Led by UBC nursing graduate Kelsi Jessamine, Community Veterinary Outreach (CVO) and Paws for Hope Animal Foundation (PFHFA) provided care for pets and their people as part of Evelyne Saller Center’s Community Connect Event on October 12, 2017.  The team of volunteers was comprised of  fellow UBC School of Nursing alumni Elena Bernardi, Alexa McCarthy, and Blair Cramer. The team joined forces with current UBC School of Nursing students and faculty to deliver quality care and service to local community members. Blood pressure readings were completed as well as naloxone training and kit distribution. For those with four legged friends, pet food and products were distributed.  The CVO team deemed the event a success, indicating that 20 blood pressure readings and cardiovascular teachings were completed, 7 naloxone training sessions completed and kits issued, with over 35 bags of pet food distributed from donations by Royal Canin.

The aim of this event and the three preceding Pet Fair and People Care clinics throughout the past year, have been to connect with people that may not otherwise be connected with health care in the community. Event organizer Kelsi Jessamine and the Community Veterinary Outreach team place this ability of animals to transcend or positively build upon potentially negative experiences impacting individuals of the downtown eastside community at the center of their mission. Jessamine explains saying “often within this population the pet is the one grounding factor in a person’s life. If they’ve experienced a lot of judgment or trauma in their lives – whatever their story is – the pet is often a very positive influence.”

Additionally, at the Community Connect Event the nursing team showcased and provided referrals to the “One Health” Clinic at Direction’s Youth Services on November 26th. The One Health will take place from 1:00-4:00pm and will offer a range of human health services provided by CVO nursing volunteers and UBC School of Pharmacy, in combination with free veterinary services delivered by Paws for Hope Animal Foundation.  This event will include clothing, blankets, food items and pet product distributions for those in need.

Looking forward to the November event and others in the future, event organizer Kelsi Jessamine sees boundless opportunity for Community Veterinary Outreach and the One Health care model in Vancouver.  “The human-animal bond is a powerful thing- and one that seems to transcend socioeconomic, health status and other potentially marginalizing factors—it is apparent that the Pet Fair and People Care events continue to leverage this special relationship and serve those most in need within our community” , says Jessamine.

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This fall, two recent UBC Nursing graduates, Kelsi Jessamine and Jessica Ardley, were invited to present their fourth-year nursing project and continued work in Vancouver, at the 2017 Community Engagement Healthcare Improvement (CEHI) Conference, in San Antonio Texas.  Jessica and Kelsi, along with a team of UBC graduate RNs, and MPH Candidate, Dr. Doris Leung, work with Community Veterinary Outreach to coordinate primary care clinics for marginalized clients and their pets.

Community Veterinary Outreach (CVO) is a Canadian charity that operates in partnership with Paws for Hope Animal Foundation (PFHAF) to expand the “One Health” initiative in the Vancouver region.  One Health is the connection between people, pets and their shared environment.   The One Health Vancouver clinics have been extremely successful in reaching the city’s most marginalized individuals and connecting them and their pets to care. Jessica and Kelsi attended the CEHI to present this care-model, with the results of the Vancouver pilot clinics.

Kelsi and Jessica presenting their academic poster titled “Connecting Homeless and Marginalized Populations to Health Care through Pet Services” at the CEHI conference

UBC Community Instructor, Ranjit Dhari, was the one who encouraged the team to apply to present their work at the 2017 CEHI conference, and with their application the two recent graduates were awarded a scholarship from the University of Texas, to attend the conference. The One Health care model and the structure of the Vancouver clinics were extremely well received by nurses, physicians and other healthcare professionals across the United States.  For any nurses, especially new graduates, this was a very proud moment. By presenting the project with honesty, knowledge, and kindness, the two CVO volunteers were even able to change and open a few minds along the way.

In addition to presenting their work at the CEHI conference, Jessica and Kelsi attended several presentations and educational workshops by current leaders and researchers in the field. Themes of the presentations and seminars included topics that focused on improving public health through community-based research, program development, and evaluation. These education seminars were of particular interest to the new RNs, given both their community-based nursing with CVO and additional work in inpatient care.

Jessica currently works at Fir Square, affiliated with BC Women’s Hospital, an acute perinatal unit for socially at-risk women with addictions. Jessica is dedicated to providing compassionate care to these women and infants through harm-reduction.  At the CEHI conference Jessica was provided with the opportunity to promote the structure of care at Fir Square to clinicians, researchers and patients attending the seminars. Jessica also gained tremendous insight on what care looks like for at risk mothers and infants in various states across the US and the struggles they and their health care teams face.

Like Jessica, Kelsi also cares a highly vulnerable population in inpatient care.  Kelsi works in pediatrics medicine at Kelowna General Hospital (KGH), where she cares for both acute medical and psychiatry patients.  At the CEHI conference, Kelsi was able to share some of her new knowledge and experience caring for patients through the care continuum and learned added strategies to promote best possible patient and public health outcomes.  Having this opportunity to share their experiences and learn from leaders in the field was instrumental for the new graduates with their goals with CVO and their evolving careers.

The next One Health clinic will be held Nov 26, 2017 at Directions Youth Services. The two nurses plan to integrate what they learned from the CEHI conference into their approach and analysis of this upcoming CVO and PFHAF event.

Save the Date” posters credited by Jessica Ardely, which were advertise the 2017 One Health Clinic, at the Community Connect Event at Evelyne Saller Community Center.

Jessica and Kelsi would like to thank the School of Nursing, its faculty, and Community Veterinary Outreach for supporting their attendance to the 2017 CEHI conference.

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By Joshua Pelletier and Allan Robinson

On July 6th 2017 during our community nursing rotation at Richmond Public Health, we had the opportunity to partake in a community partnership with Turning Point Recovery Society.  Turning Point is a non-profit organization that offers supportive recovery services for men and women who are on their journey to abstaining from drug and alcohol use. Supported by UBC instructors Kathy Hydamaka and Sharon Williams we were invited to the recovery home to offer a workshop for the clients living in the home.  Initially we performed a needs assessment which involved visiting the home and consulting with the site manager to identify what might be useful for the clients. The site houses up to ten men at various stages in their recovery journey. When we returned a week later for the workshop, we were greeted by a round table of eight men who were clearly skeptical of the activity in which they were expected to participate. They had no knowledge of the material that was going to be presented and were justifiably reserved. However, opening the discussion in a manner that highlighted that we were not experts put everyone on the same level, and the climate of the room quickly changed. The group immediately opened up and participants felt comfortable to share deep insights into their lives and experiences.

The clients brought various skills and approaches to dealing with substance use, as they all had been successful in maintaining an abstinence based program thus far. As nursing students, we wanted to provide a new tool that clients might find useful in navigating abstinence and mental health challenges. Our tool of choice was highlighting a section of Dialectical Behavioural Therapy (DBT) called Radical Acceptance. DBT in a community setting is often performed under the supervision of a psychiatrist or a registered clinical counsellor, and some of the clients stated they had integrated some aspects of DBT through their own recovery journey.

We put together a workbook with an introduction to DBT, two exercises on Radical Acceptance, and follow up resources for clients interested in the treatment modality. Fundamentally, the principles of emotional intelligence and emotional regulation underlie the radical acceptance exercises, and we wanted the clients to feel that they were free to explore their emotions and experiences in a safe space. Our approach in the group session centered on finding and establishing client capacity, as they are the ones who will be making the choice whether to continue with the treatment.

To ensure continuity of care, the site manager at Turning Point was available for debrief if any clients felt they needed extra support. Resources were provided to Crisis Services, Richmond Mental Health Units, Here to Help BC, and BC Mental Health and Substance Use Services.

Our rich experience at Turning point would not have been possible without the support of our community partner, UBC faculty of Nursing, and the amazing engagement and vulnerability of each of the participants.

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By Kelsi Jessamine

On May 4, 2017, a group of University of British Columbia (UBC) nursing students organized and directed Vancouver’s second primary care clinic, providing care for marginalized individuals and their companion animals. The community partnered event, “Pet Fair and People Care” was held at the Veterans Manor, in partnership with the Evelyn Saller Community Center. The group of dedicated nursing students included Kelsi Jessamine, Liviana Cristea, Elena Benardi, Margaux Delattre, Kimberly Wilson, Jeffery Yu, Jessica Ardley, and Laura Gallager, along with UBC MPH candidate Dr. Doris Leung. The students practiced with the support of UBC faculty member Elsie Tan. Responsibilities of the students included providing blood pressure checks, cardiovascular teaching, and naloxone kit distribution, with associated training to 35 clients, while the animal care team delivered grooming services to 25 pets. The results of the clinic were significant; however, the impact of the event goes much beyond the quantitative results. A few months after the clinic, recreation manager, Mark Haracka stated, “Our clients are still talking about it.”

The “Pet Fair and People Care” event was done in collaboration with Community Veterinary Outreach (CVO).  CVO is a charity organization that operates under the “One Health” initiative, by providing free veterinary care to clients’ pets, while connecting their marginally housed owners to health care and social services. This event was the second time the group of UBC students collaborated with CVO, after a very successful pilot clinic at Directions Youth Services on December 4, 2016. The pilot clinic was integrated into UBC School of Nursing’s Synthesis project, and the group of students were awarded the “Excellence in Design and Innovation” for their community engagement project, in collaboration with CVO and Paws for Hope.

Since the events, the recent graduates plan to continue directing future One Health clinics. UBC School of Nursing graduate Kelsi Jessamine and UBC MPH Candidate and veterinarian Dr. Doris Leung will be coordinating efforts, but the commitment from volunteers and community partners is truly what allows these clinics to be the successes that they are. After the event, Kelsi and Doris were invited to talk about their experiences on the radio show “Impact” on Roundhouse Radio. A link the to interview could be found at: http://bit.ly/2r3jsgY.

Future One Health 2017 clinics will be held at Directions Youth Services, in an effort to continue to reach marginalized youth and their pets. The next two clinic dates are scheduled on July 30 and November 26, 2017, with goals of collaborating with UBC schools of Pharmacy and Nursing to support student learning. Additionally, with the support from community partners Three Bridges Clinic (VCH), Towards the Heart, as well as corporate sponsors Royal Canin and Warner Brothers’ series “The Flash”, the operation of the clinics have been a great success. Without the support of community partners, volunteers and sponsors these clinics would certainly not have been possible.

If you are interested in volunteering at future events at our One Health clinics, please visit http://vetoutreach.org or contact Kelsi Jessamine at kelsi.jessamine@alumni.ubc.ca.

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