Bernazzani Odette, Rondeau Alain
Hôpital Maisonneuve-Rosemont; Université de Montréal.
HEC Montréal.
Sante Ment Que. 2013 Spring;38(1):43-59. doi: 10.7202/1019185ar.
The Mental Health Action Plan maps out the reorganization of mental health services in the province of Quebec. Accordingly, this paper presents the transformation process of the mental health program at the Maisonneuve-Rosemont hospital in Montreal. The authors discuss, on the one hand, the challenges that were met and, on the other hand, the model of care and organisational choices that were adopted. This article is divided in three parts. The first part describes the two main guiding principles underlying the Mental Health Action Plan. The second part examines the context surrounding the arrival of the Action Plan at the Maisonneuve-Rosemont Hospital. The third part describes the hospital transformation process that evolved in relation with: 1- the new centralized access points for mental health services; 2- the support for first line (or primary care) services; 3- the second line services for the specialized treatment of complex mental health problems.
《心理健康行动计划》规划了魁北克省心理健康服务的重组。因此，本文介绍了蒙特利尔迈松纳夫-罗斯蒙特医院心理健康项目的转型过程。作者一方面讨论了所遇到的挑战，另一方面讨论了所采用的护理模式和组织选择。本文分为三个部分。第一部分描述了《心理健康行动计划》的两个主要指导原则。第二部分审视了《行动计划》在迈松纳夫-罗斯蒙特医院实施时的背景情况。第三部分描述了医院的转型过程，该过程围绕以下方面展开：1-心理健康服务的新集中接入点；2-对一线（或初级护理）服务的支持；3-针对复杂心理健康问题进行专门治疗的二线服务。
