Expanding Long-Term Care in the Community: Can It Be Done?

Ontario’s health care system is being challenged by the health and social care needs of its aging population. The shortage of community care resources is such that disabled people with long-term conditions who are unable to perform activities such as preparing meals or using transportation cannot remain in their own homes, and are being referred instead to institutional long-term care. Given that it is easier and cheaper to provide many of the needed services where people live, more home care and community support services should be made available across the province. But is this realistic? Can legislation, regulations and funding mechanisms be changed?

To explore these questions and more, the IRPP hosted a working lunch with A.Paul Williams (University of Toronto), principal author of the IRPP study Integrating Long-Term Care into a Community-Based Continuum, Carolyn Clubine (Canadian College of Health Leaders); and Samir Sinha ( Mount Sinai and the University Health Network Hospitals).


williamsA. Paul Williams is full professor of health policy at the Institute of Health Policy Management and Evaluation, University of Toronto. His research highlights options for integrating community-based health and social care for vulnerable groups and communities, including older persons, persons with disabilities, and children with multiple chronic needs.


clubine newsCarolyn Clubine is a fellowship candidate at the Canadian College of Health Leaders. She has worked for many years in health care for the aging population and in the leadership and management of large interdisciplinary multi-site operations. Much of her experience has been in the municipal sector, introducing new solutions and innovative service models.


sinhaSamir Sinha serves as the director of geriatrics at Mount Sinai and the University Health Network Hospitals in Toronto and was recently appointed Peter and Shelagh Godsoe Chair in Geriatrics at Mount Sinai Hospital. In 2012 he served as expert lead for Ontario’s Seniors Strategy. He is an assistant professor in the departments of medicine, family and community medicine, and the Institute of Health Policy, Management and Evaluation, at the University of Toronto.


foxGraham Fox has been president and CEO of the IRPP since April 2011. He brought to the organization extensive executive-level experience in the fields of politics and public policy. Previously he was a strategic policy adviser at the law firm Fraser Milner Casgrain, and before that he was vice-president of the Public Policy Forum, executive director of the KTA Centre for Collaborative Government, and director of communications at the IRPP.

Date and time

Jun 14, 2016




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