1 Voice of HOPE 1 PATIENT/CLIENT & FAMILY COUNCIL Our Mission: The Patient/Client & Family Council will nurture hope and discovery by supporting the recovery journey of people affected by mental health and/or addiction challenges. VOLUME 7, ISSUE 1 Recovery is Possible! From the Editor 2 Client Experience Survey MEDline 3 PPAO Profiles 4 PPAO 30 years of Service 5 Advocacy: Dr. K 6 Advocacy: Dr. K 7 Carrots, Eggs or Coffee??? 8 My Journey Out of Restraints to Hope, Dignity, & Empowerment facebook “Like” us on Facebook http://www.facebook.com/#!/ PatientClientFamilyCouncil A Personal Story Presented by: Ombudsman Ontario’s Watchdog 9 MSW Student Leaves Her Mark 10 MSW Student con’t 11 Our Soldiers & PTSD 12 Food Banks 13 Role of a Lawyer How I Self Self--Advocated 14 15 Advocacy - What are you Using your Voice for? Useful Tele #’s Unleashed by Hope: SEPT 2013 16 We are located at Waypoint Centre for Mental Health Care 500 Church Street Penetanguishene Ontario L9M 1G3 705 549 549--3181 Ext 2180 1-877 877--341 341--4729 [email protected] Theresa Claxton-Wali Wed., Sept. 18th, 2013 10:00 to 12:00 in the Regional Gym Waypoint Centre for Mental Health Care (500 Church Street, Penetanguishene) Theresa will speak about: Her personal experience with restraint/seclusion The re-traumatisation that occurred because of this intervention How she used her experience to work with stakeholders to examine and develop the principles of least restraint in a psychiatric facility Theresa Claxton-Wali is a person in recovery from mental illness and addiction, both as an individual and from a family perspective. Theresa has a keen interest in social justice issues, human rights, and advancing the civil and legal rights of individuals with mental illness &/or addiction. She is a board member/chair of numerous Consumer focused organizations and participates in copious committees on a local, provincial and national level. She is a Peer Provider (Peer Supporter), a Peer Support trainer, a Recovery Educator & Consultant, and the Recipient of the 2011 OPDI Peer Supporter of the Year Award. “Advocacy is an important means of Please join us in the gym from raising awareness 9:45 to 10:00 am for pre-event on mental health social time with free coffee, tea issues and ensuring and hot chocolate!! that mental health is on the national agenda of Registration is required. Contact: Tammy Lorette governments in policy, legislation and at 705-549-3181 Ext 2146 or service development.” (2003) Email: [email protected] Peek Inside Find the Coupon for a free piece of clothing from The Voice of HOPE Newsletter September 2013 —Brought to you byThe the Patient/Client & Family Council—Penetanguishene Ontario Canada General Store 2 2 I am fortunate to have this platform to bring words to a phenomenon whose profound existence lives and breathes at Waypoint...as it does, I suspect, in other Dianne Stringer, Editor similar psychiatric settings. It is at odds with so much of what I personally believe and do experience a great majority of the time….but this phenomenon is in need of addressing because of its harmful effect on everyone associated with Waypoint. It merits reflection, discussion and action. What follows stems from an incident I experienced while staffing our tiny store that sells gently used clothing at Waypoint. As a client from our Provincial Division came to shop escorted by two staff; one male and one female, a casual discussion led me to remark on how wonderful it was that a local retailer recently donated clothing from their store. need of segregation and difficult. The culture that undermines the great work that is being done by some employees at Waypoint should be a concern for the administrators and architects of system design as it does folks like me who come to this place for help and healing. It is not lost on we folks living with mental illness that the negativity and abruptness from some staff members is directly related to the fact that we present with mental illness. I struggle to believe that caregivers on cardiac or cancer wards in a general hospital would be as dismissive and rude to the patients they deal with. That brings me to this platform for expression. I AM PROUD of where I work. I AM PROUD of the work I do. I AM PROUD of the work I have done in my own recovery. And I AM PROUD of the people……the Waypoint employees….who walked this path with me, who cried with me, who wiped my tears, who spoke on my behalf, who encouraged me to speak on my own behalf, who cheer-leaded me as I developed my career in peer support and mental health advocacy. I AM PROUD of Waypoint for its steps towards a recovery oriented service. With my knowledge of some possibilities that have been tossed around regarding what might be sold in a new retail space once the rebuild is completed, I enthusiastically mentioned that Waypoint promotional items may be sold in the future, such as mugs or clothing with the Waypoint logo encrusted on them. The ethos of resistance to the concept of recovery and all that it promises to be does not mean that these caregivers are bad people or have bad intentions. It means there exists a fear of the unknown and fear of change. Where once those tasked with confining a group of people that they didn’t understand was mainstream, progression of The female of the two staff members exclaimed, that human rights and understanding of all types of “In no way would she ever buy or wear anything that human behaviour propels us to be better people. The age of paternalism is finally being understood as represented Waypoint” (outside of her uniform). lessening a person’s ability for self-determination and Sadly, the remark was indicative of an attitude that ultimate recovery. In order for Waypoint to live up permeates the halls of this and other psychiatric facilities. It is a destructive force witnessed daily by to its slogan, “Good Things Happen Here” we need a collective movement by employees to keep their coworkers and worse still, by clients. All I could say knowledge on recovery philosophy current, keep the was, “Well….some of us are proud of where we destructive paternalism of the past in the past, and work.” And I left it at that. (Though not a Waypoint keep hope alive in the hearts and minds of the employee, I do work on the campus and am closely people they serve and the people who love them, so aligned with various aspects of the centre.) that the prevailing Waypoint phenomena is a culture The justification of the antipathy presented by some of recovery and wellness. Then we can all say, “I am a staff members is deeply rooted in the bias and false part of what works!” and staff members can belief that the mentally ill are intrinsically “bad”, in proclaim, “I am a proud Waypoint employee.” The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 3 3 Waypoint Centre for Mental Health Care’s Second Annual Client Experience Survey When This years’ Survey will be conducted September 23 – October 11, 2013. What programs: All inpatient programs at Regional and Provincial divisions Community - Outpatients and Hero Centre programs Who will survey: Patient Client & Family Council Employees will be the surveyors Survey information Same survey as previously – no changes in content Three survey types Inpatient survey Outpatient survey Modified survey MEDline...got questions? Waypoint’s Outpatient Services has developed a process for medication access and education for its clients. A dedicated phone line for medication inquiries and requests named MEDline is now available. This is a confidential service where clients can call in with requests for information, prescription renewals and other medication related inquiries. There is a nurse assigned to respond to messages on a daily basis and get back to clients in a timely manner. Pharmacy consultation can be coordinated through this process as well. For more information or to access MEDline services, call Outpatient Services at 705-526-0567 Beanie is feeling a little under the weather these days. Please watch for her insights in the next issue of the Voice of HOPE. Have you a question that Beanie could answer? Send them in. Beanie has a dog-dish full of answers. Send to “Beanie” c/o Patient/Client & Family Council 500 Church Street, Penetanguishene Ontario L9M 1G3 [email protected] The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 4 4 Your Patient Advocates and Rights Advisors at Waypoint: Wade Stevenson Cathy DiFonte Julian Kusek Rights’ Advisor Patient Advocate Patient Advocate With a background in Social Service Work Wade came to the PPAO as an on-call community Rights Adviser in 2004, in his then hometown of Sarnia, Ontario. In 2005 Wade decided to take a fulltime position as a Field Office Rights Adviser, with the PPAO, and landed in the position here at Waypoint. Cathy has been with the PPAO at Waypoint and with the Ontario public service for over 20 years. She hails from Newfoundland and has strong ties to its culture and community. Cathy spoke about the changes over the course of her career, mostly for the better and the biggest change of all with the new provincial building scheduled to be occupied by clients in March, 2014. Julian has been a Patient Advocate at Waypoint and an Ontario public servant for the past ten years. Prior to coming to Waypoint, Julian had careers in marketing, business development and in the practice of law. During his time as a Rights Adviser, he’s had the pleasure of protecting the rights of Mental Health Consumers, which is a very marginalized group. As a Rights Adviser, Wade advises clients of their rights and provide assistance exercising their legislated rights and options. This can include locating a lawyer, applying to the Consent and Capacity Board, and completing Legal Aid applications. The unique needs of each client are taken into consideration and respected, to ensure that each person receives service that best meets their needs. “Every spirit builds itself a house; and beyond its house, a world; and beyond its world a heaven. Know then, that the world exists for you: build, therefore, your own world.” Ralph Waldo Emerson Cathy has always been active as a volunteer in the community and has performed as a singer at various events (yes, you can ask her to sing and not regret it). Her passion is best expressed when she advocates for a client’s right to hope for a better life – that hope must be promoted by all care-givers. Julian spent his early years in Montreal and can speak both French and Polish. He was educated at Loyola, McGill and Collège Militaire de St-Jean. Having worked in the past as a summer student at mental health centres in Verdun and Montreal, Julian has always enjoyed relating with patients, staff and family members. The daily efforts to advance patient quality of life and to assist in the personal journeys to recovery are very gratifying. Patient advocacy is not just a job but a passion. Whatever the outcome, there will at least be a smile from Julian (just don’t ask him to sing!). Check out Chato’s Homepage: http://chatobstewart.com/ The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 5 5 Celebrating 30 Years The Psychiatric Patient Advocate Office (PPAO) has been in existence for thirty years in Ontario. The PPAO assists users of mental health services to advocate for themselves and take a more active role in their own care and treatment, recovery and individual life choices. By raising professional and public awareness about existing safeguards in mental health and allied legislation, the PPAO promotes the realization and protection of Ontario’s citizens who find themselves subject to involuntary psychiatric hospital admissions and conditions. By upholding the rights and civil liberties of some of our population’s most vulnerable the PPAO delivers a much needed and valuable service. A Bit of History… The PPAO was introduced as an advocacy program in Ontario in response to a number of events that took place in the 1970’s and 1980’s, including: The formation of a series of patients’ rights and consumer groups lobbying for improvements in the care and treatment of patients in provincial psychiatric hospitals and the advancement of patients’ rights; The passage of the Canadian Charter of Rights and Freedoms; A series of patient deaths that occurred in 1980/81 at the Queen Street Mental Health Centre in Toronto that were subject to coroner’s inquests. In each case, the coroner was critical of hospital policy; Media attention to the coroner’s inquests, the poor housing of former psychiatric patients and lack of community services; Media attention concerning mental health law that argued patients were being denied due process of law and were subjected to autocratic and arbitrary decision-making by psychiatrists and bureaucrats; A clear trend in the direction of restricting psychiatric authority and extending patients’ rights; and The need to proclaim dormant sections of the Mental Health Act to bring the Act into compliance with the Canadian Charter of Rights and Freedoms. The PPAO was asked by the Minister of Health to assist in the process. (Information gleaned from PPAO website) Overview of PPAO Services Advocacy Services: Services to clients are provided through individual case-work (instructed and non-instructed). Patient Advocates primarily resolve patients’ complaints according to their instructions through negotiation with hospital staff. Wherever possible, they provide support to patients to resolve their own concerns (self-advocate) about patient care, treatment, or rights. Systemic Advocacy: The PPAO also addresses systemic issues, which have an impact on the quality of care, life and rights of a large number of patients. Systemic advocacy is aimed at promoting change in a way the mental health system delivers services to the people it is intended to benefit. Rights Advice: Rights Advice is a process by which patients in psychiatric facilities and persons to be place on Community Treatment Orders (CTO) and their Substitute Decision-Maker (SDM), if any, are informed of their rights when a doctor changes a person’s legal status. Public Education: PPAO provides education to the public about patient’s rights and entitlements through conferences, seminars, presentations, publications and its web site. To learn more about the Psychiatric Patient Advocate Office, visit their website at: http://www.sse.gov.on.ca/mohltc/ppao/en/default.aspx The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 6 Advocacy Advocating for people with mental health problems is something important to me. I have been providing psychiatric treatments for over 25 years now, one on one, but this is not James Karagianis MD FRCPC enough. Practicing for that Psychiatrist in Chief long, you begin to notice trends Waypoint Centre and patterns. You notice what Associate Professor of Psychiatry, problems are common, what University of Toronto things people try to do to deal with them, what tends to work and what tends to make things worse. I’ve concluded that system changes are needed and for that we need to take a “public health” approach to mental health. Public health deals with things like vaccinating populations, ensuring water supplies are clean, and making sure restaurants have high standards for cooking and cleanliness. What can the field of mental health learn from public health? 6 On the positive side, I think the internet has been helping people talk more about mental illnesses. It provides the opportunity to express a point of view anonymously, but very broadly. While this can also be misused, like anything good, I think it is becoming more ok to talk about mental health problems. On Facebook, there are many pages devoted to discussions about mental health. All you have to do is type in the name of a disease to find one. For example, “Borderline Personality Disorder Community” has almost 17,000 likes. There are many sites devoted to cognitive behavior therapy. There is a bipolar peer support group with 799 members. There are countless blogs devoted to mental illnesses. These online communities give hope that people can recover, and provide opportunities to share success stories and answer questions. Advocacy in mental health is important because the dollars are finite – they only go so far. We need to compete with the Canadian Cancer Society, the Heart and Stroke Foundation, the March of Dimes and so many Maybe the most important is that the squeaky wheel gets others to raise awareness and funds for mental health. the grease. This is why advocacy is important. Certain Advocacy is not just about getting better treatments, but diseases make their way into the public eye for various about reducing stigma, decreasing discrimination, helping reasons. Maybe a celebrity like Michael J Fox has to prevent mental illnesses, and promoting mentally Parkinson’s disease, or Angelina Jolie had a double healthy lifestyles. Its about creating a society where it is mastectomy to prevent breast cancer. Lots of people ok to have a mental illness, where it won’t prevent you suffer from cancer or heart disease and foundations draw from advancing in your job, or getting a job in the first in huge sums of money to fund research, early detection place. and treatment advances. Advocacy for mental health is also about critical thinking Unfortunately, mental health still has an uphill battle. What other disease area has to fight against silly perceptions that the disease does not exist? Have you ever heard someone say they don’t believe in cancer? Have you ever heard anyone say that urologists just want to drug people and take pleasure from keeping them in hospital? Have you ever heard someone say that osteoporosis is being over-diagnosed? Part of our problem is that mental illnesses are difficult to objectively measure because they reside in the brain, an extremely complex organ protected inside a thick bony skull, and most people don’t like having their brain exposed, poked, prodded or biopsied. So we have to work around that limitation. and learning about bias and how to deal with it. As some of you have heard me say before, bias is all around us at all times, is easily overlooked, but is a powerful force for shaping how things turn out. My favourite quote is from the Greek philosopher, Epictetus, who said about 2000 years ago, “Men are disturbed not by things but the views they take of things.” We need to do a better job of recognizing automatic negative thoughts, for example, and correcting them without getting angry that they happened. This is why I have done a bunch of talks about cognitive therapy, and why we are starting a group at Waypoint to try to use CBT methods to improve our effectiveness and functioning as individual humans. The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 7 7 We need to help the media understand more about mental illness, so they can report events in a more balanced and less sensationalistic way. We need to help law enforcement agencies rapidly recognize someone with a mental illness and get them to help before lethal force is used. Just getting angry won’t make things change; we need to be rational in our responses. We need to help politicians understand mental illnesses so that they don’t make more laws that criminalize the mentally ill or unnecessarily prolong their time in custody. Unfortunately, Bill C-54 is a recent example of how much more work we still need to do in this area. I advocate for mental health on my Facebook page, www.facebook.com/Dr.KPsychiatry. You don’t have to be a patient to “like” the page; I have friends, family, colleagues and plenty of people who I don’t know, who get updates from my page regularly. I also advocate for patients with mental illnesses through my work as Psychiatrist-in-Chief at Waypoint. I try to ensure that everybody gets the resources they need to be as healthy as possible. Sometimes this requires long term planning and patience, lots of discussion, and persuasion. Trying to hire and retain the best mental health professionals, and ensuring we meet high standards of practice is also part of this advocacy work. Talking about mental illness in the community is part of it. Liaising with police, teachers, bureaucrats and politicians also provides opportunities to improve understanding. The Psychiatric Patient Advocacy Office is an important partner at Waypoint. Along with hospital staff, we are all trying to achieve common goals, the improvement of the mental health of our patients using the least restrictive means. They advocate not just for individual needs but group needs too. Finally, this publication, the Voice of Hope, is itself a great tool for advocacy. The positive messages are great reading not just for those of us with mental health concerns but even more broadly. For example, the OPP has asked to receive copies for their own education, and I think that it’s fantastic that they want to learn more about mental illnesses. I would love to hear more about ideas for advocacy from other people. It’s slow going, but standing back and looking at the progress since I started as a psychiatrist, we’re definitely getting there! Visit Dr. K’s Facebook page at: http://www.facebook.com/ Dr.KPsychiatry The Waves Sometimes clashing do they come Letting anger beat their drums. Sometimes gentle as a dove Bringing hope and peace and love. The waves returning endlessly Causing change eventually. And so like waves, we all must dare To work for change, to say we care. To make our point and then retreat Mixing dreams with those we meet. The task seems endless, yet we know Waves can change the rocks below! Jean Warren The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 8 8 Grandmother Says... Carrots, Eggs, or Coffee; "Which are you?" A young woman went to her grandmother and told her about her life and how things were so hard for her. She did not know how she was going to make it and wanted to give up. She was tired of fighting and struggling. It seemed as one problem was solved a new one arose. Her grandmother took her to the kitchen. She filled three pots with water. In the first, she placed carrots, in the second she placed eggs and the last she placed ground coffee beans. She let them sit and boil without saying a word. In about twenty minutes she turned off the burners. She fished the carrots out and placed them in a bowl. She pulled the eggs out and placed them in a bowl. Then she ladled the coffee out and placed it in a bowl. Turning to her granddaughter, she asked, "Tell me what do you see?" "Carrots, eggs, and coffee," she replied. She brought her closer and asked her to feel the carrots. She did and noted that they got soft. She then asked her to take an egg and break it. After pulling off the shell, she observed the hard-boiled egg. Finally, she asked her to sip the coffee. The granddaughter smiled, as she tasted its rich aroma. The granddaughter then asked. "What's the point grandmother?" Her grandmother explained that each of these objects had faced the same adversity--boiling water--but each reacted differently. The carrot went in strong, hard and unrelenting. However after being subjected to the boiling water, it softened and became weak. The egg had been fragile. Its thin outer shell had protected its liquid interior. But, after sitting through the boiling water, its inside became hardened. The ground coffee beans were unique, however. After they were in the boiling water they had changed the water. "Which are you?" she asked her granddaughter. "When adversity knocks on your door, how do you respond? Are you a carrot, an egg, or a coffee bean?" Think of this: Which am I? Am I the carrot that seems strong, but with pain and adversity, do I wilt and become soft and lose my strength? Am I the egg that starts with a malleable heart, but changes with the heat? Did I have a fluid spirit, but after a death, a breakup, a financial hardship or some other trial, have I become hardened and stiff? Does my shell look the same, but on the inside am I bitter and tough with a stiff spirit and a hardened heart? Or am I like the coffee bean? The bean actually changes the hot water, the very circumstance that brings the pain. When the water gets hot, it releases the fragrance and flavor. If you are like the bean, when things are at their worst, you get better and change the situation around you. When the hours are the darkest and trials are their greatest do you elevate to another level? AUTHOR UNKNOWN The Voice of HOPE is your vehicle to express and share your stories of survival, resilience, humour and HOPE. We especially want to hear from mental health and addiction consumers, and their families about how, in the face of adversity, they’ve flourished, stumbled and got back up. Send your comments about this publication, your stories, poems, helpful tips, etc. to: Dianne Stringer, Editor Voice of HOPE - c/o Patient/Client & Family Council 500 Church Street, Penetanguishene ON L9M 1G3 [email protected] The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 9 9 The Ontario Ombudsman office has been around since 1975. Its primary purpose is as an independent investigator of complaints made from the public about provincial government services. The Ombudsman is an officer of the provincial legislature, but independent of the government and all political parties. With over 500 Ontario government ministries, corporations, agencies, boards, commissions and tribunals open to the scrutiny of the Ombudsman, Ontario’s Watchdog keeps busy indeed. The Ombudsman has strong powers of investigation. While the majority of complaints are resolved quickly and informally, the Ombudsman has the power to inspect provincial government premises and documents and to summon witnesses. All provincial government agencies must co-operate with the Ombudsman’s investigations after which the Ombudsman will recommend solutions. However, while the office has strong investigative powers, it has no power to enforce recommendations or change. According to the office of the Ombudsman, almost all recommendations have been accepted and implemented resulting in reforms that have affected millions of Ontarians. It is interesting to note that there is a portion of service organizations in Ontario that the Ombudsman cannot investigate which is a point of contention among many. Called the MUSH sector (Municipalities, Universities, School boards, Hospitals and long term care facilities, nursing homes, children’s aid societies or police) the office receives hundreds of complaints each year and can do nothing. Ontario lags behind other Canadian provinces in this regard. Despite open discussion by former Premier Dalton McGuinty to open the door to Ombudsman oversight one year ago, 2, 541 complaints had to be turned away as they were outside of the jurisdiction of the Ombudsman’s office. To read more about Ontario’s Watchdog, visit the main website at Complaint received by Early Intervention Team Within Ombudsman’s mandate and person has used legislative avenues of complaint Yes No Refer to appropriate resources Resolution attempted Resolved or no further action necessary Investigation Not resolved SORT investigation (complex, high-profile, systemic issues) Notice to governmental organization Formal investigation Full field investigation Findings and report and/or recommendations (where warranted) http://www.ombudsman.on.ca/Home.aspx Check out the “Investigations” tab for samples of complaints that were addressed recently. You can also launch a complaint using forms available on the website. The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 10 10 MSW Student Leaves Her Mark In the fall of 2012 I met Ann Thompson, a prominent advocate and educator in the field of mental health recovery, in my Masters studies at York University. Although I had done some work in mental health previously, the concept of recovery was completely new to me and I found the literature in this area to be inspiring, hopeful, and challenging to the dominant understanding of mental health. As a critical social worker, I am drawn to ally with this growing consumer/survivor movement to fight the systemic oppression and discrimination that mental health service users experience both within the mental health system and in Canadian society. It was my connection to Ann Thompson that led me to Kathryn Storey and Cyndi Rowntree who have greatly influenced my understanding of mental health recovery and my developing philosophy of advocacy and practice. Delving into the research, I learned that the traditional biomedical responses to mental illness are often experienced as re-traumatizing, dehumanizing, and increase the likelihood of chronic illness due to the nature of the processes and interventions used. I also learned how the reproduction of norms also produces the abnormal subject (or person) through the diagnosis of difference. Because we are socialized to highly value science, medical experts, and the tools they use (i.e. the DSM V, psychiatric medications, talk therapies, etc.), medicalized approaches to mental health are the accepted standard, which remains mostly unquestioned. We forget that knowledge is created by people and research is now showing how the values of the researcher influence every part of the research; therefore, science is not value-free, but based on theories that are tested within a controlled context and do not equal a singular truth that can be generalized across all cultures and contexts. For example, the ownership of African slaves was once accepted as a norm and psychiatric research at that time found runaway slaves to be suffering from a mental illness called ‘drapetomania’, which caused them to flee (Szasz, 2010, p. 60). My point in sharing this information is to point out how the values of the researcher and the social norms of that time (context) led to the assignment of a diagnosis that described that behaviour as abnormal. In today’s context, running away from slavery would be considered a reasonable or rational decision rather than being seen as a mental illness. York University MSW Student Shelley-Ann Maxwell and Dianne Stringer of the Patient/Client & Family Council Remembering that all diagnoses are clusters of symptoms that are grouped by medical experts in order to label and treat a particular ‘problem’ creates space for us to question both the diagnosis and how or why it is treated. For example, hearing voices in some cultures is considered an illness, whereas, in other cultures it is seen as a gift. It is important that we question who has the power to define an experience as good or bad, how their values inform those rigid definitions, and how professional experts are invested in them. Experiences are judged as good or bad based upon interpretation not fact. The message I learned from critical theories in mental health is to always question the taken-for-granted knowledge or constructed ‘truths’, and how power reproducing those ‘truths’ about people, by considering what has been left out. The recovery movement would tell us that what has been left out is the voices and knowledge of people who experience mental health challenges (experiential experts) and how their knowledge base and experiences may be different than medical knowledge, yet valuable. I was excited to have the opportunity to do a student placement with the Patient/Client & Family Council and to learn how recovery and other mental health theories are influencing the processes and the people within Waypoint Centre. I have met many wonderful people here who have provided me with incredible opportunities to learn from their experiences and knowledge in mental health. The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 11 11 Working with the Council has allowed me a unique view of the challenges in moving towards a recovery-oriented framework for the provision of mental health services. I have been impressed by the critical insight, resiliency, and commitment to the principles of recovery and to the people at Waypoint Centre demonstrated by the Council members. It has been an honour and a privilege to learn from the Council and especially Cyndi Rowntree and Dianne Stringer, whose advocacy efforts touch the lives of so many people every day. Together, they exemplify that not only is recovery possible, it is happening! am speaking about peer supporters – the unsung heroes of mental health. My hat is off to you! I am thankful that I have had the opportunity to learn from you and the privilege to ally in the recovery movement. Kudos to the staff at Waypoint who are taking the time to learn about recovery and peer support, and especially to the leaders who are implementing peer support as a Best Practice in supporting wellness and recovery. In closing, my purpose in writing this article is to advocate for critical thinking and questioning who benefits from ‘the way we’ve always done it’ and who does not. Change can Cyndi and Dianne demonstrate how the commitment to be scary because we are facing the unknown, but recovery bring positive change can be challenging, but can also is all about positive change and risk is part of life and produce meaningful changes in the lives of the clients they growth. I am advocating for providers to be courageous are dedicated to serving. Their passion to foster respect enough to listen to the consumer/survivors seeking for the client’s rights and wishes in defining their own change and to work with them to discover how to create recovery incorporates a respect and appreciation for staff services that are flexible and meet their needs. experiences as well. What is so wonderful about this is Professional experts have a wealth of knowledge and their resistance to the dominant binary of ‘us and them’ experience to contribute to the cause; thus, recovery is that is so often reinforced between service providers and not a threat. I am also advocating for service users to service users. In reality, this division does not exist. Mental educate themselves on recovery and peer support and for health challenges do not discriminate and affect people in their right to define their journey. Experiential experts all walks of life and the provision of services benefits both have a wealth of knowledge and experience that is driving users and providers. We are in this together and are positive change – embrace your own power. To consumer/ mutually dependent despite enshrined hierarchies. There survivor advocates – thank you for leading the cause and should be no shame in experiencing life, reality, or feelings for opening our eyes to new and more respectful ways differently because in actuality, we all experience these toward wellness. Please keep fighting for consumer rights, things with some variability based on our perceptions and for hope, and for the possibilities in recovery! And thank past experiences. Some of us have natural supports in our you to everyone who has contributed to my learning environment that help us face life’s challenges, but we all experience and personal understanding of recovery. In have times when we look to others for support or friendship and solidarity, I stand with you. assistance. There should be no shame in seeking formal supports to augment our own strengths and we should not Reference: Szasz, T. (2010). Coercion as cure: A critical history see ourselves or others as lacking because we are of psychiatry, (2nd ed). New Jersey: Transaction Publishers. accessing the supports available to us. ISBN: 978-0-7658-0379-5. I have learned that the heroes in mental health are not the experts who lead our care, but those who stand beside us. The true heroes are the people who have walked the path of mental illness and/or addiction, who have learned to walk the path of recovery and are willing to accompany those who are still struggling to find their way. Of course, I Free Clothing Coupon Please sign Coupon Good for one piece of donated clothing from the General Store Limit: One coupon per customer per quarterly issue ____________________ Expires November 30th, 2013 The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 12 12 Our Soldiers Put More Than Their Lives On The Line Submitted by Michael Silvio On November 11 Canadians will honour the brave men and women who left their homes and families to fight for our Freedom and our great nation. Some endured suffering and pain to die on the battlefield. The rest came home and continued to suffer…..some physically…..and some mentally. In the Civil War it was called “Soldier’s Heart”, in World War I it was “shell shock” and during World War II and Korea it was “combat fatigue”. Today, it is clinically known as Post Traumatic Stress Disorder or PTSD. Many WWII veterans with PTSD were initially diagnosed as having Anxiety Neurosis, Depressive Neurosis, Melancholia, Anti-social Personality or even Schizophrenia because the correct diagnosis did not yet exist. It wasn’t until 1980 when The American Psychiatric Association coined the term “PTSD”. My dad, who was Maltese and worked for the RAF on an air force base in Malta, would tell me stories about war time Malta and how it almost fell to the Germans and Italians. “They tried to starve us to death,” he told me. My dad would hold up his hand and place his opposite thumb on the tip of his finger, “we had a piece of cheese that big to eat……once a day. Sometimes we wouldn’t (eat) for days and days. We were scared…….the British and us. We ALL prayed for a miracle.” My dad knew guys who “weren’t right” after the war. When I asked him if they went to the doctor for help he said, “You didn’t go to the doctor for stuff like that back then.” A survey that was completed in June 2010 during the Afghanistan mission covered more than 17 000 Canadian soldiers returning from all regions of Afghanistan since 2005. The survey showed that most soldiers reported good mental health. There was 12 per cent who had one or more mental health problems including PTSD and depression. A further 13 per cent of the troops were engaging in harmful or hazardous drinking. Cognitive Behavioural Therapy and medication have been used in the treatment of PTSD. Veterans Affairs Canada offers a program that includes rehabilitation, financial benefits, job placement, health benefits program, disability support, peer support and family support. The General Store at Waypoint We wish to thank everyone who has donated gently used clothing and products over the years. Thanks also to those who make purchases which benefits and provides wages to those clients working in the store. It is your efforts that keep us rolling. Staff, Visitors and Clients are ALL welcome to shop at the General Store! We ask that if you are donating clothing items that you consider the season as we do not have room to store out of season items. The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 13 13 FOOD BANKS St Ann's Roman Catholic Church 28 Robert St W Penetanguishene Goals are to meet the immediate and basic needs of people on humanitarian grounds. Primary service is a food bank. Call ahead Mon-Thu 10 am-5 pm for appointment. (Tele: 705-549-2560) St. Margaret’s Catholic Church - 589 Hugel Ave., Midland The Society of St. Vincent de Paul has a food pantry open 3 days a week. The food pantry has a daily quota and will not go over the quota for each day. Pantry Hours Mon-Wed 10 am-12 noon to register, 2 pm for food pick-up. (Tele: 705-526-6313) Salvation Army Food Bank— 555 Dominion Ave., Midland Provides access to food bank and assistance with medical expenses. New clients must show ID and there is no waiting list. Clothing needs are referred to Thrift Store. (Tele: 705-526-2751) Food Banks St. Anne’s Catholic Church 28 Robert St., Penetanguishene 705-549-2560 St. Vincent DePaul Food Bank: 705-549-2560 Note: you MUST call first for days & times St. Margaret’s Church 589 Hugel Ave., Midland 705-526-6313 St. Vincent DePaul Food Bank: 705-526-7585 Mon, Tues, Wed - 10:00 - 11:30 a.m. Thurs—5:30—7:00 p.m. Salvation Army 555 Dominion St., Midland 705-526-5683 Food Bank: Mon, Wed, Fri - 9:30—11:30 a.m. Places to Go to Eat Knox Presbyterian Church 539 Hugel Ave., Midland 705-526-7421 Gift of Grace Food Kitchen: Tuesdays 10:30 am Royal Canadian Legion 2 Poyntz St., Penetanguishene 705-549-7971 Helping Hands Food Kitchen: Wednesdays 9:00 am - 12:00 pm St. Paul’s United Church 308 King St., Midland 705-526-6077 Drop-in: Coffee & Muffin Mondays 8:30 am - 10:30 am Wendat (Members Only—reservation required) 237 Second St., Midland 705-526-1305 Food Kitchen: Wednesdays 5:00pm ($3.00) Food Kitchen: Saturdays 12:00pm ($2.00) Covenant Christian Community Church 95 Robert Street East, Penetanguishene (705) 528-0934 Friday Community Brunch Fridays (doors open at 8:30 am) Brunch served at 10:15 am The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 14 The Role a Lawyer Plays in Advocating on Your Behalf 14 Written by Wanda L. Warren Barrister, Solicitor, Notary Public B.A., LL.B. I think sometimes staff and families don’t realize how frightening it can be to be locked up in a hospital against I have been practicing law for over thirty years. Throughout your will and have staff accept the family’s version of events instead of patient’s version. Sometimes the family is not my career I have enjoyed representing clients with special needs. I started representing involuntary clients in hospitals being honest and they have an ulterior motive for what they in my first year of practicing and I have been doing so ever tell the doctor. This is why my job is important. It is my job to fight for what the patient believes to be in their best since. I have represented clients in ten different hospitals. For the most part, I see my clients at the hospital. I have my interest. own private office within the town of Penetanguishene. I I also represent clients who come to the hospital from am not hired or affiliated to any hospitals and therefore am criminal court. They are often at the hospital to be assessed able to remain completely independent. as to whether they are fit to stand trial or if they are too I represent clients at the Consent and Capacity Board for a wide variety of issues, including but not limited to: involuntary patients attempting to seek release; patient’s right to make decisions regarding their own treatment; patient’s rights to keep control of their own finances, money and property; when they are not being allowed to make their own decisions about whether they go into long term care in a nursing home. Clients often prefer to stay in their own home; patient’s right to choose who makes decisions on their behalf. I also represent clients whose doctor wants to restrict their liberties after they have been released from the hospital on a Community Treatment Order. I represent the client’s point of view and wishes at the Consent and Capacity Board. Families and staff often think that they should make the decisions for the patient, however every person is entitled to their own lawyer; to represent their point of view and to fight for the treatments, rights and placements which the patient wants. mentally ill to understand what is happening in court. Additionally, I represent clients on the issue of whether their illness precludes them from being responsible for their own criminal actions. I represent these clients at the Ontario Review Board (ORB) and the court. Clients who are found Not Criminally Responsible (NCR) have an ORB hearing once a year. This is their opportunity to ask the board to move them to a different hospital or to discharge them. Again, it is my responsibility (or any lawyer they choose to hire) to represent their point of view to the ORB. Clients often want the lawyer to negotiate for them with the doctor an increase in privileges and I am quite willing to do this if that is their instruction. Clients can request lawyers to do other things for them, i.e. wills, family law matters or they may wish to sue the hospital. These people I refer to the Patient Advocate Office – who help them find a lawyer that does that kind of legal work, as I do not. Hello everyone. My name is David and I would like to share my journey and how I learned to selfadvocate. I came into the Georgianwood Program July 2012. I was a lost soul, confused, sad, and full of despair. I had no ID and no money. Just a desire to learn how to cope in society...to function. With the help of HERO centre staff, they guided me through that confusing maze of recovering my ID. They gave me the necessary forms and guidance and gave me the drive to deal with governmental offices. They taught me how to advocate, to exercise my rights and receive the documentation to proceed to the next step. I had no income. None. Again, with the help of Waypoint staff and their gentle but firm guidance, I learned how to apply for EI. I resisted. I didn't think I deserved it, but staff told me that I had a right to this money. I did deserve it. So again, now armed with my replaced ID and medical documentation, I applied for and received EI. I did it on my own. I self advocated, and won. David Meredith, Board Member Patient/Client & Family Council Next, came the matter of housing. I applied to Shelter Now and was told the wait list was 9 months. By this time I had left the Georgianwood Program and was in a boarding house. It was terrible. Once again I drew on my support team from Waypoint and friends. I persisted with Shelter Now staff, making my presence known. I self advocated, and I won. I guess the moral, if there is one to be had, is to know your rights. Ask people who can guide you through the steps which will help you to get what you need and deserve. And you know what? The sense of achievement you get by doing this can’t be bought for any price! The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 15 15 Advocacy...What are You Using Your Voice For? to mistreatment and inequalities too often met further reprisal and ostracizing from family and the community. Advocacy is the main determinant moving our society These early pioneers met many branches in the face as forward. Without courageous folks over the years they moved from victimization to action and gave voice standing up for what they believed in, we would still be to the voiceless. These comrades exist today within what legally enslaving men, women and children (in America), is called Consumer Survivor Initiatives (CSI’s). The and denying that women are “persons”. (On Oct. 18, Patient/Client & Family Council is a CSI and we do 1929, women are finally declared "persons" under advocate on behalf of our peers both on an individual Canadian law.) It was the efforts of the civil rights and basis and systemically. Whenever possible and upon suffrage movements that our “civilized” society came request we try to encourage a peer to raise their own into being. No doubt there are still areas where our voice with our support. Being heard is innate among all culture has a long way to go. Gay pride is dominant as persons and each time we entertain that voice, we the civil rights movement of our day. There will always grow….we become empowered and more fully be opposition on any great cause….reasons for or ourselves. Advocacy is a vital part of the recovery against….that is the beauty of democracy. Society peril is process. It gives us ownership of our lives propelling us cultivated when free thought is suppressed. If we look to to live a better life. countries like North Korea we see the manufactured Sparked by the lobbying and coalition efforts of various compliance among its citizens. Atrocities run rampant advocacy groups, private enterprise and governments behind the veil of marching soldiers and singular devotion to an ideal that breeds fear and idolization of a have emerged to offer services and funding for effective single man. Those souls who advocate for human rights treatment, financial aid, employment and housing are quickly declared enemies of the state and delivered support. While disability benefits still linger well below the poverty line, and some folks continue to fall harsh punishment, including death. between the cracks, change is happening. Hope is real. People living with mental health and/or addiction The value of peer support and self-help is also entwined challenges and who’ve experienced the mental health into the fabric of the recovery culture. Public education system know how the stereotypical caricatures of campaigns, such as Mental Illness Awareness Week (Oct. mentally ill persons flourish stigma, marginalization and 6 – 12, 2013) have also aided in demystifying mental mistrust. It is an endless struggle to look for illness and addictions in the public arena. understanding, inclusion and compassion. Activism among people living with mental illness is gaining more Please watch for an announcement on what the Patient/ Client & Family Council will be doing locally to honour acceptance. Mental Illness Awareness Week. Past initiatives included Our advocacy movement is, in many ways still in its manning a booth providing information on mental infancy. Calling themselves “ex-inmates” small groups of illness/health and addictions at a mall in the Midland/ former patients began to spring up in random American Penetanguishene area, Public Service states in the late 1960’s leading to the liberation from Announcements and mention in the forced institutionalization for many of our brothers and media. This National Annual Campaign sisters languishing in the dark, back wards of antiquated is proudly endorsed by the Patient/ facilities. Deinstitutionalization, however certainly did Client & Family Council and Waypoint not live up to all it could have been. Too often it led to Centre for Mental Health Care in “patient dumping” and homelessness with a lack of any Penetanguishene Ontario. support. Those brave enough to cry out their objection Written by Dianne Stringer, Editor OCTOBER 6 - 12 2013 The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 16 The views, opinions & articles herein do not necessarily reflect those of the Patient/Client & Family Council, its staff or volunteers or Waypoint Centre for Mental Health Care. We reserve the right to not print any material we feel inappropriate. Any information should not be considered medical advice and you should contact your health care provider if you have any concerns or issues. The Patient/Consumer & Family Council (PCFC) was established in 1994 in response to the growing need to have patients/consumers involved in their treatment and the policies which directly affected their care. In June 2004 we became incorporated and our name changed to the Patient/Client & Family Council. We have a Board of Directors and team of employees comprised of people with lived experience of mental illness and family members of people with that same lived experience. For more information, contact: Cyndi Rowntree, Executive Director (705) 549-3181 Ext. 2181 [email protected] The Patient/Client & Family Council is grateful to Waypoint Centre for Mental Health Care for providing financial support for the publication and distribution of the Voice of HOPE Thanks to The Voice of HOPE Newsletter Committee Useful Telephone Numbers (705) A.A., Al-Anon, Al-Teen ........................... 526-3305 Canadian Mental Health Association 726-5033 Canada Pension Plan .................. 1-800-277-9914 Children’s Aid Society ........................... 526-9341 Community Link ..................................... 528-6999 Consumer Survivor Project .................. 444-1844 ENAAHTIG .............................................. 534-3724 Family Mental Health Initiative .............. 725-0363 Georgian Bay General Hospital ............ 526-1300 GST Inquiries ................................ 1-800-959-1953 HERO Centre .......................................... 549-5268 Human Resources Dev. Canada ........... 526-2224 Income Tax Inquiries.................... 1-800-959-8281 Kinark Child & Family Services............. 526-3708 Midland Police Services ........................ 526-2201 Native Friendship Centre ....................... 526-5589 N.S. Catholic Family Life Centre ............ 526-9397 Ministry of Community, Family & Children Services - Includes: Employment Support, Ontario Disability Support Program + other Provincial Gov. Support Services ... 1-800-565-9871 Our Place Social Club ............................ 526-6062 Ont. Provincial Police .................. 1-888-310-1122 Outpatient Services Waypoint .............. 526-0567 Orillia Soldiers Memorial Hosp ............. 325-2201 Rape Crisis Line ........................... 1-800-987-0799 Rosewood ............................................... 526-4211 RVH Barrie .............................................. 728-9802 South Simcoe & Barrie Housing Authority (includes Midland) .................................... 725-7215 Telecare................................................... 528-1432 TeleHEALTH .................................1-866-797-0000 Victim Crisis Assistance Referral ......... 527-8778 Waypoint Centre ..................................... 549-3181 Waypoint Centre (Toll Free) ......... 1-877-341-4729 Wendat .................................................... 526-1305 Canadian Mental Health Association Simcoe County David Meredith, Anne O’Farrell-Schultz, Mike Silvio, Dianne Stringer, Heidi & Beanie Triska Mental Health Crisis Line Thanks also to Laurene Hilderley for your editing guidance 1-888 888--893 893--8333 7 days a week, 24 hours a day Feedback ALWAYS welcomed 705 705--728 728--5044 Interested in publishing your poem, quote, article or upcoming event in our newsletter? Please contact the Editor, Dianne Stringer Phone: (705) 549-3181 EXT. 2751 Email: [email protected] at the Patient/Client & Family Council: 500 Church Street, Penetanguishene, Ontario L9M 1G3 The Voice of HOPE Newsletter September 2013 —Brought to you by the Patient/Client & Family Council—Penetanguishene Ontario Canada 16
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