The Toronto Linkage to Care project employs a designated coordinator to provide support to people newly diagnosed with HIV in settings where there is not a direct link to ongoing care. The Linkage to Care coordinator works collaboratively with healthcare providers to develop pathways for referring their newly diagnosed patients to receive short-term case management and support to connect with HIV care, treatment and related supports. The Linkage to Care coordinator also works collaboratively with community based organizations and healthcare providers to develop new programs that improve access to HIV care and treatment. The project was developed in partnership by the Ontario HIV Treatment Network, Toronto Public Health and Hassle Free Clinic.
People living with HIV who are connected with the Linkage to Care coordinator have access to the following:
- One-on-one counselling and short-term case management services, including home or community visits, appointment accompaniment, and transportation support.
- Facilitated referrals to infectious disease specialists and/or HIV-knowledgeable primary care physicians, pharmacies, and medication compassionate care programs through our network.
- A partnership of AIDS service organizations and settlement services that are HIV-knowledgeable, and provide:
- Housing. respite and eviction support
- Food/meal programs
- Interpretation support
- Ethno-specific and culturally-appropriate support
- Employment support
- Legal and disclosure support
- Peer programs
- Income and financial assistance
- Mental health and crisis services
- Social events
- And more!