Searching for Local Health Integration Networks

Access to health care support at home, at school, or in the community

care coordinators work with people in the community or leaving the hospital to determine what help is needed and arrange for care

care is provided in community settings such as the home, school, residential facility or Home and Community Care Support Services community clinic

referral to other community services when appropriate

Services may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy or occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• end-of-life care
• medical supplies and equipment (patient-specific supplies for Home and Community Care Support Services care, such as catheters,
• ostomy bags, or wound care supplies)
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes, and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Home and Community Care Support Services Waterloo Wellington (formerly the Waterloo Wellington LHIN) is a crown agency of the government of Ontario, funded by the Ministry and Health and Long-Term Care. Invests $1.1 billion annually in local health services to support the health needs of residents across Waterloo Wellington.

Access to health care support at home, at school, or in the community

care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care

care is provided in community settings such as the home, school, residential facility or Home and Community Care Support Services community clinic

referral to other community services when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy or occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• end-of-life care
• medical supplies and equipment (patient-specific supplies for Home and Community Care Support Services care, such as
• catheters, ostomy bags, or wound care supplies)
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes, and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Provides information and access to assistance for older adults with age related cognitive impairments and responsive behaviours that impact their daily functioning and/or the ability to maintain relationships.
Team members are trained to identify client needs and directly link them to the appropriate services.
Outreach offers services such as:

• Crisis Intervention
• Practical Support and Outreach
• Education
• Advocacy
• Coordination of Services

Formerly the South West Community Care Access Centre (CCAC)

Health care coordination service * coordinates a wide range of in-home services to eligible clients * care coordination, nursing, physiotherapy, occupational therapy, social work, personal support * supportive care team for palliative and cancer care * elder abuse * nutritional counseling, speech language pathology and medical supplies and equipment * provides placement in long-term care facilities and respite care * facilitate application to residential hospice * assessments for government funded day away programs and supportive housing services * home and school health services for children with special needs * Care Coordinators determine eligibility for drug coverage under the Ontario Drug Benefit (ODB) Plan

Non-profit, county operated two story long term care facility with 160 beds
• secured entrance to both facility and home area
• provides 24 hour professional nursing care
• facility features six distinct living areas
• private, semi private and basic bedrooms have electric beds
• semi private rooms have one bed and share washroom with one other resident
• basic rooms have two beds and share a washroom
• nurse call system
• mechanical lifts available
• secured area for residents with Alzheimer and dementia
• social and residential programs
• facilities for couples
• café, general purpose area (auditorium), activity rooms, lounges, courtyards on every level, worship centre, special events room for residents, hairdressing salon, dental services, chiropody (foot care)

Family Transition Program
For individuals in Oxford County who are 18 years of age or older and are waiting for permanent placement into a long-term care facility of their choice. Key features include completion of a supportive community screening; ensuring required services and community supports are in place prior to the individuals admission into long-term care; and finally, a review of life and medical history, previous agency involvement, and any access needed to continue those services for the individual once they have entered their new long-term care residence.

Home and Community Care Support Services Waterloo Wellington (formerly the Waterloo Wellington LHIN) is a crown agency of the government of Ontario, funded by the Ministry and Health and Long-Term Care. Invests $1.1 billion annually in local health services to support the health needs of residents across Waterloo Wellington.

Provides access to health care support at home, at school, or in the community

• care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care
• care is provided in community settings such as the home, school, residential facility or Home and Community Care Services community clinic
• referral to other community services when appropriate

Services available to eligible patients may include:

• nursing
• personal support
• physiotherapy
• occupational therapy
• speech-language therapy
• social work
• nutritional counseling
• end-of-life care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, assisted living, supportive housing, retirement homes, and short stay care)
• school health support services
• specialized services for people living with specific health conditions
• referral to other community supports
• Burlington Nursing Care Centre

Information and Referral offered through My Health GPS, 1-800-810-0000:

• system navigation
• access to community resources
• assistance with referrals

(Formerly Waterloo Wellington LHIN)

Programs and services include:

• hospital care
• long-term care (help with admissions)
• mental health and addictions services
• home and community care
• community support services
• primary care (family doctor or nurse practitioner)

Home and community care staff develop individualized care plans and coordinate services such as nursing, physiotherapy, occupational therapy and personal support for clients during recovery from illness or injury, and for people living with chronic illness or disability.

Referral to other local health and support services, which may include transportation, meal programs or day programs; (there may be a nominal fee for these support services)

Non-profit, county operated long term care facility with 34 beds
• secured entrance to both facility and home area
• provides 24 hour professional nursing care
• facility features two distinct living areas
• private, semi private and basic bedrooms have electric beds
• semi private rooms have one bed and share washroom with one other resident
• basic rooms have two beds and share a washroom
• nurse call system
• mechanical lifts available
• social and residential programs
• facilities for couples
• activity rooms, lounges, courtyard, worship centre, special events room for residents, hairdressing salon, dental services, chiropody (foot care)

Family Transition Program
For individuals in Oxford County who are 18 years of age or older and are waiting for permanent placement into a long-term care facility of their choice. Key features include completion of a supportive community screening; ensuring required services and community supports are in place prior to the individuals admission into long-term care; and finally, a review of life and medical history, previous agency involvement, and any access needed to continue those services for the individual once they have entered their new long-term care residence.

Licensed 43 bed long-term care centre and 44 bed retirement home

Long-Term Care * offers light to heavy care * private, semi-private and basic rooms * regular physician visits

Retirement Home * private and semi-private * private and shared bathrooms * couples' rooms * provides short stay (i.e. temporary, vacation, convalescent, respite care) when space permits * crisis admissions

Basic services include 24 hour staff * personal care * medication administration * emergency response system * meals * housekeeping * linens/bed changes * laundry * social/recreation programs * bathing * foot care and hair care for a fee

Non-profit, county operated long term care facility with 34 beds
• secured entrance to both facility and home area
• provides 24 hour professional nursing care
• facility features two distinct living areas
• private, semi private and basic bedrooms have electric beds
• semi private rooms have one bed and share washroom with one other resident
• basic rooms have two beds and share a washroom
• nurse call system
• mechanical lifts available
• social and residential programs
• facilities for couples
• activity rooms, lounges, courtyard, worship centre, special events room for residents, hairdressing salon, dental services, chiropody (foot care)

Family Transition Program
For individuals in Oxford County who are 18 years of age or older and are waiting for permanent placement into a long-term care facility of their choice. Key features include completion of a supportive community screening; ensuring required services and community supports are in place prior to the individuals admission into long-term care; and finally, a review of life and medical history, previous agency involvement, and any access needed to continue those services for the individual once they have entered their new long-term care residence.

Access to health care support at home, at school or in the community * Care Coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care * care is provided in community settings such as the home, school, residential facility or nursing community clinic * provides information about other community services and refers when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - thehealthline.ca provides online access to health care information and services in Ontario, or call the referral phone service at 310-2222 - in English or 310-2272 - in French

Children's Health Services - Special health services for children in both the home and school environment * supports children when health care provision is essential to a student's participation and development in school programs * services are provided within public, private or home-based schools

Mental Health and Addiction Nurses - Assessments, interventions and support to students and families with mental health and or addiction issues * consultation to school staff in regards to mental health and/or addiction issues as appropriate

Placement Services - Determine eligibility for admission to long-term care facilities and prioritize and manage the admission process * support and information is provided to applicants and their families prior to and during the admission process

Nursing Clinics - Nursing services for ambulatory patients at clinics located in the community

Supported Living - Information and/or assessment for Adult Day Programs (ADS), Retirement Homes, Supports for Daily Living or Supportive Housing

Health Care Connect - Refers people who do not have a doctor to a family health care provider who may be accepting new patients * once registered, program participants are assigned to a Care Connector * Care Connectors work with family doctors and nurse practitioners who are accepting new patients * Health811 (get connected to health care 24/7)

Provides eligibility assessment, coordination of care, placement services and system navigation for those in need of community-based health service. Assessment for in-home services and placement also provided.
In-home services include:

• nursing
• nutrition services
• occupational therapy
• physiotherapy
• social work
• speech-language pathology
• personal support and homemaking services

Placement services can include placements into Long-Term Care Homes for both long-term or short-term and adult day programs, rehabilitation and cancer continuing care beds. Access to assisted living and supportive housing

Provides access to community care, links people to a wide range of community services and supports, care coordinators work with patients/clients in community and hospital settings to determine the right care and support they require, care is delivered to the client in various community settings including home, school, residential facility and at flex clinics

Services available to eligible clients may include:

• Nursing
• Nurse practitioner
• Physiotherapy and occupational therapy
• Nutritional Counselling/Dietetics
• Speech-Language therapy
• Social work
• Personal support
• Medical supplies and equipment
• Connecting to other community support services and agencies
• Mental Health and Addiction Nurses (MHAN)

Other specialized services may include:

• Access to assisted living and supportive housing
• Access to respite care and convalescent care (short-term stays and adult day programs)
• Access to long-term care homes, rehabilitation and complex continuing care beds
• School health support services to school aged children
• Community support for people living with cancer
• Hospice Palliative Care

Information and Referral - thehealthline.ca provides online access to health care information and services in Ontario, or call the referral phone service at 310-2222 (Local Health Integration Network, Home and Community Care) - in English or 310-2272 (CASC) - in French

Health care services offered at home, at school, and in the community, as well as access to supported living programs and long-term care * care coordinators work with people in the community or leaving the hospital to determine what help is needed and arrange for care

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - thehealthline.ca provides online access to health care information and services in Ontario, or call the referral phone service at 310-2222 - in English or 310-2272 - in French

Children's Health Services - Special health services for children in both the home and school environment * supports children when health care provision is essential to a student's participation and development in school programs * services are provided within public, private or home-based schools

Health Care Connect - Refers people who do not have a doctor to a family health care provider who may be accepting new patients * once registered, program participants are assigned to a Care Connector employed by the Home and Community Care Support Services * Care Connectors work with family doctors and nurse practitioners who are accepting new patients

In-Home Services - Health care services to people in their own homes

Mental Health and Addictions Nurses - Assessments, interventions and support to students and families with mental health and or addiction issues * consultation to school staff in regards to mental health and/or addiction issues as appropriate

Placement Services - Determine eligibility for admission to long-term care facilities and prioritize and manage the admission process * support and information is provided to applicants and their families prior to and during the admission process

Nursing Clinics - Nursing services for ambulatory patients at clinics located in the community

Supported Living - Information and/or assessment for Adult Day Programs (ADS), Retirement Homes, Supports for Daily Living or Supportive Housing

Access to health care support at home, at school or in the community; care coordination for people in the community or leaving hospital; also long term home, short stay, convalescent and crisis placements

Care provided in community settings such as home, school, residential facility or nursing community clinic; also information on community services and referrals when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions including acquired brain injury service access and coordination
• information and referral to other community supports

Children's Health Services
Special health services for children in home and school environment including public, private or home-based schools, supports children when health care provision is essential to student's participation and development in school programs

Mental Health and Addictions Nurses
Assessment, intervention and support for students and families with mental health and or addiction issues, including consultation for school staff as appropriate

Placement Services
Determine eligibility for admission to long-term care facilities and prioritize and manage the admission process; support and information for applicants and their families prior to and during admission process

Nursing Clinics
Services for ambulatory patients at community clinics

Supported Living
Information and/or assessment for Adult Day Programs (ADS), Retirement Homes, Supports for Daily Living or Supportive Housing

Health Care Connect
Referral to family health care providers who may be accepting new patients, for registered program participants (individuals and families) who do not have a family physician

Arranges in-home or school-based health and social services, and placement in long term care homes

• service coordination
• information and referral for related community services

Access to health care support at home, at school or in the community * care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care * care is provided in community settings such as the home, school, residential facility or nursing community clinic * provides information about other community services and refers when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - thehealthline.ca provides online access to health care information and services in Ontario, or call the referral phone service at 310-2222 - in English or 310-2272 - in French

Children's Health Services - Special health services for children in both the home and school environment * supports children when health care provision is essential to a student's participation and development in school programs * services are provided within public, private or home-based schools

Mental Health and Addictions Nurses - Assessments, interventions and support to students and families with mental health and or addiction issues * consultation to school staff in regards to mental health and/or addiction issues as appropriate

Placement Services - Determine eligibility for admission to long-term care facilities and prioritize and manage the admission process * support and information is provided to applicants and their families prior to and during the admission process

Nursing Clinics - Nursing services for ambulatory patients at clinics located in the community

Supported Living - Information and/or assessment for Adult Day Programs (ADS), Retirement Homes, Supports for Daily Living or Supportive Housing

Health Care Connect - Refers people who do not have a doctor to a family health care provider who may be accepting new patients * once registered, program participants are assigned to a Care Connector * Care Connectors work with family doctors and nurse practitioners who are accepting new patients

Milton Office - Access to health care support at home, at school or in the community * care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care * care is provided in community settings such as the home, school, residential facility or nursing community clinic * provides information about other community services and refers when appropriate

Mississauga Office - Health care services offered at home, at school, and in the community, as well as access to supported living programs and long-term care * care coordinators work with people in the community or leaving the hospital to determine what help is needed and arrange for care

Services and Programs:

• Bayshore Home Health Nursing Clinic
• Closing the Gap Nursing Clinic
• Milton - Acclaim Health Nursing Clinic
• Oakville - Acclaim Health Nursing Clinic
• Regional Learning Centre
• Spectrum Nursing Clinic

Access to health care support at home, at school or in the community; care coordination for people in the community or leaving hospital; also long term home, short stay, convalescent and crisis placements

Care provided in community settings such as home, school, residential facility or nursing community clinic; also information on community services and referrals when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions including acquired brain injury service access and coordination
• information and referral to other community supports

Children's Health Services
Special health services for children in home and school environment including public, private or home-based schools, supports children when health care provision is essential to student's participation and development in school programs

Mental Health and Addictions Nurses
Assessment, intervention and support for students and families with mental health and or addiction issues, including consultation for school staff as appropriate

Placement Services
Determine eligibility for admission to long-term care facilities and prioritize and manage the admission process; support and information for applicants and their families prior to and during admission process

Nursing Clinics
Services for ambulatory patients at community clinics

Supported Living
Information and/or assessment for Adult Day Programs (ADS), Retirement Homes, Supports for Daily Living or Supportive Housing

Health Care Connect
Referral to family health care providers who may be accepting new patients, for registered program participants (individuals and families) who do not have a family physician

Access to health care support at home, at school, or in the community * care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care * care is provided in community settings such as the home, school, residential facility or Home and Community Care Support Services community clinic * referral to other community services when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy or occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• end-of-life care
• medical supplies and equipment (patient-specific supplies for Home and Community Care Support Services care, such as catheters, ostomy bags, or wound care supplies)
  
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes, and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - Visit thehealthline.ca for online access to Ontario health care information and services or call the telephone referral service at 310-2222 in English or 310-2272 in French

Access to health care support at home, at school, or in the community * care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care * care is provided in community settings such as the home, school, residential facility or Home and Community Care Support Services community clinic * referral to other community services when appropriate

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy or occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• end-of-life care
• medical supplies and equipment (patient-specific supplies for Home and Community Care Support Services care, such as catheters, ostomy bags, or wound care supplies)
  
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes, and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - Visit thehealthline.ca for online access to Ontario health care information and services or call the telephone referral service at 310-2222 in English or 310-2272 in French

Community Nursing Clinics - Nursing services for ambulatory patients at clinics located in the community

Health Care Connect - Refers people who do not have a doctor to a family health care provider who may be accepting new patients * once registered, program participants are assigned to a Care Connector employed by the Home and Community Care Support Services * Care Connectors work with family doctors and nurse practitioners who are accepting new patients

In-Home Services - Health care services to people in their own homes

Information and Referral - Provides information on health care services available in the community or in-home * assesses needs of new clients * Connects clients with health care resources

Mental Health and Addictions School Program - Assessments, interventions and support to students and families with mental health and or addiction issues * consultation to school staff in regards to mental health and/or addiction issues as appropriate

Ontario Telehomecare Program - 6 month telephone coaching, support and monitoring program patients with mild to moderate Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) * equipment provided (blood pressure, weigh scale, pulse oximeter and tablet) to report on health daily * weekly discussions with telehomecare nurse

School Health Support Services - Special health services for children who require medical or rehabilitative assistance to attend school, participate in school routines and receive instruction * services are provided within public, private or home-based schools

Services and Programs:

• Owen Sound Office
• St Thomas Office
• Stratford Office
• Woodstock Office

Access to health care support at home, at school or in the community.

Care coordinators work with people in the community or leaving hospital to determine what help is needed and arrange for care. Care is provided in community settings such as the home, school, residential facility or Home and Community Care Support Services community clinic. Referral to other community services when appropriate.

Services available to eligible patients may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counselling (dietitians)
• end-of-life care
• medical supplies and equipment (patient-specific supplies for Home and Community Care Support care, such as catheters, ostomy bags, or wound care supplies)
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes, and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - Home and Community Care Support Services Hamilton Niagara Haldimand Brant offers information and referral services through My Health GPS. The public can access My Health GPS 365 days a year from 8:30 am-8:30 pm

• system navigation
• access to community resources
• assistance with referrals

Health care services offered at home, at school, and in the community, as well as access to supported living programs and long-term care * care coordinators work with people in the community or leaving the hospital to determine what help is needed and arrange for care

Services may include:

• nursing
• nurse practitioner
• personal support
• physiotherapy and occupational therapy
• speech and language therapy
• social work
• nutrition and food counseling (dietitians)
• palliative care
• medical supplies and equipment
• access to long-term care homes
• access to supported living (adult day programs, supportive housing, retirement homes and assisted living)
• health support in the school
• specialized services for people living with specific health conditions
• referral to other community supports

Information and Referral - thehealthline.ca provides online access to health care information and services in Ontario, or call the referral phone service at 310-2222 - in English or 310-2272 - in French

Health centre with services provided by community workers

Community-led health teams develop programs to improve the social supports and conditions that affect long-term health * culturally appropriate programs and services for Aboriginals, combining traditional healing and Western medical practices

Services include:

• Healthy Babies Healthy Children
• Aboriginal Health and Wellness
• mental health
• home and community care
• National Native Alcohol and Drug Awareness Program