Concurrent Sessions

A2 Making the Impossible Possible: Providing Service to Marginalized and Vulnerable HIV+ Adults Through Effective Multi-Sectoral Collaboration

Theme 2. Planning programs for equitable access to care

Presentation Details

  • Date: Wednesday, October 25, 2017
  • Concurrent Session A
  • Time: 2:30pm-3:15pm
  • Room:
  • Style: Workshop (session is structure for interaction and/or hands-on learning opportunities)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations,

Learning Objectives

  1. To gain knowledge on how collaboration and coordination of services decrease barriers and improve accessibility for the most marginalized and vulnerable populations.
  2. To receive evidence of how collaboration and coordination of services maximize positive client outcomes, including stable housing, reduced hospitalizations, ER visits, and incarcerations.
  3. To experience a pre-recorded interactive inter-professional client engagement encounter via video.
  4. To learn how collaboration improves not only access to programs and services, but also how they impact the social determinants of health.


The Health Centre at 410, St. Michael’s Hospital is an inner-city primary care practice in Toronto, ON, comprised of approximately 10,000 patients, many of which who are under-housed and poor, and who live with multiple medical and psychiatric co-morbidities. The Centre is also in part funded by the AIDS Bureau of Ontario with a dedicated inter-professional team that provides care to approximately 1,500 HIV+ patients. The Centre has signed two memorandums of understanding (MoU) along with community partners to participate in the Positive Service Co-ordination for Homeless People Living with HIV/AIDS Program, and the HIV Complex Care Pilot Project. These MoUs aim at increasing cross-sector collaboration and partnerships to address the social determinants of health of our most vulnerable and marginalized HIV+ patients, many of which who also live with mental illness and addictions. The Centre has agreed to an open primary care referral process with our community partners, and our community partners provide intensive and comprehensive case management and housing supports. The presentation will explore with participants how partnerships between a hospital and community agencies support vulnerable and marginalized people living with HIV/AIDS, and help increase access to the social determinants of health.


  • Daniel Bois, RN, HIV Resource Nurse, St. Michael’s Hospital
  • Gordon Arbess, MD, HIV Program Director, St. Michael’s Hospital
  • Kay Roesslein, Executive Director, LOFT Community Services

Authors & Contributors

  • Sue Hranilovic, NP, St. Michael’s Hospital