Category Archives: Addiction

I hope Kevin Falcon was …

I sincerely hope that Health Minister Kevin Falcon was lying through his teeth in his recent response to questions about cuts to mental health and addiction services.

If he actually believes what he was saying reflects the state of mental health and/or addiction services in BC … … there are a lot of British Columbians in need of those services who are *bleeped*, myself included.

The heat this summer had a serious negative effect on my mental state, leaving me struggling to return to the state of Wellness I had attained. Unfortunately there is a 10 month waiting period to get to see a psychiatrist; after you spend 11/2 – 2 months working through the backlog at mental health services to get referred to see a psychiatrist.

I have a Wellness Plan, tools and have built a strong support system and so I have a reasonable chance of not falling into a downward spiral during what could be a year long wait for services … with luck.

What would it mean to you or someone you know who, facing a mental health crisis, seeks help and faces a year long wait to start to get the services you/they need? What level of worsening does this delay cause in someone’s mental state and what does this do to that individual?

I was not the only person the heat this summer caused mental challenges for. I have heard from numerous others who, finding their mental state causing them problems went to the hospital to get help in order not to relapse and were turned away. Our local hospital’s mental services are insufficient to meet the normal day-to-day demands for its services; the increase in demand caused by the weather overwhelmed these inadequate services.

I could go on for pages on the service cuts (or as the Health Minister calls it ‘reorganized delivery’), the services that are simply not provided or how overwhelmed the services and programs provided are.

Fraser Health is the fastest growing health region in terms of population growth and thus demand for services. Exacerbating matters is the fact that for those on the limited support provided for people disabled by mental health issues, rent costs are forcing patients out of Costal Health into Fraser Health in search of more affordable, or at least less unaffordable, housing.

The budget for mental health in our region has not reflected the increase in demand. This year’s budget is the same as last year. While on a strictly definitional basis this is not a budget cut, in the real world that those of us who are not politicians inhabit holding a budget at the same level is a budget cut.

In a sensible move addiction services were moved into mental health. I say sensible because the growing knowledge base on addiction and addiction recovery has shown this to be more of a mental health problem that a strictly simpler problem of ‘addiction’

While significantly (doubling? tripling?) increasing the responsibilities of mental health, there was no funding provided to pay for addiction services.

It needs to be noted that Minister Rich Coleman’s ministry plays a role in increasing the problems for those dealing with mental health and addiction challenges. The unrealistic levels of Income Assistance and the lack of safe, healthy affordable housing significantly increases the barriers to recovery for those with mental or addiction issues.

Dealing with housing, budgeting or income assistance is a major stressor for people whether challenged by mental issues or not.

If you need mental health services you are well aware of the limited services currently available, the limited numbers and access to those services, the gaping holes in services and the problem of the time it takes to get access to services.

The lack of services and capacity is denying access to Recovery to British Columbians. It is costing the taxpayers of BC more tax dollars to deal with the consequences of people denied mental health care than it would to provide the needed care.

Sadly, twistedly, the mental health system itself, due to a lack of funding, proper management and leadership has become a mental health issue.

Which is why, although I am not a fan of the propensity of politicians to lie, I am praying Kevin Falcon was lying through his teeth in his statements on the state of mental health services in BC. The alternative, he believes what he said, is disastrous for anyone with mental health or addiction issues in their lives.

Homeless and Forsaken

The suicide of Corey O’Brien was tragic, but the true tragedy of Corey’s Story is that nothing has been done about implementing the recommendations in “Lost in Transition” – the report on mental illness on the streets of Vancouver.

The BC Liberals and the health care system have failed to put these recommendations into effect; as a result the mentally ill homeless continue to be left abandoned to the mean streets, continuously adding new names to the list of forsaken victims.

While a tragic suicide such as Corey’s is an infrequent event, having a person in desperate need of immediate mental health treatment refused service and turned away is a weekly occurrence for the outreach nurse who ministers to Abbotsford’s homeless.

Except for those not infrequent weeks where more than one person is turned away, back to being mentally ill and homelessness on the streets of Abbotsford.

The other evening the nurse and another staff person stayed late trying to help the latest victim of the BC government and its mental health system. Struggling to get a young human being in desperate need of immediate mental health treatment, mental health services at the Abbotsford Hospital.

An ambulance was called and took her/him to the hospital … were he/she was discharged to homelessness – unable to care for or help her/himself; the police were then called and they took this individual to the hospital … to simply drop them off rather than staying and ensuring this mentally unwell individual received the care needed.

Dealing with the Abbotsford Hospital is enough to drive anyone to wanting to run away screaming. Someone having a mental health crisis will escape the madness by wandering away.

So, rather than being in hospital getting the care desperately and conspicuously needed, he/she spent the night in the stressful environment of the emergency shelter.

The homeless, by and large, have no support. No parent, sibling, relative, neighbour or friends to provide support or to advocate and fight on their behalf.

They must rely on those charged with providing healing or to serve and protect to discharge their duty with due care. When the healers and protectors cannot be bothered …

Hospital staff said to take her/him to detox.

Yes, he/she is an addict, suffering the burden of drug use. For those suffering from addiction, their treatment by hospital staff can frequently, at the very best, be called less than professional and rather haphazard.

No visit to detox was required. She/he was detoxed as the result of a mental state so bad, so degraded that it was interfering with his/her drug use.

This individual is so mentally ill that their mental illness was and is interfering with their drug use. Yet he/she was returned to the streets in a condition where she/he was mentally unable, unfit to care for him/herself; left to wander Abbotsford’s streets with decreased ability, capacity to function.

Government and society tells homeless individuals they need to seek help, yet when they seek such help they find there is no help to be had. If the homeless are to be told they need to seek help, it follows that when they do, the capacity, services and professional staff must be in place to help.

To get the homeless into recovery and wellness, it is necessary for the system to adjust to their needs as they lack the ability to navigate the current systems. The recommendations of the “Lost in Transition” report needs be implemented as a priority.

Another priority must be an attitude adjustment for hospital staff and police; while the homeless are more often than not frustrating pains in the ass, that does not justify less than professional behaviour on matters of physical and/or mental health.

The test of the soul of a society, its ethicalness and its set of values, is how that society and its government(s) treat the most vulnerable: those in the dawn of life, the children; those who are in the twilight of life, the elderly; and those in the shadows of life, those in need, the handicapped, the helpless and the ill.

Our failure of this test of character is written in the pain and despair of people like Corey or the young human being who is in such desperate need of healing.

It is time to make the wellness of people more of a priority than a convention centre, Olympic venues, roads, bridges and ideology. Time to recognize that the homeless mentally ill and/or addicted are wounded human beings.

Help Wanted.

What do you call the recent arrest of 8 senior members of the UN gang?

An employment opportunity.

Not a pretty reality, but reality nonetheless. A reality highlighted by police statements that the public should not expect these arrests to effect drug supplies, gang activity or gang violence.

That the arrests represent an employment opportunity should come as no surprise in light of what Abbotsford’s Chief Constable had to say about the lure of the lucrative gangsta lifestyle. Given our societies distorted emphasis on money and the things it can buy as measurements of success and a key to happiness no one should be flabbergasted by the scramble for the $$$ to be found in the drug business.

Indeed, given the reality challenged social and economic policies of both the federal and provincial government and our current economic recession, more and more heretofore honest citizens will find themselves faced with a choice between poverty and homelessness OR involvement in drugs …. Tough choice to find one’s self faced with.

Of course if the federal Conservatives or the provincial Liberals were in touch with reality Canadians would not be subjected to the Conservatives enthusiastically patting themselves on the back for progress made toward enacting legislation to jail large numbers of addicts, while at the same time substantially increasing time spent in jail.

Removing their ideological blinders and ceasing their naval gazing would perhaps allow the federal Conservatives and/or provincial Liberals to learn from the experience of states in the United States were they have been pursuing this lock ‘em up policy for a period of time.

The State of New York (and increasing numbers of other states) have abandoned this policy.

Why? It was gutting state programs across the board and literally bankrupting the state(s) to pay the skyrocketing costs incurred in incarcerating an every increasing number of people.

Faced with either significant tax increases or spending the budget, for the most part, solely to lock people up rather than on roads, social programs etc New York did what anyone with common sense would do upon finding themselves in a hole – stop digging.

Thus it is that after more than a decade of “locking them up for long sentences” New York and other states have stopped this insanity.
A wise decision in light of the studies evaluating this policy that found the only things the policy accomplished was to make incarceration a lucrative business, to drive states to the brink of bankruptcy and to criminalize addiction (which is a physical and mental health issue).

This is the current situation California finds itself in, hovering on the edge of bankruptcy and facing the need to reduce the prison population by 70,000 over the next 18 months.

The costs of building and funding prison spaces for 70,000 prisoners were so prohibitive California was not able to increase prison cells. Faced with a deluge of new prisoners California packed its existing prisons to the rafters. Conditions became so inhuman even the Bush appointed conservative US courts ordered the release of 70,000 prisoners to reduce overcrowding.

Like a true capitalist (as opposed to a Harper Conservative pseudo capitalist) the governor of California wants to repair California’s finances by recovering at least a portion of the funds squandered on a policy (lock ‘em up for years) that proved ineffective and contributed substantially to California tottering on the edge of bankruptcy.

To save the state from bankruptcy California’s governor has called for the legalization of marijuana. Between the taxes raised and the funds saved, California would have the funds to focus on the truly important issues facing the state such as ensuring a supply of potable water.

Given the results and experiences of US states following a policy of locking up increasing numbers of people for increasing lengths of times it is nonsensical, bordering on out-and-out stupid, for Canada to pursue a policy that has proven to be pointless and costly to the point of beggaring anyone short-sighted enough to pursue this policy.

Given Mr. Harper’s behaviour to date the probability of common sense and experience winning out on this matter over Mr. Harper’s ideology approaches zero.

So it was that the media circus staged by the Abbotsford Police Department in arresting Tim Felger seemed to provide an appropriate exclamation point to emphasize the futility of current policies vis-à-vis the drugs society chooses to label “illegal”.

“Without reflection, we go blindly on our way, creating more unintended consequences, and failing to achieve anything useful.” Margaret J. Wheatley