Community Care Team
The Community Care Team at Health for All Family Health Team is an interprofessional primary care team dedicated to supporting individuals who may not have a family doctor. The Community Care Team collaborates with health providers in Eastern York Region, community organizations, and local residents to offer comprehensive care and services.
Who Is Eligible?
You do not need to be a patient of Health for All or have a family doctor to become a patient of the Community Care Team. To be eligible for our services, patients must either:
- live in Eastern York Region, our catchment area, OR
- be referred by a provider/organization operating in Eastern York Region
The borders of our catchment area are:
- North: Davis Dr.
- South: Steeles Ave.
- West: Highway 404/Langstaff/Yonge St.
- East: York-Durham Townline
To connect with the Community Care Team and find out how we can work together, please call 289-859-1300.
Referrals
Residents: Call us at 289-859-1300 to self-refer.
Providers or organizations: Referrals to our services can be submitted via fax or via Ocean (e-referrals). Please click the button below to download a patient referral form.
Team Members
Nurse Practitioner
Our Nurse Practitioner, Stephanie, can provide accessible primary care to individuals and support to physicians within the community.
Services include:
- Cancer screening
- Specialist referrals
- Prenatal care, well baby visits and vaccinations
- Chronic disease management
- Mental health support
- Family planning
Pharmacist
Our Pharmacist, Margaret, can provide education on safe and effective use of medications. She is also a Certified Diabetes Educator.
Services include:
- Smoking cessation: In partnership with the STOP with FHT program and the Ottawa Model Smoking Cessation (OMSC) programs. The pharmacist can provide free Nicotine Replacement Therapy (NRTs) and prescribe prescriptions for smoking cessation (e.g., varenicline and bupropion).
- Consultation on medication for effectiveness, safety (children, pregnancy and seniors), interactions and accessibility
- CBT Insomnia coaching
- Deprescribing (e.g. benzodiazepines, opioids, proton pump inhibitors)
- Chronic disease management (e.g. hypertension, cholesterol, mental health, diabetes, asthma, osteoporosis, insomnia, etc.)
Dietitian
Our Registered Dietitian, Gigi, can provide guidance and counselling (individual and group) regarding a range of diet and nutrition topics.
Topics include:
- General healthy eating
- Chronic disease management (e.g. hypertension, prediabetes, type 2 diabetes, dyslipidemia, osteoporosis, etc.)
- Irritable bowel syndrome, heartburn, GERD, fatty liver, bowel concerns (constipation, diarrhea)
- Managing weight concerns using a Health at Every Size (HAES) approach and weight inclusive practice
- Disordered eating patterns and healing relationship with food
- Nutrition throughout the life cycle (infants, child/adolescent, adulthood, elderly nutrition)
- Vegetarian or vegan diets
Social Worker and Psychotherapist
Our Social Worker, Phong, and our Psychotherapist, Simple, can provide individual and family counselling to support individuals with their mental health.
Services include:
- Stress, separation, adjustment, grief counselling
- Mental health support
- Addiction and substance abuse
- LGBTQ2S+
Case Manager
Our Case Manager, Kathleen, can help guide patients through the health care system to ensure they receive quality care and continuity of services.
Services include:
- Guidance on health system navigation
Assistance with applications for services (OHIP, ODSP, EI) - Coordination of patient health care programs for continuity of care
Advocacy for services and supports - Connecting to community and government services (employment, housing, funding)
Health Promoter
Our Health Promoter advocates for health services through an equity lens, and helps promote systems and supports to ensure health for all.
Services include:
- Advocacy and enablement of conditions to help people to achieve their full health potential
- Building and fostering community and government partnerships
- Consideration of the Social Determinants of Health and their impact on access to health and health services
- Implementation of evaluation and monitoring strategies to ensure services are meeting the needs of patients
- Group presentations and education regarding a variety of health topics