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Our GAIN team focuses on older seniors with multiple complex medical problems including:

  • Cognitive impairment
  • Decreased function
  • Falls or risk of falls
  • Impaired mobility
  • Incontinence
  • Multiple medications

If you are experiencing any of the above, as well as safety concerns, psychosocial/mental health concerns/frequent health service usage, then consider contacting us.

We provide geriatric assessments including:

  • Assessment of memory and thinking
  • Balance, mobility, risk of falls
  • Medication/supplement assessment
  • General health/chronic disease assessment
  • Mood/mental health

Support and Interventions

We provide:

  • Education (chronic diseases/self-management)
  • Teaching about dementia/behavioural care
  • Advance care planning
  • Referral to community support, such as Adult Day Programs, Transportation Services, Meals on Wheels
  • Access to personal support/home safety assessments
  • De-prescribing/adjusting medication
  • Treatment for dementia

What else do I need to know?

The GAIN team works with patients and families to identify any concerns and create an appropriate plan to meet your needs and goals.

  • We provide a complete report to your primary care provider and referring agency that describes the plan, changes that were made to your care and any needed follow-up.
  • Ask a family member/person who is familiar with your health care history to accompany you to your appointment.
  • Please bring any aids such as glasses, hearings aids, all medications, etc. to your appointments. This includes eye drops, creams, etc.

Making a Referral and Accessing our Services

Physicians can make an e-referral via the OCEAN platform.

Healthcare providers and families can also make a referral by filling out this form and faxing it to our GAIN clinic at (416) 352-5086.

  • You can visit us at our onsite clinic at Senior Persons Living Connected
  • We also conduct home visits

  • We provide care Monday-Friday morning and afternoon; we also provide service on Saturdays & evenings as needed.
  • For additional information, feel free to call our Senior Persons Living Connected clinic at (416) 493-3333 x 311
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