1. A HEALTHY AND INCLUSIVE COMMUNITY Health Promotion in Community Health Colleen Slater Health Promotion Coordinator Inner South Community Health Service ceslater@ischs.org.au

2. A HEALTHY AND INCLUSIVE COMMUNITY Introduction Background HP at Inner South Community Health Service HP Planning Case studies

3. A HEALTHY AND INCLUSIVE COMMUNITY Community Health Services for disadvantaged and marginalised groups Emphasis on health promotion and prevention Social model of health and principles of Primary Health Care

4. A HEALTHY AND INCLUSIVE COMMUNITY Inner South Community Health Service (ISCHS) Multi-sited agency Wide range of health and community services 245 staff across 5 program areas all contributing to Health Promotion

5. A HEALTHY AND INCLUSIVE COMMUNITY ISCHS Vision A healthy and inclusive community ….innovative and targeted services ….ensure inclusion of members of the community who are marginalised and at highest risk of poor health….

6. A HEALTHY AND INCLUSIVE COMMUNITY HP at ISCHS Key Priority area in 2005- 2008 ISCHS Strategic Plan Responsive and Proactive Health Promotion HP policy – all programs and staff commit to health promotion

7. A HEALTHY AND INCLUSIVE COMMUNITY HP Principles Address the broader determinants of health Base activities on best available data and evidence Act to reduce social inequities and injustice Emphasise active consumer and community participation Empower individuals and communities Explicitly consider difference in gender and culture Foster intersectorial collaboration

8. The Ottawa Charter and the DHS intervention types DHS intervention types Screening & risk factor assessment and immunisation Health education and skills development Social Marketing and Health Information Community action (for social and environmental change) Settings and supportive environments Ottawa Charter for Health Promotion Develop Personal SkillsStrengthen Community Action Reorient health services Build Healthy Public Policies Create Supportive Environments Focus Downstream Individual focus Upstream Population focus

9. A HEALTHY AND INCLUSIVE COMMUNITY Health Promotion at ISCHS Resources –Health Promotion Coordinator –Health Promotion Working Group –QIPPS - online planning program Planned vs. opportunistic HP

10. A HEALTHY AND INCLUSIVE COMMUNITY HP Planning Priority setting process –Physical Activity –Food Security and Nutrition –Social Inclusion –Freedom from discrimination & violence Organisational goals and objectives developed for each priority area

11. A HEALTHY AND INCLUSIVE COMMUNITY HP Planning cont. Annual Planning process –Develop strategies to meet HP goals HP Planning at multiple levels –Program/team –Site –Cross-organisational

12. A HEALTHY AND INCLUSIVE COMMUNITY Integrating into practice Mental Health Program – awareness among program staff regarding physical activity –Clients very low PA levels –Health promotion initiative aiming to Build capacity in case managers Reduce barriers to participation in PA for clients

13. A HEALTHY AND INCLUSIVE COMMUNITY Case study Physical Activity Strategies include: Physical health assessment –physical activity levels Targeted physical activity programs Support to attend/motivate Incidental PA in case management

14. A HEALTHY AND INCLUSIVE COMMUNITY Food Security and Nutrition …a nutritiously adequate, culturally acceptable diet through non- emergency sources……. Food security identified as priority area 2003 Broader than nutrition staff awareness

15. A HEALTHY AND INCLUSIVE COMMUNITY Food Security cont. Recommendations for action developed staff capacity to identify and address FS Wide range of strategies –Staff training –Social Marketing - Nutrition Master –Screening –Modelling nutritious foods at events

16. A HEALTHY AND INCLUSIVE COMMUNITY Conclusion Primary care services provide great opportunity to incorporate HP into practice HP needs to be a mix of upstream and downstream strategies Need organisational structure and processes to support this.

17. A HEALTHY AND INCLUSIVE COMMUNITY Thank you Any questions? Colleen Slater Health Promotion Coordinator Inner South Community Health Service Ph: 03 9525 1300 ceslater@ischs.org.au