People experiencing structural vulnerability are more likely to die in hospital or alone, on the street, in shelters or in transitional housing. While they fear dying alone or undiscovered, they also fear discrimination in health care at the end of life.

Accessing palliative care services when needed is even more difficult for people experiencing homelessness or precarious housing.

Dr. Spaner & Sasha hill will speak of strategies such as Harm reduction and Trauma informed care may help to engage and enable palliative care services to be delivered to structurally vulnerable people, bring palliative care services to places where structurally vulnerable people live.

Donna Spaner MD, CCFP(PC), FCFP, MScCHClinical Director, Palliative Care Program Toronto Grace Health Centre Palliative Education and Care for the Homeless (PEACH) physician, Inner City Health Associates Assistant Professor, Department of Family and Community Medicine, University of Toronto

Sasha Hill, RPN, Class 1 Funeral Director

Sasha Hill is a current Registered Practical Nurse and 4th year BScN student at Nipissing University. Her nursing background is in palliative care and she works as the community nurse coordinator for the Palliative Education and Care for the Homeless (PEACH) team through Inner