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Healthy Minds Cooperative
We work to improve the quality of life for those affected by schizophrenia and psychosis through education, support programs, influencing public policy, and encouraging research.
Laura has taken everything she learnt from her diagnosis with schizophrenia to help others accept their own mental illness. In 2009, she was awarded with the Inspiring Lives Award from the Mental Health Foundation of Nova Scotia for her advocacy and work with various mental health organizations. Laura is currently pursuing a Masters in Drama Therapy from Concordia University in Montreal.
By Aaron Beswick, Truro Bureau
ANTIGONISH — They’re not leaving anyone behind.
The Park Bench Players are going to Vancouver on Sept. 25 to receive a national award and they need help getting there.
The six Antigonish cast members aren’t your average theatre group.
They have all struggled with mental illness.
Their play, With a Little Help from Our Friends, tells their personal stories through humour and drama.
“The play has given us more meaning and purpose,” said Mike Martell, a member of the cast.
“To see it appreciated and to be helping bring the issue of mental illness out from the darkness and into the light, it just feels good.”
Psychosocial Rehabilitation Canada will present its 2012 Recovery Excellence Award to the troupe at the Vancouver gala.
But first, the theatre troupe needs to raise about $10,000 to pay for the trip, enough to cover the cost of all six cast members, three assistants and money for three nights’ lodging.
“For us, it will be the trip of a lifetime,” said Jim Mulcahy, a retired Antigonish drama teacher who wrote and directed the play.
“For these people in rural Nova Scotia to receive this national award, that’s a big deal.”
As part of their fundraising effort, the troupe is selling T-shirts and is putting off their own gala performance at the Clare Marie Gathering Place in Antigonish on Sept. 9.
Music will be provided by the 16-piece Good Time Orchestra.
They’ve also set up a bank account and donations can be made to it through any Credit Union in the province by registering a cheque to the Park Bench Players.
Originally intended for one performance in front of invited guests, the Park Bench Players have performed their play in front of 13 audiences around Nova Scotia.
While the award is good news to cast member Stacey Septon, the true payoff has been hearing the stories from people in the audience after each performance.
“The audience has come up after every performance and told us about their own struggles with mental illness or those of someone they love,” said Septon.
“To be able to help, it’s just the best thing.”
(abeswick@herald.ca)
Mood Disorders ProgramLocation
Often collaborating with family physicians, the Mood Disorders Program provides consultation, assessment, group therapy and follow up for people living with mood disorders, especially bipolar disorder. The program also provides services for people at high risk of developing a mood disorder as a result of family history, and focuses on mood disorder research and education.
Telephone: (902) 473-2585
Nova Scotians recovering from mental illness now have more support as they transition from inpatient care to living more independently in their communities.
Simpson Landing is a set of community living units on the Nova Scotia Hospital site. It is designed to support people who need more rehabilitation and skills development to safely transition back to their community. The government, Capital District Health Authority, and the Mental Health Foundation of Nova Scotia officially opened the facility today, Aug. 1.
"The government is proud to provide better care and more opportunities for people with mental illness in Nova Scotia," said David Wilson, Minister of Health and Wellness. "Simpson Landing will make life better for Nova Scotians living with a mental illness, and we are pleased to have been a part of making this project happen."
Simpson Landing features four bungalows, each with 10 bedrooms and living space. The residential-style units create a community-focused living and care environment outside of the traditional hospital setting, to support patients, their families and staff.
"Transitioning from a fully-supported hospital environment back into the community can be a stressful experience for many individuals living with a mental illness," said Danny Chedrawe, chair of the Mental Health Foundation of Nova Scotia Board of Trustees.
"By contributing to this project, the foundation is ensuring critical mental health care needs are being met so that Nova Scotians experience smoother hospital-to-home transitions and improved recovery rates as they each make their unique journey home," said Mr. Chedrawe.
The $10.3-million project was cost-shared by the province, health authority and the mental health foundation. The provincial portion of the funding is $8.6, while the health authority and the mental health foundation contributed $1.7 million.
"This has truly been a collaboration. Capital Health engineers, the Department of Health and Wellness, the architectural firm, builders, and members of the Mental Health Program came together to complete this project,” said Barbara Hall, vice president of Person-Centred Health, Capital Health District Authority.
"They worked with individuals living with mental illness, family members, clinicians and managers who ensured the spirit of recovery and integration back into the community informed the look and feel of Simpson Landing." said Ms. Hall.
Construction of the units began in 2010. and The facility is a part of the Mental Health program's Recovery and Integration Strategy at Capital Health. The units were open to patients as of June 19.
FOR BROADCAST USE:
Nova Scotians recovering from mental illness now have more support as they transition from inpatient care to living more independently in their communities.
Simpson Landing is a set of community living units on the Nova Scotia Hospital site. It is designed to support people who need more rehabilitation and skills development to safely transition back to their community.
It was officially opened today (August 1st), by the province, Capital District Health Authority, and the Mental Health Foundation of Nova Scotia.
Health and Wellness Minister David Wilson says Simpson Landing will make life better for Nova Scotians living with a mental illness.
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Media Contacts:
Patricia Jreige
Health and Wellness
902-424-2727
E-mail: patricia.jreige@gov.ns.ca
Maureen Wheller
Mental Health Services
Capital Health District Authority
902-464-3171
E-mail: maureen.wheller@cdha.nshealth.ca
Dr. Stan Kutcher, a psychiatrist, reacts to the N.S. mental health strategy unveiled on Wednesday.
By André Picard — Public Health Reporter
Canada’s mental-health system is underfunded and poorly co-ordinated and needs a complete overhaul to meet the needs of patients and their families, the Mental Health Commission says in its long-awaited national strategy.
The 152-page document recommends an immediate infusion of $4-billion annually for mental-health care; calls on employers to implement psychological health and safety standards to protect workers; says efforts to divert people with severe mental-health problems out of the justice system and into care need to be accelerated; and embraces a “housing first” philosophy to get homeless people suffering from mental illness off the streets.
The Globe and Mail obtained a copy of the strategy, entitled “Changing Direction, Changing Lives,” under embargo but is publishing before the Tuesday release date because of leaks to other media outlets.
Until now, Canada has had the dubious distinction of being the only G8 country without a mental-health strategy but the Mental Health Commission of Canada says it now has a “blueprint to translate aspiration for change into action.”
An estimated 6.7 million Canadians suffer from mental illness at any given time. Last year alone, spending on mental-health services totalled $42.3-billion and the impact on the economy was even greater.
“This is an ubiquitous Canadian problem and an ubiquitous global problem,” said David Goldbloom [pictured], a psychiatrist and chairman of the MHCC. “There are significant barriers – in the health-care system, in the workplace and in the community.”
To break down those barriers – and address the problem of stigma in particular – the strategy proposes six “strategic directions” that should be pursued, and makes numerous recommendations in each area:
- Promoting mental health and prevention of mental illness;
- Fostering recovery and upholding rights;
- Providing access to the right services, treatments and supports;
- Reducing disparity and addressing diversity and those suffering mental-health problems;
- Working with first nations, Inuit and Métis, communities where addictions and suicide are major problems;
Dr. Goldbloom stressed that the commission is not a funding agency so its role is to promote a vision and promote buy-in by putting forward good research, highlighting best practices and facilitating co-operation between various stakeholders.
- Mobilizing leadership and fostering collaboration.
“We’re not an advocacy organization, we’re a catalyst,” Dr. Goldbloom said.
To underscore the approach, the strategy is peppered with examples of successful mental-health programs from around the country, such as Partners For Life, an innovative suicide prevention program that has reached 750,000 high-school students in Quebec, and the Seniors Mental Health Outreach Team that follow up on referrals from police, social services and physicians to ensure seniors with mental-health problems get follow-up care.
The strategy does not deal much with monetary issues, with one exception; it says that, currently, 7 per cent of health dollars in Canada ($14-billion) are spent on mental-health care and recommends that be increased to 9 per cent ($18-billion).
“We need more money for mental health, but we also need to spend it more wisely,” said Louise Bradley, the chief operating officer of the MHCC and a psychiatric nurse by training.
She stressed too that the needs of mental-health patients cannot be met exclusively by the health system, that changes are required in social services, education, housing and corrections.
A draft of the strategy, released in 2009, was met with sharp criticism, particularly from families of people living with severe mental illness. They complained that too little attention was paid to neuroscience and the right to treatment, and too much credence given to the civil libertarians and anti-psychiatry activists.
Dr. Goldbloom said that the final version of the strategy is very different and, in particular, pays far more attention to the needs of those with severe mental illness and their families. The report states that “treatment of people with severe illness is a gauge of system success.”
The MHCC chairman conceded, however, that it is impossible to create a blueprint for change that will please everyone. “My hope is that everyone will see they like 80 per cent of the strategy and support the overall thrust. That’s the only way we’ll be able to mobilize and move forward.”
The Mental Health Commission of Canada was created in 2007 in response to a damning Senate report on the state of mental-health care entitled “Out of the Shadows at Last – Transforming Mental Health, Mental Illness and Addiction Services in Canada.”
The MHCC has an annual budget of $15-million.
By Michael MacDonald, The Canadian PressPhotograph by Tim Krochak, The Chronicle Herald
An expert panel is calling on Nova Scotia to shorten wait times for children and youths who have been referred for a mental health assessment, but the health minister says the province is already having a tough time meeting existing standards.
Maureen MacDonald was responding Monday to the release of a report from a 12-member advisory committee that produced 61 recommendations for creating the province’s first comprehensive mental health strategy.
The report highlights the fact that most mental health disorders — an estimated 70 per cent — begin to appear before age 25. However, the committee found that “long wait times for children and youth with symptoms of mental illness was a particular concern.”
As a result, the report recommends reducing wait times for children and youths beyond the existing provincial standards.
The committee says urgent cases should be offered an assessment within a week instead of 10 days, semi-urgent referrals should be offered an appointment within two weeks instead of four weeks, and regular cases should be seen within 21 days.
“We heard throughout the province that you have to get people early,” said committee co-chairman Michael Ungar, a professor at the School of Social Work at Dalhousie University in Halifax.
“We know that if we can catch kids as they begin to show some of the signs related to mental illness and addictions problems … the less likely those conditions are to become chronic.”
But the province isn’t even meeting the existing standards, despite being admonished for lengthy wait times by the province’s auditor general in 2010.
“We’re the only province in the country that has mental health standards, (but) we haven’t been able to meet them and we need to do the work to get us there,” MacDonald said outside the legislature.
She said the province plans to release its mental health strategy some time this spring.
Liberal Leader Stephen McNeil said the contents of the report merely restate was is already known about the system. “It could have been said two years ago,” he said in an interview.
“Anyone … would have recognized we had to deal with the gaps, we had to invest in early intervention. To wait this length of time to receive that report is disappointing. We should have had a mental health strategy on where we’re going next.”
Dr. Stephen Ayer, executive director of the Schizophrenia Society of Nova Scotia, said the government must now take action.
“The important thing is that the committee has completed its work and now we can move on to the actual development of the strategy,” he said. “What’s more critical is what the government does with this document.”
The committee’s report — almost a year overdue — says that virtually everyone consulted for the study said there were problems with wait times and after-hours services.
The report also says there are too many gaps in the system, particularly when it comes to transitions from one service to another.
The Health Department and Community Services Department, for example, consider the transition from youth to adult at different ages, said Ungar.
Among other measures, the committee recommends expanding telephone crisis intervention services across the province, improving mental health awareness among health professionals and expanding housing options.
The committee does not say how much it would cost to implement its recommendations, saying it did not have a mandate to calculate expenses.
It is estimated that about 180,000 people in the province are affected by mental illness — that’s about one in every five.
The provincial government announced it would draft a new mental health strategy in March 2010.
At the time, a group of mental health advocates complained the mental health system was in chaos, plagued by long waiting lists and a lack of funding.
Mental health is so hard to understand, so hard to grasp for everyone ... finally a short film, a beautiful poem, a true piece of art that can connect people with with the words and the feelings that are oh so hard to share. Thank you Hachey. Thank you Laura. You've done it right.
Posted by emptypink
By Susan Inman (pictured)Photo credit
As the parent of someone with a severe schizoaffective disorder, I'm used to being viewed with suspicion. Sometimes the pathologizing gaze occurs in unexpected places. Following the publication of an article I wrote for B.C. Teacher about the importance of educating staff in schools about mental disorders, a fellow teacher asked me if I knew what we'd done to cause my daughter's illness.
The unjustified suspicion of mental health professionals can be even more damaging. When we took our floundering teenage daughter to a credentialed counseling psychologist, we knew nothing about severe mental illnesses. As it turned out, neither did she. Her training included no material on psychotic disorders. Instead, it focused on psychodynamic theories, which look for the causes of current problems in people's early childhood experiences. Her misguided assumptions, fed by her training, led to chaos in the early years of our daughter's illness and to an unnecessarily long and dangerous psychotic episode.
Even with recent decades of robust research in neuroscience, parental caregivers of people with psychotic disorders soon learn that their interactions with the mental health system will be filled with blame. Many mental health clinicians in Canada, like our daughter's counselor, have had no science-based training on schizophrenia or bipolar disorder. Too often their interactions with families weaken the bonds that the illnesses have already frayed.
Psychiatry, for most of the 20th century, used the theories of Freud, which were never based on evidence-based research, to develop elaborate ways of blaming parents for schizophrenia. The Canadian Psychiatric Association now explicitly describes schizophrenia as a treatable brain disorder that is not caused by poor parenting.
Our relationship with our daughter's psychiatrist has been extraordinary. I believe it is responsible for her unexpected recovery. When the psychiatric team at Vancouver's St. Paul's Hospital first met her, she was one of the most severely psychotic teenagers they had ever seen. From the time that one member of this team, our daughter's current psychiatrist, began to work with her, he listened carefully to our input as we navigated the arduous path to her stability.
Even with this history of mutual respect, my husband and I were stunned recently when we were discussing strategies for managing any difficulties that might emerge during an upcoming trip. He stopped the discussion, looked at us, and said, "You guys are such great parents!"
I'm immersed in a community of parental caregivers in Vancouver and have been asking if anyone has ever been told anything like this. The answer is, "Never." These friends, who constantly inspire me with their energy, dedication and resourcefulness in advocating for their struggling children, find it hard to imagine hearing this kind of supportive response. Instead, my question is usually greeted with yet another account of the wounding of families by the mental health system.
Some parents do receive much-needed support from their own family physicians, who also provide primary healthcare to their often unstable sons and daughters. For many years, both my husband and I have freely vented, grieved, and tried to problem solve with the informed and compassionate help of our family doctor.
In recent years, the Canadian Psychiatric Association and the College of Family Physicians of Canada have begun an active collaboration including an annual Shared-Care conference. Much of the focus has been on helping family physicians become more knowledgeable in responding to the serious mental illnesses they are increasingly being asked to manage.
The upcoming Shared-Care conference in Vancouver offers richly informative sessions for family physicians. However, I don't see any sessions that provide family physicians opportunities to share their often considerable expertise in helping parents survive their daunting tasks. Fortunately, this kind of conference does invite informal communication on just these kinds of overlooked topics. Since family caregivers for people with severe mental illnesses save the healthcare system money, new ways of supporting them are well worth considering.





Re: "A cry from the heart: Save our mental health staff." Kudos to Ally Dawson, the 16-year-old who is gave us the perspective from an (Adolescent Centre for Treatment) client. ACT is a 24 / 7 operation, and is being changed by the IWK to a 24 / 5 operation.Photo credit
Ally spoke articulately from her heart in support of the program and the youth care workers, whom she has dealt with first-hand.
Why is it that when ever there are budget restraints, it is always the most vulnerable that get affected? Why is it that "top heavy" management is never affected by these decisions, or at the very minimum, equally affected? Although according to a response I received from Premier Darrell Dexter’s office, "there is no budget cut involved with this decision. In fact, mental health services are exempt from the restraint targets in the province’s multi-year plan to get back to balance."
Mr. Dexter [pictured], himself, states "…the design and delivery of mental health services are done by professionals in the field. As you would expect, we fund the DHAs (District Health Authorities) who make the decisions on the best mix of these services, based on knowledge, skill and advice. Over many years, this model has proved successful. I trust and expect that it will continue to do so."
I certainly hope he is right. The public needs an explanation as to what this proven successful model is.
What will this do to the kids in these programs? How many of them will fall through the cracks as a result of this decision? How many youth suicides will we have to deal with, and how many have to land in jail before we realize that this is a mistake?
My heart goes out to Ally and all the clients of the ACT and Compass programs and to the youth care workers who work with them because they love to. It takes special people to do these jobs, and they don’t have to have half a dozen initials after their names to be qualified, professional and do an "amazing" job.
M.L. (Speranza) Anstey, Antigonish
As the IWK changes its mental health care facilities for children and teenagers, we find out how youth care workers and in-patient treatment at the IWK allowed a young man to tackle his anxiety disorder.To listen, please click here.
Connor MacLellan and his mother Susan say he would not have recovered from his anxiety and depression without the care he received as an in-patient.
1,100 child mental health patients affectedImage credit
By Selena Ross
What does it take to get off a waiting list?
Of the 1,100 children removed since November from the IWK Health Centre’s waiting list for mental health services — an astonishing statistic the Halifax children’s hospital released widely on Monday — about half weren’t treated, and the hospital removed many of those without directly contacting them.
That’s because the IWK sent a letter to all families on the waiting list in September or October asking them to call back if they still wanted service.
Many didn’t call back. The list was instantly cut back by about half, the vice-president of patient care, Jocelyn Vine [pictured], said Thursday.
Since then, the hospital has screened hundreds of children for the first time, leaving 70 on the waiting list. But on Tuesday, Vine described that overall 94 per cent reduction as a "really very profound improvement in access to care" without explaining that hundreds of names had simply been deleted.
The hospital used the numbers this week to show its success under a reorganization that included the layoff of 22 youth-care workers.
Parents and mental health advocates challenged the math after reading about the hospital’s announcement this week.
"I had a feeling . . . I just wondered what had happened to that 1,030 people," said John Roswell of the Digby Clare Mental Health Volunteers Association.
"If they could see 1,100 people in three months, we could clean up the mental health waiting lists throughout the province in a big hurry."
Roswell said he called Vine on Wednesday to ask how the hospital came up with the numbers, and she explained the mass mail-out.
"I couldn’t believe what she said," he said. "I just thought it was a terrible misrepresentation of the facts.
"I understand their point about improving patient care and decreasing wait times. I mean, that’s all very applaudable, but I think we need to be upfront about it."
The mother of a 10-year-old Dartmouth boy who waited 14 months for a first appointment said she responded to several surveys the hospital mailed out during that time to reaffirm that the family still wanted care.
Last fall, the letter contained a deadline, said Carol Mack, whose son suffers from anxiety-related problems.
"It was something about how they were reorganizing their wait times . . . then you had to call this phone number, which is the Dartmouth clinic, I believe. (It said) if you are still requiring services, you have to call it by this certain date. Otherwise you’ll be removed from the wait list."
As Mack remembers it, she had about a month to call.
"But if they didn’t have the current phone number or address for someone, you were out of luck. Or, say, someone just missed it, you’d be totally kicked off the list."
Vine said Thursday that the hospital made extra efforts to get in touch with families who didn’t respond. Some also phoned to say they no longer needed care, she said.
Those who didn’t speak to the hospital were taken off the list, but they’re free to call and re-add their names any time they want, she said.
"Some chose to call in. Some didn’t," she said. "It’s totally up to them."
The numbers on the waiting list are not misleading, Vine said. Services were offered to all 1,100 families.
"We can only go by the data that we have. It’s a completely accurate number, based on the information that we had. We went back and re-engaged with people. . . . Based on their answer, we’re moving forward accordingly."
The hospital’s overall progress in the mental health unit is not in doubt, Vine said. Since November, the unit has sped up the rate at which it handles new patients and is seeing more children per week than previously.
She said she had no statistics showing that change.