Transition Programs

Transition Programs are time-limited, goal-oriented programs that support the transition of individuals who are returning to the community from hospital. In keeping with the philosophy of Independent Living (IL), clients direct their own services with staff onsite for pre-scheduled services.

As an organization providing direct services to persons with disabilities we are committed to improving and enhancing future transition program to support those who want to remain living in the community.

Today, Transition Programs offered by Bellwoods include:

  • Community Connect (CC) Program (15 reintegration units)
  • A Centralized Referral Management Team providing a single point of referral and triage for all of the Short Term Transitional Care Models being pilot-tested in the TC LHIN
  • Housing with Layered Supports (HLS) that provides case management and/or temporary housing for individuals who are homeless or at risk of homelessness who are transitioning from hospital back to the community. 
  • All of the transition clients have access to the Independent Living Facilitation Program. Read more about the ILF Program (PDF).

Independent Living Facilitation Program (ILFP)

Client using a computer with a MILE team member

The Independent Living Facilitation Program provides goal-oriented assessment, and consultation to support clients. Client’s may be existing Bellwoods community members or individuals across a variety of hospital or community-based settings. The team of IL Facilitators offer a community-based education program for adults (16+) with a physical support need.

Services offered do not replace or duplicate available Home and Community Care resources. Services are goal-oriented and aimed at improving safety and independence (e.g., home safety assessment, assessment and provision of mobility and seating aide). The program provides support services, equipment and other resource needs that impact the clients’ activities of daily living.

For more information contact:

Bellwoods Centres for Community Living Inc.
3 Concorde Gate, Suite 200, Toronto, Ontario M3C 3N7
Telephone: (416) 696-9663
E-mail: admin@bellwoodscentres.org


Community Connect (CC) Program

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The Community Connect (CC) Program is one of the reintegration care units (RCUs) that is currently being funded by the Ministry of Health and Ontario Health (Toronto Region) as part of a pilot project to test the value of Short-Term Transitional Care Models (STTCMs) and support discharge from hospital.

The program facilitates timely discharge of clients who have experienced a significant change in their physical function and require help setting goals and learning new skills to help them learn to live independently in the community with supports. Most clients are recovering from a life-altering traumatic injury or health event that has resulted in significant change to their pre-hospital level of physical functioning. Read more about Community Connect (CC) Program (PDF).

For more information contact:

Bellwoods Centres for Community Living Inc.
3 Concorde Gate, Suite 200, Toronto, Ontario M3C 3N7
Telephone: (416) 696-9663
E-mail: admin@bellwoodscentres.org


Housing with Layered Supports (HLS)

Bellwoods is partnering with the City of Toronto in the Housing with Layered Supports (HLS) project. The focus of the project is to reduce or prevent homelessness, assist the chronically and episodically homeless, and support those at-risk of homelessness in the City of Toronto.

Bellwoods participation in HLS focuses on supporting clients who are homeless in hospital or residing in a transitional unit. HLS provides flexible and individualized case management for one-year from date of eligibility to support clients with moving, establishing landlord relationships and set up in their new home.

Read more about Housing with Layered Supports (PDF).

For more information contact:

Community Transitions Coordinator, HLS
Bellwoods Centres for Community Living Inc.
1082 Dundas Street West, Toronto, Ontario M6J 1X1
Telephone: (416) 416-220-6615
E-mail: jwesley@bcclsp.org