Courtyard café: Health and well-being

• Spiritual
• Social
• Occupational
• Physical
• Environmental
• Intellectual
• Emotional

• Health is an outcome
• Need to address impediments to health and well-being
  • Inadequate food and shelter
  • Lack of education
  • Inadequate income
  • Glamorizing substance use
  • Lack of mental health support
  • Peer pressure
• Is this the first time kids will not outlive their parents?
• Need to recognise the relationship between community and environmental aspects of health
• Most efforts into disease treatment, not health promotion. Need to do more prevention

Issues:

• In order to thrive, people’s basic needs must be addressed: food, shelter, income, education, sense of community
• Poverty is the biggest risk factor for disease
• Homelessness and affordability

Solutions:

• Remove impediments to social advancement
• Free education
• Universal basic income (UBI). Removes stress, increases fulfilment and open up opportunities

Issues:

• Sugar addiction
• Poor nutrition in prison system and hospitals

Solutions:

• Healthy nutrition as baseline
• Treat healthy nutrition as a social justice issue
• Active transportation exercise

Issues:

• Lack of proactive policy and focus on prevention
• Proactive interventions ex. address basic needs (See above)

Solutions:

• Provide basic dental care
• Universal pharmacare
• “Alternative” modalites should be covered = wellness first before the treatment

Issues:

• Mental health has key cascading benefits
• Mental health and wellness foremost social issue
• Mental health is an issue for youth and the elderly
• Attention Spans decreased due to technology
• Social isolation caused by technology
• Time pressures
• Social isolation - poverty

Solutions:

• Counselling services ex. grief, dealing with life
• Destigmatization
• Strong community support for international students
• LGBTQ2+ equality
• Policies to promote healthy communities and ways to bring people together
• Promote healthy, homes and families
• Leisure time, not consumption

Issues:

• Personal cost of treatment. Huge financial burden
• Disease: no other disease forced to deal with crime
• Only 40 beds in province for youth fighting addiction
• Shame and stigma- not open about it
• Isolation in communities
• Over prescribing of opioids

Solutions:

• Should be treated as a health issue, not a criminal issue
• Force people to deal with organized crime
• End war on drugs: remove role of organized crime
• Provide clean source
• Additional resources for addictions treatment
• Support for parents who need to put their children into addiction treatment facilities

Issues:

• Urban design influence accessibility - Crowded residential areas negative effect on community
• Air quality
• Disconnect with nature

Solutions:

• Improve urban design
  • Bike lanes
  • Gardens light
  • Daylighting the rivers
• Community spaces, cultural engagement, urban design
• Enhance the connection with nature and natural environment
• Examine the impact of pesticide use, the connection to disease as a result of changes in food system
• Local food is key
• Address nature deficit in schools and workplaces
• Infrastructure for active transportation
• Community gardens ex. Squamish indigenous plants
• Legislation
  • Right to clean air and water

Issues:

• Wrong people deciding who gets paid
• Education, new age issues need to be taught, especially youth issues
• Basic Dental should be part of medical coverage
• Siloed decision making authority. Allocation of resource siloed
• Not doing a good job of measuring
  • Ex. incomes, well-being

Solutions:

• Cross-ministry approach
• Develop overarching plan for delivering health services
  • Conduct a visioning exercise-where we want to be
  • Recognise holistic policy limits of acceptable change
• Should look at best practices around the world ex. legalization in Portugal
• Canadian Association of Physicians for the Environment
• Apps that enable people to track healthy behaviour
• Evidence driven — appeal to medical community