Forchuk Cheryl, Joplin Libbey, Schofield Ruth, Csiernik Rick, Gorlick Carolyne, Turner Katherine
School of Nursing, University of Western Ontario, London, Ontario, Canada.
Health Res Policy Syst. 2007 Dec 12;5:14. doi: 10.1186/1478-4505-5-14.
There exists a disconnection between evolving policies in the policy arenas of mental health, housing, and income support in Canada. One of the complexities associated with analysing the intersection of these policies is that federal, provincial, and municipal level policies are involved. Canada is one of the few developed countries without a national mental health policy and because of the federal policy reforms of the 1970s, the provincial governments now oversee the process of deinstitutionalization from the hospital to the community level. During this same period the availability of affordable housing has decreased as responsibility for social housing has been transfered from the federal government to the provincial and/or municipal levels of government. Canada also stands alone in terms of being a developed nation without national housing policy instead what is considered "affordable" housing is partially dependant upon individuals' personal economic resources. As well, over the past decade rates of income supports have also been reduced. Psychiatric survivors have long been identified as being at risk for homelessness, with the disconnection existing between housing, income and mental health policies and the lack of a national policy in any of these policies areas further contributing to this risk.
加拿大心理健康、住房和收入支持等政策领域不断演变的政策之间存在脱节。分析这些政策交叉点的复杂性之一在于涉及联邦、省和市各级政策。加拿大是少数几个没有国家心理健康政策的发达国家之一,由于20世纪70年代的联邦政策改革,省级政府现在负责监督从医院到社区层面的非机构化进程。在同一时期,经济适用房的供应量减少了,因为社会住房的责任已从联邦政府转移到省和/或市政府层面。加拿大在作为一个没有国家住房政策的发达国家方面也很独特,相反,所谓的“经济适用房”部分取决于个人的经济资源。此外,在过去十年中,收入支持率也有所降低。长期以来,精神疾病幸存者一直被认为有无家可归的风险,住房、收入和心理健康政策之间的脱节以及这些政策领域缺乏国家政策进一步加剧了这种风险。