Author: Samira Prasad

From the CBC News article

Ontario’s New Democrats would work with Ottawa on decriminalizing drugs for personal use if the party is elected to form government this week, but the provincial Liberals aren’t considering a similar move.

The issue emerged on the last day of the election campaign in Ontario, following the announcement of a three-year agreement between British Columbia and the federal government that means people won’t be charged for possessing up to 2.5 grams of some illicit drugs in an effort to curb overdose deaths.

Ontario has not submitted a proposal to follow suit, but Toronto’s top doctor did earlier this year.

NDP Leader Andrea Horwath said decriminalizing simple possession of drugs is part of her party’s plan to address the overdose crisis, along with lifting a cap on safe drug consumption sites and improving access to treatment.

“It is about saving lives, and that’s what we have to do,” Horwath said at a Wednesday campaign event in Brampton, Ont.

“We have to do better, and we can do better, so yes, absolutely, making sure that we have a safe drug supply, that we decriminalize simple possession, but most importantly, that we provide the services that people need to try to help them get well.”

Horwath also noted that it was a New Democrat government in British Columbia that made the first-in-Canada decriminalization policy happen.

Ontario’s New Democrats have also promised to declare the opioid crisis a public health emergency. Horwath said conversations around the limit of drugs exempted under a decriminalization policy — whether she would ask for a 4.5 gram limit as B.C. did — would have to happen with experts before making a submission to the federal government.

A spokeswoman for the Liberal campaign said the party isn’t considering decriminalizing drugs.

At an afternoon media event in Toronto, Liberal Leader Steven Del Duca said decriminalization is “not in our plan right now” but pointed to other things his party is proposing to fight the overdose crisis.

The Liberal party has said it will restart an opioid task force, expand access to the overdose reversal medication naloxone and lift the cap on new consumption and treatment sites that was brought in by the Progressive Conservative government.

But Dr. Tara Gomes, a researcher at Unity Health in Toronto and lead of the Ontario Drug Policy Research Network, said taking a localized approach to decriminalization isn’t the best way forward.

“There’s a real concern if just Toronto decriminalizes drug use people who move outside of those boundaries, or are visiting Toronto, aren’t going to always understand the complexities of that,” Gomes said.

“So I think that these really localized approaches are really challenging and we need to broaden it across the country.”

Op-ed in the Toronto Star by Daniel Bierstone and Shazeen Suleman

“I eat whatever is leftover, so my children can eat enough.”

“I can’t afford their therapy anymore so we had to stop.”

With nearly one in five children in Canada living in poverty, Canada scores poorly compared to other countries, ranking 24th out of 35 industrialized nations. In Toronto — dubbed the “child poverty capital of Canada” — nearly 25 per cent of children live in poverty. A damning report in 2017 found that racialized children in Toronto were twice as likely to be living in poverty compared to non-racialized children. Many of these children have caregivers earning low-wages or in precarious employment, worsened by the COVID-19 pandemic.

Inadequate income has deep and wide-ranging impacts on a child’s well-being, from their physical health to their educational outcomes. Families in poverty may struggle to afford healthy and nutritious food choices; childhood food insecurity can lead to obesity and malnutrition.

Children and families in poverty face rising rent prices across the province, and may be forced to live in poor housing conditions with limited access to outdoor spaces or opportunity for physical activities, both crucial for physical and mental health. The education gap between low- and high-income students is growing, as low-income students face significant barriers to completing high school and pursuing post-secondary opportunities.

From the CityNews article

With at least one confirmed monkeypox case in Toronto, efforts are ramping up to address any early misconceptions about the virus and reduce potential stigma.

“I think what we’re really hearing really spans from curiosity, plenty of questions,” Dane Griffiths, the director of the Gay Men’s Sexual Health Alliance, said when asked about how members of the LGBTQ2S+ community say they’re feeling.

He is among those on the frontlines working on getting factual information about monkeypox as it’s being learned out in the community.

“We’re really just saying that this is something to pay attention to. There’s certainly a lot that we know about monkeypox, but there are plenty of outstanding questions with regards to the current dynamics of transmission within our community,” Griffiths said.

The need to get out as much accurate information as possible is escalating amid reports several of the confirmed and suspected monkeypox cases involve men who have sex with men, something that has fueled intolerance before.

“I think our histories as gay men and queer people, of course, lived and living through the HIV and AIDS epidemic, have plenty of experience with stigma, with discrimination, with connecting our sex or our sexual health with notions of danger and of risk broader public,” Griffiths said.

“I think that sensitivity is to be expected. It goes without saying as many health officials even here in Ontario will say, illnesses, viruses and diseases like monkeypox don’t have a sexual orientation.

Those who are a part of, and work with, the LGBTQ2S+ community said we’re hearing about this connection now likely because of a commitment to sexual health testing and assessments.

“There are folks in our community who are seeking out testing, getting assessed, that continues I think a long history of health-seeking behaviour by gay and bisexual men to engage with public health and with our sexual health clinics and we certainly want to see that continue,” Griffiths added.

“The folks who are presenting at the sexual health clinics as was the case in Montreal just happened to be gay and bisexual men. There is nothing to suggest that monkeypox won’t impact other populations and other communities, that just remains to be seen.”

It’s a sentiment Dr. Darrell Tan, an infectious diseases physician and clinician-scientist at St. Michael’s Hospital, said he agrees with.

“Sexual minority communities… have a history of resilience, of self-reliance, of looking out for each other, of creativity in the face of adversity that I think we can really lean on in a very uncertain time like we find ourselves right now with monkeypox,” he told CityNews.

Tan recently met with LGBTQ2S+ community organizations to address questions, but said he and other medical professionals are trying to quickly learn more about.

“As a scientist and as a physician, I feel it really, really acutely just how much we don’t know. We know some things, but there’s an awful lot that we still don’t know,” he said.

“It’s been literally since the beginning of this month, really just a couple of weeks, since reports anywhere in these non-endemic countries have even come out recognizing this was happening.”

From the TVO Today article

HAMILTON — When it comes to preventing homelessness and supporting unhoused people in Ontario, “we’ve known what the solutions are for a very long time,” says Jesse Jenkinson, a postdoctoral fellow at MAP Centre for Urban Health Solutions. “It’s just whether or not anyone’s going to finally do something about it.” And the need for action, experts say, is great.

In March, Hamilton reported that 1,596 people had been actively homeless in the past three months. That number has climbed after COVID-19 — it sat at 1,105 as of April 1, 2020. The pandemic exacerbated homelessness by limiting shelter occupancy, reducing the availability of supports, and increasing the cost of living.

But even before then, homelessness had been on the rise in the province. A 2021 Statistics Canada study looking at data from 2010 to 2017 concluded that “homelessness in Ontario has been worsening over time, has been affecting younger cohorts, and has shifted geographically to smaller but rapidly growing municipalities.” A 2019 study in the medical journal BMJ Open estimated that, in 2016, about 60,000 Ontarians experienced homelessness. That was about 67 per cent higher than in 2007.

TVO.org speaks with experts about what the province needs to do to combat homelessness — and asks Ontario’s four major political parties to weigh in on their plans to address this worsening crisis.

From the Toronto Star article

In a narrow crevice between the soft earth of the Rosedale ravine and a concrete bridge just below Bloor Street, a 32-year-old man has lived in a makeshift camp, on and off, for months.

The man, who identified himself only as John, sometimes turns to Toronto’s shelter network to take a shower. He was once offered a shelter hotel spot, but kept feeling like there’d be a catch.

A handful of others live around John’s camp — six or seven lately, he estimates. He believes the ravine specifically draws in those who’ve struggled with living around other people.

As summer begins, they’re among the dozens of people weathering life under Toronto’s bridges, and in its parks, trails and ravines.

One year after encampments in high-profile locations such as Trinity Bellwoods Park and Lamport Stadium Park were thrust to the forefront of public debate, the number of camps citywide is down. Trinity Bellwoods is now empty of tents, but you can find makeshift structures and slung-up tarps in Toronto’s quieter, more concealed corners — with many remaining camps, like John’s, existing out of plain sight.

“I think it’s so important that people understand what’s happening,” said Dr. Stephen Hwang, a physician with St. Michael’s Hospital with a research focus on homelessness. That people still choose to live in ravines suggests Toronto is falling short of offering the help people need, he argued.

“The risk is not just that people will continue to be homeless on the street, or numbers will grow, but that we’ll become anesthetized to the problem — that we’ll stop seeing it as a human tragedy, and more as just a nuisance to be gotten rid of,” Hwang said.

From the CityNews article

Toronto City Council recently voted to celebrate Canada’s first two Black doctors with a pair of plaques close to where they lived, learned and practiced.

Doctors Alexander Augusta and Anderson Abbott lived in Toronto in the 19th century, each overcoming prejudice and racism to become leaders in Ontario’s Black community.

Dr. Nav Persaud, a staff physician at St. Michael’s Hospital, was part of the team that brought Augusta’s story forward to Heritage Toronto.

“The accounts that we have of him as a student indicate he was exemplary,” Persaud said.

“There were accounts of Augusta from some of his professors at the time, and others he had sought reference letters from,” he explained. “We can see the endorsements of Augusta at the time and it seems like there were a number of individuals in Toronto, or Upper Canada at the time, who thought very highly of Augusta and his abilities as a physician.”

Abbott, meanwhile, was born in Toronto in 1837. His parents came to the city three years earlier, from Alabama after their store was ransacked. Abbott went to University College and then to medical school. He apprenticed under Augusta and was licensed in 1862, making him the first Canadian-born Black doctor.

From the Toronto Star article

The Ontario College of Family Physicians (OCFP) recently launched its campaign, “Life Without A Doctor,” to put what it says is the province’s lack of equitable access to a family doctor front and centre in the provincial election.

Currently, 1.3 million Ontarians live without a family doctor, OCFP reported…

Two recent research studies provide insight.

One found double the proportion of family doctors who stopped working in the first six months of the pandemic compared with previous years.

A second study surveyed Toronto family doctors in January 2021 about their practice.

It found 17 per cent of family doctors said they planned to close their current practice within the next five years.

Dr. Tara Kiran, a principal investigator in both research studies and a family doctor in a family health team at St. Michael’s Hospital, called the findings “an important wake-up call” to address Ontario’s family physician shortage.

“Now we know the pandemic has driven some people out of the workforce, and others are burned out and thinking, for various reasons, to potentially stop working,” said Kiran, who is Fidani Chair in improvement and innovation and vice-chair, quality and innovation at the Department of Family and Community Medicine at the University of Toronto.

“So, we have a crisis in being able to sustain the health-care resources needed to be able to provide primary care to serve our population.”

From CBC Ontario Today

Nurses are leaving their jobs. Patients are without family doctors. Dr. Nav Persaud, Canada Research Chair in Health Justice, breaks down for us what the political parties are promising.

Listen here.

From the Toronto Star article

PARIS – Paolo Dinola doesn’t really care who wins the provincial election so long as the next government tries to save others from the fate of his son, who became another statistic last year in Ontario’s surging opioid crisis.

Aaron Dinola died on Nov. 6, 2021, after a fentanyl overdose. He was 32 years old and a father of three.

“He was my beautiful boy, he always had a good heart, but got addicted to painkillers after a car accident,” Paolo Dinola said in an interview. “Three years later he’s dead from fentanyl – the system failed him.”

Opioid deaths and hospitalizations surged significantly across the province after the pandemic hit in early 2020.

The Office of the Chief Coroner shared data on Thursday that showed 2,819 people died from opioid toxicity in 2021. That’s up from 2,460 opioid deaths the year before – a figure that itself was up 58 per cent from fatalities recorded in 2019.

Both the NDP and the Liberals pledged to help tackle the opioid problem on Thursday while Progressive Conservative Leader Doug Ford said a few days earlier that he’d help anyone with an addiction problem.

Dinola was at a cafe in Paris, Ont., where NDP Leader Andrea Horwath made a campaign stop and pledged to reform the mental health system.

Tara Gomes, an epidemiologist at Unity Health, said there’s no urgency from either the province or the federal government.

Gomes said both levels of government need to relax rules on proven opioid treatments like suboxone and methadone, vast expansion of harm reduction, safe spaces to use drugs and decriminalize drugs.

“Even as we’ve seen these waves come and go with the pandemic, opioid-related deaths are just climbing year over year,” Gomes said.

“And this isn’t something that seems to be resolving any time soon.”

May 16, 2022

We are community advocates and peer researchers with lived experience of low income Ontario Works (OW) and Ontario Disability Support Program (ODSP) who live and work in Toronto. We work with scientists and staff at MAP Centre for Urban Health Solutions at St. Michael’s Hospital to align our community priorities with health equity research in partnership with other agencies across Toronto. As MAP Community Expert Group members, we are calling upon all registered political parties, leaders, and MPP candidates in Ontario to take action on the challenges that OW and ODSP recipients experience. We face low financial assistance rates and income claw-backs that hit hard, especially for single adults with lived experience of mental health issues and poverty.

We are united in our disappointment with the current amounts we are forced to live on and the punitive claw-backs of other forms of income that are part of the design of Ontario social assistance programs. Health care staff, clinicians, scientists at MAP and advocates across Toronto are co-signatories of this letter to indicate their agreement and solidarity.  

“A modernized social assistance system must recognize that not all citizens are able to remain attached to the labor market and when they are unable to participate in labor market activities, the support programs that they are forced to rely on must reflect the actual costs that the market commands to ensure that recipients are able to afford the rent, other necessities of life and to put food on the table to improve their social determinants of health.” – ODSP recipient

Ontario social assistance rates are insufficient to cover basic needs 

There are 863,000 people in Ontario who rely on social assistance programs, and we acknowledge Ontario’s government’s responsibility to provide financial assistance to meet basic living expenses, health and employment services to these Ontarians. However, single adults only receive up to $733 per month under OW and up to $1,169 per month on ODSP for basic needs and shelter. These amounts are simply not enough. The vast majority of provinces and territories do not index social assistance rates to the cost of living. This contributes to many people’s inability to meet their basic needs or to exit the program with sufficient resources. In Ontario, rates have not increased since 2018 and have not kept up with inflation of 10% –  In addition, single individuals on OW and ODSP experience a 63 percent and 40 percent poverty gap respectively when their rates are compared with official poverty standards.

The amount of money provided to cover basic needs such as food and shelter is not reflective of the increasing cost of living in Ontario, particularly in Toronto. OW allocates $390 per month to a single adult for shelter, thus making it impossible to secure housing. Current market rents for a shared room in Toronto now exceed $500 per month everywhere in the City, effectively excluding recipients from securing adequate accommodation. Moreover, it leaves them either in precariously housed situations or at-risk of homelessness.

In addition, well over half (59%) of people on social assistance in Ontario experience food insecurity and are more likely to rely on food banks, as the amounts they receive are not sufficient to cover food or transportation.

We find shameful the provincial Government’s failure to recognize that Ontario’s social assistance programs do not meet the needs of its recipients. This situation points to a lack of inclusion of community voices in policy decision making. We strongly recommend that the new provincial government align recipients’ incomes with a basic living standard along with annual inflationary increases.

“The OW shelter money is not high enough to rent a room. I have to use 2/3 of my basic money to cover the rent which leave me nothing much for food, transportation and other expenses. Even so, the room is shabby resulting in bad living conditions. The shelter allowance forces people into homelessness and puts them at a greater risk for poor health.” – OW recipient

We applaud the efforts of various community organizations and advocates who have petitioned to index the programs’ rates with the current inflation rate. Others have called on the provincial government increase the rates to $2,000 per month. This amount aligns with the Federal Government’s COVID-19 Emergency Response Benefit (CERB) program which was deemed a basic income for individuals affected by the COVID-19 pandemic.

Complicated and punitive benefit claw-backs do not help recipients to stabilize their life

The punitive benefit claw-backs on income in OW and ODSP, combined with limited availability of supportive services and systemic barriers, prevent many people from securing stable employment. Precarious employment such as part-time jobs or short-term contracts have become more common in Ontario’s labour market, and low-income earners are overrepresented in these jobs. Social assistance recipients who take these jobs to supplement their income are constantly worried about having to pay back their benefits if their income exceeds a certain amount. Moreover, individuals with a disability have a harder time finding employment that offers adequate accommodations, a living wage, and stable benefits.

“ODSP does not encourage us to improve our lives, they restrict us from moving forward. Forcing us to be stagnant. Additionally, Government strategies to modernization Ontario Social Assistance programs have never provided us with any significant advantages but further complicate the process.” – ODSP recipient

“The claw-back of 50 percent for each additional dollar earned above $200 is too punitive to incentivize ODSP recipients to move into the labour market, as it fails to move them out of deep poverty. This threshold should be increased to $800 to reflect increasing costs of living.” – ODSP recipient

Income claw-backs and exemption rate policies are often unclear to recipients and create a dynamic that discourages people from seeking employment. Additionally, in some instances it leaves recipients worse off than if they did not pursue any type of employment.

It is imperative that punitive income claw-backs are lessened and the exemptions on earned income are increased. Facilitating more pathways for recipients to earn more income will not only help people work towards their financial goals, but will ultimately reduce their dependence on social assistance programs.

“Anyone earning more than $300.00 per month ends up losing earned income and their Work Incentive benefit.  For instance, if person earned $300 plus the work incentive they should have collected $400.00 but with ODSP’s calculation they only get $350. As people earn more, they lose more of their earned money. Additionally, Rent/Food/Incidentals have not been adequately covered to survive in the City” – ODSP recipient  

These factors create barriers for people and negatively impact their quality of life. Social assistance recipients have limited access to preventative healthcare services not covered through the provincial or municipal government programs. While a few basic services such as dental care are covered for ODSP recipients, OW recipients have very little coverage, and therefore very little access to basic services. It has been shown that recipients of social assistance programs have worse health outcomes than non-recipients. Lack of priority for  Ontarians living in poverty is costly for our healthcare system, and will continue to escalate in costs as people experience more poverty-related negative health outcomes. As we approach Ontario’s provincial election in June, we strongly urge political parties to develop, publicize, and commit to more responsive and equity-based social assistance programs that are tailored to the real needs of recipients.

Thank you for your attention to these vital issues that greatly affect the health and wellbeing of low- income people in Ontario. We hope our political leaders support our recommendations and commit to providing financial support for all Ontarians to have good health and thrive in our communities.

Sincerely,

MAP Community Expert Group members

Bee Lee Soh 

Rene Adams 

Daniela Mergarten 

Sa’ad Talia 

Veronica Snooks 

Opal Sparks 

Supported by:

Stephen Hwang Physician in General Internal Medicine and Research Scientist, MAP Centre for Urban Health Solutions

Shazeen Suleman Investigator, MAP Centre for Urban Health Solutions

Galo F. Ginocchio Research Coordinator, Unity Health Toronto – St. Michael’s Hospital

Sloane Freeman Pediatrician, St. Michael’s Hospital, Unity Health Toronto

Vikram Jayanth Ramalingam Research Assistant, MAP Centre for Urban Health Solutions, St. Michaels Hospital

Anne-Marie Tynan Research Program Manager, MAP Centre for Urban Health Solutions

Sean B. Rourke, PhD, FCAHS Scientist, MAP Centre for Urban Health Solutions, St. Michael’s Hospital

Flora Matheson Scientist, Unity Health Toronto

John Ecker Research Manager, MAP Centre for Urban Health Solutions, Unity Health Toronto

Uzma Ahmed Research Coordinator, MAP Centre for Urban Health Solutions

Areesha Sabir Research Coordinator, St. Michael’s Hospital, Unity Health Toronto

Alyssa Ranieri Homeless Outreach Counselor, Unity Health Toronto

Sharmistha Mishra Associate Professor & Infectious Disease Specialist, University of Toronto & Unity Health Toronto

Sherry Hao Research Assistant ll, MAP Centre for Urban Health Solutions

Suzanne Zerger Research Program Manager, MAP Centre for Urban Health Solutions, Unity Health

Madison Ford Research Coordinator, MAP Centre for Urban Health Solutions

Ray Baran Research Coordinator, REACH Nexus

Stephanie Arlt Research Coordinator, MAP Centre for Urban Health Solutions

Antigone Darsini CRC II, St. Michael’s Hospital

Dr. Naomi Thulien Scientist, MAP Centre for Urban Health Solutions, St. Michael’s Hospital Unity Health Toronto

Sam Filipenko Business Manager, Well Living House

Kate Francombe Pridham Research Program Manager – Homelessness, Housing, and Health, MAP Centre for Urban Health Solutions

Jillian Macklin MD/PhD Student, University of Toronto

James R Dunn Professor / Scientist, McMaster University / St. Michael’s Hospital

Dana Shearer Knowledge Translation Broker, Ontario Drug Policy Research Network

Darrell Tan Clinician-Scientist, St Michael’s Hospital

charles ozzoude Health Researcher , St. Michael’s Hospital

layla jabbour Research Program Manager, Centre on Drug Policy Evaluation

Michelle Catchpole Business Analyst, MAP Centre for Urban Health Solutions

Amy Craig-Neil Research Coordinator, MAP Centre for Urban Health Solutions, Unity Health Toronto

Heather McLean Research Assistant II, MAP Centre for Urban Health Solutions Centre on Drug Policy Evaluation

Ahmed Bayoumi Clinician Scientist, MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health Toronto

Jesse Isadora Reisman Jenkinson Postdoctoral Fellow, MAP Centre for Urban Health Solutions, Unity Health Toronto

Nazlee Maghsoudi Manager, Policy Impact Unit, Centre on Drug Policy Evaluation

Kimberly Devotta Research Manager, Unity Health Toronto

Indhu Rammohan Graduate student, Centre for Drug Policy Evaluation

Jeanette Bowles  Postdoctoral Fellow, Centre on Drug Policy Evaluation: St. Michael’s Hosptial

Lisa Schlosser Peer Support Specialist, SMH

Janet Brown  Director Strategic Projects, MAP Centre for Urban Health Solutions

Tara Kiran Family Physician and Associate Professor,  University of Toronto

Anne Rucchetto Research staff, Unity Health Toronto

Evie Gogosis Research Manager, MAP Centre for Urban Health Solutions

Paige Homme  Medical Student, Year 3, University of Toronto

Pearl Buhariwala Research Manager, MAP Centre for Urban Health Solutions

Melissa Perri Research Assistant, MAP Centre for Urban Health Solutions

Parvin Merchant Director – Tenant and Member Service, Houselink and Mainstay Community Housing

Vanesa Berenstein Research Coordinator, MAP Centre for Urban Health Solutions

Rachel Ma Research Volunteer, MAP Centre for Urban Health Solutions

Paneet Gill Practicum Student, MAP Centre for Urban Health Solutions St Micheal’s Hospital

Dan Werb Director, Centre on Drug Policy Evaluation

Elham Rasoulian Research Coordinator I, MAP Centre for Urban Health Solutions

Lisa Baker Mental Health Outreach Worker, Unity Health

Joy Connelly Housing consultant and advocate, Connelly Consulting Services

Christina Muratore Care and Transitions Facilitator, St. Michael’s Hospital

Shelagh Pizey-Allen Executive Director, TTCriders

Rosalie Donaldson-Kronenbuerger social worker, Unity Health Toronto

Michael Creek Director Strategic Initiatives, Working for Change

Ali Minaei ODSP Recipient, N/A

Samar Abdulle Research Coordinator, Unity Health Toronto

Aiko Ito Client Intervention Worker MSW RSW, Dixon Hall Neighbourhood Services

Victor Willis Executive Director, PARC (The Parkdale Activity – Recreation Centre Toronto)

Trevor Manson Secretary Co-chair, ODSP Action Coalition

Ryan Peck Executive Director, HIV & AIDS Legal Clinic Ontario (HALCO)

Steve Durant Research Coordinator, The Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto

Zahra Tahlil Outreach-Emergency Department, St.Michael’s Hospital

Elizabeth Mulholland CEO, Prosper Canada

Devorah Kobluk Senior Policy Analyst, Income Security Advocacy Centre (ISAC)

Fiona Penny Social Worker, St Michael’s Hospital

Indira Fernando research manager, St. Michael’s hospital

Chi-Hang Jonathan Sinn MPH Practicum Student, MAP Centre for Urban Health Solutions (St. Michael’s Hospital)

Emily Holton Communications & Marketing Manager, MAP Centre for Urban Health Solutions

Feroza Mohammed Community Worker; Member, Local Champions’ Network, Autonomous Residents’ Leadership Network

Zoe Greenwald PhD Candidate in Epidemiology, University of Toronto

Alexandra Carasco Research Coordinator, MAP Centre for Urban Health Solutions

Samantha Myers Research Assistant II, St. Michael’s Hospital

Amy Katz, Knowledge Translation Specialist, MAP, St. Michael’s Hospital, Unity Health Toronto

John Stapleton, Principal, Open Policy

Heather McGregor, CEO, YWCA Toronto

Melissa Goldstein, No affiliation

Charles Ritchie, No affiliation

Melody Li, Executive Director, Homeless Connect Toronto

Gary Bloch Family Physician, Unity Health Toronto

Adam cohoon Founder, Moreaccessible

Terry Pariseau, Coordinated Access Engagement Coordinator, Toronto Alliance to End Homelessness

Diana Chan McNally, Training and Engagement Coordinator,Toronto Drop-in Network

Miranda Schreiber, U of T

Allison Meserve, Senior Manager , Prosper Canada

Benjamin Wong, Epidemiologist

Rev. Steve Hoffard, Pastor, Redeemer Lutheran – Toronto

Steve Joseph, Torresan Treasurer, Dream Team

Shalini Konanur, Executive Director / Lawyer, South Asian Legal Clinic of Ontario

Edward Russell, Volunteer Gardener/Yardman, Houselink/Mainstay

Ayan Yusuf, Research Coordinator, MAP Centre for Urban Health Solutions

David Meyers, Senior Manager, Centre for Independent Living in Toronto

Shurrytwo Pan, Social Assistance, No affiliation

Nathalie Noël

Oksana Grebnytska, Co-Founder, Social Assistance Coalition of Scarborough (SACS)

Alies Maybee, Citizen n/a

Geena Ross, Advocate, No Affiliation

Teresa Northcote, ODSP Recipient

Anne Gloger, Principal, Openly Connected

Helen P Watt, Senior Program Officer, Prosper Canada

David Meyers, Coalition Partner representative, GTA Disability Coalition

akiesha phillips, SACS

Elizabeth Tremblay, Founder Mentor/Mentee Canada and Peer House Toronto

Amie Tsang, Health Equity Facilitator, CMHA Toronto

Heath Soave, Anti-Poverty, Paralegal

Angie Peters, President & CEO, Yonge Street Mission

Carrie Wong, Manager, Learning and Training Prosper Canada

Michael Anhorn, CEO Canadian Mental Health Association Toronto Branch

Sivabalan Arulnanthysivam, injured worker, Voice of Scarborough member.

Melissa Blacktopp, no affiliation

Savhanna J Wilson, Associate Director, Toronto Alliance to End Homelessness

Marlene Rathbone, No affiliation

Kathlyn Babaran-Henfrey, Research Coordinator, Unity Health Toronto