Chronic Disease Management

 

 

The Carefirst’s Chronic Disease Management Program (CDMP) is a group of services to help ‘You help Yourself’ by supporting you to acquire the right knowledge, resources and skills.

 

Our mandate:

  • To empower adults who are living with or at risk of chronic diseases
  • To support caregivers of individual living with chronic conditions
  • To collaborate with other community health care providers to ensure that the holistic needs of individuals are addressed

The services offered in our CDMP programs help patients’ improve their confidence and abilities to self-manage chronic diseases, become more informed about their health conditions, and take a more active role in treatment. CDMP will collaborate with each person to build a care plan that meets your unique needs and preferences while facilitating change towards healthy behaviors and lifestyles.

Chronic Disease Management Programs

 

 

CDMP offers a wide variety of programs. To learn more about the CDMP and how to access these services, click on a program that you are interested in below. Please note: program fees may apply to certain programs. For FHT rostered patients, please contact our office general inquiry line if you have any questions or inquiries. For community patients/clients, please refer to Events & Calendar for group sessions that open beyond the roster.

 

 

Programs Offered:

CKD Management

Chronic Kidney Disease Program

This program is for patients who have chronic kidney disease (CKD) to provide comprehensive care and sustainable self-management education to improve the quality of life for individuals living with CKD. Services provided include screening for CKD, routine follow-up every 3-6 months, individual and group education sessions on how to manage CKD, and access to a nephrology clinic with supportive services provided by IHPs.

 

Speak to your Family Physician at Carefirst Family Health Team for more information and referrals to CDMP. For FHT rostered patients, please contact our office general inquiry line if you have any questions or inquiries. For community patients/clients, please refer to Service Calendar under the Events & Calendar tab for group sessions that open beyond the roster.

Heart Health

Heart Health – Cardiovascular Prevention & Rehabilitation Program

This program is for patients diagnosed or at risk of developing hypertension and/or cardiovascular diseases (CVD). Services provided for patients in this program include education related to their disease, self-management skills, dietary counselling, and routine follow-up to prevent or reduce the risk of developing complications associated with hypertension and CVD.

 

Speak to your Family Physician at Carefirst Family Health Team for more information and referrals to CDMP. For FHT rostered patients, please contact our office general inquiry line if you have any questions or inquiries. For community patients/clients, please refer to Service Calendar under the Events & Calendar tab for group sessions that open beyond the roster.

Chronic Pain Workshop

Living a Healthy Life with Chronic Pain Online Workshop

Living a Healthy Life with Chronic Pain is a free online six-week workshop series in different languages that helps people with chronic pain to better cope with pain symptoms and activities of daily life. All participants will receive the “Living a Healthy Life with Chronic Pain” resource book and “Moving Easy Program” CD for free.

 

Caregivers are welcome to register. We suggest that participants attend all six sessions of the workshop, where possible. All sessions are 2.5 hours per week. Use of computer camera and audio is required. This workshop is hosted using Zoom Platform. The coming session is in Mandarin, on Thursday 2:00 – 4:30PM from May 5 to June 9, 2022. Please call (416) 847-8941 or email cdmc@carefirstontario.ca to register. Space is limited, and there may be a waiting list.

Diabetes Education Program

Diabetes Education Program

For more information on the Diabetes Education Program (DEP), please click here.

Hepatitis B Management

Hepatitis B Management Program

This program is for patients diagnosed with hepatitis B to provide education, support and self-management skills, prevent transmission, and reduce complications related to the disease. Program services include routine follow-up and health monitoring, counselling and education sessions related to self-management of hepatitis B, and developing an action plan in partnership with health professionals.

Speak to your Family Physician at Carefirst Family Health Team for more information and referrals to CDMP. For FHT rostered patients, please contact our office general inquiry line if you have any questions or inquiries. For community patients/clients, please refer to Service Calendar under the Events & Calendar tab for group sessions that open beyond the roster.

Weight Management

Weight Management Program

Carefirst Family Health Team in partnership with Oak Valley Health’s Adult Diabetes Clinic is offering a free, virtual weight management program. This program provides patients with a holistic approach to weight management, incorporating physical and emotional health.

The group sessions are offered twice a year, with approximately 2 months of weekly virtual session, presented by Registered Dietitian, Registered Social Worker and Registered Kinesiologist with a focus on nutrition, mindfulness and physical activity.

Some topics may include:

  • What is in our food? Macronutrient and micronutrient needs
  • Meal planning, grocery and eating out
  • Role of exercise in weight management
  • Hunger and fullness cues
  • Emotional eating, cravings
  • Planning for relapses

Is this something you are interested in participating in?

Speak to your primary care provider to be referred to the program.

If you have any other questions or inquiries, please call (905) 695-1140

Weight Management Referral Form

Mint Memory Clinic

Mint Memory Clinic

For more information on the MINT Memory Clinic, please click here.

Mental Health & Social Work

Mental Health & Social Work Services

Mental Health & Social Work Services FHT social work workers provide high quality, accessible, and efficient counselling and/or case management services to support patients with mental health conditions or stress issues. Through participation in the Mental Health program, patients will have increased awareness and understanding on a range of mental health & psychosocial topics including: anxiety/depressive symptoms, stress management and coping strategies, behavioral changes, and awareness of how stress and positive thinking relates to one’s health and wellbeing. Please speak with your Carefirst healthcare provider for more information and referral to these services.

Upcoming Events & Calendar

 

 

  • Group Sessions will be held online through Zoom and is open to the public
  • If you are interested in attending an event, please click the event in the calendar below for more details