In order to enhance your playing experience, we have developed a number of tools to support facilitators and players.  If you have questions or feedback or need additional support, email us at info@thelaststraw.ca.

Training Video

You can watch a 17 minute on-line training video for facilitators here.

Part One:  http://www.youtube.com/watch?v=UFvPEOecQsc

Part Two:  http://www.youtube.com/watch?v=Lk3d6GqCrDE



If you would like a powerpoint presentation for facilitator training, please email us at info@thelaststraw.ca


Played the game? Want to give us feedback? Fill out this quick survey!



** NEW ** Rossiter, K. and Reeve, K. “It's Your Turn!: Exploring the Benefits of a Traditional Board Game for the Development of Learning Communities.”  In F. Edvardsen and H. Kulle (eds), Educational Games: Design, Learning and Applications.  New York:  Nova Publishers. 2010.

Rossiter, K., Reeve, K.  “The Last Straw! A Participatory Education Tool About the Social Determinants of Health.” Progress in Community Health Partnerships: Research, Education, and Action. 2(2): 137-144. 2008.

Reeve, K. Rossiter, K., Risdon, C. “Board Game on the Social Determinants of Health.” Medical Education. 42(11): 1125-6. 2008.   

Other Resources

The following resource list will provide you with a starting point for learning about the social determinants of health. It is by no means a complete list of resources on this topic.

Arnold, R. et al. (1991). Educating for a Change. Toronto, ON, Between the Lines.

Brunner, E. (1997). Socioeconomic Determinants of Health: Stress and the Biology of Inequality. British Medical Journal, 314, 1472.

Collins, T. (1995). “Models of health: pervasive, persuasive and politically charged.” Health Promotion International 10(4): 317-324.

Czerny, M., J. Swift, et al. (1994). Getting Started on Social Analysis in Canada (3rd ed). Toronto, ON, Between the Lines.

Eakin, J., A. Robertson, et al. (1996). “Towards a critical social science perspective on health promotion research.” Health Promotion International 11(2): 157-165.

Geronimus, A. T. (2000). “To mitigate, resist, or undo: addressing structural influences on the health of urban populations.” American Journal of Public Health 90(6): 867-872.

Health Promotion International. (Dec 2006) "6th Global Conference on Health Promotion, Bangkok, August 2005." 21(1).

Hofrichter R. (2003) (ed). Health and Social Justice: Politics, Ideology and Inequity in the Distribution of Disease – A Public Health Reader, San Francisco: Jossey-Bass.

Joubert, N. and J. Raeburn. (1998). “Mental health promotion: people, power and passion.” International Journal of Mental Health Promotion 1(1): 15-22.

Kawachi, I. and B. P. Kennedy. (1997). "Socioeconomic Determinants of Health: Health and Social Cohesion: Why Care about Income Inequality?" British Medical Journal, 314 (7086), 1037.

Kawachi, I. et al. (2002). “A glossary for health inequalities.” Journal of Epidemiology and Community Health 56 (9): 647-652.

Laverack. G. (2004). Health Promotion Practice. London: Sage Publications.

Naidoo, J. and J. Wills (1998). Practising Health Promotion: Dilemmas and Challenges. Toronto, ON, Bailliere Tindall.

Paul, R. W. (1993). Critical Thinking: What Every Person Needs to Survive in a Rapidly Changing World. Sonoma Valley University, CA, Foundation for Critical Thinking.

Promotion & Education. (2007) "Shaping the Future of Health Promotion: Progress and Recommendations." XIV(4).

Raphael, D. (2001). "Increasing Poverty Threatens the Health of All Canadians." Canadian Family Physician, 47. p. 1703.

Raphael, D. (2002). Poverty, Income Inequality, and Health in Canada. Toronto: CSJ Foundation for Research and Education.

Raphael, D. (2004) (ed.). Social Determinants of Health: Canadian Perspectives. Toronto: Canadian Scholars Press.

Raphael, D., T. Bryant and M. Rioux. (2006) (eds.) Staying Alive: Critical Perspectives on Health, Illness and Health Care. Toronto: Canadian Scholars Press.

Raphael, D. (2007) Poverty and Policy in Canada: Implications for Health and Quality of Life. Toronto: Canadian Scholars Press.

Sudbury & District Health Unit. (2006) A Framework to Integrate Social and Economic Determinants of Health into the Ontario Public Health Mandate: A Discussion Paper. March. http://www.sdhu.com/uploads/content/listings/SDOHFrameworkDiscussionPaper_March_2006.pdf

Sutcliffe, P, P. Sarsfield and C. Gardner, et al.. (2007) Social Inequities in Health and Ontario Public Health: A Background Document. January. http://www.sdhu.com/uploads/content/listings/SocialInequitiesinHealthandOntarioPublicHealth_Jan15-07_Rev_jv_jm.pdf

Wilkinson, R. and M. Marmot. (1999). Social Determinants of Health: the Solid Facts. Copenhagan, Denmark: World Health Organization, Europe Office.

Wilkinson, R. G. (1996). Unhealthy societies: The afflictions of inequality. New York: Routledge.

World Health Organization. (2007) Achieving Health Equity: From Root Causes to Fair Outcomes - Interim Statement of the Commission on the Social Determinants of Health.  http://www.who.int/social_determinants/en/


(c) 2007 Kate Reeve and Kate Rossiter