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Casey House Impact Report 2020

Impact Report 2020-21

Impact Report
2020-21

A Message from
the CEO and Board Chair

A Message from
the CEO and Board Chair

Despite the persistence of a pandemic in addition to the serious health threat of HIV/AIDS, our exceptional team continued to innovate as they worked diligently to care for clients. We are sincerely grateful for their dedication and commitment.

While COVID-19 dramatically altered our plans and services, we continued to turn the flywheel driving the organization’s purpose by providing compassionate care and by launching new initiatives that responded to evolving community needs.

During this time, we also witnessed significant violence against Black communities and committed to learning, listening and taking responsibility and action on anti-Black and anti-Indigenous racism. We took an important first step towards identifying and dismantling systems of oppression and systemic racism at Casey House by starting to assess the organization at all levels, while offering support and healing for employees who identify as Black, Indigenous and people of colour.

Systemic inequities deeply affect our clients, and this year many of these inequities have been exacerbated; intersecting challenges such as systemic racism, poverty, access to health care, access to housing and the overdose crisis continue amidst COVID-19.

Tragically, our community has felt the impacts through an exceptionally large number of deaths this year. As we move out of the pandemic, we mourn the loss of clients, peers and volunteers, many of whom were overwhelmed by isolation and lacked access to supports and health care. We will remember them, and honour them by continuously working to do better on their behalf.

We remain optimistic for the year ahead. Throughout our history Casey House has striven to provide compassionate and socially-just care and we continue to fight for improved access to health care, deliberate inclusivity and well-being for all communities. We are thankful to have you join us as we continue this journey. 

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Joanne Simons
Chief Executive Officer

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Jennifer Dewling
Chair, Board of Directors

Responding to COVID-19

The pandemic was in its first wave at the beginning of our fiscal year and for a few months our regular day health programming had to be suspended. Instead of welcoming people into our space, the team delivered boxes with three days worth of food and harm reduction supplies to clients’ homes and made phone call check-ins. 

Meanwhile, the inpatient unit started supporting our acute care hospital partners by accepting HIV- client transfers, and transformed the dining room into a 10-bed surge unit in anticipation of requiring more space.

Meanwhile, the inpatient unit started supporting our acute care hospital partners by accepting HIV- client transfers, and transformed the dining room into a 10-bed surge unit in anticipation of requiring more space.

In the summer, as restrictions eased, the day health program welcomed clients back for individual appointments and transformed lunch to a take-out model, while peers and volunteers continued to deliver food boxes to clients isolating at home. As fall turned to winter, many elements of care transitioned from in-person to online models, including virtual group programming, and eventually most individual appointments were conducted by phone and video conference.

By year-end, staff were connecting clients with vaccine opportunities and many staff members were looking forward to working in our Ontario Health Team’s community vaccination clinics.

Harm Reduction

Casey House believes reducing the risks of drug use through harm reduction in a judgement-free environment is an essential health service. It’s one of the foundational components underpinning our approach to care, and this year we’ve imbedded it even further.

In partnership with Toronto Public Health, we provide safer injection, inhalation and crystal meth supplies at our front door. Last year, this 24/7 low-barrier service became more essential with the convergence of the overdose crisis, housing crisis, and COVID-19. In the first six months of the pandemic, we distributed over 9,000 kits each month, more than double the average from six months prior. Read our emerging insights in Minimize Harms, Maximize Health: Improving access to safer drug use supplies.

Photo of volunteers from RBC building harm reduction kits for distribution. The photo was taken pre-COVID in 2018.

Volunteers from RBC building harm reduction kits for distribution. This photo was taken pre-pandemic in 2018.

Volunteers from Telus building harm reduction kits for distribution. This photo was taken pre-COVID-19 in 2019

Volunteers from Telus building  harm reduction kits for distribution. This photo was taken pre-pandemic in 2019.

Low barrier

24/7 

service

First 6 months
of pandemic
over

9,000 

per month

Distributed

2x

the average from
6 months prior

The demand introduced an opportunity to expand services to include support from peers with lived experience of drug use, which evolved into our new community care clinic. Peers have an important role in harm reduction, and at Casey House they also provide one-on-one support to clients with substance use challenges, thanks to a Toronto Urban Health Fund grant. The initiative both builds peer capacity to provide support and helps clients experiencing negative impacts of substance use.

We also strengthened our organizational understanding of harm reduction, trauma-informed care, and anti-oppressive approaches and practices. An internal team developed a four-part Harm reduction capacity building training program to provide all staff a shared basis of language, learning and philosophy. Four webinars were delivered over eight months:

Harm
reduction
principles
Trauma-
informed
care
Indigenous
harm
reduction
Racial
injustice

and the

war on drugs

This training helped staff enhance their understanding about the interconnections between the criminalization of substance use, systemic racism, trauma, stigma, and harm reduction.

This training helped staff enhance their understanding about the interconnections between the criminalization of substance use, systemic racism, trauma, stigma, and harm reduction.

Additional initiatives included making our entrance more welcoming; improving our overdose response protocols; piloting a formalized prescribed alcohol procedure on the inpatient unit; hiring a harm reduction coordinator; providing clients with naloxone kits on discharge; and applying to offer supervised consumption services exclusively for registered clients.

Photo of the front entrance of Casey House

Finally, we invested and are engaging in a multi-part research study to learn from key stakeholders as we expand our harm reduction programming and better understand the impacts of introducing similar initiatives in clinical care settings more broadly.

Send Your Love

When the pandemic prevented Casey House Foundation from inviting artists, art buyers, gallerists and sponsors to gather for Art With Heart, we invited members of our community to express their love for Casey House with a drawing or words.

Using an identity developed by Art With Heart design sponsor The Office of Gilbert Li, Foundation staff conceptualized Send Your Love, a recognition campaign that also generated over $300,000 for compassionate care that transforms lives.

Using an identity developed by Art With Heart design sponsor The Office of Gilbert Li, Foundation staff conceptualized Send Your Love, a recognition campaign that also generated over $200,000 for compassionate care that transforms lives.

Front cover of the mailer that was sent out for Send Your Love

A mailed invitation thanked and acknowledged stakeholders for their support, and invited them to participate. Contributions were posted to a dedicated web page, which also included a drawing tool for digital submissions. A request for donations, to be matched by a generous donor, and the opportunity to purchase a special edition artwork were also part of the site. Hand-drawn hearts, kind words and donations poured in and were shared on social media and in the gallery section of the website.

ComprehensiveCare_JustHeart
ComprehensiveCare_JustHeart
ComprehensiveCare_JustHeart

Health Services

Casey House offers three streams of holistic health care that aspires to achieve stability in the health and lives of clients by focusing on possibilities rather than constraints:

Inpatient

24 hr

sub-acute care for illnesses and infection, stabilization, respite and palliative needs from nurses, doctors and allied health professionals

Day health

Goal-focused outpatient weekday program serving community based clients with complex and fragile health who benefit from individual appointments and group sessions from a multi-disciplinary clinical team

Includes a hot midday meal to nourish, build trust and reduce social isolation

Community Care
and Outreach

Connecting with people living with diagnosed and undiagnosed HIV, and those at high risk for HIV at our front door and at partner clinics around the city

Enhancing Care for Clients

As an independent sub-acute hospital devoted to caring for people with HIV/AIDS and their complex health needs, Casey House has a broad view of health care that encompasses physical, mental and social well-being. We engage clients in every step of their care. Our strength is to build relationships while providing a judgement-free environment in which people can tackle their health goals.

Enhancing client care on the inpatient unit or through our day health program, is an ongoing task and this year was no exception.

Enhancements included:

Opening a new community care clinic for people coming to our door for harm reduction supplies– to provide nursing care, social service navigation and referrals. The clinic is open four hours/week

Nurse practitioner to lead the day health program nursing team and offer additional care and services for clients

Measurement and evaluation team to assess client outcomes and evaluate the holistic impact our care brings to the lives of our clients, our community, health care and society, then translating that knowledge to share internally and externally

Clinical pharmacist who dispenses medication, assesses medication history and monitors drug therapy and connects with community pharmacies in advance of discharge to update prescriptions and review clients’ needs

Love Family Healing Garden– completed building a new private outdoor space for inpatient clients on our rooftop thanks to a generous group of donors, led by Jon and Nancy Love

Arrow pointing to gallery for Love Family Healing Garden

Renewed approach to welcoming people walking through our door with a new staffing model that values safety and engagement, and new security provider, to ensure first point of contact with clients and guests are ambassadors for our judgment-free approach.

Love Family Healing Garden

Quality lead– to support and guide the implementation and adoption of quality improvement and initiatives that ensure client safety

Clients received 1,275 hours of peer support from 11 individuals with lived experience of HIV:

  • 26 day health program clients received 461 hours of one-on-one support from nine peers
  • 150 day health clients received 120 hours of phone calls to connect and 110 hours more from peers delivering food packages
  • 45 people accessing harm reduction supplies were supported by peers who spent 344 hours and received 1,050 visits
  • 41 inpatient clients received 240 hours through 53 pre and post-discharge interviews from two peers

Enhancing Care for Clients

As an independent sub-acute hospital devoted to caring for people with HIV/AIDS and their complex health needs, Casey House has a broad view of health care that encompasses physical, mental and social well-being. We engage clients in every step of their care. Our strength is to build relationships while providing a judgement-free environment in which people can tackle their health goals.

Enhancing client care on the inpatient unit or through our day health program, is an ongoing task and this year was no exception.

Enhancements included:

Opening a new community care clinic for people coming to our door for harm reduction supplies– to provide nursing care, social service navigation and referrals. The clinic is open four hours/week

Nurse practitioner to lead the day health program nursing team and offer additional care and services for clients

Measurement and evaluation team to assess client outcomes and evaluate the holistic impact our care brings to the lives of our clients, our community, health care and society, then translating that knowledge to share internally and externally

Clinical pharmacist who dispenses medication, assesses medication history and monitors drug therapy and connects with community pharmacies in advance of discharge to update prescriptions and review clients’ needs

Love Family Healing Garden– completed building a new private outdoor space for inpatient clients on our rooftop thanks to a generous group of donors, led by Jon and Nancy Love

Arrow pointing to gallery for Love Family Healing Garden

Renewed approach to welcoming people walking through our door with a new staffing model that values safety and engagement, and new security provider, to ensure first point of contact with clients and guests are ambassadors for our judgment-free approach.

Love Family Healing Garden

Quality lead– to support and guide the implementation and adoption of quality improvement and initiatives that ensure client safety

Clients received 1,275 hours of peer support from 11 individuals with lived experience of HIV:

  • 26 day health program clients received 461 hours of one-on-one support from nine peers
  • 150 day health clients received 120 hours of phone calls to connect and 110 hours more from peers delivering food packages
  • 45 people accessing harm reduction supplies were supported by peers who spent 344 hours and received 1,050 visits
  • 41 inpatient clients received 240 hours through 53 pre and post-discharge interviews from two peers

Building our capacity
to advocate

Systemic inequities have a profound effect on the lives of Casey House clients, and we believe it’s our responsibility to improve the broader conditions in which our clients live and advocate for our unique model of compassionate and socially-just health care.

This year, we hired a public policy & stakeholder affairs lead to spearhead this work. Together with the stakeholder relations committee, they developed a framework to define policy issues, build relationships with stakeholders, and advocate on behalf of clients and the community.

Many topics are relevant to Casey House’s purpose, programs, and philosophy of care, and we are exploring several issues related to health care for people living with HIV, social determinants of health, and health care for people who use drugs.

While Casey House is building our longer-term strategy to influence systemic change, we also consider and respond to relevant issues as they emerge. For example, this year we joined the All Blood is Equal campaign – a broad alliance of associations, non-profits and charities committed to ending Canada’s discriminatory blood donation policy for 2SGBTQ/MSM individuals. In partnership with 18 organizations across the country Casey House co-signed an open letter asking federal decision makers to shift to a gender-neutral screening process that examines behaviour and risk – a position endorsed by scientists and medical professionals.

Casey House’s commitment to advocating on behalf of people who live with HIV is inspired by the values and vision of our founder June Callwood.

Building our capacity
to advocate

Systemic inequities have a profound effect on the lives of Casey House clients, and we believe it’s our responsibility to improve the broader conditions in which our clients live and advocate for our unique model of compassionate and socially-just health care.

This year, we hired a public policy & stakeholder affairs lead to spearhead this work. Together with the stakeholder relations committee, they developed a framework to define policy issues, build relationships with stakeholders, and advocate on behalf of clients and the community.

Many topics are relevant to Casey House’s purpose, programs, and philosophy of care, and we are exploring several issues related to health care for people living with HIV, social determinants of health, and health care for people who use drugs.

While Casey House is building our longer-term strategy to influence systemic change, we also consider and respond to relevant issues as they emerge. For example, this year we joined the All Blood is Equal campaign – a broad alliance of associations, non-profits and charities committed to ending Canada’s discriminatory blood donation policy for 2SGBTQ/MSM individuals. In partnership with 18 organizations across the country Casey House co-signed an open letter asking federal decision makers to shift to a gender-neutral screening process that examines behaviour and risk – a position endorsed by scientists and medical professionals.

Casey House’s commitment to advocating on behalf of people who live with HIV is inspired by the values and vision of our founder June Callwood.

Meet Greg Robinson

Dr. Greg Robinson is a multi-faceted supporter of Casey House: a clinical volunteer, medical student mentor, peer chef for June’s HIV+ Eatery, Positively Speaking podcast guest, donor, and for the first time this year, a day health program client. This year he started helping us collaboratively study the care of people living with HIV and contribute to best practices in health care by pledging $75,000 to Casey House Foundation’s new research and evaluation endowment fund.

“I am…an HIV positive physician who left my clinical practice in the 1980s out of fear that my patients would judge and avoid me. The recent loss of a close friend who hid his HIV status for many years out of fear of professional and social alienation reminded me that our workplaces and communities are still active with the fear of stigma.”

Greg Robinson

Photo of Greg Robinson wearing a June's Eatery ball cap and as well as a June's eater apron with a black long sleeved t-shirt

Endowments are made up of donations that are invested in perpetuity; the capital is preserved and the interest used to support organizational priorities in one of four designated areas: compassionate care; social justice; purpose-driven strategic initiatives; or research and evaluation.

Casey House is grateful to Greg for his visionary and generous philanthropy.

JunesEatery

“Even though HIV has shut off many life opportunities of mine…it has also brought meaningful connections to me on the bright side.”

Dom
June’s HIV+ Eatery chef

“Since 1995 and more presently during a global pandemic, Casey House has stood by me on every level of my being. They have taught me to value all of me, HIV or not. I want to smash the stigma of HIV by forgiving and educating all those individuals who do not understand in hopes that more people will shift their perception and share their new understanding with others.”  

Allan
June’s HIV+ Eatery chef

“My HIV meds keep me healthy, Undetectable and Untransmittable. Wouldn’t it be great if we had just as effective treatment for stigma? HIV is a virus, stigma is the disease.”

Randy
June’s HIV+ Eatery chef

“I used to live in shame, with an unspeakable pain of being HIV positive. I thought I didn’t deserve to be loved, and my life was never going to be happy again. Until one day I finally realized, that being HIV positive or negative doesn’t define a person, it’s what we think and what we do that defines whom we are.”

Michael
June’s HIV+ Eatery chef

Get a taste of this year’s June’s HIV+ Eatery, where guests helped #smashstigma with every bite from the comfort of home.

Meet Greg Robinson

Dr. Greg Robinson is a multi-faceted supporter of Casey House: a clinical volunteer, medical student mentor, peer chef for June’s HIV+ Eatery, Positively Speaking podcast guest, donor, and for the first time this year, a day health program client. This year he started helping us collaboratively study the care of people living with HIV and contribute to best practices in health care by pledging $75,000 to Casey House Foundation’s new research and evaluation endowment fund.

“I am…an HIV positive physician who left my clinical practice in the 1980s out of fear that my patients would judge and avoid me. The recent loss of a close friend who hid his HIV status for many years out of fear of professional and social alienation reminded me that our workplaces and communities are still active with the fear of stigma.”

Greg
Robinson

Photo of Greg Robinson wearing a June's Eatery ball cap and as well as a June's eater apron with a black long sleeved t-shirt

Endowments are made up of donations that are invested in perpetuity; the capital is preserved and the interest used to support organizational priorities in one of four designated areas: compassionate care; social justice; purpose-driven strategic initiatives; or research and evaluation.

Casey House is grateful to Greg for his visionary and generous philanthropy.

JunesEatery

“Even though HIV has shut off many life opportunities of mine…it has also brought meaningful connections to me on the bright side.”

Dom
June’s HIV+ Eatery chef

“Since 1995 and more presently during a global pandemic, Casey House has stood by me on every level of my being. They have taught me to value all of me, HIV or not. I want to smash the stigma of HIV by forgiving and educating all those individuals who do not understand in hopes that more people will shift their perception and share their new understanding with others.”  

Allan
June’s HIV+ Eatery chef

“My HIV meds keep me healthy, Undetectable and Untransmittable. Wouldn’t it be great if we had just as effective treatment for stigma? HIV is a virus, stigma is the disease.”

Randy
June’s HIV+ Eatery chef

“I used to live in shame, with an unspeakable pain of being HIV positive. I thought I didn’t deserve to be loved, and my life was never going to be happy again. Until one day I finally realized, that being HIV positive or negative doesn’t define a person, it’s what we think and what we do that defines whom we are.”

Michael
June’s HIV+ Eatery chef

Get a taste of this year’s June’s HIV+ Eatery, where guests helped #smashstigma with every bite from the comfort of home.

Virtual Voices

Virtual Voices

Pandemic precautions required transforming more than just June’s HIV+ Eatery into a stay-at-home affair. December 1st was World AIDS Day and the premiere of our virtual variety show. Ticket holders tuned in together to safely enjoy group and individual performances. Voices for World AIDS Day continues to be available for viewing here.

In addition to musical performances, the three Casey Awards 2020 recipients were recognized during the show for their leadership in social justice and commitment to HIV/AIDS: Alex Lifeson, M·A·C AIDS Fund and Haran Vijayanathan.

Alex Lifeson

Alex Lifeson

Black and red logo for MAC AIDS fund
Haran Vijayanathan

Haran Vijayanathan

Pandemic precautions required transforming more than just June’s HIV+ Eatery into a stay-at-home affair. December 1st was World AIDS Day and the premiere of our virtual variety show. Ticket holders tuned in together to safely enjoy group and individual performances. Voices for World AIDS Day continues to be available for viewing here.

In addition to musical performances, the three Casey Awards 2020 recipients were recognized during the show for their leadership in social justice and commitment to HIV/AIDS: Alex Lifeson, M·A·C AIDS Fund and Haran Vijayanathan.

Alex Lifeson

Alex Lifeson

Black and red logo for MAC AIDS fund
Haran Vijayanathan

Haran Vijayanathan

Financial Highlights

Financial Highlights

FOUNDATION 
Revenue Sources

Bequests
Investments & Other income
Individual Donations
Fundraising Events
Foundations
Direct Response
Third Party Fundraising

HOSPITAL 
Revenue Sources

Ministry of Health funding
Annual recognition of capital funding
Foundation Grants
Other income

FOUNDATION 
Revenue Sources

Bequests
Investments & Other income
Individual Donations
Fundraising Events
Foundations
Direct Response
Third Party Fundraising

HOSPITAL 
Revenue Sources

Ministry of Health funding
Annual recognition of capital funding
Foundation Grants
Other income

Hospital spending of grants from Casey House Foundation

How Casey House Foundation Grants were spent: Measurement and evaluation 4%; Day health programs 24%, Inpatient 5%, Education 11%, Volunteer 10%, Peer 11%, Research 8%, Strategic initiatives, 24%

For full financial statements, visit the ‘Accountability, accessibility and freedom of information’ page at caseyhouse.com caseyhouse.com/about-casey-house/accessibility/

 

We provide clients with innovative comprehensive health care:

Inpatient
Programs

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Day Health
Programs

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Community
Care & Outreach

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Research and Education

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Basic operating costs are funded by Ontario’s Ministry of Health and
Long-Term Care.

Generous Donations
to Casey House Foundation

There is no cost to our clients for
Casey House’s services.

We provide clients with innovative comprehensive health care:

Inpatient Programs

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Day Health
Programs

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Community
Care and Outreach

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Research
and
Education

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There is no cost to our clients for Casey House’s services.

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Basic operating costs are funded by Ontario’s Ministry of Health and Long-Term Care.

Generous
Donations
to Casey House Foundation

Additional Accomplishments

CARED FOR

400

CLIENTS

between 23 and 82 years old who came for clinical activities in the day health program + virtual group attendance

DELIVERED

1,404

BOXES

of food and harm reduction supplies to over 170 client households between April and September

Woman wearing a mask and a toque loading a box of food into a white hatchback

PROVIDED
SUB-ACUTE AND RESPITE CARE FOR

107

clients


who spent 

3,607

days as inpatients and had an average length of stay of 34 days

Kitty corner view blurred Doublespace (640x446)

Member of
All Blood is Equal
campaign

a national coalition committed to ending Canada’s discriminatory blood donation policy, which is based on stigma rather than science. In September, Casey House co-signed an open letter to federal decision makers asking they end the current policy and shift towards a gender-neutral screening process that examines behaviour and risk – a position endorsed by scientists and medical professionals.

EN - Logo

Chief medical officer
Dr. Ed Kucharski

SquareDrEd

shared his expertise by teaching several virtual internship modules on HIV/AIDS for the Racialized Students in Health Care virtual lecture series, which aims to encourage BIPOC undergraduate students to pursue higher education and careers in health care. The program is supported by OHTN and the University of Toronto Scarborough

ACTIVE MEMBER OF 

Blue Door Clinic

a walk-in clinic for people with HIV who do not have health insurance or immigration status in Canada offering vital services and connecting them to health care. A Casey House nurse staffs the clinic one morning every two weeks
Donor funds enabled
Casey House to admit and care for 4 clients who did not have OHIP coverage

LAUNCHED A

a needle collection pilot program to help keep our neighbourhood safe from discarded drug paraphernalia
Achieved Ontario College
of  Pharmacists accreditation
which demonstrates adherence to provincial standards and our obligation to continuous quality improvement, clinical standards and best practices, as well as commitment to providing the highest quality pharmaceutical care

PRESENTED A POSTER AT THE

23rd
International
AIDS conference

on our first season learnings from producing a podcast exploring the experiences of people living with HIV. See the pdf here.

Positively Speaking Podcast Logo
East view summer 2019

PARTNERED WITH

Pride and Remembrance Foundation
to support our efforts to eradicate HIV stigma

ASSEMBLED AND DISTRIBUTED

94,268

FREE

free safer injection, inhalation and crystal meth pipe kits to clients and members of the public, 72% more than the year prior, including 202,255 clean needles: 40,451 injection kits; 15,917 inhalation kits; 37,900 crystal meth pipe kits

Interior photo of Casey House

JOINED

Downtown East Toronto Ontario Health Team as a health partner committed to creating an integrated system of care.

LISTED

37th

amongst top 245 brands by Strategy ahead of Tim Horton’s , Molson Coors and Volkswagen, TD Bank, CAMH strategyonline.ca

Katrina_with_donations_cropped

ACCESSED OVER 

$ 5,000

from our care and comfort fund to meet needs of clients who could not afford necessities in life, such as a mattress, a cell phone to remain connected with their community workers; and home cleaning for hoarding and bedbugs so they can move back into a safe and healthy space.

CHILD CARE FUND
ACCESSED

47

times

providing HIV+ parents the means to pay for childcare while they attend to their health, whether it’s medical appointments, group sessions, educational workshops, or hospital care, removing one more barrier to achieving their health goals.

HOSTED OR CO-HOSTED 

23

live web-based education events ranging from 1 hour webinars to full day workshops to educate 1,246 inter-disciplinary audience members who care for people living with, at risk for, or affected by HIV

Provided web-based full-day 6 session training

for 51 Centennial College paramedics in training to support HIV, 2SLGBTQ and harm reduction awareness and compassionate care in HIV emergency format, to give them a deeper understanding of groups that have historically experienced stigma and discrimination when receiving emergency care

Transform lives and
health care through
compassion and social justice

Unequivocal Compassion
Informed Client Driven Care
Deliberate Inclusivity
Creative Mindful Collaboration
Courageous Advocacy
Creative Mindful Collaboration

Unequivocal
compassion

Informed,
client-driven care

Deliberate
Inclusivity

Creative, mindful collaboration

Courageous
advocacy

Responsive
innovation

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We rely on the generous donations of our supporters to enhance our health care programs and capital projects. 

Support
Casey House today

416-962-7600 |  119 Isabella Street, Toronto, ON  M4Y 1P2

Charitable Registration No. 10687 8374 RR0001