The Evolution of Healthy Schools in Ontario, Canada: Top-Down and Bottom-Up
  • Carol MacDougall
  • Yvette Laforêt-Fliesser


The stories from the urban, highly multicultural city of Toronto (population 2.5 million) and the mixed urban and rural area of Middlesex-London (population 400,000) paint a perfect picture of the reality of Canada's 20-year involvement with the Comprehensive School Health movement. These two centers are in Ontario, one of the ten provinces and three territories spreading east to west across the northern border of North America. Each province has its own education and health ministries, so there is a great deal of variation in how each jurisdiction manages its programs and services. In addition, the province of Ontario includes 72 district school boards (plus 33 school authorities for geographically isolated or hospital school boards) and 36 public health units that direct the work of local education staff and public health staff, respectively. Public health units receive both provincial and municipal funding, so they address provincial mandates as well as locally identified health needs.


School Principal Health Unit School Community School Board School Health 
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The authors wish to acknowledge the support they received from Toronto Public Health (Liz Janzen and Vincenza Pietropaolo), Toronto Catholic District School Board (Anthony Petitti), and Middlesex-London Health Unit (Irene Buckland Foster) in preparing this case study. The authors would like to thank them and all the school and health unit staff, parents, and students who make Healthy Schools happen. This case study is dedicated to the memory of Andy Anderson, PhD, Canadian visionary leader for Healthy Schools, who passed away in 2007.


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Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Carol MacDougall
    • 1
  • Yvette Laforêt-Fliesser
    • 1
  1. 1.School Program, Perth District Health UnitStratfordCanada

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