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Transition Programs

Bellwoods has been delivering various types of transition programs and services for several years. However, the profile of Bellwoods work in this area was heightened in November 2017 when Bellwoods was selected to participate in a pilot project funded by the Ministry of Health and Long-Term Care and Toronto Central LHIN to test Short-Term Transitional Care Models (STTCMs) focused on supporting the transition of alternate level of care (ALC) patients from hospital.

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
  • Caregiver ReCharge Services (CRS) that provides in home respite for caregivers of clients who are transitioning from hospital
  • 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 Mobile Independent Living Education (MILE) Program. For more information please click PDF Document

Mobile Independent Living Education (MILE) Program

mileThe Mobile Independent Living Education (MILE) Program is one of Bellwoods Transition Programs. The program aims to maximize independence and quality of life for people living in the community by providing assessment, direct skills teaching and service coordination to improve an individual’s ability to manage their health and personal care needs in a community setting.

A multi-disciplinary team offers participants goal-oriented services aimed at improving their safety and independence (e.g., home safety assessment, assessment and provision of mobility and seating aide). The program also provides help with community navigation as well as activities of daily living/independent living skills intervention.

MILE us a community-based education program for adults (16+) with a physical support need. MILE does not replace or duplicate available Home and Community Care resources. Services are based on identified objectives, are time-limited and focus on home and community skills development to maximize safety and support independent living in the community through specialized education and supports.

Individuals interested in the MILE Program are encouraged to contact:

Anne Dumais, Director, Transitions and Special Projects
Bellwoods Centres for Community Living Inc.
3 Concorde Gate, Suite 200, Toronto, ON. M3C 3N7
Telephone: (416) 949-7382
E-mail: anne.dumais@one-mail.on.ca

 

Frequently Asked Questions

What services are provided by Bellwoods Facilitators who are trained in occupational therapy and Independent Living Educators (ILEs)?
Facilitators (trained Occupational Therapists) focus on issues related to community safety and independence, and act as a liaison with external medical professionals to ensure that the client achieves maximum level of functioning.

 

Independent Living Educators (ILEs) are service providers with expertise in housing. funding, resource linkage and community living skills development.

Is there a waiting list for MILE Program?
The waiting list fluctuates based on current vacancy and availability of MILE team staff. Please contact us for information about current vacancy.
Are there costs associated with MILE Program?
Service is time limited and maximum length of time depends on identified service objective(s).
Does the MILE Program have a geographic boundary for service provision?
Clients must reside within the City of Toronto to be eligible for service.
How frequently will I be seen by the MILE Facilitator (trained Occupational Therapist) and/or Independent Living Educator (ILE)?
Frequency of in-person visits depends on identified objectives.
Where do the MILE in-person visits take place?
The Facilitator (trained Occupational Therapist) and Independent Living Educator (ILE) will meet with clients in their homes or other community locations depending on the identified objectives being addressed within the program.
Are medical services provided by Bellwoods?
Bellwoods does not provide medical services.  All medical services are obtained by the client and /or their family through external sources such as their family physician, Community Care Access Centre (CCAC) and outpatient clinics.

Community Connect (CC) Programp1050963

The Community Connect (CC) Program is one of Bellwoods Transition Programs. CC is one of the reintegration care units (RCUs) being funded by the Ministry of Health and Long-Term Care (MOHLTC) and the Toronto Central LHIN (TC LHIN) as part of a series of pilot projects testing the value of Short-Term Transitional Care Models (STTCMs) in facilitating discharge from hospital.

Bellwoods CC Program is a time-limited, goal-oriented program focused on supporting the transition of individuals from hospital with high physical care needs and working with them to support their health and personal care needs in a community-based setting. The CC Program is located at Bellwoods 300 Shaw Street site. The program has 15 apartment units (bachelor and one bedroom) providing housing and supports for participants for up to six months.

Individuals interested in the Community Connect (CC) Program are encouraged to contact:
Anne Dumais, Director, Transitions and Special Projects
Bellwoods Centres for Community Living Inc.
3 Concorde Gate, Suite 200, Toronto, ON. M3C 3N7
Telephone: (416) 949-7382 
E-mail: anne.dumais@one-mail.on.ca

Frequently Asked Questions

What services are provided by Bellwoods Facilitators who are trained in occupational therapy and Independent Living Educators (ILEs)?
Facilitators (trained Occupational Therapists) focus on issues related to community safety and independence, and act as a liaison with external medical professionals to ensure that the client achieves maximum level of functioning.

Independent Living Educators (ILEs) are service providers with expertise in housing. funding, resource linkage and community living skills development.

Is there a waiting list for Community Connect (CC) Program?
Due to the transitional nature of the program, current vacancies and eligible applicants constantly change.  Program offers are based on a number of variables including service requirements of applicants and program requested. Please contact us for current vacancy.
Do applicants have to reside in a hospital or Long Term Care Home (LTCH) within Greater Toronto Area to be eligible for program?
Applicants can reside in a hospital or Long Term Care Home (LTCH) outside of Toronto but must be able to travel to Bellwoods Park House to participate in assessment process.
Can I leave the program early?
Clients can leave the Community Connect (CC) Program at any time.  When leaving before the end of the tenancy agreement, the client is required to give a 2 month notice of vacancy as per the Rental Tenancies Act.
What types of apartments are available?
Seventeen bachelor and one-bedroom apartments accommodate clients. There are no 2 bedroom apartments.  Provision of a bachelor or one-bedroom apartment is based on availability at time of admission.
What equipment and supplies are required to move into a Bellwoods Community Connect (CC) Program?
Clients are responsible for providing the following equipment and supplies:

  • Medication (prescription and non-prescription) and medication list.
  • Therapeutic equipment including:
    • mobility devices – wheelchair; rollator
    • bathroom equipment – commode chair; bath seat/bench; raised toilet seat
  • Bowel and bladder supplies including:
    • Catheter supplies
    • Briefs and pads
  • Groceries
  • Household cleaning items including:
    • dish detergent, dish cloths and tea towels
    • laundry supplies – detergent, softener, stain remover and basket
    • cleaning supplies – all-purpose cleaner
  • Personal grooming items including:
    • soap
    • deodorant
    • hair products – shampoo, conditioner, comb/brush
    • toothpaste and brush
  • Clothing
  • Operational phone and list of important numbers
  • Personal Identification and information including:
    • OHIP card
    • Hospital cards
    • Bank cards
    • Wheel Trans Number
Are medical services provided by Bellwoods?
Bellwoods does not provide medical services.  All medical services are obtained by the client and /or their family through external sources such as their family physician, Community Care Access Centre (CCAC) and outpatient clinics.
Are there costs associated with Bellwoods Community Connect (CC) Program?
Clients are responsible for the rental cost of the apartment, provision of phone (landline or cell), cable and internet connection in apartment, if required, and all other costs associated with living in a private apartment. Rent subsidies are available for eligible clients. There is no cost for personal support services provided by Bellwoods’ personal support service workers. There is no cost to Bellwoods programs.

Caregiver ReCharge Services (CRS) – In-Home Respite Services 

The Caregiver ReCharge Services (CRS) – In-Home Respite Program is one of Bellwoods Transition Programs. The in-home respite program was started in November 2017 as part of the Caregiver ReCharge Services (CRS) Program that was implemented as part of a series of new Short-Term Transitional Care Model (STTCMs) being pilot tested in the Toronto Central LHIN (TC LHIN) (funded by the Ministry of Health and Long-Term Care) focused on transitioning patients from hospital who are designated as alternate level of care (ALC) or at risk of ALC clients.

The program provides support to caregivers through provision of in-home PSW services focused on meeting the needs of caregivers (family or friends) for clients who are returning home from hospital. Bellwoods oversees the provision of the CRS-in-home respite program across all five sub-regions in the TC LHIN. There is no cost for the program at this time.

Individuals interested in the Caregiver ReCharge Services (CRS) are encouraged to contact:
Ajit Prabhu, Supervisor, Respite Services
Bellwoods Centres for Community Living Inc.
3 Concorde Gate, Suite 200, Toronto, ON. M3C 3N7
Telephone: (416) 706-0755
E-mail: aprabhu@bcclsp.org

Housing with Layered Supports (HLS)

Bellwoods is partnering with the City of Toronto to pilot the Housing with Layered Supports (HLS) project. This short-term project is aimed at residents of Toronto as part of a series of strategies that are being implemented to reduce or prevent homelessness and assist the chronically and episodically homeless, as well as those at-risk of homelessness. HLS provides flexible and individualized case management. Eligible applicants will also be provided with a subsidized housing unit for a defined period of time.

There is no cost for Case Management supports. Applicants approved for a Rent Supplement will be required to contribute a rent amount that is geared-to-total income. All furnishings, household supplies and expenses related to living in an independent apartment (e.g., food, cell phone, TTC, etc.) will be the responsibility of the applicant.

Individuals interested in the Housing with Layered Supports (HLS) are encouraged to contact:
Ruth Tonon, Community Transitions Coordinator
Bellwoods Centres for Community Living Inc.
1082 Dundas Street West, Toronto, ON. M6J 1X1
Telephone: (416) 530-1315 
E-mail: ruth.tonon@one-mail.on.ca

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The Impact Bellwoods Makes

“I have worked at Bellwoods for the past four years and have witnessed first-hand the positive growth that has taken place within the MILE and Community Connect programs during this time... A primary objective for both of these programs is to assist clients with their transition from hospitals or long term care facilities to the community which is very relevant given the current health care environment.”

Andrea Ripley
MILE Program Facilitator