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Community Connect Program - Bellwoods Park House


Bellwoods Centres opened a pilot transition program, Community Connect, in April, 2009, with the primary objective of transitioning patients with physical disabilities from health care facilities or Long Term Care Home (LTCH) to home. Community Connect utilizes enhanced supportive housing programs and services that are focused on clients living safely in an accessible home environment.

Program Objective:

  • transition Alternate Level of Care (ALC) patients from health care facilities to home or to a Long Term Care Home (LTCH)

Program Summary:
Community Transition Program:

  • focused on ensuring the client's ability to live safely in an accessible home environment
  • conducted within a community supportive housing environment with 24/7 access to physical care services
  • individual client objectives are focused on needs-based safe transition requirements
  • program activity is focused on skill development as well as access to resources
  • partnerships may be used to enhance supports for special groups such as seniors

For clients leaving a rehab program:

  • this program provides an extension of the person's rehab program in a community supportive housing environment

Target Clientele:

  • health care facility patients who do not need facility level service but need a transitional period in a supportive housing environment with 24/7 access to personal care services to ensure their ability to live safely in their own home or while waiting for LTCH placement
  • persons with physical disabilites including seniors fifty-five years and over
  • physical disabilites from neurological, stroke and musculoskeletal conditions

Program Admission Criteria:
Services:

  • persons sixteen years of age and older with physical disabilities
  • insured under the Health Insurance Act of Ontario
  • require personal support services in order to remain in the community
  • identified home to go to upon program completion and/or on LTCH waitlist
  • able to be left alone safely between service bookings
  • able to call for assistance when needed
  • able to have medical needs met in the community

Housing - RGI housing eligibility criteria (OCHAP) :

  • low income
  • Canadian citizen, landed immigrant or Convention refugee
  • no removal order from another RGI unit has been enforced
  • residency in Ontario for one year prior to occupancy
  • no outstanding rent arrears; any rent arrears with Ontario Housing Corporation paid in full
  • homeowners are only elgible under extenuating circumstances

Targeted Outcomes:
Individual:

  • clients directed towards appropriate home environment within six or fourteen months of entering the program
  • clients delayed or diverted from track to LTCH to community living
  • client/caregiver satisfaction with transition from health care facility to former or future home

Health System:

  • reduce patient stay time in health care facilities
  • improved access to acute care beds for emergency room patients
  • improved access to rehab beds for acute care patients
  • community capacity is created
  • health equity issues of access, accommodation and choice are addressed

 

Bellwoods Centres is an Accreditation Canada accredited health service provider


Bellwoods Centres for Community Living Inc., 789 Don Mills Rd., Toronto, Ontario, Canada, M3C 1T5
Bellwoods Centres is a registed Canadian charity