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1._MENTAL HEALTH SYSTEM DEVELOPMENT, ORGANIZATION AND COORDINATION

Problems:

- possible disruption of services for patients during the change
process;

possible overbuilding of institutional care, and underdevelopment
of community resources;

inability of a central provincial planning process to resolve
regional and local service issues;

insufficient involvement of families in patient care fa all areas
of the service system: ‘

; lack of management information, and coordination in the existing
service system. .

Consensus: -

| 1.1 Replacement facilities/services must be in place prior to any
' corresponding reduction in existing programs at
Riverview/Val leyview. . ° :

on oe 1.2 Community-based facilities/services should be developed prior to
a the development of hospital /institutional programs.

1.3 Detailed planning for facilities/services as well as ongoing
monitoring and improvement of service delivery operations should
be carried out through a consultative process at regional and
local levels following Provincial directions, objectives .and
guidelines.

1.4 The general principles underlying the planning process, and
elaborated in the “Conceptual Framework" document (distributed
earl{er) should be affirmed, strengthened, and promul gated
throughout the system. .

: 1.5 All services and programs should be more oriented to family
understanding and involvement in patient care.

pe 1.6 Mental Health Servites Division should continue to take the lead

Oo role in improving the integration, co-ordination, and ae

- : accountability concerning all services for the mentally 111 A
between Ministries of the Provincial Government, Divisions of the 7

. Ministry of Health, and various government and non-government

= programs and services at all levels.

1.7 A common (multi-agency) Management Information System far mental
health services should be developed to improve overall system

Operation.
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