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SJHC / Client Services/ Collaborative Care Model

Collaborative Care Model (CCM)

The objective of this program is to have a ‘one sector’ approach between the home and community care services that reduces Community Care Access Centre (CCAC) wait lists by utilizing existing capacity for service within the community sector.  Care for clients with low to moderate needs who are wait listed for CCAC service is transferred to participating Community Support Services (CSS) agency.

The CCM program at St. Joseph’s Home Care was launched in February 2015 as a “hub” based model of home care service delivery, with the capacity to serve 90 clients at light to moderate needs of living in the defined geographic hubs downtown Hamilton or the Dundas area.

Quality Services

Clients in this program require personal support for safety and independence to prevent deterioration of functional status.  The target population is older adults who are in need of one or more home and community services as a result of their frailty or long-term chronic conditions with varying needs.

 Care is provided right in the client’s own home and can include:

  • Bathing, dressing, and personal hygiene
  • Transfers
  • Meal preparation
  • Laundry
  • Light housekeeping as it relates to your personal care
  • Assistance with medications

Referral Process

Referrals are made through the CCAC, with a Care Coordinator conducting an initial screening for each referral using a standardized urgency assessment algorithm. This will determine whether a patient is eligible and consents to personal support services (PSS) provided by a CSS agency. The level of care need is then identified, and a Care Plan and Service Agreement are completed within five business days.

Is there a fee?
There is no charge for the personal support services.


For more information please contact us at:

Phone: 905-522-6887 ext. 2236
Monday-Friday: 8:30 am - 4:30 pm