es 6 =
Guestions For Further Discussion:

@. Should community residential care facilities be empowered to
manage involuntary psychiatric patients?

f. What is the ideal size of general care (IC3) and Special
care ("IC4") residential facilities to optimize program
operations and community acceptance?

Given that resources are limited, in what ways can the
utilization of existing and reallocated residential care
capactty be optinized? ‘

5. COMMUNITY OUTPATIENT, SUPPORT AND REHABILITATION
eee

This section encompasses issues relating to Mental. Health Centres,
Community Care Teams, and various community support and
rehabilitation programs delivered by non-government agencies.

Problems:

~ difficulty in following up patients after discharge from hospital,
especially those who resist prescribed medication and other
treatment. -

- shortage of programs and staff oriented to those with special needs,

- difficulty in gaining access to community support/rehabilitation
programs.

Consensus:

5.1 Mental Health Services Division should continue to set standards
and priorities for service delivery, be responsible for the
provision of professional outpatient services, and provide funds
to outside agencies to develop and deliver a wide range of
community support and rehabilitation programs at the local level.

Professional case management, and aggressive aftercare /outreach
Services should be expanded to improve the comprehensiveness and
continuity of care arrangements for the seriously 111.

A focal point for the co-ordination of all community support and
rehabilitation programs should be established in each region.

Programs at the local level providing community mental health
services for special needs groups should be expanded.

More outpatient, support and rehabilitation services are
required in many areas to meet existing and future neeas.