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Early adversity and resilience are foundational public health issues with impacts across the life course. Childhood experiences including abuse, neglect, family dysfunction, and exposure to systemic inequities like poverty and racism can disrupt healthy development and lead to long-term physical, mental, and emotional health challenges that clinicians and public health staff encounter daily. Resilience can buffer these effects, but more coordinated, equity-focused, and upstream responses are needed to support systemic change. This PHO Rounds introduces the Ontario Early Adversity and Resilience (OEAR) Framework, a comprehensive and accessible framework developed to consolidate research, promote shared understanding of adversity and resilience, support evidence-based and equity-focused strategies, and foster intersectoral collaboration. This session will show how participants can use this framework to encourage communities to work together to address adversity, strengthen protective factors, and build resilience.

Emily Martyn is a Project Manager leading the development of a Toronto Public Health (TPH) plan on working with partners to prevent Adverse Childhood Experiences, and building community resilience through programs, policies, and partnerships. Emily has expertise in trauma-informed and healing centred models of care, organizational capacity building, and frontline work with clients. Before joining TPH, Emily oversaw the implementation of Toronto's Downtown East Action Plan – which coordinated City and community responses to complex issues related to mental health crises, community safety, and substance use in Downtown East Toronto.

Karina Magalhaes Boateng, RN, BScN, BScKIN, MPH is a Public Health Nurse with expertise in early childhood health, equity, and resilience. She co-authored the OEAR Framework and is currently leading the Durham Region Health Department’s strategy to integrate the framework across the Population Health Division, beginning with staff training and capacity building. Karina’s work is rooted in prevention and health promotion, with a focus on addressing systemic inequities that shape lifelong health. She also contributes to advancing this work by collaborating with partners across Ontario to promote a shared understanding and application of the framework.

Katherine Dunford, RN, BScN, HBSc is a Public Health Nurse focused on addressing the impact of early adversity and resilience on family and community health. With over 10 years of experience, Katherine works alongside community to implement preventive strategies, promote resilience, and has contributed to provincial and local research, including co-authoring the OEAR Framework. She is dedicated to fostering community partnerships, working upstream, and enhancing awareness of the impact of adversity. Outside of work, she enjoys being in nature and spending time with family.

The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.

Public Health Ontario Grand Rounds are a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada (RCPSC). In order to receive written documentation for Continuing Medical Education (CME) credits, please check “Yes” beside the question “Do you require CME credits?” on the registration form.

College of Family Physicians of Canada (CFPC) Affiliate Members may count RCPSC credits toward their Mainpro+ credit requirements. All other CFPC members may claim up to 50 Certified credits per cycle for participation in RCPSC MOC Section 1 accredited activities.

PHO Grand Rounds are also approved by the Council of Professional Experience for professional development hours (PDHs) for members of the Canadian Institute of Public Health Inspectors (CIPHI).

For more information or for a record of registration for other Continuing Education purposes, please contact events@oahpp.ca

Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100 or events@oahpp.ca.