My Home is Making Me (and My Neighbours) Sick

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This presentations offers insights on the social determinants of health.

Michael Shapcott, Director of Housing and Innovation
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI

Published in: Health & Medicine
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My Home is Making Me (and My Neighbours) Sick

  1. 1. My home is making me (and my neighbours) sick CHRA Pre-Congress June 20, 2011 Michael Shapcott Director, Housing and Innovation The Wellesley InstituteTuesday, June 21, 2011
  2. 2. Toronto 1910Tuesday, June 21, 2011
  3. 3. Dr BruceTuesday, June 21, 2011
  4. 4. Toronto 1911: Founding of Wellesley HospitalTuesday, June 21, 2011
  5. 5. “Our survey of Toronto housing conditions reveals thousands of families living in houses which are insanitary, verminous, and grossly overcrowded... Bad houses are not only a menace: they are active agents of destruction... they destroy happiness, health and life...” Dr. H.A. Bruce, Lieutenant-Governor of Ontario, 1934Tuesday, June 21, 2011
  6. 6. Toronto’s Moss Park neighbourhoodTuesday, June 21, 2011
  7. 7. New ‘garden city’ neighbourhoodTuesday, June 21, 2011
  8. 8. Bad housing makes you sick! Homelessness: Increased morbidity Increased premature morality Contextual: Individual / neighbourhood deprivation networks / friends / crime Biological / physical: Chemicals, gases, pollutants Socio-economic: Design (accidents) / crowding Affordability / energy Transportation / income / jobs Mental health: Alarming rates... especially Clinical depression and anxiety Control / meaning Collective efficacyTuesday, June 21, 2011
  9. 9. Good housing good for health! Personal health: Improved health outcomes Reduced health care needs Population health: Stronger neighbourhoods Collective efficacy Fiscal: Reduced health, social services, policing, justice spending Socio-economic: Jobs / income Economic impactTuesday, June 21, 2011
  10. 10. Ba d fo bad rp for eop eco le - nom y “We are used to thinking of affordable housing as both a social and a health issue... in study after study, researchers have shown a strong correlation exists between neighbourhoods with poor quality housing and lower health outcomes.” “However, working to find solutions to problem of affordable housing is also smart economic policy. An inadequate supply of housing can be a major impediment to business investment and growth, and can influence immigrants’ choices of where to locate.”Tuesday, June 21, 2011
  11. 11. Homelessness is bad for business and the federal government does not have a national plan to end homelessness in Canada. A national plan to end homelessness will clearly set goals, objectives, metrics and outcomes and provide the proper mechanisms... Without a clear strategy to direct national efforts to end homelessness, businesses will continue to be negatively impacted by the growing crisis. September 2010Tuesday, June 21, 2011
  12. 12. Canada’s Economic Action Plan: Seventh Report to Canadians, January 2011Tuesday, June 21, 2011
  13. 13. Tuesday, June 21, 2011
  14. 14. ‘Wicked’ policy problems cannot be ‘solved’ with a program here or an investment there. They require interventions by multiple actors over the long term. We can’t just throw up our hands and say it all is too complex. We need policy thinking, strategic investment, and service interventions that address complex problems... Comprehensive community initiatives bring Bob Gardner, Wellesley Institute together service providers, people with lived experience, community leaders and others to build broad collaborations to address the roots of local problems in specific communities.”Tuesday, June 21, 2011
  15. 15. Wellesley Urban Health Model (as of September, 2010)Tuesday, June 21, 2011
  16. 16. Ontario’s 2011 Pre-Budget Consultations: Finance Minister Duncan: Don’t ask me to spend money, I don’t have any money now Don’t tell me that I can save money in the future, because I still don’t have any money nowTuesday, June 21, 2011
  17. 17. Infrastructure Ontario affordable housing loan fundTuesday, June 21, 2011
  18. 18. Since 2001, Homeward Trust has disbursed $115 million to 275 projects, leveraging additional funds for total value of $233 millionTuesday, June 21, 2011
  19. 19. Social impact bonds Innovative financial instrument to capitalize in current dollars the future savings of policy initiativesTuesday, June 21, 2011
  20. 20. Tuesday, June 21, 2011
  21. 21. Real world complex, dynamic Almost everything connected to everything elseTuesday, June 21, 2011
  22. 22. Thank you! www.wellesleyinstitute.comTuesday, June 21, 2011

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