Healthcare systems around the world have evolved and become complex for governments to manage with cost and navigation ramifications for patients. As a result, many countries have taken steps to integrate their healthcare systems with the aim of providing one-stop health shopping for patients at lower costs. However, there is still a lot to be learned about the success with the integration of the mental health, addictions, and problem gambling systems in Canada. This study, using an instrumental case study approach, explored the integration of the three systems from the perspective of predominantly frontline managers and problem gambling counselors in Ontario. Study participants reported an uneven integration of the systems across the province. Problem gambling appears to have been significantly sidelined among the three services. We recommend cross-unit training, retooling, and joint financing as possible solutions to strengthening the integration of the three service systems.

世界各地的医疗保健系统已经发展并变得复杂，政府需要管理患者的成本和导航影响。因此，许多国家已采取措施整合其医疗保健系统，旨在以更低的成本为患者提供一站式医疗服务。然而，关于在加拿大整合心理健康、成瘾和问题赌博系统的成功还有很多需要了解的地方。本研究使用工具性案例研究方法，从安大略省主要的一线经理和问题赌博顾问的角度探讨了这三个系统的整合。研究参与者报告说，全省系统的整合不均衡。问题赌博似乎在这三项服务中被严重排除在外。