• Our vision is to help end homelessness

  • Delivering services and programming in various locations

  • Waiting room

    Providing specialized health care in the community


Who We Are

Inner City Health Associates (ICHA) is group of more than 80 physicians working in over 44 shelters and drop-ins across Toronto. ICHA provides primary, mental health and palliative care to those who do not otherwise have access to care. We serve people living on the street and in shelters as well as those who are precariously housed. ICHA is funded by the Ontario Ministry of Health and Long Term Care through an alternative payment plan.

ICHA's Position Statement on the National Housing Strategy: A Place to Call Home

On November 22, 2017 the Government of Canada released its first ever National Housing Strategy, A Place to Call Home. Importantly, the strategy is explicitly framed as a rights-based approach to housing that will affirm the International Covenant on Economic, Social and Cultural Rights.

In response to the Government of Canada’s calls for public consultation on its National Housing Strategy, and with the full support of the Board of Directors, we are pleased to share with you ICHA’s position statement entitled Just Healthy Housing: Housing Rights Depend on Health Rights and the Prioritization of Homelessness.

We are very pleased that the just released Final Report of the Advisory Committee on Homelessness echoes many of ICHA’s concerns. ICHA, however, goes much further in highlighting the place of the right to the highest attainable standard of physical and mental health within the right to adequate housing itself and calls for Indigenous self-determination within both the health and social housing sectors. While we await the imminent release of a newly developed Federal Homeless Partnering Strategy, we are mindful that, though this may be helpful in many important ways, the rights-based approach to housing espoused by the Government of Canada establishes that the foundation of homelessness prevention and mitigation rests in general housing policy and legislation itself.


Dr. Andrew J Bond - ICHA Medical Director

Resources at a Glance

Health Tips

Click here to access healthcare information from ICHA's Community Nurse Coordinator

Featured Studies and Articles

Hospitals, clinics, and palliative care units: Place-based experiences of formal healthcare settings by people experiencing structural vulnerability at the end-of-life (Melissa Giesbrechta,Kelli I. Stajduhara, Ashley Mollisona, Bernie Pauly, Sheryl Reimer-Kirkhamd, Ryan McNeile, Bruce Wallaceg, Naheed Dosanih, Caelin Rosea)
People 'dying unnecessarily' because of racial bias in Canada's health-care system, researcher says - Dr. Janet Smylie researches anti-Indigenous racism in Canada's health-care system and says it's a major factor in health inequities between Indigenous and non-Indigenous people in Canada (Emily Blake · CBC News ·
Doctor hits the road to deliver palliative care to Toronto's homeless (Kas Roussy · CBC News ·
City budget cuts will harm those most vulnerable (

The Cost of Poverty Affects Us All (Gary Bloch - Toronto Star - Dec 6, 2016)

Minding the gap: Access to Palliative Care and the Homeless (Lise Huynh, Blair Henry, Naheed Dosani, BMC Palliative Care)

Understanding community integration in a Housing First approach: Toronto At Home/Chez Soi Community-based Research (Linda Coltman, Susan Gapka, Dawnmarie Harriott, Michael Koo, Jenna Reid, Alex Zsager - June 2015)

Health interventions for people who are homeless (Stephen W. Hwany, Tom Burns - The Lancet - Oct 25, 2014)

Different faces of discrimination: Perceived discrimination among homeless adults with mental illness in healthcare settings (Anna Skosireva, Patricia O'Campo, Suzanne Zerger, Catharine Chambers, Susan Gapka, Vicky Stergiopoulos - BMC Health Services Research - Sept 7, 2014)
Healthcare Utilization, Legal Incidents, and Victimization following Traumatic Brain Injury in Homeless and Vulnerably Housed Individuals: A Prospective Cohort Study (To MJ, OʼBrien K, Palepu A, Hubley AM, Farrell S, Aubry T, Gogosis E, Muckle W, Hwang SW - Journal of Head Trauma Rehabilitation - March 2014)
A comprehensive assessment of health care utilization among homeless adults under a system of universal health insurance (Stephen W. Hwang, Catharine Chambers, Shirley Chiu, Marko Katic, Alex Kiss, Donald A. Redelmeier, and Wendy Levinson - American Journal of Public Health - December 2013)
High utilizers of emergency health services in a population-based sample of homeless adults (Chambers C, Chiu S, Katic M, Kiss A, Redelmeier DA, Levinson W, Hwang SW - American Journal of Public Health - December 2013)