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Kitchener Downtown Community Health Centre Comes to St. John’s Kitchen

By Jennifer Mains

Published March 2001

Sometimes St. John’s Kitchen feels like an island stranded in the middle of downtown Kitchener. Despite the numerous agencies that work in the downtown area, these agencies gen­erally don’t share many of their re­sources or skills.

On a warm summer day last year, Doug Rankin, the outreach worker for the Kitchener Downtown Commu­nity Health Centre breezed into the Kitchen with a proposal. The Health Centre wondered if it were feasible to set up a walk in clinic, once a week, in the same building as the Kitchen. The hope was that it would provide greater access to continued medical care for anyone living in the downtown who had no family physician.

The shortage of family physicians in this area has driven many of us, in­cluding myself, to use hospital emer­gency rooms and urgent care clinics when illness occurs. For many in our community there is little opportunity to participate in preventive medical care or to develop a longer term rela­tionship with a medical caregiver. The proposal from the Community Health Centre was a gift.

Last November the clinic was opened. The Church of St. John the Evangelist provided rooms just below the Kitchen and the clinic is now op­erating every Tuesday from 10 am to 1 pm. An outreach worker, nurse prac­titioner and a physician receive whom­ever has a concern. The medical con­dition is accessed and a history taken. If the person has no family physician she or he then has the opportunity to connect with the Kitchener Down­town Health Centre and the broader services it offers.

The people and the services of the Health Centre have become an im­portant system for those of us at the Kitchen. We deeply appreciate and applaud their effort to model a larger vision of what community means in the downtown area.

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The Integrated Circle of Care is a fluid and collaborative approach followed by workers from different agencies weaving through St. John’s Kitchen. Within this approach, staff members from each agency are aware of their specific personal roles. However, the high level of collaboration between workers means that people can approach any worker, without knowing their agency association or specific role, and still receive support – either that worker will support the person directly, or they will introduce the person to another worker who can support the person more appropriately.

This approach makes relationships more natural and support more accessible. Workers from different agencies are easily approachable, meaning that people build relationships with multiple workers. Having relationships with different workers is important to a person’s support – it makes support from a trusted source easy to find, and means that people have a choice of worker to approach in any given situation.

In order to maintain a circle of care around a person, workers from different agencies ask for consent from the person for information to be shared between workers. Continuous communication between workers helps to ensure that people do not fall into gaps between services, and also that services are not duplicated.