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
1. My home is making
me (and my
neighbours) sick
CHRA Pre-Congress
June 20, 2011
Michael Shapcott
Director, Housing and Innovation
The Wellesley Institute
Tuesday, June 21, 2011
4. Toronto 1911:
Founding of
Wellesley Hospital
Tuesday, June 21, 2011
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, 1934
Tuesday, June 21, 2011
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 efficacy
Tuesday, June 21, 2011
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 impact
Tuesday, June 21, 2011
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. 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 2010
Tuesday, June 21, 2011
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. Wellesley Urban
Health Model
(as of September, 2010)
Tuesday, June 21, 2011
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 now
Tuesday, June 21, 2011
18. Since 2001, Homeward
Trust has disbursed $115
million to 275 projects,
leveraging additional funds
for total value of $233
million
Tuesday, June 21, 2011
19. Social impact bonds
Innovative financial
instrument to capitalize
in current dollars the
future savings of policy
initiatives
Tuesday, June 21, 2011