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Results: 1 - 15 of 499
View Tony Van Bynen Profile
Lib. (ON)
Thank you.
In my community of Newmarket—Aurora, our local hospital accommodates over 1.2 million people, and at the very beginning of this outbreak, I know that there was a lot of stress in terms of finding the resources that they needed, and I was certainly happy to see that the government stepped up and provided what was required.
We've also been talking about mental health and the impacts of the pandemic on Canadians' health throughout the past year and the role the federal government has been able to play in getting Canadians free, accessible mental health resources. I know that budget 2021 extends further funding for Wellness Together in the budget 2021-22 year, and in the supplementary estimates (A) there's additional funding for the Kids Help Phone.
Why do you think it's important to keep these mental health supports available to Canadians, even as we return to the new normal life?
View Patty Hajdu Profile
Lib. (ON)
Thank you very much for the question.
I had an opportunity to meet with the volunteers at the Kids Help Phone just this week. What an enormous piece of work they're doing for Canadians. They're responding to calls from people, often young people but actually people of every age, across the country. We knew early on that we needed to support that work.
Wellness Together also grew out of a sense that the pandemic was going to create such change in Canadians' lives that it would exacerbate mental health conditions and put people in distress at all hours of the day or night. We wanted to make sure that no matter what a Canadian's circumstance, no matter what a person's circumstance in this country, they would have access to that service.
We'll be extending these services for another year. We know that, first, we're not out of this yet, and second, as people return to their lives, many things have changed. People have suffered tremendously. There's been enormous sacrifice, some that we know and some that we don't know. People's routines have been disrupted. Their relationships have been disrupted. Their work settings have been disrupted. We know that Canadians will continue to need support for some time to come.
This is our contribution to ensuring that Canadians have that help when they need it, through emergency helplines but also through the Wellness Together portal that helps connect people to the help they need, when they need it and in the language they need it.
Tom Littlewood
View Tom Littlewood Profile
Tom Littlewood
2021-06-11 13:18
Thanks, Barb.
Regarding COVID-19 and its effect on mental health, overdoses, self-harm and psychosis incidents have increased 50% with our youth clients. We serve about 300 clients a year currently, and that is about to double. Hospitalizations, because of this, cost $1,500 to $2,500 a day and up.
Anxiety and depression are widespread. These mental health issues paralyze young people, causing many to retreat and hide in their single-room occupancy, SRO suites, or basement suites.
The opioid crisis has worsened during the COVID-19 pandemic. We predict that the situation will only get worse, as there are thousands of young people in line to become the next wave of addiction to hit our streets.
Every year about 1,000 youth age out of care in British Columbia, and a further 1,000 hit the streets, running away from dysfunctional homes. Over 60% of these youths aging out of foster care will descend into entrenched addiction to numb their psychological pain.
However, there is a critical period between the ages of 15 and 25, when these young people usually ask for help. If trauma-informed therapy is provided to them for free and without a waiting list, up to 75% of these youth will respond and achieve success in school, work, recovery, housing and job-skills training. They can be diverted from the path towards homelessness, entrenched addiction, overdose and suicide and on towards lives they will enjoy living.
The initial effects of past trauma, which include physical abuse, mental abuse, sexual abuse, poverty and intergenerational trauma experienced by our indigenous clients, are normally expressed, to begin with, as anxiety, depression, eating and sleeping disorders, and self-medicating behaviour.
Our therapeutic intervention of four months of trauma-informed counselling costs approximately $2,500. Once the youth descends into entrenched addiction, it costs the community millions of dollars when police services, first responders, hospitals, corrections system, etc., are factored in. This does not even begin to take into account what the addict has to steal, or the sex acts they have to perform in order to get the money to buy the drugs they need.
Harm prevention, specifically trauma-informed therapy, can divert a youth's path away from addiction and homelessness, which not only saves valuable lives but saves millions of dollars in costs to the community.
Trauma-informed recovery is a new idea, and it's still controversial. Rather than the 12-step abstinence recovery programs, which are not best practices with youth, especially regarding opioid addiction, trauma-informed recovery involves a doctor, a therapist and a client agreeing to a contract whereby the physician prescribes an opioid replacement for the client while the client is undergoing trauma counselling.
When working with a therapist, typically over a period of four months, the client first learns self-regulation techniques. This is followed by the counselling trauma work, to help youth gain insight into their past trauma.
Once the trauma work is complete, the client has no need to self-medicate for the psychological pain, and this is when the physician steps in to provide something like an opioid replacement of Suboxone to help them come down without the drug sickness.
This approach is new and controversial, but it is becoming the best-practice model for young people with opioid addiction. Using prescribed stimulants as a replacement for street drugs like crack or meth is also being explored.
The side effect of the opioid crisis and the overdose crisis is the growing number of permanent brain damage situations caused when someone is brought back using Narcan or Naloxone. Some youth brag about how many times they have recovered using Naloxone; however, as therapists we can see the gradual deterioration of cognitive function after multiple applications of Naloxone over multiple overdoses.
A practical harm prevention idea that you can take from this is a CERB forgiveness program for young people who engage in recovery, education, work or training for a year. The money is gone; it's not going to be recovered. These kids don't have this, but it will create an insurmountable obstacle for these young people and cause thousands to give up and go underground to the street, speeding up the path to addiction and homelessness. I have had a youth end their life by suicide when faced with $1,000 in transit fines, which come due when they are about to get their first driver's licence. Imagine the chaos we're going to find when thousands are asked to repay the thousands of dollars they received from CERB fraudulently.
In summary, our goal is to get ahead of the curve of both COVID-19 and the opioid crisis by employing harm-prevention strategies of trauma-informed therapy, training and recovery.
Thank you.
Ansar Ahmed
View Ansar Ahmed Profile
Ansar Ahmed
2021-06-11 14:12
Thank you, Chairman McKinnon, and thank you, Vice-Chairs Rempel Garner and Thériault, for the opportunity to speak to the committee today.
I'm pleased to be here today representing Jacobs Engineering. First of all, on behalf of all of us at Jacobs, I'd like to extend our deepest condolences to the families of the nearly 26,000 Canadians who have lost their lives during this pandemic.
As engineers and architects, we approach problems from a very simple perspective of an unbiased lens. We examine the causes, and we identify what needs to be done differently in order to achieve more favourable outcomes in the future.
I'd like to focus my remarks today on the impact of COVID-19 in our long-term care homes.
In January, Jacobs hosted an industry round table to examine how the built environment—the actual interior and physical space—may have contributed to the disproportionate impact of COVID-19 within our long-term care homes. The round table report outlined a series of nine recommendations, and I'd like to speak to two of them today.
Many jurisdictions have design standards for long-term care homes that have not been updated for years, and in some cases decades. In homes designed to those outdated standards, residents were confined, for the most part, to their rooms. They had little, if any, physical or social interaction with others, simply because the facility was not designed, or improved over the years, to meet the challenges of containing the spread of COVID-19.
It was acknowledged in the round table that the built environment is as important an element of health care as any other medical or clinical intervention. There needs to be a legislated framework that mandates regular updates to design standards, so the built environment within our long-term care homes keeps pace with the latest clinical research on caring for those with physical or cognitive impairments.
A second recommendation involved evidence-based decision-making and value-based procurements. Following the January round table, Jacobs and the Ontario Association of Architects, in consultation with the Ontario Ministry of Long-Term Care, have funded a research study by the University of Toronto’s Centre for Design + Health Innovation to conduct performance assessments of long-term care homes. This is the type of experiential data that governments need to have access to in order to ensure they are making the right investments in the right areas at the right time.
The findings of such work must become the basis for value-based procurement. In a sector as sensitive as long-term care, seeking out the lowest-cost and technically compliant bids should not be the benchmark we are striving to achieve. Rather, it should be about value creation in design, construction, maintenance and operations to help secure the best outcome for our most vulnerable citizens.
The COVID-19 pandemic has challenged governments at all levels to respond with urgency to its devastating outcomes, including the loss of over 15,000 lives in long-term care homes. In examining the root causes of these losses, it's important to recognize the pre-existence of structural and systemic vulnerabilities that heightened the risk of such outcomes occurring in our long-term care homes.
To make the most of proposed investments in long-term care, it's vital that governments first identify and, through updated standards and guidelines, resolve those structural and systemic vulnerabilities. Without this first critical step, we miss an important opportunity to ensure the best results for the investment of public funds.
If I had three recommendations to make, they would be that governments at all levels need to come together: first, to establish grant-based funding programs to vigorously re-engage Canada in public health research and development; second, to activate and mobilize Canada’s manufacturing sector to produce vast supplies of PPE and other mission-critical supplies and equipment; and lastly, to mandate regular updates to design and operating standards governing long-term care homes, to ensure these remain resilient places of care for our most vulnerable citizens.
In closing, I'd like to make one last observation with respect to mental health. This pandemic has raised awareness of the importance of mental health. As we emerge from this pandemic, it's my sincere hope we do not lose the momentum that has been created, and that the attention drawn to mental health does not fade away. All levels of government have a role to play in ensuring that hospitals across the country have access to stable and long-term funding for mental health programs, and that local non-profit organizations, delivering invaluable intervention programs, similarly have access to predictable and long-term government funding and support.
Thank you very much for your time and attention today.
View Larry Maguire Profile
CPC (MB)
Mr. Ahmed, I will quickly move to you.
In regard to not losing ground on mental health because of COVID, you mentioned the support of the private sector in developing and funding mental health. What do you think the private sector's role should be in that? I know you want to keep all governments working together. Where does that fit in?
Ansar Ahmed
View Ansar Ahmed Profile
Ansar Ahmed
2021-06-11 14:46
There's a small organization here in my hometown of Newmarket called Inn From the Cold. I've seen the tremendous work that they're doing first-hand, primarily through the support of volunteers, to try to support those suffering from mental health, homelessness and other issues. I think there is definitely a role for government to play in providing those non-profit organization some line to stable, long-term funding, so that they can continue to provide these invaluable services.
The other thing is that if we don't do that early intervention in terms of those mental health programs, then by and large we're going to end up paying a price through other social services, the justice system or other areas. It behooves us as a society to make sure we do that early intervention.
View Patty Hajdu Profile
Lib. (ON)
Thank you very much, Mr. Chair, for the invitation to return to committee.
As you mentioned, I'm joined today by officials from Health Canada, the Public Health Agency of Canada, CFIA and CIHR. We are here to update you on the main estimates for the health portfolio.
We know, as we continue to respond to COVID-19, that some areas in Canada have seen an increase in cases, some areas in Canada have had to apply additional public health measures and some areas in Canada have seen increased hospitalizations. We remain focused on one goal, and that's to help Canadians through COVID-19—to help provinces and territories reduce transmission in communities, to decrease the number of people getting sick, and of course to decrease the number of people ending up in hospitals and, sadly, passing away as a result of COVID-19.
We know that this is a lot of work on behalf of all levels of government, and indeed not just government but community organizations, unions, employers and everyone working together in a team Canada approach. The most important things for us to remain focused on now are to reduce community transmission, increase access to vaccination and make sure that we stay focused on increasing vaccine uptake. We need to make sure the vaccines are available to people in a variety of different ways so that they can access them when it's their turn.
I have to say that we've been so impressed by Canadians' desire to be vaccinated and their willingness to step up when it is indeed their turn. As we can see, as more vaccines have been arriving in Canada week over week, we are now a leading G20 country, the second in the G20 in terms of administering the first dose. That's good news, Mr. Chair, because we know that vaccinations save lives and reduce the spread in communities, along with the other things that we know all too well.
In terms of actual hard numbers, that means nearly 13 million doses of COVID-19 vaccines have been administered. I have good news, and it's reflected in case rates and death rates. Eighty per cent of those aged 70 to 79 and 86% of those aged 80 and over have received vaccination. I can tell you that there is a sense of relief, especially among people in those age groups who have felt so worried and so scared, and of course among the people who love them, that they are protected as provinces and territories work together to reduce transmission in communities.
Of course, as all of you in HESA know, Canada is focused on a population health approach to vaccination. What does that mean? It means using vaccination as a powerful tool to reduce cases in communities and to stop people from getting sick and dying.
We have two overarching goals: to stop the spread and to save lives. Because of this strategy, there are more Canadians protected now than a month ago. We are looking forward to a very busy month of May. This month alone, millions of doses will arrive in the country and go directly into arms through the strong partnership with provinces, territories, local public health officials and other really important partners like pharmacists and family physicians.
While vaccination programs are scaling up, we have to continue to be cautious and vigilant about following local public health guidance. That does mean the things that we know help prevent the spread of the virus. As we have learned, that means physical distancing; the wearing of masks, especially in crowded and indoor settings; being mindful of how and where people gather; really thinking of each other during this time; and continuing to pull together as Canadians to make sure that the entire community remains safe. If there's something I've learned, Mr. Chair—or been reminded of, I think is more appropriate—it's the importance of collective action to fight a virus like this. It's that we cannot do this alone, that communities can't do this alone, that people can't do this alone, but that together we can actually get a lot further.
Today we will share the health portfolio's spending plans for the months ahead.
As you know, budget 2021 proposes significant investments in a number of health priorities, from increasing research and biomanufacturing to improving long-term care and continuing our investments—significant investments, I would say—in mental health and substance use supports.
These investments will help us finish the fight against COVID-19 and will help Canadians to see, in a healthier and more equitable way, a healthier future in their communities.
Maintaining Canadians' health and safety continues to be my priority—indeed, all of our agencies' priority—in the months to come. The main estimates I'm presenting today reflect this, and they outline the work we are doing to achieve these goals.
Over the next year, Health Canada will work with the provinces and territories to help improve health systems for all Canadians. This work includes measures to strengthen the health care sector through investments in long-term care and supportive care settings. We will also address mental health and problematic substance use through continued investments in home and community care and in mental health and addiction services, including specific investments to help Canadians during COVID-19.
I want to give a particular thank you to the many organizations that work with people who are struggling with a variety of mental health issues and a variety of problematic substance use issues. These community organizations and providers have been there for Canadians during this dreadful time, and their work is tremendously valuable to all of us.
Our world-class regulators will continue their work to get Canadians the medicines, vaccines and medical devices they need. That work includes creating a critical drug reserve to assist with COVID-19 treatments.
For the past year, the Public Health Agency of Canada has been focused on the pandemic response. Whether it's on vaccines, on research or on specific COVID-19 supports, the agency has been working day and night—all of the folks in the agency have been working day and night—to protect Canadians. This work will continue well beyond the pandemic.
The safety of our food supply is also always a priority in a pandemic, and of course beyond. The Canadian Food Inspection Agency protects Canadians from food safety risks, supports our food supply chain and safeguards the health and safety of people working in the food manufacturing and distribution industries. I want to thank all of the workers at CFIA for their ongoing work, oftentimes in very challenging situations, as we know. In meat packing plants, where there have been significant challenges to prevent the spread of COVID, I know that inspection agents and many other professionals have been working to make those workplaces safer and to keep food safe for Canadians.
After a year of living with COVID-19, the importance of investing in health and medical research, if it wasn't evident before, is now, Mr. Chair. The Canadian Institutes of Health Research is supporting Canadian research and researchers, and our investments will make sure that they have a strong and central role in ensuring that science returns to a place of prominence in government policy-making.
I am so relieved, Mr. Chair, that our government made those investments in 2015, after a decade of attack on scientists and researchers. We made those investments in 2015, and they turned out to be critical. We're going to continue to strengthen Canadian research through the CIHR, through the researcher community that they support, to make sure that we have access to the best evidence and the best science on a range of health issues.
Mr. Chair, my priority is Canadians' health and safety. As we face this wave of the virus, as we see the finish line, we know there's more work to do. The plans I'm talking about show what we have to do, how we have to invest and how we have to continue to pull together. I know that Canadians will get through this, but we have to work together to get through it so that we can save lives, stop the spread and protect Canadians' health throughout COVID-19 and beyond.
Thank you very much, Mr. Chair. I look forward to your questions.
Rick Lundy
View Rick Lundy Profile
Rick Lundy
2021-04-26 11:11
Thank you very much for having me today.
I'm here representing four different organizations. I'm the general manager of Huntington Hills Community Association. I'm president and founder of Minds Over Matter mental health society. I am founder of Open Arms patient advocacy society, and I'm the president of Mothers Against Drunk Driving in Calgary.
The first area I would like to talk about is in the community, and that's with Huntington Hills. We at Huntington Hills are an outlet for many human service areas—we were up until recently. We had a lone parent network, a parent link and a north central resource centre for all of the north of Calgary. In these programs we help families, especially single parents, find the resources they need and to get tools and go through programs to be the best parents they possibly can. For homelessness, homeless and low-income individuals in northwest Calgary, we help them get the resources they need for the basics of life. We also have a school care program here, so we deal with a lot of the little ones in society as well.
Our mental health organization is called Minds over Matter mental health. We deal with seniors, cultural groups, businesses and organizations and children and youth.
I am the president of Mothers Against Drunk Driving, and I have been for the last couple of years. We bring awareness to drinking and driving as well as preventative measures to stop or slow down impaired driving and victim assistance for those individuals who have been affected by drinking and driving as well.
Looking at what COVID has done in the community, here at the community association we deliver food and basics to single moms and seniors. I've had first-hand experience dealing with seniors. The thing I can say first and foremost is that many seniors have talked as I'm delivering their food—because I've done it myself—of the fear of not knowing how they're going to get their next meal and the fear of not knowing how or when they're going to get the resources they need to survive. A lot of these seniors don't have any other family or friends to do it. They're relying on a community association to deliver food.
The second thing is the lack of resources. In dealing with these three human resources that we did, the biggest problem was connecting people with food banks. I had one individual come in, and he was from Africa, just new to the country, and he had no food or diapers for his family. We had to try to find resources for him. Unfortunately, during COVID, those resources weren't even open. He phoned me back and he commented on the fact that he left messages at the numbers we had given him, and nobody got back to him. There was a huge concern, not only about getting individuals these resources but also the accessibility wasn't there. There was a lot of fear in those individuals as well.
Going into the mental health organization dealing with seniors, my specialty is seniors within this organization. In talking to these seniors, I know there is a fear of COVID. They're in the last years of their lives. They've been isolated. The isolation for seniors has been a huge problem as well. Pre-COVID, 6.2 million Canadians suffered from mental illness in this country. The numbers going forward will be staggering as will accessibility, because the biggest problem in mental illness is the lack of accessibility within mental health and mental illness.
In regard to Mothers Against Drunk Driving, you would think, with all the restrictions that government has put in place, that impaired driving would be substantially down. It is a bit down, but it's insignificant. Alcohol consumption and cannabis consumption during COVID is on the rise. We work with the Calgary Police Service, and the concern post-COVID is going to be impaired driving, because people have been sitting in their houses. That's going to be a bigger problem than it was before.
People are still drinking, and people are still driving. The amount of alcohol and cannabis consumption has actually increased. We just had a case last week of a 38-year-old who was drinking and driving and killed somebody. We're very concerned about where this is going.
Looking at the problems in the community, they're vast. We're an organization that knows the resources and understands the system, and we're having trouble accessing the system to get help for people in all the capacities that I mentioned earlier.
COVID has been devastating to this community, the community of Huntington Hills, which is in northwest Calgary. It's been devastating in terms of the mental health and mental illness that we're seeing, and I just don't know where this is going.
We had an economy that was challenged. Then we had COVID, and the accessibility of getting mental health resources for anybody—children, youth, seniors, single parents—is horrific. I feel very badly for individuals who are trying to get that help because it's just not accessible.
Thank you, Mr. Chair.
View John Barlow Profile
CPC (AB)
View John Barlow Profile
2021-04-26 12:30
You bring up my next question. I talked about this on Friday. I had a young girl in my riding call me in tears about her brother who had committed suicide. I had another one yesterday. A 29-year-old young man in my riding committed suicide yesterday. These are becoming all too common.
When speaking with some of the artists—Mariya Stokes and Lyndsay Butler in my riding—you can tell what stress is on these young artists and what anxiety there is. Maybe you can touch on that a bit. What has been the mental health aspect of seeing your entire industry and your entire livelihood, everything you've worked for, come to a screeching halt, with no light at the end of the tunnel as we continue to see lockdowns and restrictions?
George Canyon
View George Canyon Profile
George Canyon
2021-04-26 12:30
As a Canadian citizen and a very proud Canadian—one million per cent Canadian through and through—one of the things that most disappoints me is that we didn't take a deep breath and look at what could be a huge travesty for our mental health, especially when mental health is first and foremost in the minds of most Canadians. In our industry, especially right now, because we have not recovered in the slightest—not 0.001%, not at all—mental health is a huge issue.
Just in talking to my team, which I try to maintain contact with to make sure that everybody is good, I see that everyone is trying to hold their head up and put a smile on—albeit fake. This is what we do in our industry. We're in the industry of hearing no. I've heard “no” so many times that I just kind of expect it now. When you're an artist and you're trying to get record deals or you're trying to get gigs and you're trying to climb that corporate ladder....
Right now, though, the artists I've talked with as of late, they just feel lost. It's not so much the artist in me. It's my family who made the sacrifice for us to get to where we are today after 30 years—my wife and my children. The sacrifices they've made, not just with my wife having to work three jobs at one time so I could play on the weekends, but with my children not having their dad there for the first day of school, not having their dad there when they learned how to ride a bicycle.... All those things add up to mental health, and now, seeing their dad just not being able to work at what they have been a really big part of my success in....
View Mike Kelloway Profile
Lib. (NS)
Thanks, Mr. Chair.
Hello to my colleagues, and a warm welcome to our witnesses, a Cape Breton—Canso welcome.
My questions are going to be directed to Mr. Grant.
First and foremost, Mr. Grant, I consider you and your organization an expert on youth and youth programming.
For many years in the first part of my career, I worked with a gentleman by the name of Gordie Gosse, and Gordie was a great man. He passed in 2019. He worked in Whitney Pier as the youth programmer in Whitney Pier and later went on to become an NDP cabinet minister in the provincial government. I learned so much from him in terms of the importance of programming and the importance of community engagement.
This year, Mr. Grant, Canadians have made great sacrifices and, in particular, youth and children have given up, as you say, going to school with its going online, spending time with friends and really getting the most out of their adolescence and childhood. Public health measures in every province are implemented by public health officers, and they're important, but we do need more and varied supports, as you mentioned.
In particular, you hit upon something I think is really important, and that's the mental health amongst youth. They are already, I think you would agree, at a higher risk even without a global pandemic being thrown into the mix.
I'm wondering if you could tell me and tell the committee how important it is for children and youth in these times to have access to platforms like Wellness Together Canada, launched by our government, or the Kids Help Phone.
Clovis Grant
View Clovis Grant Profile
Clovis Grant
2021-04-26 12:34
As we know, in being homeless, there's a high level of anxiety and a high degree of stress and addictions that come with that, and this is pre-pandemic, so adding the notion of a pandemic exacerbates an already challenging situation.
The need for the services you mentioned, the Kids Help Phone, etc., is critical during both times, and we've seen just with 310-COPE here in York region and the Canadian Mental Health Association, all of those organizations—
Clovis Grant
View Clovis Grant Profile
Clovis Grant
2021-04-26 12:36
Okay.
As we know, pre-COVID, pre-pandemic, the need for mental health services for a homeless population was high to begin with. We know from research it is one of the challenges, whether it's a cause or an effect of being homeless. The Kids Help Phone services, the Canadian Mental Health Association services, 310-COPE and all those things were important pre-COVID, and then you add a pandemic, with a whole bunch of uncertainty for these young people. They've already experienced uncertainties in their lives and this just further exacerbates that.
One of the things it's important to note is that a lot of money does go into mental health and we've seen governments increase that funding, but we find many of those services are not accessible for a homeless population, for different reasons.
Sometimes with a youth population the definition of “youth” is different. For provincial services, it can be ages 16 to 24. For federal services, it's 14 to 29, and for some health services, it's to 18. Even from just an age demographic, it's hard to access some of those services. Then you have the unavailability of psychiatric care and psychiatrists who are able to diagnose, and follow-up support.
What we find is that homeless young people are even more marginalized in accessing the services and funding that goes into mental health, which is why the need for very specific services for this population is so important.
View Mike Kelloway Profile
Lib. (NS)
It's interesting you highlighted how the challenges are integrated, and so must be the solutions.
I was doing some research on your organization and I see you offer a large suite of programming. I'm just curious. Which of your programs has been the most popular as we navigate through this pandemic, and why do you think it is the case?
Clovis Grant
View Clovis Grant Profile
Clovis Grant
2021-04-26 12:39
I'm not sure “popular” is the right word, but certainly—
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