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Welcome to CRNCC


Leading Knowledge on Home and Community Care

Welcome to CRNCC, a vibrant national and international affiliation of academic and community researchers, community service providers, consumers and policy makers dedicated to advancing research and knowledge transfer in home and community care. The network encourages collaborative, community-driven research and knowledge translation across the continuum of care.



Just Released!

CRNCC In-Focus Backgrounder on Marijuana
Medical marijuana (cannabis) has been legal in Canada since 2001. There is growing, yet still limited evidence, that marijuana can help with health conditions experienced by many older persons including nausea related to chemotherapy, Alzheimer’s disease, pain, and mental health issues such as obsessive compulsive disorder (OCD), post-traumatic stress disorder (PTSD) and anxiety. Yet, older persons may be reluctant to use marijuana because of persistent stigma, or because of an unwillingness by health care professionals to consider its use. The federal government’s legalization of cannabis, expected in the fall of 2018, will open the door to new and innovative use by older persons as an alternative to prescription pharmaceuticals.

This CRNCC backgrounder examines the potential benefits and cautionary notes on marijuana use by older Canadians.  See In-Focus Backgrounder on Marijuana and Older People

Balance of Care Research and Evaluation Group and SHS Consulting's Final Evaluation of VON SMILE Program
Initiated in 2007 as a key element of the South East Local Health Integration Network's Aging at Home strategy, SMILE (Seniors Managing Independent Living Easily) now supports hundreds of "at risk" seniors and their caregivers "closer to home" across the region. To do this, SMILE uses specially trained case managers, equipped with per client budgets, to engage with seniors and their caregivers to identify problems and co-create individualized care packages. In addition to accessing available community support services, SMILE accesses a range of non-traditional supports from neighbors, friends, churches, volunteer organizations and clubs, thus leveraging local capacity in urban and rural areas. See Evaluation Report.



Recent Presentations

Just Released: Long-Term Care for Indigenous Communities in Canada

While indigenous communities tend to be younger than other Canadian communities, indigenous older adults are living longer, often with ongoing health and social support needs. As a result, attention is turning to ways of ensuring access to the culturally-appropriate services and supports they require to maintain health, wellbeing and independence.

In June, 2018, the Canadian Institute for Health Research (CIHR/IRSC), Health Canada and Indigenous Services Canada organized a “Best Brains Exchange” in Ottawa titled “Building a Foundation for a Long-Term Care Strategy in Indigenous Communities in Canada.” The session featured presentations from two experts in community-based care for indigenous older adults: Mabel Horton, a health consultant, and Bonita Beatty, University of Saskatchewan. Two additional presentations by Réjean Hébert, University of Montréal, and A. Paul Williams, University of Toronto, examined funding and delivery models that could be used to inform the design of systems of continuing care for older adults in indigenous communities. The Honorable Jane Philpott, Minister of Indigenous Services attended the event.

Three of the event presentations are now available on the CRNCC website:

“Ideas to support long-term care for Indigenous elders/seniors, youth-adults with disabilities, and family Caregivers” by Bonita Beatty, member and Co-Director of the International Centre for Northern Governance and Development at the University of Saskatchewan [presentation]

“Long-Term Care Insurance for Indigenous Community; Empowering people for aging in place” by Réjean Hébert, Dean of l’École de santé publique de l’Université de Montréal (ESPUM) and former Minister of Health in the Province of Québec [presentation]

“Toward a Person-Centred Continuum of Places for Care Over the Longer Term” by A. Paul Williams, Professor Emeritus, Institute of Health Policy, Management and Evaluation, University of Toronto, and Co-Chair, CRNCC. [presentation]


Recent Reports

Living Well with Dementia: Toward Dementia-Friendly Policy March 16, 2017, Ryerson University. Presentations Now Available

Report on Independent Living
Building Community-Based Capacity to Meet Ontario's Needs - Brief by the Ontario Association of Independent Living Service Providers (OAILSP)

A Global Campaign to Combat Ageism - Perspectives in the Bulletin of the World Health Organization
Ensuring Healthy Aging for All: Home Care Access in Ontario
- Report by the Wellesley Institute.
Health and Social Care Policies for Older Persons with Dementia in Canada: Issues and Policy Directions
- Presentation by A. Paul Williams at the International Symposium on Health and Social Policies for Older Persons with Dementia
Improving Seniors’ Services in Ontario Position Paper by the Ontario Association of Non-Profit Homes and Services for Seniors (Summary)


International Best Practices

The Netherlands’ “Buurtzorg Model” of community neighborhood nurse teams as a new way of organizing and delivering integrated care with mobile technology has come to Japan.

See presentations by Dr. Satoko Hotta, International University of Health and Welfare, Japan
[ Transition Towards Community-Based Integrated Care in Japan ] | [ National & Local Dementia Strategy in Japan ]



Community Corner

Master of Health Administration (Community Care) Program and the third annual Winston Isaac Lecture

The MHA(CC) is the first program of its kind in Canada and welcomed its first cohort of students this fall. With the increasing importance of community care across healthcare systems, this program addresses the critical need for leaders who know how to negotiate and manage care delivery across networks of provider organizations to a range of clients and families. This program builds on Ryerson’s expertise in providing career-focused programs and experiential learning opportunities as numerous community care organizations have partnered with the program in the design and delivery of this innovative curriculum.

In addition, this year's Winston Isaac Lecture will be delivered by Kim Baker, CEO of the Central Local Health Integration Network (LHIN) and is titled "Navigating Complexity in the Community".

To register, please visit [event website]