title: The transformation of mental health services to a recovery-orientated system of care: Canadian decision maker perspectives.
abstract: 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.
authors.affiliation: Douglas Mental Health University Institute, McGill University, Montreal, Canada. myra.piat@douglas.mcgill.ca
authors.forename: Myra
authors.initials: M
authors.lastname: Piat
authors.forename: Judith
authors.initials: J
authors.lastname: Sabetti
authors.forename: David
authors.initials: D
authors.lastname: Bloom
mesh_terms: 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