Thursday, January 15, 2009

Just a Minute!

From a Toronto Sun article of Thursday, January 15, 2009

entitled 'Mental child support'
Parents call to keep funds
By ANTONELLA ARTUSO, QUEEN'S PARK BUREAU CHIEF

Parents struggling to raise children with mental illnesses are calling on the Ontario government to protect and enhance services despite the difficult economic times.

Sarah Cannon, of St. Catharines, whose 12-year-old daughter has been diagnosed with bipolar disorder, told a news conference yesterday that only one out of six children with mental illnesses in the province are able to access services and then only after months on waiting lists.

Privately-obtained services are sparse and dauntingly expensive, and Cannon had to take a second job to cover the cost of her child's $750 monthly medication bill.

"I have been telling my daughter's story for nearly a decade and have been struggling with the daily emotional, financial and social struggles associated with having a child diagnosed with a mental illness," Cannon said.

"I have watched my child have to deal with the isolation and stigma that comes attached to her label. I have watched her struggle and suffer battling faceless demons that few can comprehend. I have learned that she shares this struggle with countless other children."

Suicide is a real risk for mentally ill children even though the vast majority have a psychological illness that could be treated, she said.

Cannon and other members of Parents for Children's Mental Health are asking the McGuinty government to increase spending on these services by 3% after years of flat-lined budgets and to work toward a seamless system of care as recommended in several key reports such as the provincially-sponsored Roots of Violence.

London parent Sean Quigley, whose 12-year-old daughter was diagnosed with bipolar disorder at age 7, said they pushed hard to get her the services she needed.

During the worst of times, they were getting calls every day from school to pick up their daughter who could be violent and verbally abusive when experiencing the mood swings associated with the disorder.

Now in Grade 7, their daughter Erynn has served as a national "Face of Mental Illness."
"She's on the student council and her grades rock," her proud father said.

But many parents of mentally ill children lose jobs, savings and even their homes as they attempt to meet the needs of their children in a complex, patchwork system, he said.

"The health system does not work with the education system which does not work with the social services system which does not really communicate with the justice system," Quigley said.

"And we as parents, we navigate these systems all the time."

Children and Youth Services Minister Deb Matthews said her government's 2004 budget brought in the first base increase in children's mental health services funding in 12 years.
The ministry is currently implementing a strategic framework for children's mental health services to bring more co-ordination to the system, and to use existing dollars more effectively for the care of children and youth, Matthews said.

I'm all for the work of Canada's Mental Health Commission. Yet these examples illustrate the need for more than just talk and research. Real help would go a long way towards reducing stigma for all concerned!
What we really need is a coordinated systems approach, which brings together various levels and departments of government, and which recognizes and collaborates with "informal service providers". We must as Canadians, find ways to stand with each other to obtain the service and respect we all need.

Richard Alastair

Thursday, January 8, 2009

SO WHERE IS THE HOUSING?

The Government of Canada would have us believe that it is 'helping' those who are homeless in Saskatchewan
see news.gc.ca dateline: SASKATOON, SASKATCHEWAN, December 19, 2008

Canada’s Government (claims to be) helping families and individuals in Saskatchewan break free from the cycles of homelessness and poverty and build a stronger future for themselves.

see http://news.gc.ca/web/article-eng.do?nid=428379

The report says that
“Our government is delivering on our commitment to help those who are homeless or at risk of becoming homeless. We are proud to support community efforts that help find local solutions to local issues,” said Mr. Komarnicki, who made the announcement on behalf of the Honourable Diane Finley, Minister of Human Resources and Skills Development. “By investing over $1.7 million in these 12 projects across Saskatchewan, we are supporting community efforts to help those in need.”

The announcement took place at the Salvation Army Community Centre in Saskatoon, a shelter, food provider and drop-in centre. The organization is receiving HPS funding to help create 42 emergency shelter beds and six temporary cots for women and children. Individuals will benefit by having a safe place to live in which they can access support services and transition out of homelessness.

Let's not hold our breath waiting.

Saturday, January 3, 2009

Post-traumatic stress disorder

CBC news reported in a Dec. 17, 2008 on-line article that 'more Canadian soldiers than ever are coming forward to make claims for psychiatric disabilities, such as post-traumatic stress disorder' and that of 31 recommendations made by the Military Ombudsman's Office in Ottawa, 18 had not been fully implemented.

The military are said to have made some progress in improving screening before and after conflict, providing national family support groups and aiming to hire 200 mental health workers by March of this year.

But the condition doesn't just affect soldiers. Paramedics, front-line nurses and victims of abuse, violent crimes or accidents have been known to develop symptoms. One in 10 people have post-traumatic stress disorder, according to the Canadian Mental Health Association. Often with time and support, people can get past a traumatic event.

PTSD can result from stressors such as seeing someone else threatened with death or serious injury, or killed, or from violent personal assaults, such as rape or mugging, from car or plane accidents, industrial accidents, natural disasters, such as hurricanes or tornadoes, as well as from military combat.

In life-threatening circumstances, the body goes into a "fight or flight" response. But when a person continually relives the traumatic event, this response is reactivated and it becomes a problem.

Symptoms usually start to appear three months after the traumatic event. But they can also appear many years later.

They fall into three categories:

Reliving the traumatic event: Some people experience such severe psychological stress that it affects them long after. They have flashbacks and nightmares or tune out for periods of time, making it hard to live a normal life.

Emotional numbing and avoidance: The person may withdraw from friends and family. They avoid situations that remind them of their trauma. They don't enjoy life as usual, and have a hard time feeling emotions or maintaining intimacy. They often feel extreme guilt. In rare cases, they can go through disassociative states where they believe they are reliving the episode, and act as if it is happening again. These can last anywhere from five minutes to several days.

Changes in sleeping patterns and alertness: Insomnia is common, and people with PTSD may have a hard time concentrating and finishing tasks. This can also lead to more aggression.

PTSD can also lead to other illnesses, such as depression or dependence on drugs or alcohol. Some physical symptoms, such as dizziness, chest pain, gastrointestinal and immune-system problems can also be linked to the disorder.

How is it treated?
The depression and anxiety can be treated with medication. Therapy with mental health professionals can help, such as:

Group therapy.
Exposure therapy, in which the person works through the trauma by reliving the experience under controlled conditions.
Cognitive-behavioural therapy, which focuses on the way a person interprets and reacts to experience.
Some people fully recover within six months, but it can take much longer. Cognitive-behavioural therapy appears to be the most effective treatment, according to research.
But PTSD research continues to determine which treatments work best.

How many people does it affect? Who does it affect?
About one in 10 people have PTSD, according to the Canadian Mental Health Association. It can affect anyone who has a traumatic experience. Children and adults alike can suffer PTSD, which is among the most common mental health problems.

But, some people can experience symptoms without developing PTSD. About five to 10 per cent of people may have some symptoms without developing the full-blown disorder, according to the B.C. Ministry of Health Guide. Women are twice as likely as men to develop the full-blown disorder.

In 2002, the Canadian Forces was surveyed by Statistics Canada to determine the prevalence of PTSD and other conditions. The survey found that in the year before the study, 2.8 per cent of the regular force and 1.2 per cent of the reservists had symptoms of PTSD. The more missions soldiers had embarked on, the more likely they were to develop the disorder or PTSD-like symptoms.

But, the rate might be much higher, says Dr. Greg Passey, a Vancouver psychiatrist who specializes in trauma and works with Canadian Forces patients. In the mid-1990s, Passey studied two battalions who had served in the former Yugoslavia and found a 12- to 13- per-cent rate of PTSD.

Because our military is so small, he told CBC News, the front-end combat people have to go on more than one tour. And, he added, the more traumatic situations a person is exposed to, the greater risk of developing an operational stress injury such as PTSD.

The Canadian Forces now screens soldiers three to six months after they return from a mission. The "enhanced post-deployment screening process" involves a set of standard health questionnaires and an in-depth interview with a mental health professional.


If you have symptoms of post-traumatic stress disorder, what can you do to cope? Veterans Canada recommends a few common sense tips.

Live a healthy lifestyle, eating healthy meals, exercising regularly and getting enough rest.

Set aside time to reflect on the trauma, rather than allow a constant stream of worrying thoughts throughout the day.

Join or develop support groups.

Educate yourself and your family about reactions to trauma. Understanding the condition is helpful in coming to terms with the trauma and dealing with its associated problems.

for the full article, see...
http://www.cbc.ca/health/story/2008/12/17/f-ptsd.html

for related article: 'Special help for stress disorders' see...
http://www.edmontonsun.com/News/Edmonton/2008/12/31/7886731-sun.html