• Mary I Martin, Elizabeth Grier, Nicole Bobbette, Ian Casson, Janet Durbin, Meg Gemmill, Yona Lunsky, and Hélène Ouellette-Kuntz.
• Research Associate in the Department of Family Medicine at Queen's University in Kingston, Ont.
• Can Fam Physician. 2019 Apr 1; 65 (Suppl 1): S41S46S41-S46.

Problem AddressedAdults with intellectual and developmental disabilities (IDD) are a complex population that could benefit from improved care coordination across health and social sectors, as they experience poorer health and have higher rates of emergency department use and hospitalization due to ambulatory care-sensitive conditions.Objective Of ProgramTo pilot a novel, enhanced model of care coordination for complex patients with IDD.Program DescriptionHealth Links is a provincial care-coordination program for patients with complex health care needs. This pilot program adapted Health Links to include a guide and training specific to adults with IDD to ensure that these patients' needs were met and high-quality, efficient care was provided.ConclusionA tailored care-coordination approach for adults with IDD was able to identify complex patients in need and successfully bridge cross-sectoral care.Copyright© the College of Family Physicians of Canada.

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