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Community profiling, Community development and health: Lessons from Quebec Paul Morin, Professor, Department of Social Work, Sherbrooke’s University, Scottish.

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Presentation on theme: "Community profiling, Community development and health: Lessons from Quebec Paul Morin, Professor, Department of Social Work, Sherbrooke’s University, Scottish."— Presentation transcript:

1 Community profiling, Community development and health: Lessons from Quebec Paul Morin, Professor, Department of Social Work, Sherbrooke’s University, Scottish Community Development Centre March, 6 th, Glasgow

2 Contents  Community development in Québec  Eastern Townships Community Development Observatory  Estrie Community Dashboard: a project for mobilization and joint planning in community development.  First experimentation ( )

3 Contents  Development phase (2011-  Realistic evaluation ( )  Challenges

4 Community development in Québec  Since the early 70’s they are community organizers in the health and social services local public institutions  Now called Heath and Social services Center (94 of them)  Also community organizers in the third sector (mostly sectorial)

5 Community development in Quebec  As stated in Québec’s national public health program, the capacity of people to change their habits and control their situation as regards health and well-being does not only depend on their willpower and capacity to act but also on the conditions of their socio-economic, physical, social, and cultural environment.  With regard to this point, community development is one of the leading priorities in regional and local public-health action plans all over Québec.

6  Third sector organisation (2006)  Mandate: a partnership between practitioners and academics to create a synergy to promote and develop practice in community development  Membership and Composition of the board  Shoestring budget  A web site : Eastern Townships Community Development Observatory

7 What is the Eastern Townships Community Dashboard?  A tool designed to help orient people, allowing them to take action.  A winning combination of statistics and information on the dynamics of local communities, based on census results (2001, 2006 but also 2011, 2016…) and original use of social data. Estrie Community Dashboard

8 Eastern Townships Community development Observatory

9

10 Estrie Community Dashboard  A participative initiative of participants, citizens, elected officials, groups of consultants and researchers.  The ability for everyone to be able to detect complex problems that can arise in local communities as well as potential issues that can develop.

11 A tool to support the efforts of local development in progress  An acute knowledge of all communities is essential in order to determine what sort of support is needed.  The purpose of the dashboard is to compile data on communities and their projects to provide support for the implementation of the developments through :

12 A tool to support the efforts of local development in progress  strategic planning;  citizen participation;  the creation of action plans;  the politics of community development;  interventions on social inequalities.

13 An interactive and cross-sectoral process An interactive and cross-sectoral process An interactive and cross-sectoral process  L’Observatoire estrien du développement des communautés (OEDC) supports this project, in collaboration with the Direction de la santé publique et de l’évaluation (DSPÉ). At least two representatives from each RMC territory and from Sherbrooke as well as representatives from local organizations form the OECD’s scientific committee.  The main goals of this committee are:

14 Estrie Community Dashboard  Defining local communities In the spring of 2008, 66 local communities consisting of ± people were identified by 73 pivotal members of the Eastern Townships.  Choosing quantitative indicators In autumn 2008, the scientific committee chose a series of indicators (age of the population, income, crimes against the person, rate of cancer, housing, etc). ( 19 indicators = 126 informations)

15 Estrie Community Dashboard  Producing Statistics Statistical research is undertaken by the regional public health agency.  Acknowledging communities’ potential for development The leaders of each territory invite the citizens and businesses of the local communities to identify their most vital and dynamic areas as well as their zones of vulnerability.

16 Estrie Community Dashboard  Producing statistics The first statistics were available on the OEDC website by the summer  Disseminating results Communities and regional authorities will acquaint themselves with the results and discuss how to best transform the information into action. (knowledge transfert)  Assessing the process of implementation Evaluations will be made throughout the entire process.

17 Community Potential Appraisal This questionnaire contains 40 statements on life in a local community. Every group member must complete this questionnaire. Read each statement while thinking about your local community, and then state whether you agree or disagree with each statement by checking the box which corresponds best to your opinion. We ask that you answer individually and as spontaneously as possible. You are being asked to give your impression. There are no correct or incorrect answers. Your answer will remain confidential and will not be disseminated. Only a summary of the discussion will be made public.

18 Eastern Townships Community Scorecard: Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Statement — Potential of Individuals 1 It is easy to find people who can participate in community projects. 2 People do volunteer work. 3 People feel that they can make a difference in their community. 4 Relations in the neighbourhood are good. 5 People have a social life (family, friends, business, etc.) within the community.

19 Eastern Townships Community Scorecard : Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Statement — Potential of Individuals 6 People have a social life (family, friends, business, etc.) outside the community. 7 People feel concerned about events in their community. 8 People use public or community services when needed. 9 People enjoy living in this community. 10 People help one another in their daily lives. Eastern Townships Community Scorecard: Action Based on Knowledge

20 Eastern Townships Community Scorecard : Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Community Potential — 11 People are interested in local news. 12 People frequently use the Internet. 13 People have access to a variety of organizations and associations within the community. 14 Organizations and associations work together to solve common problems. 15 It is easy to get involved in the community. Eastern Townships Community Scorecard: Action Based on Knowledge

21 Eastern Townships Community Scorecard : Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Community Potential — 16 Public institutions are close to citizens (schools, CLSC, municipality, police, etc.). 17 People visit a public library. 18 Young people participate in athletic and cultural activities. 19 There is a variety of local services to respond to everyday needs (corner store, ATM, pharmacy, gas station, etc.). 20 People have access to a variety of modes of transportation for their daily activities. Eastern Townships Community Scorecard: Action Based on Knowledge

22 Eastern Townships Community Scorecard : Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Environmental Potential — 21 People care about maintaining their homes and the community in general. 22 Buildings and public spaces are attractive. 23 Outdoor public spaces have been laid out. 24 People use public or community spaces to meet each other. 25 People take daily measures to preserve the environment (composting, selective collection, etc.). Eastern Townships Community Scorecard: Action Based on Knowledge

23 Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Collective Potential — 26 The contribution of elders is recognized within the community. 27 Young people feel that they fit into their community. 28 There are leaders who encourage people to get involved in community projects. 29 There are leaders who can seek grants to fund community projects. 30 People feel safe in the community. 31 Children can play outdoors safely. Eastern Townships Community Scorecard: Action Based on Knowledge

24 Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Collective Potential — 32 People have access to a broad selection of quality and affordable foods in their community or nearby. 33 People want to gather to celebrate events. 34 People rally when the community faces a trial or hardship. 35 People are proud of the patrimony and history of their community. 36 People dream of a better future for their community.

25 Eastern Townships Community Scorecard : Action Based on Knowledge Totally disagree Somewhat disagree Neither agree nor disagree Somewhat agree Totally agree Not Applicable (N/A) Socio-Economic Potential — 37 People have sufficient funds to meet their basic needs (housing, food, clothing, transportation). 38 Significant gaps exist among people living in the community (income, education, etc.). 39 There are poor people living in the community. 40 People in the community benefit from a dynamic economic environment. This appraisal of community potential is directly inspired from: Réal Boisvert (2007). Les indicateurs de développement des communautés. Vers un dispositif national de surveillance, Agence de la santé et des services sociaux de la Mauricie et du Centre du Québec, p Eastern Townships Community Scorecard: Action Based on Knowledge

26 Advance knowledge for better actions A quantitative and qualitative tool A participatory process, intersectoral and to the point

27 Février 2009 − Octobre 2010 An evaluation of the implantation process 5 steps Delimitation of the communities Choice of indicators Discussion on the communities’ potential Validation of description Communities at work 4 principles of action Citizen participation Strengthening of empowerment Intersectorality Autonomy of territories 8 pilot communities 3 in Sherbrooke 1 in 5 of the 6 RCM

28  The TBCE can be linked to:  Place-based policy spaces and strategies  Local knowledge for community-based planning and  Collaborative community building

29 Creation and consolidation of spaces of concertation : the most important effect of the TB dashboard Intersectoral process demanding and complex which requires the development of a common vision of the process The co-construction of a « territorial intelligence » (RCM, communities) A long term commitment of partners to this concerted action First experimentation ( ) Intersectoral concertation

30 First experimentation ( ) Appropriation  By the regional stakeholders: They had to reflect on the process and construct tools  By the key territorial persons: Understand themselves the process Staff movement Partial vision at the start without always understanding the finality

31 First experimentation ( ) To adapt the process in their territory  To have the partners adhesion: -by the key territorial persons (with one-off or longer term involvement) -by the citizens during the appreciation of the potential

32 First experimentation ( ) Citizen participation A difficult principle to operationalise for the practitioners Citizens especially present at the stage of the appreciation of the potential of the communities The necessity emerged: Of reinforcing the consensus in the territories Of being equipped with tools and mechanisms to be able to make things differently

33  The TB dashboard is completed (first phase)  At the end of 2013, 27 of Sherbrooke’s 33 communities will have completed the process  TB is utilized by third sector organisations for planning and demanding subventions  TB has been utilized for determining the allocation of a regional fund on poverty and social exclusion Development phase (2011-

34 Realistic evaluation ( ) funded by the CIHR  The current research aims to evaluate TBCE’s approach in terms of its position in response to the question:  What is the potential impact of the TBCE’s strategies on social determinants of health (SDH)?

35 Realistic evaluation ( ) funded by the CIHR  The approach of the TBCE has a substantial impact in assisting residents to take ownership of the reality of their devitalized community (which is not easy to accept) and to guide them in their first steps towards mobilization in order to take action on this reality.

36 Realistic evaluation ( ) funded by the CIHR Dedicated and visionary leaders Access to ressources, with support Joined-up action Participation: structured, concerted and inclusive Concrete and innovative actions

37 Realistic evaluation ( ) funded by the CIHR (Sherbrooke)  Adhesion to TBCE of public institutions and third sector organizations as being perceived in synergy with their mandate  Support and expertise of key human resources, mainly from public institutions  Recognition that for acting on the quality of life, the action must be intersectoral and having a dynamic of partnership  The staged implementation of TBCE has produced an appropriation of the process and its concrete potential

38 Realistic evaluation ( ) funded by the CIHR  Challenges at the municipal level:  Find the funds that will permit the concretisation of the municipality orientation in community development  A better articulation between the diverse responsibilities of the key stakeholders

39 Realistic evaluation ( ) funded by the CIHR  Challenges at the municipal level: Being able to start community development in communities very much disadvantaged Consolidate community development that is already in place Develop the reflex of using the TBCE

40 Realistic evaluation ( ) funded by the CIHR Mont-Bellevue’s district example:  Leadership of the district and of the councillors for the TBCE process  A territorial third sector organization is using the TBCE in conjunction with its mobilization strategy  Appropriation of the intersectoral dimension by key stakeholders

41 Realistic evaluation ( ) funded by the CIHR (Mont-Bellevue)

42 Realistic evaluation ( ) funded by the CIHR  Example of a project in Mont-Bellevue: the primary school project:  The community organizers have used the TBCE as the tool for organizing the information:

43 Realistic evaluation ( ) funded by the CIHR  The level of schooling is way under the average  One household of three is under the annual poor income level  23.4 % of children are living in a household under the annual poor income level  An evolving partnership between the Health and Social services center and the School board

44 Final Challenges  Consolidate the partnership between communities, academics and other stakeholders  Junction with the economic world

45 Thanks for your attention


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