Connecting stroke survivors and families to relevant social supports and services is critical to ensuring a successful transition home and continuing community reintegration. Navigating this complex web of services can be challenging and many health care providers (HCP) may be involved in a navigation role at any point in the stroke survivor’s recovery journey. Working in collaboration with partners from across the continuum the Stroke Network of Southeastern Ontario has developed this navigation page to help HCP access local, regional and provincial resources to help in communicating with clients and families and connecting to resources.
Additional resources can be found under the Community Supports tab
Navigation Tools to Support Client Education
Stroke Information Package for Patients and Families- listing of included resources
- For more information, see Community Supports
Stroke Specific Exercise Programs
- For more local area information, see "Stroke Specific Community Exercise Groups", under Community Supports
- The Canadian Stroke Community-based Exercise Guidelines are available under Guidelines & Recommendations
Aphasia Supportive Conversation Groups & Programs
Community Stroke Rehab Program – Client Brochure
Return to Work Toolkit- detailed info located under "Community Supports"
- For more information, see "Driving After Stroke", under Community Supports
Your Stroke Journey- links to the Heart and Stroke Foundation website
Support for Caregivers of Persons Living with the Effects of Stroke
Navigation Tools- Regional & Provincial Provider Supports and Resources
Acute Rehab Community (ARC) Transitions Pathway
Community Stroke Rehab Program (CSRP)- links to 'Rehabilitation' section of this website
- CSRP Info sheet for Clinicans
- CSRP FAQ
- Pre-discharge- Community Rehabilitation Planning Meeting FAQ
- Referral algorithm
- Transitions Checklist
Home and Community Care Support Services South East
Ontario Health Navigation During Community Stroke Rehab (2024)
Navigation Tools- Facility-Specific Provider Supports and Resources
For more information about the following resources, please email Shelley Huffman at Shelley.Huffman@kingstonhsc.ca
- Patient Oriented Discharge (POD)- KHSC
- Patient Care Order Set (KHSC)
- Acute Stroke Best Practices Reminder Checklist (KHSC)
- Brockville General Hospital (BrGH) Post-Stroke Patient Safety Checklist
- KHSC Post Discharge Screening Questionnaire
- Therapy Specific Hospital to Community Forms
Navigation Education
Workshop April 8, 2021 "Person- Centered Navigation: A Collaborative Approach for Stroke"
Hastings prince Edward Community Stroke Partners Expo February 23, 2021- materials and recordings
Canadian Stroke Best Practice- Transitions and Community Participation
Health Quality Ontario- Transitions Between Hospital and Home (resources)