200 Larch is a health services hub established by community partners with the goal to address issues related to mental health, addictions and homelessness in Sudbury’s downtown core. Using an integrated service delivery model, the resources and programs available through 200 Larch provide vulnerable individuals in Sudbury with increased access to mental health and addictions services, supportive housing and primary health care. The supports, provided at the right time and place, are intended to create a healthier community and reduce emergency department visits as well as involvement with the justice system.
The idea for an integrated health services hub began in 2014 through extensive consultation with community stakeholders, including the North East Local Health Integration Network, City of Greater Sudbury, Greater Sudbury Police Services and individuals impacted by mental health and addictions. It was determined the needs of individuals in the downtown core of Sudbury were not being met and key services were lacking; there was a very high use of emergency and hospital services; and the shelters were not accessible to those who were using substances, fostering negative outcomes for the individuals that were homeless and struggling with addictions.
Sudbury District Nurse Practitioner Clinic
The District Nurse Practitioner (NP) Clinic will make quality primary health care more accessible to marginalized and homeless people living with medical conditions, mental illness, addictions and poverty.
The NP-led clinic provides comprehensive primary care with a team approach. Each patient is registered to the clinic and sees the NP for most of their health care needs. Physicians are part of the team and available on site to collaborate on more complex care issues. The team includes a pharmacist, registered nurse, social worker and dietician.
OTS Emergency Shelter
The Off The Street Shelter (OTS) program provides 30 temporary cots and a warm, safe place to sleep with light snacks, outreach and referral services to individuals 18+ of all genders who are homeless and unable to access other shelter services. OTS operates year round from 10 pm to 8 am, seven days per week. It offers services to persons under the influence or otherwise disconnected from mainstream shelter services, however alcohol and drug use is not permitted on the premises.
CMHA Harm Reduction Home
A managed alcohol program (MAP) helps reduce harm for individuals with alcohol addiction. The Harm Reduction Home residential program serves individuals who are chronically homeless and who experience multiple health and personal safety concerns. Following a harm reduction model and philosophy, the program provides wraparound services and supports including shelter, meals, primary care, mental health and supportive counselling, housing support and case management services. Individuals who become clients of a MAP live in a safe and secure residence and receive a specific amount of alcohol daily within the facility where they are housed.
Indigenous Healing Space
The Indigenous Healing Space offers Indigenous smudging and other traditional ceremonies and programs. The room will be equipped with an air exchange system to handle smoke from various ceremonies. An Indigenous social worker with expertise in Indigenous social welfare, healing and wellness, theories and practices will direct programming for the healing space.
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