1. The Hub and Spoke Approach
Mayor Danny Breen
The City of St. John’s

2. The St. John’s Context Importance of Early Intervention
Shared Recognition: Importance of Healthy Communities
St. John’s – poor health and disease rates
Children: increasing mental health issues
1 in 4 seniors, mental health issues, illness
Social Isolation
Importance of Early Intervention

3. The Hub and Spoke Approach
City of St. John’s can play a role in bringing together all the partners working on this critical issue:
Facilitate and Negotiate
Fundamental Change is Possible

4. Dr. Trevor Hancock facilitating Northeast Avalon Healthy Communities Forum

6. Healthy Neighbourhoods Inclusion and Accessibility
…housing, food, parks & trails, safety…
Urban Design
… walkability, built environment, planning…
Transportation
…networks, active transport, public…
HEALTHY COMMUNITIES
St. John’s
Inclusion and Accessibility
…mental health, social connection, engagement…
Environment
… protection, open space, interaction…

7. The Fentanyl Issue
As the Fentanyl crisis looms large across the entire country, the City of St. John’s has been at the table, bringing together all the parties with a stake in addressing the issue Working Group includes: police, government, health authorities, front line advocacy and support groups, City staff

8. St. Paul’s School Pilot Program

9. St. Paul’s Healthy School Initiative
817 participants
Increased disclosure of mental health issues
Better food choices (McDonald’s Fridays!)
Positive relationships (Anti-bullying)
Youth leadership development
Reduced screen-time
Better coping mechanisms (Mindfullness)

10. Therapeutic Recreation Program
… to enable people to improve their quality of life and optimal health through participation in recreation and leisure.
Partnership: university and health authority
Transitioning individuals
Self-referral

11. The REAL Program Longstanding programs such as the City’s
REAL program can be connected to the
new initiative.
More than 80 youth program providers
26,000 placements

12. Affordable Housing Strategy
Facilitating affordable housing development Managing 454 affordable housing units Building Affordable Housing

14. Landlord Engagement: One Story
“Make no mistake, we’ve had some nightmares with supportive housing tenants. No system is perfect and some people have greater challenges than others. For a landlord that could mean greater risks, but the organizations working with the tenants have expectations and guidelines for their clients and do their best to give whatever kind of support is needed ... “…the rent is always on time, the organization is there for support and by working with them we’ve gotten to the stage of having buildings with long term compatible tenants. That is a good thing.”

15. End Homelessness St. John’s
A community-led, collective impact Board founded in Develops & implements the community’s current $8.27M, plan to prevent & end homelessness. City a founding partner. Funding from all levels of government. Plan is based on ‘Housing First’ principles: providing housing & supports without pre-conditions.

19. Front Step – Housing & supports
Delivered by community partners.
Since 2016, Front Step has housed 88 individuals, 84% of whom identify as having mental health issues
…like Isabelle

20. Breaking Down Silos and Isolation
The city, as hub, connects our partners through us and to one another in a way that feeds information, ideas, experience, and expertise - not only to us. but to one another.
By working this way, we avoid real and artificial silos.