This program provides a transition service from hospital to home and may include, driving and accompanying the patient home, picking up medications and/or groceries, preparing a small meal, providing personal care and/or homemaking services, following up with phone calls and/or visits to check on the patient’s well-being, and making referrals to other community support services.

Eligibility Criteria:   

• • Aging, frail or adults with special needs, and/or persons that would benefit from additional settlement support upon discharge

• • Patient lives or is in a hospital within the Central East Local Health Integration Network region

• • There is a delayed discharge because of lack of family support