~Z-«- 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. 37