national parks & recreation conference & trade show ‘healthy communities- cultivating the...
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National Parks & Recreation National Parks & Recreation Conference & Trade ShowConference & Trade Show
‘ ‘Healthy Communities-Healthy Communities-Cultivating the Vision’Cultivating the Vision’
Saskatoon Sask. Saskatoon Sask.
October 18-21, 2006October 18-21, 2006
Getting Services Right for Getting Services Right for People with Disabilities:People with Disabilities:
Demographics and Service Delivery Demographics and Service Delivery ExpectationsExpectations
OverviewOverview IntroductionIntroduction Toronto’s disability community Toronto’s disability community MethodologyMethodology Key findingsKey findings Recommendations / accomplishmentsRecommendations / accomplishments Conclusions, next steps and resourcesConclusions, next steps and resources
Purpose and Objectives Purpose and Objectives
Comprehensive demographic profileComprehensive demographic profile Barriers to participationBarriers to participation Program and service improvementsProgram and service improvements
Purpose and Objectives Purpose and Objectives
Who in our community has a disability?Who in our community has a disability? What can Parks, Forestry & Recreation do What can Parks, Forestry & Recreation do
to improve the delivery of services?to improve the delivery of services?
Benefit of Participation Benefit of Participation of Physical Activityof Physical Activity
PhysiologicalPhysiological PhysicalPhysical Psychosocial Psychosocial
Overview of Toronto’s Disability Overview of Toronto’s Disability Community Community
Disability definedDisability defined Participation and Activity Limitation SurveyParticipation and Activity Limitation Survey Canadian Community Health SurveyCanadian Community Health Survey
Torontonians with Participation and Activity Limitations
(Canadian Community Health Survey)
18.6%21.2%
24.3%
0%
5%
10%
15%
20%
25%
30%
2000/01 2003 2005
Perc
enta
ge o
f Tor
onto
pop
ulat
ion
aged
12
and
over
with
a p
artic
ipat
ion
and
activ
ity li
mita
tion
Overview of Toronto’s Disability Overview of Toronto’s Disability Community Community
Participation in registered recreation Participation in registered recreation programsprograms 6.4% of general population6.4% of general population 0.4% of disability population0.4% of disability population
Our Common GroundsOur Common Grounds disability target disability target Achieving identical participation rates for Achieving identical participation rates for
both populationsboth populations
Overview of Toronto’s Disability Overview of Toronto’s Disability Community Community
Disability types servedDisability types served Perceived barriers to participationPerceived barriers to participation
Active2010Active2010 TheThe Active2010 Active2010 Ontario government sport and Ontario government sport and
physical activity strategy states that, the ultimate physical activity strategy states that, the ultimate benefit of creating more recreational opportunities for benefit of creating more recreational opportunities for people will be:people will be:
“ “A culture of physical activity and sport participation A culture of physical activity and sport participation that directly contributes to healthier Ontarians, that directly contributes to healthier Ontarians, stronger communities, and reduced healthcare stronger communities, and reduced healthcare costs… It’s successes will reduce the incidence of costs… It’s successes will reduce the incidence of chronic diseases associated with inactivity and chronic diseases associated with inactivity and ultimately ease health care costs.”ultimately ease health care costs.”
MethodologyMethodology
Focus groupsFocus groups Survey of residents with a disabilitySurvey of residents with a disability Survey of disability service agenciesSurvey of disability service agencies
Focus GroupsFocus Groups
14 sessions14 sessions 150 participants150 participants RecruitmentRecruitment Accommodations offeredAccommodations offered
Residents SurveyResidents Survey
24 questions24 questions 5,000 residents surveyed through 27 5,000 residents surveyed through 27
agenciesagencies 1,200 surveys out to existing participants1,200 surveys out to existing participants 667 responses – 13% response rate667 responses – 13% response rate
Agencies SurveyAgencies Survey
7 questions7 questions 56 agencies surveyed, from pool of 20056 agencies surveyed, from pool of 200 51 responses – 90% response rate51 responses – 90% response rate
Key Findings – ResidentsKey Findings – Residents
DemographicsDemographics Participation in adapted Participation in adapted
programs & integrated programs & integrated servicesservices
Importance & meaning of Importance & meaning of recreationrecreation
Barriers to participation in Barriers to participation in recreationrecreation
Use of parks, trails & Use of parks, trails & natural areasnatural areas
Program & service Program & service improvementsimprovements
CommunicationCommunication Recreational respiteRecreational respite Employment & Employment &
recruitmentrecruitment Youth outreach workersYouth outreach workers Cultural & social issuesCultural & social issues Policy improvementsPolicy improvements
Respondents by Age Group (n = 667)
1%
4%
8%9%
6%
8% 8%
11%
19%
16%
7%
3%
0%
5%
10%
15%
20%
25%
Age groups
Pe
rce
nta
ge
of
res
po
nd
en
ts
youth22%
unknow n4%older
adults10%
children17%
adults47%
Respondents' Residence by City Service District
Etobicoke York24%
Toronto & East York
28%
no response5%
North York 26%
Scarborough17%
Respondents by Disability Type(n = 1078)
27.3%
20.6%
15.6%
11.3%
5.7% 4.0% 3.1% 2.7%
9.8%
0
50
100
150
200
250
300
350
Disability type
Num
ber o
f res
pons
es
Respondents' Participation in City's Registered Recreation Programs
no previous participation
46%
participated previously
54%
Respondents' Participation by Program Type
Adapted Programs only23%
both Adapted and
Integrated35%
Integrated Services only42%
Importance of Recreation to Respondents
important 39%
very important 55%
no response3%
not important 3%
Distance Respondents Willing to Travel to Recreational Facilities
5%
12%
7%
16%
33%27%
0%
5%
10%
15%
20%
25%
30%
35%
0-5 6-10 11-15 16-20 21+ noresponse
Distance in kilometres
Per
cen
tag
e o
f res
po
nd
ents
w
illin
g to
trav
el
Respondents' Reasons for Non-Participation(n = 882)
231
128
98
92
77
66
66
63
61
7%
7%
7%
7%
9%
10%
11%
15%
26%
0 50 100 150 200 250
I am not aware of what programs and services are offered topersons with disabilities.
I don't know who to talk to.
I cannot afford the cost of participating
The support or individualized attention that I require to participateis not available.
There are no accessible recreational facilities close to my home.
None of the Adapted programs or Integrated services offered arewhat I really want.
I have no reliable means of transportation for getting toprograms and services.
The programs that I am interested in are not offered atconvenient times.
City recreational facilities are not welcoming to people withdisabilities.
Number and percentage of responses
Respondents' Visits to City Parks, Trails or Natural Areas over Past Year
did not visit 35%
no response2%
visited63%
Program and Service Improvements Suggested by Respondents
83%
82%
72%
70%
69%
69%
66%
66%
62%
62%
62%
61%
55%
52%
48%
40%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
Providing ongoing disability aw areness training for all staff.
Hiring more staff w ho are know ledgeable and have experience including peoplew ith disabilities in community recreation programs.
Offering programs throughout the day to accommodate different age groups andtransportation schedules.
Offering 1-to-1 support w orkers during the year
Offering life skills programs combined w ith recreation activities, such as how tomake friends w hile participating in a creative arts program, learning how to shop for
Providing maps that show accessible facilities and routes in city parks, ravines andnatural areas and trail systems.
Offering smaller class sizes to allow for more personalized attention.
Ensuring that recreational facilities are cleaned more thoroughly and frequently.
Providing Adapted & Integrated recreational information through a special accessiblew eb site.
Offering additional subsidies to the existing "Welcome Policy" to help w ith the costof participation.
Providing w armer w ater temperatures in some city sw imming pools.
Offering social programs combined w ith recreation activities such as youth havingpizza after a group sw im program or adults listening to guest speakers after an
Offering Adapted and Integrated summer camp sessions w ith 1-to-1 support formore than tw o w eeks.
Providing improved access to playground equipment in city parks.
Providing Adapted & Integrated recreational information through a special telephonehotline.
Providing interpretive services w hen requested.
Percentage of all respondents
Most Important Service Improvement Initiatives for Respondents
94
37
54
34
13
73
28
28
16
22
40
19
42
9
3
7
87
42
57
64
43
29
31
39
20
15
27
18
9
7
6
10
55
51
56
42
51
22
38
22
27
34
18
24
17
9
6
4
34
72
27
35
38
19
24
23
40
28
13
30
9
9
19
8
0 50 100 150 200 250 300
More knowledgeable staff
Life skills with recreation programs
1-to-1 support year-round
Disabilty awareness training for staff
Smaller classes / more personalized attention
1-to-1 support for more than 2 weeks
Social activities with recreation programs
Throughout-the-day programs
Cleaner facilities
Warmer water in pools
Additional fee subsidies
Maps for natural areas
Accessible website
Interpretive services
More accessible playgrounds
Phone hotline
Init
iati
ve
Number of responses
1st ranked
2nd ranked
3rd ranked
4th ranked
Preferred Means of Receiving Information About Parks, Forestry & Recreation Services
fax3%
other1%
regular mail36%
e-mail14%
website12%
telephone10%
in person9%
media7%
word of mouth4%
bulletin board4%
Frequency of Recreational Respite Needed
3-4 days/w eek22%
every 2 w eeks9%
once a month6%
other1%
1-2 days/w eek61%
Length of Time Needed for Recreational Respite
2 hours34%
half day26%
full day19%
1 hour11%
1.5 hours7%
other3%
Employment and RecruitmentEmployment and Recruitment
AdvertisingAdvertising CoachingCoaching Job search trainingJob search training
Youth Outreach WorkersYouth Outreach Workers
Connecting outreach workers and youthConnecting outreach workers and youth Services providedServices provided
Cultural and Social ConcernsCultural and Social Concerns
Change rooms and washroomsChange rooms and washrooms Gender-specific programmingGender-specific programming Gender of support workersGender of support workers
Policy ImprovementsPolicy Improvements
Registration and subsidiesRegistration and subsidies Program planning and reviewProgram planning and review Photo I.D.Photo I.D.
Key Findings – Disability Service Key Findings – Disability Service AgenciesAgencies
Client demographicsClient demographics Primary functionPrimary function Recreation opportunities and supportsRecreation opportunities and supports Recreation challengesRecreation challenges Multilingual servicesMultilingual services Cultural and social concernsCultural and social concerns
Age Groups Served by Disability Service Agencies
2.8% 2.8%
5.0%
18.8%
5.9%
18.8%
2.7%
4.9%
21.2%
17.0%
0%
5%
10%
15%
20%
25%
0-5 0-15 6 to 12 6-15, 6-19
13-24 16-44, 20-44,20-59
16+,20+
25-59 45+ 60+
Age groups
Pe
rce
nta
ge
of
clie
nts
se
rve
d
Disability Types Served by Disability Service Agencies
learning7%
visual8%
developmental8%
physical16%
hearing47%
psychological2%
other7%
autism spectrum disorder
4%
head injury1%
speech1%
Residence of Disability Service Agency Clients
(by City service district)
Etobicoke York29%
Toronto/ East York
27%
North York19%
Scarborough25%
Primary Function of Disability Service Agencies
spiritual outreach and education
2%
respite services2%
educational services8% children/youth
services14%
children's care agencies
8%
recreational 6%
sports6%
employment services4%
rehabilitation4%
community information and
referrals4%
parental mutual support and
information sharing2%
long term care facility2%
multiservice agency32%
health services16%
Disability Service Agencies Offering Recreational Programs
not offering programs
49%
offering programs
51%
Recreation Activities Offered by Disability Service Agencies
8%
12%
23%
23%
31%
35%
42%
54%
65%
69%
62%
0% 10% 20% 30% 40% 50% 60% 70% 80%
other
travel
gardening
hobbies
camping
creative arts
fitness
games
social activities
indoor/outdoor sports
life/social skills
Type
s of
act
iviti
es o
ffer
ed
Percentage of agencies
Recreational Supports Provided by Disability Service Agencies
44%
40%
33%
28%
26%
21%
19%
12%
7%
49%
0% 10% 20% 30% 40% 50% 60%
training for w orkers and recreation service providers
adapted recreational equipment
one-to-one support
leisure counselling
funding and subsidies
transportation
attendant care services
referrals
interpretive services
other
Ty
pe
of
su
pp
ort
pro
vid
ed
Percentage of agencies
Recreational ChallengesRecreational Challenges
TransportationTransportation ConsultationConsultation Awareness trainingAwareness training
Disability Service Agency Clients Requiring Non-English Language Services
required69%
not required27%
no response4%
Disability Service Agencies Providing Multilingual Services
services not provided
43%
services provided
57%
Most Common Non-English Languages Required by Disability Service Agency Clients
Chinese19%
Spanish16%
Tamil8%
other10%
Ukrainian3%
Hindi4%
Russian4%
Vietnamese4%
Portuguese5%
Urdu7%
Somali6%
Italian5%
Punjabi5%
French4%
Non-English Languages Provided by Disability Service Agencies
Spanish23%
Italian13%
French11%
Urdu4%
Ukrainian4%
Tamil4%
Portuguese4%
Russian5%
Polish5%
Sign Language as required
4%
Tagalog4%
Chinese19%
Cultural and Social Concerns Identified by Disability Service Agencies
family changerooms/
washrooms 22%
disability awareness
training19%
first language interpreters
13%
women-only swim programs
10%
RecommendationsRecommendationsDemographicsDemographics
1.1. Increase the number, type and Increase the number, type and
variety of programs and servicesvariety of programs and services
2. Increase the number of social, life 2. Increase the number of social, life
skills, fitness, sports andskills, fitness, sports and
computer training opportunitiescomputer training opportunities
RecommendationsRecommendationsPromotion and Communications Promotion and Communications
1. Promotional material 1. Promotional material
2. Disability Services link on Division website2. Disability Services link on Division website
3. Facility display areas 3. Facility display areas
RecommendationsRecommendations
AffordabilityAffordability
1. Consider alternative payment options1. Consider alternative payment options
RecommendationsRecommendations One-to-One SupportOne-to-One Support
1. Hire more integrated support staff1. Hire more integrated support staff
2. Partner agencies to provide support and 2. Partner agencies to provide support and attendant careattendant care
RecommendationsRecommendations Parks, Trails and Natural AreasParks, Trails and Natural Areas 1. Increase accessibility1. Increase accessibility2. Improve maintenance of outdoor2. Improve maintenance of outdoor facilitiesfacilities3. Improve safety3. Improve safety4. Improve promotion4. Improve promotion
RecommendationsRecommendations
Program and Service ImprovementsProgram and Service Improvements
1. Previous experience 1. Previous experience 2. Increase programs2. Increase programs3. Increase one-to-one support year round3. Increase one-to-one support year round4. Disability awareness training 4. Disability awareness training 5. Programs and service consistency5. Programs and service consistency
RecommendationsRecommendations
Information DisseminationInformation Dissemination
1. R1. Regular mail, email and accessible egular mail, email and accessible websiteswebsites
2. Increase advertising 2. Increase advertising
RecommendationsRecommendations
Importance and Meaning of RecreationImportance and Meaning of Recreation 1.1. Task force on Getting Services Right for Task force on Getting Services Right for
People with DisabilitiesPeople with Disabilities2. Increase number of Adapted and 2. Increase number of Adapted and
Integrated programsIntegrated programs
RecommendationsRecommendations
Recreational RespiteRecreational Respite
1.1. Recreational respite programs on Recreational respite programs on weekends and evenings across the weekends and evenings across the citycity
RecommendationsRecommendations
Employment and recruitmentEmployment and recruitment
1.1. Information at job fairs Information at job fairs
2.2. Advertise to agenciesAdvertise to agencies
3.3. Increase partnerships Increase partnerships
4.4. Increase use of mediaIncrease use of media
5.5. Develop a work experience programDevelop a work experience program
6.6. Hire people with disabilitiesHire people with disabilities
RecommendationsRecommendations Youth Outreach Workers Youth Outreach Workers
1. Partner with agencies1. Partner with agencies
2. Inform and refer2. Inform and refer
RecommendationsRecommendations
Multilingual servicesMultilingual services 1.1. Promotional material Promotional material 2.2. Interpretive servicesInterpretive services
RecommendationsRecommendations
Cultural and Social ConcernsCultural and Social Concerns 1. Accessible facilities1. Accessible facilities2. Access to first language/sign 2. Access to first language/sign
language interpreterslanguage interpreters3. Disability awareness training to all 3. Disability awareness training to all
Division staffDivision staff
RecommendationsRecommendations
Policy ImprovementsPolicy Improvements
1. Registration and Welcome Policy 1. Registration and Welcome Policy 2. Photo identification card 2. Photo identification card 3. Include and consult with people with 3. Include and consult with people with
disabilitiesdisabilities
ConclusionsConclusions
Disability community engagedDisability community engaged Demographics, barriers, service issues Demographics, barriers, service issues
better understoodbetter understood Opportunities for action definedOpportunities for action defined Progress made Progress made
Recent Accomplishments Recent Accomplishments
Snoezelen roomSnoezelen room ASL interpreters and attendant care services ASL interpreters and attendant care services City-wide steering committeeCity-wide steering committee Education to disability serving agenciesEducation to disability serving agencies Promotion and accessPromotion and access Physical Activity and Youth MentorshipPhysical Activity and Youth Mentorship
Recent AccomplishmentsRecent Accomplishments
City-wide data base of agenciesCity-wide data base of agencies Employment of Disability Youth Outreach WorkersEmployment of Disability Youth Outreach Workers Training and EducationTraining and Education Technology (AIMS)Technology (AIMS) Advertising Advertising
Next StepsNext Steps
Review and adopt recommendationsReview and adopt recommendations Finalize and cost out recommendationsFinalize and cost out recommendations Finalize project reportFinalize project report Approval from City CouncilApproval from City Council Create task force to guide implementationCreate task force to guide implementation
AcknowledgementsAcknowledgements
Disability AgenciesDisability Agencies PFR Steering CommitteePFR Steering Committee Focus Group StaffFocus Group Staff Inter-departmental partnersInter-departmental partners Reference GroupReference Group
Resources AvailableResources Available Ontario disability fact sheet 2001Ontario disability fact sheet 2001 Project outlineProject outline Residents and agencies surveysResidents and agencies surveys Focus group flyer and questionsFocus group flyer and questions Definitions of terms – focus groupsDefinitions of terms – focus groups Performing public consultation – disabilitiesPerforming public consultation – disabilities ODA DefinitionsODA Definitions Accessibility resources – Toronto WebsiteAccessibility resources – Toronto Website http:/http://www.cpra.ca/www.cpra.ca
ReferencesReferences Statistics Canada, (2001) Statistics Canada, (2001) Participation Activity Limitation Survey (PALS). Pg 8-11Participation Activity Limitation Survey (PALS). Pg 8-11
Statistics Canada, (1986 & 1991) Statistics Canada, (1986 & 1991) Health and Activity Limitation Survey (HALS). Pg Health and Activity Limitation Survey (HALS). Pg 3-53-5
City of Toronto: Parks, Forestry and Recreation Division: The Office of the City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for People with Disabilities, (2005) “Advocate for People with Disabilities, (2005) “Getting Services Right for Getting Services Right for Torontonians with Disabilities”: Focus Group Summary ReportTorontonians with Disabilities”: Focus Group Summary Report (including meeting (including meeting schedule, questions and a summary of individual comments)schedule, questions and a summary of individual comments)
City of Toronto: Parks, Forestry and Recreation, (2005) City of Toronto: Parks, Forestry and Recreation, (2005) “Guide to Conducting “Guide to Conducting Community Consultations”Community Consultations”
City of Toronto: Parks, Forestry and Recreation Division: The Office of the City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for People with Disabilities, (2005) Advocate for People with Disabilities, (2005) “Recommendations for Performing “Recommendations for Performing Public Consultations for People with Disabilities”Public Consultations for People with Disabilities”
City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for People with Disabilities, (2005) People with Disabilities, (2005) “Getting Services Right for Torontonians with “Getting Services Right for Torontonians with Disabilities- Toronto Residents with DisabilitiesDisabilities- Toronto Residents with Disabilities ” survey (including a summary of ” survey (including a summary of individual comments) individual comments)
City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for People with Disabilities, (2005) People with Disabilities, (2005) “Getting Services Right for Torontonians with “Getting Services Right for Torontonians with Disabilities- Toronto Agencies Serving Torontonians with Disabilities”Disabilities- Toronto Agencies Serving Torontonians with Disabilities” surveysurvey
City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for City of Toronto: Parks, Forestry and Recreation Division: The Office of the Advocate for People with Disabilities, (2005) People with Disabilities, (2005) Budget for Surveys and Focus Group BudgetBudget for Surveys and Focus Group Budget
For copies of 3-8, please contact the Office of the Advocate for People with Disabilities For copies of 3-8, please contact the Office of the Advocate for People with Disabilities at 416-394-8535.at 416-394-8535.
Parsons, Ernie Parsons, Ernie MPPMPP, (2006) , (2006) Report on Consultations Regarding the Transformation of Report on Consultations Regarding the Transformation of Developmental ServicesDevelopmental Services. Pg 14. Pg 14
ReferencesReferences
Contact InformationContact Information
LORENE BODIAMLORENE BODIAM
Advocate for People with DisabilitiesAdvocate for People with Disabilities Ph: 416-394-8532Ph: 416-394-8532 E-mail: E-mail: [email protected]@toronto.ca