Home First


The Home First Concept

Home First is a philosophy focused on keeping patients – specifically high needs seniors - safe in their homes for as long as possible with community supports. Home First aims to support patients to return home on discharge prior to assessment for and/or admission to a Long Term Care (LTC) home or other appropriate care setting. Under Home First, transferring patients from hospital to a LTC home is considered only after all other community options are considered.

The Home First philosophy was introduced by the Mississauga Halton LHIN in 2008. The Home first philosophy now being implemented in Ontario and Nova Scotia is helping patients to return home with added supports, while they and their families make decisions about longer-term options.

Implementation Guide and Toolkit

A Home First Implementation Guide and Toolkit was developed with input from a wide range of sectors, including: LHINs, home and community care, hospitals, community support services, primary care physicians and long-term care. The guide book has been endorsed by the Ontario Hospital Association, Ontario Community Support Association, and Ontario Association of Community Care Access Centres. The Home First concept utilizes a variety of “cornerstone” programs to assist with discharge home. These programs include:

  • Home and Community Care;

  • Supports for Daily Living; and

  • Short-Stay Restorative program.

Home First Implementation Guide and Toolkit (Current being updated)

Home First Implementation Guide and Toolkit - French Edition



Home First Best Practice Videoconference, August 2009

Please click on the links below to access the presentations from the session:

  1. Narendra Shah - An Overview of Mississauga Halton LHIN’s Strategic Approach to Address ALC Challenges

  2. Dale Clement - Mississauga Halton LHIN Community Investments

  3. Leslie Starr-Hemburrow and Janet Parks - Home First 

  4. Susan Bisaillon - Home First

  5. Vida Vaitonis - Mississauga Halton LHIN Appropriate Level of Care Strategy