The transformation of mental health services to a recovery-orientated system of care: Canadian decision maker perspectives.
BACKGROUND
Recovery is emerging as a worldwide paradigm in mental health. There is increasing recognition that the transformation of mental health systems to a recovery perspective requires collaboration among all stakeholders. Research to date has focused on the perspectives of service users and providers. The role and influence of organizational decision makers in the transformation process has been less studied.


METHODS
This study reports findings from semi-structured interviews with decision makers on the implementation of recovery in Canada.


CONCLUSIONS
Decision makers view community-based services as most open to recovery-based approaches, and front-line providers as pivotal in implementing system change. Decision makers described their own role as limited to providing overall orientation and funding.


CONCLUSIONS
The shift to recovery must include active leadership from decision makers as a catalyst to change.
Piat
Myra
M
Douglas Mental Health University Institute, McGill University, Montreal, Canada. myra.piat@douglas.mcgill.ca
Sabetti
Judith
J
Bloom
David
D
D000288:Administrative Personnel / Q000458:organization & administration; D002170:Canada; D003156:Community Mental Health Services / Q000458:organization & administration; D003659:Decision Making, Organizational; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care