official immigration status, who have<br />

been in Canada for less than five years, as well as those who have<br />

been in the country for over five years, but still are experiencing<br />

settlement issues. As a team we have identified the following needs<br />

amongst newcomers in <strong>Parkdale</strong>: employment, housing, childcare,<br />

language instruction, education, clothing, food, awareness of services<br />

and access to services.<br />

In the past year we have provided primary health care and health<br />

related educational seminars; developed community resource booklets<br />

in various languages, to assist newcomers in their settlement process;<br />

job placement opportunities for newcomer professionals; individual<br />

and family counseling to newcomers; and initiated and established<br />

partnerships with <strong>Parkdale</strong> service providers. In partnership with<br />

community agencies we provided a “one stop” services in various<br />

community neighborhood buildings.<br />

We also validated and honoured our diverse clients’ histories by<br />

celebrating various cultural events. We participated in various<br />

advocacy groups through PNSPN including: Vote Toronto Campaign<br />

Canadian Refugee Rights Day, and Drop the Fee Advocates. We<br />

brought to the attention of politicians the impact of war on our clients<br />

and attended various forums. The team also participated in research<br />

groups on newcomer’s mental health and community participation and<br />

involvement. We participate in the West Downtown Local Immigration<br />

Partnership (LIP) for the <strong>Parkdale</strong>-Trinity Council.<br />

The Newcomers team strives to ensure that newcomers have the<br />

information they need to exercise ownership and control regarding<br />

decisions about their health and well-being. Our future plans include:<br />

increasing our presence in the community, continued participation<br />

in the Newcomer Fairs and developing additional project ideas with<br />

partner agencies.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

19<br />

Rosa Ribeiro, <strong>Health</strong> Promoter


HepC: The Circle of Prevention<br />

PCHC <strong>Annual</strong> General<br />

Meeting 2009


Seniors Team<br />

As in previous years, 2009 was full of activities for the seniors at<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong>. The <strong>Parkdale</strong> Seniors Advisory<br />

Committee was very busy overseeing our program planning and<br />

delivery. Last year, the committee met six times and the result was a<br />

series of inclusive and innovative seniors programming that reflected<br />

the strong voices of our seniors. In addition the Seniors Cross Agency<br />

Team (health promoter, chiropodist, primary care physician, medical<br />

receptionist, South Asian Women’s Coordinator, nurse practitioner,<br />

dietitian) worked to identify gaps and planned programs to respond<br />

to seniors needs and to coordinate service delivery.<br />

For the second year in a row we were proud to receive the New<br />

Horizons for Seniors grant, which allowed us to implement<br />

“Connecting through Music: an Intergenerational drumming group”,<br />

the idea for which came directly from the Seniors Advisory Group.<br />

We have been very pleased to witness the two generations united<br />

in music. The group has been working very hard to prepare for<br />

upcoming performances in the community, including our <strong>Annual</strong><br />

General Meeting in September. This is an example of our innovative<br />

health promotion approach in addressing one of the most common<br />

social determinants of health, social isolation.<br />

This past year we continued to provide popular programs such as the<br />

English Conversation Class which is open to all immigrant seniors<br />

who have English as a second language. The program is well attended<br />

and has made a difference in so many seniors’ lives. The weekly<br />

Seniors Drop In is another program that has brought seniors together<br />

to socialize, learn and have fun. Seniors have the opportunity to<br />

engage in a variety of activities that promote their physical, mental and<br />

emotional wellness. The Wellness Clinic has also been very successful.<br />

It provides seniors with the opportunity to get health information on<br />

a variety of health related topics. There is also a nurse available to do<br />

blood pressure checks and provide health advice to seniors.<br />

The Hearing Screening Clinics which happened twice last year, allowed<br />

seniors to get in contact with the Canadian Hearing Society for their<br />

auditory care. In Partnership with the <strong>Parkdale</strong> Golden Age Foundation<br />

PCHC was able to deliver Tai Chi classes to seniors living on low<br />

incomes. We were grateful to have the repeat sponsorship Tim<br />

Horton’s in the form of a courtesy bus to take our seniors on a day<br />

trip to visit the Bird Kingdom in the Niagara region.<br />

On behalf of the Seniors Advisory Committee and the Seniors Cross<br />

Agency Team, I would like to thank all the seniors who use our<br />

services and attend our programs. Together we certainly transform our<br />

mission statement “Strong <strong>Community</strong>. Better Lives Lives” into reality.<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

21<br />

Sandra Godoy, <strong>Health</strong> Promoter


The Year in Numbers<br />

Primary <strong>Health</strong> Care Services # of encounters<br />

Number of Clients Served 2,627<br />

Number of Children Served 460<br />

Total Encounters 21,207<br />

Population <strong>Health</strong> Services<br />

Number of Clients Served 422<br />

Number of Children Served 38<br />

Total Encounters 26,095<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

22<br />

Cross Agency Team Encounters<br />

Homeless/Addictions & Mental <strong>Health</strong> 12,063<br />

Seniors 7,384<br />

Families 4,952<br />

Newcomers 2,714<br />

Youth 2,892


<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong><br />

BALANCE SHEET<br />

YEAR ENDED MARCH 31, <strong>2010</strong> <strong>2010</strong> 2009<br />

ASSETS<br />

Current assets<br />

Cash and short-term deposits $ 390,364 $ 383,654<br />

Accounts Receivable 94,338 81,609<br />

Prepaid expenses 33,126 53,848<br />

Trust assets 22,055 10,590<br />

Property and equipment 3,358,525 3,433,613<br />

3,898,408 3,963,314<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong><br />

STATEMENT OF OPERATIONS AND NET ASSETS<br />

YEAR ENDED MARCH 31, <strong>2010</strong> <strong>2010</strong> 2009<br />

REVENUES<br />

Toronto Central Local <strong>Health</strong> Integration Network (LHIN) $ 4,070,770 $ 3,877,185<br />

Ministry of <strong>Health</strong> and Long Term Care (MOHLTC) 171,440 194,604<br />

Ministry of <strong>Community</strong> and Social Services and<br />

Ministry of Children and Youth Services (MCSS) 158,887 148,784<br />

City of Toronto 111,585 130,793<br />

Chum City 3,500 3,500<br />

Toronto Art Council - 450<br />

UFCW - 654<br />

Government of Canada – Service Canada 1,234 21,332<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

LIABILITIES<br />

Current liabilities<br />

Accounts payable and accrued liabilities 249,981 234,640<br />

Due to Toronto Central LHIN and MOHLTC 79,702 41,178<br />

Due to Ministry of <strong>Community</strong> and Social Services and<br />

Ministry of Children and Youth Services – Women’s Connection – 14,877<br />

Deferred revenue 61,297 86,411<br />

389,980 377,106<br />

Trust liabilities 22,055 10,590<br />

Deferred capital contributions 3,358,525 3,433,613<br />

3,770,560 3,821,309<br />

NET ASSEST<br />

Growth and development fund 195,661 195,661<br />

Administration fund 9,880 20,714<br />

Vacation pay fund (note) (77,693) (74,370)<br />

127,848 142,005<br />

$ 3,898,408 $ 3,963,314<br />

NOTE: VACATIONAL PAY FUND<br />

The <strong>Centre</strong> has recorded its vacation pay in accordance with the accrual basis of accounting<br />

recommended by the Canadian Institute of Chartered Accountants. However, it is the policy of the<br />

<strong>Centre</strong>’s funders to fund vacation pay when it is paid, as opposed to when it is accrued. The vacation pay<br />

fund therefore represents the unpaid portion of the vacation pay entitlement at the end of the year.<br />

Public <strong>Health</strong> Agency of Canada 99,980 -<br />

Interest 1,338 10,899<br />

4,628,633 4,460,935<br />

EXPENSES<br />

Salaries, benefits and relief<br />

Salaries 2,696,124 2,766,160<br />

Benefits 545,232 555,799<br />

Relief 116,590 122,304<br />

3,357,946 3,444,263<br />

Operating<br />

Building occupancy 356,875 141,681<br />

Purchased services 177,569 246,977<br />

Medical supplies and equipment 52,296 35,559<br />

Office administration 256,200 232,122<br />

Program Expenses 130,516 118,884<br />

Non-insured 84,793 93,047<br />

1,058,249 868,270<br />

Non-Recurring 226,595 128,603<br />

Total expenditures 4,642,790 4,441,136<br />

Excess (deficiency) of revenues over expenses for the year (14,157) 19,799<br />

Net assets – at beginning of year 142,005 122,206<br />

Net assets – at end of year $ 127,848 $ 142,005<br />

23


$227,536 – 4.92%<br />

Various Grants<br />

and Others<br />

WHERE THE MONEY CAME FROM<br />

$171,440 – 3.70%<br />

Ministry of <strong>Health</strong>,<br />

Diabetes Program<br />

$158,887 – 3.43%<br />

Ministry of <strong>Community</strong><br />

and Social Services<br />

List of Funders<br />

FEDERAL<br />

• Public <strong>Health</strong> Agency of Canada<br />

• New Horizons for Seniors<br />

PROVINCIAL<br />

• Toronto Central Local <strong>Health</strong><br />

Integration Network<br />

• Ministry of <strong>Health</strong> and Long<br />

Term Care<br />

– Substance Abuse Bureau<br />

MUNICIPAL<br />

• City of Toronto<br />

– AIDS Prevention<br />

Grants Program<br />

– <strong>Community</strong> Service<br />

Grants Program<br />

FOUNDATIONS<br />

• CHUMCity Wish Foundation<br />

• The Daily Bread Food Bank<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

– Diabetes Program<br />

• Ministry of <strong>Community</strong> and<br />

Social Services<br />

24<br />

$4,070,770 – 87.95%<br />

Toronto Central Local <strong>Health</strong> Intergration Network,<br />

<strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> Program<br />

Board of Directors 2009-<strong>2010</strong><br />

WHERE THE MONEY WENT<br />

$226,595 – 4.88%<br />

Non-Recurring<br />

$1,058,249 – 22.79%<br />

Operating<br />

$3,357,946 – 72.33%<br />

Salaries and Benefits<br />

Photo (L to R):<br />

Rajendra Maharaj,<br />

Treasurer<br />

Charmaine Palmer,<br />

Secretary<br />

Rakesh Bhardwaj,<br />

Director<br />

Kristen Sharpe,<br />

Director<br />

Uppala Chandrasekera,<br />

Vice President<br />

Kira Abelsohn, Director<br />

Mary McMillan, Director<br />

Terence Williams, Director<br />

Not in photo:<br />

Stacey Papernick,<br />

President<br />

Karine Baser, Director<br />

Tsering Norzom, Director<br />

Leonie Smith, Director


Staff, Volunteers and Student Placements 2009-<strong>2010</strong><br />

STAFF LIST<br />

Alice Liu*, DMC/Planner<br />

Ana Maria Navarro,<br />

Physiotherapist<br />

Angela McKenna*, HIV/AIDS<br />

Coordinator<br />

Beth Wierzbicki, Corporate<br />

Executive Assistant<br />

Carla Ribeiro, Executive Director<br />

Charlene Holland, Medical<br />

Secretary, Relief<br />

Christie Wall, HIV/AIDS<br />

Coordinator<br />

Connie Collinson, <strong>Health</strong><br />

Promoter<br />

Cristina Raposo, Medical<br />

Secretary<br />

Dennis Kussin, Psychiatrist<br />

Edward Lee, Physician<br />

Elizabeth Guete, Social Worker<br />

Emma Brown*, Administrative<br />

Assistant<br />

Falko Schroeder, Nurse<br />

Practitioner<br />

Gerald Fung, Physician<br />

Jane Rajah, Diabetes Nurse<br />

Jennifer Wyche, Diabetes<br />

Dietitian<br />

Jenny Kim, Chiropodist<br />

Jill Blakeney, Physician<br />

Joseph Deogracias, Medical<br />

Secretary, Relief<br />

Julia Brady*, Peer Outreach<br />

Worker<br />

Julia Santos**, Medical<br />

Secretary<br />

Julie Knights, Registered Nurse<br />

Karin Mary Ng, Dietitian<br />

Kendra Kusturin, Social Worker<br />

Laura Mulder, Administrative<br />

Assistant<br />

Laurie Zacari*, Peer Outreach<br />

Worker<br />

Lee Ann Miller, Medical<br />

Secretary, Relief<br />

Les Harper, Hep C Educator<br />

Leslie Parker, <strong>Community</strong><br />

Outreach Worker<br />

Linda Weber*, Physician<br />

Linda Yaa Adutumwaah,<br />

Medical Secretary<br />

Liza Chau, Bookkeeper<br />

Lori Sutton*, Diabetes Dietitian<br />

Lynda Mikelova*, Physician<br />

Maggie Lau, Director of Finance<br />

& Administration<br />

Malu Santiago, Psychologist<br />

Mark Blackstone, Case Manager<br />

Maryrose MacDonald, Physician<br />

Matyas Hervieux*, Physician<br />

Megan Dunford*, Physiotherapist<br />

Melissa Abrams, Nurse<br />

Practitioner<br />

Myrtle Robichaud*, Director<br />

of Population <strong>Health</strong><br />

Neil Mentuch, DMC/Planner<br />

Nicholas Durand, Chiropodist<br />

Nicole Nitti*, Physician<br />

Nohemi Alvarez, Medical<br />

Secretary<br />

Peter Leslie, Peer Outreach<br />

Worker<br />

Peter Wang, Receptionist<br />

Phillip Lee, Peer Outreach<br />

Worker<br />

Raymond Macaraeg, Nurse<br />

Practitioner<br />

Rosa Ribeiro, <strong>Health</strong> Promoter<br />

Sandra Godoy, <strong>Health</strong> Promoter<br />

Satha Vivekananthan, Tamil<br />

Counselor<br />

Shirin Gul Varzgani, South Asian<br />

<strong>Community</strong> Worker<br />

Shirley Hepditch, <strong>Community</strong><br />

Outreach Worker<br />

Shirley Roberts, Director of<br />

Primary <strong>Health</strong> Care<br />

Shona MacKenzie, Nurse<br />

Practitioner<br />

Simone Atungo*, Executive<br />

Director<br />

Tamara Robert, Hep C Educator<br />

Tricia Williams, Medical<br />

Secretary<br />

Tysa Harris, Medical Secretary<br />

Victoria Okazawa, Social Worker<br />

Wayne Bright*, Peer Outreach<br />

Worker<br />

VOLUNTEERS<br />

Anne Quann<br />

Joseph Quann<br />

STUDENT ACADEMIC<br />

PLACEMENT<br />

We would like to extend our<br />

Thanks to all of the students<br />

who completed their work/<br />

education placement at PCHC<br />

over the year. Your contribution<br />

to the work of PCHC was<br />

greatly appreciated!<br />

* No longer with organization<br />

** On leave<br />

<strong>Parkdale</strong> <strong>Community</strong> <strong>Health</strong> <strong>Centre</strong> / <strong>Annual</strong> <strong>Report</strong> 2009/<strong>2010</strong><br />

25<br />

<strong>Community</strong> Partnerships<br />

• Bailey House<br />

• Canadian College of<br />

Naturopathic Medicine<br />

• Central Toronto CHC<br />

• <strong>Centre</strong> of Addiction &<br />

Mental <strong>Health</strong><br />

• City of Toronto<br />

• <strong>Community</strong> Resource<br />

Connections of Toronto (CRCT)<br />

• <strong>Community</strong> Occupational<br />

Therapy Association (COTA)<br />

• Creating Together<br />

• Davenport-Perth<br />

Neighbourhood CHC<br />

• FoodShare: The Good Foodbox<br />

• Four Villages CHC<br />

• Fred Victor<br />

• Greater Toronto <strong>Community</strong><br />

<strong>Health</strong> <strong>Centre</strong>s Network<br />

• Habitat Services<br />

• Kababayan<br />

• LAMP CHC<br />

• Liberty Village BIA<br />

• Ministry of <strong>Community</strong> &<br />

Social Services<br />

• Ministry of <strong>Health</strong> & Long<br />

Term Care<br />

• More Than Child's Play<br />

• Mother Goose<br />

• <strong>Parkdale</strong> Activity Recreation<br />

<strong>Centre</strong><br />

• <strong>Parkdale</strong> BIA<br />

• <strong>Parkdale</strong> <strong>Community</strong><br />

Information <strong>Centre</strong><br />

• <strong>Parkdale</strong> <strong>Community</strong> Legal<br />

Services<br />

• <strong>Parkdale</strong> Parents Primary<br />

Prevention Project<br />

• <strong>Parkdale</strong> Project Read<br />

• <strong>Parkdale</strong> Resident Association<br />

• Partners for <strong>Parkdale</strong> <strong>Health</strong><br />

Network (PPHN)<br />

• Roncesvalles/MacDonell<br />

Resident Association<br />

• Scout Canada<br />

• Second Harvest Food Support<br />

• Sistering<br />

• South Riverdale CHC<br />

• St. Christopher's House<br />

• St. Joseph's <strong>Health</strong> <strong>Centre</strong><br />

• St. Stephen's <strong>Community</strong><br />

House<br />

• Stonegate CHC<br />

• Tim Horton Bus<br />

• The Bargain Group<br />

• Toronto Central <strong>Health</strong><br />

Integration Network<br />

• Toronto Housing<br />

• Toronto Public <strong>Health</strong><br />

• Toronto Urban <strong>Health</strong> Alliance<br />

(TUHA)<br />

• West Toronto Housing Help<br />

Services<br />

• West Toronto Local<br />

Immigration Partnership<br />

• West End Urban <strong>Health</strong><br />

Alliance (WEUHA)<br />

• Women's <strong>Health</strong> In<br />

Women's Hands<br />

• Working Women’s <strong>Centre</strong>


<strong>Parkdale</strong><br />

<strong>Community</strong><br />

<strong>Health</strong> <strong>Centre</strong><br />

1229 Queen Street West<br />

Toronto, ON<br />

M6K 1L2<br />

Tel: 416-537-2455<br />

Fax: 416-537-5133 (Admin)<br />

Fax: 416-537-3526 (Clinical)<br />

Website: www.pchc.on.ca<br />

Hours of Operation<br />

Monday, Tuesday,<br />

and Thursday<br />

Wednesday<br />

Friday<br />

Saturday<br />

9:00 – 8:00 p.m.<br />

9:00 – 12:00 Noon<br />

3:00 – 8:00 p.m.<br />

9:00 – 5:00 p.m.<br />

10:00 – 1:00 p.m.<br />

Every One Matters.

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