I think there are a number of ways of approaching it.
At Sherbourne Health—we're based in Toronto—we've been providing LGBT health and a range of community services and supports for quite some time. Recently we got some funding for a black queer youth mentorship program that is not downtown Toronto-specific. Yes, some of the groups are running there, but we're also running groups in suburbs like Scarborough and Etobicoke outside the downtown core, in part because not only is getting to the downtown core so difficult but also people need supports where they are so that they aren't forced to move, even just from the suburbs into the cities.
There are a range of ways. Part of it is through funding. Part of it is through organizing.
Here in the Champlain region—the greater Ottawa area, for those of you who aren't from Ontario—geographically we have some mechanisms for organizing. There's something called the regional planning table for trans health, which looks at how we organize trans health services in Ottawa as well as in the suburbs and through Hawkesbury and Cornwall, and up through Petawawa and Pembroke. Sometimes it's also about how you look at things, and provide some funds and infrastructure for organizations to look at that region from that perspective and say, “What's already happening, and how can we grow it?”