“…Moreover, following the Chronic Care Model (CCM) developed by Wagner and his colleagues in 1996, and a variation of this model known as the Expanded Chronic Care Model (ECCM) ), 2 we recognize that the person seeking services and/or the person's caregivers and the community to which they belong are active actors in the system. In addition, to ensure continuity of services in the official minority language during a person's service trajectory, we need to consider integration of services and coordination mechanisms between various service organizations (Couturier, Gagnon, Belzile, & Salles, 2013;Tremblay, Angus, & Hubert, 2012).…”