Pediatric Advanced Care Team (PACT) / Palliative Care Program

The Pediatric Palliative Care Program provides care to patients in the hospital and, at home for patients needing end-of-life care.

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Our history

The MCH Pediatric Palliative Care Program was one of the first in Canada. The program was developed in response to the growing need to provide comprehensive care for children with life-limiting and terminal illnesses. The program evolved from a service that provided consultation only to one that currently provides both consultation and direct patient care.

Our team

The team is comprised of physicians (core members of the program as well as those who provide consultative services), nurses, researchers and allied health professionals who each have specialized experience in pediatric palliative care. Several team members have over 15 years of experience and in addition to providing clinical care to our patients, they are involved in national and international teaching, conferences, and research activities.

Department head: 

Dr. Stephen Liben, Director

Staff members

  • Sylvie Canizares, CNS-IACS 
  • Dr. Catherine Millar, Pediatrician 
  • Marie-Claude Proulx, CNS 
Where the care happens

The Pediatric Palliative Care Program provides care to patients in the hospital and, at home for patients needing end-of-life care.

Programs and services

The MCH Pediatric Palliative Care Program provides clinical consultation for children with life-limiting illness and their families. The program members address clinical issues including pain and symptom management, communication on end-of-life care issues, sibling support, advance care planning, location of care preferences and options, psychological and spiritual assessment, quality of life treatment options, and bereavement support. The program also provides teaching and supervision in many medical nursing and auxiliary health science fields and is also active in research.

Conditions and treatments

Any child who has a significant risk of dying before reaching adulthood may be eligible for pediatric palliative care services. Children seen in the program are those who have life-threatening conditions (e.g. cancer), or conditions associated with a short life span (e.g. some inborn errors of metabolism and cystic fibrosis), and those with severe disability and an increased likelihood of dying before adulthood (e.g. severe cerebral palsy).

Refer a patient 

Room: A 02.3734, Glen site

Phone : 514-412-4370
Fax : 514-412-4271