November 2016 Carlile Youth Concurrent Disorders Centre Helping youth reframe their future W hen looking back over the years of planning for the Carlile Youth Concurrent Disorders Centre (CYCDC), Elizabeth Stanger, Director, Coastal Mental Health & Addiction, thinks of Dr. Steve Mathias and his vision to support youth with an integrated approach, involving family and health care professionals working together with clients. “This is an achievement we should all be proud of.” ̶ Elizabeth Stanger VCH Director - Coastal mental health and addiction issues. A centralized access model will encompass the full continuum of services available, so clients are directed to the most appropriate resource. Dr. Mathias is a VCH physician who works with street youth. He sees what happens when youth run out of options and lose their connections to family and community. Serving a complex population His idea was to help youth sooner and avoid a crisis that can be life altering for everyone involved. This vision launched plans for the Carlile Centre. Elizabeth Stanger, VCH Director - As VCH prepares to open the Carlile Centre in April 2017, Elizabeth is quick Coastal. to share this achievement with Dr. ea serving urban centres, rural and Mathias and others who have supremote communities. As a regional ported this project. service, the Carlile Centre supports “This has been such an amazing, col- youth from across VCH and staff at laborative effort,” she said. “We have Carlile will maintain connections to worked with clients and families, as local health teams to support continuwell as mental health and substance ity of care for clients and families, reuse leaders across VCH and in the gardless of where they live. Telecommunity to design the facility, de- health will help support these relavelop the care model and confirm the tionships and service access. referral protocols for the Carlile Centre. This is an achievement we should The Carlile Centre is for individuals who have exhausted other options in all be proud of.” the community. No other program in Overcoming challenges of geography BC, or Western Canada for that VCH covers a complex geographic ar- matter, supports youth with both “Our population has grown and the issues youth are coping with have become more severe,” explains Elizabeth. “Treating kids can be complicated. We need to understand – is it behaviour, is it illness, is it a combination of things. Our interdisciplinary teams will get to the root of the problem and develop a plan for that individual so they can reframe their future in a healthier context.” Youth will come to the Carlile Centre on average for 21 days. During this time they will go through detox, assessment and stabilization. The goal is to then help them return to the community with supports in place to help them live well, while giving their families hope. (Since this article was written, Elizabeth has moved into a new role as Executive Director CST— Coastal.) Creating a healing environment — the power of design M ost of us have a “go-to” place where we relax, problem-solve, or energize. For some it’s a room, for others it could be the forest, and for many it is a spot where others are gathered, providing a sense of community. The Carlile Centre is a place where youth will come to understand and address their concurrent disorders and reframe their approach to living well. The environment will play a role in their recovery and its design must meet the needs of a unique and diverse client population. Consultation sessions A consultation session was held earlier this fall to gain insight from individuals with lived experience dealing with inpatient mental health care. Approximately 20 people, age 18 – 25 years, gathered to discuss how the environment/facility design can contribute to health and wellbeing. “Design has a function – it works at the emotional level and at the operational level,” explained Daniel Presnell, from Signals Design Group, the company devel- Artwork at the CYCDC will feature oping the environmental design elements scenes from the North Shore, for the Carlile Centre. “During the consulincluding Lighthouse Park. tation session we asked questions to create a snapshot of what someone might One individual described “white knuckfeel, do and think in the space, and underling” – how people in care ball-up their stand impact of design for young people fists and struggle to get through treatwho are likely anxious and marginalized.” ment. To be productive, they need to unclench their fists and take time to listen, think and act in a way that allows them to focus on recovery. The design strategy needs to help them relax and open up. This includes the physical design as well as the elements of sound and colour. Best practice evidence and feedback from the consultation session emphasized the value of connecting to nature, and creating a flexible, non-institutional environment. With this in mind, the design team is recommending feature walls that highlight scenes from the North Shore, where the Carlile Centre is located. Signage & wayfinding Signage and wayfinding features will also reflect elements from nature, such as birds, flowers and fish. Colour and design will define different areas for different purposes so people understand what to expect from a space. For example, blue is clinical, orange is community, so if you want to be alone, you wouldn’t go into an orange space. Creating spaces to support recovery is a complex process. The input provided during the consultation session will help ensure the Carlile Centre environment feels safe and welcoming for everyone who comes there. Sandra Cameron (left) and Karen Gardner from the Whistler Health Centre Foundation toured the new unit in October. The comfort room in the Carlile Centre will be named to honour their donation of $25,000. This project was made possible by donors to Lions Gate Hospital Foundation. For more information contact: Tanis Evans at [email protected] or Dale Handley at [email protected]
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