Barriers to Active Living and Mental Health Promotion Strategies

Community HealthAdvisory CouncilsReport“Barriers to Active Living andMental Health Promotion Strategies”March 2006

PrefaceThis report contains the issues and ideas generated by the CommunityHealth Advisory Councils over the course of 2 meetings held from Octoberto December 2005. The Councils were asked to consider what barriersexisted in their community areas that prohibited the development ofprograms, initiatives, and strategies for active living and the promotion ofgood mental health. They were also asked to identify the barriers thatexisted for community members trying to access these programs. TheCouncils were then asked to prioritize the barriers and make suggestions foraddressing them.Section I: Report Summary, includes the common priority barriers identifiedby the all of the Councils and rationale for why they considered them to bemost important. This section also includes common suggestions by theCouncils for addressing the priority barriers.To obtain information specific to each of the Councils, the full individualCouncil reports can be found in Section II. This section contains thecomplete discussions and suggestions that were made at the meetings ofeach of the Councils.It is hoped that this will be useful to the WRHA Board, Program Teams,funded agencies of the Winnipeg Regional Health Authority, and bycommunity organizations and networks currently delivering programs toaddress the physical and mental well-being of people across the Winnipeghealth region.2

Table of ContentsPageIIIReport SummaryIntroduction and Methodology 5What is active living and mental health promotion? 7Priority Barriers Identified by Each Council 8Common Priority Barriers with Discussion Points 10Common Suggestions for Addressing Barriers 14Reports by CouncilDiscussion Notes and Recommendation Notes 17Downtown and Point Douglas 18River East and Transcona 27River Heights and Fort Garry 35Seven Oaks and Inkster 44St. Boniface and St. Vital 50St. James-Assiniboia and Assiniboine South 56AppendixA Priority Barriers of Councils Table 65Tables – Suggestions for Addressing BarriersDowntown and Point Douglas 66River East and Transcona 73River Heights and Fort Garry 78Seven Oaks and Inkster 82St. Boniface and St. Vital 87St. James-Assiniboia and Assiniboine South 90B Members of Community Health Advisory Councils 96WRHA Board Liaisons 98Volunteer Assistants 98Support Staff to Councils 98Community Area Directors 983

Section IReport Summary4

Introduction and MethodologyPriority issues and the Community Health Advisory CouncilsThis past fall, the Board of the Winnipeg Regional Health Authority askedthe Community Health Advisory Councils (CHAC’s) to identify and addressbarriers to active living and mental health promotion strategies. The role ofthe health advisory councils is to contribute community perspectives andsuggestions to those health issues that are a priority to the WinnipegRegional Health Authority. This particular issue is supported by the WRHABoard’s strategic goal of disease prevention and health promotion – “theimplementation of strategies and initiatives that improve the health of thepopulation” – that include (but are not limited to) active living and mentalhealth promotion. (WRHA Strategic Plan, April 2005)Population Health FrameworkThe Councils use a population health framework when exploring health issues– taking into consideration the social, environmental, economic, and otherfactors that impact on the health of a population. This framework washelpful in identifying the complexity of the barriers faced by individuals inaccessing programs and by groups and others who develop and deliver activeliving and mental health promotion programs.In the exploration of barriers, the Councils considered the following: whatprohibits government departments, community organizations, and workplacesfrom developing and delivering active living and mental health promotioninitiatives and what are the struggles that community members face intaking part in these programs.The MeetingsAt the first set of meetings, program specialists in active living and mentalhealth promotion shared background information on WRHA active living andmental health promotion initiatives – initiatives to strengthen individuals,communities, and sectors and systems. The specialists provided a populationhealth/determinants of health framework, highlighting the close connectionbetween good mental health and being physically active or conversely, poorphysical health and poor mental health. Council members participated in abrainstorming exercise to “define” active living and mental health promotion.The task given to Council members was then to identify barriers to active5

living and mental health promotion, which was done in small discussion groups.To help small group discussions, Council members were asked to consider ifspecific neighbourhoods faced greater barriers, if certain populations facedgreater/lesser barriers, and to keep in mind the demographics (socioeconomic,cultural, etc. makeup) of their community areas.At the second meeting of each Council, members participated inprioritization exercises to rank the barriers to active living and mentalhealth promotion strategies brought forward at the previous meeting. Smallgroups were again used, this time to generate ideas of how to address thosebarriers that they felt were most significant in their community areas.When sharing their ideas of how to address the barriers, Council memberswere asked to consider: how the WRHA could address the barrier directly;partnerships that the WRHA should enter or strengthen with communitygroups, government departments, etc. to address the barrier; and, whatefforts or partnerships/advocacy work that the WRHA could carry out inorder to address a barrier.Using the Councils’ work to increase success of active living and mentalhealth promotion strategiesEach Council’s exploration of barriers to active living and mental healthpromotion was unique, but most of the barriers identified and many of theideas generated to address them were similar. Through the identification ofthese barriers, the WRHA, Winnipeg In motion (of which the WRHA is apartner), community networks and organizations, and many others, will beable to more successfully develop and deliver programs that encouragepeople to be more physically active and programs that provide opportunitiesto maintain good mental health and address mental health issues.6

What is active living and mental health promotion?All of the Community Health Advisory Councils spent the first part of theirinitial meeting, sharing their thoughts about what active living and mentalhealth promotion means to them, what concepts/outcomes/goals they feltwere important to include, and the underlying values of active living andmental health promotion. These discussions also highlighted the interconnectednessof active living and the promotion of good mental health.Key points noted were:Active Livingo Active living defines independence and mobilityo It is the balance of physical, social, emotional, and spiritual healtho Taking responsibility for your health, looking after yourself, self careo Engages your mind, promotes well-beingo Social interaction, social contact, participating in your community – totallivingo Happiness, fun, doing things that you like, being outdoorsMental health promotiono Balance of mental and emotional stateo Coping with life’s stresses, being able to accept/cope with life’s ups anddownso Becoming who you want to beo Independence, happiness, getting along with others, being aware of whatmental health resources are availableo Removing the stigma associated with having a mental illnesso Social support, relationships, inter-generational support groupso Educating the public about how you can improve your own health,understanding different mental health conditionso Active living – good mental health7

Priority Barriers Identified by Each CouncilPrioritizing the barriers occurred at the second meeting of the Councils. Thetop barriers are listed by Council below. For complete discussion notes ofeach Council, refer to section II.Downtown/Point Douglas Council1. Financial barriers – poverty and lack of program funding2. Lack of safety – fear of violence3. Transportation and access issues4. Education – health literacy and public education, including awarenessof programs5. Social isolation, racial inequities, and stigmatizationRiver East/Transcona Council1. Poverty and inaccessibility2. Lack of safety – fear3. Lack of facilities and programs that meet the needs of the population4. Lifestyle – technology, lack of time, etc.River Heights/Fort Garry Council1. Accessibility2. Perspectives, cultural beliefs and traditions, and emotional well-being3. Political and policy issues and competition for resourcesSeven Oaks/Inkster Council1. Access2. Promotion of programs and activities – barriers – literacy, cultural andlanguage3. Technology and the ability to participate4. Time scarcity – too busy to take care of physical and mental healthSt. Boniface/St. Vital Council1. Access, safety, and financial barriers2. Organizational culture – culture of workplaces and personal life3. Lack of sense of community8

St. James-Assiniboia/Assiniboine South Council1. Socio-economic barriers2. Accessing resources and infrastructure3. Lifestyle and inactivity(See Appendix A for the Table Format of this information)9

Common Priority Barriers with Discussion Points1. Financial, socio-economic barrierso People struggling financially are not accessing programs because they areunaffordable – registration, equipment costso Many people experience stigma of asking for reduced or waived fees, andchoose to not pursue an activity because of thiso Difficulties faced by organizations, etc. in obtaining funding to developprograms -- competition for few resources for groups trying to set upprogramso Lack of government funding to develop new or maintain/repair existingrecreational facilities, programs, etc.o Costs are too high for counseling programs that some people need toimprove their mental well-being2. Transportation barrierso Difficulty getting to and from programs, buses too expensive, might nothave easy bus route to where programs are held, lengthy waits betweenconnections during off peak times, taking whole family on bus is difficultand too expensive – added difficulty in the winter monthso Poor public transportation – little awareness of how to use public transitto get to recreational facilitieso Handi Transit is limitedo Services/programs are provided in locations that are difficult to accesso Lots of neighbourhoods are designed for driving, not for walking or biking- no sidewalks, no malls for walking, grocery stores are too far to walk to.o Climate (especially extreme cold) makes it difficult for people to accessprograms – sidewalks icy, not clearedo Seniors especially face transportation barriers – many unable to driveo Children unable to use public transportation by themselves and/orparents unable or unavailable to drive them to activities3. Safety barriero Perception held by many people that it is not safe to get to and fromprograms – especially in the evenings and in winter when it gets dark early10

o Many, especially seniors, children, and youth fear violence and will insteadchoose to remain in their homes instead of venturing out to active livingand programs that are good for their mental well-being.o In some communities, fear of gangs, drug and alcohol users – withoutadequate police presence.o The proximity/access to recreation and leisure activities are not close towhere people live.o Safety concerns while waiting for buso Cyclists have to take busy routes with a lot of traffic, fear for theirsafety – no cycling pathso Because of real and perceived fears of venturing out to activities, etc.,many people, especially seniors, single parents, and people living withmental illness, become further isolated which becomes a barrier in itself.o Lack of safety becomes an even more significant barrier to peoplewanting to participate in evening activities – even just going for a walk intheir neighbourhood.4. Lack of facilities/programso Lack of green space (including parks for children), walking and designatedbike paths in many communities.o Not many specialized recreational resources – like skateboard parks foryoung people, cross country skiing pathso Many community centres are poorly maintained and have physicalbarriers, are not wheelchair accessible.o Under-use or mis-use of existing recreation infrastructure.o Does programming meet the needs of the community? Lots of hockey,but are there other less competitive and costly activities?o Schools and school yards are not used after school hours – could bewonderful resource for community members.o Many play structures are no longer considered safe and the City isremoving them without money or plans to replace them.o Not enough volunteers to organize and lead programs.o Little awareness of mental health resources, counseling, etc. Oftenlengthy waits to get counseling or to see a psychiatrist.5. Language and Cultural Barrierso Lack of communication about what active living and activities thatpromote good mental health are available.11

o People with limited English or literacy are unaware of what is availablebecause information in print is often not available in a variety oflanguages.o Programs and activities are not always appropriate for different culturalgroups or for seniorso There is poor access for culturally appropriate activities that match thenumber of cultural groups and meet the needs of the newcomerpopulation. Recreation and leisure activities that newcomers may haveparticipated in their countries of origin are not available here.o Increasing numbers of people are immigrating without adequate servicesin place – like counseling – to meet their needs.o Many people, with limited education and financial resources, may not becomfortable with most of the recreation opportunities that currentlyexist. Racial inequalities (historical injustices, intergenerational pain, anddiscrimination) further isolate individuals and create barriers for themto access programs.6. Lifestyle, Organizational Culture, Motivationo The general hectic pace of life for many families is a barrier to activeliving.o Many face decreasing family supports and increasing responsibilities –caring for their children and their parents (sandwich generation).o Many people feel that they do not have enough time to be physicallyactive and may have different priorities.o Children find it difficult to create their own recreational opportunities –playing outdoors on their own. Many parents feel uncomfortable lettingtheir children play unsupervised outside. Many children’s lives are overprogrammed.o Too many technological temptations – limits active living and socialinteraction.o Excess physical and/or mental demands of work create a barrier toparticipating in activities that promote good physical and mental health.o Longer working hours, often both parents working – limits time toparticipate and volunteer in recreation programs.o Stressful workplaces with increasing workloads. “Stress leave” is asymptom of employers not paying attention to mental health ofemployees.12

Other barriers identified as priorities by the councilso Mobilityo Stigma of mental health and mental illnesso Technology inaccessible to older people especiallyo Lack of sense of communityo Low self esteem, lack of confidenceo Political and Policy issues – active living and mental health promotion nothigh on politicians’ listsUnique Issueo St James-Assiniboia/Assiniboine South Council felt that those in highereconomic groups faced a unique barrier resulting from having too muchmoney – too easy to travel by car (for teens especially), indoor andunhealthy lifestyles with emphasis on technology for recreation/leisure13

Common Suggestions to Address Priority Barriers toActive Living and Mental Health PromotionMany, and sometimes all, of the Councils made similar suggestions/recommendations to address specific barriers. These suggestions are listedbelow. Council members stated that there needed to be a broad range ofsolutions to address the barriers experienced by different segments of thepopulation – i.e. male youth, seniors, newcomers, single parents, etc.Individual Councils developed unique suggestions and innovative approachesto address barriers to active living and mental health promotion strategieswhich considered strengths and challenges of their community areas. Theseare listed in Section II.1. Financial, socio-economic barrierso In motion should create an inventory of all free recreational programsavailable across the city – and initiatives that cover the cost or providefree/gently used sports equipment.o WRHA could support and train health education facilitators (or teachers)to deliver healthy living, nutrition, and health promotion in schools.o WRHA should simplify intake and referral process for counseling,addictions treatment, etc. so that people in need access the mostappropriate service as quickly as possible.o Encourage the City to simplify process for individuals who need financialsupport in order to participate in recreational programs – a one time“access” card that people could show to prove that they qualify forreduced/waived fees.o Partner with all levels of government and community organizations likethe YMCA-YWCA to address affordability and access issues.o Partner with school divisions to offer after hours gym time for familiesthat is fun and not competitive.o Lobby the federal government to provide tax incentives for active living –membership fees, etc.14

2. Transportationo Partner with Winnipeg Transit to create “program specific” bus passes –i.e. need bus on Wednesday to attend a specific program.o Advocate for lower bus fares and for free rides on the bus on days whenthe weather poses a health risk – this should be mandatory.o Advocate for increased funding to Handi Transit – need to developrelationship and begin dialogue for support of In motion – this couldinclude getting advertising on buses.o Partner with community groups to assist with transporting people toprograms – groups that are already doing this.3. Safetyo WRHA should support the development of safe paths in communities –for walking, jogging, and biking.o Partner with City and community groups to support the development of“buddy” walking and running clubs.o Encourage existing community networks to coordinate snow removal onsidewalks, etc. so that people, especially seniors, are able to safely walkfor exercise or to get to programs, etc.o WRHA should address stigma people living with mental illness experience.o WRHA should support the development of neighbourhood safety plansand provide personal safety training available to community members.4. Lack of facilities/programso WRHA should work with school divisions to utilize gyms before and afterschool for family fitness, active living programs, and regular activities.o Advocate for and support the development of more facilities wherecommunity members can exercise, receive nutrition counseling, etc.o Partner with community and faith groups to deliver programs that helppeople cope with stress from divorce, finances, work, etc.o WRHA should support the development of indoor walking circuits andinitiatives like “The 100 mile club” – once participants have walked,jogged, biked, etc. 100 miles, they get a t-shirt.o Encourage greater utilization of community clubs – not just for hockeyand teen dances.15

o Develop inventory of facilities and programs and determine gaps andusage.o Ask kids what they need to get active – at schools, etc.5. Language and Cultural Barrierso WRHA could translate and develop culturally sensitive information aboutrecreational and mental health promotion programs and activities fordistribution across the Winnipeg health region.o WRHA could hire a culturally representative workforce and train staff tobe culturally sensitive. Important to respect how different cultures lookat treatment issues/plans for mental health concerns differently.o WRHA could partner with immigrant serving organizations and communityleaders to address mental health issues experienced by newcomers.o WRHA could work with cultural groups to seek input and identifyapproaches to delivering active living and mental health promotionprograms in cultural communities.6. Lifestyle, Organizational Culture, Motivationo Workplaces need to support and encourage their employees to bephysically active and mentally well. WRHA needs to show leadership inthis area.o Lobby provincial and federal governments to creative incentives forworkplaces to develop on-site wellness programs for their employees.o WRHA should work with school divisions to offer a range of recreationoptions for students and their families to participate in.o Any campaign to encourage increased physical activity needs to addressthe “motivation” factor – the difficulty of going to the gym – need tostress how good people will feel after they exercise and the importanceof each person finding their own motivation to get and stay active.o Support parents getting more active – their kids will follow.16

Section IIReports by Council17

Downtown and Point Douglas CouncilDiscussion Notes#1 Barrier -- Financial – poverty and lack of program fundingo Lack of program funding and difficulty accessing because ofbureaucracyo Financial barriers for individuals – to pay registration fees, pay fortransportation, equipmento Povertyo Household Income and Cost of Living – nowadays most families have tohave two parents working full time so children miss out on being walkedto school by one parent or the other, loss of general play time outsidebecause of long duration of work days some people work more than onejob to make ends meet. Transportation costs are high to either drive(gas) or take the bus.o There are not enough meaningful recreation opportunities for peoplewith mental health issues.o Fees for counseling services, fees for active living programs.o Lack of Funding (e.g. School System cutting physical education, music,art, etc to find funding for main stream programs e.g. math, scienceetc; not acknowledging importance of programs like physical education)#2 Barrier -- Lack of safety – violenceo Safety – fear of violence, alcohol, drugs, gangs, domestic violenceo Violence and safety (alcohol and drugs)o Safety concerns while waiting at bus stops or walking to/fromstops/walking neighborhood in general.o Crime and graffiti, people do not feel safe – ie. panhandlingo Some groups are targeted and fear violence because of thiso Cycling is dangerous because of drivers’ in the city (50% of small groupmembers have been hit by a vehicle while cycling within the last twoyears).#3 Barrier -- Transportation and access issueso Public Transit causes a hindrance because of insufficient number ofbuses. Some routes have half hour waits or more between times if they18

oooooare not major routes; connecting routes have too long of waits betweenthemDisease and Disability e.g. arthritisMobility (ie. walking) and transportationYouth need more outlets close to homeActivities that don’t incorporate kidsLack of green space#4 Barrier -- Education – health literacy and public educationo Illiteracy, lack of education, unemployment, prejudice, politicso We need to start thinking of health in terms of the 4 quadrants –physical, mental, emotional and spiritual. If we begin to teach early inlife things like anger, hurt, depression, and self hate will not becommonplace issues. This could be a prevention program onto itself, andwords like “mental health” will become a natural part of conversationand will not hold the stigma it does today.o We assume that if we are physically healthy our mental health will takecare of itself.o Lack of knowledge (e.g. Parents believe that kids have physicaleducation class every day when in fact it may be only offered 2-3 timesper school day cycle)o Education and literacy deficitso Inadequate information on side-effects of prescriptions#5 Barrier -- Social isolation, racial inequalities, andstigmatizationo Low self esteemo Racial Inequalities (historical injustices, intergenerational pain)o Social Isolation (depression, loneliness)o Stigma associated with mental illness tends to come with an attachmentof labels e.g. “crazy”, “schizo”, etc.o Most people have a tendency to think of mental health in terms ofillness.o Cultural barriers – specifically Aboriginal and AsianOther barriers:Lack of awareness of programs and serviceso Lack of information/awareness of available programs19

oooKnowledge of Resources - number of counselors in the system andwhere they are located, wait lists to access services in mental health.Many crisis centres, but where do you go after crisis stage is over andunderlying issues are still there; where and how do you access long termservices; where do you access free services. Also some individuals in aconstant state of crisis.Lack of awareness of what’s out thereHousingo Lack of good housing and halfway housing – problem for those withmental health issues – not enough safe and affordable housing – whatexists is not evenly distributed throughout the city.o Safe, appropriate and affordable housing (can cost more if disabled)individuals with mental health illness fall through the cracksSystems and their impact on participating in healthy living programs –workplaces, health, education, etc.o Holidays/Vacation Time – many people are reluctant to take theirholiday/vacation time they are entitled to either because of loss ofincome if holiday time is unpaid or loss of seniority.o Medical profession places emphasis on prescriptions -- medical model –not prevention and health promotiono Limited access to mental health professionals – medical model biaso Impact of plant closures on the communityo Employers often don’t recognize overtime – pressure to work harderand longer is increasingo Contract work displaces full time jobs with benefitso Little support for job-sharing and decreasing EFT positionso Education funding is limitedLifestyle – too busy, no support, etc.o Having a car is a barrier to active living.o The general hectic pace of life is a barrier to active living.o Good nutritious food is expensive; e.g. why does the government subsidizethe cost of alcohol in northern areas but does not subsidize the cost tobring in food. Why does beer cost less than milk up north; why does anapple cost more than a chocolate bar?o Apathy (no desire to participate)20

ooLack of timeDecreasing family supports and increasing responsibilities (ie. sandwichgeneration)Self confidence and self esteem issueso Shyness and other personality traits can prevent people fromparticipating.o Expectations – fear of not meeting peers/parents expectations whileparticipating in sport.o Goal setting for oneself and not meeting expectations – fear of failure.o Peer pressure is a barrier, group loyaltieso Lack of role modelsUrban Planning and its impact on the environment and active livingo Environment impact assessments done before building permits are givento businesses, housing developments, etc., do not focus on the humanimpact and the loss of “green space” enough; e.g. big box store designsforce people to drive everywhere because of length between stores andlack of sidewalks in these areas for walking which cause safetyconcerns.o City is inaccessible for cyclists. We need cyclist lanes created like inCalgary/Vancouver and more biking paths.o Tax incentives sometimes work against active living (ie. stimulate boxstores vs. small stores)o Urban sprawlOther issueso Who society allows to be a counselor is a barrier in itself.Psychiatrists, psychologists long educational component what about peercounselors, social supports, those who have recovered from mentalillnesses who help others.o Integrating after living in institutional settingso Lack of mental health supports – long waiting lists, no phoneo Privacy Concerns -- anonymity and concerns for privacy e.g. in workplaceEmployment Assistance Programs does your employer get record thatyou have seen a counselor, do they get access to your records and whatyou had discussed with the counselor; will it effect your work life; willthere be rumors/gossip.21

oLengthy waitlists to access mental health workers and referrals topsychiatrists, etc.22

Downtown and Point Douglas CouncilRecommendation Notes1. Financial Barriers – Poverty and lack of funding for activeliving and mental health promotion programs, initiativesHow can this be addressed by the WRHA?o WRHA should offer free programs in diverse community settingso Make people aware of options that don’t cost money – make informationavailable where people are – waiting rooms, etc.o Simplify process to get into WRHA counseling programso WRHA should increase the amount of counseling availableWhat partnerships should the WRHA consider to address this issue?o WRHA and partners should simplify intake and referral process(Addictions Foundation of MB, etc.) to get person to right service morequicklyo Partner/work with school divisions to develop more creative andappealing options for physical activity programs for kids – someactivities with skills kids can use later in life – like music and danceo Revisit education for male adolescents – school system not designed tomeet their needs – absence of healthy male role models for boys – weneed to be part of solution – this is everyone’s problemIn what ways can the WRHA advocate for change in other departments,etc.?o Work with school divisions, others to advocate for more professionalassessment/services for kids earlier (mental health)2. Lack of Safety – fear of violenceHow can this be addressed by the WRHA?oMake WRHA staff training about personal safety available to families out inthe communitiesWhat partnerships should the WRHA consider to address this issue?o Work with neighbourhoods to help develop safety planso Support the development of police cadet programs in communities23

oooWork with community organizations to develop and deliver personalsafety tips/training – community police may be able to helpOperation “Clean Sweep”/additional police step in right directionMake WRHA staff training about personal safety available to familiesout in the communitiesIn what ways can the WRHA advocate for change in other departments,etc.?o Advocate city for bus shelter improvements – lighting, cameras, panicalarmso Advocate for effective community policingo Need to advocate for ways to address the underlying social problemsthat create violent offenders3. Transportation and access issuesHow can this be addressed by the WRHA?o Some things are working well – keep it up, expand as we can – i.e.transportation for seniors to adult day programsWhat partnerships should the WRHA consider to address this issue?o Partner with Winnipeg Transit to create program-specific bus passes(ie. Wednesdays only)o Partner with corporations to use their transportation services foractive living programs – i.e. delivery services – give them theopportunity to be “good corporate citizens”o Need to develop age specific programso Create exercise programs in casinos!In what ways can the WRHA advocate for change in other departments,etc.?o Advocate for lower bus fareso Advocate for “free rides” on buses when weather poses health risk –should be mandatory4. Education – health literacy and public educationHow can this be addressed by the WRHA?oWRHA should produce health materials in a variety of languages – Aboriginal,etc.24

oooooooooUse plain language in any materials for community membersDevelop videos to explain certain health issues/ procedures in differentlanguagesContinue work of Aboriginal Health ServicesWRHA should use Aboriginal (4 quadrants) approach to wellness (physical,mental, spiritual, and emotional) and train staffContinue to train staff in cultural awareness and learning about thesensitivities of different cultural in terms of body, health issuesNeed to encourage health care providers to see connection between physicaland mental health issues and begin to treat the whole personWRHA needs to continue to work towards building a representative workforcewho will bring their own understanding of their particular cultures with them –they can be a resource to the WRHAWRHA should turn the phone insert listing of health services into a guide (likethe Leisure Guide from the City) and have delivered to all householdsWRHA should create fridge magnets with the Health Links phone numberWhat partnerships should the WRHA consider to address this issue?o International Centre, Sexuality Resource Education Centre, Literacy Partnersof Manitoba and other literacy groupso Aboriginal Peoples Television Networko Native Communications Inc.o School system – kids should be taught early on about the interconnectednessof physical and mental – normalizing mental health issueso WRHA with schools should explore the connections between drugs and mentalhealth issueso Partner with Manitoba Health to support the development of culturallysensitive materials, cultural awareness workshops, and encouraging fee forservice physicians to see connection between physical and mental health issuesand begin to treat the whole person5. Social Isolation, racial inequalities, and stigmatizationHow can this be addressed by the WRHA?ooooWRHA needs to hire and train staff that are culturally representativeWRHA needs to increase understanding of staff of the impact of residentialschools on the Aboriginal population and its connection to current issues – likealcoholism, mental health issues, etc.WRHA should make link with hospitals to offer Aboriginal Health Serviceprograms – like spiritual care – outside of HSC and St Boniface hospitalSocial isolation – need to target segments of the population that are most atrisk when socially isolated – i.e. teen moms, seniors25

o Re: stigmatization of mental health issues – council members felt that servicesrelated to crisis care were very good – WRHA needs to focus efforts onbetter preventative services and increase counseling serviceso WRHA should develop clearinghouse of mental health groups/support groupsso people can access while waiting to see psychiatrist, etc.o WRHA needs to increase awareness of public as to what services, groups,programs are availableo WRHA should fund position to help people navigate the system – and dofollow-up on referralso WRHA needs to lead campaign that empowers patients – to ask questions oftheir doctors, to ask for services, etc. – many people are uncomfortablequestioning their doctor – especially seniors and some cultural groupso WRHA should promote the phonebook insert, Health Links, and Encompass –these should be evaluated to determine how useful/helpful they areo WRHA needs to lead a campaign against the stigmatization of mental illnessWhat partnerships should the WRHA consider to address this issue?o Schools, daycares, boys and girls clubs, pre-teen and teen groups should allreceive workshops about different cultureso Mental health groupso Clinics, family doctorso Use newsletters of different organizationso Community groups, churches, seniors groups, youth groups, etc.o WRHA should support schools in doing outreach in their community to helpneighbours – especially seniors – with snow shoveling, etc.o WRHA should support the development of housing for individuals with mentalhealth issues outside of just the core area26

River East and TransconaDiscussion Notes1. Barrier -- Poverty and inaccessibilityo Economic barriers for individuals, groups and neighbourhoodso Some activities are very expensiveo Economic patterns go along with certain cultureso Specific neighbourhoods that face barriers – Elmwoodo Access to resources – Income, transportationo Lack of support networko Povertyo Lack of youth services and facilities in some areaso Lack of awareness of community programso Communicationo Language barriers2. Lack of safety – fearo Safety – specifically evening activities, even just walking at night can beproblematico Not just physical safety, potential violence in some communitieso Climatic conditionso Perception of safetyo Stigma of “mental health”o Weather – affects mobility (ie. snow on sidewalks)o Safety within the community – affects all levelso Crimeo Senior safetyo Weathero Stigmao Stress affecting coping abilitieso Mental health issueso People more comfortable admitting a physical ailment3. Lack of facilities/programming that meets the needs ofthe populationo Culture – many cultures have different approaches to mental healtho Lack of park space for children27

ooooooooooooooooLack of walking trailsLack of community centers or full utilization of those in placeLack of bike paths, designated bike routesLack of specialized centres – like skateboard parks, cross country skiingpathsLack of volunteersPhysical barriers – in some buildingsDoes programming meet community’s needs?Demographics of communityPoverty (single parent family/individual)Cost of child care – in order to attend activitiesSeniors – isolatedNew immigrants not aware or don’t have informationPhysical risk factors – poverty, diabetes prevalence, seniors population(isolated, caregiver responsibilities)Demographics of population creates challengesPhysical barriers – not wheelchair accessiblePoorly maintained community/recreation centres4. Lifestyle – technology, time, etc.o Change in parenting perspective – children don’t do activities on theirowno Difficult to build capabilities, confidence, self-esteem, sense offreedomo Children’s lives are too programmed, compartmentalized – limitscreativityo Technology temptations – limits interaction, difficult to compete withother activities, computer interactiono Lack of sense of community – promotion of gatheringso Business of adult lifeo Commitments of parents, including driving children to activitieso Sandwich generationo Adolescent pressure to engage in “risky” behaviourso Complicated physical activity by organizing and paying for activity byorganizing and paying for activities rather than using natural activitieso Pressure – practice, practice, practiceo Sedentary professionso Excess physical demands of jobs28

ooooooooooooooooExcess mental demands of jobsPoor nutrition choicesLack of activities for children at schoolSome schools are not encouraging physical activity at school and/or notaddressing “bullying”Lack of time to be physically active/downtime for mental relaxationLack of personal commitment for the long term – to exercise, be activeLack of physical education in curriculumLife style demands and how you balance and prioritizeTV/Video game environment – technology – leads to opportunities tosedentary lifestyle and isolationDietSocial interactionExerciseLack of motivation (affects mental health)Sense of “community” – strength – individuals taking leadership rolesPressure re: community (inability to recognize over-scheduling)Time constraints – family pressures – less or no time for personal needsOther Barriers:o Communicationo Lack of communication about what is availableo Need for alternative methods to inform peopleo Lack of awareness about neighbourhood based opportunities and citywide opportunitieso Communication re: what is availableo Lack of “idea champions” – leadershipo Transportation – a barrier/challengeo Transportation to activitieso Weather and its impacto Physical ability – mobilityo Public policy – i.e. cannot ride bicycles on sidewalkso Isolationo Generational barrierso Cultural barrierso Language barrierso Barriers to community groupso Lack of volunteerism – not lack of opportunity29

ooLack of expertise in some areasLack of knowledge re: funding and resources30

River East and Transcona CouncilRecommendation Notes1. Poverty and inaccessibility (includes financial andtransportation barriers)How can this be addressed by the WRHA?o WRHA should get information out about subsidized or free active livingprograms (includes activities that improve mental wellness)o Meet with community groups and school kids to ask them “What do youneed to be active?” – this will increase participation – because they areshown that their opinions mattero Have health educators/ facilitators work with young people in schoolsaround health promotion – physical and mentalo Provide respite for people who are primary care givers of seniors,disabled adults and/or childreno Develop initiatives like “The 100 mile club” – once participants havewalked a total of 100 miles, they get a t-shirt - other ideas like swim500 laps, etc.What partnerships should the WRHA consider to address this issue?o In motion should ensure that information gets out to people – localpapers, churches, newsletterso In motion needs to address the need for free/affordable child care forparents to use in order to access programso Partner with volunteer community groups – to assist with transportingpeople to programs – use existing groups that are already doing thiso Partner with Winnipeg Foundation and school divisions – to create poolof money for low income people to use for active living programso Use school gyms for after school, evening and weekend recreationalopportunitieso Partner with Sport Manitoba – volunteers to coach kids and go intoschools and make presentations to motivate kids to be active (athleteslike Clara Hughes)o Continue partnership with school divisions – to make physical educationmore of a priorityo Partner with city and outdoor groups to create safe biking/walkingpaths31

o Support the development of indoor walking circuits – like malls,downtown sky walk system, etc.o Partner with community clubs – encourage greater utilization of clubs –not just hockey and teen danceso Partner with media to sponsor and promote active living strategieso Support community breakfasts, community walking groupso Partner with churches – many have great spaces that could be used forrecreation activitieso Partner/encourage workplaces to be flexible so that employees mayattend active living/mental health promotion programs or to develop onsiteprogramso Get media sponsors for 100 mile club and other initiativesIn what ways can the WRHA advocate for change in other departments,etc.?o Encourage schools/school divisions to provide more opportunities for noncompetitivesports in schools for all ages, all skill levelso Advocate to the City of Winnipeg recreation services to increase thenumber of programs available across the city for children and youthwith disabilitieso Lobby City to increase accessibility of their recreation and communitycentreso Lobby city re: creation of safe biking/walking paths (communitymembers must be vocal about how important this is)o In order to deal with difficulties faced by many as a result of unclearedand/or icy sidewalks – lobby city to develop bylaw that enforcessidewalk snow removal by residents with fines associated when theybreak bylaw (neighbours to help others that are unable to clear ownsidewalk)o Promote the organization of networks in communities made up of peoplewith snow blowers to assist after snowstorms – need to raise awarenessof this2. Lack of safety – fear (includes stigma associated withmental illness)How can this be addressed by the WRHA?o Support and have presence at community centres – inter-generational32

oStigma of mental illness leads to further isolation – create drop inprograms for general public and those living with mental health issues –increase awareness, create safe placeWhat partnerships should the WRHA consider to address this issue?o Support the development of safe community pathso Partner with recreation centres – encourage development of “buddy”walking and running clubs – physical activity and socializing – also safero Use Neighbourhood Watch – they already have a presence in manyneighbourhoods – to get information outo Use existing community networks to get information out and tocoordinate snow removal, etc.In what ways can the WRHA advocate for change in other departments,etc.?o Lobby city to identify and use community centres for programming thatare not currently being used – clubso Lobby school divisions to use school gyms after hourso Lobby city to improve lighting and address uneven sidewalks3. Lack of facilities/ programming that meets the needs ofthe populationHow can this be addressed by the WRHA?o WRHA to conduct or support assessment and inventory of facilities andprograms and determine gaps and usage – should include info. on costs,available subsidies, etc.o WRHA should take lead and demonstrate a “well workplace” and preventinjury – physical and emotionalWhat partnerships should the WRHA consider to address this issue?o Need to bring in partners – city, community groups, etc. to help withinventory, etc. Partner with other levels of government anddepartments, advocacy groups, mental health groups, city councilors,MLA, seniors, daycares, schools, private sector, immigrant servinggroups, etc.33

ooNeed to educate groups about the human rights code, duty toaccommodate legislationSupport and encourage employers facilitating fitness/ wellness for theworkplace – e.g. Partner with fitnessIn what ways can the WRHA advocate for change in other departments,etc.?o Lobby federal govt. to make wellness activities and memberships taxfree, tax deductibleo Lobby for employee wellness incentives in benefit plans – govt. ofManitoba4. Lifestyle – technology, lack of time, etc.How can this be addressed by the WRHA?o WRHA should define lifestyle broadlyo Focus for health professionals on prevention and promotion activitiesfor their patients – facilitate positive choiceso WRHA should develop more positions to support wellness – likedieticians and therapistsWhat partnerships should the WRHA consider to address this issue?o Partner with schools – provide education and opportunities and supportto make healthy choiceso Partner with wellness groups – diabetes, heart and stroke, mentalhealth associationso Partner with universities, colleges and government at all levelso Partner with media sponsors to communicate importance of active livingIn what ways can the WRHA advocate for change in other departments,etc.?o Lobby provincial govt. re: developing laws around hours of work,decreasing psychological harassmento Lobby provincial and federal govt. to create incentives (tax breaks,reduced costs) for organizations that have wellness programs – physicaland emotionalo Lobby province to provide grants for organizations to develop onsiteprograms and wellness facilities34

River Heights and Fort Garry CouncilDiscussion Notes#1 Barrier -- Accessibility – includes financial barriers, awareness ofprograms/ communication about programs, language barriers, transportationbarriers – taking the bus and lack of bike routes, snow and ice on roads orabsence of sidewalks, and socially isolated individuals and families who arenot accessing active living and mental health promotion programs/activities.o Accessibility (income) to facilities or Programs (poor awareness ofwhere and how to access) – go for a run but where?o Poor public transportationo Weathero Poverty-income (affordability for many activities – ie registration fee –facility fee – equipment)o Financial struggles/issues -- not being able to afford themo Single parent familieso Both parents workingo Transportation problemso Lack of parenting skillso Mental health issueso Illiteracy is a barriero Language barrierso Isolationo Services are provided in locations that are difficult to access or lesslikely to go too Low income families and seniors have difficulty accessing programso Time – families stressed – no time to be physically activeo Time and stressed out families (higher income families are more likelyto have time to get children to sports activitieso Neighbourhood developed for driving not walkingo Weather (winter) barriero Safety/Isolationo Safety – don’t feel safe to go out (ie Globe front page) – regardless ofwhere and ageo Physical and mental barriers – lack of accessibility – how do we helppeople leave homes – need to identify how to get people out/and what ispreventing themo Social (barrier in itself), isolation/loneliness35

ooooooooClimate and EnvironmentTransportation:o bike routes, services (location)o stores (location, too far away)o road/sidewalk conditionso isolation (seniors, single parents, mental illness issues)o bus routes and timing of connectionsWeatherCore area faces more/different issues (safety and perception ofsafety)Single parent families (gender/male influence on asking about servicesleading to feelings of abandonment)CommunicationLack of knowledge/awareness (little communication – communication islacking for active living – currently mostly advertising)Guides listing programs, etc. exist, but many don’t know about them orhow to get them#2 Barrier -- Perspectives, Cultural beliefs and traditions,and Emotional Well-beingThere is increasing immigration and a growing Aboriginal population in ourcommunity areas. Because different cultural groups often perceive issues ofmental health and active living in different ways, the “Canadian” version maybe confusing and foreign to them. This could create acommunication/awareness barrier. Different age groups also have differentperceptions of these concepts. Immigrants may also bring with themtraumatic experiences from their countries of origin that could make it verydifficult for them to access programs and services. Individuals experiencingmental health issues, who are isolated, who have low-self esteem and/orfearful of failing or being different also face great challenges in accessingor participating in mental health promotion and active living programs.ooooCultural Beliefs and TraditionsOlder people not wanting to get involvedPrograms and activities planned are not always appropriate for whatseniors wantFear of failure, injuring oneself36

oooooooooTeenagers experiencing depression/low self-esteem – stigma attachedto using counseling services at school or talking to their familyPeer pressure also an issue for teensMental health services are centralizedMore immigration – not enough services – especially mental healthCultural beliefs/traditions different among different groups in the city.Poor access to culturally appropriate activitiesDifferent PerspectivesEveryone has different definition of mental health (teens wouldn’t thinkabout depression as a mental health issue) and active living (ieadolescent vs. senior’s view – active living (daily activity) vs. organizedsport and gym) – poor understanding of activityPoorly understood by individual who is experiencing mental health issueo Emotional Well-beingo Emotional health issues:o Promotion of mental/emotional health versus treatment of disorders(with medication etc – e.g. Alzheimer’s)o Immigration (integration) socializationo Fears around – lack of pleasure/excitement – lack of fitting in –judgment of fatness (emotional)o Smoking – educated about issues but ignoring it “blind eye” –accessibility may still be too easy – self esteem issues (weight control,self image, socially fitting in) – government involvement in sellingproducto Not living in/with the concept of moderationo Addiction (nicotine, alcohol, food)ooAging Population (baby boomers)Inter- relationships/links to/between populations in the samecommunity (e.g. seniors assisting immigrants and families, especiallychildren – provide information on available services)#3 Barrier -- Political and Policy Issues and Competition forResourcesThe overall political climate and the perception that active living and mentalhealth promotion are not “on the top of the list” or “glamorous” issues for37

the governments in power, creates more competition for fewer resourcesfor groups who interested in developing programs and services in theseareas. Recreational facilities are impacted and not maintained well. Thispolicy environment has also spilled over into workplaces and schools wherethere is no emphasis on importance of active living and mental healthpromotion for employees and students.oooooooooooooooooooooLack of indoor winter recreation opportunitiesServicesFacilities (access and closures)Schools not emphasizing active living lifestyle - physical educationclasses and set up/curriculum (workplace)Obesity and diabetes (Type II) – younger and younger children beingdiagnosed and suffering health consequences (diet/nutrition – education– physically active – barriers to action)Ignoring the facts about consequences of lack of physical activity andbetter eating habitsBarriers in workplace/schoolLack of programs (lunchtime recreation) emphasizing physical activityIntervention/policies around promoting/ensuring activityAutonomy in choiceMixed messages around acceptance of taking time for activityPolitical agendas/barriersCompetition for funding from both public and private sectors.Stigma attached to mental health/lack of self-awareness -- barrier tofundingInfrastructureLack of facilities – for active livingNeighborhoods developed for cars not people – no sidewalksIce/snow – no sidewalks – not clearedAccess to schools during off hours – access to transportation(affordable)Population and Demographic ChangesLack of time – both parents working/single parent families38

oooPopulation changing – increasing Aboriginal population – need to addressissuesChildren in school systemChildren and school system (some ideas for addressing -- need todevelop good habits – need physical education specialist – need to givecredit for physical education – need mandatory credits)39

River Heights and Fort Garry CouncilRecommendation Notes1. Accessibility – barrier to participation (financial, transportation, safety(fear), not enough time)How can this be addressed by the WRHA?o In motion should create inventory of free recreational programso In motion program should be better promoted – need broadcast/mediasponsor – celebrities as PRo Support increasing the number of activity workers in seniors buildingso Have homecare workers (or volunteer assistants) visit, share info, doactivities, go for walks, etc. with clientso Can WRHA access some of their federal funds for health promotion tosupport some of these activities?o WRHA should find out what recommendations, etc. were made bytransportation working group (city)o Encourage people to “buddy up” – bring someone who hasn’t been activefor a while to a program – seniors, young parents, etc.o Encourage In motion to address issue of busy familieso WRHA should better promote Health Links, crisis phone numbers,phone support line for pharmaceutical information – need to targetcertain groups that are not using these resources – research todetermine which groups need more informationWhat partnerships should the WRHA consider to address this issue?o Need action of WRHA and Family Services and Housing, EmploymentIncome Assistance, etc.o WRHA should encourage schools – boost physical activity programmingo Schools could assist families in accessing reduced fee programso Support community groups making gently used sports equipment freefor low income families – this could be included in the ”inventory” –alsobikes for kidso Partner with community groups and City of Winnipeg to develop “safewalking routes” – like the one in Seven Oaks40

In what ways can the WRHA advocate for change in other departments,etc.?o Should advocate for families on assistance to receive vouchers/couponsfor programso WRHA should lobby City of Winnipeg Transit to put more moneytowards Handi Transit Need to develop relationship and begin dialogue –common ground, get their support of In motion – i.e. advertising onbuses, etc.o Lobby for more accessible “compassionate leave” – criteria is too rigid2. Different perspectives and cultural barrierso How can this be addressed by the WRHA?o Hire and train staff in cultural sensitivity – different cultures look attreatment issues/plans for mental health concerns differentlyo Need better under-standing of cultural issues – especially Aboriginaland non-western societieso Need to address limitations of the medical modelo Need to help eliminate the stigma of mental health issues – initiateprograms to de-stigmatize – and programs for individuals facing theseissueso Develop statement of mental health and physical activity across agegroupso “Quick fix” mentality needs to change – e.g. ADHD children andmedications that may not be effectiveo “Whole person” treatment by physicians instead of 15 minute quickappointments to deal with limited number of health issueso Cross checking medications/ prescriptions – pharmacies/doctorso Medical model – i.e. drug treatment for every problem is also promotedby drug companies – impacts education systemo Improve awareness of rehabilitation centres and treatment options – dothese places exist? Where are they? How do you access them in atimely manner? How do you get the process started?o Do people realize that they require treatment/assistance?o WRHA should improve treatment and results for individuals (criticaland non-critical)41

What partnerships should the WRHA consider to address this issue?o Develop partnerships with elders and leaders of cultural groups – toexpand health/treatment options for individuals that would include nonchemicaltreatment i.e. spiritual and emotionalo Support development of counseling and other programso Partner with immigrant community leaders to address mental healthissues related to traumatic experiences – Sudan, other Africancountries – establish counseling and other programso Link with school divisions and other groups (like seniors) to discuss andaddress stigma of mental illness – group specific issueso Creation of inter-generational communication to improve understandingbetween older and younger people and relationshipso Create links with religious groups to help individuals cope with stressfrom – finances, divorce, workIn what ways can the WRHA advocate for change in other departments,etc.?o Pilot project for “trial” cases – difficult cases and complex cases – usingtraditional approach to achieve results – (ie. turning clients lives upsidedown – take to completely different environment to facilitate differentideas and approach)o “Awareness” of the state of our own mental health is an issue –addiction to quick fixes3. Political and Policy Issues and Competition for ResourcesHow can this be addressed by the WRHA?o Develop volunteer credit system in both schools and workplaces –schools establish credits for students who volunteer and workplaces –sweat equity – time off to volunteer – and support the development ofthis credit system in community-based organizations as wellWhat partnerships should the WRHA consider to address this issue?o Partner with community organizations and support the development ofmentorship programo “Welcome wagon”, “advocacy”, “facilitation” and immigrant populationo Identify their particular needs – need for “political spin doctor” tochampion the program42

In what ways can the WRHA advocate for change in other departments,etc.?o The WRHA should lobby provincial government to ensure fundingequalization of active living and mental health promotion programs –autonomous of any political involvement/ lobbying, and based on need43

Seven Oaks and Inkster CouncilDiscussion Notes#1 Barrier - Access -– financial, transportation, locations ofwhere activities are held (proximity of resources), poorurban planning – lack of sidewalks, safety issueso Costo Transportationo Fears (crime/violence)o Locationo Government supportso Legal barrierso Accessing programs, etc. – cost of participating, having adequatetransportation to get you there, the location of where active living andmental health promotion activities are heldo Poor urban planning (people dependent on cars)o Sidewalkso Transportationo Lack of facilitieso Facilities closing down (pools, gym)o Safety (gangs)o Costs, subsidies– physical education is not promoted as much as othersubjectso Proximity/Access to recreation/leisure are far away/not close to wherepeople liveo Financial barriers – disqualifies many people who can’t afford ito Stigma associated with asking for financial assistance to participateo Weather – winter – a barriero School system – challenges for children – cliques, bullyingo Lack of self confidenceo Teacher ratio – all kids suffero Lack of fundingo Parents not actively educate children about good behaviouro Parents aren’t necessarily modeling “active living”o Play structures – not safe anymore – city is removing themo Transportation – can’t take bus/parents have to driveo Not safe – no sidewalks in new subdivisions44

oooooooooooooooSafety issues – parents afraid to let kids play on their ownStreet lights not adequateDon’t feel safe walking at nightSeniors – issues – safety, weather, transportationPeople don’t’ know about financial assistance and other supportsavailable to themSafety – justice system – lack of severe enough penalties to preventviolent behaviour/drinking etc.Disabled community – access barriers – winter very hard to get aroundTransportation – very bad, can’t utilize for exercise programs, etc.FinancialTransportationProximity of community resourcesSocial isolationFear/don’t feel safe to get to a programIsolation – depression – vicious cycleLack of family support – a barrier – single parents withoutsupport/without own care etc. – can’t get out#2 Barrier -- Promotion/Advertisement of Programs andAppropriateness of Programs – people are unaware of what’savailable, cultural and language barriers, literacy barrierso Advertising/under useo Recruitmento Advertisement of programs, etc. – if poor, programs are under usedo Cultural barriers and language barrierso Awareness/Communication Barrierso Not enough information on what’s available lots of information oninternet – many don’t have access to ito Accessing what’s available – don’t know how to utilize what’s thereo Aboriginal people – because of lack of education/financial resources,not comfortable within main stream society – discomfort with ito Literacy barrierso Language barriers – parents – ESLo Three generations in one home – grandparents/parents – little or noEnglish – they are the ones that need to access the programo Cultural barriers – recreational opportunities – totally different thanthose they are familiar with in the country of origin45

oooooAwarenessNot culturally sensitiveLanguage barriersLiteracy barriersNeed to be aware of resources, programs, and activities and addressthe barriers in accessing these programs, etc.#3 Barrier -- Ability to participate/Technology – physical andmental health barriers (stigma of mental health issues),mobility, many are intimidated by high tech equipment,etc.o Peer pressureo Ability/healtho Culture/language barrierso Technologieso The ability of people to participate is dependent upon whether or notthey are physically/mentally able too Mental health promotion – stigma is a barrier – there is a lack ofunderstanding and supporto Inadequate assessment for mental health issues – a barriero Technology -- intimidation creates barriers to participation (especiallyfor seniors -- cash, pre-authorized payment, yearly contracts)o Those with mental health issues – experience all barriers – just moresevere – many without any supportso Some experiencing severe side effects of medicationo De-institutionalization – not monitored, homelessness#4 Barrier -- Time Scarcityo Scarcity of timeo Different prioritieso Time scarcity/different priorities – many families/individuals feel thatthey do not have the time to be physically active – may have differentpriorities.o Technology (videos, computers, etc. – people choosing passiveliving/leisure activities)o Kids can’t create own recreational opportunities – in past kids would playon their own46

Seven Oaks and Inkster CouncilRecommendation Notes1. Access – financial, transportation, safety issues, etc.How can this be addressed by the WRHA?o WRHA could influence the accessibility to resourcesWhat partnerships should the WRHA consider to address this issue?o Support community groups in lobbying transport board, WinnipegTransit, and Handi Transit to improve accessibility of buses so thatpeople can get to healthy living programs in their communitieso Encourage existing programs and new initiatives to address financialbarriers and include transportation when developing healthy livingprogramso Partner with taxi club, MPIC to alleviate the lack of transportationo Try to access already existing venues (legal) to participate more – ie.Handi Transit, cultural groups, community centres, schoolsIn what ways can the WRHA advocate for change in other departments,etc.?o Advocate Winnipeg Transit for better flexibility of transit routes andincrease frequency during slower times to transport people tocommunity centres, schools, etc. for healthy living programso Should advocate for fitness centres, etc. to provide subsidies, assistwith transport, daycare, etc.2. Inadequate promotion of programs and activities –How can this be addressed by the WRHA?o Have information translated so that all can understando Work with all cultures – cultural awareness, seek input from all culturesto identify solutions, increase sensitivity to other approacheso Meet with various community groups get their input and ideaso Disseminate information through partners – schools, grocery stores, etco Need to address ways to identify socially isolated peopleo Schools have a lot of potential to get information out – letters home –could work with school divisions to include information in newsletterso Encourage doctors’ offices to give out information – could use nurses47

ooUse existing programs to get message out – Baby First, Post Partumgroups, pre natal groupsIncorporate messages to all high risk groupsWhat partnerships should the WRHA consider to address this issue?o Work with other community groups (church, cultural groups, churches)to help increase awarenesso Work with other groups to assist people to link (important wherelanguage barriers exist)o Need to partner as those who tend to stay home – go somewhere – ie.post office, grocery store, Meals on Wheelso Encourage Manitoba Health to collaborate with messaging – like the flushot campaigno Partner with other agencies like seniors and organizations for peopleliving with disabilitieso WRHA could encourage community groups to use the In motion websiteto post all of the community activities and resourceso Partner with movie theatres and others to get the message outo Partner with malls, food courts, information boothso Partner with Big Brothers and Big SistersIn what ways can the WRHA advocate for change in other departments,etc.?o Advocate other provincial government departments and the City ofWinnipeg need to help people know what subsidies are available and howto access themo Use other media – tv, radio, bus stops, use movie ads to promotehealthy livingo Encourage other partners to include healthy living, mental healthpromotion - ie. Manitoba Hydro, MTSo Use Welcome Wagono Computer linkso Lobby fast food restaurants like McDonald’s to increase messaging(congruent with their nutrition messaging)o Phone books – could use avenues to add notices in phone booko MLA announcementso Encourage political representatives to also give out informationo Community newsletters48

3. Ability to participateHow can this be addressed by the WRHA?o WRHA should develop information that could be sent to fitnesscentres, community centres, YMCA’s, etc that states importance ofsupporting people new to fitness equipment (especially seniors) –important because this is a safety issue – they should have supportprovided until they are comfortableo Any campaign to encourage increased physical activity should address“motivation” factor – the difficulty of going to the gym – stress howgreat you feel after you’ve exercised and importance of each personfinding own motivators to keep activeo Important to tell public that exercise includes a big range of activities– not just exercising in a gym – ballroom dancing for example.o WRHA could have home care staff encourage home care patients to beactive, go for walks, etcWhat partnerships should the WRHA consider to address this issue?o Partner with fitness centres, community centres, YMCA’s, etc. tosupport development of age appropriate programso Programs need to be led by peers – especially programs for teenso Model of Seven Oaks Wellness Institute where people are supported toimprove their health – non competitive – working on individual goals, attheir levelo Important to ensure that staff respect abilities of each individual –effort vs. performanceIn what ways can the WRHA advocate for change in other departments,etc.?o Should advocate for policy that fitness centres, etc. should havecertified instructors49

St. Boniface and St. Vital CouncilDiscussion Notes#1 Barrier -- Access, Safety, and Financial Barrierso Climate – difficulty moving outdoors – lack of snow clearing – lack ofsidewalks that are cleared/sandedo Access – barriero Poverty – lack of means to participateo Age – seniors (isolation, safety issues, afraid to go out), youtho Safety Issues – afraid to participate – lack of police presencethroughout all neighbourhoodso Communication – lack of awareness – is there a central location thatlists activities?o Ageism – stereotypical ideas of what different age groups can doo Availability/accessibility of programs (ie: continuing education,physical/mental well being) – are they equally distributed? – could havean “adopt a neighbourhood” idea between neighbourhoodsFinancial Barrierso Competition for resources – every group tries to get funding for theirprograms – who will fund? All different areas – youth, seniors, etc.o Resources that aren’t being tapped (ie school gym after hours)o Policies – health promotion in communities – only one facility – healthfacility – Seven Oaks Wellness Instituteo Policy has to change so that everyone has an equal opportunity toparticipateo Transportationo Financial barriers – create financial incentivesSafetyo St. Vital – crime has increased – often youth – need to create value (inactive living and mental health promotion) for kids/influence them#2 Barrier -- Organization/Culture of Work and Personal Lifeo Organizational culture – the culture within an organization – ie: hospital,RCMP, etc.o Lack of political support – need more healthy policy – speed bumps toslow down traffic – misappropriation of good ideas50

o Stressful workplace – no will on part of employers – workloads –becoming an accepted practiceo Time – too many demandso Stigma – stigma related to “stress leave” – related to not payingattention to mental healtho Municipal involvement – dollars used for consultants should be used forbetter thingso Involve politicians at the local level.o Culture – ie immigrants, refugees, French, English – language barriers,how to use the bus, how to use the internetCulture of work, personal life, communityo Marketing -- focus on music, violence/drug use is normalized – this“marketing” is directed at young people and has a great impact on whatyoung people view as important, shaping their valueso Creating the value – look at active living/mental health promotion in adifferent wayo Personal barriers – obesity, we are aware of importance of exercise,healthy eating – but why don’t we do it? Stress, mental health issuesand resulting behaviours – childhood traumao Information/people’s awareness of, what’s available – where, how, whenetc.?o We live within a medical model – not a health promotion model – need tomake a cultural shifto Need to learn early – need to learn how to balance stress etc.o Need to start change from top – downo We want things right awayo Health – physically well enougho Structure of health system – emphasis on curative not healthpromotion/disease preventiono Media’s emphasis on what’s current – waiting lists, etc. – hearing aboutillness, disease – not how to prevent illness/diseaseo People want quick fix – getting active, being healthy takestime/commitmento Barriers – safety, not enough time (ie dropping off/picking up kids)o Ethical barriers – we know (and the system is aware) that there are riskconditions, but we are not dealing with them51

o Mental health resources – a runaround to access resources – certainages – more tricky – waiting lists – longo Difficult to find resourceso Literacy – barriero Lack of support for families who are trying to access resourceso Immigrant population’s – language barriers – cultural barriers,communication – different ideas about health/recreationo Lengthy waiting timeso No one to talk to – when you need to – contributes to mental healthissueso Workplaces – don’t think active living is essential for their employees –need to know how important it is – what about sick days?o Parents – often both workingo Not mandatory for workplaces to provide active living/mental healthpromotion opportunities for their staffo Ageism – impacts on people contributing to society, being activeo Lots of staff on stress leaveo Need buy-in from CEO and senior management – not just physical butmental health aspecto Culture or work/life – work harder but don’t get sick – informationsharing/awareness – add personal barriers – financialo Need to shift emphasiso Parents too busy – timeo Awareness/availability of options to work less, job share, have flexiblehourso Personal priorities – quick fix – deal with stress, financial gain valued asmost important – “consume, consume, consume”#3 Barrier -- Lack of sense of communityo Segregated Communities – ie Southdale (over 50 buildings) – seniorsbuildings – does segregation limit participation?o Lack of sector participation – schools and school yards are not usedafter 4 p.m.o Geographic Barriers – various facilities are often not integratedo Lack of sense of community – lack of spontaneous community activity52

St. Boniface and St. Vital CouncilRecommendation Notes1. Access, Safety, and financial barriersHow can this be addressed by the WRHA?o Create centralized list of programs – free and those with fees (list toinclude creative and artistic activities)o WRHA needs to address mental health stigma and promote existingprograms that improve mental wellnesso WRHA should increase education about active living – provideinformation and datao WRHA should ensure that information about active living and mentalhealth promotion be translated and culturally sensitive materials – getcommunity members involved in educationo WRHA should decrease waiting times for psychiatric health resources –to make access timelyWhat partnerships should the WRHA consider to address this issue?o Partner with dept. of education and schoolso Local groups that have urban green team programs, etc.o Partner with City of Winnipeg – Transit – re: bus passes – reduced costo School divisions – to do active living programso Seniors activity organizations – In motion campaignIn what ways can the WRHA advocate for change in other departments,etc.?o Lobby federal government to provide tax incentives for active livingactivities/ memberships at fitness clubs, etc.o Lobby social services for recreational activitieso Lobby Winnipeg Transit for other uses for buses/bus companieso Advocate City to develop alternative recreation for communityrecreation centers – not just traditional programso Lobby city government -re: climatic barriers – encourage City to clearsidewalks53

2. Organization/Culture of work and lifeHow can this be addressed by the WRHA?o WRHA workplaces need to support and encourage their employees tohave personal goals not just professional ones and then support theiremployees in working towards these goalso WRHA should develop information sheet/brochure that lists resourcesfor active living and mental health promotion that can be inserts withpay stubs, hydro bills, etc. (goal to increase visibility of resources)o WRHA needs to put more emphasis on the needs of immigrantpopulationso Need to educate ourselves/health care providerso WRHA should develop brochures, resources that are multi-lingualo WRHA needs to communicate with various ethnic groups to increase ourawareness of issues and improve access for immigrant populations toactive living and mental health promotion services and activitiesWhat partnerships should the WRHA consider to address this issue?o Partner to set up support (escape) groups for young momso Partner with unions for health care providers, hospitals, clinics, YMCA,city recreation centres, Province of Manitoba, MB organization ofnurses – approach all partners with ideas, etc.o WRHA should determine which organizations already have healthyworkplaces and have them share information with other employerso Partner with schools – teach kids about mental wellness, encouragephysical activityo Partner with immigrant serving organizations and cultural groups –address generation gaps – need to encourage kids to speak own languageand be aware of their cultureIn what ways can the WRHA advocate for change in other departments,etc.?o Lobby and advocate that other workplaces should follow – healthyworkplace policies/approacheso Advocate for Workplace Health and Safety to develop policies toencourage employers to support their staff in obtaining personal goalso Advocate that unions and government departments – set uparrangements that make it easier for employees interested in workingfewer hours, getting temporary leave, or temporarily going from full to54

half time – to allow employees to look after children or elderly parents,etc.3. Lack of sense of communityIn communities where families are very involved there is a strong sense ofcommunity and often more stability (which impacts sense of community) inmore affluent communities.How can this be addressed by the WRHA?o WRHA needs to promote volunteerismo WRHA should promote the importance of seniors’ contributions andabilitieso WRHA community staff need to encourage residents to get to knoweach other, to slow down and spend time in their communityWhat partnerships should the WRHA consider to address this issue?o Coordinate partnerships between sector participantso Partner with wellness centerso Partner with schools to leave schools open for after school activities(need to determine who takes responsibility for modifications of theschool, salaries, etc.)In what ways can the WRHA advocate for change in other departments,etc.?o Advocate for integration of all ages to be part of community fabrico Seniors are a resourceo Lobby levels of government for making flexible work schedules availablefor employees55

St. James-Assiniboia and Assiniboine South CouncilDiscussion Notes#1 Socio-economic barriers – those in higher socio-economic group –too much money – travel by car, indoor and unhealthy lifestyle withemphasis on technology for leisure. Pockets of people in lower socioeconomicgroup face financial barrier, unable to afford organized sports,gym fees, etc. Lack of government funding to develop new or maintainexisting recreation centres, programs, services, etc.o Lack of funds, fixed incomes – financial barrierso Lack of money for activitieso Lack of government funding for programso Financial and resource barriers – activity fees for existing programso Socio-economic isolationo Demographicso Segregated communities – ie. wealthy, refugees, etc.o Demographics are changingo Pockets of lower socio-economic groupso Financial barriers – to join gymso Active living/mental health promotion – not very glamorous – to getfunding# 2 Accessing resources/infrastructure – programs, recreationalcentres, etc. – includes transportation, lack of sidewalks/bike paths, lack ofawareness of existing programs, etc and health literacy, under use or misuseof existing infrastructure, programs not accommodating people with specialneeds, lack of mobility – elderly and/or disabled, schools provide lessopportunities for physical activity for children, workplaces not encouraginghealthy living – no gyms or flexible hours.o Infrastructure and the layout of the cityo Safety – perception – drive to school, don’t feel streets are safeo Clusters of elderly populationso Mobility barrierso Community not built for walking – grocery stores far away – big boxstore developments – no malls for walkingo Have to drive everywhere – creates isolation56

ooooooooooooooooooooooooooooooWeather (with decreased mobility/disability) – sidewalks not safe andwinter is a challengePoor infrastructure – sidewalks, public transportationHandi transit – limited – transportation barrierKnowing how to use public transportation systemTransportationLack of organized transportation, accessWeatherLack of knowledge of what’s availableWeatherLack of available facilities – some areas have great bike paths andcommunity centres – although needs improvementSchools are under-utilizedCommunity centres not well used by seniors during the dayCommunity centres – not flexible, programs/hoursUnder utilized space – ie stairwellsAccessDon’t use community clubsMore mobile populationSafety concernsLanguage/education/customsAccommodating people with (special) needsAccess Issues -- adultsTransportation barrierLack of knowledge/awareness of activity groupsSeniorsIsolation – large number of apartment buildingsTransportation barriersChildren/Young AdultsLack of after school programsSchools not including extra curricular activities – music, physicaleducationLinking school programs#3 Lifestyle and inactivity – volunteer fatigue, pressures of time –parents spend less with children/less on their own, indoor/inactive leisureactivities (tv, computer, videogames), sandwich generation, parents notmodeling active lifestyle,57

ooooooooooooooooHigher socio-economic levels – kids have lots of money, so theypurchase high fat content food – fast foodHave cars – creating inactivityTechnology – play stations, not outside playingStructured organized sports – those who cannot afford – no activitiesfor themInactivityNot teaching kids to live an active lifestyleParents take the responsibility away from kids – kids not allowed tothink for themselvesParents don’t want kids to have free time – afraid of getting intotrouble – keeps them from becoming independentAutomated lifestyles – cars, driving lawnmowersLifestyle – daily routine – needs attitudinal changeToo much tv, technologyLack of a sense of community, don’t know your neighboursPrograms are over-organized/programmed for childrenLack of timePeople reluctant to try something new – lack of confidence, worry aboutnot “fitting in”Separated parents, grandparents parenting#4 Low self-esteem, lack of confidence, social isolation,stress/ anxiety – kids under more pressure to perform, perception ofsafety, children over booked/over organized, decreasing sense ofcommunity, elderly often isolated.o Competitiveness – creates stress and anxiety for children/youtho Better markso Higher expectations – higher education required to get jobs – pressureo Self-centered – “me” rather than community and otherso Want to be entertainedo Lack of community involvemento Working longer hourso Both parents working or single parent familieso Over institutionalized society – daycares, personal care homeso Children/Youth -- Confidence/lack of strong social skills/self-esteem58

ooooooooooooooooooooooooPeople reluctant to try something new – lack of confidence, worry aboutnot “fitting in”Lack of community leadersVolunteer fatigueMentor/sharing of dutiesIssues specific to Middle Years – AdultsLack of flexibility with workNo time for kids or themselvesSandwich generation – caring for parents and childrenTake out food instead of family mealsLack of confidenceLack of community supportParents do not have time to be with kids and have own time tooParents rely on takeout foodWork places not accommodating “healthy living” – gyms, flexible hoursSeniorsLack of confidenceLack of community supportChildren/Young AdultsBlurring of role of school and homeLess time with parentsLack of confidence – social skills, physical skillsBullying of childrenAddiction to computer/tv/video gamesSchools now providing more “life skills”59

St. James-Assiniboia and Assiniboine SouthRecommendation Notes1. Socio-economic BarriersHow can this be addressed by the WRHA?o WRHA should put more emphasis on health promotion vs. illness care –need to “walk the talk”o Use leaders in the community as part of a public campaign to increasephysical activity – target populations – high and low socio-economicgroupsWhat partnerships should the WRHA consider to address this issue?o In motion Program and the media – need to promote the In motionprogram.o School divisions – to create incentives for gym teachers to participatein after school activities for children and their familieso Encourage fun vs. competitive sports and encourage familyrecreational/wellness activitieso Support the development of health educators/ facilitators in schools toteach healthy living, support health promotion programs, etc. supporthealth promotion programs, etc. – provide in-services for teachers, supportstaff to share “health education” information so that they can teach theirstudentsIn what ways can the WRHA advocate for change in other departments,etc.?o WRHA should advocate (City of Winnipeg, fitness clubs, In motion, etc.)for the development of an “access” card – used by people who find itfinancially difficult to access recreation programs, etc. – a one timeassessment of financial needo WRHA to support bringing back the Canada Fitness awards for students2. Accessing Resources/InfrastructureHow can this be addressed by the WRHA?o WRHA and their partners with In motion should stop studying conceptsof active living and providing evidence of its importance with overallhealth – it’s time to act!!60

ooWRHA and partners must state that this is a priority, for there aremany competing demands on resources, etc.WRHA should help educate the public about the difference betweenactive living and physical fitnessWhat partnerships should the WRHA consider to address this issue?o Work with school divisions to instill values of healthy living choices inthe curriculum from kindergarteno Partner with all levels of government and community organizations (likethe YMCA) to address affordability and access to active living andmental health promotion programso Work with school divisions to utilize gyms before and after school forfamily fitness, active living programs, and regular activities – could alsopartner with Y Neighbours and use nurses, etc. as volunteerso Partner with schools to increase the availability of quality food inschools – should be less expensive than junk foodIn what ways can the WRHA advocate for change in other departments,etc.?o WRHA should advocate for the development of more facilities wherecommunity members can exercise, get nutrition counseling, etc.o WRHA should advocate for taxing of junk food (create disincentives)3. Lifestyle and InactivityHow can this be addressed by the WRHA?o WRHA should promote the importance of parents monitoring their kids’use of technology – video and computer games, etc.o There needs to be more education/ media promotion of active living andhealthy lifestyles as part of the In motion programo Promote family approach to activities (In motion)o (also life choices, quality of life, creating priorities – provide moreeducation about this)o Support community activities like hayrides, potlucks, and picnicso Encourage Department of Healthy Living to share with the public theirrole, what they do61

oooPromote and support changing the dominant culture (couch potato!) – bysupporting programs, etc. that reach out to others who aren’t normallyactive (like Adopt a Couch Potato club)WRHA should be targeting health professionals to practice what theypreachIn motion and the WRHA should educate employers and workplacesabout the benefits of having a healthy staff (share data of reducedsick days, etc.)What partnerships should the WRHA consider to address this issue?o WRHA should support subsidized organized sports and the availabilityof cheaper sports equipment – swaps, etc.o Create incentives for volunteers – tax incentives, free passes, etc.o WRHA should work with school divisions on the following -- improvingphysical education programs in schools, teaching active lifestyle skills,discontinue offering unhealthy food in school cafeterias, creation ofincentives for physical education (reward programs or projects withcommunity and school), encourage schools to offer more opportunitiesfor individual sports not just team sports, change “image” of wellness(don’t have to be sport junky or all muscle to be fit), support activitiesthat kids are interested in (skateboarding)o Work with city recreation department and private sports facilities tooffer “community sports days” – for example, getting Springhill to offera day of free skiingo Partner with workplaces/major employers and educate them toencourage and support wellness in the workplace – like providing moreflexibility with hours of work to enable employees to attend fitnessclasses, etc.o Encourage workplaces to be more family-oriented – for examplechanging scheduleso WRHA should work with fitness clubs, etc to offer discounts orbenefits for staffo Partner with church groupso WRHA should partner with disability groups to develop list ofrecreation and mental health promotion activities available for thatpopulation62

In what ways can the WRHA advocate for change in other departments,etc.?o WRHA should advocate the city re: not allowing the development offast food restaurants near schools,o Advocate for the development of “active” video gameso WRHA should advocate for the development of tax incentives foremployers with wellness plans for their employeeso WRHA should support the development of technology in casinos(Manitoba Lotteries) that asks you how long you want to play and shutsdown when the time limit is reached – could also be for video gameso Advocate for the creation of incentives for volunteers – tax incentives,free passes, etc.63

Appendix A64

CHAC Priority Barriers TablePriorityofIssueDowntown/PointDouglasRiver East/TransconaRiverHeights/Fort GarrySevenOaks/InksterSt.Boniface/St. VitalSt. James-Assiniboia/AssiniboineSouthPriority#1FinancialBarriers –poverty andlack ofprogramfundingPoverty andinaccessibilityAccessibility Access Access,safety, andfinancialbarriersSocioeconomicbarriersPriority#2Lack of safety– fear ofviolenceLack ofsafety – fearPerspectives,culturalbeliefs andtraditions,emotionalwell-beingPromotion ofprograms andactivities –barriers areliteracy,cultural, andlanguageOrganizationalculture –culture of theworkplace andpersonal lifeAccessingresources andinfrastructurePriority#3Transportationand accessissuesLack offacilities andprograms thatmeet needs ofpopulationPolitical andpolicy issuesandcompetitionfor resourcesTechnologyand the abilityto participateLack of senseof communityLifestyle andinactivityPriority#4Education –health literacyand publiceducation,awarenessLifestyle –technologyand lack oftimeTime scarcity65

Downtown and Point Douglas CouncilSuggestions for addressing top barriersIdeas to addressBarriersHow the WRHAcan addressdirectlyPartners WRHAshould build orstrengthen toaddress barrierWRHA shouldadvocate forothers to addressbarrier1. Financial barriers –poverty and lack ofprogram funding-WRHA shouldoffer freeprograms in diversecommunity settings-make people awareof options thatdon’t cost money –make informationavailable wherepeople are – waitingrooms, etc.-simplify process toget into WRHAcounseling programs-WRHA shouldincrease the amountof counselingavailable-WRHA andpartners shouldsimplify intake andreferral process(AddictionsFoundation of MB,etc.) to get personto right servicemore quickly-work with schooldivisions to developmore creative andappealing optionsfor physical activityprograms for kids –some activities withskills kids can uselater in life – likemusic and dance-revisit educationfor maleadolescents – schoolsystem not designedto meet their needs– absence of healthymale role models forboys – we need tobe part of solution –this is everyone’sproblem-work with schooldivisions, others toadvocate for moreprofessionalassessment/servicesfor kids earlier(mental health)66

2. Lack of safety –violence-make WRHA stafftraining aboutpersonal safetyavailable to familiesout in thecommunities-operation cleansweep/additionalpolice step in rightdirection-work withneighbourhoods tohelp develop safetyplans-advocate city forbus shelterimprovements –lighting, cameras,panic alarms-advocate foreffective communitypolicing-support thedevelopment ofpolice cadetprograms incommunities-work withcommunityorganizations todevelop and deliverpersonal safetytips/training –community policemay be able to help-partner withWinnipeg Transit tocreate programspecificbus passes(ie. Wednesdaysonly)-need to advocatefor ways to addressthe underlying socialproblems thatcreate violentoffenders3. Transportation andaccess issues-some things areworking well – keepit up, expand as wecan – ie. transportto adult dayprograms forseniors-partner withcorporations to usetheir transportationservices for activeliving programs – ie.delivery services –give them theopportunity to be“good corporatecitizens”-advocate for lowerbus fares-advocate for “freerides” on buseswhen weather poseshealth risk – shouldbe mandatory67

-active livingprograms not alwaysage specific – needspecific programsfor all ages4. Education – healthliteracy and publiceducation-WRHA shouldproduce healthmaterials in avariety of languages(Aboriginal, etc.)-use plain language-create exerciseprograms in casinos!-InternationalCentre, SexualityResource EducationCentre, LiteracyPartners of MB andother literacygroups-develop videos toexplain certainhealth issues/procedures indifferent languages-continue work ofAboriginal HealthServices-WRHA should useAboriginal (4quadrants)approach towellness (physical,mental, spiritual,and emotional) andtrain staff-continue to trainstaff in culturalawareness andlearning about thesensitivities ofdifferent cultural interms of body,health issues-Aboriginal PeoplesTelevision Network-NativeCommunications Inc.-school system –kids should betaught early onabout theinterconnectednessof physical andmental – normalizingmental health issues-WRHA with schoolsshould explore theconnectionsbetween drugs andmental health issues-partner withManitoba Health tosupport thedevelopment ofculturally sensitive68

-need to encouragehealth careproviders to seeconnection betweenphysical and mentalhealth issues andbegin to treat thewhole person-WRHA needs tocontinue to worktowards building arepresentativeworkforce who willbring their ownunderstanding oftheir particularcultures with them– they can be aresource to theWRHAmaterials, culturalawarenessworkshops, andencouraging fee forservice physiciansto see connectionbetween physicaland mental healthissues and begin totreat the wholeperson-WRHA should turnthe phone insertlisting of healthservices into aguide (like theLeisure Guide fromthe City) and havedelivered to allhouseholds5. Social isolation, racialinequalities, andstigmatization-WRHA shouldcreate fridgemagnets with theHealth Links phonenumber-WRHA needs tohire and train staffthat are culturallyrepresentative-schools, daycares,boys and girls clubs,pre-teen and teengroups should allreceive workshops69

-WRHA needs toincreaseunderstanding ofstaff of the impactof residentialschools on theAboriginalpopulation and itsconnection tocurrent issues – likealcoholism, mentalhealth issues, etc.-WRHA shouldmake link withhospitals to offerAboriginal HealthService programs –like spiritual care –outside of HSC andSt Bonifacehospital-social isolation –need to targetsegments of thepopulation that aremost at risk whensocially isolated –ie. teen moms,seniors-re: stigmatizationof mental healthissues – councilmembers felt thatservices related tocrisis care werevery good – WRHAneeds to focusefforts on betterpreventativeabout differentcultures-mental healthgroups-clinics, familydoctors-use newsletters ofdifferentorganizations-community groups,churches, seniorsgroups, youthgroups, etc.-WRHA shouldsupport schools indoing outreach intheir community tohelp neighbours –especially seniors –with snow shoveling,etc.-WRHA shouldsupport thedevelopment ofhousing forindividuals withmental health issuesoutside of just thecore area70

services andincrease counselingservices-WRHA shoulddevelopclearinghouse ofmental healthgroups/supportgroups so peoplecan access whilewaiting to seepsychiatrist, etc.-WRHA needs toincrease awarenessof public as to whatservices, groups,programs areavailable-WRHA should fundposition to helppeople navigate thesystem – and dofollow-up onreferrals-WRHA needs tolead campaign thatempowers patients –to ask questions oftheir doctors, toask for services,etc. – many peopleare uncomfortablequestioning theirdoctor – especiallyseniors and somecultural groups-WRHA should71

promote thephonebook insert,Health Links, andEncompass – theseshould be evaluatedto determine howuseful/helpful theyare-WRHA needs tolead a campaignagainst thestigmatization ofmental illness72

River East and Transcona CouncilSuggestions for addressing top barriersIdeas to addressBarriersHow the WRHAcan addressdirectlyPartners WRHAshould build orstrengthen toaddress barrierWRHA shouldadvocate forothers to addressbarrier-advocate for theCity of Winnipegrecreationservices toincrease thenumber ofprograms availableacross the cityfor children andyouth withdisabilities1. Poverty andinaccessibility (includesfinancial andtransportation barriers)-WRHA should getinformation outabout subsidized orfree active livingprograms (includesactivities thatimprove mentalwellness)-meet withcommunity groupsand school kids toask them “What doyou need to beactive?” – this willincreaseparticipation –because they areshown that theiropinions matter-have healtheducators/facilitators workwith young people inschools aroundhealth promotion –physical and mental-Provide respite forpeople who areprimary care givers-partner withvolunteer communitygroups – to assistwith transportingpeople to programs –use existing groupsthat are alreadydoing this-partner with theWinnipegFoundation andschool divisions – tocreate pool ofmoney for lowincome people to usefor active livingprograms-use school gyms forafter school,evening andweekendrecreationalopportunities-partner with SportManitoba –volunteers to coachkids and go intoschools and makepresentations to-increase number ofprograms availableacross the city forchildren and youthwith disabilities-encourage schools/school divisions toprovide moreopportunities fornon-competitivesports in schoolsfor all ages, all skilllevels-Lobby City toincreaseaccessibility oftheir recreation andcommunity centres73

of seniors, disabledadults and/orchildren-support thedevelopment ofindoor walkingcircuits – like malls,downtown sky walksystem, etc.-Develop initiativeslike “The 100 mileclub” – onceparticipants havewalked a total of100 miles, they geta t-shirt -otherideas like swim 500laps, etc.motivate kids to beactive (athletes likeClara Hughes)-continuepartnership withschool divisions – tomake physicaleducation more of apriority-partner with cityand outdoor groupsto create safebiking/walking paths-partner withcommunity clubs –encourage greaterutilization of clubs –not just hockey andteen dances-partner with mediasponsors – topromote activeliving-support communitybreakfasts,community walkinggroups-churches – manyhave great spacesthat could be usedfor recreationactivities-lobby city re:creation of safebiking/walking paths(communitymembers must bevocal about howimportant this is)-in order to dealwith difficultiesfaced by many as aresult of unclearedand/or icy sidewalks– lobby city todevelop bylaw thatenforces sidewalksnow removal byresidents with finesassociated whenthey break bylaw(neighbours to helpothers that areunable to clear ownsidewalk)-promote theorganization ofnetworks incommunities madeup of people withsnow blowers toassist aftersnowstorms – needto raise awarenessof this-WRHA shouldpartner/encourage74

workplaces to beflexible so thatemployees mayattend activeliving/mentalhealth promotionprograms or todevelop on-siteprograms-get media sponsorsfor 100 mile cluband other initiatives-In motion shouldensure thatinformation gets outto people – localpapers, churches,newsletters-In motion needs toaddress the needfor free/affordablechild care forparents to use inorder to accessprograms2. Lack of safety – fear(includes stigmaassociated with mentalillness)-support and havepresence atcommunity centres– inter-generational-stigma of mentalillness leads tofurther isolation –create drop inprograms forgeneral public andthose living with-support thedevelopment of safecommunity paths-partner withrecreation centres –encouragedevelopment of“buddy” walking andrunning clubs –physical activity andsocializing – also-lobby city toidentify and usecommunity centresfor programmingthat are notcurrently beingused – clubs-lobby schooldivisions to useschool gyms afterhours75

mental health issues– increaseawareness, createsafe placesafer-use NeighbourhoodWatch and BIZ(businessimprovement zones)safety patrols –they already have apresence in manyneighbourhoods – toget information out-lobby city toimprove lighting andaddress unevensidewalks-use existingcommunity networksto get informationout and tocoordinate snowremoval, etc.-support andencourageemployersfacilitating fitness/wellness for theworkplace – e.g.Partner with fitness3. Lack of facilities/programming that meetsthe needs of thepopulation-WRHA to conductor supportassessment andinventory offacilities andprograms anddetermine gaps andusage – shouldinclude info. oncosts, availablesubsidies, etc.-WRHA should takelead anddemonstrate a “wellworkplace” andprevent injury –physical andemotional-need to bring inpartners – city,community groups,etc. to help withinventory, etc. –govt., advocacygroups, mentalhealth groups, citycouncilors, MLA,seniors, daycares,schools, privatesector, immigrantserving groups, etc.-lobby federal govt.to make wellnessactivities andmemberships taxfree, tax deductible-lobby for employeewellness incentivesin benefit plans –govt. of Manitoba-need to educategroups about the76

human rights code,duty toaccommodatelegislation-partner withschools – to provideeducation andopportunities andsupport to makehealthy choices4. Lifestyle –technology, time, etc.-WRHA shoulddefine lifestylebroadly-focus for healthprofessionals onprevention andpromotion activitiesfor their patients –facilitate positivechoices-WRHA shoulddevelop morepositions to supportwellness – likedieticians andtherapists-partner withwellness groups –diabetes, heart andstroke, mentalhealth associations-partner withuniversities,colleges andgovernment at alllevels-partner with mediasponsors tocommunicateimportance of activeliving-lobby provincialgovt. re: developinglaws around hoursof work, decreasingpsychologicalharassment-lobby provincialand federal govt. tocreate incentives(tax breaks,reduced costs) fororganizations thathave wellnessprograms – physicaland emotional-lobby province toprovide grants fororganizations todevelop onsiteprograms andwellness facilities77

River Heights and Fort Garry CouncilSuggestions for addressing top barriersIdeas toaddressBarriers1. Accessibility –barrier toparticipation(financial,transportation,safety (fear), notenough time)How the WRHA canaddress directlyPartners WRHAshould build orstrengthen toaddress barrierWRHA shouldadvocate forothers to addressbarrier-In motion shouldcreate inventory offree recreationalprograms-In motion programshould be betterpromoted – needbroadcast/mediasponsor – celebritiesas PR-support increasingthe number of activityworkers in seniorsbuildings-have homecareworkers (or volunteerassistants) visit, shareinfo, do activities, gofor walks, etc. withclients-Can WRHA accesssome of their federalfunds for healthpromotion to supportsome of theseactivities?-WRHA should findout whatrecommendations were-Need action ofWRHA and FamilyServices andHousing, EmploymentIncome Assistance,etc.-WRHA shouldencourage schools toboost physicalactivity programming-schools could assistfamilies in accessingreduced feeprograms-support communitygroups making gentlyused sportsequipment free forlow income families –this could beincluded in the”inventory” –alsobikes for kids-Partner withcommunity groupsand City of Winnipegto develop “safewalking routes” – likethe one in SevenOaks-should advocate forfamilies onassistance to receivevouchers/couponsfor programs-WRHA should lobbyCity of WinnipegTransit to put moremoney towardsHandi Transit – needto developrelationship andbegin dialogue –common ground, gettheir support of Inmotion – i.e.advertising on buses,etc.-Lobby for moreaccessible“compassionateleave” – criteria istoo rigid78

made, etc. bytransportationworking group (city)-Encourage people to“buddy up” – bringsomeone who hasn’tbeen active for a whileto a program – seniors,young parents, etc.-Encourage In motionto address issue ofbusy families-WRHA should betterpromote Health Links,crisis phone numbers,phone support line forpharmaceuticalinformation – need totarget certain groupsthat are not usingthese resources –research to determinewhich groups needmore information-Hire and train staffin cultural sensitivity –different cultureslook at treatmentissues/plans formental healthconcerns differently2. Differentperspectives andcultural barriers* (need for a workingdefinition common toeveryone of activeliving and mentalhealth promotion)-Need better understandingof culturalissues – especiallyAboriginal and nonwesternsocieties-Developpartnerships withelders and leadersof cultural groups –to expandhealth/treatmentoptions forindividuals thatwould include nonchemicaltreatmentie. spiritual andemotional-pilot project for“trial” cases –difficult cases andcomplex cases –using traditionalapproach to achieveresults – (ie. turningclients lives upsidedown – take tocompletely differentenvironment tofacilitate differentideas and approach)-Need to address-supportdevelopment of-“awareness” of the79

limitations of themedical model-Need to helpeliminate the stigmaof mental healthissues – initiateprograms to destigmatize– andprograms forindividuals facingthese issues-Develop statement ofmental health andphysical activityacross age groups-“quick fix” mentalityneeds to change – e.g.ADHD children andmedications that maynot be effective-“whole person”treatment byphysicians instead of15 minute quickappointments to dealwith limited number ofhealth issuescounseling and otherprograms-partner withimmigrant communityleaders to addressmental health issuesrelated to traumaticexperiences – Sudan,other Africancountries – establishcounseling and otherprograms-link with schooldivisions and othergroups (like seniors)to discuss andaddress stigma ofmental illness –group specific issues-creation of intergenerationalcommunication toimproveunderstandingbetween older andyounger people andrelationshipsstate of our ownmental health is anissue – addiction toquick fixes-lobby ManitobaHealth to requirefee for servicephysicians to carefor their patients-“whole person”treatment byphysicians instead of15 minute quickappointments to dealwith limited numberof health issues-cross checkingmedications/prescriptions –pharmacies/doctors-medical model – ie.drug treatment forevery problem is alsopromoted by drugcompanies – impactseducation system-Create links withreligious groups tohelp individuals copewith stress from –finances, divorce,work80

-improve awareness ofrehabilitation centresand treatment options– do these placesexist? Where arethey? How do youaccess them in atimely manner? Howdo you get the processstarted?-Do people realizethat they requiretreatment/assistance?-WRHA shouldimprove treatment andresults for individuals(critical and noncritical)3. Political and PolicyIssues andCompetition forResources-develop volunteercredit system in bothschools andworkplaces – schoolsestablish credits forstudents whovolunteer andworkplaces – sweatequity – time off tovolunteer – andsupport thedevelopment of thiscredit system incommunity-basedorganizations as well-partner withcommunityorganizations andsupport thedevelopment ofmentorship program– “welcome wagon”,“advocacy”,“facilitation” andimmigrant population–identify theirparticular needs –need for “politicalspin doctor” tochampion theprogram-The WRHA shouldlobby provincialgovernment toensure fundingequalization ofactive living andmental healthpromotion programs– autonomous of anypoliticalinvolvement/lobbying, and basedon need81

Seven Oaks and Inkster CouncilSuggestions for addressing top barriersIdeas to addressBarriersHow the WRHAcan addressdirectlyPartners WRHAshould build orstrengthen toaddress barrierWRHA shouldadvocate forothers to addressbarrier1. Access – financial,transportation,safety issues, etc.-WRHA couldinfluence theaccessibility toresources-encourage existingprograms and newinitiatives to addressfinancial barriers andincludetransportation whendeveloping healthyliving programs-support communitygroups in lobbyingtransport board,Winnipeg Transit,and Handi Transit toimprove accessibilityof buses so thatpeople can get tohealthy livingprograms in theircommunities-advocate WinnipegTransit for betterflexibility of transitroutes and increasefrequency duringslower times totransport people tocommunity centres,schools, etc. forhealthy livingprograms-should advocate forfitness centres, etc.to provide subsidies,assist withtransport, daycare,etc.-partner with taxiclub, MPIC toalleviate the lack oftransportation-try to accessalready existingvenues (legal) toparticipate more – ie.Handi Transit,cultural groups,community centres,schools82

-to address safetyconcerns, WRHAshould partner withschools, police, andparent groups tolearn more aboutwhat is currentlyhappening and to seeif the WRHA cansupport in-work with othercommunity groups(church, culturalgroups, churches) tohelp increaseawareness2. Inadequatepromotion ofprograms andactivities --Language Barrier – toproviding informationabout healthy livingprograms-Cultural Barrier(Promoting healthyliving programs)-have informationtranslated so that allcan understand-work with allcultures – culturalawareness, seekinput from allcultures to identifysolutions, increasesensitivity to otherapproaches-work with othergroups to assistpeople to link(important wherelanguage barriersexist)-Other departmentsand the City ofWinnipeg need tohelp people knowwhat subsidies areavailable and how toaccess them-use other media –tv, radio, bus stops,use movie ads topromote healthyliving-Social isolation-other ideas to getinformation abouthealthy livingprograms out intocommunities*Need a broad rangeof solutions to meetneeds of thedifferent populationsie. male youth,seniors, newcomers,Aboriginal, etc.-meet with variouscommunity groupsget their input andideas-disseminateinformation throughpartners – schools,grocery stores, etc-need to addressways to identifysocially isolatedpeople-schools have a lot ofpotential to getinformation out –-need to partner asthose who tend tostay home – gosomewhere – ie. postoffice, grocerystore, Meals onWheels-encourage ManitobaHealth to collaboratewith messaging – likethe flu shotcampaign-partner with otheragencies like seniorsand organizations for-encourage otherpartners to includehealthy living, mentalhealth promotion -ie. Manitoba Hydro,MTS-use Welcome Wagon-computer links-Lobby fast foodrestaurants likeMcDonald’s toincrease messaging(congruent with theirnutrition messaging)83

letters home – couldwork with schooldivisions to includeinformation innewsletters-encourage doctors’offices to give outinformation – coulduse nursespeople living withdisabilities-WRHA couldencourage communitygroups to use the Inmotion website topost all of thecommunity activitiesand resources-Phone books – coulduse avenues to addnotices in phone book-MLA announcements-encourage politicalrepresentatives toalso give outinformation-use existingprograms to getmessage out – BabyFirst, Post Partumgroups, pre natalgroups-incorporatemessages to all highrisk groups-partner with movietheatres and othersto get the messageout-partner with malls,food courts,information booths-Partner with BigBrothers and BigSisters-communitynewsletters3. Ability toparticipate-intimidated by hightech exercisemachines-Peer pressure andfear of failure-depends on physicalwellness/fitness ofindividuals-some kids are lessfit and feelembarrassed-adults also have a-WRHA shoulddevelop info. thatcould be sent tofitness centres,community centres,YMCA’s, etc thatstates importance ofsupporting peoplenew to fitnessequipment (especiallyseniors) – importantbecause this is asafety issue – theyshould have supportprovided until theyare comfortable-any campaign to-partner with fitnesscentres, communitycentres, YMCA’s,etc. to supportdevelopment of ageappropriateprograms-programs need to beled by peers –especially programsfor teens-model of SevenOaks WellnessInstitute wherepeople are supportedto improve their-should advocate forpolicy that fitnesscentres, etc. shouldhave certifiedinstructors84

ange of abilities andare self-conscious-lack of motivation-lack of appropriateprograms-accessing mentalhealth programs –barrier is stigmaassociated withmental illness-lots of differentissues – depression,panic, anxiety, etc.-medication to treatthese illnesses couldcreate furtherbarriers toparticipateencourage increasedphysical activityshould address“motivation” factor –the difficulty ofgoing to the gym –stress how great youfeel after you’veexercised andimportant of eachperson finding ownmotivators to keepactive-important to tellpublic that exerciseincludes a big rangeof activities – notjust exercising in agym – ballroomdancing for example.health – noncompetitive –working on individualgoals, at their level-important to ensurethat staff respectabilities of eachindividual – effort vs.performance-programs need to beled by peers –especially programsfor teens4. Time scarcity –busy families, withouttime to be active-barrier of choosingpassive leisureactivities – tv, videogames, etc.-do we have too muchleisure time?-different priorities,teenagers working-WRHA could havehome care staffencourage home carepatients to be active,go for walks, etc-WRHA needs toaddress interfacebetween technologyand health-campaign toincrease activity –include ‘’you’ve got tomake time forphysical activity, it’sa priority!”-media campaignslike “Body Break” aregreat because itpromotes healthyliving – things you cando at home – thesecampaigns need toreflect the full rangeof “families” not just2 parent familiespartner withworkplaces – shouldcreate opportunitiesfor active living –85

part time jobs tooincentives/time offto participate(number of sick daysdecreases as a result– win/win)-community groups,schools, etc. – shouldencourage parents togive kidsopportunities forother activities thatget them moving-parents are rolemodels for their kids-support parents inbecoming moreactive, kids willfollow86

St. Boniface and St. Vital CouncilSuggestions for addressing top barriersIdeas to addressBarriersHow the WRHA canaddress directlyPartners WRHAshould build orstrengthen toaddress barrierWRHA shouldadvocate forothers to addressbarrier1. Access, Safety, andfinancial barriers-Create centralizedlist of programs – freeand those with fees(list to includecreative and artisticactivities)-partner with dept.of education andschools-local groups thathave urban greenteam programs, etc.-lobby federalgovernment toprovide taxincentives for activeliving activities/memberships atfitness clubs, etc.-WRHA needs toaddress mental healthstigma and promoteexisting programsthat improve mentalwellness-partner with City ofWinnipeg – Transit –re: bus passes –reduced cost-lobby socialservices forrecreationalactivities-WRHA shouldincrease educationabout active living –provide informationand data-WRHA should ensurethat informationabout active living betranslated andculturally sensitive –get communitymembers involved ineducation-decrease waitingtimes for psychiatrichealth resources – tomake access timely-school divisions – todo active livingprograms-seniors activityorganizations – Inmotion campaign-Lobby City forother uses forbuses/bus companies- advocate City todevelop alternativerecreation usesfor communityrecreation centres– not onlytraditionalprograms-re: climatic barriers– encourage City toclear sidewalks87

2. Organization/Culture of work andlife(Cultural of) PersonalLifestyle-lack of time to devoteto active living, singleparent families orboth parents working-WRHA workplacesneed to support andencourage theiremployees to havepersonal goals not justprofessional ones andthen support theiremployees in workingtowards these goals-WRHA should developinformationsheet/brochure thatlists resources foractive living andmental healthpromotion that can beinserts with pay stubs,hydro bills, etc. (goalto increase visibilityof resources)-WRHA needs to putmore emphasis on theneeds of immigrantpopulations-need to educateourselves/health careproviders-WRHA should developbrochures, resourcesthat are multi-lingual-WRHA needs tocommunicate withvarious ethnic groupsto increase ourawareness of issuesand improve accessfor immigrant-partner to set upsupport (escape)groups for youngmoms-partner with unionsfor health careproviders, hospitals,clinics, YMCA, cityrecreation centres,Province ofManitoba, MBorganization ofnurses – approach allpartners with ideas,etc.-WRHA shoulddetermine whichorganizationsalready have healthyworkplaces and havethem shareinformation withother employers-partner withschools – teach kidsabout mentalwellness, encouragephysical activity-Partner withimmigrant servingorganizations andcultural groups –address generationgaps – need toencourage kids tospeak own languageand be aware oftheir culture-Lobby and advocateother workplacesshould follow –healthy workplacepolicies/approaches-advocate forWorkplace Healthand Safety todevelop policies toencourage employersto support theirstaff in obtainingpersonal goals-Advocate unionsand governmentdepartments – set uparrangements thatmake it easier foremployeesinterested inworking fewer hours,getting temporaryleave, or temporarilygoing from full tohalf time – to allowemployees to lookafter children orelderly parents, etc.88

populations to activeliving and mentalhealth promotionservices and activities-WRHA shouldpromote volunteerism3. Lack of sense ofcommunity-In communities wherefamilies are veryinvolved there is astrong sense ofcommunity and thereis often more stability(which impacts senseof community) in moreaffluent communities-WRHA shouldpromote theimportance of seniors’contributions andabilities-WRHA communitystaff need toencourage residentsto get to know eachother, to slow downand spend time intheir community-coordinatepartnershipsbetween sectorparticipants-partner withwellness centres-partner withschools to leaveschools open forafter schoolactivities (need todetermine who takesresponsibility formodifications of theschool, salaries, etc.)-advocate forintegration of allages to be part ofcommunity fabric-seniors are aresource-lobby levels ofgovernment formaking flexiblework schedulesavailable foremployees89

St. James-Assiniboia and Assiniboine South CouncilSuggestions for addressing top barriersIdeas to addressBarriersHow the WRHA canaddress directlyPartners WRHAshould build orstrengthen toaddress barrier-support thedevelopment ofhealth educators/facilitators (don’tneed to be healthprofessionals) inschools to teachhealthy living,support healthpromotion programs,etc. – provide inservicesforteachers, supportstaff to share“health education”information so thatthey can teach theirstudentsWRHA shouldadvocate for othersto address barrier1. Socio-economicbarriers-WRHA should putmore emphasis onhealth promotion vs.illness care – need to“walk the talk”-use leaders in thecommunity as part ofa public campaign toincrease physicalactivity – targetpopulations – highand low socioeconomicgroups- WRHA shouldadvocate (City ofWinnipeg, fitnessclubs, In motion,etc.) for thedevelopment of an“access” card – usedby people who find itfinancially difficultto access recreationprograms, etc. – aone time assessmentof financial need-WRHA to supportbringing back theCanada Fitnessawards for students-In motion Programand the media – needto promote the Inmotion programbetter-School divisions – tocreate incentives forgym teachers toparticipate in afterschool activities forchildren and theirfamilies-encourage fun vs.competitive sports-use leaders in thecommunity as part ofa public campaign toincrease physicalactivity – targetpopulations – highand low socioeconomicgroups90

and encourage familyrecreational/wellnessactivities2. Accessingresourcesinfrastructure –includestransportationbarriers and underuse or misuse ofexistinginfrastructure,programs notaccommodatingpeople with specialneeds, lack ofmobility-WRHA and theirpartners with Inmotion should stopstudying concepts ofactive living andproviding evidence ofits importance withoverall health – it’stime to act!!-WRHA and partnersmust state that thisis a priority, forthere are manycompeting demandson resources, etc.-WRHA should helpeducate the publicabout the differencebetween active livingand physical fitness-work with schooldivisions to instillvalues of healthyliving choices in thecurriculum fromkindergarten-partner with alllevels of governmentand communityorganizations (likethe YMCA) toaddressaffordability andaccess to activeliving and mentalhealth promotionprograms-Work with schooldivisions to utilizegyms before andafter school forfamily fitness, activeliving programs, andregular activities –could also partnerwith Y Neighboursand use nurses, etc.as volunteers-WRHA shouldadvocate for thedevelopment of morefacilities wherecommunity memberscan exercise, getnutrition counseling,etc.-WRHA shouldadvocate for taxingof junk food (createdisincentives)-Partner with schoolsto increase theavailability of qualityfood in schools –should be lessexpensive than junkfood91

3. Lifestyle andinactivity-important tointroduce activeliving and healthylifestyle choicesearly on in children’slife-ideas re: school agekids-WRHA shouldpromote theimportance ofparents monitoringtheir kids’ use oftechnology – videoand computer games,etc.-There needs to bemore education/media promotion ofactive living andhealthy lifestyles aspart of the In motionprogram-promote familyapproach toactivities (In motion)(also life choices,quality of life,creating priorities –provide moreeducation about this)-Support communityactivities likehayrides, potlucks,and picnics-EncourageDepartment ofHealthy Living toshare with the publictheir role, what theydo-Promote andsupport changing the-ideas re: school agekids-WRHA shouldsupport subsidizedorganized sports andthe availability ofcheaper sportsequipment – swaps,etc.-Create incentivesfor volunteers – taxincentives, freepasses, etc.-WRHA should workwith school divisionson the following --improving physicaleducation programsin schools, teachingactive lifestyle skills,discontinue offeringunhealthy food inschool cafeterias,creation ofincentives forphysical education(reward programs orprojects withcommunity andschool), encourageschools to offermore opportunitiesfor individual sportsnot just team sports,change “image” ofwellness (don’t haveto be sport junky orall muscle to be fit),support activities-ideas re: school agekids-WRHA shouldadvocate the city re:not allowing thedevelopment of fastfood restaurantsnear schools,-Advocate for thedevelopment of“active” video games-ideas re: workplaces-WRHA shouldadvocate for thedevelopment of taxincentives foremployers withwellness plans fortheir employees-WRHA shouldsupport thedevelopment oftechnology in casinos(Manitoba Lotteries)that asks you howlong you want to playand shuts down whenthe time limit isreached – could alsobe for video games-Advocate for thecreation ofincentives forvolunteers – taxincentives, freepasses, etc.92

dominant culture(couch potato!) – bysupporting programs,etc. that reach outto others who aren’tnormally active (likeAdopt a CouchPotato club)-WRHA should betargeting healthprofessionals topractice what theypreach-In motion and theWRHA shouldeducate employersand workplaces aboutthe benefits ofhaving a healthystaff (share data ofreduced sick days,etc.)that kids areinterested in(skateboarding)-work with cityrecreationdepartment andprivate sportsfacilities to offer“community sportsdays” – for example,getting Springhill tooffer a day of freeskiing-partner withworkplaces/majoremployers andeducate them toencourage andsupport wellness inthe workplace – likeproviding moreflexibility with hoursof work to enableemployees to attendfitness classes, etc.-Encourageworkplaces to bemore family-oriented– for examplechanging schedules-WRHA should workwith fitness clubs,etc to offerdiscounts or benefitsfor staff-partner with churchgroups93

94-WRHA shouldpartner withdisability groups todevelop list ofrecreation andmental healthpromotion activitiesavailable for thatpopulation

Appendix BAcknowledgementsMembers of the Community Health Advisory CouncilsBoard Liaisons to the CouncilsSupport Staff for Councils95

Members of Community Health Advisory Councils2005-06Downtown/Point Douglas CouncilRon Adamik (Vice Chair)Mary Jane EasonLuba FedorkiwAngela ForgetJocelyn GreenwoodCaitlin KeyzerBeatrice MathiasJoan MolloyRandy RanvilleMichael SchwandtJohn SinclairDebra SmithGela StachAudra TaylorRiver East/Transcona CouncilMaureen GraceDonald GrierJohn KubiChrista MasseyPam McKechnieJoyce OdidisonGrace PageBrian OlynikMargaret RauliukJim SmallRishi SrivastavaJanice StuyckDawn TysonMonika WoodsRiver Heights/Fort Garry CouncilTedros BezabehRod BruinoogeKristine ChristophVera DerenchukAngela HanischukLena Hozaima (Chair)David HurfordCaprice KehlerPatti MalchyBob MarksDouglas McGiffin (Vice Chair)Susan MorrowRuth RachlisCharlotte Westdal96

Seven Oaks/Inkster CouncilRose BakerLouise EvaschesenAl FriesenLaura HorodeckiRon KellerCecile LeblancJanice LovelaceLinda Luch-GalbraithAndria Mudry (Co-chair)Jay Nayak (Co-chair)Emily ReimerMaryAnn RosenbloomIvan SabeskyDale TesarowskiRichard ZabolotnySt. Boniface/St. Vital CouncilSandy BellCathy ByardKathleen CloustonDavid DandeneauStephan DorgeAudrey GordonGerry McDonaldGary McPhersonDavid PattonCindy Pizzi (Chair)Jerry RossDr. Chandu Shah (Vice Chair)St. James-Assiniboia/Assiniboia CouncilD’Arcy BainElizabeth PtaznikJody BerscheidKeely RichmondDoreen CoteBob RobinsonCatherine ElderKaryn RogersAshley HintherVijay Sankar (Co-chair)Mona LintonJason SneathJoyce MacMartinNeil UphamTim McIsaac (Co-chair)“Willow” (Tim’s guide dog)97

WRHA Board Liaisons (non-voting members of Councils)Belinda VandenBroeckDowntown/Point DouglasCarolyn StruttRiver East/TransconaAllan FineblitRiver Heights/Fort GarryBen ZaidmanSeven Oaks/InksterFather Fred OldsSt. Boniface/St. VitalLorraine SigurdsonSt. James-Assiniboia/AssiniboineSouthVolunteer Assistants to CouncilsKathleen CloustonRiver Heights/Fort GarryJan MillerSt. Boniface/St. VitalChasity RemillardDowntown/Point DouglasBrett ShenbackSeven Oaks/InksterSupport Staff for CouncilsColleen SchneiderJeanette EdwardsCathy HayKaren CyrManager, CHAC’sDirector, Community DevelopmentAdministrative AssistantManager, Volunteer ProgramCommunity Area Directors (non-voting members of Councils)Joan DawkinsDowntown/Point DouglasDebra VananceRiver East/TransconaElliette AlecRiver Heights/Fort GarryCarmen HemmersbachSeven Oaks/InksterSusan StratfordSt. Boniface/St. VitalAnita MooreSt. James-Assiniboia/AssiniboineSouth98