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FOR IMMEDIATE RELEASE October 31, 2006

Report shows St. Joseph’s Health Care continues to cut mental health beds: OPSEU

LONDON – A confidential report for the Ontario Ministry of Health shows that St. Joseph’s Health Care (SJHC London) has aggressively cut beds for people with serious mental illness despite the lack of community programs.

The March 2006 report, prepared by the Deloitte consulting group, was obtained under a Freedom of Information request by the Ontario Public Service Employees Union (OPSEU).

“People with serious mental illness were told that community programs would be in place before beds and programs were cut,” said Dave Erskine, president, OPSEU Local 152, which represents mental health staff at SJHC London. “Clearly, neither the previous Conservative nor the current Liberal government kept that promise.”

The Deloitte consultants examined three years of financial and admissions data and the mental health programs of four hospitals, including SJHC London, which took over provincial psychiatric facilities. London and St. Thomas Psychiatric Hospitals were transferred to SJHC London in February, 2001.

The report found:

  • The number of beds for people with an addiction and mental illness were “dramatically reduced” by more than 55 per cent from 28 to 12 and that the program is only operating at 50 per cent capacity because of a psychiatrists shortage (p. 58);
  • The hospital wants to reduce by a third from 18 to 12 the number of beds for people with a developmental disability and mental illness, despite the fact that the “primary challenge facing this program is the insufficient level of appropriate community resources to adequately house these long-standing patients” (p. 61);
  • The hospital eliminated seven nursing positions in its forensic unit, despite the fact that “admissions increased significantly” to 135 per cent over target; (p. 59)
  • The Ministry of Health stopped the hospital from reducing both its London and St. Thomas inpatient beds by 40 per cent but did allow a 15 per cut in beds; (p. 62, 66); and
  • The hospital wants to shift its program for people with a complex mood disorder (such as severe depression) to a more “consultative” level of care despite the fact this overhaul “requires greater support and resource availability for outpatient and community based services” (p. 67).

The Deloitte consultants also found that hospital management can’t account for $14 million in ministry funding the hospital received in 2003 for the harmonization of wages. (p. 72) …/2

Erskine warned more cuts to mental health programs and beds are expected in the near future. The report noted that senior hospital managers are working with other hospitals and community agencies on more changes. (p. 56)

“I see this report as a wake-up call for the Liberal government and, in particular, for area MPPs Steve Peters and Chris Bentley,” said Erskine. “We want an immediate moratorium on further mental health restructuring and we expect Peters and Bentley to deliver that message to their cabinet colleagues.”

The three other hospitals reviewed in the report are St. Joseph’s Health Care, Hamilton, Providence Continuing Care Centre in Kingston and Royal Ottawa Health Care Group, Brockville. Of the 21 mental health programs profiled in the report, two-thirds had trouble discharging patients due to a lack of community services.

The Deloitte report can be viewed at http://www.opseu.org/bps/health/mental/deloittereport.htm 

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For further information:

Dave Erskine (519) 631-8510 ext. 49500 or (519) 765-8660
Megan Park (416) 443-8888 ext. 8207

 

Ontario Public Service Employees Union, 100 Lesmill Rd. Toronto, ON M3B 3P8  (416) 443-8888  www.opseu.org

 

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