imperative that they adopt a ‘harm reduction strategy’ which fosters a trusting therapeutic relationship between the homeless individuals and the health care providers through demonstration of awareness of their current situation and psychosocial circumstances (Huynh et al., 2015). Pre- conceived notions and stigma towards homelessness must be removed from any and all interactions for this therapeutic relationship to be started and maintained (Hudson et al., 2016). Health care professionals must use a non-biased, patient centered approach by setting goals that are realistic and attainable in the context homelessness. There is a need for more flexibility, conducive conversations and collaboration between homeless individual and the treating professional (Hudson et al., 2016). Awareness and understanding are required of the treating health care professionals as the goals and expectations of a homeless individual may greatly differ from those of a non-homeless individual. For example, the emphasis of advanced care planning must be implemented as many homeless individuals lack the social support to make decisions on their behalf as their physical and mental state deteriorates. This can also further encourage autonomy and control over their health and remainder of their life which has been previously absent in their life (Klop et al., 2018). Another aspect that requires for attention is the integration of community and institutional services for the homeless population. Specialized palliative care implemented by trained health care professionals with a well-rounded understanding of the complex and unique physical, mental and psychosocial issues within the homeless population is required in all settings (Brennan, 2014). This can be achieved through integration and partnerships between health care institutions and its professionals and local homeless community services so care can be delivered to these individuals in the setting of their choice, whether it be in a hospital setting or in the shelter where they feel most comfortable (Henry et, al., 2017). Conclusion The models that currently exist to provide assessment, consultation, support and knowledge regarding the delivery of palliative care do not promote equitable access and opportunity to promote a palliative care approach (Lavergn et al., 2015). In order to provide the highest quality of care for the Canadian population we must accommodate special populations. The goals and standards we promote are not always applicable to the homeless population.>