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Articles 1 - 30 of 77
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Introduction To The Casebook, Regna Darnell, Shannon Sibbald
Introduction To The Casebook, Regna Darnell, Shannon Sibbald
Western Public Health Casebooks
No abstract provided.
Case 1: Artificial Intelligence In Primary Care: Implementing New Technology Into Existing Systems, Ravninder Bahniwal, Amanda Terry, Daniel J. Lizotte
Case 1: Artificial Intelligence In Primary Care: Implementing New Technology Into Existing Systems, Ravninder Bahniwal, Amanda Terry, Daniel J. Lizotte
Western Public Health Casebooks
The Digital Health Bureau has received funding from the province to develop projects focused on improving telemedicine. The Department of Health Analytics has been instructed by the Digital Health Bureau to use the funding to improve the use of electronic medical records in response to the COVID-19 pandemic. Noor Grewal, a public health liaison officer, has been tasked with determining the best option for electronic medical record integration to address key public health needs in primary care. Currently, the Department of Health Analytics is focused on advocating for the use of artificial intelligence in health care and wants to use …
Case 5: A Stakeholder Analysis: Developing An Indigenous-Specific Intercultural Competency Training Module (Part A), Andrea Dafel, Mark Speechley, Nitin Mohan, Danielle Alcock
Case 5: A Stakeholder Analysis: Developing An Indigenous-Specific Intercultural Competency Training Module (Part A), Andrea Dafel, Mark Speechley, Nitin Mohan, Danielle Alcock
Western Public Health Casebooks
The case focuses on developing an Indigenous-specific intercultural competency training module and outlines the steps needed to achieve this, with particular emphasis on the importance of conducting a stakeholder analysis and developing a stakeholder engagement plan. The protagonist of the case, Nia Singh, heads up the Intercultural Education Program at the Southwestern Ontario Intercultural Education Centre. After working at the organization as an intercultural education specialist for several years, Nia is looking to expand her project portfolio by redesigning the Intercultural Education Program’s pre-existing Indigenous intercultural competency training module. Nia determines the objective of the new training module will be …
Case 7: Implementation Research: A Strategy For Developing Indigenous-Specific Intercultural Competency Training Programs (Part B), Eshana Ghuman, Mark Speechley, Nitin Mohan, Danielle Alcock
Case 7: Implementation Research: A Strategy For Developing Indigenous-Specific Intercultural Competency Training Programs (Part B), Eshana Ghuman, Mark Speechley, Nitin Mohan, Danielle Alcock
Western Public Health Casebooks
Nia Singh is an intercultural education specialist and leads the Intercultural Safety Training Program (ISTP) at the Southwestern Ontario Intercultural Education Centre (SOIEC). She has undertaken significant work with the ISTP developing and implementing training sessions and webinars to help clients make their workplace more culturally competent. Nia has recently observed that the ISTP could greatly benefit from including training materials to help health care practitioners provide improved health care to Indigenous patients. Indigenous people face numerous social, political, historical barriers while accessing healthcare services in Canada. Cultural differences can also lead healthcare practitioners to discriminate against their Indigenous patients …
Case 9: Gun Violence: A Public Health Issue?, Tiffany Kwan, Brandy Tanenbaum, Shannon Sibbald
Case 9: Gun Violence: A Public Health Issue?, Tiffany Kwan, Brandy Tanenbaum, Shannon Sibbald
Western Public Health Casebooks
Gun violence is a growing concern in the City of Toronto. The number of injuries and fatalities related to firearm incidents has been increasing at an alarming rate over the past six or seven years. The Stop The Bleed program is a secondary injury prevention program aimed at training laypeople how to respond during critical incidents to prevent fatal outcomes caused by massive bleeding. Along with the Centre for Injury Prevention at Sunnybrook Hospital, Sarah Smith, a registered nurse working in the hospital’s emergency department, has been given the opportunity to collaborate with multiple stakeholders, including the Black Creek Community …
Case 10: Lost In Translation: Developing Strategies For Indigenous People Who Have Cancer, Limited English Proficiency, And Limited Health Literacy, Hillary Martin, Janet Papadakos, Amanda Terry
Case 10: Lost In Translation: Developing Strategies For Indigenous People Who Have Cancer, Limited English Proficiency, And Limited Health Literacy, Hillary Martin, Janet Papadakos, Amanda Terry
Western Public Health Casebooks
Studies have documented that people who have limited health literacy and limited English proficiency often have challenges with all aspects of health care, including difficulties accessing health care, understanding medical information, making treatment decisions, taking prescriptions properly, and communicating with health care workers. People who have limited health literacy often have an overall negative outlook about health care, and they are less likely to seek help from health care providers or health programs, which can negatively affect their overall long-term health and lead to poorer health outcomes than those with high health literacy.
The main goals of this case are …
Case 11: Evaluating A Public Health Program For Continuous Quality Improvement: Options And Methods In A Time Of Pandemic, Adeola Oyelade, David Pavletic, Gerald Mckinley
Case 11: Evaluating A Public Health Program For Continuous Quality Improvement: Options And Methods In A Time Of Pandemic, Adeola Oyelade, David Pavletic, Gerald Mckinley
Western Public Health Casebooks
In 2018, a review of the public health inspection program by the Middlesex-London Health Unit (MLHU) identified a gap in how its Environmental Health and Infectious Disease division evaluated mandatory public health services. To meet the requirements of the Ontario Public Health Standards, the MLHU must implement important recommendations from the review to ensure the most effective and efficient service model is delivered. One recommendation under consideration is to initiate activities that will entrench quality assurance and promote continuous quality improvement through monitoring and integration of findings from client experience into MLHU’s mandatory public health services. Rex Paul, the Manager …
Case 12: Eyes On The Supplies: Improving Canada’S National Emergency Stockpile System (Ness), Abbas Rizvi, Mark Gera, Amardeep Thind
Case 12: Eyes On The Supplies: Improving Canada’S National Emergency Stockpile System (Ness), Abbas Rizvi, Mark Gera, Amardeep Thind
Western Public Health Casebooks
The Canadian Federal Government is looking into improving the mobilization capacity of federal emergency supply systems. Edgar Reyes, a consultant at the public health consulting firm Axiom Alliance Health, has been awarded a federal contract to identify solutions to suit this need. The COVID-19 pandemic has revealed gaps in the National Emergency Stockpile System (NESS), which is maintained by the Public Health Agency of Canada. These gaps have affected the government’s ability to address pandemic-related supply shortages. Edgar’s task is to provide recommendations to increase the system’s response capacity. He hopes to isolate actionable areas for review by a future …
Case 13: From Bench To Classroom: Knowledge Translation In School Mental Health Initiatives, Tess Wishart, Gerald Mckinley
Case 13: From Bench To Classroom: Knowledge Translation In School Mental Health Initiatives, Tess Wishart, Gerald Mckinley
Western Public Health Casebooks
The case outlines the journey of Avery McCann, a researcher at Georgian Bay Health Unit. Avery has been asked to create a knowledge product for the local school board, Georgian Bay District School Board (GBDSB), to teach about adolescent self-harm and how social media may influence this behaviour. Formatted as a decision-making case, four potential options are proposed: a formal literature review report for the Director of Education, PowerPoint presentations, infographics and posters, or educational booklets. The head of the committee in the case details the relative benefits and drawbacks to each possible option because they offer different solutions to …
Case 15: When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald
Case 15: When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald
Western Public Health Casebooks
While visiting a local school, the mayor of London was asked a simple question by a grade three student: “why aren’t there flashing light barriers at all railway crossings that are close to the places where children play?” The mayor did not have an answer to this question or the many other questions that went along with it, but he knew something needed to be done. But what? And by whom? Rail crossings in London are typically prone to risk. In Canada, only 17% of all 17,000 railway crossings have gates, and the primary purpose of these gates is to …
Western Public Health Casebook 2021
Western Public Health Casebook 2021
Western Public Health Casebooks
No abstract provided.
Case 1 : Policy Change And Public Health: Obstacles To Advocating For Public Health Interventions, Sulaiman Alhalbouni, Erin Courtney, Mark Speechley
Case 1 : Policy Change And Public Health: Obstacles To Advocating For Public Health Interventions, Sulaiman Alhalbouni, Erin Courtney, Mark Speechley
Western Public Health Casebooks
Robin Scherbatsky, a public health nurse at Lambton Public Health in Sarnia, Ontario, plans to advocate for public funding of the more accurate interferon-gamma release assay (IGRA) test for latent tuberculosis infection (LTBI). She wants the IGRA to be covered by the Ontario Health Insurance Plan the same way the tuberculin skin test, which also tests for LTBI, is covered. Although IGRA tests are more expensive than tuberculin skin tests, IGRAs are very accurate and effective at reducing unnecessary treatments given to people falsely diagnosed with LTBI, and this results in cost savings for the public payer. Given that the …
Case 4 : Opioid Crisis In The Windsor-Essex Community: Time For Responsible Opioid Prescribing?, Debasree Deb, Nicole Dupuis, Eric Nadalin, Mark Speechley
Case 4 : Opioid Crisis In The Windsor-Essex Community: Time For Responsible Opioid Prescribing?, Debasree Deb, Nicole Dupuis, Eric Nadalin, Mark Speechley
Western Public Health Casebooks
Canada is in the midst of an opioid crisis, with the number of opioid-related harms and overdose cases increasing rapidly over the past few years. The opioid crisis involves a rising number of opioid-related deaths and overdoses, either from prescription opioids or from the increased availability of illegal, adulterated forms of potent opioids such as fentanyl. Today, fentanyl and fentanyl analogues have been reported to be the major drivers of the opioid crisis in the country, accounting for approximately 73% of accidental opioid-related deaths. Opioid-use disorders are increasingly prevalent in patients with chronic pain who have received opioids for management …
Case 5 : The Precision Of Aid: Remembering The Forgotten Disease In The Horn Of Africa, Janel Dhooma, Haytham Qosa, Ava A. John-Baptiste
Case 5 : The Precision Of Aid: Remembering The Forgotten Disease In The Horn Of Africa, Janel Dhooma, Haytham Qosa, Ava A. John-Baptiste
Western Public Health Casebooks
The district of Burao, Somaliland is in its 16th epidemiologic week in the midst of a cholera outbreak. The Somaliland Ministry of Health, in need of emergency relief, has requested that humanitarian organizations come to its aid. Eve Tinuviel has been deployed to Burao as a member of the Canadian Red Cross, where she serves as a global health advisor responsible for emergency health services. Eve’s main responsibility is to analyze disease surveillance data, triangulating data from different sources. A Health Cluster Coordination meeting amongst different health and humanitarian organizations reveals gaps in the epidemic response. The scarcity of resources …
Case 6 : No Fixed Address: A Cost-Effectiveness Analysis Of A Program To Prevent Psychiatric Discharge To Homelessness, Marie Fiedler, Bryanna Lucyk, Cheryl Forchuk, Ava A. John-Baptiste
Case 6 : No Fixed Address: A Cost-Effectiveness Analysis Of A Program To Prevent Psychiatric Discharge To Homelessness, Marie Fiedler, Bryanna Lucyk, Cheryl Forchuk, Ava A. John-Baptiste
Western Public Health Casebooks
Najwa D'Souza, the CEO of Hampden Health Care, is looking for an intervention that will reduce the rate of discharge to homelessness from the psychiatric units at her hospitals. She is presented with the No Fixed Address (NFA) program as a possible solution. This intervention is a multipronged, hospital-based intervention that provides support to psychiatric clients who are either experiencing homelessness or are at risk of homelessness. To implement the program at Hampden Health Care, hospital staff would refer clients they suspect are at risk of being discharged to homelessness to the NFA program. From there, clients would have the …
Case 7 : Going Beyond Bike Racks And Pedestrian Crossovers: Achieving Health Equity In School Travel Planning, Megan Graat, Andrew Clark, Jason Gilliland, Lloy Wylie
Case 7 : Going Beyond Bike Racks And Pedestrian Crossovers: Achieving Health Equity In School Travel Planning, Megan Graat, Andrew Clark, Jason Gilliland, Lloy Wylie
Western Public Health Casebooks
The Elgin-St. Thomas, London-Middlesex, and Oxford Active and Safe Routes to School (ASRTS) Steering Committee have established a School Travel Planning Equity Working Group. The goal of this group is to use the Government of Ontario’s Health Equity Impact Assessment tool to evaluate current inequities in school travel planning programming – a community-based approach to addressing barriers to and facilitators of walking and wheeling to and from school – by identifying relevant populations, potential impacts, and mitigation, monitoring, and dissemination strategies (Ministry of Health and Long-Term Care, 2018). The goal of the case is to provide readers with the opportunity …
Case 3 : Coming Together To Promote Change: Best Practices To Prevent, Treat, And Manage Type 2 Diabetes In Indigenous Communities In Canada, Sacha Bragg, Harsh Zaran, Regna Darnell
Case 3 : Coming Together To Promote Change: Best Practices To Prevent, Treat, And Manage Type 2 Diabetes In Indigenous Communities In Canada, Sacha Bragg, Harsh Zaran, Regna Darnell
Western Public Health Casebooks
Marie is a nurse and a member of the Bull Rapids First Nation. She is frustrated that there are no resources to help Indigenous people cope with the issue of chronic diseases such as type 2 diabetes, which is a major health issue in this community. Marie knows something needs to be done, so she undertakes research to determine whether there are any interventions that can help her community prevent, treat, and manage type 2 diabetes. During her research, she discovers Diabetes Alliance and the quality improvement strategy they have developed to empower Indigenous communities to create their own plans …
Case 9 : A Knot Of Contradictions: Systems Of Intersectionality And Muslim Lgbtq+ Mental Health Programs, Nour Kachouh, Harvir Sandhu, Amardeep Thind
Case 9 : A Knot Of Contradictions: Systems Of Intersectionality And Muslim Lgbtq+ Mental Health Programs, Nour Kachouh, Harvir Sandhu, Amardeep Thind
Western Public Health Casebooks
The case involves the protagonist, Yasmin Baytar, a queer Muslim woman who returns from the 2019 Women Deliver conference with the goal of implementing a community mental health program focusing on the LGBTQ+ Muslim population in Ottawa. She has extensive Sex- and Gender-Based Analysis Plus training and knowledge about intersectionality that she can use to develop a program that embraces true equality. However, she also needs to figure out how to obtain funding for her program and collaborate with different stakeholders while making sure she is keeping her population of interest involved and at the centre of her work. Students …
Case 10 : Changing The Service Delivery Model: How To Make It Happen?, Shradha Pandey, Yoshith Perera, Mark Speechley
Case 10 : Changing The Service Delivery Model: How To Make It Happen?, Shradha Pandey, Yoshith Perera, Mark Speechley
Western Public Health Casebooks
The case follows Ruksana Kadam, the 2SLGBTQ+ Programs and Community Engagement Manager at the HIV/AIDS Caring Communities (HACC). She has been tasked with developing and implementing a new service delivery model to be adopted at the HACC. The board and executive director are seeking change in order to improve services and care for its diverse clients. The new service delivery model would involve dissolving the current teams, which focused on priority populations such as people who have HIV/AIDS, 2SLGBTQ+ individuals, those who need harm reduction services, and African, Caribbean, and Black communities. The plan would involve creating two new teams …
Case 11 : Going Beyond The Virus: Understanding The Drivers Of The Ebola Virus Outbreak, Reshel Perera, Michel Deilgat, Suzanne Boucher, Ava A. John-Baptiste
Case 11 : Going Beyond The Virus: Understanding The Drivers Of The Ebola Virus Outbreak, Reshel Perera, Michel Deilgat, Suzanne Boucher, Ava A. John-Baptiste
Western Public Health Casebooks
The protagonist, Jason Fitzgerald, faces challenges performing contact tracing during an Ebola outbreak in the Democratic Republic of the Congo. This represents a small fraction of the many difficulties in responding to the 2018-2020 Ebola outbreak. Despite the best efforts of national and international organizations, the outbreak isn’t close to being contained. In fact, the virus threatens to spread to neighbouring countries, triggering the World Health Organization to declare the outbreak a Public Health Emergency of International Concern (PHEIC) on July 17, 2019. The Ebola outbreak is a dangerous, complex, and ongoing public health concern with serious national and international …
Case 13 : Preparing For The Tickpocalypse, Rayda Sheikh, Fatih Sekercioglu, Mark Speechley
Case 13 : Preparing For The Tickpocalypse, Rayda Sheikh, Fatih Sekercioglu, Mark Speechley
Western Public Health Casebooks
The blacklegged tick population is increasing within the Realike region, and this has been associated with the emergence and increase of Lyme disease cases in the area. Zachary Smith, the Manager of the Safe Water and Rabies Prevention & Control, and Vector-Borne Disease team at the Realike Health Unit’s Environmental Health Department, has been notified by Public Health Ontario of a potential Lyme disease outbreak in the area. Lyme disease is a vector-borne disease caused by bites from blacklegged ticks, also known as deer ticks, that are infected with Borrelia burgdorferi bacteria. The disease was once mostly endemic to the …
Case 15 : Recovery Through Education: An Integrative Approach To Mental Health For The People, By The People, Qi Xue, Andrew Johnson, Gerald Mckinley
Case 15 : Recovery Through Education: An Integrative Approach To Mental Health For The People, By The People, Qi Xue, Andrew Johnson, Gerald Mckinley
Western Public Health Casebooks
Recovery colleges are cocreated and codeveloped programs and services that mainly focus on increasing community integration and improving the well-being of people who have mental health concerns. Recovery colleges originated in England in 2009, with the first college established at the South West London Recovery College in London. Currently, there is no general consensus about what constitutes a recovery college. The primary focus of a recovery college is to provide a safe space where people who have mental illnesses and/or problematic substance use can lead their own journey to recovery. Eight components are used to define a recovery college (Perkins …
Case 14 : A Sticky Situation: A Medical Problem With A Social Solution, Stephanie Susman, Natasha Crowcroft, Amardeep Thind
Case 14 : A Sticky Situation: A Medical Problem With A Social Solution, Stephanie Susman, Natasha Crowcroft, Amardeep Thind
Western Public Health Casebooks
Vaccine hesitancy has been labelled as a complex risk communication problem for public health professionals because the reasons for this hesitancy are complex and unique. A provincial public health agency is faced with the difficult task of combatting the miscommunication about vaccines within the province. Lisa Walters, Public Health Consultant, has been working diligently to develop an effective risk communication message that targets vaccine-hesitant parents. Ultimately, the problem is one of framing, with the issue greatly influenced by how the media and health care professionals frame the issue and communicate with the public. The goal is to plan a communication …
Case 16 : When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald
Case 16 : When The Midnight Train Is The First Of Many: Dealing With Irregular And Unsafe Railway Crossings In The City Of London, Shannon L. Sibbald
Western Public Health Casebooks
While visiting a local school, the mayor of London was asked a simple question by a grade three student: “why aren’t there flashing light barriers at all railway crossings that are close to the places where children play?” The mayor did not have an answer to this question or the many other questions that went along with it, but he knew something needed to be done. But what? And by whom? Rail crossings in London are typically prone to risk. In Canada, only 17% of all 17,000 railway crossings have gates, and the primary purpose of these gates is to …
Introduction: Contributing To The Development Of The Next Generation, Michel P. Deilgat
Introduction: Contributing To The Development Of The Next Generation, Michel P. Deilgat
Western Public Health Casebooks
No abstract provided.
Case 1 : Vanishing Volunteers: The Use Of Implementation Research To Improve Support For Community Drug Distributors In Cote D'Ivoire, Daniel Dilliott, Alison Krentel, Mark Speechley
Case 1 : Vanishing Volunteers: The Use Of Implementation Research To Improve Support For Community Drug Distributors In Cote D'Ivoire, Daniel Dilliott, Alison Krentel, Mark Speechley
Western Public Health Casebooks
To be implemented successfully, most large-scale public health interventions, such as mass drug administration (MDA) campaigns for the elimination of lymphatic filariasis, require a large extent of human health resources. For several reasons, health workers and volunteer community drug distributors (CDDs) sometimes feel overwhelmed and unsupported in their work, which can cause them to give up their essential roles. In lower middle-income countries such as Côte d’Ivoire, where volunteers tasked with the distribution of antifilarial medications are already in short supply, losing valuable human health resources can ultimately cause MDA programs to fail. As such, it is crucial for implementers …
Case 4 : Combatting The Opioid Crisis: Expanding Naloxone Kit Distribution To Niagara Health Emergency Departments, Kate Harold, Nina Jain-Sheehan, Amardeep Thind
Case 4 : Combatting The Opioid Crisis: Expanding Naloxone Kit Distribution To Niagara Health Emergency Departments, Kate Harold, Nina Jain-Sheehan, Amardeep Thind
Western Public Health Casebooks
A regional hospital system is exploring the possibility of making naloxone kits accessible to patients in the emergency department of its hospital sites. The current hospital staff are reluctant to distribute these kits. The organization is trying to determine the best approach to guaranteeing program participation. The expansion of hospital access to naloxone kits is a direct response to the ongoing opioid crisis across Canada. Opioid-related deaths have spiked in recent years and various national and provincial initiatives are underway to reduce these deaths. Staff reluctance to distributing lifesaving naloxone kits in emergency departments stems from their lack of understanding …
Case 3 : The Missing Four Million: Working To Increase The Case Finding Rate For People With Tb, Ashley Fantauzzi, Taryn Russell, Shannon L. Sibbald
Case 3 : The Missing Four Million: Working To Increase The Case Finding Rate For People With Tb, Ashley Fantauzzi, Taryn Russell, Shannon L. Sibbald
Western Public Health Casebooks
Paru Hari, an Accredited Social Health Activist (ASHA), lives in Bihar, India, one of the poorest states in the country. Paru is involved in daily outreach within her community to facilitate community member access to health care facilities, administer medications, treat minor ailments, and generate health awareness. The majority of her work involves antenatal checkups, immunizations, and mild sickness treatments. However, with Bihar reporting approximately 70,000 new cases of tuberculosis (TB) annually and many cases going unreported and undiagnosed (Fathima, Varadharajan, Krishnamurthy, Ananthkumar & Mony, 2015; RESULTS Canada, 2018b), Paru decided to take action. She proposed that ASHAs act as …
Case 5 : Active Schools: A Method To Combat Sedentary Behaviour?, Tierra Hohn, Lesley James, Gerald Mckinley
Case 5 : Active Schools: A Method To Combat Sedentary Behaviour?, Tierra Hohn, Lesley James, Gerald Mckinley
Western Public Health Casebooks
After a phone call from Jessica Myles, a concerned principal, Amelia Brooks, the Director of Education with Maple Leaf District School Board, decided she needed to reduce sedentary behaviour among many students in her district. As she approached the end of her term as Director of Education, Amelia realized that if she wanted to take action and combat sedentary behaviour, the time was now. As a trained health promoter, Amelia knows the benefits and evidence around Active Schools, not just in improving physical activity, but also in supporting a culture of inclusive physical activity. Most Active Schools aim to promote …