The Inner City Family Health Team (ICFHT) is a multidisciplinary team which serves currently or previously homeless clients with complex health needs. These include untreated chronic and complex multi-system diseases, an elevated risk of acute health emergencies, and serious and persistent mental health and substance use challenges. Services are provided by the team using a holistic, client-centred model of care with an emphasis on disease prevention, chronic disease management, harm reduction and health promotion.