Canadian psychiatry: a status report (original) (raw)
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Mental health reform and evolution of general psychiatry in Ontario
Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2002
To discuss developments in Ontario mental health reform, describe general psychiatric services in contrast to tertiary services, describe guidelines for the training of general psychiatrists, and suggest what changes may be required to develop an integrated mental health system (IMHS). We review the Ontario government's recent blueprint for mental health reform and the Canadian federal government's document on best practices in psychiatry, in the context of defining general psychiatric services and their relation to tertiary services. From this, we consider the education of general psychiatrists and make suggestions for their training. General psychiatric services correspond to first-line and intensive psychiatric services delivered by community mental health agencies, community psychiatrists, and general hospitals for patients with moderate or serious mental illness. Many suggest that psychiatrists are not being trained to meet the needs of a reformed mental health system. ...
Canadian Psychiatric Association Journal, 1976
For the purpose of examining patterns in the delivery of psychiatric services in the province of Saskatchewan during 1971 and 1972, a research data file was created containing data on all persons who had received medical treatment for explicitly psychiatric disorders: from PSB; from a physician paid on a fee-for-service basis under MCIC; and/or in a provincial general hospital. The resulting data file provides a history of the psychiatric care utilization behaviour of all patients who have been treated for a psychiatric illness in the province during the period January 1st, 1971 to December 31st, 1972, irrespective of the facilities in which this treatment was delivered. This data file, since it has keyed on explicitly psychiatric diagnoses and on diagnoses rather than type of service delivered, will give conservative estimates on the number of patients and patterns of contacts. During the two-year period a total of 123,099 received some form of psychiatric treatment. There were six...
Psychological Services and the Future of Health Care in Canada
Canadian Psychology-psychologie Canadienne, 2003
The implications of the Commission on the Future of Health Care in Canada’s (CFHCC) recommendations extend beyond the necessarily limited scope of its report. This article explores the potential role of psychologists in a restructured public health care system that goes beyond hospital and physician care to home care and a revamped primary care system. Public plans would also benefit from the use of psychological alternatives to prescription drug therapies. Such evidence-based extensions to the existing Canadian model would improve both health and medical outcomes. They could also introduce new cost-savings to provincial health plans that are presently under immense financial strain.