Canadian Health Services Research Articles

The organization of forensic services in Canada

This article describes the organization and funding of mental health services in Canada for persons accused or convicted of criminal offenses. Initially, the context in which these services are provided is briefly presented. Next, the organizational structures which exist to provide pre-trial and pre-sentence evaluations are described. In subsequent sections, mental health services for persons found incompetent to stand trial (IST) and not guilty by reason of insanity (NGRI) and for inmates of penal institutions are presented. In conclusion, some distinctive features of these structures are identified along with the principal advantages and weaknesses of each. The Canadian Context Several characteristics of the Canadian health and judicial systems are important to note at the outset, as they have major implications for the organization and funding of forensic services. Each Canadian province administers its own health and social welfare system. While each provincial system is slightly different from another, all Canadians are provided with extensive health care and social services. Taxation formula for supporting these services vary from one province to another. Adults with no children, who do not work and who are not receiving unemployment insurance, receive approximately $480 a month in welfare payments. While health is exclusively a provincial matter, the Criminal Code is a national or federal law. The administration of the justice system is a provincial responsibility, and thus differs to some extent from one province to another. This division of responsibilities and powers between the federal and provincial governments further complicates the difficult interfacing of the health and judicial systems, but it allows regional variants of the same system to emerge. The Canadian Criminal Code does not define incompetency to stand trial but generally, it is considered to be an inability to understand the court proceedings

Veterans and Veterans Legislation in Canada: An Historical Overview

ABSTRACTThis article provides a descriptive account of the history of Canadian veterans and veterans legislation focussing upon five time periods: pre–1918; 1918–1939; 1939–1950; 1950–1980; and the present time. Emphasis is placed on issues and legislation relating to aging and elderly persons, with particular concentration on pensions and health. It is shoivn that veterans legislation and veterans issues have played a facilitating role in the development of Canadian health and social services, and argued that a social historical perspective on aging provides for an enhanced understanding of current age-related institutions, services and policies.

Corporatization and deprivatization of health services in Canada.

Canada's system of health services has been shaped by the forces and values in the Canadian political, cultural, social, and economic environment; these forces continue to place constraints on future changes. We distinguish between "corporatization" and "privatization", and the implications of each for improved efficiency of the system. Although the organization of health services is, in certain provinces, undergoing significant structural changes, there is evidence that rather than privatizing, the system may actually be continuing to experience what we have termed deprivatization, as the scope of government involvement expands to include a more comprehensive definition of health care. Trends in Canada differ considerably from those in the United States; universal health insurance has curbed the ability and desire of institutions to exclude members of some socioeconomic groups from receiving care. U.S.-based models, if applied to Canada, could lead to both higher costs and lower quality of care. Considerable efficiencies can be realized within Canada's current system.

Strategic planning for mental health services in Canada's federal police force

Strategic planning for mental health services in Canada's federal police force

Restructuring health services in Canada: challenges for policy makers, planners and managers in the eighties.

Is downsizing the latest jargon word applied to rationalization, a new concept or a different manifestation of a long term trend in health services management? At present, Canada is struggling to implement feasible reductions of expansionary pressures in the health care system. While provincial governments tend to see the issue as one of controlling chronic excess demand, federal government is still concerned to ensure free access to care on an equitable basis. Thus the problems of downsizing can be expressed by the provinces in terms of an ideological struggle with an unfeeling central government which does not understand their problems; although all know they are really about the feasibility of continuing to provide a service to meet demand. The present economic recession enables provincial governments to appeal to their voters for supporting a new way. Earlier, the appeal was to consumers to become involved in health service organization management and this policy succeeded, to a degree, where there were fluorishing grass roots communities; albeit that the service continued to be driven by professionals. Now the appeal is to taxpayers for their strong support in cost cutting. This has been more successful. Provincial governments are now permitted to 'touch the untouchables', that is to downsize the medical profession and previously sacrosanct health care institutions. They also are exploring the feasibility of introducing a two-tier system which would provide basic care for everyone and extra care for those able to pay, thus side-stepping federal conditions. By reorganizing support in this way, provincial governments have extended the range of policy choices, and two types of planning, the rational and the political, have now become combined into strategic management activity.

Indian health services in Canada: A sociohistorical perspective

The major trends and issues in the historical development of Indian health services in Canada since Confederation are discussed according to: (1) the legislative bases, including the BNA Act, the Indian Act, Indian Treaties, landmark court decisions and post-War national health legislations: (2) the policy statements of the federal government regarding services to Indians, culminating in the Indian Health Policy of 1979; (3) the changes in the organization and delivery of health services from the appointment of the first chief medical officer in 1904 to the multi-million operations of the Medical Services Branch in the 1980s; and (4) the reaction of Indian communities and political organizations to government-sponsored health care and the recent trend towards their increasing participation.

Recent Developments in Canadian Health Services: Lessons for Australia

Recent Developments in Canadian Health Services: Lessons for Australia

BOOK REVIEWS

Book reviewed in this article:Marilyn Hatton (ed.): Work & Health: Issues in Occupational Health.J.C. McDonald (ed.): Recent Advances in Occupational Health, No. 1June Huntington: Social Work and General Medical Practice: Collaboration or Conflict?P.I. Ahmed and G.V. Coelho (eds.): Toward a New Definition of Health: Psychosocial DimensionsPeter Davis: Health and Health Care in New ZealandCarl A. Meilicke and Janet L. Storch (eds.): Perspectives on Canadian Health and Social Services Policy: History and Emerging Trends.Joseph L. Falkson: HMOs and the Politics of Health System ReformRaymond Illsley: Professional or Public Health? Sociology in Health and MedicineI. McPherson and A. Sutton (ed.): Reconstructing Psychological PracticeReinhold Bergler: Advertising and Cigarette Smoking — A Psychological StudyMilton J. Roemer and Ruth J. Roemer: Health Care Systems and Comparative Manpower PoliciesP.M. Tatchell (ed.): Economics and Health 1980; and P.M. Tatchell (ed.): Economics and Health 1981.Michael Koetting: Nursing‐Home Organisation and EfficiencyT.J. Wood, E. Hughes: An Evaluation of the Cost Effectiveness of Surgical and Related Hospital Services Provided to Patients of the Monash Department of Surgery.B.R. Selecki et al: Injuries to the Head, Spine and Peripheral Nerves: Report on a study.R.D. Blair and S. Rubin (eds.): Regulating the ProfessionsMartin Bulmer (ed.): Social Research and Royal Commissions.Duncan Boldy (ed.): Operational research applied to health servicesRuth Hurst Vose: AgoraphobiaRussell Scott The Body as PropertyF. Falkner (ed.): Prevention in Childhood of Health Problems in Adult LifeLouis Lowy: Social Policies and Programs on Aging (Lexington Books Mass 1980)Harvey W. Feldman (et al): Angel Dust. An Ethnographic Study of PCP Users.

Impressions of child health services in Canada

Impressions of child health services in Canada

Perspectives on Canadian Health and Social Services Policy: History and Emerging Trends

Perspectives on Canadian Health and Social Services Policy: History and Emerging Trends

Impressions of child health services in Canada.

Impressions of child health services in Canada.

The administrative component in Canadian health services: A comparative view

The administrative component of the Canadian health system is compared with those in the U.K. and the U.S.A. and is found to differ in ways which reflect both Canada's history and its particular politico-economic situation. Also, important changes are noted which reflect the professionalization of administrators and their changing relationships to the clinicians who provide the direct care in the system.

Social Policy and Indian Health Services in Canada

Social Policy and Indian Health Services in Canada

Federal-provincial insurance for hospital and physician's care in Canada.

The general Canadian background for health services and the evolution of social insurance programs for health services are described in this paper, with special emphasis on the universal federal–provincial Hospital Insurance and Diagnostic Services Program and the Medical Care Insurance Program. Other important Canadian health services developments are also outlined. Social insurance programs for health services are discussed in terms of financing and costs, manpower and facilities, and planning and organization. The impact of these programs on governments, the health professions, and the public is also given. New approaches, concepts, issues, and problems in providing health services in Canada are described. It may be seen that Canadian health services have undergone rapid and extensive change and growth in the last two decades. The process is still under way and the ultimate patterns of both social insurance for health services and health services delivery are not yet settled.

The Public Finance Aspects of Health Services in Canada. Eric J. Hanson

<i>The Public Finance Aspects of Health Services in Canada</i>. Eric J. Hanson

A Blueprint for Health Services in Canada: An Essay Review

Previous articleNext article No AccessA Blueprint for Health Services in Canada: An Essay ReviewJoseph E. LaycockJoseph E. Laycock Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by Social Service Review Volume 39, Number 1Mar., 1965 Article DOIhttps://doi.org/10.1086/641696 Views: 1Total views on this site Copyright 1965 The University of ChicagoPDF download Crossref reports no articles citing this article.

Mental health services in Canada: Some comments on one aspect of the "Tyhurst Report."

Mental health services in Canada: Some comments on one aspect of the "Tyhurst Report."

Mental Health Services in Canada. Research Division, Department of National Health and Welfare

<i>Mental Health Services in Canada</i>. Research Division, Department of National Health and Welfare

Study of the Distribution of Medical Care and Public Health Services in Canada

Back to table of contents Previous article Next article ArticleNo AccessStudy of the Distribution of Medical Care and Public Health Services in CanadaC. B. F.C. B. F.Search for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.96.3.759AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Study of the Distribution of Medical Care and Public Health Services in Canada." American Journal of Psychiatry, 96(3), p. 759 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byNone Volume 96Issue 3 November 1939Pages 759-759 Metrics PDF download History Published online 1 April 2006 Published in print 1 November 1939