Healthy Living in the North

Orange Shirt Day

Two women dressed in orange

Marking Orange Shirt Day in Kitsumkalum.

I was honoured to be invited to Kitsumkalum’s Orange Shirt Day by Charlene Webb, the community health director. Although I got to wear a beautiful locally designed orange shirt, enjoy yummy orange food, and visit with many people, this event has a sad undertone.

What is Orange Shirt Day?

September 29th is Orange Shirt Day – a day of remembrance and recognition of residential school survivors and those who did not survive.

It is a day each year to acknowledge the harm done by the residential school system to children’s self-esteem and well-being and to remember that every child matters. Orange Shirt Day grew out of Phyllis’ story. In 1973, when she was 6 years old, Phyllis attended the Mission school. On her first day of school, her clothes (including a special, brand new, shiny orange shirt) were taken from her and replaced with a uniform. Orange Shirt Day is an annual opportunity to engage in a discussion on all aspects of the residential school system.

Residential schools

September is when children go back to school and it is therefore timely to remember the Indigenous children in Canada who were taken from their families and travelled long distances to attend residential schools. Instead of being nurtured and supported, many suffered emotional, physical, and sexual abuse there.

Residential schools are a dark part of Canadian history that make me very sad. As a 6th generation Canadian white woman with First Nations children, I have struggled with this part of Canada’s history. I first learned about residential schools when I was pregnant with my first child. I was devastated that such a thing could happen. As a parent, I cannot imagine a more heart wrenching and devastating experience than having my children forcibly removed and taken far away where I cannot protect them or care for them.

Woman wearing "Every Child Matters" shirt

Orange Shirt Day is a day each year to acknowledge the harm done by the residential school system to children’s self-esteem and well-being and to remember that every child matters.

Learning more

As hard as it is, we need to acknowledge that this tragedy occurred and learn more about it so that it never happens again. I encourage you to explore several resources:

Cultural humility

Part of healing from this difficult history in Canada involves all of us developing our cultural humility – our ability to be respectful, self-aware, and lifelong learners when it comes to the experiences of others.

I encourage you to join me and participate in the First Nations Health Authority social media campaign to engage all of us in advancing cultural safety and humility in the health system. In my daily life, I strive to do my part to help create an environment in Northern Health where people feel safe from racism and discrimination. Make a pledge today and share it on social media. Together we can make a difference.

Victoria Carter

About Victoria Carter

Victoria works in Northern Health's Aboriginal health program as the lead for engagement and integration. She is an adopted member of the Nisga’a nation and was given the name “Nox Aama Goot” which means “mother of good heart.” In her work she sees herself as an ally working together with Aboriginal people across the north to improve access to quality health care. She keeps herself well by honouring the mental, emotional, physical and spiritual aspects of her life through spending time with her friends and family, being in nature and working on her own personal growth.

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Sharing of cultural practices in health care transitions

“I can’t emphasize how important it is for health care professionals to take the lead in asking these questions (about cultural practices), in peeling back the layers of assumptions, and finding out specifically how we can assist and make any transition smoother. Things will go better if those questions are asked right away and then I’ve always found when that happens, those questions are met with relief almost and answers are immediate” -Coco Miller, Kitselas, Tsimshian Nation

Young boy carrying drum

A young drummer at a video launch event in Kitselas.

The Terrace/Kitimat and Area Aboriginal Health Improvement Committee (AHIC) is pleased to launch two videos that share information for health care providers about the Tsimshian, Tahltan, Haisla, Gitxsan, and Nisga’a peoples’ cultural practices and how they impact their health care needs.

In 2014-2016, Aboriginal Health provided financial support for each of the eight AHICs in the north to develop local cultural resources. Development of these resources was guided by the question: “If I were a new health care provider in Northern Health, what you would want me to know?”

The Terrace/Kitimat and Area AHIC produced the following videos which focus on cultural practices for important life transitions:

These videos cover important topics relevant for life events that often take place in the health system including:

  • the importance of families gathering and being together,
  • the cultural roles of the family,
  • the diversity of practices among families and Nations,
  • how Northern Health staff can support families and their cultural practices, and
  • the importance of communication between the patient/family and care providers.

“I think it’s very important to have family there and friends to be around us to support us, pray for us. They are there to feed us. Especially for the young ones to be there to witness what we have to go through during the time of a death. It’s very important for them to know how we feel and see the experience.” -Roberta Grant, Haisla Nation

Group of six adults with gift bags.

Celebrating the launch of the AHIC videos in Kitselas.

“The Grandmother comes to visit and is in the delivery room also. She will take the baby and examine the baby to look for any recognizable birth marks on the baby because, in our belief, our family comes back through reincarnation. An aunt of the father also needs to be in the delivery room because we have her role to be to cut the umbilical cord because this signifies their role as the father clan. The child is no longer just belonging to the mother’s family (the maternal family) but the child also belongs to the paternal family.” -Verna Howard, Gitxsan/Wet’suwet’en Nation

I encourage you to take a few minutes to watch these videos and share them with others. The information contained in these videos is an amazing gift from the Tsimshian, Tahltan, Haisla, Gitxsan and Nisǥa’a peoples.

I hope the videos inspire all of us to continue collaborating and learning and that you find them helpful in your life and your work.

If you have any questions or would like to learn more, I encourage you to contact Lloyd McDames, the Aboriginal Patient Liaison in Terrace.

Another way to develop your understanding of First Nations and Aboriginal peoples is the San’yas Indigenous Cultural Safety Training, an online course by the Provincial Health Services Authority.

Find more work done by the AHICs from across the north in this booklet of local cultural resources.

 

Cultural practices around birth

Cultural practices around illness and death

Jonathan Cooper

About Jonathan Cooper

Jonathan Cooper is the Health Service Administrator for Kitimat. His role includes many aspects of health care responsibilities for acute, complex care and community services in Kitimat. Jonathan has been in this role approaching 8 years, during which time he has been actively participating in many health committees, including the Terrace, Kitimat & Region Aboriginal Health Improvement Committee. Jonathan immigrated to Canada from the United Kingdom where he worked for the National Health Service. Jonathan enjoys outdoor pursuits, cooking, reading, and spending time with his family and children.

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Partnering to make nature more accessible

Northern Health’s IMAGINE Community Grants provide funding to a variety of groups with projects that make northern communities healthier. Our hope is that these innovative projects inspire healthy community actions where you live! Check out the story below and read more IMAGINE Community Grant stories.


People on nature trail

Access North Days encouraged seniors, residents, tourists, and the general public – particularly those with mobility issues – to come out and experience universally accessible outdoor recreation opportunities such as parks, trails, and regional attractions.

This past July, I had the pleasure of attending the grand opening of the expanded Great-West Life Mobility Trail, located at the Tabor Mountain Recreation Society (TMRS) Dougherty Creek Trail, just south of Prince George. The event was hosted by the Tabor Mountain Recreation Society and Spinal Cord Injury BC to coincide with Spinal Cord Injury BC’s Access North Day. The IMAGINE grants program has partnered with both of these groups doing great things to support universal access to outdoor recreation in our region.

During the grand opening event, there were a number of people in wheelchairs or with walking supports who were able to enjoy the trail with their family and friends. They could access all parts of the trail without any obstacles. It was great to see everyone enjoying nature on such a beautiful trail!

Who’s involved?

  • TMRS is a not-for-profit organization made up of volunteers who are dedicated to the maintenance and growth of Tabor Mountain as a recreational facility for everyone to enjoy. Eight local and provincial recreational clubs are also society members. They are users of the trails and have a vested interest in the protection and maintenance of the area. TMRS received an IMAGINE Legacy grant in 2015 to support the purchase of marketing and promotion supplies to promote the amazing outdoor trail network and opportunities that this group of volunteers have been working on.

“The Great-West Life Mobility Nature Trail was created for seniors and mobility challenged individuals to experience the great outdoors in a safe and friendly environment … The exposure to the community and visitors to the community through our strategy of using your grant (IMAGINE) for marketing has created results beyond our expectations.” -Randy Ellenchuk, President, Tabor Mountain Recreation Society.

  • Spinal Cord Injury BC (SCI BC) helps people with spinal cord injury and related physical disabilities adjust, adapt, and thrive as they deal with a new injury or struggle with the ongoing challenges of living and aging with a disability. SCI BC received an IMAGINE grant this past spring to support Access North Day celebrations taking place throughout the north. The purpose of the events was to encourage seniors, residents, tourists, and the general public – particularly those with mobility issues – to come out and experience universally accessible outdoor recreation opportunities such as parks, trails, and regional attractions. Another focus of the project was to build capacity through networking and sharing knowledge about universal design and accessibility, which is why the partnership with Tabor Mountain Recreation Society proved to be an excellent match!

A trail accessible for everyone

Fast forward to our recent Thanksgiving long weekend and I took the opportunity to visit the Dougherty Creek Trail again.

This time, I brought my mom and our dogs for the walk and it was just as great as the first time I had visited! For my mom, who has a chronic disease and cannot walk trails that have even minor elevation changes, this one is perfect for her. The walking paths are very smooth and flat, and there are a number of benches, picnic tables, and gazebos along the way. It really is accessible for everyone and it’s a bonus that it can accommodate our furry friends.

I should also mention that a fun feature to the trail is the many little figures and gnomes that are hidden along the trail paths to find. We actually went around twice and noticed different items each time!

As Northern Health’s lead for community granting, being invited to attend community events or visit project locations is one of the best parts of my role. Seeing the impact of the IMAGINE funds at the community level and watching project ideas grow into these great initiatives really makes me happy to be part of this work. I feel like this story is especially wonderful to share because it shows what can be done through the power of community partnerships and when groups are committed to work together to achieve common goals that will improve the health of the community.

Keep your eye on both of these organizations – I bet they have more ideas planned for our region!

What can you do to improve the health of your community and who can you partner with to make it happen?


IMAGINE Community Grants provide funding to community organizations, service agencies, First Nations bands and organizations, schools, municipalities, regional districts, not-for-profits, and other partners with projects that make northern communities healthier. We are looking for applications that will support our efforts to prevent chronic disease and injury, and improve overall well-being in our communities. The deadline for the next cycle of IMAGINE Community Grants is October 31, 2016.

Mandy Levesque

About Mandy Levesque

Mandy Levesque is Northern Health’s Lead, Healthy Community Development, Integrated Community Granting. Born and raised in northern Manitoba, Mandy and her family moved to Prince George in 2013. Mandy has a background in public health and health promotion and is a graduate of the University of Saskatchewan. She is passionate about innovation and quality, empowering northern populations, and promoting health and wellness across communities. In her spare time, Mandy enjoys spending time with her family and stays active by taking in the exciting activities, trails, and events northern B.C. has to offer.

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“The village helped to raise our child”: A Smithers family reflects

Young man sitting in a restaurant wearing a Sport Chek uniform

With the support of a microboard and various community members, Jesse recently joined the workforce in Smithers.

When you walk into Sport Chek in Smithers and see Jesse Clegg unpacking garments and hanging gear, you may not realize the significance of that moment.

You may not realize the number of people, programs, time, and advocacy that created that moment. You may not realize that moment wouldn’t have been possible just ten years ago, or that it shines a light on some ongoing challenges facing families. You may not realize that what you’re seeing is a powerful example of a healthy family supported by a healthy community.

And this is exactly why Jesse’s story is so important to share.

“When you have a child with a disability,” said Anita Clegg, Jesse’s mother, “there are no days off.” Jesse, now 21 years old, was born and raised in Smithers. Jesse has Down syndrome and, throughout his life, the Clegg family was committed to breaking ground in the community. “We put ourselves and Jesse out there,” shared Anita, “because it was important for us to show that everyone has abilities. As people learn more and connect with Jesse, we’ve seen shifts in thinking.”

When Anita says that “the village helped to raise our child,” this is not a cliché. While Jesse’s parents continue to assume a strong advocacy role, the impact of community members, organizations, and businesses on Jesse’s life is profound.

Consider the local bowling alley …

“Anything round that moved, Jesse was on it!” said Anita. “So bowling was a good fit. Jesse couldn’t start with Special Olympics until he was a teenager so, when he was 10, we asked about joining the town league. The bowling alley was very supportive and Jesse joined a team with typical kids. One year, he was the high scorer for the teen youth league! Jesse still loves to bowl and the bowling alley is a safe, welcoming, and familiar place for him.”

… and the pediatrician …

“Our pediatrician truly went to bat for Jesse. He understood Jesse’s needs, made connections that others wouldn’t have made, and helped to advocate for Jesse from birth right until he turned 18.”

Young man holding a wrench

In addition to being an artist and photographer, Jesse has taken up industrial iron furniture making.

… and the family friend …

“Safe and reliable respite is so important for families,” shared Anita. “We were very fortunate to have a family friend offer to take Jesse one day each week, starting in his last year of high school. They started out by just playing cards with me around but now they spend the afternoon together. Jesse has dinner with her family.”

… and the local business owner …

“Jesse is now in the workforce,” said Anita, “and that involved a lot of people coming together. It was a lengthy process but well worth it! When we told Jesse that the employment plan was going to be possible, his exact words were: ‘Everything is perfect!’ This process started with Jesse’s microboard (nine family members and community members) working with Jesse to create a picture of his skills, interests, and strengths. Jesse shared that he’d love to work at Sport Chek – which came out of the blue to us since he’d never been there! Our local WorkBC office asked the manager if they’d be interested in a supportive employment opportunity. The manager instantly said yes and went even further, integrating Jesse as a full team member, without a support person. His colleagues trained him and have been fantastic – many of them knew Jesse from school.”

Young man sanding stool top.

Jesse puts the finishing touches on a bar stool he built.

These supportive community experiences, however, also point to some of the challenges that Jesse’s story illuminates:

  • Access to health and social services is an important determinant of health. Unfortunately, Jesse’s pediatrician – whose role cannot be understated – recently retired. Anita identified this, along with some other changes to local social service delivery, as a challenge.
  • Respite for families is crucial. The Cleggs benefited from the generosity and support of their friend. Unfortunately, Anita shares that funding for organized respite and semi-independent housing for young adults with disabilities is being spread thinner and thinner.
  • Jesse’s new work life is a fine example of how integration has made a huge difference for him. This hasn’t always been the case. As Jesse made his way through the school system, the Cleggs experienced both integration and segregation, often changing based on policy and funding. They chose to home-school Jesse for a period of time when the school system was unable to meet his needs.

What does this boil down to for Anita Clegg?

“Smithers is a wonderful place and an amazingly generous community. My son knows way more people than I do,” she laughed, “and people watch out for him. There are just a few missing pieces, especially for some of the day-to-day, nitty-gritty challenges of raising a child with a disability.”

Concepts like healthy and inclusive communities can be hard to define, but in Jesse’s case, they are clear and their impact is profound. It’s the friend offering respite, the welcoming bowling team, and the local business eager to offer him work.


This article first appeared in Healthier You magazine. Find the original story and lots of other information about accessibility in the Fall 2016 issue:

 

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog.

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Preventing injury with IMAGINE grants

This article was co-authored by Mandy Levesque and Denise Foucher.


Students touching jello brain

What would an injury prevention project look like in your community?

With the recent launch of the IMAGINE Community Grants offering funding up to $5,000, the time is right to take action to promote health and improve the well-being of our northern residents.

Injury prevention is one of the health promotion priorities we want to see as a project focus when the grant applications come in (deadline is October 31, 2016) and is definitely one way to ensure northern residents can stay healthy.

What injury prevention project idea would benefit your community?

Did you know that most injuries are preventable? Injuries are not “accidents.” They happen in similar, predictable patterns and as many as 90% of injuries can be prevented.

In B.C., preventable injuries that happen:

  • On the road,
  • From falling,
  • In or near water, and
  • From ATVs

are among the leading causes of death and hospitalization across all age groups. Those numbers are even higher among northern B.C. residents.

So, what does an injury prevention focused IMAGINE grant application actually look like?

Longboarders

IMAGINE in Prince Rupert supported safe longboarding. What types of injury prevention needs are there where you live?

Get inspired by these great ideas:

Water safety:

  • Host teen water safety swim nights at the local pool
  • Organize a Life Jacket Fashion Show

Falls prevention:

  • Get the gear for floor curling in community centres
  • Promote sidewalk safety in slippery winter conditions (e.g., install boxes with sand/grit and scoops) (more on falls prevention from FindingBalanceBC.ca)

Road safety:

  • Conduct a walkability assessment and look to make changes for safety (more on walkability from WalkBC.ca and HASTe)

Mental wellness:

IMAGINE grants support partnerships and build capacity, and create an opportunity to build lasting change in your community. Get your exciting injury prevention project applications in by October 31, 2016.

Injury prevention infographic


IMAGINE Community Grants provide funding to community organizations, service agencies, First Nations bands and organizations, schools, municipalities, regional districts, not-for-profits, and other partners with projects that make northern communities healthier. We are looking for applications that will support our efforts to prevent chronic disease and injury, and improve overall well-being in our communities.

Denise Foucher

About Denise Foucher

Denise is an injury prevention coordinator with Northern Health’s population health team and is passionate about working towards health and wellness for everyone in Northern B.C. When not at work, Denise can be found out at the lake, walking her dog, planning her next travel adventure, or snuggled in a cozy chair with a good book.

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Bringing out the best: Breastfeeding, the World Health Organization and Quesnel

Mothers seated on couch breastfeeding infants.

Breastfeeding moms and babies at Quesnel Quintessence Breastfeeding Challenge in October 2015.

Living in one of northern B.C.’s smaller communities, you may not expect to be able to access globally-recognized, high quality training opportunities for free, right on your own doorstep. Yet this is exactly what a very successful initiative in Quesnel has been able to do.

The Baby Friendly Advisory Committee (BFAC) worked to successfully increase rates of initiation for breastfeeding at GR Baker Memorial Hospital in Quesnel. They recently widened their focus to increasing breastfeeding duration support in the community.

Benefits of breastfeeding

The benefits of breastfeeding exclusively for the first six months of life are well researched, with numerous health benefits for mother and baby. The goal is to increase the number of babies who are exclusively breastfed for the first six months of life (as recommended by Health Canada). Exclusive means that they receive nothing but breast milk until they are six months old (i.e., no solid foods, no water or breast milk substitutes) unless it is medically necessary. In order to meet this goal, the Baby Friendly Advisory Committee felt it was important to engage the community to support breastfeeding mothers. So, in November 2015, they offered a three day training using the World Health Organization breastfeeding course –a required course for every maternity nurse.

Breastfeeding course

The three day course was held at the Quesnel & District Child Development Centre –a child-friendly space. “The room had couches and tables and a kitchen for the participants – which included five breastfeeding moms as well as eight interested service providers,” says Bev Barr, Pregnancy Outreach Program Coordinator and BFAC co-chair, who was tasked with coordinating this initiative. “It was originally planned for April but we decided to postpone until November and commit to advertising and promotion.”

The group was determined to address potential barriers that are unique to breastfeeding moms. The final plan, in order to make the training accessible, included making the course free, choosing a location with free parking, making sure healthy lunches and refreshments were provided and – of most importance – ensuring child care arrangements for breastfeeding moms were in place. As a result, the final group included five breastfeeding moms among the attendees. “We all learned about breastfeeding while holding babies.”

“We had no idea how this would go,” says Bev, “and I was incredibly overwhelmed at how positive the response was, especially during that first day because of the high level of technical information. That day is very medically-focused, covering the physiology of breastfeeding, the nutritional composition of breast milk, and the health benefits to mother and baby. The next two days look at more practical issues and problem solving. The participants loved it all! At the end of the first day, they were talking about how much they hadn’t known and how much more they wanted to know.”

“What we have now is a well-informed and knowledgeable cohort who can support success in initiation and duration of exclusive breastfeeding in the community. Already we have heard three service providers say they are using the information in every visit. The course, in some ways, is bringing back networks of breastfeeding support that used to exist in many families and communities. It’s vital we have this capacity and knowledge in the community.”

Breastfeeding mother

Breastfeeding course participant Dawn Giesbrecht feeds baby Oliver.

Population health approach

It strikes me, as I reflect on my conversation with Bev, that this small, impactful project exemplifies some of the most important principles of Northern Health’s population health approach. The population health approach argues we need to get “upstream” on the river of diseases and causes of poor health in northern B.C. That is, addressing risk factors before they cause ill health is preferable to treating symptoms later on.

What are the principles shown by the BFAC project?

Do it right, not fast was obvious in the decision to wait and build readiness and interest in the audience group. Share what you have to offer and let the group do the work was evident in the willingness to offer a top-flight training opportunity and trust the group to rise to the occasion.

Understanding and addressing the specific barriers to participation that are unique to the group is also key. In this case, providing food, free parking, comfy chairs and a willingness to have babies in the room addressed a set of barriers that can exclude nursing mothers. Capitalizing on the passion and knowledge professionals can bring was also prominent in this work.

Partnership and collaboration were integral. In Quesnel, Northern Health was present in the room with professional expertise and insights and with concrete supports that addressed barriers to participation. At same time, Northern Health was sitting alongside its community members, learning with the community. Learning together is a way to build strong relationships and new connections that strengthen capacity to address issues of local importance.

Underscoring this, of course, is the passionate commitment of the working group who have dedicated years of service to supporting breastfeeding best practices in Quesnel. The BFAC is collaborative and includes representation from a number of individuals and groups. These torchbearers have lit a fire under the participants. The only request of participants was that they would commit to sharing their new knowledge and implement it in their own personal and professional circles. Many are now inspired and seeking additional training because of this opportunity.

The enthusiastic response of the participants to the training and their willingness to work with the new knowledge has given Quesnel a new and strong cadre of breastfeeding champions. The project also points the way to success. In a quiet and unassuming way, Northern Health professionals showed that partnership and population health are important parts of the good work in and by community to improve the health of northerners.


  • Do you have a breastfeeding story or experience to share? Tell us what breastfeeding means to you, your family, and your community by entering Northern Health’s World Breastfeeding Week contest before October 7!
  • This work was supported in part by an IMAGINE Community Grant. IMAGINE grants provide funding to community organizations, service agencies, First Nations bands and organizations, schools, municipalities, regional districts, not-for-profits, and other partners with projects that make northern communities healthier. We are looking for applications that will support our efforts to prevent chronic disease and injury, and improve overall well-being in our communities.
  • Read more IMAGINE Community Grant stories.
  • This article first appeared in Healthier You magazine. Find the original story in the Spring 2016 issue:

Theresa Healy

About Theresa Healy

Theresa is the regional manager for healthy community development with Northern Health’s population health team and is passionate about the capacity of individuals, families and communities across northern B.C. to be partners in health and wellness. As part of her own health and wellness plan, she has taken up running and, more recently, weight lifting. She is also a “new-bee” bee-keeper and a devoted new grandmother. Theresa is an avid historian, writer and researcher who also holds an adjunct appointment at UNBC that allows her to pursue her other passionate love - teaching.

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Building spaces where everyone can play

Playground

Healthy community projects don’t happen overnight. Quesnel’s first accessible playground – with a grand opening scheduled for September 15, 2016 – provides a blueprint for success.

Brooke and MacKenzie are twin sisters who cannot play together at Quesnel’s playgrounds. While MacKenzie scampers up and down stairs and slides, Brooke’s chase stops the moment her wheelchair gets stuck in the pea gravel. To help the girls play together, Brooke’s parents carry her around the playground.

Brooke and MacKenzie’s situation is hardly unique, and neither is the fact that Quesnel didn’t, until recently, have any accessible playgrounds. Chances are the playground closest to you has pea gravel, steps, ladders, and other features that make it difficult for kids and adults alike to enjoy. Because it’s not just Brooke and MacKenzie who can’t play together. It’s the family with the baby stroller that can’t roll through the gravel to watch their toddler go down the slide; it’s the grandparents with walkers who are left watching grandkids from afar when a ledge gets in the way; it’s the children with leg braces who can only look on as their friends race over traditionally uneven surfaces.

But this is all about to change in Quesnel and, as it turns out, the answer to the question, “how can Brooke and MacKenzie play together?” provides a valuable blueprint of how a healthy community project can take shape in your town.

Two people assembling playground equipment.

The Quesnel Accessible Playground was a project four years in the making for Sandy Meidlinger (right), who was involved in the project team that made it happen.

Fresh from the excitement of a long-awaited playground build event on May 28, 2016, I chatted with Sandy Meidlinger with the Quesnel & District Child Development Centre, who tells the story from here:

This project started in 2012 when Brooke and MacKenzie’s mom came to me and asked for help to get an accessible playground built in Quesnel. I’m a member of the Parent Child Resource Team (a group of service providers and parents) and we agreed this would be a valuable long-term project for us to take on. Having a team was crucial! Our committee included parents, health care professionals, local agencies, government and school district representatives, and others.

When we asked community members for letters of support for this project, the response was overwhelming! Why? Until now, there was no playground in Quesnel accessible to people with mobility needs. I’m talking baby strollers, walkers, leg braces, scooters, and more. In Quesnel alone, there are over 100 children who, because of complex developmental profiles, can’t participate in many play activities on typical playgrounds. These kids are cut off from a typical family activity of playing at the park. An accessible playground increases physical activity levels for everyone, promotes inclusive family enjoyment, and helps children with mobility issues develop independence.

Volunteers assembling playground

On the day of the build, 25 volunteers and professionals came together to assemble the park.

Our first step was to present to the City of Quesnel and Cariboo Regional District joint planning committee. Both groups agreed in principle to support the idea. Connecting with government early was key to getting support for things later in the process like ongoing playground inspection and maintenance. There’s a wonderful legacy component to this project, too, as the city has committed to incorporating accessible aspects into all future park updates.

With government support in place, we looked for a location. The Quesnel & District Arts & Recreation Centre had an old playground in disrepair so we asked about making this the site of the new playground. The Centre and their governing bodies were on board! This location was ideal because it’s central and on a bus route; the Centre will be using the playground daily for inclusive programs; and they offer accessible parking, doors, and washrooms.

Levelling rubber surface.

The recycled rubber surface replaced pea gravel, which is difficult to use for those with mobility needs.

The next step was to research playground developers. We settled on Habitat Systems. They took our ideas and created a design. We then asked therapists, play specialists, parents, and children about the plan; Habitat tweaked the design. The final proposal was about more than just mobility – there are sensory toys, considerations for visual impairments, and other equipment for integrated, inclusive play.

We then started the long and sometimes frustrating work of fundraising. We wrote lots of grant proposals; I presented to local agencies; we wrote letters to local businesses; and we all chatted with anyone interested in accessibility. Our generous community really stepped up! We managed to fundraise over $200,000!

We finally got to the day of the build. About 25 volunteers and professionals spent 13 hours assembling the park. The recycled rubber surface was poured the following week. The park is open for use this summer and our grand opening is scheduled for September 15!

It’s hard to believe that it took four years but MacKenzie and Brooke – and hundreds of other Quesnel residents – are now able to play together! We now have a space where everyone can play.


The Quesnel Accessible Playground is still fundraising for its last few pieces. To support this project with a tax-deductible donation, contact Sandy Meidlinger at the Quesnel & District Child Development Centre: 250-992-2481, SandyM@QuesnelCDC.com

For project photos and a list of donors, visit the Quesnel Accessible Playground on Facebook.


This article first appeared in Healthier You magazine. Find the original story and lots of other information about accessibility in the Fall 2016 issue:

 

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog.

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“A gateway to many opportunities for Elders”: The Nadleh Whut’en First Nation Push, Pull, or Drag an Elder program

Northern Health’s IMAGINE Community Grants provide funding to a variety of groups with projects that make northern communities healthier. Our hope is that these innovative projects inspire healthy community actions where you live! Check out the story below and read more IMAGINE Community Grant stories.


The number of people aged 65 or older is growing faster in northern B.C. than it is elsewhere in the province. As you may have noticed on the blog recently, this has made healthy aging a very important focus for all of us!

A key part of Northern Health’s Healthy Aging in the North: Action Plan is to support healthy aging in the community. Older adults enjoy living independently in the community and want to stay there! To make this happen, they need a variety of opportunities to stay active and involved in community life.

Staff supporting elder on a bicycle

The Push, Pull, or Drag an Elder event series has gotten Elders moving, eating healthy, connected, and socializing.

Near Fort Fraser, the Nadleh Whut’en First Nation provides a model to do just that!

With the support of an IMAGINE grant, the Push, Pull, or Drag an Elder event series has gotten Elders moving, eating healthy, connected, and socializing. With some donated space, local expertise, and equipment purchased with an IMAGINE grant, Push, Pull, or Drag an Elder is a great example of how one idea – getting Elders moving at a monthly gathering – can blossom and create so many additional benefits!

What became clear early in the program is that Push, Pull, or Drag an Elder was about more than just getting Elders moving, its original goal. According to Lisa Ketlo with the Nadleh Whut’en First Nation,

This event has accomplished many things: healthy eating, socializing, physical activities, [assessing] health concerns or issues, [and] monitoring wellness of Elders and community members.

For the physical activity component of the project, Nadleh Whut’en “had Elders and community members out walking, using a 3-wheel bike, or using the chair gym. [We] made members realize no matter how old we are, if we don’t use it, we lose it!” According to Ketlo, the program encouraged connections across generations, too, as it “opens the doors for many younger generations to get physically active and take care of their bodies inside and out.” The 3-wheel bike, for example, helped youth test their balance and made some local office workers realize they didn’t do enough physical activity! The Push, Pull, or Drag an Elder event now regularly sees up to 16 participants ranging in age from 19-81.

Three people walking

Social connections have been a key feature of the Push, Pull, or Drag an Elder project.

In addition to the physical activity benefits, Ketlo reflected on the impact related to social connectedness – a key piece of healthy aging.

I was shocked with some members who attended Push, Pull, or Drag an Elder. Some of these Elders never leave their home and now look forward to attending the event. I also see them at more community events and socializing with others […] Elders get to be involved with community events and not isolated at home. We had one Elder [who had been] isolated and depressed at home. Since she began attending Push, Pull, or Drag an Elder, she has been going out to more community events and going out to shop for herself!

Push, Pull, or Drag an Elder is not just about connecting Elders with one another and with youth in the community. The program also let Elders connect directly with health care professionals in a non-medical setting, which was huge!

This event has opened many doors for the community members, frontline workers, and nurses […] The members involved with the event are able to socialize with community members and frontline workers – to have someone to talk to and not be judged. When trust comes into play, then Elders will open and share any health, financial, or abuse issues – or just to admit they are unable to do tasks they once were able to achieve and ask for help […] We are able to visit with Elders and members with health issues, the nurse is able to monitor members with any health concerns or catch any signs of health issues arising […] To have community nurse on site really helps her to build trust with Elders. They are more willing to do blood pressure, sugar testing, [and discuss] any issues they have developed and what medication they are taking and how important it is to take medication […] We achieved goals [we weren’t] able to achieve before, like getting blood pressure, blood sugar, and pulse [measurements] on a regular basis.

Ketlo believes that Push, Pull, or Drag an Elder can be re-created by others. For Nadleh Whut’en, the IMAGINE grant provided funds for various pieces of equipment to support safe and healthy physical activity: runners, umbrellas (for shade in the summer), 3-wheel bikes, chair gym equipment, weights, snowshoes, ice grippers, high-visibility vests, and more!

Elder on a tricycle

“This grant is a gateway to many opportunities for Elders and community members through physical activities.” What kind of gateway to health can you create in your community?

Ketlo has a few suggestions for other communities looking to initiate a similar program:

  • Feed guests and visitors! By providing healthy snacks and drinks, more community members were encouraged to take part and the event was able to teach Elders and all participants about the importance of healthy eating and drinking.
  • Never hold an event for Elders on Old Age Pension day! The very first Push, Pull, or Drag an Elder event took place on pension day and only one participant attended.
  • Involve local experts. Push, Pull, or Drag an Elder benefited from the expertise of a physical therapist able to suggest appropriate exercises and resources for Elders.
  • Meet people where they’re at. Many Elders at the community event were much more open to getting a checkup from the local nurse than they would be at the Health Centre.

Ketlo sums up the impact of the IMAGINE grant, the Push, Pull, or Drag an Elder program, and healthy aging work in this way:

This grant is a gateway to many opportunities for Elders and community members through physical activities.

What kind of gateway to healthy living can you create in your community?


IMAGINE Community Grants provide funding to community organizations, service agencies, First Nations bands and organizations, schools, municipalities, regional districts, not-for-profits, and other partners with projects that make northern communities healthier. We are looking for applications that will support our efforts to prevent chronic disease and injury, and improve overall well-being in our communities. The next call out for IMAGINE Community Grants will be September 19, 2016.

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog.

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“Our solution was the boardwalk”: How a local hiking group provided everyone with the opportunity to enjoy a natural wonder

Man carrying plank

Volunteer Mitch Olineck carries a boardwalk plank.

One of the things that northern B.C. residents commonly appreciate about living in this area is our close proximity and easy access to nature and outdoor activities, like skiing, camping and hiking.

Unfortunately, this “easy access” doesn’t always extend to everyone and truly experiencing nature can be a difficult, even impossible, task for some. This is why the Prince George hiking club, the Caledonia Ramblers, undertook the ambitious project of building a universal boardwalk for the Ancient Forest, a popular trail system 113 km east of Prince George that features huge ancient cedar trees that are protected as part of B.C.’s rare inland rainforest.

“There has to be an equal playing field for all our citizens,” said Nowell Senior, Caledonia Ramblers President, “so all citizens have an opportunity to live a wholesome, inclusive life.”

Senior has been president of the hiking club for eight years and was a member for 10 years before that. He has seen the boardwalk, as well as the original Ancient Forest trail, come alive from initial idea through to extensive planning and final development.

Four hikers at trail entrance.

Hikers (from left to right) Nowell Senior, Gwen and Bjorn Norheim, and Don Austin at the entrance to the universal boardwalk.

The idea for the Ancient Forest nature loop trail was conjured up 10 years ago and was built in a six week period over the summer of 2006. The Ramblers knew the area was beautiful, with its unique stands of large, ancient cedar, but Senior and the hiking club never anticipated just how popular it would become.

“Each year, more and more people were coming out to the nature trail,” said Senior. “When we realized just how popular the Ancient Forest trail had become, we were aware of those in our community who could not have that experience, and our solution was the boardwalk.”

So, in 2010, the club began exploring the idea of the universal boardwalk and approached local and provincial sponsors. The response was “completely supportive and positive,” said Senior. The 450 metre boardwalk that would provide full access to the Ancient Forest would become a reality.

The project came to fruition thanks to the contributions of many generous sponsors and 200 volunteers. The volunteers helped to build and even carried a total of 60 tons of lumber (by hand!) from the parking lot to the furthest point of the eventual boardwalk (in order to have it safely tucked away after delivery).

Four seasons and 6,500 volunteer hours later, the universal boardwalk was completed in the fall of 2013. It is now a separate trail – fully wheelchair accessible with rest areas and benches along the way – that goes to a viewing platform above a stream and provides a lovely view of the cedars. In 2015, the Ancient Forest welcomed over 15,000 visitors, and the boardwalk was renamed the Nowell Senior Universal Boardwalk to recognize his amazing contribution and dedication to the project.

“I think that going out to nature, we get reacquainted with the natural part of our world,” said Senior, on the importance of being active outdoors. “We’re natural beings that depend on nature. We can sometimes become separated from it, and as a result we’re not living as wholesome a life as we could.”

Senior encourages others to look at their communities and find ways to improve their accessibility, whether it’s providing better access to a park or creating a better mobility trail. His advice to get started: “Form a group of like-minded people who feel the same way… Put the idea out to organizations and entities that could be helpful in promoting such a venture.”

Now, Senior says the Ramblers are going forward with more awareness of the need for inclusivity. “I would hope the enthusiasm with which the Caledonia Ramblers have approached providing full access to nature would be contagious and effect more groups to become involved in that work.”


This article first appeared in Healthier You magazine. Find the original story and lots of other information about accessibility in the Fall 2016 issue:

 

Jessica Quinn

About Jessica Quinn

Jessica Quinn is the regional manager of health promotion and community engagement for Northern Health, where she is actively involved in promoting the great work of NH staff to encourage healthy, well and active lifestyles. She also manages NH's social media channels (Facebook, Twitter, Pinterest, etc). When she's not working, Jessica stays active by exploring the beautiful outdoors around Prince George via kayak, hiking boots or snowshoes, and she has recently completed her master's degree in professional communications from Royal Roads University, with a focus on the use of social media in health care.

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In Prince Rupert, it’s not about creating a fancy new program, it’s about tearing down barriers

Northern Health’s IMAGINE Community Grants provide funding to a variety of groups with projects that make northern communities healthier. Our hope is that these innovative projects inspire healthy community actions where you live! Check out the story below and read more IMAGINE Community Grant stories.


Youth group with paddles.

Some youth participants in the Friendship House’s programs. When coordinators looked at their running, hiking, and swimming programs, they identified some barriers that were keeping youth away. With the help of an IMAGINE grant, those barriers have come down.

Northern Health’s recent community consultations and report on child health have centred around one question: What do children and youth need to be healthy in the north?

What has stood out for me following the consultations is how many of us agree that more physical activity and access to low-cost or free recreational opportunities for children and youth support health and an overall sense of wellness.

But what if access (or, rather, lack of access) to supplies, equipment, or basic needs like running shoes or swimwear prevents access to recreational opportunities for children and youth? What can a community do?

The Friendship House Association of Prince Rupert’s Basic Needs for Healthy Choices Project took on this challenge.

The goal of the project was to provide supplies and equipment to youth to encourage increased physical activity and more opportunities for the youth who took part in programming at the Friendship House. What I especially like about this project is how it looks at addressing a healthy living challenge (low physical activity rates) by looking upstream. It’s not about creating a fancy new program, it’s about tearing down the barriers that prevent people from accessing existing programs. I think that this is an important way to think about healthy communities!

Staff at the Friendship House looked for opportunities to remove barriers to participation in youth activities.

Staff at the Friendship House looked for opportunities to remove barriers to participation in youth activities.

Staff found that youth did not have the funds to purchase shoes or clothes for both organized and drop-in activities at the centre. Through funds provided by an IMAGINE grant, the Friendship House bought supplies to support youth to join in the hiking and running club as well as swimming outings. Funds also supported the purchase of a variety of equipment for gym and fitness opportunities for youth during the drop-in times and scheduled fitness sessions.

Through the efforts of this project, staff at the Friendship House has seen youth participation numbers increase significantly each month (more than double previous numbers) and have even had parents join in on some of the activities.

According to coordinator Vince Sampare:

The youth that benefited from this grant were so excited for the equipment and runners that we provided to them to take part in the activities we provide in the Youth Hub.

How can you reduce barriers to participation in your community?


IMAGINE Community Grants provide funding to community organizations, service agencies, First Nations bands and organizations, schools, municipalities, regional districts, not-for-profits, and other partners with projects that make northern communities healthier. We are looking for applications that will support our efforts to prevent chronic disease and injury, and improve overall well-being in our communities. The next call out for IMAGINE Community Grants will be September 19, 2016.

Mandy Levesque

About Mandy Levesque

Mandy Levesque is Northern Health’s Lead, Healthy Community Development, Integrated Community Granting. Born and raised in northern Manitoba, Mandy and her family moved to Prince George in 2013. Mandy has a background in public health and health promotion and is a graduate of the University of Saskatchewan. She is passionate about innovation and quality, empowering northern populations, and promoting health and wellness across communities. In her spare time, Mandy enjoys spending time with her family and stays active by taking in the exciting activities, trails, and events northern B.C. has to offer.

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