Tuesday, February 6, 2018
PC1 – Training of Trainers - Traditional Family Parenting (en anglais)
Janet Fox, Life Skills Coach and Trainer
Time: 8:45 am - 4:30 pm
This workshop is a train the trainer session. It will cover the following topics:
- How a Child Was Raised by Our Ancestors - this is the main part of the training and focuses on the importance of bonding and attachment in the early years of children 0-7 years of age. Our Ancestors used the tools of moss bag, cradle board, swing, role modeling and virtues. Janet will explain in detail the teachings of the umbilical cord, placenta and soft spot.
- 4 life cycle - the teachings in each stage of Child, Youth, Adult, Elder.
- How our people lost these systems - it is important that our people understand what happened to our people and how we lost these powerful family systems. The lack of bonding/attachment with parents/caregivers can lead to live long consequences in the choices that a person makes.
- Virtues - 15 Teepee Pole teachings (similar to the 7 Sacred Teachings & Virtues Project).
- The Father’s Role – introducing the role of the father in Traditional Parenting.
PC2 – Healthy Babies, Healthy Children (HBHC): Trauma-Informed Approaches in Action (For all HBHC staff)
Dr. Nancy Poole, PhD, Director, Centre of Excellence for Women's Health and Prevention Lead, CanFASD Research Network
Sonali Sagare, Director, Outreach services, the Jean Tweed Centre
Mary Deleary, Thunderbird Partnership Foundation
Margaret Leslie and Melissa Brinkman, Mothercraft / Breaking the Cycle
Melinda Worrad and Bindu Cherian, Home Visiting Program For Infants (HVPI)
Time: 8:45 am - 4:30 pm
This session, intended for individuals working in home visiting, will cover how trauma-informed approaches are being enacted in a range of community based settings and how TI principles and practices are/can be tailored by practitioners who work with pregnant women and new parents, their support networks and communities. Drawing from neuropsychology, women-centered care, Indigenous wellness frameworks, and social determinants of health approaches, in the first section of this workshop, strategies and challenges in integrating knowledge from all these sources of wisdom, as we apply trauma informed approaches will be presented. Evidence informed resources will be shared for discussion and action. In the second section of the workshop, with the help of practitioners from several community organizations, we will use a world cafe format to enhance our knowledge of applying trauma informed principles, in work supporting pregnant women and families.
De 8h45 à 16h30
Cette journée de pré-conférence comprend deux ateliers reliés la petite enfance, et sera d’intérêt particulier à toutes les personnes travaillant auprès des jeunes enfants francophones en Ontario, dans les secteurs de la santé publique et communautaire, de l’éducation, des programmes parents-enfants et de la garde d’enfants.
Un des ateliers portera sur la santé mentale des jeunes enfants et sur les facteurs qui peuvent promouvoir ou entraver son développement. Nous examinerons les modèles théoriques dans le contexte des programmes communautaires et du travail avec les familles et les jeunes enfants. L’atelier se conclura par une discussion sur les défis à relever et sur les solutions pour les surmonter pour faire la promotion de la santé mentale des jeunes enfants.
Le deuxième atelier portera sur les capacités langagières et la construction identitaire en petite enfance. La petite enfance est une période critique pour l’acquisition de la langue et la construction identitaire. Or, la réalité du milieu minoritaire est que les jeunes francophones sont exposés à deux cultures différentes (ou plus) à un moment où leur identité culturelle et leurs compétences langagières sont en devenir. Cet atelier interactif explorera les éléments programmatiques favorisant le développement des capacités langagières des enfants en services à l’enfance et au foyer. Les échanges porteront sur les expériences des participants et des pratiques éprouvées découlant d'études antérieures incluant le projet Capacité d’apprentissage dans les communautés francophones en situation minoritaire.
Wednesday, February 7, 2018
8:30 am - 8:50 am: Welcome
8:50 am - 9:00 am : 24h movement guidelines announcement (ParticipACTION).
9:00 am - 10:30 am
K1 – Preconception Health: Does it Matter?
Dr. Cindy-Lee Dennis, Professor, Lawrence S. Bloomberg Faculty of Nursing and the Faculty of Medicine, Department of Psychiatry, University of Toronto; Canada Research Chair, Perinatal Community Health; Women’s Health Research Chair, Li Ka Shing Knowledge Institute, St. Michael’s Hospital
This keynote presentation will provide an overview of recent research on the impact of parental preconception health on children with a focus on child obesity. Innovative ideas about providing preconception health will be discussed and an overview of current research initiatives will be provided.
10:30 am - 11:00 am: Break
Concurrent Sessions A (1-6)
11:00 am - 12:30 pm
A1 – Opioid Agonist Treatment during Pregnancy: Review of Methadone and Buprenorphine
Dr. Alice Ordean, Medical Director, Toronto Centre for Substance Use in Pregnancy (T-CUP), St. Joseph’s Health Centre; Associate Professor, Department of Family and Community Medicine, University of Toronto
Opioid misuse and addiction have been a public health concern since the 1990s. This workshop will focus on the management of opioid use disorders during pregnancy. The prevalence and effects of perinatal opioid use will be reviewed. This will be followed by pregnancy-specific recommendations for the use of opioid agonists. Finally, best practice recommendations for the management of the opioid-exposed infant will also be reviewed.
1. To review the prevalence of perinatal opioid use disorders.
2. To discuss the effects of perinatal opioid use.
3. To describe an approach to the comprehensive management of opioid use disorders in pregnancy.
4. To review benefits and risks of opioid agonist treatment during pregnancy.
5. To describe pregnancy-specific recommendations for the use of methadone and buprenorphine.
6. To review best practice recommendations for the management of the opioid-exposed infant.
A2 – Pumps for Preemies
Linda Young, MScN, EdD, Director, Maternal Newborn Child Mental Health, Interprofessional Practice and Organizational Learning
Ontario is funding breast pumps for mothers of premature babies who are born at less than 34 weeks’ gestation. This initiative will support the healthy development of these babies through enhanced provision of mothers’ own breast milk. This session will share information about why this new initiative is important and how Ontario organizations will be supported to provide breast pumps to mothers of premature babies born at less than 34 weeks’ gestation.
A3 – Informed decision-making & the importance of hormonal physiology of labour and birth
Ontario Public Health Association, Reproductive Health Work Group
Deanna Stirling, Public Health Nurse and Prenatal Educator, Middlesex-London Health Unit
Jeanell Vanbesien, Public Health Nurse, Healthy Families, Halton Region Health Department
The Ontario Public Health Association, Reproductive Health Work Group will present their position paper, “Informed Decision-making for Labour & Birth”. Physiological labour and birth has significant benefits that optimize the course of lifelong health and wellbeing. High rates of common maternity care interventions are occurring without support from high quality evidence even when there are no complications. These interventions disrupt the hormonal physiology of the mother and baby. The impact and discussion about strategies to address this issue will be framed within the public health context of long-term health and wellbeing for mothers and their infants. Questions this workshop will answer include:
• How does the hormonal physiology of labour and birth contribute to lifelong health and wellbeing?
• How can medical interventions interrupt birth hormones?
• What affect does the hospital environment and provider have on the use of interventions?
• What role does informed decision-making play in reducing intervention use?
• What tools and strategies can be used to support informed decision-making?
A4 – It’s ALL About Language Skills: Preparing Preschoolers for Academic Success by Fostering Academic Talk
Anne van Kleeck, PhD, Professor & Callier Research Scholar, Callier Center for Communication Disorders, School of Behavioral & Brain Sciences, University of Texas at Dallas
Specific uses of language, broadly referred to as academic language, are the currency of the classroom. Academic language is critical to transmitting, displaying, and building scientific, socio-cultural, and historical knowledge and understanding of the world. Parents with higher education levels begin engaging their children in early manifestations of these uses of language critical to later academic success from the time their children begin talking, and even before they begin talking. Parents with lower education levels do so far less often. As a result, compared to more economically privileged children, those from less privileged backgrounds show significant gaps in academically important aspects of language as early two years of age. Over time, children rich in this classroom language currency get richer, and those poor get poorer and fail to achieve their full academic potential. Because intergenerational poverty is mediated by intergenerational uses of language, attempts to break the cycle of poverty need to start early and focus on programs designed specifically to enhance adults’ academic language interactions with infants, toddlers and preschoolers. To be maximally effective, these interventions should include parents, day care providers, and preschool teachers.
A5 – Rethinking Young Fathers: Policy Recommendations and Practice Innovations
Lisa Primus, LMSW, Senior Policy Analyst, Center for the Study of Social Policy
Research shows that the relationship between fathers and their children is essential to the healthy development of children and the well-being of families, however little attention is paid to the importance of engaging young fathers under age 26, who are involved with child welfare systems. How can we support young fathers so that they are recognized as critical members of families and communities? How can we improve well-being outcomes for children and families by supporting young fathers in their role as parents? The Center for the Study of Social Policy (CSSP) recently published a set of policy recommendations, Changing Systems and Practice to Improve Outcomes for Fathers, Their Children and Their Families on how systems can better focus on engaging young fathers and creating opportunities for them, their children and families to succeed and thrive. This session will discuss innovative policies and practices to better engage, support and serve young fathers, their children and families.
In 2016, Macaulay set out to deepen our response and realign our services to best keep the child and family at the centre of our practice. In this interactive session, we will share with you what we are learning, and offer opportunities for you to reflect with us and with each other about how to apply the learning to your own work.
- Learn what a literature scan (by the Best Start Resource Centre) revealed about models that put the child’s needs at the centre of services.
- Explore and reflect on how a holistic approach to trauma-informed practice can be incorporated into an agency service framework.
- Hear about promising new strategies that we are trying and be challenged with us to go deeper.
12:30 pm - 1:30 pm: Lunch
1:30 pm - 2:00 pm
K2-A – FASD Strategy Update
Ministry of Children and Youth Services
The Ministry of Children and Youth Services will provide an update on Ontario’s FASD Strategy.
2:00 pm - 2:30 pm
K2-B - Preventing Preterm Birth and Stillbirth Using a Family-focused Provincial Approach
Wendy Katherine, Co-Lead of the Alliance for the Prevention of Preterm Birth and Stillbirth
2:30 pm - 3:00 pm: Break
Concurrent Sessions B (1-5)
3:00 pm - 4:30 pm
B1 – Traditional Breastfeeding Teachings and Science: Where Worlds Don’t Collide
Stephanie George, Oneida Nation, BA (Hons), Aboriginal Midwife, International Board Certified Lactation Consultant, Postpartum Depression Support Person
Breastfeeding can help a mom bolster her confidence, learn to trust her instincts, and enjoy being a mother. This presentation will help service providers and home visitors learn practical methods of teaching breastfeeding and explain ways to assist moms and families in lactation support. Focusing on my Indigenous teachings surrounding roles of family members, the session will cover practical solutions for breastfeeding families, which, coincidentally, are being backed up by science.
B2 – Fathers' Mental Health: How to Engage, Screen and Support Expectant and New Fathers At-Risk or Suffering from Mental Illness
Andrew Howlett, MD, FRCPC, Assistant Professor and Psychiatrist, SJHC and SHS, University of Toronto
Up to 10% of fathers experience a depressive episode in the postpartum period. Anxiety levels are also elevated during and after pregnancy. There are several risk factors, especially maternal depression, as well as negative outcomes on child development, associated with fathers who are depressed. This session will provide an up-to-date review on paternal mental health and why it is important to be addressed for each new family. Participants will learn strategies on how to engage, screen and assess for fathers’ mental health issues. Participants will discover supportive and therapeutic techniques as well as resources and other interventions to address the mental health needs of fathers. Participants will learn of ways to engage both parents in order to address their mental health concerns as well as strengthen the co-parenting relationship.
B3 – Dancing to the Drumbeat: Strength-Based Approaches to Program Planning and Working with Individuals in Indigenous Communities
Yvonne Wigboldus, RN, BScN, CCHN(C), CCCE, Community Health Nurse, Aboriginal Healthy Babies/Healthy Children, Kettle and Stony Point Health Services
The drum dictates the beat; the dancer feels the beat and they move in response. How do you, as service-providers, allow the individual or community to maintain the lead as you dance with them for a short time in such a way that strengthens and gives voice to their song? This workshop will discuss means of identifying strengths and working together to build capacity and empower others on their journey. Participants will be given practical examples and simple success-based tools to create community-driven programs utilizing wholistic, culturally appropriate approaches. Working with Indigenous communities requires recognition of our own personal lens through self-reflection and how that impacts practice. Participants will be challenged to examine current practices that may interfere with the client’s dance and will learn ways to follow their lead.
This mysterious thing called “gender” is changing rapidly! International Clinics serving gender-creative children and youth report a 12-fold increase in clients since 2000. We will all be working with these wonderful kids! Estimated numbers of self-identified transgender and gender-diverse adults – and, in the case of Indigenous populations, Two-Spirit people -- have also multiplied rapidly, from 1 in 30,000 in the 1980s to 1 in 200 today: thus we will also be working with parents who are themselves trans* or gender non-conforming. While acceptance has increased, these families still face significant discrimination and must make a wide range of complex decisions. Studies report that it remains hard to find professionals who are affirmative, well-informed and ready to advocate and assist.
This presentation will take a quick glance at cross-cultural histories of gender and at complex genders in nature: gender variance is nothing new and it’s perfectly natural! It will also gently challenge you to look at gender complexity in your own life. Everyone has a gender, and it’s seldom simple! Lively videos will familiarize you with a broad range of gender possibilities in children, teens and adults and offer practical tools for:
- counselling cisgender (non-trans) parents with gender-diverse children and youth.
- advocacy re “Social Transition”. (Changing name, pronouns, gender presentation.)
- system navigation for access to gender-related medical interventions for teens and adults
- resources for trans men giving birth and trans women seeking lactation counselling
B5 – A New Tool and Online Resources to Help Address Parent Concerns as Part of the Developmental Surveillance Initiative
John Cairney, PhD, Professor, Faculty of Kinesiology and Physical Education, University of Toronto
Anthony J. Levinson, MD, FRCPC, MSc, Medical Psychiatrist, Hamilton Health Sciences; Director, Division of e-Learning Innovation, medportal and machealth; John R. Evans Chair in Health Sciences Educational Research and Instructional Development;Co-Lead, McMaster Optimal Aging Portal;Associate Professor, Faculty of Health Sciences, McMaster University
In this workshop, we’ll discuss some of the features of the province’s Developmental Surveillance Initiative, with a particular focus on: the importance of addressing parent concerns and the use of a new tool for this; as well as e-learning resources that can support service providers, parents and guardians.
4:30 pm: Adjournment
6:00 pm - 9:00 pm
Indigenous Networking Session
Janet Fox, Life Skills Coach and Trainer
This networking event will provide an opportunity to exchange ideas and resources. The evening will feature an Indigenous teaching and participants will be invited to participate in a craft. A light supper will be provided.
Thursday, February 8, 2018
8:30 am - 9:30 am
K3 – Beyond Information and Advice: How to Help Parents Nurture and Raise Their Children
Barry S. Zuckerman, MD, Professor, Pediatrics, Boston University School of Medicine
Being sensitive and responsive to children’s needs in the face of other responsibilities including work, preparing meals, keeping a house clean and orderly, meeting the needs of friends and relatives is challenging at best. Caring deeply about their children can lead to negative feelings and stress that further interferes with parents being attuned and responsive to their child's needs. Science shows that being responsive is important but also that these mismatches which are part of everyday living can be repaired. Being a parent is a learning journey where you learn from your child and your child learns from you. While giving information and advice, a parent’s growth mindset, self-understanding, coping strategies, and empathy is also important. The potential role of next generation prototype of digital media tied to child health care or other community based systems emphasizing these and related factors will be presented and discussed.
9:30 am 10:00 am: Break
10:00 am 12:30 pm
Concurrent Sessions C (1-5)
C1 – Young Indigenous Pregnancy and Parenting
Dr. Angela Mashford-Pringle, Senior Research Associate, Waakebiness-Bryce Institute for Indigenous Health, Dalla Lana School of Public Health, University of Toronto
In this session, we will discuss the rates of teen pregnancy, the factors that may influence teen pregnancies, and what is needed for Indigenous teen pregnancy programs. We will also examine Indigenous birthing, creating a supportive environment for Indigenous teen parents, and working with Indigenous teen parents and the Indigenous community. Using two-eyed seeing and understanding each person’s unique position in Indigenous teen pregnancy and parenting, we will do some small group activities to help participants who work with Indigenous teens after the session.
C2 – Using Strategies and Resources to Build Your Organization’s Capacity for Implementation of Baby-Friendly Best Practices
Linda Young, MScN, EdD, Director, Maternal Newborn Child Mental Health, Interprofessional Practice and Organizational Learning
The BFI Strategy for Ontario has spent 5 years developing and implementing supports for organizations across Ontario who are moving towards or maintaining BFI designation. This session will provide information and practical examples about the supports and tools available, or planned, and how they can support your organization in the BFI designation process and/or the application of Baby-Friendly best practices.
C3 – What Does Community Social Pediatrics Do?
Lionelle Morin-Tanguay NP-PHC and Rachelle Lanteigne SW
Social pediatric hubs are being implemented across Canada. Community social pediatrics aims at identifying the needs of children in vulnerable situations, their rights that are not respected, and at reducing or eliminating the sources of toxic stress that affect their development and well-being.
The Vanier Community Service Centre is the first to have a social pediatric hub in Ontario! The Hub is based on the model developed by Montreal pediatrician Dr Gilles Julien combining social, legal and health approaches with the goal of assisting children and youth to achieve their full potential. The model is in accordance with the UN Convention on the Rights of the Child, integrating a comprehensive and integrated, interdisciplinary and inter-sectoral, holistic health care to the neighborhood’s children and youth and their families.
Learn how this collaboration model has proven to simplify the process so families and children don’t feel lost in the system, where they don’t have to tell their stories over and over again. The hub provides support and care to children and parents much earlier to prevent child maltreatment and long waits in the emergency departments. In communities, the problem isn’t that there are no programs and services but that they exist in isolation, forcing families to slog around town, often with offspring in tow, from one service provider to another.
Imagine a proven successful model that brings all of the services to the family! Where there is no one with a white coat but rather equal partnership as everyone sits around a table at one sitting. Imagine working with children instead of working on specific behaviours to find out what’s causing the issues.
Where will be the next social pediatric hub in Ontario? Join us to learn and talk about the benefits and importance to implement in your community a social pediatric model. Create a customized safety net for families and children. It is the way to go!
C4 – Working with Families and Children with Autism Spectrum Disorders
Elizabeth Mitchell, Family Support Coordinator for Autism Ontario
ASD occurs in families 1 in 94. During this session we will gain a better understanding of what an Autism Spectrum Disorder is and the impact it has on the family. We often use the phrase “When you have met one person with Autism, you have met one person with Autism”. The same statement applies to families as well. Together, through the use of videos, conversation and real lived experience, we will gain knowledge and understanding to better support our families.
C5 – Motivational Interviewing: The Why, What and How to Support Clients In Making Healthy Choices
Heather Fredin, B.A., D.A.T., B.Ed., M.Ed. Counselling Psychology, Registered Psychotherapist, the London Family Court Clinic
Client engagement is one of our most challenging tasks when working with vulnerable groups. Heather uses a trauma informed approach to explaining why clients (mothers, parents, youth) engage in self-harming and risky behaviours. She will then use the foundational concepts of Motivational Interviewing (MI) to explain what creates change and offer opportunities to learn how to integrate MI approaches into your daily interactions with clients.
Motivational interviewing is a well-established evidenced based approach in the treatment of individuals with substance use disorders. MI is a collaborative, person centred approach to supporting and strengthening motivation for change. Finally, MI answers the question of not just what to do, but how to do it.
12:30 pm - 1:30 pm: Lunch
1:30 pm - 2:30 pm
K4 – The Power of Partnerships to build a better world for women and children
Dr. Helen Scott, of the Canadian Partnership for Women and Children’s Health (CanWaCH).
Partnerships are an integral part of strengthening global health and the work that organizations do overseas to improve women and children’s health. But effective, meaningful partnerships amongst multiple actors from different sectors are very difficult to achieve. In Canada, the government and the global health sector are committed to fostering strong and effective partnerships to strengthen the work being done to improve women’s and children’s health overseas. This commitment led to the Canadian Partnership for Women and Children’s Health (CanWaCH). CanWaCH catalyzes Canadian collaboration among 100 Partners, from different sectors, who are improving women’s and children’s health in 1,000 communities worldwide. This session will give participants an in-depth look at the value of partnerships in global health and international development work. They will leave with a better understanding of how to foster good partnerships with different types of global health actors. The session will offer real life examples on how to foster effective partnerships for health practitioners and development workers.
2:30 pm - Adjournment