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Event Materials



The rise in chronic illness, particularly among older persons, is transforming healthcare landscapes globally. Self-management has shown to contribute to improved health outcomes, health system sustainability and enhanced quality of care for persons living with one or more chronic conditions. This raises important questions around policies and practices to increase self management support for people most at-risk of hospitalization and/or admission into long-term care. This full-day conference presents key policy issues, shared insights and practical innovations for self managing care as a key element in preventing and managing complex chronic conditions.


Event Details



Date & Time

Wednesday, February 17, 2010
8:30 am - 4:30 pm



George Vari Engineering and Computing Centre, Ryerson University, 245 Church St., Toronto (Ontario)

Keynote Address
Photo of Wayson Choy

Wayson Choy, Award Winning Canadian Novelist, Memoirist and Short-Story Writer

Feature Speaker

  • Judith Schaefer, MacColl Institute for Healthcare Innovation (Seattle, United States) -Judith will open the panel with a presentation connecting the dots around issues of self managed care.
    [ Presentation ]


Panel Speakers

  • Andy Underwood, Home and Community Support Services of Grey Bruce (Owen Sound, Ontario) - Andy will speak about self-managed care from the perspective of the disability community where the philosophy & approach of self-management are core to the practices of independent living and attendant care.
  • Helen Leung, Carefirst Seniors and Community Services Association (Toronto, Ontario) - Helen will speak to issues of ethno-cultural diversity and self-managed care that is linguistically and culturally appropriate in meeting the needs of diverse populations.
    [ Presentation ]
  • Jennifer Chambers, Empowerment Council, CAMH (Toronto, Ontario) - Jennifer will speak to support for self-managed care in the addictions and mental health community and will provide a strong voice to the client perspective.
    [ Presentation Notes ]


Afternoon Session:
A series of skill-building workshops offering a rich opportunity to engage in knowledge translation and exchange with other front-line practitioners, health administrators, policy makers and consumers.

Time Facilitators Description
1:00pm - 2:30pm Judith Schaefer
Change is Good, You Go First: Implementing Self Management Support through Interdisciplinary Team Care

Enabling individuals to make good choices and sustain healthy behaviors calls for a collaborative relationship between healthcare providers and teams, and clients and their families. It also calls for a partnership that supports clients in building the skills and confidence they need to lead active and fulfilling lives. The concepts and tools used in this seminar come from the Partnering in Self Management Support toolkit. This 90 minute workshop session addresses the implementation of self-management support: team care, roles and tasks, cross-training, and community partnerships and will focus on the Cycle of SMS graphic outlined in the toolkit. Within the framework of this seminar, participants will describe client centered, team-based management of chronic illness through the cycle of SMS, and plan role and task distribution to effectively provide SMS within and across practice settings and community partners.

[ Presentation ]
[ Presentation Handout ]
1:00pm -2:30pm
Frances Morton-Chang
Making Sense off Self Management Strategies

Historically care planning for persons with dementia (PWDs) has bounced between risk mitigation strategies and crisis intervention. Using the Balance of Care methodology as a backdrop, this 90 minute workshop will provide insight around enablers and inhibitors to self-management strategies for persons with dementia, and why coaching in self-care is good for both the individual and good for the system. This session will challenge popular misconceptions about persons with dementia and their ability to manage their own care. This seminar will discuss the urgency of proactive self-care strategies and the growing prevalence of Alzheimer’s Disease and related dementias. Participants will explore opportunities and strategies to better support and empower persons with dementia to manage and accommodate the decline in their cognitive abilities.

[ Presentation ]
[ Presentation Handout ]
[ Presentation Summary and Additional Resources ]
[ Tips & Strategies Guide ]
[ Self-Management Session Worksheet ]
[ Care Packages Description ]
1:00pm -2:30pm
Dr. Marilyn Herie and Rosa Dragonetti
Putting Motivational Interviewing Skill's into Practice

This skills building workshop is designed to help participants enhance their clinical skills in Motivational Interviewing (MI). This 90 minute workshop has been designed for all health care practitioners – especially those who work as front line workers with clients on a daily basis. Using a fun and interactive approach, we will focus on building confidence and competence using key motivational strategies. Participants will observe, practice and assess motivational approaches and techniques in a non-threatening and supportive environment. Tools and techniques for strategic reflection, enhancing motivation in resistant clients, and developing an implementation plan will also be covered.

[ Presentation ]
[ Presentation Handout ]
1:00pm -2:30pm
Bob Gardner
Finally, an Easy to Use Equity Planning Tool for Our Sector

This hands-on 90 minute session will introduce a proven equity planning tool that helps to assess the potential impact of health programming and/or service initiatives among diverse health disadvantaged communities. Developed by the Ministry of Health and Long Term Care and the Toronto Central Local Health Integration Network (TC LHIN), it has been piloted by the Toronto Central LHIN and is being considered by the MOHLTC for wider implementation. This seminar offers participants a broad understanding about the genesis of the planning tool and how it can be applied effectively within organizations. This session is targeted to anyone in the health sector who is involved with equity focused planning and new clinical, policy, quality and/or safety initiatives.

[ Presentation ]
[ Presentation Handout ]
[ Health Equity Impact Assessment (HEIA) Tool ]
[ Health Equity Impact Assessment (HEIA) Workbook ]
1:00pm -2:30pm
Betty Wills
The Case Of Type II Diabetes Self Management Program For The Canadian-Chinese Population

Toronto is a culturally and ethnically diverse city and visible minorities account for 43% of its residents (Census of Canada 2001). The prevalence of type 2 diabetes (T2D) is high in non-European ethnic groups (ICES, 2007) and is particularly high in populations from East Asia and South Asia. Diabetes self-management programs have been shown to be effective in empowering individuals to take better care of themselves, but these programs must be culturally appropriate for each group. The aim of this workshop is to explore and discuss specific self-management strategies that are useful to promote successful self-care abilities among individuals from ethnic minorities. The planning of a culturally tailored diabetes self-management program may result in improved outcomes among individuals from different cultural backgrounds. In particular, the concept of efficacy and its effectiveness among Chinese-Canadians who are diagnosed with T2D will be discussed. The workshop will further explore other relevant constructs that may impact on diabetes self-management in this population. Finally, strategies to increase and optimize diabetes self-management among Chinese-Canadians will be presented.

[ Presentation ]
3:00pm-4:30pm Judith Schaefer
Change is Good, You Go First: Collaborating with Patients for Everyone's Health

The concepts and tools used in this seminar come from Partnering in Self Management Support, a toolkit for clinicians, and are intended to give busy clinical practices an introduction to a set of activities and changes that support clients and families in the day-to-day management of chronic conditions. Practices that are just beginning to reorganize client-centered care, as well as those experienced in collaborative self-management, will find high-leverage change ideas that offer a number of ways to begin using the techniques and tools with a small number of individuals. This seminar session will demonstrate and provide interactive practice with the behavior change skills and tools featured in the toolkit. Participants will explore moving from client/patient education to client centered SMS. They will use tools to guide client centered self-management processes including collaborative agenda setting, information sharing, action planning and problem solving.

[ Presentation ]
[ Presentation Handout ]
[ Action Plan with Example ]
[ Agenda Setting Sheet ]
[ Roles and Tasks Assessment ]
[ Ultra-Brief Personal Action Planning (UB-PAP) ]





Keynote Speaker - Wayson Choy
Featured Speaker - Judith Schaefer
Panel Speaker - Jennifer Chambers
Panel Speaker - Helen Leung
Panel Speaker - Andy Underwood
Workshop 1 - Judith Schaefer (Part 1 & 2)


HC 2010 sponsor logos