Implementation of Integrated Care Pathways for Persons with Psychosis in Ontario, Canada: Barriers and Opportunities

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Acta Medica International,2016,3,2,146-151.
Published:September 2016
Type:Review Article

Implementation of Integrated Care Pathways for Persons with Psychosis in Ontario, Canada: Barriers and Opportunities

Farooq Naeem1, Selim Asmer2, Tariq Munshi1, Jennifer Wong3, Tariq Hasan1, Shanaya Rathod4

1Associate Professor, Queens University, Kingston, Ontario, Canada,

2PGY 4, Queens University, Kingston, Ontario, Canada,

3PGY 1, Queens University, Kingston, Ontario, Canada,

4Consultant Psychiatrist & Director of Research, Southern Health NHS Foundation Trust, Southampton, England

Abstract:

Currently there is an emphasis on developing Integrated Care pathways for mental health problems. The concept of pathways draws heavily from principles of lean thinking and is therefore based on improving the efficiency of the system to provide quality services to persons with health problems. Development of pathways for schizophrenia, along with depression and dementia is high priority in Ontario, Canada. This is an exciting development, especially as this might trigger radical changes in the health system to improve the care of those with schizophrenia. As the pathways are fully developed in England, we have tried to highlight the issues that can facilitate or hinder the development and implementation of the pathways in Ontario, compared with England. Development of pathways offers unique opportunities, that might lead to substantial improvement in care of persons with psychosis.

Routine referral pathways for psychosis