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Table 3 Forty-Eight Services & Average Ratings within Their Clustersa

From: “One program that could improve health in this neighbourhood is ____?” using concept mapping to engage communities as part of a health and human services needs assessment

Cluster and Item Names

Health improvement rating

Frequency of use rating

Service providers

Community members

Service providers

Community members

Health Care

 3. Pediatricians.

4.08

4.44

4.12

4.35

 6. An emergency or urgent care clinic (staffed with physicians and open in the evening hours).

4.76

4.99

4.82

4.87

 9. A sexual health clinic (offers cervical cancer tests, prenatal care, HIV prevention services).

4.72

4.69

4.41

4.52

 19. A service that helps patients coordinate health care services and referrals.

4.40

4.59

4.53

4.93 (3)

 21. Health services that are culturally appropriate and available in many languages.

4.44

4.74

4.76

4.60

 23. On-site outpatient specialist health services (e.g asthma specialists and pulmonologist, stroke and diabetes care).

4.52

4.96

4.59

4.78

 27. A program that teaches people with disabilities to live independently.

4.36

4.83

4.06

4.67

 31. A walk-in medical clinic that is open 24/7.

5.00

5.03 (5)

4.88

4.77

 38. A walk-in dental clinic (including the ability to see patients without dental coverage).

5.08

4.91

5.18 (5)c

4.83

 44. Nutrition counseling (education sessions and workshops).

4.44

4.41

4.12

4.43

 45. Alternative/naturopathic services and training.

4.08

4.39

4.06

4.47

Mental Health and Addictions

 4. Mental health services that are accessible after hours, no waiting list, geared to income.

5.48 (1)b

4.9

5.53 (2)

4.73

 8. Drug and Alcohol Counseling that is accessible after-hours, with no waiting list, and geared to income.

5.32 (2)

4.72

5.12

4.55

 18. Harm reduction program for substance abuse users (clean needles, safe injection site, etc.).

4.56

4.59

4.71

4.75

 29. Drop-in counseling (including treatment for specific mental health problems such as chronic depression, grief, post-traumatic stress disorder).

5.16 (5)

4.87

5.35 (3)

4.70

 41. A mental health crisis centre that is open after hours.

4.24

4.73

5.59 (1)

4.72

Youth

 2. After-school and summer programs for children and youth.

4.76

4.87

4.76

4.57

 11. Mental health and substance abuse program for street-involved youth.

5.2 (4)

4.78

4.94

4.83

 16. Counseling services for youth (should address issues like depressing, bullying, etc.).

4.84

4.77

4.71

4.75

 22. Educational support programs for youth (tutoring, literacy intervention, college/university application assistance).

4.40

4.81

4.47

4.78

 35. A “recreational centre” for youth (a safe place with no weapons, open on weekends, where youth meetings can be held).

4.20

4.82

4.24

4.70

 36. A walk-in health clinic for youth (open after hours, including sexual health services).

4.92

4.83

5.00

4.63

 39. Sports and recreational program for youth (organized by age).

3.76

4.51

3.88

4.6

 40. Comprehensive sexuality education programs for youth.

4.36

4.46

4.18

4.48

Family

 14. Counseling and support services for teen moms.

4.72

4.82

4.35

4.7

 34. A child care program (affordable, full day).

4.48

4.71

4.88

4.87

 42. Parenting support and education (gymboree, support groups, cooking classes).

4.12

4.49

4.29

4.45

Social

 7. A food bank (one that does not require identification.

4.24

4.88

4.35

4.88 (5)

 13. Help finding affordable housing (e.g case managers).

4.92

5.11 (1)

4.94

4.98 (1)

 20. Adult educational services (e.g high school upgrading, literacy classes, life-skills classes, ESL classes).

4.20

4.79

4.35

4.82

 24. Job training (e.g youth programs or program that helps people find both temporary and permanent jobs, internships, and apprenticeships).

4.28

4.90

4.35

4.92 (4)

Community Centre and Recreation

 5. Free, low-cost, accessible space that community members and service organizations can reserve for community gatherings.

5.08

4.82

4.41

4.63

 10. A place where people can come to socialize (e.g play games like foosball and table tennis and dance).

4.20

4.82

4.12

4.58

 28. A “hub” where social service organizations can provide services on a rotating basis (e.g on Mondays Agency A is there, on Tuesday’s, Agency B is there).

4.36

4.57

4.41

4.67

 30. A quiet space with computers and WiFi that can be used by the community.

3.76

4.54

4.06

4.55

 37. Fitness classes for parents and children (for example, free yoga classes).

3.92

4.56

4.06

4.50

 47. A fitness centre (for example, a place with exercise machines).

3.76

4.50

3.94

4.42

Individuals Experiencing Homelessness

 1. Mental health services for homeless individuals.

5.48 (1)b

5.07 (3)

5.24 (4)

4.77

 17. Health services for the homeless (e.g treating cold and foot problems).

4.84

4.92

5

4.95 (2)

 26. A place open 24 h/day where those who need to can come to stay warm, take showers, use clean washrooms, do laundry and sleep.

4.72

4.89

5.18 (5)

4.80

Seniors

 12. Outreach to help isolated seniors access health care and social services.

5.28 (3)

5.06 (4)

4.94

4.83

 25. In-home care and assistance for seniors.

4.52

4.87

5.06

4.8

 32. Assistance for seniors who need help getting to and from appointments.

4.64

4.91

4.71

4.57

 43. A program that provides classes and social events for seniors (e.g. fitness classes for seniors, English-as-a-second-language classes, teas, etc.).

4.24

4.76

4.12

4.77

Specific populations

 15. LGBTQ services/programs, drop-in programs, weekly programs.

4.32

4.47

4.24

4.43

 33. Services for women or families experiencing domestic violence.

4.64

5.08 (2)

4.65

4.68

 46. A safe place specifically for women (for example, where women can drop-in during the day and where women’s groups can meet).

4.56

4.87

4.41

4.75

 48. Health services for Indigenous people.

4.08

4.51

4.24

4.72

  1. aThe rankings of the highest 5 items in each column are shown in parentheses
  2. bThese items are tied for importance to improving health as rated by community members
  3. cThese items are tied for frequency as rated by service providers