Health Promotion Project Team Presentation Template Student name: ID: Student name: ID: Student name: ID: Student name: ID: Tutorial group name: Campus: Health Promotion Project Title: “Let’s Wake up” addressinghomelessnessproblem in Sydney Inner Cityfor equity of such vulnerable segment. What is the goal of your health promotion project? (What are you aiming to achieve?) ⦁ Trying to address the homelessness problem from perspective of social determinant of health ⦁ Reducing the inequity of homeless by having equal rights of social inclusions, Income and better housing condition. Section 1: Community Needs Student name: ID: ⦁ Who is your target group? Target Group: Homeless Age:Averageage 42(12-65) Number: 516 Location: Sydney inner city Low population density (scattered around Sydney Inner city)no distinct place (Mobile status) Source: Survey of Homelessness in Sydney 2015, City of Sydney Characteristics of the Group Income 100% lack of housing affordability under the poverty line (< $400/week) 35% Disability support pension 11% Government payment 9% working 9% begging 13% no income Health 29% reported brain injury 72% reported substance abuse 53% mental health issue 64% have both substance abuse and mental health issues History 49% of people traumatised-emotional, physical, psychological, sexual or other 53% have been in prison 65% arrested 44% reported being a victim of violence Other specifications 82% male 17% female 1% transgender Average time in the street 5.4 years. 73% Australian (17% Aboriginal & Torres Strait Islander, 10% New Zealander, 15% others) 8% Veterans 7% under 25 (youth) 15% over 55 years 35% reported having disability Where do they stay? 60% rough sleepers 23% temporary and crisis accommodation services 17% other. 65% of people just need housing, they can afford with short-term support to get them back on their feet Source: Survey of Homelessness in Sydney 2015, City of Sydney ⦁ What health issue is the focus for your project? Focusing on health,53% of the target segment are mentally ill ⦁ 53% of the target group are mentally ill Ottawa Charter for health promotion stated that Shelter is one of the prerequisites of health and as we see mental illness one of them. (WHO 1968) ⦁ The prevalence of serious mental illness is higher in homeless people compared with those who are housed, and there are higher rates of personality disorder, self-harm and attempted suicide. (Perry & Craig 2015) Section 2: Social determinants Student name: ID: ⦁ What social determinants have contributed to the health issue that is the focus of your project? Our focus mainly on Income and Education which are the social Determinants of Health in relation to mental illness and disability ⦁ employment and mental health 15-64 years with a mental or behavioural condition were more than twice as likely to be unemployed than people without a mental or behavioural condition (8.4% compared with 3.7% respectively). (Australian Bureau of Statistics (ABS) 2015). ⦁ Social exclusion & disability 15% of people with disability aged bet 15 to 59 live alone compared to 6.5% of people without disability (ABS 2015), 28% of the people with disability have experience discrimination by one or more of the organization they have recently interacted. (Australian Network on Disability (AND) 2017) ⦁ Disability & employment Disabled participation to workforce only (53%) while 83% in non-disabled between 15 to 64 years, 9.4% unemployment with disability, without disability 4.9%, out of 2.1 Million (AND 2017) ⦁ Social exclusion and mental health Discrimination of mental health accounts for the highest volume of complains across the board to the Australian Human Rights Commission (AND 2017) Mental illness is closely associated with social exclusion due to number of factors, mainly socially derived, that have been attached to it, including fear, misunderstanding, stigma, discrimination, and an entrenched belief that the appropriate medical and social response is separation from society. Strong evidence suggested that people with severe mental illness are among the most excluded in society and frequently have restricted form social networks (Killaspy et al., Webber et al., cited in Newlin et al. 2015) Social capital and mental health Social capital may impair people psychological and mental health because people with better social capital enjoying more health than socially excluded as discussed by Baum &Ziersch (cited in Australian Institute of Health and Welfare (AIHW) 2016). Relevant to housing and employability Housing is mandatory as affordable & secured housing reflects on people health, efficiency, work and education and community participation also social relationship (Mallet et al., cited inAustralian Institute of Health and Welfare 2016). Education & employment Educational attainment it is closely related to stable employment, acceptable income, better housing condition & better healthcare choices &close related to their family, merely their children education and health.(AIHW 2016) reflecting to that fact our group employment is only 9%, that is why 100% of them under poverty line. It is vicious circle that leads to low income associated with overall social and health condition. Education & mental illness As seen that education is the main driver of income but unfortunately there is not enough designed program for training and education for mental ill patient to enrol them in the workforce. Housing and mental illness Housing is mandatory as affordable & secured housing reflects on people health, efficiency, work and education and community participation also social relationship, seen from homeless and mobile locations, low income to find proper house so they are under burden of housing affordability that impacted on their health on light of (Mallet et al. 2011, cited inAustralian Institute of Health and Welfare 2016). How does your project address one or more of these social determinants? The project is designed to address education, income, employment, housing, social exclusion. ⦁ (Education) Study their type of mental illness and design special education program that fit their level of disability, which is proven to help in improving their health status and employability.(person-centred approach) National Association for Education of Homeless Children & Youth conducted program to guarantee enrolment and education of homeless from primary school tell higher education (NAEHCY 2015) ⦁ Employment ⦁ Assessment of their capability to work and what to work ⦁ Contact head-hunters to find their jobs ⦁ Follow up their progress and productivity ⦁ For those not willing to work. analyse why if reason is disability refer to the right treatment channel. If the reason is training refer them to the suitable training hub. ⦁ Income ⦁ Assess their cost of living and their current income if any ⦁ Prioritize ⦁ Refer to their Centre- link money if they are not aware ⦁ Contact the donation hubs and refer to guarantee fast help ⦁ Housing ⦁ Refer to the current commission houses available ⦁ Contact stake holders “NGO’s, city council, Parliament member, PHC centres to afford fast shelters. ⦁ Lobbying for more commission houses and shelters for them ⦁ Social Exclusion ⦁ Weekly contact one family member of each one ⦁ Cycling with them (Cycling day for Homeless) ⦁ Running Day for homeless (with them) ⦁ “We are all Homeless Campaign +1 “all volunteers welcomed to stay one night in the street with them plus one day for the government and parliament members Evidence of effectiveness ⦁ Hanover – Housing – Support – Research Organization part of their programs is to train homeless skills in order to make them more employable (Hanover 2012) ⦁ Red cross homeless hub extended help to the community a training of first aid to homeless people within their integrated support. ⦁ CNA (Community Need Assessment) they are working on four bases including (planning, needs assessment, establishing priorities & action on service development) ⦁ ACCHO “Aboriginal Community Controlled Health Organization reached 150 centres in Australia adopting the same concept of assessing community needs of Aboriginal and address social determinate of health exceeding the limited medical scope to broader meaning determinant of health ⦁ PHC centres now available those assigned by assessing people needs and addressing social determinant of health and homeless is one of their concern(Keleher& MacDougall 2016) ⦁ TML Tasmania Medical Local are government funded to manage projects that to address social determinant of health they undertake 3 stages. 1. Stakeholders consultation across Tasmania 2. Setting priorities 3. Investigating data They have 4 key themes of their selected projects: 1. place based approach 2. Identify priorities and needs 3. Resourcing communities for identifying and addressing social determinant of health, build 4. Building capacity through community and across the state to guarantee sustainability of the program (Keleher& MacDougall 2016) Section 3: Health promotion principles Student name: ID: ⦁ What strategies will be used in your project? “While health inequities mean, the fact that the same people die younger or have poorer health based on where they live, their genetics, the job they do or how much their parents have earned may influence intervention to address their inequalities can be referred to as occurring upstream, midstream or downstream. upstream or macro level includes higher level of intervention e.g. government and global forces, such as education, income, employment, living & working condition.Midstream include intermediate factor like health behaviour& psychological factors. Downstream means micro-level for example physiology and biological factors & human genetics.”(Turrell, cited in Australian Medical Association 2007) Health promotion Plan on the light of framework of health and promoting actions and outcome levels (Keleher& MacDougall2016) ⦁ To achieve my program, we should propose project “Get Up” to all stakeholders (Ministry of Education, TAFE, Parliament member for Sydney Inner City, Sydney council , Red Cross , NGO’s e.g. MTC & Salvation Army , companies CSR departments , Hotels managements ) ⦁ Budgeting of our project mainly from selling promotion tools e.g. T.Shirts , Bandanas and other promotion tools , collecting donations from Companies CSR budgets , hotels and guest cross boarders support “assigning community support by any interested guest to share in Cycling for homeless & running for homeless” ⦁ Strategies have been selected because they are multilayers involving homeless, their families, communities, organizations, sectors and society. ⦁ Based on Ottawa Charterhealth promotion is the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being within this scope we are trying to improve health situation of homeless as vulnerable group of our society to reduce the inequity by addressing their social determinant of health income, housing, work, social exclusion, education. ⦁ Ottawa Charter stated that prerequisites of health including “shelter, education, income, social justice and equity “under this scope our project attempts to address shelter, education, income & social justice as basic requirement & resources for health ⦁ By advocating Good Health, enable health promotion to address social determinant of health, mediate the prerequisites ⦁ Our project also influenced by the meaning of health promotion action from Ottawa Charter in challenging the health policy to suit our group criteria health situation, ideas to create supportive environment for the selected group by community and organization contribution including schools, universities, library, companies & hotels. Strengthen community action and developing personal skills of homeless also reorient health services for more adaptation with selected group location and health mandates & follow up. ⦁ Based on Jakarta Declaration our project influencing to increase investment for health development asking for multi-sectoral resources including education, housing and health for human development and better quality of life. Also, the project undergoes the recommendation of securing infrastructure of health promotion from different sources ⦁ Who is involved with implementing your project and what are their roles? ⦁ Referring to health promotion principle and involving multi-sectoral collaboration and strengthen community action our stakeholders for “Get Up “project will be (MOH, Ministry of Education,TAFE, Parliament member for Sydney Inner City, Sydney council, Red Cross, NGO’s e.g. MTC & Salvation Army, companies CSR departments, Hotels managements) ⦁ Role will be “statistical data, evaluation and analysis of the selected group needs and competences” also community and society awareness campaigns of mental health and homelessness by TAFE, Ministry of health, Ministry of Education, NGO’s,“Community Need Assessment” ⦁ Finance by all mentioned stakeholders in addition to partial self-budgeting by selling the promotion tools of the Cycling and run for homeless. ⦁ Involving all these group will benefit for more efficient information, processing, implementation and follow up and adopting the responsibility, promote for partnership and social equity as value of life. Section 4: Enacting Primary Health Care Student name ID: ⦁ How does your project put primary health care into practice? This project “Let’s Wake up”adopt the primary health care comprehensive phenomena exceeding the biomedical approach of the primary care to more broader perspective of health. Keheler (2001) outlined the PHC system scope and as well addressed in this project: ⦁ Promote equity for accessibility and affordability of health care ⦁ Achieve social justice to resources and human rights for better health equity ⦁ Reorient health system toward inter-sectoral cooperation to address social determinant of health ⦁ Prioritize emerging needs of individuals, families and communities ⦁ Enable people for good health for better productivity. The project adopting WHO (2008) concept of Health for all.Also, considering the five key elements to achieve this goal: ⦁ Reducing Exclusion ⦁ Service Delivery Reforms (reachable service and mobile services) ⦁ Integrating health into all sectors (Public policy reforms) ⦁ Pursuing collaborative models of policy dialogue (leadership reforms ⦁ Increasing stake holder’s participation (Get Up) is include multidisciplinary range of services and programs, prevention and health promotion processes, service to empower the population to prevent risk behaviour, strategies to address health needs by improving health literacy of individual, communities and societies and it is evidence based program (Keleher& MacDougall 2016) ⦁ How will you know that your project has been effective? The base of this project is people need, assessing people need is major mile stone as emphasized by (WHO 2001) to describe the current health status of community, enable identification of major risk & enable identification of action needed to address. Also, community participation is one of the Ottawa recommendation. Based on that the assessment of our project efficiency will depend on community to gurntee adoption and responsibility of the community and sustainability of the effect continues need assessment as it is continuingprocess: ⦁ Conduct surveys within community to get updated on to what extent the project helped them. ⦁ Ask community leaders on how efficient our project is. ⦁ Observation on number of homeless decrease ⦁ Involve psychiatrist and primary care experts to evaluate the development of the mental and psychological status of the homeless. ⦁ In regard to employment and income we will involve the recruiter to follow up on (Number of homeless joined the work force, second their productivity, third possible ways to develop their productivity ) ⦁ In regard to social exclusion we will conduct surveys to count how many family, friends link happened per month with each and the effect of that on their general status. ⦁ We will conduct research to evaluate the effect of “Cycling day” and “run for homeless “and“we are all homeless day+1” in improving their psychology and on people inspiration and involvement and partnership level. References: Australian Bureau of Statistics, 2003, Disability, Ageing and Carers: summary of findings, cat. No. 4430.0, ABS, Canberra, p. 20. Australian Institute of Health and Welfare (AIHW) 2016, ‘What works? A review of actions addressing the social and economic determinants of Indigenous health’, AIHW,Canberra, . Australian Medical Association (AMA) 2016, ‘Social Determinants of Health and the Prevention of Health Inequities-2007’, Australian Medical Association, Barton, ACT. Australian Network on Disability (AND) 2017, Sydney . Children of Parents with a Mental Illness (COPMI) 2016, Community evaluation, SouthAustralia,. Department of Health and Human Services2017, ‘Welcome to Working in Health Promotion ways’, DHHS, Tasmania, viewed 20April 2017. Hanover 2012, Education and Training, Melbourne, viewed 20 April 2017, . Homelessness in Sydney 2015, City of Sydney, NSW . Keleher, H & MacDougall, C 2016, Understanding Health, 4thedn, Oxford, South Melbourne, Victoria. National Association for the Education of Homeless Children and Youth (NAEHCY) 2017,. Newlin, M, Webber, M, Morris, D, &Howarth, S 2015, 'Social Participation Interventions for Adults with Mental Health Problems: A Review and Narrative Synthesis', Social Work Research, vol. 39, no. 3, p. 167. Available from: 10.1093/swr/svv015. [1 May 2017]. Perry, J & Craig, TKJ 2015, ‘Homelessness and mental health’, ‘Trends in Urology & men’s health’, vol. 6, pp.19-21, viewed 20 April 2017, . Wilkinson, R & Marmot, M 2003, Social Determinants of Health: The Solid Facts, 2nd edn, World Health Organisation, Geneva. World Health Organization 2001, The Ottawa Charter for Health Promotion, Geneva, Canada viewed 25th April 2017 . World Health Organisation 2015, Social Determinants of Health, viewed 7April 2017 .