title: [Organizational change by program and its impact].
abstract: The Pierre Janet Hospital Centre, a 110-bed short-term psychiatric treatment facility, reorganized its services based on a program-specific clientele. Operational functions are segmented according to client age. There are programs for children, teens, adults and seniors. Each program is responsible for developing, setting up and rendering a full spectrum of specialized services covering the following: reception, evaluation and orientation, treatment, re-adaptation, support to the community, research and development. Programs are managed by a team consisting of a clinical director, a psychiatrist and an administrative co-ordinator. The team reports directly to the director-general. The new structure has had a significant impact on the nursing profession: broadening of the scope of tasks, increase in professional freedom, professional recognition by the nursing community and a modified and enriched perception of the profession's practice.
authors.forename: C
authors.initials: C
authors.lastname: Fisette
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D003953:Diagnosis-Related Groups; D006801:Humans; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D016730:Program Development; D011568:Psychiatric Nursing / Q000458:organization & administration*
vernacular_title: La gestion par programmes et son impact.