Trillium Health Partners - Credit Valley Hospital

Application

Care Navigators assess patients while they are still in hospital

Eligibility / Target Population

Patients must live within service boundaries and assessed by Care Navigator to determine eligibility

Fees

None

Languages

English

Language Notes

Interpretive services available

Area Served

Brampton (south of Mayfield Rd), East Oakville, and Mississauga

Accessibility

Wheelchair Accessible

Description of Services

A program managed by THP that allows patients who no longer require hospital care to return home sooner with the support of community care providers (CANES Community Care and Spectrum Health Care)

offers direct care services based on the assessed requirements for each patient, which might include a personal support worker (PSW), clinical nursing care, and rehabilitation supports such as physiotherapy and occupational therapy
Care Navigators oversee each patient's transition plan and recovery after discharge from the hospital * community support services may include transportation, meal delivery, coordination with the patient's family physician, setting up safe and appropriate in-home care * not every patient is an eligible candidate for THP@home
Patients are on THP@home for 4 weeks, up to 16 weeks and transitioned to other community supports for ongoing services, if required

About Us

At the heart of THP@home is a commitment to whole-person care, supporting recovery and overall well-being. Each patient is guided by a Care Navigator, who helps coordinate home care, connections to community services like meal delivery, and communication with primary care