Care CoordinationProvided at homeIntegrates health and social services by facilitating referrals and access to service across agencies. Supports care by providing follow-up after hospitalization or emergency room visits, or after specialist assessments.
Chronic Disease Management Clinic
Individual clinical guidance for people diagnosed with a specific chronic disease such as arthritis, congestive heart failure, or diabetes. Requires clinical referral.
Health Education Classes
Provides education to participants to make choices that may improve wellness or reduce risks of disease. May focus on specific diseases or specific lifestyle issues (e.g. healthy eating).
Hospital Transition to Home SupportProvided at homeProvides assistance when moving from a hospital stay back to home. May include assistance with transportation, home configuration, shopping and finding other services to help.
Individual/ Family Counselling (In-Home/ Local)Provided at homeGuidance or advice provided to people aimed at helping manage a challenging situation or to resolve personal problems. Includes mental health and addictions counselling.
