PPT, 3, St. Michaels

Uncovering the Red Roof

The Rooftop AdvocatesSt. Michael’s Mission

Presented by: Anya Piasecki and Anaëlle Thommasson

BSc(N), Final year students

St. Michael’s MissionPopulation:

Homeless or disadvantaged Male Immigrant, First Nation and Indigenous population 30-50 years old

70-80% of our clients have a mental health issue

Services provided:

Hot breakfast and lunch Showers Clean clothes Food pantry Crisis intervention and administrative support (social workers)

Health promotional priority Action statement

The clients of St. Michael’s Mission have the potential to improve their mental health related to their participation in a student nurse facilitated

workshop that aims to de-stigmatize issues surrounding mental health through encouraging active discussion, introducing the concept of stress management and effective coping strategies, as well as

increasing awareness of mental health community resources.

Why this project?

“We give them food, clothes, a place to stay but what they’re missing is someone to take care of their hearts”

–George Greene (Director of St. Michael’s Mission)

Methods

Health Services:Lack of knowledge + fear driven by stigma Underutilized

Personal Health Practices & Coping Skills:Providing a supportive environment in our workshop develop personal skills

Population Health Promotion Model

Potential desired outcomes: Improved quality of life and overall well being Increased insight and access to available resource

Plan & QAT process and results The QAT was to make sure our workshop…

…Respected health literacy levels…Contained realistic and useful coping strategies …Included relevant mental health resources…Had products (pamphlet) and activities that complemented it + Mental Health First Aid Canada Training in Kahnawake

ResultsMental Health Promotion approach > Focus on Mental Health issues and deficits

Moyra Allen strength based approach (McGill Model of Nursing)

ImplementationPre workshop

Tickets for admissionPoster and “word of mouth” promotion

The workshop Who? 13 clients of the shelter attended Where? At St. Michael’s Mission conference roomWhat?

Wheel of Wellness, prizes Brainstorming True or False Stressors and Coping Strategies Resources Snacks, questions and discussion

Bilingual presentation

Pamphlet

Sponsoring: Copie Nova, Art Sale, Bake Sale

French version also available

Evaluation results Rationale• 0-10 scale, visual aid • French version available • Appropriate challenge • Simple language

Results- short term outcomes • 8 out of 13 completed the EET

Goal Achieved results

State the workshop was interesting 60% 100%

Found the workshop useful 60% 87.5%

Take a pamphlet 80% 92%

Be able to recall 1 coping strategy 80% 87.5%

What do these results mean? Results exceeded our initial expectations Personal Health Practices were learned Access to resources was facilitated Unanticipated results More participation than expected Positive verbal feedback Contextual factors Strong relationships with clients Trust Private space, minimal distractions

We broke the ice! Let’s talk about Mental Health!

Conclusion How are we going to render this project Sustainable?

Pamphlets revised- PDF sent to social workers Pamphlets available in the shelter Relayed information to the future students

Special thanks to the course coordinators Françoise Filion, RN, MScN Diana Gausden, RN SCPHN Kristina, Rozintseva, RN, BSc(N)

…and to the members of St. Michael’s Mission

George Greene, Executive Director Lisa Scolack, Social Worker Cailtin Murphy, Social Worker

Anya Piasecki Daniel RodriguezInass TawilTorie TennantAnaëlle ThommassonVictor Villareal-Corpuzanaelle.thommasson@mail.mcgill.caanya.piasecki@mail.mcgill.ca

References • Canadian Institute for Health Information & Canadian Population Health Initiative.

(2007). Improving the health of Canadians: Mental health and homelessness. Ottawa: Canadian Institute for Health Information

• Forchuk, C., Brown, S. A., Schofield, R. & Jensen, E. (2008). Perceptions of health and health service utilization among homeless and housed psychiatric consumer/survivors. Journal of Psychiatric and Mental Health Nursing, 15, 5, 399-407.

• Perry, J. & Craig, T. K. J. (2015). Homelessness and mental health. Trends in Urology & Men's Health, 6, 2, 19-21.

• Tsemberis, S. & Elfenbein, C. (1999). A perspective on voluntary and involuntary outreach services for the homeless mentally ill. New Directions for Mental Health

Services, 1999, 82, 9-19.• Vamvakas, A. & Rowe, M. (2001). Mental Health Training in Emergency Homeless

Shelters. Community Mental Health Journal, 37, 3, 287-295.