The Community Ethics Network (CEN)


The Community Ethics Network (CEN) includes members from across the province of Ontario, whose services operate at the local and regional levels involving direct service provision, coordination and commissioning.

Traditionally, ethics resources have focused on clinical ethics in acute care in institutional settings. Although there is an increasing recognition of community-based care as an essential part of the healthcare system, there have been few ethics resources developed specifically for those working in this sector.

The CEN addresses this resource gap by collaborating with community-based organizations so that ethical practice takes place across the full continuum of care. In particular, the CEN works to support front-line providers – personal support workers, nurses, social workers, physiotherapists, occupational therapists, etc. - who often work without access to a team or other formal support to address the ethical issues they encounter in practice.

The CEN aims make innovations in applied ethics available to this often isolated care provider population. To this end, the CEN leads and facilitates building ethics capacity in the community healthcare and support services sectors. Through its website, quarterly newsletters, tools and resources, member-led workshops, and annual conference the CEN promotes a common approach to ethical decision-making, and supports knowledge exchange in clinical and organizational ethics from the front-line to the board room, within and across its member organizations.

Membership is open to community healthcare and support organizations around Ontario. An annual membership fee is payable in April each year to cover ongoing administrative costs.

The CEN Steering Committee oversees the network’s administrative functions such as communication with membership and external agencies, organizing Network meetings and planning educational events. Members of this committee include:

  • Sharri-Ann Edmunds, Bellwoods

  • Karen Laforet, Calea Limited

  • Caroline Gill, CBI Health Group

  • Annette Marcuzzi, Central Local Health Integration Network

  • Diana Brouwer, Community Head Injury Rehabilitation Services

  • Andrea Okazaki, City of Toronto, Long-Term Care Homes and Services

  • Kathy Romas Jaeger, Local Health Integration Network East

  • Tracy Howell, PACE Independence Living

  • Dana Spendlove, ParaMed Home Health Care

  • Leslie Sorensen, Spectrum Health Care

  • Janet Rajroop, S.R.T. Med-Staff

  • Patricia Maxwell, St. Elizabeth Health Care

  • Janet Vogt, Surrey Place Centre

  • Shelly Price, Traverse Independence

  • Kevin Reel, Toronto Central Local Health Integration Network

  • Richard Rementilla, VHA Home HealthCare

  • Madeline O’Neill, WoodGreen


For further information about the CEN, see the website, or contact the CEN Coordinator.