Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO)
Directly funded (DF) home care is a policy mechanism where individuals are given funds to arrange their own services by hiring people in their communities or by subcontracting to service provider organizations. In 2017, the Ontario Ministry of Health and Long-Term Care briefly established a crown ag...
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| Format: | Article |
| Language: | English |
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McMaster University Library Press
2019-02-01
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| Series: | Health Reform Observer - Observatoire des Réformes de Santé |
| Subjects: | |
| Online Access: | https://mulpress.mcmaster.ca/hro-ors/article/view/3685/3295 |
| _version_ | 1818961835049615360 |
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| author | Lisette Dansereau Mary Jean Hande Christine Kelly |
| author_facet | Lisette Dansereau Mary Jean Hande Christine Kelly |
| author_sort | Lisette Dansereau |
| collection | DOAJ |
| description | Directly funded (DF) home care is a policy mechanism where individuals are given funds to arrange their own services by hiring people in their communities or by subcontracting to service provider organizations. In 2017, the Ontario Ministry of Health and Long-Term Care briefly established a crown agency called Self-Directed Personal Support Services Ontario (SDPSSO). The stated goal of the SDPSSO was to create a DF home care program to serve older people, expanding an existing Ontario program serving a small number of younger adults with disabilities. The development of SDPSSO was influenced by the then health minister's ideological belief, pressure to reform home care from multiple stakeholders, and positive (although sparse) international evidence of the efficacy of DF home care among older adults. Reaction to the policy shift included a judicial injunction brought forward by a coalition group of home care service providers, halting implementation. A SWOT analysis shows that the SDPSSO provided as many threats and unknowns as there were possible benefits. A change in provincial government resulted in the dissolution of the SDPSSO in 2018 and the introduction of a family-managed program that continues to exclude older people. It is unclear what future changes may be in store for home care in Ontario. |
| first_indexed | 2024-12-20T12:19:44Z |
| format | Article |
| id | doaj.art-09550a6d61b74b2399b179417dc5dc4f |
| institution | Directory Open Access Journal |
| issn | 2291-6369 |
| language | English |
| last_indexed | 2024-12-20T12:19:44Z |
| publishDate | 2019-02-01 |
| publisher | McMaster University Library Press |
| record_format | Article |
| series | Health Reform Observer - Observatoire des Réformes de Santé |
| spelling | doaj.art-09550a6d61b74b2399b179417dc5dc4f2022-12-21T19:41:01ZengMcMaster University Library PressHealth Reform Observer - Observatoire des Réformes de Santé2291-63692019-02-017110.13162/hro-ors.v7i1.3685Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO)Lisette Dansereau0Mary Jean Hande1Christine Kelly2University of ManitobaMount Saint Vincent UniversityUniversity of ManitobaDirectly funded (DF) home care is a policy mechanism where individuals are given funds to arrange their own services by hiring people in their communities or by subcontracting to service provider organizations. In 2017, the Ontario Ministry of Health and Long-Term Care briefly established a crown agency called Self-Directed Personal Support Services Ontario (SDPSSO). The stated goal of the SDPSSO was to create a DF home care program to serve older people, expanding an existing Ontario program serving a small number of younger adults with disabilities. The development of SDPSSO was influenced by the then health minister's ideological belief, pressure to reform home care from multiple stakeholders, and positive (although sparse) international evidence of the efficacy of DF home care among older adults. Reaction to the policy shift included a judicial injunction brought forward by a coalition group of home care service providers, halting implementation. A SWOT analysis shows that the SDPSSO provided as many threats and unknowns as there were possible benefits. A change in provincial government resulted in the dissolution of the SDPSSO in 2018 and the introduction of a family-managed program that continues to exclude older people. It is unclear what future changes may be in store for home care in Ontario.https://mulpress.mcmaster.ca/hro-ors/article/view/3685/3295home caredirect funded home caregovernment provided servicesgovernment funded services |
| spellingShingle | Lisette Dansereau Mary Jean Hande Christine Kelly Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) Health Reform Observer - Observatoire des Réformes de Santé home care direct funded home care government provided services government funded services |
| title | Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) |
| title_full | Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) |
| title_fullStr | Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) |
| title_full_unstemmed | Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) |
| title_short | Establishing a Crown Agency Amid Multiple Service Providers: Self-Directed Personal Support Services Ontario (SDPSSO) |
| title_sort | establishing a crown agency amid multiple service providers self directed personal support services ontario sdpsso |
| topic | home care direct funded home care government provided services government funded services |
| url | https://mulpress.mcmaster.ca/hro-ors/article/view/3685/3295 |
| work_keys_str_mv | AT lisettedansereau establishingacrownagencyamidmultipleserviceprovidersselfdirectedpersonalsupportservicesontariosdpsso AT maryjeanhande establishingacrownagencyamidmultipleserviceprovidersselfdirectedpersonalsupportservicesontariosdpsso AT christinekelly establishingacrownagencyamidmultipleserviceprovidersselfdirectedpersonalsupportservicesontariosdpsso |