TORONTO, April 27 /CNW/ -
The South West LHIN Board of Directors supported a proposed integration
of mental health beds and services between St. Joseph's Health Care
(SJHC) London and Windsor Regional Hospital, St. Joseph's Healthcare
Hamilton, and St. Thomas Elgin General Hospital (STEGH). The proposed
integration is part of the recommendations made by the Health Services
Restructuring Commission in 1997 and allows people to receive mental
health care closer to home.
At its meeting today, the South West LHIN Board supported the
integration initiative, provided specific requirements are be met by
all parties, including:
Amendment of the current Hospital Service Accountability Agreement
(H-SAA) between the South West LHIN and SJHC London to include the
to submit a separate transfer agreement for the divestment to each
receiving hospital that is acceptable to both the South West LHIN and
the LHIN in which the receiving hospital is located;
to work with STEGH to ensure the completion of a contingency plan for
the divestment of beds and services to STEGH to mitigate risks
associated with capital building and service readiness;
to report quarterly or more frequently as required to the South West
LHIN the progress of each phase of the integration; and
The South West LHIN Board of Directors also approved the phased
reduction of 70 in-patient beds from SJHC Regional Mental Health Care
(RMHC) London and has requested additional amendments to the H-SAA
directing the SJHC to do the following:
Work in partnership with community partners to create individualized,
appropriate and sustainable transition and discharge plans providing
safe and secure placement of all patients impacted by the phased
reduction of 70 in-patient beds over the next three years. In order to
facilitate this reduction, $2.9 million in base funding in fiscal
2010/11 will be placed in a reserve account to support the 70 beds
through the reduction period. Any funds not used while the reduction
plan is implemented will be held in reserve for reallocation by the
South West LHIN in support of community services and programs.
Establish transfer protocols with community organizations identified as
receiving organizations outlining roles and responsibilities related to
the support of patients through transition.
The South West LHIN Board has also requested that the South West LHIN
staff provide regular reports to the Board regarding the status of
mental health realignment implementation in the South West LHIN.
"The Board was given several opportunities to hear from the parties
involved, ask detailed questions and/or request additional information.
Because of this, I am confident that the integration can move forward
with the appropriate checks and balances in place." - Jeff Low, Chair,
South West LHIN Board of Directors.
"Amending the Hospital Service Accountability Agreement, which is
publicly available, will ensure that the integration is done with full
disclosure and transparency. In addition, with all our Board meetings
open to the public, the community can keep fully informed through the
regular progress reports that will be presented to the Board." -
Michael Barrett, Chief Executive Officer, South West LHIN.
Mental Health Tier 2 Divestment involves two components.
The phased Divestment of Beds and Services as follows:
An overall reduction of 70 longer- term mental health in-patient beds
resulting in a new per capita bed ratio reflective of the changing
direction of mental health care from institutionalized care to care and
service in the community. In parallel to the reduction of beds, there
will be investment in the community to increase community capacity to
provide care and support to individuals in the community.
Phase 1: Transfer of 50 beds, 1 Assertive Community Treatment (ACT) Team
and 1 Transition Team to Grand River Hospital. This was completed in
Phase 2: Transfer of 59 beds and 3 ACT Teams to Windsor Regional
Hospital in the fall of 2011
Phase 3: Transfer of 14 beds and Simcoe Clinic Resources to St. Joseph's
Healthcare Hamilton in 2013/2014
Phase 4: Transfer of 15 beds and the Crisis and Relapse Prevention
Services to St. Thomas Elgin General Hospital
Phase 5: 156 longer-term mental health beds and 89 forensic mental
health beds relocated to new facilities within SJHC-RMHC in
2013/14. The 156 London-based longer-term mental health beds, currently
under construction at Parkwood Hospital in London are to serve Elgin,
Oxford, Middlesex, Lambton, Huron Perth and Grey Bruce for longer term
for psychosis, mood and anxiety, dual diagnosis, adolescent,
geriatrics, along with various ambulatory services. The 89 forensic
mental health beds, also under construction, will be located in St.
Thomas and are a provincial resource.
SOURCE South West Local Health Integration Network
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