Mental Health System Transformation: Drivers for Change. Organizational Preparation, Engaging Partners and Outcomes
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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.
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Key contributors to increased and early substance dependence in this population include multigenerational poverty, early exposure through family or friends, inadequate health/addiction/social programs, lack of community prevention focus, and low education.
“Key factors contributing to increased and early substance dependence in this population include: multigenerational poverty; early substance exposure through family or close friends; inadequate access to health, addictions, and social programs; lack of focus of community programs on substance use prevention; and low levels of education (DeBeck et al. 2016;Corring et al. 2016;Cheng et al. 2016b).”
From Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study (2018) · cites this paper as Corring et al. 2016
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Barbic, S. P., Jones, A. A., Woodward, M., Piercy, M., Mathias, S., Vila-Rodriguez, F., Leonova, O., Smith, G. N., Buchanan, T., Vertinsky, A. T., et al. (2018) · Canadian Journal of Public Health · doi:10.17269/s41997-018-0087-9 · Cited by 26 · see citing works
Defining and Measuring Organizational Transformation in Health Care: A Systematic Literature Review
Clack, L., Smith, J., & Charns, M. P. (2025) · Medical Care Research and Review · doi:10.1177/10775587251356130 · Cited by 6 · see citing works
Corring, D., Speziale, J., Desjardins, N., & Rudnick, A. (2016) · Healthcare Quarterly · doi:10.12927/hcq.2016.24477 · Cited by 2 · see citing works
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- Authors
- Corring, D., Whittall, S., MustinPowell, J., Jarmain, S., Chapman, P., & Sussman, S.
- Affiliations
- St Joseph's Health Care (CA)
- London Health Sciences Centre (CA)
- Parkwood Institute (CA)
- Western University (CA)
- ORCID
- Corring, Deborah
- Venue
- Healthcare Quarterly
- Publisher
- Longwoods Publishing
- Published
- 2016-01-14
- Volume
- 18
- Issue
- SP
- Pages
- 6-11
- ISSN
- 1710-2774 (ISSN-L)
- 1929-6347
- OpenAlex
- W2265919012
- Cited by
- 3
- References
- 0
- Citations by year
- 2025: 1 · 2018: 1 · 2016: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Healthcare Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health Services Management and Policy
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- mental health system transformation, change management, organizational preparation, partnership development, provincial health policy, community mental health services, system performance measures
- MeSH terms
- Cooperative Behavior, Hospitals, Psychiatric, London, Ontario, Health Care Reform, History, 19th Century, History, 20th Century, History, 21st Century
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