Provincial Youth Excel (YE) Forum: Youth Health in School Settings
Charlottetown, Prince Edward Island (PEI)
November 30, 2010
December 14, 2010
Provincial YE Forum: Youth Health in School Settings
November 30, 2010
Context
Prince Edward Island is part of a Pan-Canadian initiative called Youth Excel which is funded by
the Canadian Partnership Against Cancer as part of the national initiative Coalitions Linking
Action and Science for Prevention (CLASP). The purpose of CLASP is to build on existing
capacity to accelerate the generation and use of evidence to inform and continuously improve
policies and programs to reduce risk and incidence of chronic diseases among youth. On
November 30, 2010 the Youth Excel research team in Prince Edward Island (PEI) along with the
School Health Specialist from the Department of Education and Early Childhood Development
brought together representatives from across PEI to discuss youth health in school settings.
Goal and Objectives of the Provincial YE Forum:
The goal of the half-day forum was to build relationships, enduring collaborations and networks
amongst policy, program and research leaders in PEI to support youth health programs and
policies in school settings in PEI. The forum had three specific objectives:

to provide background information on the Youth Excel Initiative and how it relates to
what we are doing here in PEI;

to share information on current projects and programs taking place in PEI and their link
to school health; and

to discuss next steps for working together, building on what is working and addressing
gaps and needs.
The discussions are described in this summary report.
Welcome and Youth Excel Presentation:
The event began with a welcome by Dr. Donna Murnaghan, University of Prince Edward Island,
and Sterling Carruthers, Department of Education and Early Childhood Development, on behalf
of the planning team. The welcome was followed by a presentation by Donna Murnaghan on
Youth Excel. See attached PowerPoint presentation for details.
Presentations by participants:
Participants were asked to consider making a brief (5-minute) presentation outlining their school
health-related project/program/activities, examples of expected outcomes of the project/program/
activities, and future directions and opportunities of the project/program/activities. The following
presentations were given (details can be found in the PowerPoint presentation attached to this
document).
- Sherry Pickering, PEI Healthy Eating Alliance, presented on School Nutrition Policy
- Dr. Jennifer Taylor, UPEI, presented on School Nutrition and Activity Project (SNAP)
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- Marla Delaney, Canadian Cancer Society & PEI Tobacco Reduction Alliance, presented on
SWITCH / Youth Engagement in Tobacco Reduction
- Jennifer Cairns-Burke, Department of Health and Wellness, presented on Addictions/Early
Interventions
- Lori MacPherson, Department of Education and Early Childhood Development, presented on
Health / Physical Education Curriculum
- Donna Murnaghan, presented on School Health Action Planning and Evaluation System
(SHAPES)
Questions and Answers following presentations:
- Q: Are parent groups getting the SHAPES data? A: Some schools, yes, but it is not happening
at the level that we need. Part of Youth Excel is to determine if this is happening and how to
increase it. Schools own the report, so parents have to ask (and in some cases they may need
to ask multiple times). In previous years, the data was presented to all schools’ Home &
School teams, but they don’t have that uptake now and it is presented to as many groups as is
possible to raise awareness. It is a challenge to reach parents, especially new parents. Data is
sensitive and that’s also a challenge.
- Q: How can we be positive regarding healthy weights? A: There is a need for interventions.
There is little evidence of the harm created by use of negative language. Blame tends to be on
parents, not youth and we are not seeing changes in policy (e.g. portion size).
- Q: Is Mental Health involved in Youth Excel? Q: No, because it was not a priority (at the
national level) but it is getting a lot of attention. However, PEI and New Brunswick both
focus on mental fitness. Also, we are hearing from many schools that mental health is an
issue.
- Comment: Blame is on parents; challenge is that kids are being untrained to take lunches to
school. It is challenging because of the restrictions on what can be brought to school (i.e.
allergies & lack of refrigerators to keep meats or dairy products cool). Food costs are also an
issue. We need good, affordable food at schools.
Comprehensive School Health Model
Sterling Carruthers provided a summary of School Health in PEI and made connections between
the presentations and the Comprehensive School Health Model. See attached PowerPoint
presentation for further details.
Dialogue: Café Style
Participants shared information and ideas on youth health in school settings in PEI through a café
style dialogue. At table groups they discussed the following three questions:
i. What projects and/or collaborations are happening in PEI to support youth health in school
settings? What roles do you play in these?;
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ii. What ideas do you have for building or enhancing collaboration in PEI to support youth
health in school settings? Consider, for example: What this might look like; what support
is needed; and how you see yourself or your organization participating?; and
iii. What are the opportunities to learn and work together to support youth health in PEI?
Consider what is happening: in PEI; in other provinces; and nationally.
This section of the report summarizes the results of these discussions.
Question 1: What projects and/or collaborations are happening in PEI to support youth
health in school settings? What roles do you play in these?
- Western School Board, Eastern School District and the French School Board are working to
develop an Island-wide nutrition policy for K-12. They have recognized the need to simplify
things to make it less confusing. They are working with stakeholders: Chartwells is on board
(has bought convection ovens), Healthy Eating Alliance (HEA), School Boards, High Schools
(changes to vending machines had had a minimal effect).
- Canadian Mental Health Association (CMHA): Signals of Suicide (S.O.S.) is a 75-minute
presentation given annually to grade 9 classes (and sometimes to grade 8 classes) across PEI.
The program is supported through fundraising. The program is evaluated annually.
- CMHA: “I’m Thumbody” is presented to most grade 3 across the province. Bell Aliant
supported.
- CMHA: A project on youth homelessness focused on youth ages 16-29. This is funded
through Canadian Institutes of Health Research (CIHR) partnership funding and is with UPEI
(Dr. Kate Tilleczek).
- Prince Edward Island Tobacco Reduction Alliance (PETRA): Tobacco work in schools has
changed so much over time. Needs to be comprehensive approach – more collaboration
means programs get developed more and can use evidence (e.g. partner with research). There
is a willingness to share information among partners now (e.g. researchers will share interim
results). Learning from each other e.g. about needs of research and policy makers, etc.
- Canadian Sports for Life approach: New mentality, focus on skill development, holistic
approach, schools and sports system.
- Home & School – PETRA, parent education to support student health.
- School Travel planning: Active, safe, environmentally friendly ways to get children to school.
Changing culture and logistics – schools being piloted. Walking school bus program, safe
routes to school needs involvement at various levels – idle car zones, students, police and
need both infrastructure and environment along with a coordinator that works with each
school. What’s strategy for the culture change? Just at the school level right now. Need to
involve municipalities as well. Schools working informally with their communities to make
changes.
- GoPEI: Physical Activity and Healthy Eating: Partnerships with communities and regions in
the province to create community level support. Go PEI is ready to create partnerships. They
are focused on creating opportunities and links for the 3:00-6:00 pm time slot in the day for
young people. This means the school goes to the community i.e. GoPEI’s aim is not to add
other responsibilities on the schools and expect schools to offer programming, but rather
engage the community in this.
- Public Health: act as a resource, helping to pass on “good” learned habits.
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- Youth Addictions: Building on “Just Talk”. Stories from youth. Strength based.
- Youth Addictions: 7, 9, 10 classroom presentations – based on curriculum outcomes.
Substance abuse rates links to depression/anxiety. Value of mental fitness programs in other
healthy lifestyle behaviours.
- Department of Health and Wellness: Risk factor reduction. Money to projects e.g. HEA,
SHAPES. Health promotion to health system. Health care provider training.
- Linkages between groups:
RecPEI: Physical Activity and recreation promotion. SOGO Active Grants to youth-led
activities. Jump Start (Canadian Tire) funds.
GoPEI: PA opportunities for kids beyond organized sport. After school time period
programs. Tobacco-free recreation facilities
- First contact – brief early intervention for youth using drugs.
- Junior High Health Fairs making youth addiction services more available.
- Community nutrition Public Health – work with individual schools. Health PEI Primary Care.
- Public Health – prenatal and newborn new foods introduction. Introduce Health eating.
Modeling at home is crucial.
- Breakfast for learning helps kids work and learn better. Teachers see great strength. Parents
contribute to programs (some parents).
- Tobacco initiatives are not happening as much.
- Curriculum is moving to junior and high schools: Best practice – focus on intermediate and
senior.
General Comments:
- Home and School would benefit from presentations regarding SHAPES. Data in schools,
school health grant. Need data/use in hands of parents.
- Engaging policy makers at all levels. We need a youth agenda. If youth are our future what
are we doing to highlight?
- Conversations are very stimulating but we need to get to the next step: Engaging youth and
parents in a meaningful way.
Question 2: What ideas do you have for building or enhancing collaboration in PEI to
support youth health in school settings? Consider, for example: What this might look
like; what support is needed; and how you see yourself or your organization participating
Research
- Building and enhancing collaboration: Getting schools to have time to look at research and
apply research. Pull all data together. Help get something going. Research data sits and is not
used. Studies must go into practical use – don’t hear the results after things go into schools.
- Building research into practice in schools.
- Monitoring - enhance or remove. The information needs to be what the recipient needs. Need
to connect data into information.
- Relay results through Home and School Federation (HSF). HSF is the whole body, not just
small group.
- Language is an issue with parents.
- Information sharing of the research that is happening. Bring that to the schools.
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-
Comprehensive research.
Work interests in SHAPES but not experiencing the effectiveness of research data as a parent.
Responsibility of principals to share data.
Parents don’t know what kinds of questions to ask.
Data releasing process should be the provincial view not individual school.
Ethics of data release vs. improving knowledge.
Schools
- A lot happening with school development process.
- This information has to become curriculum based. New Phys Ed curriculum is excellent.
Physical education curriculum – brand new Sasic model is improved in PEI.
- Need resources/policy at the school board level regarding physical education/physical
activity.
- Wellness goals within school development plans – could be required by all schools.
- Could PEI explore Daily Physical Activity (DPA). Idea: policy in school boards re Physical
Education (PE) and Healthy Eating to create connections and eliminate separations. PEI
lowest rates PE and DPA.
- Wellness plan for schools.
- HEA hold networking meeting with administrators /youth.
- School base supports, services, guidance, programs.
- Afterschool and preschool extra curricular activities are inconsistent across schools.
- Clubs on decision making skills, self-esteem, leadership, and health, risk reduction.
- Practical solutions for teachers to help fill gaps.
- Professional learning plans.
Engaging Youth
- Youth engagement – how to do with other health related issues.
- Need for coordination. The new Child and Youth Commissioners Office could play a role to
overcome competing mandates and silos.
- Engage young people – ask them this question.
- At junior high level –the more we give students knowledge and skills then the more they can
influence their own families and others.
- Using children to get the message out.
- Children have to convince parents to quit smoking.
Engaging Parents
- Engaging parents/youth, grassroots push as well as ministerial/system levels.
- General sense of disconnect between parents and schools, parents and division.
- Enhance collaboration between schools, families and community centres.
- Work with mom’s at prenatal stage and early years centres (focus on families).
- Educating parents is crucial. Parents are key players. Start early on educating parents.
- Principals are banging their heads trying to figure out how to get info out to parents.
- Parents start involved at younger ages, as they get older less and less.
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Working Together
- Need to work at national, provincial and local levels – also it’s beyond schools.
- Everyone has responsibility – there are multiple settings to consider.
- Needs champions at every level – especially teachers and principals – but they do this as a
personal interest and don’t really have time – so we need to find ways to support them.
- Complementing together: how? (we cannot make more work for others) – building
relationships and real investment and commitment.
- Learning what works for others (forums helpful for this).
- Time – major factor to get people together.
- Government level at a lot of tables with researchers working closely together.
- Roles/responsibilities of all groups – how to clarify to others, towards schools.
- Stronger marriage between school and community outside school hours – Scouts organization
is dying. From 3:30 -5:00 pm each day – where are youth?
- Before enhance collaboration, need better sense of who’s involved, what is already
happening, the landscape of groups involved (what they do, funding, where the connections
are) and how this all fits together.
Provincially
Stronger linkages between schools, community to support each others needs, access to
schools.
We used to have more connections.
More coalitions and groups are overlapping – challenge is how to make connections.
Perception of overlaps with time to discuss.
Challenge: So many partners/organizations/alliances – how do we
connect/link/awareness.
Nationally
Joint Consortium for School Health (JCSH) – national level partnership; tools and
resources are available. Could use Healthy School Planner (HSP) more. JCSH trying to
encourage schools to create a team that includes parents, etc. (e.g. with HSP).
Lessons from tobacco – developed info, national hype and involvement – this is how the
change started to really happen.
Physical and Heath Education (PHE) Canada working with resources for teachers
/principals/schools. Working on a national award as well.
- PHE Canada is developing health competencies with Everliving Canada. They have
developed 2 awards: Health Champion Awards, Educator Awards. They will also host the 1st
National Conference in January 2011 for school administrators and public health people to
develop policy that fits into CSH model – broadening beyond Physical Activity.
Decision-making
- Need to give thought to what drives decision-making.
- Direction needs to come from the school boards.
- Need to consider top down policies – how to work within systems.
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Capacity Building
- Capacity building and turning something into practice.
- Working towards capacity building.
- Working with teachers regarding how to talk to students when they are concerned.
Resources
- Problem with short-term funding for initiatives.
- Resources are needed.
- Gap – policy development. Resources are necessary.
- Need to work on access to healthy foods (e.g. cost issues, etc.).
- Health promotion. Putting posters, brochures, but need to be more creative.
- Early intervention/prevention – Outreach youth positions. Outreach counselors – school
presentations and capacity building re drug and alcohol. Role is building capacity with
counselors and teachers.
Question 3: What are the opportunities to learn and work together to support youth
health in PEI? Consider what is happening: in PEI; in other provinces; and nationally.
Schools
- Schools owning their knowledge – fear of fault in schools if knowledge is shared. Lots of
pressure in schools.
- Biggest challenge: Administrators personalize the blame but they are just one player. Need to
help them understand. Principals are gate keepers of this information.
- More opportunity for educating everyone. Schools have youth for a small portion of the day;
therefore we need to work past school, without negating the role of the school. Need to work
together – without blame – to influence and support health behaviours.
- Broadness – we’re often very specific in our work (e.g. behaviours) – schools don’t feel
competent because there is so much specificity. Opportunity to build capacity in broad sense
and to help people feel confident to speak about health beyond their speciality. How can we
work together across health behaviours and reduce burden on schools?
- Districts need a wellness coordinator – bring principals the plans and resources – a strategy
for wellness and not about trends of the day only.
- How to link to curriculum. What is the core health curriculum?
- School health coordinators committee meetings.
- Healthy School Planner should be used more.
- School as setting to support the health of population.
Engaging Youth
- Young people need to be involved, to take ownership. Look at how student councils work.
Engage youth early on.
- What we can do within school system. How can they sustain that – youth community
involvement?
- Need to ask youth what they want, need youth voices.
- Target children/families from an earlier age – create a healthy base from the beginning.
- We don’t bring in parents/youth consistently – one-off and add-ons.
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-
Challenges of socio-economic status differences (children’s opportunities).
Talking to youth themselves, get a total different perspective.
Not enough to educate, big disconnect between youth and parents and schools.
Young people need to be more engaged in policies and rules.
What do our student councils look like? Looking at changing that model.
Engaging Parents
- How do you reach parents that wouldn’t go to a Home & School session?
- Need to go where people are – access to parents.
- Parents are seen as a liability, sidelined by teachers.
- Not enough to educate; there is a big disconnect between youth and parents and schools.
- Target children/families from an earlier age – create a healthy base from the beginning.
- We don’t bring in parents/youth consistently – one-off and add-ons.
- Making people feel comfortable to join the conversation.
- Breaking down barriers to getting access to information.
- Breakfast program is run by parents, but information is held from them.
- An involved HSF member who participated in the forum shared that he had no idea of all this
research; that is a problem.
- Not enough to educate, big disconnect between youth and parents and schools.
- Need to know what to do with all these research results.
Working Together
- Difficulty of bring together community/research/practice.
- Challenge of low literacy levels.
- Used to doing this in a particular way – typical communication – need to look at our product
creatively.
- Need to get out of our silos and work together. Need lessons in collaboration – how to do this.
- Can’t always depend on volunteers.
- Numbers of coalitions.
- Needs to be communities, policies, and legislation.
- Interdisciplinary perspective – inclusion of mental health with physical health and recreation
with healthy eating – Go PEI. Individual risk factors so linked to negative mental health to
physical health - social determinants.
- How do we engage policy makers at municipal, provincial in a youth health agenda? Child
and Youth Commissioners Office.
- Relationships of work projects – looking to private foundations, corporate work.
- PETRA (so we can strategize) – share a case study in Tobacco control that can help Healthy
Eating, Physical Activity and Mental Fitness – all need research, policy, practice. We have the
knowledge but need to get more to the application.
- Purposefully investing in collaboration among stakeholders.
Provincial
- First identify core priorities for youth health in PEI.
- Comprehensive community effort and funding is needed to be successful.
- Need a provincial strategy for healthy living.
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- Canadian Association of School Health have wikis, online community and International
School Health Association – need to identify local, provincial and national organizations
supporting school health and could put this on CSHR website.
- Needs to be some more coordination – are there too many organizations? Child and Youth
Commissioners Office – can it do this work? Principals have been asking for Ministry of
Youth in PEI.
- How do we engage policy makers at municipal and provincial levels – Child and Youth
Commissioners Office is a rich opportunity.
- Opportunity to engage Public Health – nurses, nutritionists, social workers. Community
Health Agenda for Youth.
- 4th year nursing students in schools now – a great thing – takes pressure off school staff.
National
- PHE Canada (National) – first conference January 2011 for school administrators and public
health people to develop policy that fits into CSH model – broadening beyond Physical
Activity.
- Canadian Association of School Health have wikis, online community and International
School Health Association – need to identify local, provincial and national organizations
supporting school health and could put this on CSHR website.
- Canadian Cancer Society (CCS) providing funding for prevention to researchers.
- JCSH well positioned. Two primary committees. JCSH allows us to link to all other provinces
and territories. Developed a tool for schools. HSP (Healthy School Planner). Positive Mental
Health.
- CMHA – collaboration UPEI research youth homelessness. National collaborations.
Fit and Awareness
- Consistent theme emerging from these discussions: fit and awareness. Look at those we are
trying to influence; we need to have/give awareness of how this fits together. Awareness of
how things fit together. Organization Chart.
- To learn from what others are doing: How they are doing it? How might we overlap? How are
we connected? Need to look at what’s out there – don’t have a good sense of our youth health
connections.
- Bachelor of Education is sometimes turf to be protected “I’m a teacher” not a “social worker”
– how do we deal with that?
- Explore models of multi-agency work. Need for an over-arching plan/strategy.
- Support for understanding all the components we have – recognize the work, identify any
gaps.
- Communication about what is out there regarding youth health.
Ideas
- Need for a “patient navigator” in various aspects of health/life.
- Issues around policy and collaboration. Idea of using school as institution and youth as group.
- Opportunities to learn today.
- Can’t break health apart as you can’t break population apart.
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Dialogue Highlights
A representative from each table group was asked to share highlights from their discussions.
Table 1
Q1: Eastern School District & Western School Board & French School Board – need to simplify
e.g. common nutrition policy k-12.
Q2: Lots of research going on – schools challenged to have time to look at it. Wish we had
resources to support this and acting and making connections for schools.
Q3: Young people to be involved in order for things to work and for them to have ownership.
Table 2
How to engage policy makers at all levels – need a youth health agenda. Other provinces have
Ministries of Youth, etc. As a group we can perhaps look at this.
Table 3
Need to get to next step – how to identify priorities for action. How do you engage in a
meaningful way? Need clarity about the landscape.
Table 4
Consensus on Q1-3 – disconnect from parents to research and policy, etc. (they want to be
involved but aren’t). Need to give thought to what drives decision-making – top down, bottom
up possibilities.
Table 5
Consistent theme: Fit and Awareness – all people involved need to see how everything fits
together. Engaging parents and youth and support grassroots but also support for systems.
Table 6
Using school as setting and youth as group from where we support the health of the whole
population – can sustain healthy behaviour in school and then those lessons move out to other
settings and to the community.
Other comments
It is important for schools to own the SHAPES data – how to create a supportive environment to
help schools (there is some fear in their sharing their data). Administrators have personalized the
issue when it’s not just them. Need them to understand that it’s about so many different players.
Need to balance both school and family – just need to recognize how we collectively work
together.
Next Steps and Priorities
The results of the half-day discussion indicate clearly that the participants are committed to
youth health in the province. There was considerable interest in continuing to learn and share
from each other and build on the work, the successes and the lessons learned. Participants
appreciated this event and expressed a desire for future events to continue the dialogue,
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relationship building and collaboration. Donna shared the next steps that would be taken as part
of the Youth Excel initiative and invited participants to identify next steps.
- The Youth Excel team will synthesize what we’ve heard/learned today and drill it down to
identify key themes.
- A list of participants will be shared with all those who were in attendance.
- The CSHR could house the information and resources.
- Can we come together around other tables? Can we find ways to share with each other? How
can we attempt to reach beyond?
Suggested next steps
- Develop a visual tool to depict School Health in PEI. (Sterling)
- Determine where components fit and support one another. Explore that with other people. In
PETRA work charts are used to identify who has specific issues as organizational/strategic
priorities vs. who has an interest; therefore whoever has the knowledge and/or the mandate to
carry issues forward is determined. These may lead to different roles in partnership.
- Within Home and School – let parents know about SHAPES and encourage them to get data.
Home and School has invited SHAPES presentations. Home & School could ask all principals
to put reports information on school websites. Home & School parent fund – offering to also
partner on School Health Grants.
- SHAPES project is currently working on executive summaries, a snapshot, which is more
user-friendly.
- Have knowledge to look at population base; this includes advertising towards children, access
to healthy foods for families to improve health of population.
- Looking at using data to celebrate what we’re doing instead of focusing on the negative.
- Look at comparing growth as we go. Use as quality improvement and to celebrate success.
Acknowledge risks/problems. Population approach.
- “Snapshot of Society” by going to schools. Also benefits to connect with parents in home
setting.
- Do a focus group in PEI with youth and/or parents.
Priorities
As part of the evaluation of the forum, participants were asked: What, in your opinion, are the
priorities for moving forward to build collaboration to support youth health in school settings?
Their responses are listed below:
Communication and Collaboration
- Knowledge exchange of ways to dialogue, learn, whether through email contacts, also
websites of interest and direction.
- Continue to communicate to find opportunities to collaborate.
- Sharing the evidence/research in a form that is easy to understand and valuable. Connecting
key players to support program and policy with research. Build a network of
stakeholders/cross sectors.
- Communication with partners.
- Communications – keeping interested parties informed.
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- All partners working together (collaboration) to initiate action and change.
- Educate parents & youth.
Identification of Needs and Priorities
- A greater understanding of the needs of school and what/who are best positioned to deal with
them.
- Provincial focus & priority by government involved in youth and creating provincial
policies/guidelines (cannot be different across boards/agencies, etc.)
- Ensuring mental health/fitness is a priority “there is no health without mental health”.
- Create working document of current initiatives being done so that we know needs are being
met and where the gaps are.
- Better understanding of where are now and the links that are currently established. Monitor
how things are going and revise/remove.
Forum Participants:
Katherine Kelly, Joint Consortium for School Health
Chris Meuse, PEI Physical Education Association
Laura Lee Noonan, Dept of Education & Early Childhood Development
Sherry Pickering, Healthy Eating Alliance (HEA)
Jen Allen, Healthy Eating Alliance
Mae Gorrill, Public Health Nursing
Laraine Poole, Department of Health and Wellness
Rick MacKinnon, Department of Education and Early Childhood Development
Jennifer Cairns-Burke, Addiction Services, Health PEI
Vicki Bryanton, Consultant
Jo-Ellen Sterling, Joint Consortium for School Health
Marla Delaney, Canadian Cancer Society, PEI Division
Jennifer Taylor, UPEI
Ron Taweel, Western School Board
Lori MacPherson, Department of Education and Early Childhood Development
Nancy Malcolm-Sharratt, Department of Health and Wellness
Anna MacDonald, PEI Home and School Federation
Francois Caron, Department of Health and Wellness
Lois Adams, PEI Association of School Administrators
Sarah Crozier, Health and Stroke Foundation
Shirley Jay, PEI Home and School Federation
Bill Whelan, PEI Home and School Federation
Allan Davidson, Health PEI – Public Health – Community Nutrition
Susan Hornby, Joint Consortium for School Health
Beth Grant, Recreation PEI
Carrie St Jean, PEI Teachers Federation
Roma Arsenault, Canadian Mental Health Association
Sterling Carruthers, Department of Education and Early Childhood Development
Donna Murnaghan, UPEI School of Nursing/ Comprehensive School Health Research Group
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Brandi Bell, Comprehensive School Health Research Group
Melissa Munro, Comprehensive School Health Research Group
Matthew Spidel, Comprehensive School Health Research Group
Regrets:
Phillip Connolly, Eastern School District
Brenda Millar, Western School Board
Kathleen Brennan, Department of Health and Wellness
Margaret Kennedy, Addictions Services, Health PEI
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