In Canada there is too much focus on who is accountable to whom? or who controls what? and not enough on who is accountable for what? The federal government must lead consensus building toward an action plan regarding what works best in the delivery of mental health and addictions services - and the provinces must take seriously the implementation of a national plan that cultivates a culture of partnership and continuous improvement. Some redefinition of roles may have to be negotiated, but regional health authorities have to coordinate with national and provincial frameworks.
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