AbleLiving is a non-profit organization operated by Thrive Group™. They provide residential care services, in home services, and shared living to individuals with complex care needs in the community. Specifically related to the LTV patient populations, AbleLiving has six funded and dedicated LTV beds for invasively ventilated patients, co-horted at their Binbrook site. They also support non-invasively ventilated patiens throughout all their sites. The have a Nursing and PSW model of care, with a nurse practitioner and primary care physician model for all residents. There is a community Occupational Therapist who oversees the Occupational Therapy/Physiotherapy Assistant who works at AbleLiving Binbrook seeing residents, including the ventilator assisted residents. In addition, they have a Recreation Therapy team and Development Counselor who engage residents, including teaching residents how to direct their own care. ProResp™ Community Respiratory Therapy provides onsite Respiratory Therapy services twice per week.

Vibrant Community Health is a non-profit organization providing attendant care services and outpatient based clinic services in Toronto. Within their attendant care services all clients must be able to direct their own care completely. Independent Living Assistants, unregulated health care providers, provide all care within each of the three facilities. Vibrant Community Health did have two funded and dedicated LTV beds that have since been incorporated into their base funding. They are currently supporting six VAIs (both invasive and non-invasive) across two sites. Clients have access to primary care, and OT and PT consultation through Vibrant Health Centre. All other supports required come from Ontario Health atHome or private contract.

Participation House Support Services (PHSS) is a provincial non-profit organization that provides medical and complex care in the community. This is achieved through 24-hours residential supports, day program supports, and overnight respite care. Specifically related to the VAI population, PHSS has eight funded and dedicated LTV beds to support both invasive and non-invasively ventilated patients in the London region. Their funding model is a mixed model with funds from Ministry of Health, Ministry of Social Services, and the PHSS Foundation. Their care model coordinated by its Operations Team that includes PHSS, London area hospitals, outpatient LTV clinics, Ontario Health atHome, and ProResp™ Community Respiratory Therapy. PHSS has a unique housing model for their 24 hrs Residential Support. A minimum of two residents are required for a house. PHSS establishes extended leases for homes, renovates the house to create an accessible space, and staffs the home with non-registered care staff trained in house by PHSS. All residents have access to a specialized behaviour team, medical team including primary care physician, and palliative care team. In addition, VAIs, continue to be followed by the Respiratory Clinic at London Health Sciences Centre and ProResp™ provides the in home Respiratory Therapy services. The VAIs are not cohorted by house, rather placed based on resident profile and geography. Residents of PHSS do not pay out of pocket for room and board, however do pay for any social experiences and outings. PHSS has been expanding this model of LTV care in the community, now with a house in Stratford, and looking to partner with Providence Care Group in Kingston and Hôtel Dieu Grace Healthcare in Windsor to explore opportunities for their model in those communities.

In addition to being part of the PHSS Operations Team, ProResp™ provides community based Respiratory Therapy services across the West Region via Ontario Health atHome contracts in Erie St. Claire, South West, and Waterloo Wellington.

ALSO is a nonprofit attendant-care organization serving Windsor and Essex County. The organization supports individuals with physical disabilities, acquired brain injuries, vulnerable seniors, and people experiencing homelessness. Their team helps clients transition into safe & independent living environments and offers a wide range of in-home services and day programs through the region.

ALSO has a long history of assisting clients who require both invasive and non-invasive ventilatory support. Community-based professional services - including nursing, occupational therapy, physiotherapy and respiratory therapy are delivered in partnership with the local Ontario Health atHome branch.