On paper, Quebec’s Regional Service Centre model is very strong: it emphasizes consistent, person-centered planning with coordinated support through life transition periods, provides portable provincial supports, and is a “one-stop shop” for families seeking supports. It has also realized massive cost-savings in comparison to the institutional model.
But in reality, those utilizing supports know there is little consistency in available services and supports across Regional Service Centre areas, weak communication between Centres, and complicated transitions between support types, especially later in life.
The 2013 Auditor General’s report found support services for the disabled to be in a critical state with little documentation of individuals’ needs and lack of provincial coordination, which has resulted in unmanageably long wait lists. The current system for funding healthcare and social services is under review and poised for a massive reform in coming months1.
One notable aspect of the Quebec developmental sector is the Department of Professional Services in each Regional Service Centre. These departments allow collaboration between academic institutions and service providers in regards to implementation of researched best practices, evaluation of programming, and overall knowledge transfer.
 Auditor General of Quebec. (2013). Report of the Auditor General of Quebec to the National Assembly 2013-2014 (pgs.9-10). Available online http://www.vgq.qc.ca/en/en_publications/en_rapport-annuel/en_fichiers/en_Rapport2013-2014-VOR-Printemps.pdf