Health with Dignity

2015–2016
Annual Report

Download the PDF summary of the annual report here »

Message from the Chair of the Board of Directors and the Executive Director

At Access Alliance, our staff, volunteers and board worked hard to help over 12,745 individuals this year survive and thrive through our unique model of care. We know that health isn’t just about your biology and DNA – it’s also where you live, how much you make, what you eat, and the strength of your social support network.

Jason Marin – Chair of the Board of Directors

Axelle Janzcur – Executive Director

These social determinants of health are critical to a person’s well-being, and we are proud to work collaboratively with so many partners and stakeholders to improve access to services – and to do so in a culturally competent way that begins with dignity.

Since our last annual report, a lot has happened – and changed for the better – within and around Access Alliance, Ontario’s health care system, and Canada’s refugee and immigration policy. We’d like to share with you a few of these highlights.

At the organizational level, we have just finished the first year of our 2015-2018 Strategic Plan and have made good progress on our three priorities (Improving Access to Health Care, Moving the Needle on Quality, and Driving Health Equity). Our effort received a key boost from a $1 million dollar contribution from the Greenshield Canada Foundation to develop a new program to increase access to health and system navigation for uninsured and underinsured residents of Toronto. This builds on our commitment to expand our priority populations to include individuals and communities in Toronto who are disadvantaged by precarious employment and the racialization of poverty.  We were also the very proud recipients of the Public Health Champion Award from Toronto Public Health in recognition of outstanding contributions to public health in Toronto.

We are starting to take bold actions in response to our research evidence about damaging impacts of precarious employment. The Board signed the ‘Decent Work Charter’ to join members of Toronto Neighborhood Centres to “champion decent work conditions in our society, our local communities, and within our own organizations.” As a founding member of the Decent Work and Health network, we are actively involved in pushing for changes in provincial employment and labor policies to ensure Ontario working families have access to high quality, secure, and safe jobs.

Meanwhile, the Ontario government remains committed to system transformation across its delivery of health care – with important implications for our clients and community. This includes new legislation that aims to improve patients’ experience as they access different providers as their health needs evolve, as well as continuing to build local regional planning and service coordination through Health Links. We anticipate this will improve policy-makers ability to coordinate planning for health priorities and support funding for new programming for high need and vulnerable communities.

Nationally, we were thrilled with the Prime Minister’s announcement to re-settle 25,000 Syrian refugees in Canada. Access Alliance played a key role to support those government sponsored refugees who were re-settled in Toronto, through the establishment of on-site clinics at the reception hotels in the Toronto area. We worked collaboratively with COSTI, the Crossroads Clinic, the Red Cross, Lifeline Syria and other key partners, to ensure that these newcomers were connected with health and settlement services throughout the GTA.

Reflecting on the year that was and looking forward to the year that is to be, we wish to thank you – and everyone who worked with us – for embodying the compassion to care and the courage to act. It is because of your contribution and our collective effort that we have helped tens of thousands, over more than 25 years, realize their potential and achieve health with dignity.

Vision, Mission and Values

Vision

Toronto’s diverse communities achieve health with dignity.

Mission

Access Alliance provides services and addresses system inequities to improve health outcomes for the most vulnerable immigrants, refugees, and their communities.

We believe that:

Client Centered: Our clients are encouraged and supported to make informed choices and decisions that relate to their health.

Collaboration: Our partnerships increase knowledge, strengthen systems and maximize resources so we can take action effectively.

Equity, Access and Inclusion: Our commitment is to challenge systemic barriers that reduce health outcomes for vulnerable populations.

Innovation and Excellence: Our organization fosters a culture of continuous learning, quality improvement and best practice.

Accountability: Our Stakeholders see a full and transparent use of evidence and resources that focus on positive client impacts.

Programs and Services

Access Alliance provides services and delivers programming to various locations across the City of Toronto. This access point model is an innovative approach that brings services into the areas where people are, for better and easier access to strengthen communities from within. Taking a client-centered approach to service delivery means that we are continually evaluating the effectiveness with which we are breaking down the barriers to service, and looking for new partners and strategies to build capacity in our communities. Working together to broaden our reach and build leaders from within communities has proven to have the most effective impact on the individuals we serve.

Primary Healthcare Services

identifier-dark-pinkHealth Clinic
identifier-pinkNewcomers Cooking Together;
identifier-orangeDiabetes Education Program

Our interdisciplinary team includes diabetes educators, community health nurses and nurse practitioners, physicians, administrative support staff, interpreters, psychiatrists, registered dietitians, registered practical nurses and counsellor therapists.

Child and Family Program

identifier-women-childrenWomen & Children’s Programs
identifier-early-yearsEarly Years Outreach
identifier-expressive-artsExpressive Arts Program

A team of Health Promoters and Peer Outreach Workers provide community programs to women, men, children, and seniors. The Peer Outreach Model reaches families with children aged 0 to 12 years to create links with other newcomer women and children who speak the same language.

Youth Program

identifier-youth-programPrograms and services for youth aged 13 to 24 years range from primary health care to one0on-one counselling, peer mentorship, social and life skills workshops, educational sessions, arts, field trips, cultural and recreational projects.

Settlement Services

identifier-settlement-servicesThrough one-on-one settlement support and group workshops, Settlement Workers provide orientations to the Canadian systems, information about rights and entitlements, assistance completing forms and applications, referrals to programs and services, support and advocacy to deal with the effects of migration.

Language Services

identifier-language-services

This program is a social enterprise and works to help individuals and companies manage the language barriers they face in the delivery and receipt of services. It is an independent fee-for-service program offering high-quality interpretation and translation services. The RIO Network is a product of Language Services providing immediate over the phone and video interpretation.

Green Access Program

identifier-green-accessPrimarily located at the 6,500 square foot Green Roof at AccessPoint on Danforth, this program strengthens the health outcomes of our programs and services. The broader goal is community engagement, increasing access to healthy foods, community gardens in which to grow them, and environmental education that’s relevant to an inner city context.

Community-Based Research Program

identifier-community-based-researchResearch on the types of health issues faced by newcomers (e.g., diabetes, mental health issues) and about the social and economic factors that cause these health issues (e.g., poverty, access barriers, language barriers) conducted by, for and with communities with the goal of bringing positive social change.

LGBTQ + Services

identifier-lgbtqWorkshops and one-on-one support in an LGBTQ+ knowledgeable environment that recognizes that LGBTQ+ newcomers face particular challenges when settling in a new country. Working from an anti-oppressive framework is key to the services provided, creating safe, welcoming spaces to foster healthy communities.

Service Locations

Case Study – Green Access Program

Since 2011 the Green Access program, which includes our Enviroleaders Academy and rooftop garden, has succeeded in becoming a launching pad for off-site community gardening and training initiatives in the neighborhood. The Enviro-Leaders training program, initially set up to bridge the winter gap in garden programs, has trained a vibrant group of residents who are now actively transferring that knowledge to other residents in their communities. We conducted a community based research called Green Access Action Research to examine the impact of this program and found that the skills learned at these sessions (related to gardening, food and environment) continue to be actively used and shared by people beyond their time in programs at AccessPoint on Danforth.

0

local residents completed Enviro-Leaders training for trainers

0

workshops/demonstrations delivered by new trainers in high-rise communities

0

people attended workshops lead by Enviro-Leaders

case-study-background-green-access-2

Volunteer hours

  • 2016: 45
  • 2015: 116 (Enviro-Leaders training hours=36 + Rooftop garden hours= 80)
  • 2014: 21
  • 2013: 10

Total Hours: 2013-2016: 192

In 2015 Brian Lew completed the EnviroLeaders ‘2’ (the second out of three cohorts to complete training for trainers). He now presents Grow Your Own Herbal Teas as a workshop and demonstration table, complete with tasty, healthful tea samples and a hands-on activity about growing tea plants in containers. A year after finishing the training program, Brian independently continues to propagate tea plants at AccessPoint on Danforth rooftop garden. His role volunteering in the rooftop garden includes teaching other youth and adults some of the important lessons of gardening. Brian has recently been seen behind a demonstration table in Prairie Drive Park during a Bicycle Music Festival – an array of beautifully scented plant cuttings from lemon verbena to fuzzy thyme filled the table while Brian answered questions and shared plants and information with attendees of the event.

In the Green Access Action Research study, Brian helped to conduct the workshops and focus groups and said: “The EnviroLeaders training helped me and everyone else to grow. I liked all kinds of sessions such as growing microgreens, creating plant cuttings, harvesting plants, creating recipes, and composting. It is an amazing experience to learn through teaching and hands on activities. Everyone else and I got to present our specific topics in Enviro Leaders to the community so everyone else can learn to live “green.” I got to learn about plant cuttings and I did many presentations on it. I have gained so much experience in caring for the plants, living a healthier lifestyle, and presenting effectively in front of many people. I greatly appreciate this program.”

Case Study – Syrian Refugee Response

Between November 4, 2015 and February 29, 2016 the Government of Canada resettled more than 25,000 refugees. By collaborating with community agencies and leveraging a proven model of Community Care, Access Alliance was able to spearhead a workable model for primary care. The agency setup a clinic within the Toronto Central hotel to provide episodic care to refugees. This successful example would go on to be replicated in several hotels across the city.

0

refugees seen

0

weeks the clinic was operated for

0

number of primary care clinics that families were connected with

img-20160828-wa0000

Since January 2014, more than 2,370 Syrian refugees have immigrated to Canada in hopes of resettlement. Access Alliance Multicultural Health and Community Service (AAMHCS) was tasked to coordinate healthcare and settlement information and services during the mass intake of refugees in Canada, specifically Toronto. AAMHCS has set out ample resources ranging from a Syrian Refugee Health Clinic to language interpretation to help newcomers understand key information such as permanent residence status and sponsorship. To gauge an idea of the resettlement process, AAMHCS sat down with Youssef Adult Karim, a newcomer who arrived in December 2015.

Despite the long journey, Youssef is grateful and happy to have arrived in Canada. Like most Syrian refugees, he stayed at the Toronto Plaza Hotel where he connected with volunteers and hotel staff. Reflecting back on his experience he says,” Everyone was very, very beautiful people. Can you imagine you have 500 persons every day and you have to help them all? Nobody ever complained and they are always helpful and smiling”. Patience, respect, and compassion have helped Youssef to build and maintain relationships with people and volunteers in Canada. During his discussion of his overall experience he says, that “…in Canada there’s respect, there is no white or black or this and that. Each one respects the other, woman and girl. I’ve never seen like that and I loved that. Maybe some people see other things, but my future is to live here.” Looking forward, Youssef hopes to either complete a diploma in hotel management or business management at George Brown College.

Youssef’s story is just one of many that are waiting to be told of a new life and opportunities found here in Canada. More information on healthcare and settlement resources, please visit AAMHCS’s website page “Syrian Refugee Response

Sources:

http://accessalliance.ca/syrian-refugee-response/

http://www.cnn.com/2015/09/09/world/welcome-syrian-refugees-countries/

http://accessalliance.ca/information-fair-for-sponsors-of-syrian-refugees/


Interview Transcription of Youssef Adul-Karim

1. When did you arrive in Canada?

I arrived in Canada end of 2015.

2. Where were you coming from?

I came from Syria to Lebanon and now to Canada.

3. When you arrived in Canada, you were staying at the Toronto Plaza Hotel?

We stayed at a hotel near the airport for one night to get some rest, the second day they picked me up to go to Toronto Plaza Hotel.

4. How long did you stay at the Toronto Plaza Hotel?

About 3 months, which is why the agency was busy in trying to schedule people to rooms. They were great people and they did the best they could do to for us people in need.

5. Did the agency help you find your current residence?

No actually, I found this apartment myself. This is my first apartment; I see it and I took it. A lot of people were actually surprised that my first apartment was in high park area. I’m not sure if it’s too expensive or not, but I picked this area for two reasons: 1) I want for myself and my family to get better in English and by living with your own community, you won’t learn English and 2) Toronto is a very big city and lots of jobs can be found

6. What were you doing within the 3 months you spent at the hotel? What kinds of services and things that were set up by Costi?

In the beginning, things were different and I know that I won’t stay here for long. I tried my best to help out those families that do not speak English, maybe by translation or take them somewhere. In the hotel, there were lots of Costi volunteers, but nobody spoke our language. I know my English is not too good, but the experience was good.

7. So far, are you enjoying the city, Toronto and living here?

Yes, of course, there are 2 things that I do not like: 1) the weather in the winter and the 2) the waiting, maybe on the phone call, maybe hospital or clinic. If you need care, you should understand that maybe you will wait 6 hours. What is this 6 hours of waiting for doctor? I think the government should do something for this. I have faith in this government to do something for this. It’s not logic; it’s not good to wait for 6 or 7 hours. Even in emergency situation, they prefer, as example, if you have a heart attack, you go first. I don’t know. I went with my father, a problem happened with my father and I called 911 and we waited 1hr and we were lucky because it was only 1hr and I saw that. I see that it depends on your situation. These are the only two things that I don’t know; otherwise everything is good for children, for adults, for old people. I love Canada, before I see it. I read about Canada and why people like it. I see many advertisements why many people immigrant to Canada. There’s respect, no you’re white, I’m black and you’re this and that. Each one respects the other, woman and girl. I’ve never seen like that and I loved that. Maybe some people see other things, but my future is to live here my whole life. I’m telling you, I travel to many countries and I saw the difference, I out in Lebanon, in Jordan and in Turkey and I saw enough to see the difference. And every country has positive and negative things. But Canada has more positive things more than the negative things.

8. What kinds way did you help besides translation?

For people with children, I would ask them if they need food, like “did you want some bread?” “or water?” or moving plates from the table. I don’t blame anyone. Everyone has personal thing and I do not need to know that. The manager of the restaurant came to me and I remember helping and that I was the only person in the kitchen to help. I only bring the big plat for the foods, like for chicken and bread. One day I was very powerful and full of energy (don’t ask me what happened to me), I went to the kitchen and I said, c’mon we want food. But the manager understands that I’m very helpful and he saw that and he told me that. At that moment, I don’t know why, I just wanted to help. After a few days after that, the manager asked me to work with the kitchen. And I asked for a couple of days to think.

9. What kind of work were you thinking of getting into? What would you like to do?

George brown college, I research about the school and follow up and see and compare.

10. What are you thinking of studying at George Brown?

Hotel management or business management. I used to work with hotel in Lebanon so I have some experience there with working with customers and kitchen, but if I do business management, then I can join any company. I’m not sure which to pick because if I stick with Hotel management then I’m stuck if I don’t like the hotel. But if I do business management then I work for TD or Rogers or any of those business.

11. If you had one thing that you thing we, such as Costi or Access Alliance, what do you think we could have improved on? Is there anything else that Access Alliance (since we were tasked to oversee the healthcare) could have done for?

I can’t judge because I did not see a doctor, so I can’t judge the issue. There’s a lot of people who complained but there are also a lot of people who liked the services. In general, I think it was good, I saw that people coming in the morning at 7am till late at night. Everybody was a hard worker.

12. How many of your family members did you come with?

My parents joined Canada after 2 and a half months. My brother came after 5 days on February 9th. But I was the first one who came to Canada. And now we live together. There was a problem that happened but it was easy to solve, we didn’t have time to find room for sleeping so we were all sleeping together. And I knew it was hard to mix with culture here. And it was hard because my family does not know English. I told Costi agency that I need help to have my family live together. So after three or four days, everyone joined me in Toronto Plaza. The people who worked in the hotel, the receptionist, housekeeping. Everyone was very, very beautiful people. Can you imagine you have 500 persons every day and you have to help them all? Nobody ever complained and they are always helpful and smiling.

Youssef’s Closing remarks: “Smile, respect and you will feel really good, in any situation. That is my message to all newcomers and help people. I love Canada.”

Case Study – TechSpark

Driven Accelerator approached Access Alliance in 2014 to partner in addressing the lack of equity, access and inclusion in Canada’s technology sector. Out of this need, Tech Spark was launched in June 2015 as one of Canada’s first digital tech programs connecting youth from underserved communities to meaningful education and career opportunities. Through the program we’ve created opportunities for tangible work experience, and the exploration of interests outside of a standard classroom environment.

Visit the TechSpark website to learn more about the program, and see what graduates are saying.

0 Youth

registration goals for year 1

0 Youth

actual students registered

0 Youth

goals for 2016 – 2017

Case Study – Health with Dignity

On January 28, Access Alliance officially launched Health with Dignity, a program for people who wish to work collaboratively with their health care team in order to set goals that will improve their knowledge, skills and confidence and their experience with the health care system. Through Health with Dignity Access Alliance is able to enhance and strengthen the capacity of our primary care partners across Toronto to support their vulnerable clients with complex health care needs.

Health with Dignity is a program that is made possible through funding provided by GreenShield Canada and is recognized by the Toronto-Central Health Integration Network and Health Links as an initiative that can lead to system improvement in primary care access. The program is representative of the commitment Access Alliance holds to fostering a culture of continuous learning, quality improvement and best practice.

0

referrals to Health with Dignity (HWD)

0

clients seen

0

client encounters

The process of navigating the health care system and self-management are Below are two examples of clients that have benefited from the Health with Dignity program, Manuel and Jamie:

Manuel is 34 years old, uninsured, low-income, and speaks very little English. He was referred to the Health with Dignity (HWD) program by his nurse practitioner to navigate dental services. He had been suffering from mouth pain from significant tooth decay for a few months. Up to the referral, he did not go to the recommended clinics due to his language difficulties and limited finances. He eventually saw the HWD nurse and explained, “I am the only person working in my family. After food, rent that is $1300 per month, clothes for my 4 kids…there is no money left.” The nurse performed a mouth assessment then provided information on dental clinics accessible to individuals without healthcare insurance. Manuel and the nurse made a plan on how he would navigate the system including booking the appointment, getting there, and explaining his needs. The nurse gave Manuel a letter outlining his main dental concerns so that he could show it to his dentist. He saw a dentist and had teeth removed at an affordable price. Now, the client no longer suffers from mouth pain and is exploring dental cleaning options to prevent future tooth decay.
Jamie is an 8 year old boy, uninsured and non-status, living with his mother and older sister. He was referred to Health with Dignity for occupational therapy services from his primary care physician due to problems with fine motor skills and their impact on his school performance. He had difficulty writing legibly, tying his shoe laces and doing up buttons. He was recommended for school based occupational therapy by his teacher; however, the wait list was long. The occupational therapist at Access Alliance conducted an assessment of Jamie’s fine motor abilities, collaborated with Jamie and his mother on goals for improving his hand writing, tying shoe laces, and doing up buttons/zippers. Jamie and his mother learned different strategies to incorporate fine motor activities into everyday activities. Jamie, his mother and sister and teacher all reported significant improvements in his fine motor skills on his school performance and confidence.
  • Number of clients referred by SPiN: 26
  • Number of clients referred by RED: 5
  • Number of clients seen at the NIWIC: 436
  • Internal referrals to HWD: 100
  • Number of Encounters at NIWIC: 1255
  • Health with Dignity: 172 unique clients through 233 encounter (September 2015 – December 2015)

Case Study – West-End Quality Improvement Initiative

In the Access Alliance 2015- 2020 Strategic Plan, “moving the needle on quality” was identified as a key strategic priority for the organization. The West- End Quality Improvement Initiative is a collaborative effort by several Toronto Community Health Centre’s to achieve strategic quality improvements. The initiative also represents commitment on the agencies part to a full and transparent use of evidence and resources that focus on positive client impacts.

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Community Health Centres (CHCs)came together to form the West End Quality Improvement Initiative

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hours committed to professional development and improving cancer screening for vulnerable populations

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standard of practice developed for the 7 CHCs that will emphasize equity in care

Operating within the TC-LHIN, Access Alliance provides services and addresses system inequities to improve health outcomes for the most vulnerable immigrants, refugees, and their communities. Our goal is for all people who face barriers to good health to have access to high quality primary health care within an integrated system of care. Most of our clients have recently come to Canada as immigrants and/or refugees. They are also a highly diverse group of people in terms of their countries of origin, their ethno-cultural backgrounds, the languages they speak and the circumstances under which they have immigrated to Canada.

In Toronto’s west-end, seven Community Health Centres (CHCs) have partnered to create the West End Quality Improvement Initiative that will these CHCs to fully utilize the interdisciplinary resources of the CHC model of care, share knowledge and experience; learn from each other’s strengths; compare results across the seven CHCs; and increase quality improvement (QI) capacity.

The Initiative will allow the CHCs to have a stronger voice in the provision of primary care reform and influence three quality of service areas for improvement: Cancer Screening (CS), Access to care and Flu Vaccination.

In the first round of the Initiative we chose to focus on cancer screening and our goal is the creation of a smooth, well- functioning cancer screening process that supports a positive client journey and experience.

The immediate work included training of the Clinical Directors and other key staff by a highly experienced QI consultant. We then went on to document our “current state’’ for cancer screening so we could identify gaps and areas for improvement and identify and utilize effective practices from all participating CHCs and the literature. Quality improvement methodology was used to understand each CHC’s current Cancer Screening process. A critically important part of the quality improvement process for cancer screening was the Kaizan which brought all 7 CHCs together with designated staff to review the current state processes and then to construct a “future state’’ cancer screening process that addresses the gaps, names the improvements we need to make and makes use of the effective practices that we have identified.

It is critical to understand why we would make such a large investment in a quality improvement initiative at this point in time and why we choose to focus on cancer screening first. With our CHC partners we identified that:

  • Quality Improvement is essential for excellent client-centred care and achieving good health outcomes
  • Collaboration optimizes quality-related efficiencies and improvements leading to improved service delivery and practice
  • Better processes equal better access to care (where “better access” means timely and equitable)
  • Using better data and using data better (making informed and deliberate decisions) will increase confidence and improve quality and performance
  • Improving the quality of transition is critical to providing good care (we don’t want patients to fall through the cracks!)
  • A diverse range of voices shaping the process will lead to better process improvements

We also know that evidence supports regular screening for breast, cervical and colorectal cancer to reduce mortality rates, yet screening rates remain below targets set for our province and amongst vulnerable populations in particular. The WEQII enables us to work collectively to increase cancer screening rates and ultimately improve client care to vulnerable and underserved communities and ensure a routine and equitable screening process is effectively operationalized for our patients.

We have already begun to implement change ideas and we are see better results by initiating the following change ideas stemming from this initiative: Reminder phone calls for cancer related screen tests, development of a consistent procedure for canceled cancer screening appointments, development of a consistent procedure for NO SHOW to cancer screening appointments and quarterly reports disseminated to all PCP’s to recall clients who are not up to date with cancer screening.

Financial Statements (Audited)

Total 2015 Expenditures

$0
  • 0.06% Amortization
  • 20.27% Operating Expenses
  • 25.03% Service Delivery
  • 54.33% Personnel Expenses

Total 2016 Expenditures

$0
  • 0.05% Amortization
  • 21.55% Operating Expenses
  • 24.95% Service Delivery
  • 53.45% Personnel Expenses

Total 2015 Revenue

$0
  • 0.01% Foundations
  • 1.52% Municipal Grants
  • 3.14% United Way Toronto
  • 7.91% Other
  • 10.51% Federal Grants
  • 20.77% Fees for Interpretation
  • 56.13% Provincial Grants

Total 2016 Revenue

$0
  • 1.46% Municipal Grants
  • 2.71% Foundations
  • 3.02% United Way Toronto
  • 8.29% Other
  • 9.34% Federal Grants
  • 22.32% Fees for Interpretation
  • 52.86% Provincial Grants

Funding

$0
  • 1.46% Municipal: City of Toronto
  • 2.71% Foundations: Green Shield Canada, The Ontario Trillium Foundation, CHUM Charitable Foundation
  • 2.83% Other
  • 3.02% United Way
  • 5.46% Other Organizations
  • 9.34% Federal: HRSD Canada, Citizen & Immigration Canada
  • 22.32% Fees for Interpretation
  • 52.86% Provincial: Local Health Integration Network, Ministry of Citizenship & Immigration, Ministry of Research and Innovation

Our Impact

0
Total

Number of Clients by Site

  • 22.1% (2,816): College

  • 33.7% (4,301): Access Point on Jane (APOJ)

  • 44.2% (5,628): Access Point on Danforth (APOD)

New Clients

0

New Access Clients recorded for the 2015–2016 period.

0%

Increase in number of new clients from the last reporting period.

Students and Volunteers

0

Hours contributed to the organization’s work from 306 students and volunteers.

Client Experience Survey

Accessible locations, effective language services, and anti-oppression practices were identified as related to high client satisfaction.

0%

Clients who were both satisfied and agreed to refer their family and friends to the programs and services of Access Alliance.

0%

Rating for the indicator Effectiveness of the programs and services.

0%

Clients’ rating for Equity policy and practices, an increase from 95% in the previous year.

0%

Client satisfaction rating with the Privacy and Confidentiality policy and practices of Access Alliance.

0%

Overall client satisfaction rate with the programs and services of Access Alliance.

Language Services

Top 5 languages at each site (Over the phone and face to face combined)

APOD top 5:

Hungarian

Nepali

Dari, Farsi, Arabic

APOJ top 5:

Spanish

Sgaw/Karen

Hungarian, Portuguese, Somali

College top 5:

Farsi

Portuguese

Arabic, Spanish, Hungarian

Number of interpreter hours pre-scheduled

Service type clarification: pre-scheduled on-site/face-to-face (96%) and pre-scheduled over-the-phone (4%)

0

requests received and processed

0

interpreter hours booked

0

languages supported by our rostered on-site interpreters

Number of interpreter hours immediate on-demand OPI

Service type clarification: immediate on-demand over-the-phone interpretation through the R.I.O. Network

0

calls answered

0

minutes provided of on-demand remote interpretation service

0

languages supported through the R.I.O. Network

Staff, Partners, Funders

The volunteers and students that contributed their time over the past year are an essential part of the Access Alliance community. Volunteering provides invaluable experience, meaningful connections, and the opportunity to contribute to the community in a truly impactful way. Without the combined effort of our students and volunteers, Access Alliance would not be able to do all that we do.

Thank You!

Staff

Sabih-E-Zehra Abbas

Adeyemi Adegbesan

Anjana Aery (PR)

Akm Alamgir

Antonia Aleluia

Halimo W. Ali

Honey Ali

Yetnayet Alito

Bice Amoroso

Naghma Anwar Ali

Chibuikem (John) Anyachor

Sehr Athar

Jennifer Atkins

Rebecca Au Duong

Anabela Azevedo

Carol Baker Lai

Shankari Balendra

Violetta Barczay

Anita J. Basu

Morris Beckford

Christine Chan

Tsz Ling Chan

Elaine V Cheng

Irene Cheung

Yousra Dabbouk

Monika Dalmacio

My Nghi Dang

Jobelle de Leon

Helena De Oliveira

Winttana Debessai

Monica Diaz

Alexandra Grace Eagan

Duncan Eby

Natasha Eck

Jaime Elliot-Ngugi

Rebecca Fortig

Anita Fortuno

Miechelle Gill

Thushari Gomez

Rory Goodman

Martha M Guzman

Bindiya Haria

Julie Anna Htoo

Saynay Htoo

Chun Yan Huang

Yussuf Hussein

Jinan Ibrahim-Hashem

Syed Jalal

Axelle Janczur

Padmavathi Kanagarajamuthaly

Anantpreet Kaur

Kyoko Kennedy

Danielle Kenyon

Saleha Khan

Aarti Kibedi

Abeba Kifle

Ranjith P. Kulatilake

Clifford Ledwos

Jasmine Li

Michael A Lukenda

Isabella Lyne

Arezo Matiullah

Amanda McIntyre

Alexander Solom McKenzie

Justin Mensah

Lidia Monaco

Krystyna Moore

Elaine Morris

Carla Moses

Lara Mrosovsky

Mackenzie Munroe

Sideeka Narayan

Tanya Neumeyer

Tenzin Ngodup

Nicole Nitti

Serena Nudel

Ahmad Shah Omary

Christine Perestrelo

Elena Mae Poblacion

Joanna Potkanska

Ziadh Rabbani

Mahbub -Ur Rahman

Ajay Ram

Adesh Avinash Ramsaroop

Fouzia Rana

Pamini Rasalingam

Krista-Danielle Richards

Jessica Rostan

Miranda Saroli

Rozanne Mae Satoza (PP)

Yogendra Shakya

Merbib Shambemiradam

Sharareh Shokri

Jacqueline St Kitts Myers

Natasha Sudenis

Yatti Tjipto

Thuy Tran

Christopher Trotman

Gisela Vanzaghi

Kristina Vermeulen Awad

Kalyani Vimalesan

Diana Wahidi

Nickole C Worrell

Amal Yaseen

Donna Yong

Partners

Across Boundaries

Agincourt Community Services Association

Anishnawbe Health

Arts for Children and Youth

Association of Ontario Health Centres (AOHC)

Bangladeshi-Canadian Community Services

Barbra Schlifer Commemorative Clinic

Better Beginnings NOW CAP-C

Black Creek CHC

Boss Magazine

Cahoots Theatre Projects

Canadian Association of Family Resource Programs

CASSA

Central Toronto Community Health Centre

Centre for Research on Inner City Health (St.Michael’s Hospital/St.Joe’s TB Clinic

Centre Francophone de Toronto

“Centre of Excellence for Research on Immigration and Settlement – CERIS”

Children’s Peace Theatre

Community Empowering Enterprises

Community Social Planning Council of Toronto

COSTI Immigrant Services

CultureLink

Davenport Perth Neighbourhood and Community Health Centre

Doorsteps Neighbourhood Services

Driven Accelerator Group

East Scarborough Storefront

East York East Toronto Family Resources-

Flemingdon Neighbourhood Services

Focus on Youth Program

For Youth Initiative

Four Villages Community Health Center

George Harvey Collegiate Institute

Girl Guides of Canada

Greenwood Secondary School

Harmony Hall Centre for Seniors

Harmony Movement

Humber College

Kensington Midwives

LAMP

Learning Enrichment Foundation

Lighthouse

Mentoring Juniors Kids Organization (MJKO)

Mid-West Toronto Health Link

Muskoka Woods Leadership Studio

Neighborhood Youth Alliance

Neighbourhood Link

NIA Centre for the Arts

Oakridge Community Recreational Centre

OCASI

Parkdale CHC

Planned Parenthood Toronto

Publich Health Agency of Canada

Queens University – Faculty of Health Sciences (Nursing)

Regent Park Community Health Centre

Rexdale Community Health Centre

Rexdale Women’s Centre

Riverdale Immigrant Women Centre

Runnymede Collegiate

Ryerson University – Department of Nursing

Ryerson University – School of Social Work

Ryerson University, Continuing Education

Scarborough CARES

Scarborough Centre for Healthy Communities

Sistering

Skills for Change

St. Christopher House

St. Joseph’s Health Centre

St. Stephen’s Community House

Stonegate Community Health Centre

Street Health Community Nursing Foundation

Syme Woolner Neighbourhood and Family Centre

Taylor Massey Youth Sexual Health Coalition

The 519 Church Street Community Centre

The Anne Johnston Health Station

The Neighbourhood Centre

The STOP Community Food Centre

Thorncliffe Neighbourhood Office

Toronto Central CCAC

Toronto Community Housing Corporation

Toronto District School Board

Toronto Employment and Social Services

Toronto Police Services 12 Division

Toronto Public Health

Unison Health and Community Services

University of Toronto, Department of Medicine. St. Joseph’s Hospital

University of Toronto, Faculty of Social Work

University of Toronto Faculty of Nursing

University of Toronto, School of Social Work

University of Toronto Centre for the Environment

University of Toronto Dalla Lana School of Public Health

University of Toronto Department of Medicine St. Joseph’s Hospital

Warden Wood Community Centre

West End Midwives

West Hill Community Health Care

West Scarborough Neighbourhood Community Centre

West Side Arts Hub

Women’s Health in Women’s Hands

Working Women Community Centre

York University – Faculty of Nursing

York University – Field Education-School of Social Work

York Youth Coalition

YWCA

Board List

Jason Marin – Chair
Leah Dunbar – Vice-Chair
Alfred Chuang – Treasurer
Tania Hossain – Secretary
Terry Guerriero – Director
Ida Hersi – Director
Erik Landriault – Director
Arman Hamidian -Director
Jo-Anne Boluk – Director
June Ip – Director
Rajesh Girdhari – Director
Michael Le Huynh – Director

Funders

Citizenship and Immigration Canada
City of Toronto
CHUM Charitable Foundation
Green Shield Canada
Human Resources and Skills Development (HRSD) Canada
Local Health Integration Network
Ministry of Citizenship and Immigration
Ministry of Research and Innovation
The Ontario Trillium Foundation

Donors

K Olsen
E Cabell
S Olabanji
D Milne
J Symons
J Kadlubec
A Spaxman
R Sutton
G Vu
S Chamoun
K Millan — Independent Quilters
G Stubbs
T Hossain
A Wasserman
H Wu
D Jurasek — Inspired Playback Theatre Co.

And anonymous donations received through our website via CanadaHelps & United Way

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Toronto, ON M5T 3A9
Tel: 416.324.8677
mail@accessalliance.ca

ACCESSPOINT ON DANFORTH
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Toronto, ON M1L 1A8
Tel: 416.693.8677

ACCESSPOINT ON JANE
761 Jane St., 2nd Floor
Toronto, ON M6N 4B4
Tel: 416.760.8677

ACCESS ALLIANCE LANGUAGE SERVICES
340 College St., Ste. 500
Toronto, ON M5T 3A9
Tel: 416.324.2731
languages@accessalliance.ca

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