Restructuring mental health policy in Ontario : (Record no. 15730)
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| 001 - CONTROL NUMBER | |
| control field | 6042010081521 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20190211161122.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 060420s2006 xx ||||gr |0|| 0 eng d |
| 999 ## - SYSTEM CONTROL NUMBERS (KOHA) | |
| Koha Dewey Subclass [OBSOLETE] | PHL2MARC21 1.1 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | WIKTOROWICZ, Mary E. |
| 9 (RLIN) | 11351 |
| 245 10 - TITLE STATEMENT | |
| Title | Restructuring mental health policy in Ontario : |
| Remainder of title | Deconstructing the evolving welfare state |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Toronto : |
| Name of publisher, distributor, etc. | IPAC, |
| Date of publication, distribution, etc. | Fall 2005 |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | Ontarios mental health sector offers an insightful case study of the welfare state restructuring in which governments have been engaged, having recently undergone turbulent reform involving the divestment, closure or amalgamation of nine psychiatric hospitals and a fifty percent reduction in psychiatric beds. While premised on a shift to community-based care, investment in the community sector has been slow to occur, increasing the risk of off-loading vulnerable members of society to the community without appropriate supports as occurred in previous movements of de-institutionalization. To understand why community sector reforms have not kept pace with institutional downsizing, we analyse the process of health system restructuring to clarify the obstacles contributing to delay. These include successive arms length governance processes with varying basis of authority; an absence of political will to allocate funds to the community and devolve the coordination of care to local networks; and insufficient engagement of the policy community in policy implementation. Finally, complexity - including the cross-jurisdictional nature and coordination of services on which community care relies - remains an important challenge. Not only have such obstacles diminished the pace of reform and led to regional disparities in Ontario, they reflect common barriers to effective reform across most provinces. |
| 773 08 - HOST ITEM ENTRY | |
| Title | Canadian Publique Administration Publique du Canada |
| Related parts | 48, 3, p. 386-412 |
| Place, publisher, and date of publication | Toronto : IPAC, Fall 2005 |
| International Standard Serial Number | ISSN 008-4840 |
| Record control number | |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20060420 |
| Operator's initials, OID (RLIN) | 1008^b |
| Cataloger's initials, CIN (RLIN) | Natália |
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