Searching for Hospice / Palliative Care

Nurse supervised in-home Personal Support Worker (PSW) care for individuals affected by dementia, Alzheimer's or Acquired Brain Injury as well as palliative home care

Services provided include:

• Arranging transportation to medical appointments, activities
• Assistance with activities of daily living
• Walks and exercise (medically approved)
• Personal hygiene and foot care
• Meal planning, preparation, grocery shopping and light housekeeping
• Companionship
• Live-in care
• Behavior management
• Care planning
• Case management, coordination with the Home and Community Care Support Services
• Cognitive stimulation, Reminiscence therapy and Memory assistance care
• Dementia care
• Medication reminders and recording
• Overnight and respite care
• Rehab support workers
• Restorative care
• Palliative care
• Supplementary care at long-term care homes, retirement residents
• Supplementary palliative care at home, in hospital or hospice

COVID19 -- Call or visit hospital website for updates on entryway restrictions, current visitor policies and appointment cancellations


Acute care hospital

• critical care and trauma
• Elders' Clinic providing comprehensive geriatric assessments
• heart and vascular disease
• neurosurgery
• diabetes comprehensive care; kidney/metabolism program
• gynecology and obstetrics
• mental health (see separate listings)
• multiple sclerosis
• palliative care
• regional stroke centre

Rapid Access Clinic (RAC)

• urgent care drop in service for individuals with substance use problems
• Mon-Fri 9 am-11 pm; virtual care also being offered during COVID - call for details
• register at reception, 17th floor, CC Cardinal Carter Wing or call either 416-864-3082 or Coordinated Access to Addiction Services at 1-855-505-5045 (see separate listing)

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

COVID19 -- Call or visit hospital website for updates on entryway restrictions, current visitor policies and appointment cancellations


Acute care hospital

• geriatric psychiatry
• Ontario Breast Screening Program
• palliative care
• women's and infants' health

Reitman Centre Alzheimer's Support and Training Centre 416-586-4800 ext 5882, for caregivers of people with dementia providing care at home

HIV Psychiatry Clinic -- psychiatric and mental health services for those affected or infected by HIV

Dental Clinic -- dental care for those who need dentistry delivered in a hospital setting including care for persons with HIV or AIDS, and persons with physical and developmental disabilities; referral from a medical doctor or dentist required

Mount Sinai Academic Family Health Team 416-586-4800 ext 4129 (at 60 Murray St)


Some hospital services provided at 60 Murray St or 700 University Ave

Hospice that provides end-of-life care to homeless population

COVID-19 -- maintain all essential services including supportive housing, assisted living, home care

• transportation for essential visits
• providing hot meals, frozen meals and food hampers to seniors and people needing isolation
• Transitional Care Centre -- regular service, visits (in person for family and caregiver with appointment)
• also available via phone/virtually -- telephone reassurance, supportive counselling and service coordination
• Family Health Organization, GAIN Community Team
• Adult Day Program --in person and virtual care
• Diabetes Education Program -- assessment, consultation, group education
• Wellness and Community Development Program -- in person and virtual platform
• Vocational Training Centre -- in person and virtual platform

----------------------------------------
Adult Day Program -- Monday-Friday 9:30 am-3:30 pm, weekday extended hours, Saturday 10 am-3 pm, available in Scarborough and Richmond Hill

• for persons 55 years and older with special needs, such as physical frailty or mild memory impairment, in need of supervised, structured setting
• social and recreation activities, lunch, snack
• personal care and health related services -- exercise, foot care, physiotherapy, occupational therapy, massage therapy
• transportation available

Chinese Bereavement Services -- culturally specific bereavement services

• individual support and self help group
• public education, seminars, workshops
• information and referral

Chronic Disease Self Management Program -- 6 week workshop for adults with chronic medical conditions such as heart disease, arthritis, diabetes, asthma, bronchitis

• individual counselling with nurse, dietitian and social worker
• health and education workshops, seminars
• caregiver education and support
• information and referral
• workshop licensed by Self-Management Resource Centre

Community Outreach -- outreach programs for those living in seniors apartments and suburban areas

• retirement groups
• seniors self help groups
• community, wellness and health education
• caregiver support, volunteer development

Community support services -- escort to medical appointments, telephone security checks, friendly visiting, hospice visiting, grocery shopping, client intervention and assistance -- free

• congregate dining -- fee, subsidies available
• transportation -- fee
• referrals, follow up

Elder Abuse Prevention Program -- Chinese Elder Abuse Helpline 416-502-2321, elder abuse education, supportive counselling

Geriatric Assessment & Intervention Network (GAIN) Community Team -- wrap around supported care and services with individualized comprehensive geriatric assessment

• intensive case management, personalized care plan
• service navigation

Home care services -- home help, homemaking, respite care, palliative care -- fee

Personal Care Program -- for seniors living in the community requiring higher level of care

• care coordination
• scheduled and unscheduled personal support workers' visit, security check

Integrated Dialysis Care Program -- Registered Nurses and Registered Practical Nurses visit home peritoneal dialysis patients at their home

• health maintenance, nutritional counselling

Supportive housing services -- for seniors requiring higher level of care, 24 hour on site services at Alexandra Park Apartments and Tam O'Shanter Towers, emergency response services

Wellness and Social Program -- social, recreational and educational programs for persons 50 years and older

• drop-in centre, friendship groups, interest classes, outings

Provides primary, mental health and palliative care to the homeless and marginally housed at various shelters and drop-in centers across the City of Toronto

Supportive housing

• transitional or long term in 2 houses, capacity 10
• 6 independent apartment units

Co-op house (capacity 5) includes high support environment with counselling, case management and help with activities of daily living; also BLOOM Supportive Transgender Housing low support co-op house for individuals undertaking hormonal and/or surgical gender transition, and living with mental health and substance use issues and/or experiencing homelessness (capacity 5)

• flexible staff support
• personal support services
• palliative and respite care
• 24 hour staff support

Positive Service Coordination
Intensive case management for homeless persons living with HIV/AIDS, with mental health and addiction issues, who are experiencing a mental or physical health crisis resulting in hospitalization

Addictions Supportive Housing (ASH Program)
Addictions case management for homeless people living with HIV/AIDS for whom substance abuse issues are a primary concern

• housing provided by Fife House

Also community support services for McEwan members living independently in the community, including counselling, mental health and addiction support, system navigation, referrals, 24 hour crisis support

150-bed long-term care home * residential care for private rooms and basic rooms * 24-hour nursing and personal care * access to a doctor and other health professionals * multicultural and LGBTQ+ positive environment * secure dementia unit

• bedding and furniture
• laundry and housekeeping
• meals
• personal hygiene supplies
• medical supplies and equipment (such as catheters, ostomy bags, or wound care supplies)
• assistance with medication and activities of daily living
• recreation and social programs

Additional services and facilities:

• physiotherapist
• clinical nurse specialist
• palliative care
• restorative care services

Additional unfunded services:

• chiropodist
• optometrist
• audiologist
• dentist
• hair salon
• outings

Short-Stay Care (Public) - Short-stay beds (respite care for people who have caregivers in need of temporary relief) * publicly funded * offered up to 90 days per year, as available * residents have access to the same services as long-stay residents

Inpatient, outpatient health care services, and community care for people living with advanced HIV/AIDS * education related to supportive and palliative care for persons living with HIV/AIDS, for care providers, professionals and students

We have expanded the hospice and have two locations:
38 Major Street, Toronto
45 Brunswick Avenue, Toronto

Visiting hours for both locations are 9a.m. to 7p.m. daily.
Operation hours is 24/7 daily.

(NOTE: Presently 38 Major St. is being renovated; but will be open as of May 2023)

Between the two locations it is a 19-beds residential palliative care facility providing care, comfort and relief of suffering for individuals at the end of life * emotional support to patients and their family/caregivers dealing with a life-threatening illness * 24 hour care including pain control, symptom relief, skilled nursing care, social work and bereavement.

COVID19

• call hospital switchboard or check website for changes to visitor policies and screening

Inpatient Programs

• complex continuing care
• post acute care rehabilitation
• palliative care (including respite care)

Outpatient Clinics

• foot clinic including general foot care, diabetic footcare, chiropody and wound management
• gerontology
• respirology including pulmonary function testing
• rheumatology

Multiservice agency providing a range of services for people with social and emotional problems, including counselling, information and referrals, supplementary financial assistance program (government assistance recipients), support groups, supports for assaulted women, in-home palliative care program, English conversation café for new immigrants, homelessness prevention program, and parenting, mental health and wellness programs and workshops

• Pathways to Employment in partnership with JVS Toronto
• Restitution Services for Holocaust Survivors
• Holocaust Survivor Emergency Funding
• chaplaincy services
• speakers
• all services confidential

Café Europa monthly group for Holocaust survivors in partnership with Bernard Betel (see separate listing)

Children
Jewish child protective and family services investigates allegations of child neglect and abuse

• adoption and foster home services and recruitment
• file and adoption disclosure
• counselling
• big brothers and big sisters program
• homework club
• school outreach counselling program

Families
Includes individual, couple, family and group counselling, family life education and life skills programs

• financial assistance combined with poverty reduction counselling for persons on social assistance
• assistance maximizing benefits and entitlements, and finding employment and accommodation
• support for families with special needs children
• Family Resource Centres for pre-school and caregivers (see separate listings)

Woman Abuse Program
Individual and group counselling, crisis intervention, emergency financial assistance, and support groups

• Here to Help group program for children and their mothers
• advocacy and community outreach
• education and consultation
• referrals

238-bed long-term care home * residential care in private rooms, semi-private rooms, and basic rooms * 24-hour nursing and personal care * access to a doctor and other health professionals

• bedding and furniture
• laundry and housekeeping
• meals
• personal hygiene supplies
• medical supplies and equipment (such as catheters, ostomy bags, or wound care supplies)
• assistance with medication and activities of daily living
• recreation and social programs

Additional services and facilities:

• therapies, including physiotherapy
• palliative care

Short-Stay Care (Public) - 2 short-stay beds (respite care for people who have caregivers in need of temporary relief) * publicly funded * offered up to 90 days per year, as available * residents have access to the same services as long-stay residents

COVID19 -- For current screening and visitor policies, call main switchboard or visit website


Rehabilitation and complex continuing care hospital

• medical, orthopedic and neurological rehabilitative care
• palliative care

Outpatient programs

• augmentative and alternative communication clinic
• geriatric psychiatry
• mindfulness-based stress reduction
• neurological rehabilitation
• orthopedic and joint replacement rehabilitation
• pain management
• seating clinic
• therapeutic pool

Home hospice care * respite, practical, physical, emotional, psychosocial, and spiritual support for people living with terminal and/or life-limiting illnesses and their loved ones, in their own home * focus on whole person care for clients and caregiver supports for family members. Adult clients of all ages can access care. When paediatric palliative care supports are required, Emilys House at Home program can be accessed.

• practical care
• respite care
• emotional support
• respite for caregivers
• accompaniment to medical appointments/treatments
• assistance with errands and daily activities
• companionship
• spiritual/bereavement support

Emily's House At Home - Emily's House is extending our hospice and respite programs beyond our physicallocation, to offer increased access to a variety of supports in the care location of your choice. Through our Emily's House at Home program, Emily's House team members provide care, engagement, and support for children living with life-limiting, complex conditions in their own home or while in hospital. At the heart of Emily's House at Home is our holistic approach to care that is family centred, focused on quality of life, and dedicated to helping children and youth live each day as fully as possible.We offer social, practical, psychological, and spiritual/grief support for your family and child free of charge. Our model of care incorporates the compassion and skills of a diverse, multi-disciplinary team, comprised of staff and volunteers who work cooperatively with your healthcare team to meet your and your child's needs

Emily's House is extending our hospice and respite programs beyond our physicallocation, to offer increased access to a variety of supports in the care location of your choice. Through our Emily's House at Home program, Emily's House team members provide care, engagement, and support for children living with life-limiting, complex conditions in their own home or while in hospital. At the heart of Emily's House at Home is our holistic approach to care that is family centred, focused on quality of life, and dedicated to helping children and youth live each day as fully as possible.We offer social, practical, psychological, and spiritual/grief support for your family and child free of charge. Our model of care incorporates the compassion and skills of a diverse, multi-disciplinary team, comprised of staff and volunteers who work cooperatively with your healthcare team to meet your and your child's needs

COVID19 -- Call or visit hospital website for updates on entryway restrictions, current visitor policies and appointment cancellations


Acute care hospital

• critical care
• dental clinic for persons with underlying medical conditions - medical referral required
• mental health including inpatient unit, crisis and outpatient services
• palliative care
• surgery

Family Medicine Centre/Urban Family Health Team, 416-530-6860 -- Monday-Friday 9 am-5 pm; satellite at 27 Roncesvalles Ave, Suite 101, 416-530-6947, Monday-Friday 9 am-4:45 pm

Clinic for Healthy Aging, 416-530-6770

• assessment, consultation and treatment for frail elderly persons
• referrals to community supports

Addiction Services

• addiction shared care
• smoking cessation
• mindfulness-based relapse prevention
• Toronto Centre for Substance Use in Pregnancy (T-CUP)
• withdrawal management, see separate listing

Rapid Access Addiction Medicine (RAAM) Clinic

• brief support and referral for patients not currently connected to addiction recovery resources
• Tue and Thu 10 am-11:30 am; Wed 1 pm-4 pm
• register at Family Medicine, Ground Floor, East Entrance

Outpatient Mental Health Programs

• child and adolescent program
• Assertive Community Treatment Team (ACTT) -- community-based support and rehabilitation to adults with severe and persistent mental illness

Fathers' Mental Health Assessment and Treatment Service -- assessment and treatment for expecting and new fathers

Mobile Crisis Intervention Team in response to 911 call

A range of services to support independence:

• in-home nursing
• attendant and palliative care
• personal support services
• homemaking
• extreme cleaning
• hoarding support services
• family and child care
• childminding
• caregiver relief and emergency child care
• infant and multiple birth support
• foot care
• occupational therapy
• physiotherapy
• dietitian services
• speech-language pathologist
• social work services
• health and wellness programs

Also offer a range of volunteer supports and student placement opportunities.

Durham Extreme Cleaning Program - One-time free service to assist individuals at risk of losing their housing due to unsanitary living conditions * the facilitator and team work with the client in the home to reduce risk of eviction by providing assistance to clean, declutter and prepare for infestation treatments.

Services and Programs:

• Durham Hoarding Support Services (DHSS)
• Extreme Cleaning Service
• In-Home Foot Care
• Toronto Hoarding Support Services Network (THSSN)

Adult Services

• for adults who may be isolated, marginalized, new to Canada, non-status, have experienced addiction issues, the psychiatric system, and/or are at risk of eviction
• drop in at 61 Pelham Park Gardens

Child and Youth Programs

• for children 6-12 years
• summer and March break day camps
• after school recreation programs and field trips
• homework club
• for youth 11-24 years
• social, recreation, education and arts activities
• leadership training
• life skills

Community Dining

• nutritious meals
• access to community services
• Monday and Wednesday supper

Community Health Centre 416-658-6812

• call for appointment
• individual and family medical and nursing services
• palliative care
• psychiatric services
• counsellor therapists
• mental health and addictions counsellor therapist
• community dietitian
• diabetes management support
• physiotherapist
• doctor on call Monday-Sunday 24 hours
• house calls when appropriate
• health education and promotion
• outreach to isolated persons
• community action on identified community health issues
• harm reduction supplies and information
• for non-status newcomers in the community, please contact the settlement department for more information

Crisis Support and Intervention

• Monday-Friday
• call for an appointment

EarlyON Child and Family Centre -- Davenport

• early learning and literacy
• prenatal pregnancy supports
• infant programs
• parenting
• parent relief
• child minder training
• school readiness * information and referral
• Growing Up Healthy Downtown (see separate entry) -- for children birth-6 years

Seniors Services

• 55 years and older
• health education
• advocacy
• social, education and recreation activities
• Italian women's group
• Spanish wellness group
• Portuguese wellness group
• arts, falls prevention, fitness, trips/outings

Settlement Program

• counselling and settlement services for status and non-status newcomers
• workshops

Volunteer opportunities

COVID19 -- in-person programing is paused, many programs are being offered remotely; contact organization for updates

• complementary therapies (online)
• children and youth support programs including Young Carers (online)
• bereavement one on one support and group support (online)
• caregiver one on one support and group support (online)
• daily programming for palliative clients (online)
• expressive arts group
• referrals to hospice programs outside catchment area

Programs and Services

• practical assistance and personal care
• emotional and social support
• respite for caregivers
• complementary therapies
• children and youth support programs including Young Carers (see separate entry)
• bereavement support
• expressive arts group
• referrals to hospice programs outside catchment area

COVID19

• call or check website before going for entryway restrictions, current visitor policies and appointment cancellations
• some appointments may be done virtually, contact care provider for details

Acute Care Hospital

• complex continuing care, inpatient rehabilitation
• diagnostic and laboratory services
• obstetrics, labour and delivery and neonatal care, pediatrics
• palliative care

Breastfeeding Clinic 416-469-6580 ext 6667

• counselling and support by lactation consultant and/or public health nurse
• no referral needed, but appointment required

East Toronto Postpartum Adjustment Program 416-469-7608

• for women who have recently given birth or have adopted a child and are experiencing episodes of postpartum adjustment
• in partnership with several other agencies

Mental Health Programs, Intake 416-469-6310

• brief counselling
• child and adolescent programs, including transitional youth program
• depression group
• day treatment
• inpatient treatment
• prevocational rehabilitation
• psychogeriatric program
• Mobile Crisis Intervention Team -- crisis assessment and intervention by a mental health nurse and specially trained police officer in response to a 911 call

Addictions

• Rapid Access Addiction Medicine (RAAM) Clinic -- 416-469-6580 ext. 2517, call for appointment or drop in (check website for schedule) - assessments, counselling, and prescriptions for medications that may help with lessening cravings and withdrawal symptoms.
• withdrawal management, see separate listing

Division of Toronto East Health Network

COVID19 -- Call or visit hospital website for updates on entryway restrictions, current visitor policies and appointment cancellations


Acute care hospital

Areas of Focus

• brain sciences- stroke, dementias, mood and anxiety disorders
• cancer care
• geriatrics including in home assessment, direct psychiatric services, counselling, support groups for patients and caregivers, falls prevention and referrals for seniors with mental health concerns
• heart centre
• trauma and burn centre
• veterans care - residential, dementia and palliative care
• women and babies -- obstetrics, gynecology, neonatal care, accessible care for women with disabilities

Dental Clinic -- full dental care for persons who are medically compromised or require specialized dental care, surgery or consultation including people with HIV/AIDS, hepatitis and people with developmental disabilities; referral required

Pregnancy and Infant Loss (PAIL) Network, 1-888-303-7245 -- see separate record

Visiting hospice volunteers provide companionship, respite care and emotional support, in-home and virtually to people living with a life-limiting illness, their families, loved ones, following interview with Coordinator of Volunteer Services * bereavement support is available on an individual basis or in a group setting for anyone who is experiencing anticipatory grief or has experienced the death of a loved one, facilitated by case manager * massage therapy sessions are offered to affected persons and their caregivers following assessment by case manager