Friday, October 27, 2017

Mental Health on Campuses

http://campusmentalhealth.ca/

Improving access to mental health counselling a priority at UBC

The university is taking a new approach to its on-campus counselling services.

By Natasha Frakes, CBC News Posted: Aug 24, 2017 11:10 AM PT Last Updated: Aug 24, 2017 11:11 AM PT
According to an Academic Experience Survey released by UBC's student union in July, 90 per cent of undergraduate students are aware of the UBC counseling services, but only 17 per cent said they have been helped by them.
According to an Academic Experience Survey released by UBC's student union in July, 90 per cent of undergraduate students are aware of the UBC counseling services, but only 17 per cent said they have been helped by them. (Canadian Press)
When over 45,000 students start another semester of classes at the University of British Columbia next month, they'll be given information to help them if they have any academic or financial troubles.
But in recent years, UBC has increased its effort to make sure students know where to go if they have mental health troubles as well.
"We really support students to first of all access the services they need as well as to take the time they need if they're not feeling well enough to continue with their studies," said Cheryl Washburn, director of counseling services for UBC.
Washburn says the university has been making some improvements to the services available.
For one, she says they have introduced a centralized first point of contact to identify students' concerns and the level of support needed.
"It connects a student to the least intrusive, least intensive, yet most effective support at any given time," she said.
And in January 2018, there will be a new wellness centre in the UBC Life Centre.
This means students will not have to go to the area for counselling services to get help, which Washburn says may reduce some of the hesitation students have.

UBC student taking initiative

It's not just the university trying to open up the conversation around mental health.
Second-year UBC student Dan Nixon became a student leader for Jack.org. It's an online network working to transform the conversation around mental health, founded by an Ontario family after their son committed suicide while in his first year at Queen's University.
"I got involved initially because someone asked for my support and I didn't know how to give it. And that really kind of woke me up," said Nixon.
Nixon says when he was in his first year at the university, he didn't feel comfortable telling his professor he needed a mental health day.
"I was so scared. I didn't feel comfortable going up to a professor and saying that to them."
UBC student, Dan Nixon, is an advocate for mental health with Jack.org.
UBC student, Dan Nixon, is an advocate for mental health with Jack.org.

Survey suggests need for improvement

According to an Academic Experience Survey released by UBC's student union in July, 90 per cent of undergraduate students are aware of the UBC counselling services, but only 17 per cent said they have been helped by them.
The survey was conducted by Insights West and had a sample size of 2,484 UBC students. It also found that 43 per cent of undergraduates regularly worry about their expenses, including tuition, and 36 per cent experience hardship related to these finances.
Nixon says he's noticed many students prioritizing academics to the point that mental health falls by the wayside.
"I think it was just astonishing the amount of people in exam season that would just totally forget about taking care of their mental health or just put it on the bottom. They wouldn't even think about it. Just study, study, study."
Washburn believes the changes made by UBC will give students more confidence in reaching out.
"Since launching the new approach in January of this year we have been able to see students for that initial consultation and assessment in a much more timely manner."
Nixon says that on such a large campus, changing the conversation around mental health requires everyone to get on board.
"Logistically it's really hard — we have so many students at UBC — to reach every student and let them know that, hey, we care about your mental health,'" he said.
"It has to come from a large level at the university but it's also it's down on an individual level on the professors, and the advisors, and the resident advisors to say mental health is a priority and so we're going to be there for people when they need it."

Mental Health Advocates fear review will prompt bed closures in Manitoba

Mental health advocates fear review will prompt bed closures in Manitoba

Team leader of local review called for more cost-effective treatment of addictions in Nova Scotia, Ontario

Carol Ward holds a photo of her daughter Lisa Erickson, 32, who died of a carfentanil overdose. Ward wants the province to increase the number of residential treatment beds. (Tyson Koschik/CBC)
A mental health expert leading an independent review of Manitoba's mental health and addictions services recently came under fire for recommending residential bed closures in other provinces.
That's causing concern among local advocates who want the province to increase the number of addictions beds.
"We need more long-term residential beds, not less," said Carol Ward, a Steinbach mother whose daughter fatally overdosed on opiates last summer. "Had that been available when my daughter was in the situation she was in … I strongly believe it would have made a big difference for her."
This summer, the province recruited Dr. Brian Rush, a nationally renowned mental health and addictions consultant, and a team of experts to review the way mental health and addictions services are delivered in Manitoba.
The mental health and addictions strategy they've been asked to produce will recommend ways to to cost-effectively merge services.
Carol Ward was invited to attend one of the consultations the team hosted in the province over the summer. She told the CBC that her message was clear: the province needs more long-term residential beds for addicts seeking treatment.
"I'm a big advocate for that. I believe, and very strongly, that is our answer in Manitoba," Ward said.
In other provinces, Rush and his team recommended reducing the number of long-term beds to pave the way for more day treatment programs.

Detox, mental illness bed closures

In March 2017, the CBC obtained an internal document commissioned by the Nova Scotia Health Authority, in which Rush recommended the closure of three in-patient detox units and some beds at the Cape Breton Regional Hospital.
It also called for the closure of Beacon House, a stand-alone treatment centre for people with severe and persistent mental illness.
In some cases, the report recommended converting the addictions beds to day units.
The recommendations have not yet been implemented.
I would suggest to Manitobans, do not accept the loss of your in-patient services- John Lohr, Nova Scotia PC MLA
Rush made similar recommendations to the Ontario government in 2016, urging restraint when placing patients in the "more resource-intensive level of care" of residential treatment, "as outpatient/day treatment has stronger evidence of cost-effective outcomes."
In both provinces, the recommendations drew criticism from mental health advocates and politicians.
"I would suggest to Manitobans, do not accept the loss of your in-patient services," said Nova Scotia Progressive Conservative MLA John Lohr. "There's just too many places where people need to have in-patient services, where you cannot manage it at home, or you're homeless or there's conflict at home."

'Why is this an either/or?'

Mental health advocates agree that the less costly day treatment programs can be as effective as residential programs, but Lohr said one shouldn't be sacrificed for the other.
"Why is this an 'either/or' thing?" Lohr said. "It looked like it was a cost-saving measure."
The Addictions Foundation of Manitoba has some residential treatment programs with a total of 130 beds. The average wait time is 74 days. The foundation also has community outreach and day programs throughout the province.
They've stickhandled 18,000 admissions into their programs in the past year.
Ben Fry, CEO of the Addictions Foundation, told the CBC their consultations with the review team were extensive and "very, very positive."
He was surprised to learn about Rush's earlier recommendations to close residential beds in other provinces — and Fry did not make that recommendation here.
"No, AFM is not recommending reducing the number of beds," Fry said.
Tara Brousseau Snider of the Mood Disorders Association of Manitoba says there is a need for residential treatment. (CBC)
Tara Brousseau Snider, executive director of the Mood Disorders Association of Manitoba, agreed that community or day programs can be successful when treating mental illness — but not at the expense of residential care programs.
"The ones that tend to need beds are the very chronically ill, which Mood Disorders, that's our community as well," Brousseau Snider said. "And people with high addictions, and usually it's both mental health and addictions, so we need beds to support that."
The CBC requested an interview with Rush, but a spokesperson for the province declined on his behalf.
The spokesperson would not comment on whether the review will recommend bed closures.
"It would not be appropriate to speculate on what recommendations may or may not be included in the consultant's final report," the spokesperson said.
An interim report is expected by the end of 2017.

Mental health promotion group disappointed it's left out of new funding

Mental health promotion group disappointed it's left out of new funding

N.S. mental health strategy focuses spending on early detection and treatment

A group that focuses on mental heath promotion and injury and illness prevention said it is feeling 'ignored' by the Nova Scotia government. (Shutterstock / Pressmaster)
As branches of the Canadian Mental Health Association meet with provincial governments to discuss spending mental health dollars, the Nova Scotia division says it's been "ignored" by the McNeil government.
Pamela Magee, executive director of CMHA Nova Scotia, says she's "disappointed and disheartened" requests to meet with the Health Department appear to have fallen on deaf ears.
It's not what Magee was expecting last December when Nova Scotia — along with Newfoundland and Labrador — were the second and third provinces to sign bilateral health funding deals with the federal government.
"I thought it was a great Christmas gift," said Magee about the $130.8 million over 10 years Ottawa agreed to transfer to Nova Scotia for targeted mental health spending.

Community programs fill gaps

Her hope was that a portion would be allocated to CMHA for mental health promotion and injury and disease prevention. CMHA provides services such as applied suicide intervention skills training to workplaces.
Pamela Magee is the executive director of Nova Scotia division of the Canadian Mental Health Association. (CBC)
Magee says community programs are key to filling in the gaps in the mental health system.
At the start of the year, she presented a position statement to the deputy minister of health requesting funding on behalf of the CMHA, Schizophrenia Society, Laing House, a youth mental health group based in Halifax, Healthy Minds Cooperative, and Self-Help Communities.

'Unprecedented infusion of funding'

The request for funding by the Nova Scotia division of the CMHA was supported last week by the national CMHA, which marks its 100th anniversary next year.
Citing "an unprecedented infusion of funding for mental health," national CMHA CEO Patrick Smith called for the strategic investment of funds — with funding dedicated to community-based mental health services.
But ten months after the mental health deal was struck, none of it has flowed through to the CMHA locally.
The wheels are in motion in parts of the country. Camille Quenneville, CEO of the Ontario division, says the group is at the table with the province to help develop strategies and plans, and there's some initial talk of delivering services and transferring funds to non-profits.

Talks have 'intensified' in Ontario

Quenneville says CMHA "continually" has discussions with the provincial government about health spending allocations. "That's only intensified in light of the [mental health] transfer," she said.
Magee says a similar discussion is happening in Newfoundland and Labrador.
The Nova Scotia Liberal government is spending an additional $8.6 million on mental health this year — much of it allocated to department initiatives — that it says will lead to almost 70 more mental health-care providers.
Part of that funding will be used to create a new central intake system to help all Nova Scotians looking for help.
There's also a focus on school support — particularly in Cape Breton — after the tragedy of three youth suicides during the school year.
And a community group, CaperBase, a youth outreach program, will be receiving more than $460,000 to expand its work.
Health Minister Randy Delorey says he's ready to have a conversation with the Canadian Mental Health Association. (Paul Poirier/CBC)
Nova Scotia Health and Wellness Minister Randy Delorey says the priority is on youth because earlier detection and treatment leads to better outcomes.
He says the department recognizes that mental health is a chronic illness that can last a lifetime, "so that's why at this point and time it's very, very important with these investments."
Delorey says he apologizes for the Canadian Mental Health Association feeling left out, but he says he's ready to have a conversation with them.
"It's not an either-or, this work that's ongoing, it's a commitment," said Delorey. "It is a long-term journey that we're on as a province."
Magee hopes to have that conversation with the department to stress the role of health promotion and injury and disease prevention. She says the group is eager to roll out a program that focuses on helping people to feel mentally well through building resilience.

About the Author

Elizabeth Chiu
Reporter
Elizabeth Chiu is a reporter with CBC Nova Scotia and host of Atlantic Tonight on Saturdays at 7 p.m., 7:30 in Newfoundland. If you have a story idea for her, contact her at elizabeth.chiu@cbc.ca.

Ontario adds 24 hospital beds for mental health in London

Ontario adds 24 hospital beds for mental health in London

The move is part of a wider effort to boost number of beds by 2,000 provincewide

The Ontario government announced Thursday that London Health Sciences Centre will receive 24 additional hospital beds for mental health care patients. (Dave Chidley)
London Health Sciences Centre is getting an additional 24 hospital beds in order to reduce wait times for mental healthcare and help ease patients' transition out of hospital.
The Thursday announcement in London is part of a wider provincial announcement made earlier in the week, where the Ontario government committed to providing an additional 2,000 spaces provincewide for patients transitioning out of hospital.
London will receive a total of 48 hospital beds, with 24 beds for acute care and another 24 for mental healthcare.
"London Health Sciences and this city has been doing a great job at managing some real challenges at mental health and serving the people," John Fraser, the Liberal MPP for London South and the parliamentary secretary to the minister of health told CBC News Thursday.
"The mental health beds in the hospital, that's going to relieve some of the pressure that's there."
A news release from the province said the spaces in London will help about 100 people who need "additional short-term, mental health and addictions support and housing transition from hospital to home."
"Patients who benefit from this project will receive care from a team that includes a nurse coordinator, social worker and recreational therapist," the news release said. 

Clarifications

  • An earlier version of this article stated, "Ontario adds 48 mental healthcare beds in London," when in fact London will actually get 24 hospital beds for mental healthcare and another 24 hospital beds for acute care.
    Oct 26, 2017 1:44 PM ET

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