HLTH205: W2T1 - Intro to health Promotion: Active Learning Moving Upstream - Downstream: immediate health needs of population are marginalized o Only immediate needs - Midstream - intermediary determinants or material circumstances such as housing conditions, employment, and food security o Material situations - Upstream - structural determinants such as social status, income, racism, and exclusion o Structural determinants o Create conditions for downstream and mid-stream There is a continuum UPSTREAM INTERVENTIONS MIDSTREAM INTERVENTIONS DOWNSTREAM INTERVENTIONS Seek to reform the fundamental social and economic structures that distribute wealth, power, opportunities, and decision-making. Seek to reduce exposure to hazards by improving material working and living conditions, or to reduce risk by promoting healthy behaviours. These changes generally happen at the macro policy level: national and transnational. These changes generally occur at the micro policy level: regional, local, community or organizational. They are about diminishing the causes-of-the-causes. They are about changing the causes. Seek to increase equitable access, at an individual or family level, to health and social services. These changes generally occur at the service or access to service level. They are about changing the effects of the causes. DETERMINANT UPSTREAM MIDSTREAM DOWNSTREAM Income advocate for living wage policies. wage capping. progressive taxation link clients with welfare, social assistance, or back-to-work programs ensure that chronic disease prevention programs are accessible to low income people Education create opportunities for educators, law enforcers and employers to work together to reduce barriers to education for youth support adult high school completion programs expand mental health promotion and early intervention programs Housing meet with elected officials and citizen groups to push for more affordable housing bring stakeholders together to improve the enforcement of regulations to improve substandard housing increase the availability of allergy and asthma treatment to vulnerable populations
** Definition to assist with Assignment 2 - Health Equity: Means all people (individuals, group, and communities) have a fair chance to reach their full health potential and are not disadvantages by social, economic, and environmental conditions - Health inequality - is a subset of heath inequality; refers to differences in health associated with social - Health inequality/Health disparities: refers to measurable differences in health btw people, groups, or communities - Health intervention: set of actions to bring about change or produce specific health outcomes - Health outcomes are changes in health related to investments, treatment - Socioeconomic status (ses) - Social determents of health: Examine dentistry - Downstream - - Midstream - Affordability, marketing - Upstream - prenatal education, income, reducing structural problems o Ones that really eliminate the problems Definitions to assist with Assignment 2 Socioeconomic status (SES) refers to people's degree of access to collectively desired resources: material goods, money, power, friendship networks, healthcare, leisure time, or educational opportunities. Social determinants of health are the interrelated social, political and economic factors that create the conditions in which people live, learn, work and play. https://solutions.crediblemind.com/social-determinants-of-mental-health-and-the-shift-upstream/ http://www.ideas4kidsmentalhealth.org/uploads/7/8/5/3/7853050/dopp- lantz2019 article_movingupstreamtoimprovechildre.pdf Intervention Proposal plan