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South East 
Local Health Integration Network

Local Health Integration Networks (LHINs) home and community care services provide one-stop access to health and personal support services to help people live independently in their homes, assist children with health needs attend school, support seniors making the transition to a long-term care home or other residential care option, and help people find a family physician.

 

LHIN's help people of all ages and cultures by planning, coordinating and ensuring delivery of a full range of in-home and community-based health and support services. Our goal is to support patients and their caregivers in the community or to plan for a return home following hospitalization.

 

Health care professionals will work with you and your family to meet your needs and develop an evolving plan of care.

 

Long-Term Care Homes

  • If you or the person you care for require more assistance than can be provided in the community, a Care Coordinator will help you investigate alternatives such as Retirement Homes, Long-Term Care Homes, Convalescent Care for a recovery period and Respite/short-term care

 

School Health Support Services for Children

  • The School Health Support Service program is for children and youth up to age 21, with medical or rehabilitation needs who would otherwise be unable to attend school, or whose education would be compromised by having to leave school for necessary therapy.
  • School Health Support Services Tools for Schools and Parents 

 

Care Connectors

  • Need a family doctor? The LHIN has nurses on staff called Care Connectors, who work with local physicians and other primary care providers to help connect people in need of a primary health care provider.
  • If you need a family doctor and would like us to help connect you to the local primary care provider that can meet your needs, you can register by calling 1-800-445-1822 or by registering online.

 

Mental Health and Addictions Nurses (MHAN)

  • In collaboration with the district school boards, the Mental Health and Addiction Nurses support children, youth and their families who are facing mental health and addiction issues.

 

Home First

  • Home First is an evidence-based, person centred, transition management philosophy focused on keeping patients - specifically high-needs seniors - safe in their homes for as long as possible with community supports.

 

Palliative Care Education Program

  • Facilitated by Registered Nurses with Canadian Nurses Association (CNA) certification in Hospice Palliative Care. Formal education is facilitated in weekly courses of one day a week for six weeks, offering a Level 1 and Level 2 course for nurses annually.  In-house education sessions can also be arranged on request.

 

Palliative Pain and Symptom Management Consultation Services (PPSMCS )

  • Education, consultation and support for service providers offering end-of-life care. Sessions include basic and advanced palliative-care training, consultation regarding pain and symptom management.

 

Hospice Palliative Care Nurse Practitioner Program ( HPC NPP )

  • Enhances the quality of hospice palliative care by working collaboratively to provide on-going whole-person care, through optimal pain and symptom management. Providing patients and families with comprehensive evidence-based hospice palliative care closer to home and in the client’s care setting of choice.

 

Rapid Response Nursing Program ( RRN )

  • Achieve positive outcomes for patients and assists with avoiding re-hospitalization, while promoting safe transitions between hospitals and home. Whether other LHIN services are needed or not, a Rapid Response Nurse can help.

 

Nurse Practitioners in Long Term Care Homes (NP/NLOT )

NP's in long-term care contribute to Emergency Room avoidance when appropriate; safe transition from hospital; collaborate with families and Long-Term Care Home (LTCH) staff to enhance the level of evidenced based care; develop care plans in the home; and build capacity for LTCH staff to deal with complex health issues.