Table 2.
Provincial and regional governance context
| Size | Province | Jurisdiction for mental health | Local authority | Single regional board | Psychiatric hospital |
|---|---|---|---|---|---|
| Rural | |||||
| A | Ontario | Provincial | Delegated1 | No | No |
| B | Alberta | Regional | Devolved2 | Yes | Yes |
| Small urban | |||||
| C | New Brunswick | Regional | Devolved2 | Yes | Yes |
| Mid-sized urban | |||||
| D | Quebec | Sub-regional | Deconcentrated3 | No | No |
| E | Quebec | Sub-regional | Deconcentrated3 | No | Yes |
| F | Ontario | Provincial | Delegated1 | No | Yes |
| Large urban | |||||
| G | Quebec | Sub-regional | Deconcentrated3 | No | Yes |
| H | Ontario | Provincial | Delegated1 | No | Yes |
| I | Ontario | Provincial | Delegated1 | No | Yes |
| J | Alberta | Regional | Devolved2 | Yes | No |
[i] MH, Mental Health.
1Delegated to Regional Ministry office.
2Devolved to Regional Health Authority.
3Deconcentrated to ‘Table de concertation’.
Table 3.
Governance models
| Size | Province | Jurisdiction for mental health | Budget authority | Network governance model | Network governance mechanism | Social power |
|---|---|---|---|---|---|---|
| Rural | ||||||
| A | Ontario | Provincial: Delegated1 | Provincial | Mutual adjustment | Executive Commitee2 | Influence |
| B | Alberta | Regional: Devolved | Regional | Corporate | Executive Committee3 | Authority |
| Small urban | ||||||
| C | New Brunswick | Regional: Devolved | Mental Health Network | Corporate | Executive Committee | Authority |
| Mid-size urban | ||||||
| D | Quebec | Sub-regional: Deconcentrated | Regional | Alliance | Table de concertation | Negotiation |
| E | Quebec | Sub-regional: Deconcentrated | Regional | Alliance | Table de concertation | Negotiation |
| F | Ontario | Provincial: Delegated1 | Provincial | Alliance | Executive Committee | Negotiation |
| Large urban | ||||||
| G | Quebec | Sub-regional: Deconcentrated | Regional | Mutual adjustment | Table de concertation | Influence |
| H | Ontario | Provincial: Delegated1 | Provincial | Mutual adjustment | None | Influence |
| I | Ontario | Provincial: Delegated1 | Provincial | Mutual adjustment | None | Influence |
| J | Alberta | Regional: Devolved | Regional | Corporate | Executive Committee | Authority |
[i] 1Delegated to the Ministry regional office.
2An executive committee functions at a sub-network level. Network A: Community services only; Network H: Centralized case management services only.
3In addition to the Executive Team, governance occurred through an Integration Steering Committee, several Integrated Service Teams, and a Joint Director responsible for all mental health services, a position that was put in place prior to the transferred of authority for mental health services to the Regional Health Authority.