Showing posts with label Suicide. Show all posts
Showing posts with label Suicide. Show all posts

Wednesday, June 11, 2014

Waitlisted: The unacceptable standard of mental health care in Canada

While aimlessly scrolling through my Twitter newsfeed at 3:15 in the morning, I saw a story which triggered my "ranting phase", so this will be an "opinion" piece, which I seem to do many of actually.  

The article, entitled "Teen waiting over 18 months for psychiatry appointment", published by CBC Saskatchewan, this in-depth article immediately struck a chord with me. Mainly because I have found myself to be in a similar position two years ago. As I continued to scroll through the article, I found myself becoming more enraged, simply at the fact that the health care system was clearly neglecting the needs of a 15-year old girl, who is in need of mental health counselling. Just like the same was done to me at the time.


An infographic outlining the inefficiency of the Canadian [mental]health care system. To me, these statistics appear to be grossly inflated.




This is an unacceptable standard of mental health care. I can feel this young girl's pain, as I was her. When I was 17, I was admitted to CHEO for suicidal ideations and extreme depression. While I was there they diagnosed me with Major Depressive Disorder (MDD), Social/Generalized Anxiety Disorder, Panic Disorder and OCD (which I had suffered from since I was about 11 years old). 

I spent approximately 2 months and once I was finally released they put me on a waiting list for a team of mental heath professionals at the Royal Ottawa (because I was almost 18, which seemed to be quite a big issue with them in terms of treatment options).

I started school again and continued to wait, and wait. 

Graduation came along, and so did more waiting. 

September, university, a huge transition in one's young life then crept up on me, and yet I still eagerly waited for that phone call. 

Then around November/December, my depression got worse and I slowly felt myself falling back down the rabbit hole again. The isolation, the overwhelming sadness, the thoughts of dying. Everything was crumbing around me and I had no one to help me (except for my parents who were over 4 hours away). During that time I went through a lot, my anxiety spiked due to the new changes and people, a relationship (which didn't go over so well; lying, abuse, staking, ect...), grades dropping like bombs in the sky. I informed the doctor I was seeing at the time about my depression and suicidal/self harm ideations, and they referred me to their psychiatrist. This didn't prove to be any better. All they did was put me on new medications, which made me feel even worse (without even consulting with my family physician about my medical history) and later told me that they had a five visit policy, meaning that you could only receive five hours of counselling throughout the school year. I ended up seeking the help of the crisis counsellor at the university, however all they did was tell me to call the crisis hotline. Now, for someone with severe anxiety issues, talking on the phone is a huge trigger (at least for myself, I cannot speak for others.) It makes the feelings even worse, so at that point it's better off suffering in silence.

In March I had to move back home (and drop out of university) due to health issues and because my family and friends became extremely worried about me due to the fact that I cut off communication and had not been heard from in months (to the point where they were making public pleas for me to come home). At that moment, we all realized that something needed to be done (for good). 

During that time, I was seeing a psychologist with the clinic I went to. However, they abruptly informed me seconds after walking out of a session that I was no longer eligible to receive treatment, due to the fact that my family doctor transferred clinics. At that point my doctor took the initiative to make the call to inform them that I was in crisis again. 

16 months it took to finally receive that phone call. Too long in my opinion. No one should have to wait that long for mental health care. Megan and myself are only a fraction of people suffering through the same ordeal. The rise in suicide rates across Canada just confirms this. 

Mental health is an extremely important issue, just as important as one's own physical health. More important than the millions of dollars the government spends on tearing up and rebuilding (nearly) perfectly functional streets, cutting thousands of public sector jobs and building environmentally harmful pipelines (big priorities indeed.)

Now I don't consider myself a political person, in fact I don't even follow politics, but when it comes to issues like these, it even ruffles my feathers. Even an average citizen like myself can see how wrong this is. 18 months, how long this young girl has suffered with mental health issues. You wouldn't make a patient suffering from a stroke wait that long, or a heart transplant patient wait for a functioning organ essential to sustain their's and human life (oh wait, yes we would...) There's the Canadian health care system for you ladies and gentlemen! It's free, but only if you live long enough to see a doctor...

One of my inspirations for wanting to become a psychologist is because of this very issue. I have lived it and have been a member of this corrupted system. I want to do something to fix this unacceptable standard of health care, especially relating to mental health. By adding one more registered psychologist to a team, it can help dozens of patients in need. Think about that for a minute. Now, if only the federal (and provincial) governments would have this same realization and think about making changes to the system. 

Now, this article focuses specifically on Saskatchewan's issue with wait listing, however I see the same problem in Ontario. In fact, this problem is most likely occurring across the nation. In fact, I know it is. 

People become so desperate or so ill that they get to the point where they lose control. They represent it in many ways, but the most common seems to be suicide (a solemn and pointless act, when putting it into perspective, considering our claim of having "one of the best health care systems in the world") 

Others take it out externally, on the public. Now I make it extremely clear, I am not one of those people who believe that mentally ill individuals are responsible for crimes. The Greyhound bus decapitation and most recently, the Moncton shootings were cases in which the accused called upon "the defence of mental disorder", therefore deeming them "not criminally responsible (NCR)" for their crimes. Now, these are clearly a fraction of these criminal cases, and are not reflective of the link between mental illness and crime as a whole. However upon reflection, perhaps if these individuals were given proper treatment, those crimes could have been avoided. 


When one steps back and looks at the whole picture, it makes you think about the relative simplicity of the potential solution of this issue. What is it? Well, it's a collection of simplistic ideas combined into a prospectively successful aggregation/collective:

- Address the issue, don't deny it
- Increase the number and encourage the enrolment of mental health workers in Canada
- Decrease wait times (resulting from the above point)
- Provide immediate crisis counselling for patients waiting for a permanent psychologist/psychiatrist
- Remove the "10-session policy", because this results in a never-ending circle of crisis
- Enforce stricter procedures regarding crisis intervention and patient care (referring to the recent suicide at the Civic hospital in Ottawa)


These are just some of the ideas I came up with within the span of 30 seconds, so I'm sure the individuals in charge of these issues can come up with even more, and enforce them (if the motivation and attention is brought to the issue) 

News media is just the start, but in a world of technological innovation and impassioned individuals, I am hopeful that we, as a collective society, can do something to solve this issue and draw the government's attention to these matters. Matters which are important to the smooth functioning of a cogent nation as well as to the well-being of its citizens.



You can find the original story here.

Friday, September 7, 2012

Mental Health Awareness Week


February 12th, 2012


As many of you might be aware of, it is Mental Health Awareness Week. A mental illness is defined as: “any disease of the mind, which causes alterations in thinking, mood or behaviour, associated with significant distress and impaired functioning over an extended period of time.” A mental illness can fall into the categories of: anxiety disorders (affecting 12.2% of the population), mood disorders (affecting 8.3% of the population), schizophrenia (which affects 1% of the population), personality disorders (which affects approximately 9.1%), and eating disorders (which affect about 3% of people, mainly women). The complex interaction of genetic, biological and environmental factors is what causes one to develop a mental illness. Mental illness affects one’s educational achievement, career opportunities, and the formation of personal relationships.  The effect of having a mental illness extends throughout an individual's life.
The fact of the matter is that 1 in 5 Canadians suffer from some form of mental illness. That is 20% of all the people residing in Canada. This is a substantial number that will only continue to increase as the years go by. Mental illness does not care about gender, race, socio-economic backgrounds, etc... It targets random people at random times. 
I find that mental illness is one of the most overlooked issues in Canadian society. We place all of our focus on issues such as taxes and politics; we end up ignoring the problem at hand. The total cost of mental illness in 1993 was approximately 7.3 billion dollars. However, recent studies have shown that the cost has only increased with each passing year, going from 7.3 to 14.4 billion dollars within the last 9 years. Furthermore, the stigma attached to mental illnesses presents a barrier, not in the diagnosis and treatment, but also to overall acceptance of mental illnesses in the community.
One of the reasons why mental illness is so ignored is because many people are embarrassed or ashamed to mention that they are suffering from a mental illness. This should not be the case. I find that just because you have a mental illness does not imply that you are “crazy”, “psychotic” or “mental”. It means that your brain chemistry is abnormal, which is the result of most mental illnesses. It does not make you any less of a person by having a mental illness. In fact, it actually makes you stronger in a way. However, because of the fact that there is discrimination and stigma associated with the concept of mental illness, it results in stereotyping, embarrassment and fear of judgement.  They force a person to remain quiet about their mental illnesses, which ultimately causes them to delay seeking help for their mental illness.
A 2008 poll found that only 50% of Canadians would tell a friend that a family member has a mental illness while 72% would disclose a cancer diagnosis. This proves that the topic of mental illness is sensitive amongst most people and produces debates.
Mental illness has also targeted teenagers and youth in particular. The onset of most mental illnesses occurs during adolescence and young adulthood. Suicide is the second leading cause of death among 15- to 24-year-olds, accounting for 24% of the total number of deaths.  In 2007, 508 youths committed suicide in Canada, with many more attempting it. This number is both frightening and unacceptable. No teenager, or person for that matter, should ever have to go through such a painful ordeal. This mainly reflects these statistics because of the fact that there are not many programs that support youth that have mental illnesses that teenagers do not have anyone to turn to. In addition, studies have shown that more than 90 per cent of people, including youth who try to take their life have a pre-existing mental health disorder such as depression, schizophrenia, or bipolar disorder. Other factors which contribute to suicide and mental health disorders are issues with home/social/school life, trauma and substance abuse problems.
In the two cases of Daron Richardson and Jamie Hubley, it reflects two teenagers who took their own lives as a result of bullying. A force that has played a big role in shaping today’s youth into who they are now. It affects a child so deeply that it affects their sense of self and how they are perceived in the eyes of society most of the time for the worst.
Daron Richardson (daughter of former NHL hockey player and Ottawa Senators assistant coach Luke Richardson) was a 14 year old girl who was perceived as a normal teenager. She was smart, popular and a talented artist. However no one knew that behind all of that, there was a girl that was so scarred from being bullied that it had taken over her life. As a result in November of 2010, Daron took her own life. 
Another teenager who went through a similar experience was a boy named Jamie Hubley. He also took his own life just months ago. The only difference between the two was that unlike Daron, Jamie was being bullied on account of the fact that he was gay. Every day he struggled with depression and the pain of being bullied. People at school tormented him day after day, until on October 14, 2011, Jamie committed suicide. 
These kids were not any much younger than me. It just scares me that anyone can have this happen at any time, without any sort of support system to help them get through the ordeal. Now, because of this rapid increase of suicides throughout the past five years, there have been more programs developed such as Youth Net and The Zone for teenagers in crisis.
Mental Health Awareness has always been an issue very close to my heart, as I myself do suffer from depression, as well as Social Anxiety Disorder, OCD and mild Selective Mutism.
 I know how hard it is to live with mental illness. Every day is a struggle, a battle, a fight. Mental illness is so powerful, that it can take over your life in an instant. You feel so alone and scared that you don’t know who or where to turn to.  As a matter of fact, I have on multiple occasions had thoughts of suicide and self-harm. I had every reason to at the time; however the only thing that stopped me from doing so was the fact that I had people around me to support me. This included my family and close friends. I now look back and think if I had committed suicide, how it would affect the people around me, even those who I did not know very well. I then considered what I would be missing out on: my High School graduation, University, having a family of my own. All of these things were the reasons why I wanted to keep living, so why did I even think that suicide would rid me of all my problems. It would only cause them. 
In addition to this, in the summer of 2011, one of my (and my mother’s) dear friend’s committed suicide. He was only 40 years old. We worked together in an animal rescue deployment. We worked with him for approximately 3 months helping rescue animals and rehabilitating them. My mother in particular worked with him the most. However, one day we received a horrifying call informing us that he had taken his life. At that moment it felt as though my life had just stopped in its tracks. It is one of the worst feelings you could ever feel. It fills you with feelings of shame, guilt, anger and sadness. You feel guilty that you were unaware of what was happening. You feel shame that you couldn’t help them when they needed it. You feel anger as you think “Why did you do this to us? Why did you leave us?” Finally, the sadness and ever longing sorrow lingers in your soul for months, even years after the fact. This is a feeling that no one could ever get over or recover from. 
Also, people who I knew directly had also had people they knew recently commit suicide.  It`s just so hard to believe that someone could be so depressed that they would be serious enough to take their own life. This just proves how powerful the forces of mental illnesses, in conjunction with external factors such as bullying and traumatizing social experiences can really be.
One benefit about this is that most mental illnesses are treatable. Forms of treatment include medications such as anti-depressants, behavioural therapy and hospitalization (in severe cases). However, not all treatment works for everyone. This is why visiting a family physician or nearest mental health clinic is necessary before undergoing any treatment. 

And remember this, if you are in a crisis and feel like everything is working against you. You are not alone. There are people who are there for you, even if you do not think so. You are stronger than you’ll ever know.  

Here are some resources that you can turn to for help (mainly if you are in the Ottawa/Quebec area):

Kids' Help Phone: 1-800-668-6868
Youth Services Bureau's 24/7 Crisis Line (Eastern Ontario): 1-877-377-7775 Email: crisis@ysb.on.ca
Ottawa Crisis Line: 1-866-996-0991
Quebec Crisis Centre: 1-866-277-3553
SuicidePrevention.ca
Ottawa Distress Line: 613-238-3311
Kids Help Phone 1-800-668-6868
Child, Youth and Family Crisis Line for Eastern Ontario 1-877-377-7775
Eastern Ottawa Resource Centre: 613-741-6025
Mental Health Crisis Line (for ages 16 and up) 613-722-6914
Youth Services Bureau of Ottawa 613-260-2360
http://www.doitfordaron.com/mental-health-resources
http://www.ontario.cmha.ca/family_resources.asp?cID=4808 



*Statistics and Definitions from the Canadian Mental Health Association