TY - JOUR T1 - Applying a Bauhaus design approach to conceptualize an integrated system of mental health care: Lessons from a large urban hospital AU - Ungar, Thomas AU - Taube-Schiff, Marlene AU - Stergiopoulos, Vicky Y1 - 2016/11/02 PY - 2016 DA - 2017/01/01 N1 - doi: 10.1139/facets-2016-0016 DO - 10.1139/facets-2016-0016 T2 - FACETS JF - FACETS SP - 173 EP - 186 VL - 1 PB - Canadian Science Publishing N2 - We have applied a Bauhaus design lens to inform a visual conceptual framework for a rational mental health care system. We believe that Canada?s healthcare system can often be fragmented and does not always allow for service delivery to easily meet patient care needs. Within our proposed framework, the form of services provided follows patient- and healthcare-centred needs. The framework is also informed by the ethics and values of social responsibility, population health, and principles of quality of care. We review evidence for this framework (based on need, acuity, risk, service intensity, and provider level) and describe patient care pathways from intake/triage to three patient-centred tiers of care: (1) primary care (low needs), (2) acute ambulatory transitional care (moderate needs), and (3) acute hospital and complex care (high needs). Within each tier, various models of care are organized from low to high service intensity as informed by reports from the British Columbia Ministry of Health and the World Health Organization. We hope that our model may help to better conceptualize and organize our mental health care system and help providers clarify roles, responsibilities, and accountabilities to improve quality of care. AB - We have applied a Bauhaus design lens to inform a visual conceptual framework for a rational mental health care system. We believe that Canada?s healthcare system can often be fragmented and does not always allow for service delivery to easily meet patient care needs. Within our proposed framework, the form of services provided follows patient- and healthcare-centred needs. The framework is also informed by the ethics and values of social responsibility, population health, and principles of quality of care. We review evidence for this framework (based on need, acuity, risk, service intensity, and provider level) and describe patient care pathways from intake/triage to three patient-centred tiers of care: (1) primary care (low needs), (2) acute ambulatory transitional care (moderate needs), and (3) acute hospital and complex care (high needs). Within each tier, various models of care are organized from low to high service intensity as informed by reports from the British Columbia Ministry of Health and the World Health Organization. We hope that our model may help to better conceptualize and organize our mental health care system and help providers clarify roles, responsibilities, and accountabilities to improve quality of care. 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