title: Mental Health System Transformation: Drivers for Change, Organizational Preparation, Engaging Partners and Outcomes.
abstract: St. Joseph's Health Care London (hereafter referred to as St. Joseph's) is a publicly funded hospital that has led mental health (MH) service system transformation in south west Ontario following directives from the Health Services Restructuring Commission (HSRC) (Sinclair 2000). This paper documents how provincial policy; HSRC directives; use of change management activities; organizational planning; and partnerships with other hospitals, community agencies and LHINs drove, shaped and accomplished the transformational change. The transformation included divestment of beds and related ambulatory services to four other hospitals, closure of beds and employment services and the construction of two state-of-the-art facilities. This paper documents the tracking of system performance measures and the outcomes that resulted.
authors: Owner/operator of the consulting firm Client Perspectives and recently retired as the project lead for Mental Health Transformation, St. Joseph's Health Care London. Her research interests include understanding the mental healthcare service user experience in order to improve service delivery and enhance the recovery process and quality of life for persons living with serious and persistent mental illness and the use of smart technology to enhance functioning in the community.
authors: Deborah J
authors: DJ
authors: Corring
authors: Integrated vice-president, mental health for both St. Joseph's Health Care London and London Health Sciences Centre, led the restructuring of the St. Joseph's Health Care mental health services, which included the divestment of beds and services to four other hospitals and program realignment of the St. Joseph's Health Care services and contributed to the planning of two new purpose-built mental healthcare facilities.
authors: Sandy
authors: S
authors: Whittall
authors: Director in mental health at the new Parkwood Institute, St. Joseph's Health Care London. Jill brings a unique understanding of the strengths of the mental health system, its challenges and its unlimited potential. She has experience and an understanding of the local and regional mental healthcare delivery system across the continuum of care, from acute to tertiary, across the age spectrum and across the breadth of service modalities from inpatients, ambulatory care and outreach.
authors: Jill
authors: J
authors: MustinPowell
authors: Site chief mental healthcare; chair, medical advisory committee; and director, medical quality at St. Joseph's Health Care London; and an associate professor in the department of psychiatry, Western University. She has worked as a physician administrator since 2001, has developed models for physician HR planning, workload measurement and physician engagement and leadership and teaches widely in the areas of leadership, change and resilience.
authors: Sarah
authors: S
authors: Jarmain
authors: Registered nurse specializing in addictions and mental health. As her career led her to work within community, courts, policing and acute care, she gained a master's in business and provided leadership in several organizational and governmental roles.
authors: Patty
authors: P
authors: Chapman
authors: Adjunct assistant professor of psychiatry. He has authored/edited books on the history of Canadian psychiatry and contributed to various peer-reviewed journals.
authors: Sam
authors: S
authors: Sussman
mesh_terms: D003299:Cooperative Behavior; D018166:Health Care Reform / Q000266:history*; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006778:Hospitals, Psychiatric / Q000266:history* / Q000458:organization & administration; D008131:London; D009864:Ontario