Update to phone lines at our Birchmount and General Hospitals: If calling through Birchmount main line (416-495-2400), add “7” when dialing an extension. If calling through General main line (416-438-2911), add “8” when dialing an extension.

GAIN Clinic

General Information

General Information

The Geriatric Assessment and Intervention Network (GAIN) Clinic is a network of coordinated healthcare services that provide clinical care and education to ensure the best care for older adults and their families.

An inter professional team of healthcare professionals works collaboratively with patients and families and their primary care providers to strengthen supports and capacity for older adults whose health concerns threaten their ability to live independently at home (including retirement residences). Our GAIN teams draw upon the expertise of nurse practitioners, physiotherapists, occupational therapists, social workers, pharmacists, personal support works, dedicated health career case managers, collaborating geriatricians and other specialists.

Community Partnerships

The program is a regional collaboration between SHN, Lakeridge Health and Peterborough Regional Health Centre, as well as the Home Care Services through the Central East Local Health Integration Network. SHN has formally partnered with community agencies, including Carefirst Seniors and Community Services Association and St. Paul’s L’Amoreaux to provide additional geriatric services to support our patients’ overall well-being.

The GAIN Clinic also works closely with many other organizations including the Alzheimer Society of Ontario, Transcare Community Support Services and Scarborough Centre for Healthy Communities to support our patients and their families.

Our Services

Our Services

The GAIN Clinic provides services for seniors generally aged 75 and older with multiple complex medical problems including:

  • Cognitive impairment
  • Decreased function
  • Falls or risk of falls
  • Impaired mobility
  • Incontinence
  • Multiple medications

  • Comprehensive geriatric assessment
  • Assessment of memory and thinking
  • Balance, mobility and falls risk
  • Medication (and supplement) assessment
  • General health, as well as chronic disease assessment
  • Mood and mental health

  • Education regarding chronic disease self-management
  • Teaching about dementia and behavioural care
  • Advance care planning
  • Referral to community supports such as adult day programs, transportation services and
  • Meals on Wheels
  • Access to personal support and home safety assessments, where appropriate
  • De-prescribing and medication adjustment
  • Initiation of treatment for dementia

  • A family member or someone who knows your health care history
  • Walking aids
  • Eyeglasses
  • Hearing aids,
  • All medications, including over-the-counter products (please bring all medication containers, bottles, eye drops, cream, etc.)
  • A light lunch/snack, as your assessment may take up to two hours.

Following the clinic visit, a summary of recommendations will be sent to your referring primary care provider or specialist.

How to Access Care

How to Access Care


Centenary Hospital

Call for appointment inquiries: 416-431-8167
Call for general inquiries: 416-281-7446
Fax referral forms: 416-281-7082

General Hospital

Call for appointment inquiries: 416-431-8167
Call for general inquiries: 416-431-8111
Fax referral forms: 416-281-7082

Location of appointment will be provided at appointment booking.

Ocean e-Referral

We are now accepting Ocean eReferrals! For additional information, please email your Ontario Health East Deployment Team at contact@ereferralontarioeast.ca

SHN, the Scarborough Ontario Health Team (SOHT), and Scarborough Family Physicians Network (SFPN) are working together to support healthcare providers in our community who may be interested in onboarding onto Ocean. Get started by completing the Ontario Health East online form.