A Fresh Approach to Reform? A Policy Analysis of the Development and Implementation of Ontario's Mental Health and Addictions Strategy.
Journal
Healthcare policy = Politiques de sante
ISSN: 1715-6580
Titre abrégé: Healthc Policy
Pays: Canada
ID NLM: 101280107
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
entrez:
25
4
2019
pubmed:
25
4
2019
medline:
26
9
2019
Statut:
ppublish
Résumé
Open Minds, Healthy Minds, Ontario's Comprehensive Mental Health and Addictions Strategy commits to the transformation of mental health and addictions services for all Ontarians. We analyzed the formulation and implementation of this Strategy to address the question: What are the prospects for transformative change in Ontario's current approach to mental health and addictions? Qualitative policy analysis using interpretive description of key documents of the policy process, drawing on policy network and horizontal governance theory. Three features set this policy process apart from previous reform efforts: (1) expansion of the state pluralist network to those outside of health, (2) extension of the policy network approach into the Strategy's implementation stage and (3) the combined presence of political and policy leadership. There is reason for optimism that the approach of the Strategy has increased the prospects for the transformation of Ontario's mental health and addictions system.
Sections du résumé
Background
Open Minds, Healthy Minds, Ontario's Comprehensive Mental Health and Addictions Strategy commits to the transformation of mental health and addictions services for all Ontarians.
Objective
We analyzed the formulation and implementation of this Strategy to address the question: What are the prospects for transformative change in Ontario's current approach to mental health and addictions?
Methods
Qualitative policy analysis using interpretive description of key documents of the policy process, drawing on policy network and horizontal governance theory.
Results
Three features set this policy process apart from previous reform efforts: (1) expansion of the state pluralist network to those outside of health, (2) extension of the policy network approach into the Strategy's implementation stage and (3) the combined presence of political and policy leadership.
Conclusions
There is reason for optimism that the approach of the Strategy has increased the prospects for the transformation of Ontario's mental health and addictions system.
Identifiants
pubmed: 31017864
pii: hcpol.2019.25794
doi: 10.12927/hcpol.2019.25794
pmc: PMC7008686
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-42Informations de copyright
Copyright © 2019 Longwoods Publishing.
Références
Adm Policy Ment Health. 2003 Sep;31(1):65-73
pubmed: 14650649
Health Econ Policy Law. 2007 Oct;2(Pt 4):363-89
pubmed: 18634639
Soc Sci Med. 2014 Dec;123:262-8
pubmed: 25147056