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Letter of Support

Donna Cripps
Chief Executive Officer
Hamilton Niagara Haldimand Brant (HNHB) LHIN
149 Hartzel Road
St. Catharines, ON
L2P 1N6

Dear Ms. Cripps,

We are writing in support of the Healthcare First proposal for improving equity and access to healthcare in the Niagara region for people who are experiencing or who have experienced homelessness.

In partnership with the Health and Equity through Advocacy, Research, and Theatre (HEART) program, based out of McMaster University, and the Niagara Poverty Reduction Network (NPRN) we endorse the ‘patient-centered’ health policy recommendations that were generated by representatives of our community’s most vulnerable individuals.

In 2016, the HEART project produced much-needed evidence of barriers faced by people experiencing homelessness when attempting to access healthcare in the Niagara region, especially with regard to services at hospitals. Impressively, through a ‘legislative theatre’ session facilitated by government, health, and social services representatives from the Niagara region, community members discussed, debated, and voted to ‘pass’ new policies that they believe would help to address the issues that they encounter on a daily basis.

We have reviewed these policies as contained in the Healthcare First report, and given due consideration to the suggestions. As per the report, we recommend that the HNHB LHIN, in partnership with stakeholders who provide services to individuals experiencing mental health and housing challenges, pursue the following:

● Create a pilot program offering dedicated triage in Niagara Health emergency departments with specialized services and peer support for patients with mental health concerns.
○ A dedicated triage and ‘wrap around’ services in the emergency department for mental health concerns has the potential to improve patient care while improving emergency department function, reducing admissions, facilitating earlier discharge, improving continuity of care within the community upon discharge, and reducing workload for staff.

● Develop a comprehensive strategy that is aimed to improve interactions with people who are experiencing homelessness.
○ A comprehensive strategy, including cultural competency, sensitivity, and safety training specific to mental health, homelessness, and poverty, as well as incorporating human resources policy, could offer an effective means of improving healthcare experiences and outcomes for vulnerable community members.

We believe that these policies can reduce the burden on the healthcare system and the negative experiences and discrimination experienced by people struggling with housing and mental health. We are calling on the HNHB LHIN to play an important role in influencing and mobilizing various community agencies to work collectively to improve the health and social outcomes for individuals who are homeless.

The Healthcare First proposal will improve equity and access to healthcare in the Niagara region, and we wholeheartedly support the implementation and evaluation of these ‘patient-centered’ health policies.

Thank you,
The Undersigned

**your signature**

160 signatures

   

Read the Healthcare First proposal in full.

Read an overview of HEART and patient-centered policymaking.

Signatures
160 Satyam Choudhuri Hamilton L8S 1K1 McMaster University Medical School Mar 05, 2019
159 Joan Christensen Crystal Beach L0S 1B0 Advancing Crystal Beach Apr 30, 2018
158 Dylan Briscall Oakville L6M 3X5 SOCAN, BMI, Harris Institute, University of Toronto Apr 26, 2018
157 Mary Wiley St. Catharines L2R2P8 Niagara Connects Apr 23, 2018
156 Sarah Litke St. Catharines L2r2b7 McMaster Apr 20, 2018
155 Tammy Dumas St. Catharines L2W1A5 INCommunities/211 Apr 12, 2018
154 Rebecca mannering Beamsville L0R 1B0 Apr 11, 2018
153 Anna Bozza St. Catharines L2R 7P7 Executive Director, Family and Children's Services Niagara Apr 10, 2018
152 Andrew Nicholson St Catharines L2R 5C4 Apr 06, 2018
151 David Carmichael St Catharines L2R 5C4 fellow human being Apr 05, 2018
150 Deborah Arsenault Welland L3B 3L2 return2hope counselling services, The Hope Centre Apr 05, 2018
149 Monica Pickersgill Port Colborne L3K 2A8 Apr 05, 2018
148 Bobbie Broughton Port Colborne L3K2A8 CLPCW Apr 05, 2018
147 Tammy Ivankovich Welland L3B 5J5 CLPCW Apr 05, 2018
146 cheryl Campbell Wainfleet L0S1V0 Apr 05, 2018
145 Sandi Day Welland L3C 6S9 ARID Recovery Homes Apr 05, 2018
144 Jonathan Watson St Catharines on L2r 7j5 Quest Board member Apr 04, 2018
143 sandy toth Welland L3B 3X1 E.D. Strive Niagara Apr 04, 2018
142 Kristin Welton Niagara Falls L2E 2L7 Apr 04, 2018
141 Betty-Lou Souter St. Catharines L2R 2W6 CEO Community Care St. Catharines & Thorold Apr 03, 2018
140 Rosanna Thoms St Catharines Niagara North Community Legal Assistance Apr 03, 2018
139 April Horodenchuk Thorold L2V2J2 Mental Health Nurse- Niagara Health System Mar 31, 2018
138 Glen Walker St. Catharines L2R 2Z3 Positive Living Niagara Mar 29, 2018
137 Amber Middlemiss St. Catharines L2S 1J7 Mar 28, 2018
136 Walter Hollander St. Catharines, ON L2N 5S4 Niagara Poverty Reduction Nertwork Mar 28, 2018
135 Catherine Chin Yet St. Catharines L2m 0a4 Mar 26, 2018
134 Arthur Chin Yet St Catharines L2M1T8 Mar 26, 2018
133 Matt Greenway St. Catharines L2N 5B1 Montebello Family Health Organization, Dept of Family Medicine McMaster University Mar 26, 2018
132 Christine Culhane St. Catharines L2S 3A1 Niagara Regional Campus, Michael G. DeGroote School of Medicine, McMaster University Mar 26, 2018
131 Alison Knapp Grimsby L3M 3E4 McMaster University Mar 26, 2018
130 Jacklyn Catterick Thorold L2V4E3 DSBN Mar 22, 2018
129 Mark Carl Welland L3B 3L2 Th Hope Centre Mar 22, 2018
128 Jillien Hone St. Catharines L2R 5G9 Start Me Up Niagara/Brock University Mar 22, 2018
127 Dr Jill Wiwcharuk Hamilton L8N 2V5 Shelter Health Network Mar 21, 2018
126 Carlos Chan Saint Catharines L2R 7L5 Michael G. DeGroote School of Medicine, McMaster University Mar 21, 2018
125 Faisal Hamour Niagara falls l2g 5x7 McMaster Mar 21, 2018
124 Paul Shtogryn St.Catharines L2M 4Y6 Mar 20, 2018
123 Rose Ellen Campbell St. Catharines L2R 1J3 Mar 20, 2018
122 Amy Henderson St. Catharines Mar 20, 2018
121 Krista Stewart St. Catharines L2s 1z4 Mar 20, 2018
120 Arlene Pegg St. Catharines L2M 5M5 Mar 20, 2018
119 Mike Kostecki Niagara on the Lake l0s1j0 Mar 20, 2018
118 Kyall Rakoz St. Catharines L2S 2E9 Niagara Regional Campus, McMaster School of Medicine Mar 20, 2018
117 Mary Keith St. Catharines L2R 1R5 Assistant Professor, University of Toronto Mar 19, 2018
116 Jorin Lukings St. Catharines L2R 3R9 Mar 19, 2018
115 Brindan Sivanandan Toronto M1P 4X6 Mar 19, 2018
114 Chris Arsenault St. Catharines L2R 5B4 Michael G. DeGroote School of Medicine, Class of 2020 Mar 19, 2018
113 Bernhard Volz Grimsby L3M0B1 McMaster University Department of Family Medicine Mar 18, 2018
112 Taralea McLean Port Colborne L3K6B9 Bridges Community Health Centre Mar 18, 2018
111 Brian Kerley St.Catharines L2R 1R5 Niagara North Family Health Team, McMaster University Mar 18, 2018
110 Kara Hounsell Toronto University of Toronto Mar 18, 2018
109 Nikki Reklitis St Catharines L2N 3B5 Mar 18, 2018
108 Inna Berditchevskaia Mar 18, 2018
107 Jessica Chan St Catharines McMaster University Mar 18, 2018
106 Doug Rapelje \\\\\\\\\\\\\\\\\\welland L3C-7C4 Welland Senior Citizens Advisory Committee--Age-Friendly Leadership Council Mar 17, 2018
105 Kathleen Swayze St. Catharines L2R 7M3 McMaster University Mar 17, 2018
104 Anjali Kundi Welland L3B3C4 NHS Mar 17, 2018
103 Anna Ripmeester ST CATHARINES L2N 5L4 1962 Mar 17, 2018
102 Arlene White St. Catharines L2M7W5 Start Me Up Niagara Mar 16, 2018
101 Dan Pelletier St Catharines L2T 2P6 Mar 16, 2018
100 Karl Stobbe St. Catharines L2S3A1 McMaster University Mar 16, 2018
99 Marie Belliveau St. Catharines L2M7P9 Mar 16, 2018
98 Darija Vujosevic St. Catharines L2R 1R5 Niagara North Family Health Team Mar 16, 2018
97 Susan Morin St Catharines L2R 4E8 Mar 16, 2018
96 Laura Garner Grimsby L3M 4E7 GBF Community Services Mar 16, 2018
95 Carol DeGiuli Niagara Falls L2H 3B2 McMaster University Mar 16, 2018
94 Lori Gualtieri Niagara Falls L2G 5R7 McMaster University Mar 16, 2018
93 Richard Christensen Welland L3B4K7 Glenn Norton Mar 15, 2018
92 glenn norton Welland L3C2R1 Mar 15, 2018
91 Amanda Zimmerman St. Catharines L2S 3A1 McMaster University Mar 15, 2018
90 Tammy Keeler St. Catharines L2S 3A1 McMaster University Mar 15, 2018
89 Sara Poole St. Catharines McMaster University Mar 15, 2018
88 Amy Henderson St. Catharines L2R6P9 Brock University Mar 15, 2018
87 Chris Henderson St. Catharines L2R6P9 McMaster University Mar 15, 2018
86 Beth Paul Niagara Falls L2G 4Y3 St. John Ambulance, Niagara Falls Branch Mar 15, 2018
85 michael Alexander Niagara Falls L2E 7H9 Mar 15, 2018
84 Keaton Koabel Niagara Falls L2J0A6 Mar 15, 2018
83 Alyson Montovani-Ozaki St. Catharines L2R4E8 Mar 15, 2018
82 Madhav Khurana St Catharines L2R 4A7 Canadian Mental Health Association Mar 15, 2018
81 Shaun Baylis St. Catharines L2N 6P9 Mar 15, 2018
80 Kathryn Hunter NOTL L0s1j0 Mcmaster University Mar 14, 2018
79 Allison Suk St. Catharines L2R 5Y2 MD CCFP FCFP Mar 14, 2018
78 Dr. Jennifer Mueller Welland L3C 6B5 Board Chair, Welland McMaster Family Health Team Mar 14, 2018
77 Oleg Savenkov Mar 14, 2018
76 Michael Connolly Niagara Falls L2J 4J4 Niagara Regional Campus, Michael G. DeGroote School of Medicine Mar 14, 2018
75 David Lagrotteria Mar 14, 2018
74 James Beecroft St. Catharines L2N 2S2 Niagara Health System and Michael G. DeGroote Medical School, McMaster University, Niagara Regional Campus Mar 14, 2018
73 Kimberley Bender Smithville L0R 2A0 Family Physician- Smithville Family Health Team and West Lincoln Memorial Hospital Mar 14, 2018
72 Amanda Bell St. Catharines L2S 3A1 Niagara Regional Campus, Michael G. DeGroote School of Medicine, McMaster University Mar 14, 2018
71 James Hall St Catharines L2T3G8 Brock University Mar 12, 2018
70 AJ Heafey Niagara Falls L2H 3G7 Mar 09, 2018
69 Lauren Ingribelli Niagara Falls L2J 3P4 Mar 08, 2018
68 Donna Paterson Niagara Falls L2J3P4 Start Me Up Niagara and The Salvation Army and Central Community Church. Mar 08, 2018
67 Diane Ricard St. Catharines Southwest L2S 2R4 Mar 07, 2018
66 Ada Storin St. Catharines L2R 3K8 Start Me Up Niagara, Out of the Cold Mar 07, 2018
65 Stephanie Dennis Hamilton Mar 06, 2018
64 Nozomu "Naz" Ozaki St. Catharines L2N 1J7 Psychotherapist (Qualifying) in Private Practice Feb 26, 2018
63 Maj-Britt Kannegieter st.catharines L2R 3J5 YWCA Niagara Region Feb 20, 2018
62 Elisabeth Zimmermann St. Catharines L2R3J5 YWCA Niagara Region Feb 20, 2018
61 Cassandra Ogunniyi St. Catharines Feb 16, 2018
60 Catherine Livingston St Catharines L2R 3E2 Community Care St Catharines and Thorold, NPRN, CASON Feb 15, 2018
59 Marjorie Nichols Fonthill L0S 1E0 none Feb 14, 2018
58 Kristen Barszcz St. Catharines l2m3x8 Feb 14, 2018
57 Melissa Gallina Niagara Falls Feb 13, 2018
56 Shannon Walton St. Catharines Niagara Region Public Health Feb 13, 2018
55 Kate Alexander Niagara Falls Feb 13, 2018
54 Sayde Cruz Fort Erie L2A 2M4 The Salvarion Army Feb 13, 2018
53 Nina Syrnyk Port Colborne L3K 5V4 Feb 13, 2018
52 Nicole Jedrzejko Vancouver V6K4V5 McMaster Niagara School of Medicine, UBC Postgraduate Program in General Surgery Feb 13, 2018
51 Griffin Data NOTL Feb 13, 2018
50 Anne Watters Fort Erie L2A 2M4 The Salvation Army Feb 12, 2018
49 Brenda Lanigan Welland L3B 3L2 Feb 12, 2018
48 Francesca Vergalito St. Catharines L2R 3E2 Community Care Feb 12, 2018
47 Alison Braithwaite St. Catharines L2N 7S9 Feb 12, 2018
46 Stacey Allegro Feb 12, 2018
45 Lucretia Harris Feb 12, 2018
44 Jenny Gregory Niagara falls L2H0B4 Feb 10, 2018
43 Kristie Robertson St. Catharines L2R 6L8 Niagara Region Public Health Feb 09, 2018
42 Tara Wincott Niagara Falls L2J 1 T8 Niagara Region Public Health Feb 09, 2018
41 BRANDON AGNEW Feb 08, 2018
40 Marty Mako Thorold L2V 4T7 Niagara Region Public Health Feb 08, 2018
39 Jonathan van Ekelenburg St. Catharines L2R2G5 Feb 08, 2018
38 Tamara Coleman-Lawrie Welland L3C 5Z4 United Way, Niagara Poverty Reduction Network Feb 06, 2018
37 Arlene High Beamsville, ON L0R 1B0 The Literacy Council of Niagara West Feb 06, 2018
36 Henri-Louis St-Martin Niagara Falls L2E 6S8 Niagara Falls CHC Feb 06, 2018
35 Jennifer Hay Niagara Falls L2J 2N4 Concerned Niagara citizen Feb 06, 2018
34 Ron Walker Welland L3B 1T8 Labour Feb 06, 2018
33 Debbie Ogilvie NF NPRN Feb 06, 2018
32 Jenna Kirkwood St.Catharines L2R 3C4 United Way St.Catharines & District Feb 06, 2018
31 Will Noiles St. Catharines L2S 3P7 Ontario Network of Injured Workers Groups Feb 06, 2018
30 Ruthann Brown Niagara Falls L2E 6V6 Niagara Poverty Reduction Network Feb 06, 2018
29 Suzanne Veenstra St. Catharines L2R 5N8 Niagara Community Foundation Feb 06, 2018
28 Kim O'Rourke St. Catharines L2S3Z2 Feb 06, 2018
27 diann brown st catharines l2s1s8 Feb 05, 2018
26 Shannon Munro St. Catharines L2M5J5 Feb 02, 2018
25 Heather Morrison St catharines L2r2l5 Feb 02, 2018
24 Johanna VanderMey Feb 01, 2018
23 stacey Allegro Feb 01, 2018
22 Karrie Howden Niagara Falls L2G 7K9 Positive Living Niagara, CAAN, OAN Feb 01, 2018
21 Jackie Barrett-Greene Welland L3B1N5 Social Services field Feb 01, 2018
20 Natalie Chaumont Welland L3c1p8 Feb 01, 2018
19 Kelly Penner St. Catharines L2n4n4 Jan 31, 2018
18 Mary DuPon Welland L3C 7E8 Jan 31, 2018
17 Ashley Chiarello Fort Erie L2A 1P8 Bridges Community Health Centre Jan 31, 2018
16 Caroline Fabian St.catharines L2n3n8 Jan 31, 2018
15 Wendy Matthews St. Catharines L2N 6Z7 Jan 31, 2018
14 Hailea Squires St. Catharines L2R 2G6 Positive Living Niagara, Pathstone Parent Advisory Committee Jan 31, 2018
13 Michelle Kucharic St Catharines L2M 4C4 Jan 31, 2018
12 Marta Liddiard St. Catharines L2P2X8 Jan 31, 2018
11 Jessica St angelo Niagara falls L2g 4e7 Jan 31, 2018
10 Candice Shute Welland L3b5n4 Jan 31, 2018
9 Sean Vanderklis St Catharines L2N4N4 A concerned citizen Jan 31, 2018
8 Heather Thompson Welland L3b1p4 Jan 31, 2018
7 Kaley Williams L2M 3X3 Jan 31, 2018
6 Arienne Good Niagara Falls L2J2Y4 Jan 31, 2018
5 Jessica Schmitt Ridgeway L0S 1N0 Jan 31, 2018
4 Dennis Tylee Grimsby L3M 3T3 Niagara resident Jan 30, 2018
3 Nancy Siciliana Beamsville L0R1B1 Jan 30, 2018
2 Erin Walters St. Catharines L2R2Z9 Jan 30, 2018
1 Lori Kleinsmith Port Colborne L3K 4P2 Bridges Community Health Centre Jan 30, 2018