Marchildon Gregory P
Histoire Soc. 2011;44(88):305-29. doi: 10.1353/his.2011.0014.
Defined as a set of distinct processes that included the declining use of large psychiatric institutions and the increasing use of outpatient services and general hospitals, deinstitutionalization occurred earlier in Saskatchewan than other provinces in Canada. It was led by a CCF government dedicated to major change across a number of sectors including mental health, assisted by one of the most influential and well-organized social movement organizations of the 1950s, the Saskatchewan Division of the Canadian Mental Health Association (SCMHA). However, by the late 1950s and early 1960s, the SCMHA opposed the CCF government's policy priority on medicare which it felt came at the expense of mental health care, in particular the implementation of a regional psychiatric hospital system called the Saskatchewan Plan. As a consequence, the SCMHA, once such a powerful ally of the CCF government in health reform, formed a strategic and temporary coalition with the anti-medicare forces in the province. Given the fact that a number of medical staff within the government's department of public health were prominent members of the SCMHA, the CCF government found that it occupied an increasingly divided house at the very time it was struggling to introduce medicare in the midst of civil unrest and a doctors' strike.
去机构化被定义为一系列不同的进程，包括大型精神病院的使用减少以及门诊服务和综合医院的使用增加，在萨斯喀彻温省，去机构化比加拿大其他省份出现得更早。它由一个致力于包括心理健康在内的多个部门进行重大变革的合作联邦党政府领导，在20世纪50年代最有影响力且组织良好的社会运动组织之一——加拿大心理健康协会萨斯喀彻温分会（SCMHA）的协助下开展。然而，到了20世纪50年代末和60年代初，SCMHA反对合作联邦党政府在医疗保险方面的政策优先事项，认为这是以牺牲精神卫生保健为代价的，特别是反对一项名为萨斯喀彻温计划的地区精神病医院系统的实施。结果，SCMHA这个曾经在卫生改革中是合作联邦党政府如此强大盟友的组织，与该省反对医疗保险的势力结成了战略上的临时联盟。鉴于政府公共卫生部内的一些医务人员是SCMHA的杰出成员，合作联邦党政府发现，就在其在社会动荡和医生罢工期间努力推行医疗保险之际，它所处的局面日益分裂。
