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“Peterborough’s HART Hub is taking shape, but more affordable housing is needed” — Peterborough Examiner

Peterborough was one of 27 communities in Ontario to be approved for HART Hub funding in January 2025.

HART Hub funding is flowing into Peterborough and the work of building up the region’s response to treating mental health and addictions while addressing homelessness is well underway, says the executive director of Four Counties Addictions Services Team (Fourcast).

Donna Rogers explained the work is “a focused approach based on consolidating some of the planning and some of the decisions that city council made,” specifically around the decisions to fund One City’s Trinity Shelter and the Modular Bridge Housing Community on Wolfe Street.

Peterborough was one of 27 communities in Ontario to be approved for Homelessness and Addiction Recovery Treatment (HART) Hub funding in January 2025 and is set to receive more than $18 million from the province over a three-year period to support the project.

“When you opened up the modular community, you moved 50 people instantaneously out of encampments,” she explained, while underscoring that the goal of the HART Hub network is to open and manage the movement of people from spaces like Wolfe Street through to transitional housing, treatment, and then hopefully into affordable permanent housing.

Rogers refers to the movement of people within this system as “shifts”, illustrating movement between varying levels of care and support.

Under the existing HART Hub model, there are 40 units of transitional housing available across the city with an additional six units, run through the CMHA, reserved for people exiting Wolfe Street with acquired brain injuries or dual diagnoses, which present challenges to securing and maintaining housing. Those six units are staffed 24/7 and are rent supplemented.

“There won’t be 40 people exiting there at the same time,” Rogers explained, noting the difference between the opening of Wolfe Street and the model established under the HART Hub.

“As people are ready, and as we can find units, it’ll be a bit of a slower trickle off Wolfe Street, but every time we move someone off the site, someone can move on the site.”

Through the HART Hub model, one individual has been moved from Wolfe Street, Rogers said, but hopefully that will speed up as hiring continues and the services are established.

Meanwhile, another six units are reserved for individuals who are entering housing out of homelessness following their choice to enter [bed-based] addictions treatment. These units are meant as a form of aftercare, lasting six months post-treatment, and allow individuals to be fast-tracked into available transitional housing, Rogers explained.

Fourcast is working as part of a larger team of health-focused organizations and community partners on the implementation of the HART Hub locally. The partners involved include PRHC, One City, CMHA, Elizabeth Fry Society, Peterborough City-County Paramedics, and the Community Health Centre.

“All of those partners have different parts to play in implementation of the HART Hub, so we have been doing a lot of work around planning and designing the four different structures or components of the HART Hub as we implement them,” Rogers said.

A small portion of HART Hub funding was earmarked for capital projects, which includes renovations to the main building located at the Wolfe Street Project which will house a health team consisting of nurse practitioners, psychiatrists, addictions case managers, and Ontario Works social services staff.

The nurse practitioner positions are being actively recruited through PRHC while Fourcast is working toward hiring two intensive case manager positions and housing support workers who will operate with a caseload of between 15-20 people. The roles entail helping to identify and work with individuals living at Wolfe Street or making use of Trinity’s overnight program who are ready to move into transitional housing.

Wolfe Street, Rogers explains, targets the more complex cases of people looking for homes, meaning that the work of the HART Hub is specialized and targeted while also flexible enough to operate between different levels.

It also goes some way to explain why, as councillors asked last week, an organization like Redpath — which the city just granted $150,000 to support planning for a transitional housing project — had not been involved in the planning and therefore not eligible for the provincial funding.

The differences also extend to the point that the only part of the HART Hub model dependent upon complete abstinence from substances being required is the six units for post-treatment housing.

There’s a specific reason for that, Rogers said: “Wolfe Street, and the folks that Fourcast admits into our existing transitional housing programs under the city, is a population for whom abstinence at point of admission into housing is a barrier to housing.”

“We’re talking about the population that’s signing on to getting off the street and getting into housing as a starting point,” she added.

The focus on building transitional housing, including HART Hubs, Redpath, and a planned development by the Brock Mission too, means that within a few years there will be an issue in terms of where people who are living there will go. Under provincial legislation, transitional housing is specifically time-limited, allowing residents to stay up to four years, and includes exemptions under the residential tenancies act.

This point, Rogers says, means that there needs to be increased investment in the creation of permanent affordable housing in the region to avoid bottlenecks which are only just beginning to ease at Wolfe Street as a result of the HART Hub investments.

“If transitional housing is time-limited, there’s probably a formula that says for every transitional housing unit you have, every 10 years you’re probably going to need three to four affordable housing units,” Rogers said. “If we robustly support transitional housing, we have to be thinking we’re creating a problem three to four years down the road.”

Locally, two “shovel ready” projects supported by Peterborough Housing Corporation (PHC) have been stalled since 2024 due to a lack of available funds from the province and the federal government.

Both Rogers and MPP Dave Smith told the Examiner that it’s too soon to know exactly what future rounds of HART Hub funding would look like at this time, and what, if any, changes might be made to the expectations.

Rogers noted, however, that the information gathered over the next two years would help inform how the programs will be utilized.

By Sebastian Johnston-Lindsay, Reporter
February 9, 2026

Fourcast Launches Recruitment Campaign for New Bed-Based Addiction Treatment Facility

Addiction treatment in our community has just reached a major milestone. The Four Counties Addiction Services Team (Fourcast) is proud to announce that the renovation of the historic Paddock Wood house is now completed, and we are moving into the next phase of the project by launching a staff recruitment campaign for the new services that will be housed at the site.

Visit our Careers page to see all available positions

Beginning on Monday, May 5, Fourcast will be recruiting a full complement of staff to run the highly anticipated bed-based programs, which include a 35-day addiction treatment program and a 5 to 7-day withdrawal management program. Developed over the past two years, the services will align with the current best practices for addiction treatment and withdrawal management and will allow Fourcast to add this vital new service to our existing program options

“We are incredibly excited to be moving forward with setting up our new facility and getting closer to opening the doors at Paddock Wood,” said Donna Rogers, Executive Director at Fourcast. “The biggest variable in predicting when we will be able to open these programs to the community is getting staff in place. We are committed to having the right people in the right roles so that we can ensure that we are offering the highest quality programming and meeting the highest standards of care to those receiving our services.”

Fourcast’s new programs will require a team of highly trained professionals to operate services that will see male-identifying participants residing on-site 24 hours a day. The agency will be recruiting for a wide range of roles, including full-time and part-time staff, day and night shifts, in different capacities from addictions and withdrawal management workers to food services and overnight care workers.

Ms. Rogers added, “Just as we do for our community-based treatment programs, we place the utmost importance on employing qualified, experienced, and compassionate professionals who will uphold our values in every interaction with our clients.”

There is currently no bed-based treatment available in the region of Peterborough, causing many people to travel to Oshawa, Kingston, or Barrie to get the help they need. Adding local bed-based services will allow Fourcast to complete the continuum of services from early-access and harm reduction services to full 24/7 care.

“As we heard from many community service agencies, government partners, and healthcare partners during the early stages of approving this initiative, Peterborough and its surrounding counties have a critical need for this program as part of the continuum of substance use services,” Ms. Rogers said. “By providing 12 new units of bed-based addiction services to the community, we will be able to get people into this intensive level of treatment much more quickly and much closer to home.”

The new programs will be located in a house in the Paddock Wood subdivision in the north-east end of Peterborough. The 160-year-old building, formerly used by the Canadian Mental Health Association Haliburton Kawartha Pine Ridge (CMHA), has been extensively renovated to meet the need for a bed-based service location.

Fourcast will be posting jobs on our website at www.fourcast.ca/about-us/careers and will share widely with community partners and on social media.

Fourcast thanks the Ontario Ministry of Mental Health and Addictions, the City of Peterborough, and Peterborough County for contributing to the funding for Paddock Wood.

PRHC opens barrier-free downtown clinic, providing rapid access to treatment for patients with opioid and alcohol addictions

PRHC Press Release

April 12, 2017 (Peterborough) – Peterborough Regional Heath Centre (PRHC) is pleased to announce the recent opening of the area’s first Rapid Access Addiction Medicine (RAAM) clinic, which provides expedited, barrier-free treatment for patients who are addicted to alcohol or opioids.

The clinic is staffed by PRHC physicians and registered nurses (RNs). No booked appointment or physician referral is necessary, although referrals from doctors, nurses, social workers, addiction counselors and community providers are welcome.

“Our Rapid Access Addiction Medicine clinic provides immediate access to lifesaving treatment by offering same-day counselling and addiction medication, and prescription therapies,” said Dr. Jim McGorman, an Emergency Department physician with PRHC who is now also treating patients at the new clinic. “This care model has been shown to help save lives by engaging patients with both short- and long-term therapies as soon as they are ready to pursue those treatments.”

The Rapid Access Addiction Medicine model is designed to initiate therapy for opioid or alcohol addiction and then triage clients to the most appropriate ongoing care provider. It is not intended to replace or duplicate the care provided by a family physician or a treatment clinic. The Peterborough RAAM clinic is working closely with other healthcare providers and resources in the community to ensure patients have access to additional supports following their initial treatment, as they move through the continuum of care.

PRHC’s RAAM clinic has been made possible through a $200,000 commitment from the Ministry of Health and the Central East Local Health Integration Network (LHIN). The RAAM clinic model has been implemented in cities across Ontario, where it is helping to prevent opiate overdoses and reduce ED visits and inpatient stays for people with addictions.

“The Central East LHIN, together with the Ministry of Health and Long-Term Care and our health service provider partners, is committed to improving access to comprehensive care for people living with substance abuse disorders,” said Deborah Hammons, CEO of the Central East LHIN. “We look forward to seeing how the opening of the Rapid Access Addiction Medicine (RAAM) clinic at Peterborough Regional Health Centre will have a positive impact on our ability to support individuals dealing with an opiate addiction by providing them with timely treatment, counselling and other supports. The development and implementation of RAAM clinics in Oshawa, Scarborough and now in Peterborough is an important part of the recently released Central East LHIN Opioid Strategy as we collectively respond in an integrated and coordinated way to addressing the opioid crisis in each of our sub-regions.”

The RAAM clinic has been operating in its downtown location at 159 King St. Suite 302 (co-located with PARN) since March 5. It is open Mondays, Wednesdays and Fridays from 8:00 a.m. to 11 a.m.

For further information, please contact:

Michelene Ough
Director, Communications
Peterborough Regional Health Centre
705-743-2121 x. 4259
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