In collaboration with Fraser Health’s Toxic Drug Response & Priority Populations team, we led a comprehensive engagement process to map the healthcare journeys of People Experiencing Homelessness (PEH). Facilitated by Tanya Gadsby and Jessica Delaney of Engage Delaney, the project aimed to identify critical barriers and “moments of truth” at four key stages: being unhoused, in shelter, in acute care, and during hospital discharge.
Our team provided expert guidance on trauma-informed best practices for conducting sensitive interviews with the PEH community and prepared the foundational interview questions. Following 40 interviews conducted by the client team across the Fraser Health region, we analyzed the findings to produce an interview summary report and a summary graphic of key insights.
We then facilitated four three-hour virtual journey mapping sessions with over 40 internal and external service providers, including outreach teams, Indigenous health workers, and peer navigators, to ground system-level gaps in frontline reality.
To synthesize the complex data gathered, we delivered a robust suite of final products: a detailed 21-page report, a concise one-page executive summary, an explainer video, and a summary graphic. These resources highlighted critical themes such as the necessity of trust-based relationships, the impact of stigma, and the urgent need for coordinated, culturally safe discharge options.
This work now serves as a strategic roadmap for Fraser Health to advocate for structural reforms and more equitable health outcomes throughout the region.

