Medical-Financial Partnerships: Cross-Sector Collaborations Between Medical and Financial Services to Improve Health

Financial stress is the root cause of many adverse health outcomes among poor and low-income children and their families, yet few clinical interventions have been developed to improve health by directly addressing patient and family finances. Medical-Financial Partnerships (MFPs) are novel cross-sector collaborations in which health care systems and financial service organizations work collaboratively to improve health by reducing patient financial stress, primarily in low-income communities. This paper describes the rationale for MFPs and examines eight established MFPs providing financial services.



Early Planning Toolkit

A toolkit for parents/caregivers with a child with a disability ages 2 to 10, containing:

  • An everyday childhood action guide
  • Early planning priorities for parents with a child with a disability (upcoming webcast)
  • Accessing financial resources for a young child with a disability (upcoming webcast)
  • Early planning checklist



Report – Social and economic impacts of COVID-19 on transgender and non-binary people in Canada

A survey led by researchers at Western University explores the experiences of trans and non-binary Canadians during the COVID-19 pandemic. Initial research from the Trans PULSE Canada survey highlighted that many trans and non-binary Canadians will avoid seeking necessary health care because of a fear of discrimination. The survey findings also show that trans and non-binary Canadians had disruptions in primary health care, mental health care and gender-affirming care during the pandemic, and a high frequency of interruptions to hormone regimens. They also found that twice as many trans and non-binary people reported that they stopped accessing mental health support than those who started accessing support. The team also looked at the social and economic impacts of the pandemic and found that a majority of trans and non-binary people in Canada are experiencing negative financial and social impacts of COVID-19. Almost 60 per cent of respondents said they their access to trans and non-binary social spaces has decreased.



Self-care for frontline practitioners: Challenges and Strategies

As practitioners continue to deliver important client-centred services during the COVID-19 pandemic, this can be accompanied by feelings of burnout or compassion fatigue. It can be helpful to establish or renew your practice of self-care, fostering your own physical and mental health during trying times. 

In this one-hour webinar, mental health educator, Rebecca Higgins will guide audience participants to identify challenges and strategies to developing a self-care practice or build further on existing practices. Participants will be guided through an activity to take inventory of their self-care practices to access supports and personal sense of purpose in their work.  

Hosted by Prosper Canada on behalf of the ABLE Steering Committee. Visit ablefinancialempowerment.org for a full list of upcoming events in the series. 



Read the presentation slides for this webinar.

Click ‘Get it’ above for video link for this webinar.

Handout: Implementing a practice of self-care

Impacts of the Covid-19 Pandemic on Women: Report of the Standing Committee on the Status of Women

The effects of the COVID-19 pandemic have been profound and far-reaching. Beyond endangering the health of Canadians, the pandemic has worsened inequalities among groups of people. Women, girls and gender-diverse people have faced unique challenges during the pandemic.

The Committee recommends that the Government of Canada take various actions to assist women, girls and gender-diverse people during and after the COVID-19 pandemic. Many recommendations relate to improving women’s health and labour force participation. Some recommendations focus specifically on women’s paid and unpaid care work. The Committee also recommends interventions to help reduce trafficking and violence against women.



Budget 2021: A Recovery Plan for Jobs, Growth, and Resilience



Canadians’ Well-being in Year One of the COVID-19 Pandemic

Given the scope and the diversity of the reports and studies that examined the impacts of the pandemic on well-being, it can be challenging to absorb and understand all the ways in which quality of life has been affected by COVID-19. The well-being literature offers an approach that may help.

This report brings together diverse findings that illuminate changes in quality of life since the start of the COVID-19 pandemic and provides valuable insights through examining these results through a well-being lens. Several widely used frameworks exist to describe the dimensions of well-being, such as the Organisation for Economic Co-operation and Development (OECD) Framework for Measuring Well-Being and Progress.



Measuring Health Equity: Demographic Data Collection in Health Care

The Toronto Central Local Health Integration Network (Toronto Central LHIN) provided financial support to establish the Measuring Health Equity Project and has called for recommendations on health equity data use and a sustainability approach for future data collection.

This report describes the journey Toronto Central LHIN and Sinai Health System have taken to embed demographic data collection in hospitals and Community Health Centres. It also summarizes the potential impact of embedding demographic data collection into Ontario health-care delivery and planning. And finally, it describes the use of this data, the lessons learned, and provides recommendations for moving forward.



Colour of Poverty – Colour of Change

There is a growing "colour-coded" inequity and disparity in Ontario that has resulted in an inequality of learning outcomes, of health status, of employment opportunity and income prospects, of life opportunities, and ultimately of life outcomes. Colour of Poverty-Colour of Change believes that it is only by working together that we can make the needed change for all of our shared benefit

These fact sheets provide data to help understand the racialization of poverty in Ontario. 



COVID-19 in Canada: A One-year Update on Social and Economic Impacts

This summary provides highlights on the work the Agency has and is undertaking using existing and new data sources to provide critical insights on the social and economic impacts of COVID-19 on Canadians. It covers the first year of the pandemic from March 2020 to March 2021.



Social Determinants of Health: The Canadian Facts (2nd edition)

Social Determinants of Health: The Canadian Facts, 2nd edition, provides Canadians with an updated introduction to the social determinants of our health. We first explain how living conditions “get under the skin” to either promote health or cause disease. We then explain, for each of the 17 social determinants of health:

  1. Why it is important to health;
  2. How we compare on the social determinant of health to other wealthy developed nations; and
  3. How the quality of the specific social determinant can be improved.

Improving the health of Canadians is possible but requires Canadians to think about health and its determinants in a more sophisticated manner than has been the case to date. The purpose of this second edition of Social Determinants of Health: The Canadian Facts is to stimulate research, advocacy, and public debate about the social determinants of health and means of improving their quality and making their distribution more equitable.



The COVID-19 pandemic and Indigenous people with a disability or long-term condition

This paper uses crowdsourced data to provide an overview of the impacts of the COVID-19 pandemic on the health, service access, and ability to meet basic needs of Indigenous participants with disabilities or long-term conditions. Changes in overall health and mental health are examined by disability type, age group and sex. The most commonly reported service disruptions since the start of the pandemic are also presented.

The crowdsourcing data reflected health and other disparities between Indigenous and non-Indigenous participants with a disability or long-term condition. Indigenous participants were more likely to report worsened overall health and mental health, service disruption, and a greater impact on their ability to meet essential needs.



One in five Canadians with mental health-related disabilities lives in core housing need

Canadians with mental health-related disabilities were more than twice as likely as those without disabilities to live in households considered to be in core housing need in 2017. Canadians with mental health-related disabilities were also more likely than those without disabilities to live alone, to rent their homes and to live in subsidized housing, according to the 2017 Canadian Survey on Disability (CSD).

The Public Health Agency of Canada (PHAC) has identified those living with pre-existing mental health-related disabilities as a particularly vulnerable population because of the impacts of isolation and disruptions to mental health-related services during the COVID-19 pandemic. A recent crowdsourcing survey by Statistics Canada found that almost three-quarters (73%) of participants with mental health-related disabilities stated that their mental health had worsened since the beginning of the pandemic. In addition, PHAC has indicated that those living with inadequate or unsuitable housing are also more vulnerable during the pandemic and are at higher risk of contracting COVID-19.

This infographic presents pre-existing living situations and housing conditions among Canadians with mental health-related disabilities that may put them at greater risk of contracting COVID-19, as well as the emotional and psychosocial impacts of living through a pandemic.



Pandemic to Prosperity – January 21, 2021: One year after the first announcement of Covid on U.S. soil

The National Conference on Citizenship (NCoC) developed the Pandemic to Prosperity series. It builds on NCoC’s data infrastructure and advocacy network developed for its national Civic Health Index, with The New Orleans Index, which informed many public and private decisions and actions post-Katrina. This series is designed to enable a solid understanding of the damage to lives and livelihoods as the pandemic continues to unfold, as the United States enters the era of vaccines, and the nation grapples with new shocks and stressors such as disasters and civil unrest; it will also examine aspirational goals around strong and accountable government, functioning institutions from child care to internet access to local news availability, effective civic participation, and outcomes for people by race regarding employment, health, housing, and more. With each new report in the series, indicators will change as the recovery transitions. This report highlights mostly state-level metrics with breakdowns by race, gender, and age where available, relying on both public and private data sources.



Food insecurity and mental health during the COVID-19 pandemic

Canadians living in households that experienced food insecurity (insecure or inadequate access to food because of financial constraints) during the early months of the COVID-19 pandemic were significantly more likely to perceive their mental health as fair or poor and to report moderate or severe anxiety symptoms than Canadians in food-secure households. Approximately one in seven Canadians (14.6%) were estimated to live in a food-insecure household in May 2020.

This study, released in Health Reports, is the first to examine the association between household food insecurity and self-perceived mental health and anxiety among Canadians during the COVID-19 pandemic. The study also estimated that 9.3% of Canadians living in food-insecure households reported having recently accessed free food or meals from a community organization.



The changes in health and well-being of Canadians with long-term conditions or disabilities since the start of the COVID-19 pandemic

This article examines how the self-reported health and mental health of people with long-term health conditions or disabilities has changed since the start of the COVID-19 pandemic explored by age, sex and type of reported difficulty. Additionally, the rates of health service disruptions are explored by type of service and region.



How are Canadians with long-term conditions and disabilities impacted by the COVID-19 pandemic?

This infographic focuses on self-reported health, unmet needs for services and therapies, and difficulties meeting certain financial obligations and essential needs since the start of the COVID-19 pandemic among participants aged 15 and older living with long-term conditions and disabilities. Results are based on the recent Statistics Canada crowdsourcing data collection completed by over 13,000 Canadians with long-term conditions or disabilities between June 23 and July 6, 2020.



Wealth and Health Equity: Investing in Structural Change

Building on the Asset Funders Network’s the Health and Wealth Connection: Investment Opportunities Across the Life Course brief, this paper details:

  • What we know about the health-wealth connection for adults.
  • Why investment in integration is important.
  • How philanthropy can contribute to improving health-wealth outcomes for adults.

On September 29th, AFN hosted a webinar to release the paper with featured speakers:

Dr. Annie Harper, Ph.D., Program for Recovery and Community Health, Yale School of Medicine
Joelle-Jude Fontaine, Sr. Program Officer, Human Services, The Kresge Foundation
Dedrick Asante-Muhammad, Chief of Race, Wealth, and Community, National Community Reinvestment Coalition



Disability Alliance BC

Disability Alliance BC supports people in British Columbia with disabilities through direct services, community partnerships, advocacy, research and publications.

Their website provides information on disability benefits including the Disability Tax Credit (DTC), CPP Disability, Registered Disability Savings Plans (RDSP) and more.



Serving Individuals With Disabilities – A Day in the Life of an American Job Center

The Disability and Employment eLearning Task Force in collaboration with the Employment and Training Administration (ETA) released three eLearning Training Modules to help support the professional development needs of the workforce development staff across the United States. 

The first module provide tools and resources to support front-line American Job Center staff effectively serve customers with disabilities, covering strategies for effective communication and interaction with individuals with disabilities.



Building household financial security during COVID-19 and beyond

Even before the COVID-19 pandemic, many Canadians were having difficulty making ends meet, and the pandemic has further impacted the financial well-being of financially vulnerable Canadians. 

In this webinar, we present research on how COVID-19 has impacted the financial security of Canadians and how additional financial challenges are likely to arise over the next year. The research was conducted in partnership with Prosper Canada by BCG’s Social Impact Ambassador program. The speakers are Common Good Founder Steven Ayer, BCG interns Abhijit Bhamidipati, Ada Kwong, and Brian Page, and Prosper Canada CEO Liz Mulholland.

This one-hour webinar is relevant for practitioners across all sectors who want to learn how Canadians are being financially impacted by COVID-19, and to share and learn what can be done in response. 

Click 'Get it' below to access the video link, and scroll down to access handouts, slides, and video timestamps for this webinar.

 



Read the presentation slides for this webinar.

Time-stamps for the video recording:
3:26 – Agenda and introductions
6:18 – Audience polls
10:39 – Research presentation begins (BCG and Steven Ayer)
36:18 – What Prosper Canada is doing (Liz Mulholland)
42:31 – Q&A


The mental health of population groups designated as visible minorities in Canada during the COVID-19 pandemic

This article examines the mental health outcomes (i.e., self-rated mental health, change in mental health since physical distancing began, and severity of symptoms consistent with generalized anxiety disorder in the two weeks prior to completing the survey) of participants in a recent crowdsource questionnaire who belong to population groups designated as visible minorities in Canada.



Canadian Health Survey on Children and Youth, 2019

The current pandemic has reinforced the need for additional information on the health of Canadian children and youth, particularly for those younger than age 12.

Results from the new Canadian Health Survey on Children and Youth (CHSCY) indicate that 4% of children and youth aged 1 to 17, as reported by their parents, had fair or poor mental health in 2019, one year prior to the pandemic. The survey also found that poor mental health among children and youth was associated with adverse health and social outcomes, such as lower grades and difficulty making friends.

Recently released crowdsourced data suggest that the perceived mental health of Canadian youth has declined during the pandemic, with over half (57%) of participants aged 15 to 17 reporting that their mental health was somewhat worse or much worse than it was prior to the implementation of physical distancing measures.



Labour Force Survey, June 2020

Labour Force Survey (LFS) results for June reflect labour market conditions as of the week of June 14 to June 20. A series of survey enhancements continued in June, including additional questions on working from home, difficulty meeting financial needs, and receipt of federal COVID-19 assistance payments. New questions were added to measure the extent to which COVID-19-related health risks are being mitigated through workplace adaptations and protective measures.



Infographic: The impact of the COVID-19 pandemic on Canadian families and children

This infographic describes parents' experiences during the COVID-19 pandemic including balancing work and schooling, their children's activities and parents' concerns.



Impacts of COVID-19 on Canadian families and children

The COVID-19 pandemic has dramatically altered the way of life for Canadian families, parents and children. Because of physical distancing and employment impacts, parents have altered their usual routines and supports, and many children and families have been isolated in their homes for months. Children, in particular, may not have left their homes or seen any friends or family members other than their parents for an extended period, since children do not typically have to leave their homes for essential services. However, the impact of the pandemic on families has yet to be described. The purpose of this report is to provide a snapshot of the experiences of Canadian parents and families during this unprecedented time.



Gender differences in mental health during the COVID-19 pandemic

Previous research has demonstrated that the COVID-19 pandemic is negatively affecting the mental health of Canadians. Today, a new study highlights gender differences in the pandemic's impacts on the mental health of participants in a recent crowdsourcing survey, conducted by Statistics Canada from April 24 to May 11, 2020. Around 46,000 Canadian residents participated in this survey.

Female participants were more likely than their male counterparts to report "fair" or "poor" self-rated mental health, "somewhat worse" or "much worse" mental health since physical distancing began, and symptoms consistent with moderate or severe generalized anxiety disorder in the two weeks before completing the questionnaire. Female participants were also more likely than male participants to report that their lives were "quite a bit stressful" or "extremely stressful."

Gender-diverse participants—that is, participants who did not report their current gender as exclusively female or male—reported poorer mental health outcomes than both female and male participants across all measures.



Economic and Fiscal Snapshot 2020

The COVID-19 crisis is a public health crisis and an economic crisis. The Economic and Fiscal Snapshot 2020 lays out the steps Canada is taking to stabilize the economy and protect the health and economic well-being of Canadians and businesses across the country.



Prosperity Now Scorecard

The Prosperity Now Scorecard is a comprehensive resource featuring data on family financial health and policy recommendations to help put all U.S. households on a path to prosperity. The Scorecard equips advocates, policymakers and practitioners with national, state, and local data to jump-start a conversation about solutions and policies that put households on stronger financial footing across five issue areas: Financial Assets & Income, Businesses & Jobs, Homeownership & Housing, Health Care and Education.



Volunteering in Canada: Challenges and opportunities during the COVID-19 pandemic

In 2018, over 12.7 million Canadians engaged in formal volunteering, with a total of 1.6 billion hours of their time given to charities, non-profits and community organizations—equivalent to almost 858,000 full-time year-round jobs. Today, Canadians are courageously volunteering in the midst of one of the largest health, economic and social challenges of our lifetime.

The study, based upon the 2018 General Social Survey on Giving, Volunteering and Participating, measures the contributions of those who have given their time. While these data are from prior to the COVID-19 pandemic, they provide insight into challenges and opportunities facing volunteerism in the current situation.



Advancing Health and Wealth Integration in the Earliest Years

Despite the well-documented connection between health and wealth, investing in this intersection is still a new approach for many grantmakers. With the goal of inspiring increased philanthropic attention, exploration, and replication, this new spotlight elevates responsive philanthropic strategies that support both health and wealth.

This report focuses on the in utero-toddler stage of the life cycle (0-3 years). This age segment has some health-wealth integration activity, primarily through two-generation approaches. The goal is to inspire more philanthropic investment for this cohort by highlighting research and examples and offering recommendations.



Inequality in the feasibility of working from home during and after COVID-19

The economic lockdown to stop the spread of COVID-19 has led to steep declines in employment and hours worked for many Canadians. For workers in essential services, in jobs that can be done with proper physical distancing measures or in jobs that can be done from home, the likelihood of experiencing a work interruption during the pandemic is lower than for other workers.

To shed light on these issues, this article assesses how the feasibility of working from home varies across Canadian families. It also considers the implications of these differences for family earnings inequality.



Understanding the perceived mental health of Canadians during the COVID-19 pandemic

While the physical health implications of the COVID‑19 pandemic are regularly publicly available, the mental health toll on Canadians is unknown. This article examines the self-perceived mental health of Canadians during the COVID‑19 pandemic and explores associations with various concerns after accounting for socioeconomic and health factors.

Just over half of Canadians aged 15 and older (54%) reported excellent or very good mental health during the COVID‑19 pandemic. Several concerns were also associated with mental health. Notably, after considering the effects of socioeconomic and health characteristics, women, youth, individuals with a physical health condition and those who were very or extremely concerned with family stress from confinement were less likely to report excellent or very good mental health.

Social Prescribing in Ontario

Research has shown that even short-term isolation can have long-term impacts to mental health. Social and community supports are essential for vulnerable persons, especially during times of severe impacts to routine and imposed social distancing. This report discusses the findings of the Rx: Community - Social Prescribing in Ontario pilot, using social prescribing as a tool to better connect social and clinical care and broaden the definition of health and well-being. 



The Collaborative to Advance Social Health Integration: What We’re Learning About Delivering Whole-Person Care

The Collaborative to Advance Social Health Integration (CASHI) is composed of a community of 21 innovative primary care teams and community partners committed to increasing the number of patients, families and community members who have access to the essential resources they need to be healthy. CASHI focused efforts to improve social health practices, spread them to additional sites, and work toward financial sustainability plans.

This report discusses the key learnings and successes as a result of this 18-month collaboration to spread social health integration.

 



Economic volatility in childhood and subsequent adolescent mental health problems: a longitudinal population based study of adolescents

This research paper investigates the association between the patterns of duration, timing and sequencing of exposure to low family income during childhood, and symptoms of mental health problems in adolescence.



Associations of Income Volatility With Incident Cardiovascular Disease and All-Cause Mortality in a US Cohort

Income volatility is increasing in the United States and presents a growing public health problem. This study examines associations of long-term income volatility  with incident cardiovascular disease and all-cause mortality.




Homelessness and Brain Injury – Program Findings

Across Canada, homelessness has always existed but with the creation of statistical reporting across the country the awareness of the pressure this puts on Canadian society is more apparent. The statistics on homelessness are staggering and understanding the path to homelessness, included by those who have experienced brain injury, is a critical piece in the prevention strategies that must be implemented in order to solve the issues. 

In 2018 the Brain Injury Society of Toronto (BIST) received Ontario Trillium Seed Grant funding for a Homelessness Prevention Coordinator (HPC) whose role was to assist individuals with cognitive disabilities with housing issues. This report discusses the current homeless crisis and its relation to the findings of this project.

 



Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide

This document is a “how to” guide for planning and implementing evaluation activities. The manual, based on Centers for Disease Control and Preventions's Framework for Program Evaluation in Public Health, is intended to assist managers and staff of public, private, and community public health programs to plan, design, implement and use comprehensive evaluations in a practical way.



Money on Your Mind

This report discusses the interactions between finances and mental health, based on the experience of over 5000 individuals who have lived with mental health problems. Mental health problems leading to relationship difficulties, physical health problems, mental health treatments, cognitive impairments, and psychological barriers to action are all seen as contributors to loss of or low income, higher spending, and poor financial management. The converse is also true - more than 80% of respondents also expressed that their financial situation had made their mental health problems worse.



2019 First Annual Report of the Disability Advisory Committee: Enabling access to disability tax measures

The mandate of the Committee is to provide advice to the minister of national revenue and the commissioner of the Agency on:

  • the administration and interpretation of the laws and programs related to disability tax measures;
  • ways in which the needs and expectations of the disability community can be better taken into consideration;
  • increasing the awareness and take-up of measures for persons with disabilities;
  • how to better inform persons with disabilities and various stakeholders about tax measures and important administrative changes; and
  • current administrative practices and how to enhance the quality of services for persons with disabilities

This report makes recommendations on support for persons with disabilities based on surveys and responses from individual Canadians, organizations, tax preparers, health providers, and policy experts. The recommendations seek to ensure clarity and fairness in Disability Tax Credit eligibility criteria and administration,  reduction of barriers in accessing the DTC, and more attention to the costs of disability-related assistance.

 



Debt and mental health: A statistical update

Financial problems can be a significant source of distress, putting pressure on people's mental health, particularly if they are treated insensitively by creditors. Some people in financial difficulty cut back on essentials, such as heating and eating, or social activities that support their well being, to try and balance their budget. In many cases this has a negative impact on people's mental health. 

This policy note from  draws on nationally representative data to update key statistics on the relationship between debt and mental health problems, and sets out implications for policymakers, service providers and essential services firms.



In sickness and in health: The association between health and household income

This study uses data from the Longitudinal and International Study of Adults (LISA) to analyze the association between health and household income.

Using data on both self-reported general health and self-report mental health, as well as self-reported labour-market outcomes and linked tax records, the association between spouse-pair labour-market income and health is further decomposed into an employment effect reflecting the association between health and the probability of employment, an hours worked effect reflecting the association between health and the number of hours worked, and a wage effect reflecting
the association between health and hourly wages.



The health and wealth connection – Opportunities for Investment Across the Life Course

Perceptions of the Social Determinants of Health Across Canada: An Examination of the Literature

Social determinants of health for the off-reserve First Nations population, 15 years of age and older, 2012

Building Bridges to Collaborative Success: An Evidence-Based, Inter-Agency Primer for Health Promotion

The Mental Health of Manitoba’s Children

We ask because we care. The Tri-Hospital + TPH Health Equity Data Collection Research Project Report

The Community Cure for Health Care

Income and Health: Opportunities to achieve health equity in Ontario