Our mutual work is centred on functional partnerships and systems where the individual’s goals and needs are uppermost in our planning. A strong partnership must be developed between the care service providers and the individual’s care system network.

Our partners consist of the following:

Facilitating partnership

It is important to strive for communication and collaboration that is inclusive of all community care providers and the PAC. Sharing of information is client centred and admission goals are balanced with realistic and attainable strategies. AnInterim meeting reviews planning and shares client progress with community providers, along with identified recommendations that will continue to be fleshed out through the remainder of the assessment.

Community liaison involves a personal connection with community providers and clients prior to and after admission. The PAC Community Liaison Supervisor provides a range of in home and consultative services to all PAC partners:, , families, caregivers, and community professionals.

At discharge, summary reports based on PAC’s clinical assessment, including recommendations, are provided to the individual’s community care team.

For success, the following principles are key: