HERE

In 2019 the BC-CfE opened the Hope to Health (H2H) Clinic in the Downtown Eastside (DTES) of Vancouver. The clinic provides interdisciplinary care based on best-evidence for urban and marginalized communities.

 

The Hope to Health Engagement and Retention Evaluation (HERE) Study aims to evaluate the effectiveness of the H2H service delivery model and will pilot a mobile phone-based digital health intervention, WelTel, to improve engagement in primary healthcare (PHC) among H2H clients. In order to improve clients’ health outcomes, the study inquires about housing status, mental health, food security, social supports, substance use and treatment, and use of ancillary health services at H2H.

 

Having reached their initial recruitment target of 500 participants, the HERE Study has reopened recruitment to H2H clients on an ongoing basis. If you’re a client at H2H and interested in participating, drop in to the clinic and ask to speak to a member of the HERE team.

The HERE Study’s Research Objectives are:

  • To characterize the medical and social needs; and measure client retention in PHC among clients of the newly-established H2H Centre and to measure the potential acceptability of the mobile phones and WelTel service among marginalized residents of the DTES with mental health and substance-use disorders.
  • To assess the use of mobile phones and the WelTel service as an added tool to facilitate regular engagement in PHC among marginalized residents of the DTES over a six-month period.
  • To measure the effectiveness of an adapted version of the WelTel mobile health intervention to further improve engagement in PHC for DTES residents with complex medical needs.
  • To measure the health systems impact of the H2H delivery model and WelTel interventions in terms of reducing acute medical care services, hospitalizations, and mortality among H2H clients in comparison to other DTES residents accessing VCH services with similar medical profiles.
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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below