THRP: Transitional Housing Rehabilitation Program CCJA 2013 Heather Callender, MA and Allan Tetzlaff, RN

History of Program Development  Funded through Ministry of Health and Long Term Care  5 sites fully developed across Ontario  Inter-ministerial partnership between St. Joseph’s Health Care London’s Forensic Program and St. Leonard Community Services (SLCS)  Individualized programs based on community needs with a common vision:  to provide interim transitional accommodation and support to people referred from secure forensic facilities to achieve successful community integration and enhance flow through the forensic system

THRP Program in London, ON  Community placements are made from minimum and medium secure components of the forensic program  Outpatient Hospital Team collaborates with community Justice Workers at SLCS to provide transitional support to THRP clients  collaborative elements of the hospital-based forensic staff expertise and the skills of the community corrections staff have proved an effective combination that allows for quality service provision at a reduced cost per diem within our community

 psychosocial rehabilitation programming is an essential component of the support provided including, but not limited to, a psychosocial assessment, risk assessment (community safety), goal setting, detailed care planning and other psychosocial services in accordance with the care plan  fundamental “recovery” orientation aimed at treating and managing individuals safely in the community  promotes cost effective, structured, pro-social rehabilitative support to facilitate individuals’ transition from hospital setting to the community

 The model of care has proved to assist with the overall bed pressures in the forensic system while providing a viable option and positive outcome for individuals that otherwise may never be discharged from the hospital  The program demonstrates positive community-hospital utilization of resources and bed management strategies to improve the quality of care for individuals in the forensic system  As a team we meet quarterly with other agencies/hospitals to share our lessons learned and challenges to continuously adapt the program to address the ongoing needs of the population

 This unique collaboration has significantly enhanced the ability to move individuals from the forensic system back into the community. More importantly, it has allowed us to do so with an increased level of confidence in both the well-being of the client and the safety of the public