New! Bridging Care program

February 14th, 2022 | The Seaway Valley Community Health Centre, in partnership with Centre de santé communautaire de l’Estrie (CSCE), is pleased to announce the arrival of the new Bridging Care program (Relais-santé in French) focused primarily on supporting underserved populations. The goal of this program is to work in collaboration with health professionals and include system navigation and care transitions for vulnerable and marginalized clients.

Bridging Care Team

A shared model of care is the foundation of this program. Registered Nurses and Community Health Workers are available to work in collaboration with clients, primary care providers, community resources and other health professionals.

The Bridging Care team will work together to provide outreach to individuals to help them navigate the health care and social services system by making appropriate referrals to support their needs.

Who can be referred to Bridging Care?

Our potential clients will be prioritized by a centralized intake. Referrals can be made by health professionals, community partners, family and self-referrals.

Isolated individuals, those living in poverty, those living with chronic disease and culturally diverse residents who often face barriers to accessing the health care services are groups who may benefit from this program, without limitation of age or health condition. Thus, Bridging Care differs from the Regional Integrated Care (formerly “Health Links”), which is reserved for people with at least four comorbidities.

Services are offered within the Upper Canada Cornwall and Area Ontario Health Team (OHT) catchment area.

Eligibility is based on, but not restricted the following criteria:

  • Does not have a family doctor/NP
  • Multiple health problems
  • Recent loss
  • Lives alone isolated
  • Lack of support network
  • Risk of eviction
  • Recent fall (in last 3 months)
  • Recent ER visits and/or hospitalization
  • Cognitive and /or health decline
  • Underserved population
  • Inadequate income in order to access needed services/supports

If you have any questions about this new program, do not hesitate to contact us.

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