Riverview Hospital, B.C.'s only and Canada's largest remaining provincial psychiatric hospital began a formal planned « downsizing » process in 1992.
This initiative was an important element in the Province's strategic plan to shift to a more community-focused mental health system and to bring tertiary psychiatric services « closer to home » by redeveloping Riverview Hospital on three sites.
The paper summarizes the literature pertaining to the « downsizing » of psychiatric hospital services in relation both to clinical and human resource planning.
It describes the mental health system in B.C. and the service system context in which this exercise is occurring.
It is based on the first three years of experience in identifying the major challenges and the strategies developed to meet these challenges.
It draws some conclusions about the effectiveness of these strategies and it speculates about the likely future challenges as the « downsizing » process continues.
Mots-clés Pascal : Hôpital psychiatrique, Désinstitutionnalisation, Planification, Organisation santé, Système santé, Colombie britannique, Canada, Amérique du Nord, Amérique, Transfert, Malade, Gestion personnel, Santé mentale
Mots-clés Pascal anglais : Psychiatric hospital, Desinstitutionalization, Planning, Public health organization, Health system, British Columbia, Canada, North America, America, Transfer, Patient, Staff management, Mental health
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0185279
Code Inist : 002B18H05B. Création : 21/05/1997.