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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

The Collaborative Care Model (CCM) is a program for individuals, who require Personal Support Workers to assist them with light to moderate care needs. We provide service to approximately 118 clients in the defined geographic area of downtown Hamilton and the Dundas area.

 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 Home and Community Care Support Services, 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.

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

Program Contact

For more information please contact:

Michelle Wood, Manager
Phone: 289-339-6384
Monday-Friday: 8:00 am - 4:00 pm