Support Program for the Autonomy of Seniors (SAPA)


What is Long-Term Care?

Long-term care centres provide care for adults experiencing a decrease in autonomy that prevents them from living independently. A long-term care centre generally provides:

  • furnished accommodation, assistance, support and/or supervision;
  • social and recreational services;
  • nursing care; and
  • medical, rehabilitation (depending on the needs and capacity of the resident) and drug administration services.

How to access long-term care?

A request for placement in a long-term care facility must be made through the CLSC (or with the hospital if the person is hospitalized); if you are unsure how to contact your CLSC, call 811 and select option 3. 

Requests for long-term care are submitted to the Mécanisme d’accès à l’hébergement (MAH) [Access mechanism to housing for adults with a loss of autonomy], a central body responsible for orienting requests for placement.

Once the request has been accepted, the name of the future resident is added to the wait list of a centre of his or her choice. Preferences regarding a permanent long-term care centre are respected, as long as you meet the admission criteria and a bed is available. If your permanent bed is not available, you will most likely be provided a bed on a temporary basis (transit bed) at another site, until a bed becomes available in the long-term care centre of your choice.

How long is the wait? 

The waiting period begins once the MAH orients your request. Depending on bed availability, the wait time may to be admitted to a long-term care centre could range from a few days to several months. Many factors can affect the length of the waiting period. To avoid disappointment, it is best not to have any specific expectations about the wait time.

How much does long-term care cost? 

As of January 1, 2024, room rates are as follows: 

  • private room: $ 2,142.30 per month 
  • semi-private room: $ 1789.80 per month
  • 4-bedded room: $ 1333.20 per month

Room rates are determined on an annual basis by the government and based upon the type of accommodation. Partial or full rate reduction from the maximum fees is available under certain circumstances and is dependent upon the income and/or assets of the resident and their spouse. The Admissions Officer at your long-term care centre will help you to complete the application for a rate reduction request, if needed. In order to ensure the renewal of exonerated room rates, the resident or their legal representative must ensure that income taxes are filed with the government on an annual basis.

There are seven long-term care sites within the CIUSSS West-Central Montreal, each with their own unique history and culture: 

CIUSSS West-Central Montreal CHSLD site coordinators

In addition to these sites, we work in partnership with the following long-term care centres who provide service to our clientele: 


CLSC René- Cassin

CLSC René-Casin offers many services to seniors and individuals experiencing a loss of autonomy in their daily functions, as well as to their families and caregivers, including:

  • overall health evaluations;
  • evaluations of home adaptation needs; 
  • advice on nutrition, exercise, healthy lifestyle habits and fall prevention; 
  • physiotherapy;
  • respite for caregivers;
  • occupational therapy services (evaluation of home adaptation needs, evaluation of functional capabilities to perform personal hygiene tasks and take part in leisure activities);
  • assistance with personal care; 
  • nursing care; 
  • psychological support; and 
  • end-of-life care and homemaking assistance. 

These services may be offered at the CLSC or at home. Some services are also provided in cooperation with community organizations. When home care services no longer meet the needs of a person whose autonomy is significantly decreased, social workers from your CLSC can help you apply for placement in a long-term care centre.

- CLSC de La Montagne

Our professionals evaluate your home situation, bearing in mind your capacities and resources and those of the people around you. If necessary, other professionals are asked to give their expertise to develop the best possible service plan for you.

Our SAPA professionals can offer advice about the most appropriate services provided through the CLSC or our community partners. The professionals act as resource persons to guide you through the health system.

If necessary, the CLSC de la Montagne provides home care services to people with decreased independence who can no longer get around outside.


The nurse delivers appropriate care and, if needed, coordinates the care plan. The nurse provides information that will help clients develop healthy lifestyle habits to prevent illness and have an improved quality of life.

The health and social services auxiliary nurse provides care to clients who are vulnerable or dependent on others for their activities of daily living such as getting up, eating, dressing and washing. The role of the auxiliary nurse is to help clients maintain and improve their level of health and quality of life.

The psychosocial worker assesses clients’ needs and, if needed, coordinates the care plan. The psychosocial worker helps clients adapt to their environment and cope with difficult situations. They accompany and support clients and their loved ones through various steps involving a request for accommodation, an application for the institution of protective supervision, etc.

The occupational therapist (O.T.)uses adaptive technologies to mitigate a loss of independence. For example, an O.T. suggests home adaptation solutions to make daily activities  easier.

The physiotherapist (P.T.) aims to maintain and even improve a client’s mobility. The P.T. supports the independence of people confined to their homes or susceptible to falls and recommends the necessary aids for getting around safely.
The nutritionist makes sure that a client’s energy requirements are met through a balanced diet, while bearing in mind the person’s dietary preferences, restrictions and habits.


The Integrated Health and Social Services Network of CIUSSS West-Central Montreal, in partnership with community and institutional resources, supports the development of various caregiver respite services.

The CLSC professional responsible for your file can give you more information on the subject.


West-central CIUSSS offers Telehomecare to patients with chronic disease, such as congestive heart failure, hypertension, chronic obstructive pulmonary disease and diabetes.

What is Telehomecare?

Telehomecare uses technology to bring chronic disease patients the care they need, right in their home. Telehomecare nurses monitor each patient's health status remotely, offering support, from educating the patient about their condition to coaching them on how to manage their condition. The patient's primary care provider is kept informed with ongoing updates. Together, the goal is to empower individuals to manage their health in the comfort of their home.

How to reach us
Telehomecare team at 514-484-7878, extension 1192.


Le CIUSSS du Centre-Ouest-de-l’Île-de-Montréal, en collaboration avec la Ligne Aide Abus Aînés, fournit des services de première ligne directs (services psychosociaux, médicaux ou juridiques) aux personnes âgées plus à un risque de faire l’objet de maltraitance.

Les services comprennent du counseling individuel et familial pour la victime et pour l’abuseur.

 Ligne Aide Abus Aînés 
514 489-2287 ou 1 888 489-2287
Du lundi au dimanche, de 8 h à 20 h

Aide Abus Aînés est une ligne téléphonique provinciale mise à la disposition des aînés victimes d’abus ou de maltraitance.

Quiconque (citoyen, aidant, membre de la famille, professionnel de la santé) souhaite signaler une situation d’abus peut appeler la ligne.

Les appelants sont mis en communication avec des professionnels spécialisés dans la maltraitance envers les aînés qui les écouteront, les aiguilleront et tenteront de gérer la crise par téléphone. Selon la situation, les praticiens dirigeront l’appelant vers les ressources appropriées au Québec, sous réserve de recevoir son consentement.


Service d’écoute, d’aiguillage et de prévention pour les personnes âgées et leurs proches (services offerts en français).

Page last updated on 

We always seek feedback to make our site better.