Increasingly, healthcare services, including occupational therapy, are shifting into the community setting. Community-based occupational therapy services, including school health support services, are funded by the Ministry of Health and Long-Term Care.
A change in the delivery of home care services occurred in 1998, when Community Care Access Centres (CCACs) were implemented and therapy services were divested from the regional home care programs in most areas of the province. As a result, CCACs now contract therapy services through a managed competition model. This means that CCACs contract service provider agencies through the Request for Proposals (RFPs) process, where companies bid on the work for the CCAC.
Within this model, occupational therapists typically work as employees or as independent contractors under contract to private or not-for-profit therapy provider agencies. Please visit their site for more information on the functions and history of Community Care Access Centres (CCACs) as well as the services provided through CCACs.