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Cross Sector Complex Care Model Evaluation

Prepared by Cathexis Consulting Inc. for the Cross Sector Partners
April 24, 2017 

The cross sector model was developed in response to rising concern among families, caregivers, and members of health and social services communities that the current approach for supporting young adults under 40 years of age with medical complexities and developmental disabilities is insufficient. These individuals face challenges accessing traditional supports and services that are designed either for individuals with developmental disabilities or for individuals with medical complexities, but not for individuals with both.

The cross sector complex care model offers a highly individualized approach to care that integrates services from health and developmental service providers into a single, coordinated person-centred package. The model enhances social determinants of health for the individuals supported by investing in access to health and social services, social networks, food and housing.

The model has been implemented in York Region at the Reena Community Residence and The Richmond Hill Hub, and now houses 9 individuals. At the Reena Residence and the Hub, the package of services includes:

  • Accessible housing that is safe for individuals with disabilities.
  • Person-centred transition before, during and after the move.
  • Person-centred services to support activities of daily living and community participation.
  • Access to appropriate and timely health and medical services, accompanied by a care provider.
  • Community integration through structured day programming/individualized programming.
  • Care coordination/case management.
  • Equipment and supplies necessary to manage declining health conditions and changing physical needs.
  • A system of supports available as needs change.

This evaluation set out to 1) understand the benefits and drawbacks of the model; 2) examine the value of the model in relation to alternatives; and 3) learn about key success factors, challenges and lessons learned. The findings are intended to guide similar initiatives, inform funding decisions and stimulate conversations, collaborations and actions for joint-funded work between LHINs and MCSS.

The evaluation was carried out in February and March, 2017. It was informed by administrative records as well as interviews with almost all of the individuals supported, family members, staff/supervisors and cross sector partners. The program is still quite new, so there isn’t yet enough data to support firm conclusions about longer-term impacts on health, safety and quality of life. However, by looking closely at costs, benefits and implementation, the evaluation provides a better understanding of the model’s potential to fill a gap in the system, while also meeting the unique needs of individuals.

For a copy of the full report please email us at: