Community Paramedic Led Clinic Partnership Program

The Community Paramedic Led Clinic (CPLC) is a program that seeks to serve vulnerable and at risk tenants in five Toronto Community Housing Corporation (TCHC) buildings in Scarborough. Each of these sites have experienced historically high volumes of 911 calls.

About the Program

This initiative is a collaboration between Toronto Paramedic Services (TPS), Hong Fook and Cota. Community paramedics from TPS, a mental health and addictions outreach worker from Hong Fook, and a geriatric mental health case manager from Cota work together to provide clinics that rotate across the five buildings each week and follow-up case management support to individuals requiring it.

Sarah, Jessie and Michael sitting in a CPLC clinic space
L to R: Sarah, Jessie, and Michael

Tenants visiting the on-site clinic have their blood pressure checked and receive medical and mobility assessments. There is also a follow-up home visit to the tenants who are calling 911.

Michael Roffey (TO Paramedics)

Superintendent, Community Paramedic Unit, TPS

When it is identified that a tenant may benefit from further follow-up services, a direct referral is made to a case manager within the team.

This program allows clients to access a case manager immediately. TCHC is so grateful to have Cota here because of their hands on approach. They actually go into the units and talk with tenants.

Sheila McGregor (TCHC)
Cota partnership with Toronto Paramedisc in the CPLC pilot program
Toronto Paramedics at the Clinic

Community Service Coordinator Access & Support, TCHC

Sarah (Geriatric Mental Health Case Manager, Cota) primarily works with clients over 65 with signs or a diagnosis of dementia.

Sarah at a CPLC clinic, geriatric mental health case manager
Sarah (GMH Case Manager)

It has been great to interact with and support residents in all five of the buildings. Clients are often excited to see us, and one resident mentioned that the clinic is the ‘highlight’ of her week!”, says Sarah. “It isn’t always easy to access beneficial services, but it is very rewarding when we can connect with them to provide the help they need.

Sarah (Cota)

Hong Fook, the administrative lead for this program sees great value in the collaboration.

With the expertise that each partner agency brings to the program, multiple needs of a client can be attended to in a timely manner – improving their overall health condition

Doris (Lead, Hong Fook)
Residents at a TCHC building particiapte in a Hong Fook held exercise session at the CPL Clinic
Hong Fook lead program

Feedback and Partnership Goals

Each clinic is well attended and Michael says that tenants are increasingly receptive to this innovative approach to delivering primary care, which fosters social connections and ease of access. Rajdai (tenant) came to the clinic because her friend from the building referred her.

Residents at a TCHC building particiapte in a Hong Fook held exercise session at the CPL Clinic
Hong Fook lead program

Staff are nice, the clinic is accessible because it’s right in the comfort of your home. There is a sense of community, and it is very peaceful,

Rajdai (resident)

Jessie Lee (CPLC team) is responsible for data collection that is completed after every tenant visit to the clinic through a baseline questionnaire. Tenants are asked about mobility, pain, depression/anxiety, self-care, and socialization.

Our main program goal is to improve quality of life by assessing the needs of each building, based on population and demographics, so that we can offer the right services to those at risk tenants. Cota’s approach to geriatric mental health community services makes this program that much stronger

Jessie Lee
Sarah and Jessie sitting at a clinic table in a CPLC space
L to R: Sarah and Jessie

The team is confident that the data collected will assist in demonstrating the effectiveness of the program and hopes to see it replicated in other at-risk TCHC buildings across Toronto.

CPLC in the News

The success of the CPLC was picked up by CBC reporters several times.

Watch the Broadcast

Click here to see the CPLC featured on CBC
Watch here
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