A Made at the Core Approach

Preventing and managing chronic disease is an important priority for Hamilton Urban Core.  
Many of the clients accessing our Centre, as well as others in the community are living
with chronic conditions.

To address the needs of people living with chronic health conditions and to prevent further
illness Hamilton Urban Core has developed a chronic disease approach using a centre-wide
platform for comprehensive care.

Diabetes is the initial focus of our approach.  With that in mind Hamilton Urban Core has
implemented an Interprofessional Diabetes Action (IDA)Team to ensure that clients living
with diabetes or those at risk of developing diabetes and their families are receiving the help
and support they need.

Primary Care Nurses, a Physician Assistant, Chiropodists, Physician and Community Health
Worker are all involved with IDA Team connecting  the right provider to clients at just the
right time.

With an initial focus on the prevention and management of diabetes, programs and services
include:

• “Taking Charge” a weekly Diabetes Education Program

• “Living Smart, Living Well” Diabetes Wellness Clinic for individual services, support and
counseling

• “Healthy Foot Prints” Diabetic Foot Clinic to promote good foot health and prevent
complications due to diabetes

• “Diabetes without Borders” Culturally Focused Diabetes Education

This is a “made at the Core” approach to managing chronic illness and
other factors that affect one’s health. Our Approach:

• Is client centered
• Is holistic
• Considers risks beyond physical illness such as poverty
• Addresses the social determinants
• Integrates harm reduction
• Embraces cultural competence

To access services from the IDA Team or for information call 905-522-3233 or email administration@hucchc.com