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“Hope is like a road in the country; there was never a “Hope is like a road in the country; there was never a Hope is like a road in the country; there was never a Hope is like a road in the country; there was never a road, but when many people walk on it, the road road, but when many people walk on it, the road comes into existence.” Lyn comes into existence.” Lyn YutangYutang (Chinese writer (Chinese writer 18951895 1976)1976)18951895--1976)1976)

This quote reflects Human Endeavour (HE) and HOPE This quote reflects Human Endeavour (HE) and HOPE This quote reflects Human Endeavour (HE) and HOPE This quote reflects Human Endeavour (HE) and HOPE project’s successful journey with the support of many project’s successful journey with the support of many partners who greatly contributed to shape our partners who greatly contributed to shape our organi ation and HOPE projectorgani ation and HOPE project o er the last 6 ears o er the last 6 ears organization and HOPE projectorganization and HOPE project over the last 6 years. over the last 6 years.

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•• Human Endeavour (HE) IntroductionHuman Endeavour (HE) IntroductionHi t f HOPEHi t f HOPE•• History of HOPEHistory of HOPE

•• Preventive engagements program: ICWPPreventive engagements program: ICWP•• CHATS CHATS –– HE partnership HE partnership •• CHATS CHATS –– HE partnership HE partnership •• HOPE and its key findingsHOPE and its key findings•• What differentiates HOPEWhat differentiates HOPE•• A final messageA final message•• Q & AQ & A

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HE was established by ordinary community members HE was established by ordinary community members on the model of self reliance, community support and on the model of self reliance, community support and y ppy ppbroader collaboration to serve immigrants and other broader collaboration to serve immigrants and other marginalized communities through outside the box marginalized communities through outside the box thinking and implementing nonthinking and implementing non--traditional innovative traditional innovative thinking and implementing nonthinking and implementing non--traditional innovative traditional innovative solutions in health, economic development, solutions in health, economic development, employment and settlement.employment and settlement.

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•• Established in 2004Established in 2004•• Services in health & wellness, economic development Services in health & wellness, economic development Services in health & wellness, economic development Services in health & wellness, economic development

through social entrepreneurship, integration & through social entrepreneurship, integration & settlement, community dialogues, training and settlement, community dialogues, training and researchresearchCli i l i f ili Cli i l i f ili •• Clients: newcomers, seniors, low income families Clients: newcomers, seniors, low income families

•• 4FT/4PT employees, 93 volunteers 4FT/4PT employees, 93 volunteers •• 4 PT employees & 63 volunteers for health programs4 PT employees & 63 volunteers for health programs•• 4 PT employees & 63 volunteers for health programs4 PT employees & 63 volunteers for health programs•• Yearly organizational budget approx. $385,000 half of it Yearly organizational budget approx. $385,000 half of it

goes to health & wellness projectsgoes to health & wellness projectsg p jg p j•• Languages: Urdu, Hindi, Punjabi, Gujarati, Tamil, EnglishLanguages: Urdu, Hindi, Punjabi, Gujarati, Tamil, English•• Main office in Maple, satellite offices in Woodbridge Main office in Maple, satellite offices in Woodbridge

d d M ltM lt (Mi i )(Mi i )and and MaltonMalton (Mississauga)(Mississauga)

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HealthHealth•• HOPEHOPE -- Healthy Outcomes of Preventive EngagementsHealthy Outcomes of Preventive EngagementsHOPEHOPE Healthy Outcomes of Preventive EngagementsHealthy Outcomes of Preventive Engagements•• ICWP ICWP -- Integrating CommunitiesIntegrating Communities Wellness & Wellness &

PreventionPrevention ProgramProgram•• SAMHASAMHA-- South Asian Mental Health & South Asian Mental Health &

AddictionAddiction ProgramProgram•• Health related researchHealth related research•• Health related researchHealth related research

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•• HOPE project has two components; 1) HOPE project has two components; 1) Preventive Preventive Engagements Engagements 2) Research and analysis of 2) Research and analysis of quantitativequantitativeg gg g ) y) y qqas well as qualitative as well as qualitative Healthy Outcomes Healthy Outcomes benefitting benefitting individuals and healthcare systemindividuals and healthcare system

•• Preventive Engagements Preventive Engagements are implemented under an are implemented under an •• Preventive Engagements Preventive Engagements are implemented under an are implemented under an independent project independent project ICWPICWP--IIntegrating ntegrating CCommunities ommunities WWellness & ellness & PPrevention Program in partnership with revention Program in partnership with CHATSCHATS

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•• To improve seniors well being by preventing their To improve seniors well being by preventing their sickness and fall thus lesser visits to the physicians & EDsickness and fall thus lesser visits to the physicians & EDp yp y

•• To improve seniors’ mental health by reduced isolation, To improve seniors’ mental health by reduced isolation, improved language skills, mobility & interactionimproved language skills, mobility & interaction

d f ll i l d d d f ll i l d d •• To reduce falls, surgical procedures and acute care To reduce falls, surgical procedures and acute care services usage, through exercises & educationservices usage, through exercises & education

•• To promote lowTo promote low--cost selfcost self--managed & communitymanaged & community--To promote lowTo promote low cost, selfcost, self managed & communitymanaged & communitybased health strategies and healthy aging of seniorsbased health strategies and healthy aging of seniors

•• To educate seniors & caregivers to access services To educate seniors & caregivers to access services appropriately reducing the ED wait times appropriately reducing the ED wait times

•• To research and quantitatively track the relationship of To research and quantitatively track the relationship of preventive activities with various improvements and preventive activities with various improvements and preventive activities with various improvements and preventive activities with various improvements and cost savings cost savings

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•• Increase Increase AccessAccess of information and health services of information and health services though suitable language and cultural settingsthough suitable language and cultural settingsg g g gg g g g

•• Improve Improve QualityQuality with proper planning & coordination. with proper planning & coordination. Use group settings for more effective service deliveryUse group settings for more effective service delivery

ffi iffi i d i d ff i d i d ff i •• Increase Increase EfficiencyEfficiency due to trained program staff in due to trained program staff in conjunction with mainstream organizations utilizing conjunction with mainstream organizations utilizing available services more efficientlyavailable services more efficientlyyy

•• Improve Improve IntegrationIntegration by linking service providers and by linking service providers and strengthening their ability to disseminate information, strengthening their ability to disseminate information,

d t i d di t id t i d di t ieducate seniors and coordinate serviceseducate seniors and coordinate services

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•• 2004 United Way of York Region identified South Asians 2004 United Way of York Region identified South Asians as one of the underserved communitiesas one of the underserved communities

•• As a result, HE launched a pilot wellness program for As a result, HE launched a pilot wellness program for South Asian seniors in Vaughan on selfSouth Asian seniors in Vaughan on self--help basishelp basis

•• With free space from the City of Vaughan HE delivered With free space from the City of Vaughan HE delivered •• With free space from the City of Vaughan, HE delivered With free space from the City of Vaughan, HE delivered 11stst program on March 10, 2005 to 6 seniorsprogram on March 10, 2005 to 6 seniors

•• Initially piloted for 3 months, the program continued due Initially piloted for 3 months, the program continued due y p p gy p p gto express demand from seniors & caregiversto express demand from seniors & caregivers

•• In 2006, CHATSIn 2006, CHATS--HE formed partnership to serve seniors in HE formed partnership to serve seniors in Va ghan (UWYR); 2007 e panded to Markham (Tamils)Va ghan (UWYR); 2007 e panded to Markham (Tamils)Vaughan (UWYR); 2007 expanded to Markham (Tamils)Vaughan (UWYR); 2007 expanded to Markham (Tamils)

•• 2008 Central LHIN’s AAH funded 3 more locations in YR2008 Central LHIN’s AAH funded 3 more locations in YR•• ICWP was selected for Innovation in Health Care Expo ICWP was selected for Innovation in Health Care Expo ICWP was selected for Innovation in Health Care Expo ICWP was selected for Innovation in Health Care Expo

2008, organized by MOHLTC & OHA under Health 2008, organized by MOHLTC & OHA under Health Promotions, and for a panel presentation Promotions, and for a panel presentation

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•• March 2009, it was selected for March 2009, it was selected for Health Care Improvement Practices Registry maintained by MOHLTC

•• HE introduced HOPE quantitative analysis concept HE introduced HOPE quantitative analysis concept •• ICWP selected for Innovation in Health Care Expo 2009ICWP selected for Innovation in Health Care Expo 2009

d d 0 0000 000 ll i it t t it hi it t t it h•• HE surpassed HE surpassed 10,000+10,000+ yearlyyearly visits & transport units eachvisits & transport units each•• 2010, HOPE launched a research with a grant from the 2010, HOPE launched a research with a grant from the

Michael Michael DiBiaseDiBiase Healthcare Foundation Healthcare Foundation Michael Michael DiBiaseDiBiase Healthcare Foundation Healthcare Foundation •• A preliminary HOPE study with 143 seniors was releasedA preliminary HOPE study with 143 seniors was released•• ICWP reached to 600+ seniorsICWP reached to 600+ seniors•• Released Health, Hope & Happiness documentary Released Health, Hope & Happiness documentary •• Selected for Innovation in Health Care Expo 2010 under Selected for Innovation in Health Care Expo 2010 under

I i E id B d P tiI i E id B d P tiImproving Evidence Based PracticesImproving Evidence Based Practices•• Nov. 10, 2010, HOPE won Innovation Award. HE Nov. 10, 2010, HOPE won Innovation Award. HE

Received award from Honorable Deb MathewsReceived award from Honorable Deb MathewsReceived award from Honorable Deb MathewsReceived award from Honorable Deb Mathews

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Recognition Plaque & $10,000 grant to promote HOPE in Recognition Plaque & $10,000 grant to promote HOPE in OntarioOntario

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•• Low impact exercises Low impact exercises Y /t i hi/ iY /t i hi/ i

•• ESL classesESL classesC t lC t l•• Yoga/tai chi/qigongYoga/tai chi/qigong

•• Aqua therapyAqua therapy•• Health info sessionsHealth info sessions

•• Computer classesComputer classes•• Creative activitiesCreative activities•• Multicultural eventsMulticultural events•• Health info sessionsHealth info sessions

•• Dental hygiene sessionsDental hygiene sessions•• Falls prevention Falls prevention

•• Multicultural eventsMulticultural events•• Intergenerational Intergenerational

programsprogramsppactivitiesactivities

•• Mental health exercisesMental health exercises•• Mobile library visitsMobile library visits•• OutingsOutings

•• Mobile health clinic Mobile health clinic visitsvisits

•• SocializationSocialization

•• Healthy snacks Healthy snacks •• Free transportationFree transportation

•• SocializationSocialization

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Low impact exerciseLow impact exercise Health checkupHealth checkupLow impact exerciseLow impact exercise Health checkupHealth checkup

Mobile health clinicMobile health clinic Diabetes testing & infoDiabetes testing & info

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Dental hygiene sessionDental hygiene session Dental hygiene practicalDental hygiene practicalDental hygiene sessionDental hygiene session Dental hygiene practicalDental hygiene practical

ESL sessionESL session Mobile library at the programMobile library at the program

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ESL sessionESL session Mobile library at the program Mobile library at the program

Intergenerational activitiesIntergenerational activities Intergenerational computer trainingsIntergenerational computer trainingse ge e a o a ac ese ge e a o a ac es e ge e a o a co pu e a gse ge e a o a co pu e a gs

Multicultural eventsMulticultural events Seniors diversity eventsSeniors diversity events

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Multicultural eventsMulticultural events Seniors diversity events Seniors diversity events

C i li fC i li f C i li fC i li fCaregivers reliefCaregivers relief Caregivers reliefCaregivers relief

VolunteersVolunteersCaregivers reliefCaregivers relief

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VolunteersVolunteersCaregivers reliefCaregivers relief

Celebrating national eventsCelebrating national eventsOutingsOutings

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Celebrating national eventsCelebrating national eventsOutingsOutings

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Sessions, Exercises 2005 2006 2007 2008 2009 2010

Number of weekly programs delivered 36 44 124 215 295 404Number of weekly programs delivered (indoor+outdoor+computers+intergenerational 2010)

36 44 124 215 295 404

Speakers from other organizations 14 12 29 63 101 48

Speakers from health & wellness promotion organizations 9 10 20 41 78 25Speakers from health & wellness promotion organizations 9 10 20 41 78 25

Other general info (legal, safety, settlement, benefits, etc.) 5 2 9 22 23 23

Fitness Exercises / Yoga/Taichi/QiGong 26 36 66 143 240 237

Specialized Mental Health Exercise sessions - - - - - 41

ESL 10 22 44 44 72 95Computer trainings (internet, email) 1 0 0 13 22 66p g ( , )

Intergenerational sessions/meetings - - - - - 36

Outdoor trips/multi cultural events participation 5 7 7 8 10 22

M bil lib i it 3 12 12 13 12Mobile library visits na 3 12 12 13 12

Seniors visits 1080 2426 3604 7420 11149 12300

Volunteer transport units 1002 1989 3743 8566 12330 11068

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•• Established in 1980 by a caring group of YR residents as Established in 1980 by a caring group of YR residents as a nota not--forfor--profit charitable organization, to assist local profit charitable organization, to assist local p gp gseniors in maintaining an independent lifestyle.seniors in maintaining an independent lifestyle.

•• Today, CHATS enhances the health, wellness and Today, CHATS enhances the health, wellness and independence of more than 6 300 YR and Bradford independence of more than 6 300 YR and Bradford independence of more than 6,300 YR and Bradford independence of more than 6,300 YR and Bradford West West GwillimburyGwillimbury seniors and caregivers each year, seniors and caregivers each year, through a full range of inthrough a full range of in--home & community services .home & community services .CHATS tl h 550 l t d 196 t ffCHATS tl h 550 l t d 196 t ff•• CHATS currently has over 550 volunteers and 196 staffCHATS currently has over 550 volunteers and 196 staff

• Our Mission: To support the health and well-being of pp gseniors and caregivers at home and in the community.

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• CHATS and HE complement each other – 30 years of experience delivering services with their experience and k l d f di itiknowledge of diverse communities

• CHATS is a bridge to funding for newcomer groups• Together we build community capacity by harnessing grass-g y p y y g g

roots volunteer power and cost effective solutions to address needs and gaps

• Mutual education – ours on industry standards and theirs on • Mutual education – ours on industry standards and theirs on community engagement of diverse communities –strengthens our joint approachesAbilit t t th lt l & li i ti d f d d • Ability to meet the cultural & linguistic needs of underserved South Asian seniors in YR

• Developing relationships with key stakeholders• Increase the profile of CHATS in the South Asian community• Co-chair Seniors Services Providers Network

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250

200

100

150

5016 12

0Physician visits in 90 days ED visit in 90 days ED admissions in 90 days

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4343

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•• A selfA self--reliant grassroots initiative delivered with high reliant grassroots initiative delivered with high quality and professional approachquality and professional approach

•• A dynamic program that meets the needs of A dynamic program that meets the needs of community and healthcare systemcommunity and healthcare system

•• Innovative community based healthcare modelInnovative community based healthcare model•• Innovative, community based healthcare modelInnovative, community based healthcare model•• Great partnerships of grassroots and mainstreamGreat partnerships of grassroots and mainstream•• Collaborative model of servicesCollaborative model of servicesCollaborative model of servicesCollaborative model of services•• Ability to handle unexpected exponential growth Ability to handle unexpected exponential growth

challenges through innovation & optimizing resourceschallenges through innovation & optimizing resources•• Implementation of a large community based volunteer Implementation of a large community based volunteer

& transport system (11000& transport system (11000--12000 trips & visits yearly)12000 trips & visits yearly)•• Evidence based healthy outcomesEvidence based healthy outcomes•• Evidence based healthy outcomesEvidence based healthy outcomes•• Investment vs. cost saving ratio Investment vs. cost saving ratio -- $1 spent on prevention $1 spent on prevention

resulted in approx. $3.51 in healthcare savingsresulted in approx. $3.51 in healthcare savingspp $ gpp $ g

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•• Ordinary community members’ commitment to Ordinary community members’ commitment to enhance the quality of life of vulnerable seniors enhance the quality of life of vulnerable seniors

•• A flexible, bottoms up, community centric approachA flexible, bottoms up, community centric approach•• Sense of community ownership and strong trustSense of community ownership and strong trust

bilit t t th i d i ti l f hibilit t t th i d i ti l f hi•• Ability to meet the growing needs in timely fashionAbility to meet the growing needs in timely fashion•• Increased community engagements Increased community engagements •• Mobilization of volunteers community & utilization of Mobilization of volunteers community & utilization of •• Mobilization of volunteers, community & utilization of Mobilization of volunteers, community & utilization of

available resourcesavailable resources

•• Program was featured more than 40 times, in local Program was featured more than 40 times, in local papers, publications, CBC Radio, Rogers TV, Community papers, publications, CBC Radio, Rogers TV, Community channels channels channels channels

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“That some achieve great success, is proof to all that “That some achieve great success, is proof to all that g pg pothers can achieve it as well” others can achieve it as well” -- Abraham LincolnAbraham Lincoln

lf li t i ti d i iti t lf li t i ti d i iti t •• Be self reliant, innovative and initiate necessary Be self reliant, innovative and initiate necessary programs without waiting for others to come and helpprograms without waiting for others to come and help

•• Collaborate and establish right partnershipsCollaborate and establish right partnershipsCollaborate and establish right partnershipsCollaborate and establish right partnerships•• Being small is not always a handicap, one can still Being small is not always a handicap, one can still

achieve a lot!achieve a lot!

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