Committee
Consult the user guide
For assistance, please contact us
Consult the user guide
For assistance, please contact us
Add search criteria
Results: 1 - 15 of 32
Jacques Denis Simard
View Jacques Denis Simard Profile
Jacques Denis Simard
2016-09-29 15:31
Expand
Mr. Chair, members of the committee, good afternoon.
My name is Jacques Denis Simard. I am the director general of Maison La Vigile, and I am the founding president. We obtained our letters patent in 1999.
Between 1999 to 2012, we worked with other therapy centres in the Quebec City area. Since 2012, we have had our own therapy centre with our experts and workshops for those in uniform.
During my career, for eight months, between June 1970 and February 1971, I was a member of the Royal 22nd Regiment in Quebec City.
Afterwards, I worked for the Sûreté du Québec for 33 years, from 1972 to 2005.
In 1988, I was discharged from my police duties to work as a responder for the Sûreté du Québec's peer-administered employee assistance program in Eastern Quebec. During that time, I recognized the urgency of having a therapy centre to help our men and women in uniform specifically because of the many distress calls and cases that we had to handle.
I will now give the floor to Ms. Dussault, after which I will tell you about the services provided by Maison La Vigile.
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 15:32
Expand
Good afternoon, Mr. Chair.
Good afternoon, everyone.
My name is Nancy Dussault and I am the director of nursing at the Maison La Vigile.
I have been a nurse for 23 years now. I have worked in various settings: hospitals, rehabilitation and geriatrics. For the past 15 years, I have been working in mental health.
From 2002 to 2014, I was the coordinator of the first responders service team for the CONSTRUIRE en santé program of the Commission de la Construction Du Québec. This program is available to 250,000 insured. A phone line is available 24 hours a day. It is an emergency service for people with psychological, dependency, violence and physical health problems.
I went through a career change in May 2014, and I arrived at Maison La Vigile. I am the director of nursing and my main role is to assess the clients. I supervise the alcohol withdrawal process and the physical and mental health of the people at the Maison La Vigile.
In addition to my training as a nurse, I also have training in psychodynamic psychotherapy and I am now finishing a certificate in psychology.
I also attended many crisis response training sessions for suicidal behaviours, personality disorders, post-traumatic stress disorder and depressive disorders. In a nutshell, that's my career path.
I will now give the floor to Jacques Denis Simard to tell you about our services.
Collapse
Jacques Denis Simard
View Jacques Denis Simard Profile
Jacques Denis Simard
2016-09-29 15:34
Expand
The Maison La Vigile has four divisions. The first is the therapy centre, which has six distinct therapeutic services. I will come back to it later. The second is PAPV, the assistance program. The third is training. And the fourth component is research and development.
The star in the logo represents those who watch over others in society. It also symbolizes the lucky star of those protecting the public. It is also La Vigile's mission to protect those who come to meet us. The heart in the logo symbolizes the humanity of those people, the staff and the clients. The double bar is a roof, symbolizing the Maison, a place of comfort for those in uniform. You will also see in the logo three unidentified individuals, suggesting that all those in uniform have access to La Vigile therapy centre.
La Vigile therapy centre is in Quebec City. We can accommodate 16 people at a time for stays ranging from one week to one month. We are a not-for-profit agency that assists past and present uniformed front-line workers. We also provide a 24-hour help line to our clients and their families.
We are well known in the entire province of Quebec. Our clients include police officers, military personnel, veterans, firefighters, peace officers, health professionals—nurses, psychologists, social workers, doctors, pharmacists, and so on—family members, spouses and children over 18 years of age, persons retired from uniformed positions, and other members of the public as needed.
We provide two 30-day programs, the addiction program and the depression program. All our programs entail psychoeducational workshops and a cognitive behavioural approach, the approach recommended by health professionals, particularly for past and present uniformed members.
The addiction program provides an opportunity to follow an alcohol and drug withdrawal program under medical supervision. It is available 24 hours a day. We also provide one-on-one meetings with a worker twice a week, and more than 20 group sessions and weekly workshops on various addiction-related topics.
The depression program seeks to improve self-awareness and understanding of depression and its impacts, to develop coping strategies and to improve interpersonal relationships. It also includes the teaching of calming techniques and a personal development component with eight one-on-one meetings.
The short workshop on post-traumatic stress disorder, or PTSD, is part of the psychoeducational workshops. We focus on general facts about PTSD, core beliefs, symptom management strategies, managing emotions, cognitive distortions and various calming techniques. Our goal is to help program participants understand why they have certain ailments or certain negative thoughts and reactions. According to Kessler, 80% of people with PTSD also have another psychological condition.
Anxiety management focuses on signs of anxiety, cognitive distortions, coping strategies, automatic thoughts, risk factors for stress, self-medication risks, control strategies and calming techniques.
We also have an eight-day anger management program. The basic principle is that anger in and of itself is fine as an emotion, but that someone who channels it in a different way may end up in a bad situation. We look at anger and how it can be productive, the consequences of poor anger management, triggers, perceptions and reality, as well as the stages of emotional management.
Respite services are available to individuals who come to us and need some downtime for various reasons.
The length varies. It can take from two days to four and a half months. I will not elaborate, since I want to have time to finish my presentation.
The second division is the assistance program, PAPV. We have service contracts with Sûreté du Québec, the MRC des Collines-de-l'Outaouais and the CSN Fédération de la santé et des services sociaux to serve their clients with an external assistance program. All those employees have free access to the Maison La Vigile and external consultation, with no interview limit.
Our third division is training. We are experts in training those in uniform. We provide sentinel training and training on stress-related interventions in particular.
We provide sentinel training to police officers in the City of Lévis and the people of the MRC des Collines-de-l'Outaouais. We are also preparing training for the dispatchers of the City of Montreal Police Service.
We also provided in-house training to the firefighters of Lévis, Kingsey Falls and Danville, as well as the Radio-Canada cameramen and journalists. We also provided training on stress to the members of the Quebec City Police Service.
The fourth division is research and development. We give students from Laval University and CEGEPs an opportunity to do internships with us in psychoeducation, social services, as well as delinquency and addiction intervention techniques.
La Vigile is also organizing an international conference, in partnership with the École nationale de police du Québec. The conference will take place in 2018 and focus on health and public security issues.
That is the end of my presentation. Ms. Dussault will continue.
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 15:41
Expand
I will provide you with some figures on the admissions of clients to our programs. From 2013 to 2015, 36% of requests had to do with an addiction issue, 32%, depression, 19%, respite, 8%, PTSD, 4%, anger management, and 1%, anxiety management.
It is important to understand that someone in one program, such as the addiction program, can also have a depression and PTSD diagnosis, as well as an anger and anxiety management issue. Furthermore, 58% of residents have suicidal thoughts.
The requests of Veterans Affairs Canada clients come mainly from the department's case managers, the operational stress injury clinic, the OSISS program—for the operational stress injury social support—or directly from veterans who call us. In that last case, the veterans are redirected to Veterans Affairs Canada to talk to a case manager who will then connect them with us for their application. Generally, the confirmation of the stay at La Vigile from Veterans Affairs Canada case managers takes less than 48 hours.
The main reason for admission of military personnel and veterans is addiction, meaning the alcohol and drug withdrawal program, which requires 24-hour medical supervision and participation in psychoeducational workshops.
La Vigile is the only specialized centre for those in uniform in Quebec that provides a 24-hour medical service for alcohol withdrawal. It is important to understand that alcohol withdrawal comes with risks, especially during the first 48 hours after stopping consumption. There are risks of convulsions, delirium and even death. The presence of medical staff is a must for the first 48 hours.
The respite service is also very much in demand for managing post-traumatic stress symptoms, anxiety, depression and suicidal thoughts, for developing a healthy lifestyle and dealing with home and workplace stress.
I will now talk about the criteria for excluding patients from our programs.
The nurse must complete an assessment...
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 15:44
Expand
...over the phone. The exclusion criteria are: high-risk alcohol withdrawal, where 20 or more drinks are consumed a day; imminent risk of suicidal, homicidal or violent threats; severe psychological instability, such as psychosis; aggressive behaviour during assessment or refusal to follow the centre's rules.
In terms of the percentages of use of our services, from 2013 to 2015, military personnel accounted for 22% of our clientele, veterans, 19%, other uniformed positions, 42%, and civilians, 17%.
So far, for 2016, military personnel have accounted for 12% of our clientele, veterans, 29%, other uniformed positions, 47%, and civilians, 12%.
Ninety-four per cent of our customers report that they are satisfied with the services received at La Vigile and that they achieved their treatment objectives.
This concludes our presentation.
We are ready to answer any questions you may have.
Collapse
View Alupa Clarke Profile
CPC (QC)
View Alupa Clarke Profile
2016-09-29 15:52
Expand
Thank you, Mr. Chair.
Thank you all for being here with us today.
To the Veterans Transition Network, I visited your installation in Vancouver when I was there last May.
I am very pleased that representatives from the Maison de la Vigile came to meet with the committee. I live near the Maison de la Vigile in Quebec City and I can say that you are doing a great job. Thank you very much.
We may have to interrupt you sometimes because we have a number of questions for you. Do not be taken aback by that.
Inevitably, you work with veterans very often. In fact, you work with them every day and I imagine that many of them express their discontent, rightly or wrongly, with case managers and with the way the Department of Veterans Affairs operates.
What do you think of the administrative process and the organizational practices of Veterans Affairs Canada? What is your relationship with case managers? How do you see the department’s way of operating? Are the administrative processes followed properly? Are there things that need to be replaced?
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 15:54
Expand
Mr. Chair, if I may, I will answer the question.
In terms of the administrative process before the Maison La Vigile receives a call from a case manager, we unfortunately cannot say because we don’t really know what is happening up there. However, our relations are excellent from the time we receive a call from a case manager. As I explained, the admission process is often initiated in less than 48 hours and the veteran's date of admission is set. Our relations with all the managers are excellent.
Collapse
View Alupa Clarke Profile
CPC (QC)
View Alupa Clarke Profile
2016-09-29 15:58
Expand
Speaking of La Vigile’s services, at what point do you feel that they really should be available on a broad scale? Clearly, there is a need. Is the department having discussions with you about possibly expanding your services?
Collapse
Jacques Denis Simard
View Jacques Denis Simard Profile
Jacques Denis Simard
2016-09-29 15:58
Expand
There are no plans along those lines yet. We are ready to do it. In fact, two policewomen from the city of York, Ontario, have shown a lot of interest in starting a “Vigile 2” in that province for everyone in uniform. We are ready to expand our services.
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 15:59
Expand
I can perhaps add that, when a veteran is diagnosed with post-traumatic stress disorder, depression or alcohol problems, the consequences are felt by the entire family. So it becomes difficult for the wife, the children and so on. In fact, the family needs help as well.
Collapse
View Irene Mathyssen Profile
NDP (ON)
View Irene Mathyssen Profile
2016-09-29 16:09
Expand
Merci.
Madame Dussault, you made reference in your brief to the absence of support for families. We've heard that families very often are left on the fringes because they can't access the services from Veterans Affairs. Are you hearing from the families of veterans? Are they coming to you and saying they need more support than what they're getting, and what are you able to do in that regard?
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 16:10
Expand
Those comments did not come directly from the families, from the wives or the children, they came rather from the veterans who have stayed at La Vigile and who said that they wished their families had access to those services.
Collapse
View Bob Bratina Profile
Lib. (ON)
To compare the two organizations, Mr. Thorne and Mr. Allen are using therapeutic enactment role-playing; I believe in the case of La Vigile there are other therapies that are basically trying to get at repressed behaviours from the past.
Tell us a little about the kind of therapy that goes on at La Vigile for these same problems.
Collapse
Nancy Dussault
View Nancy Dussault Profile
Nancy Dussault
2016-09-29 16:16
Expand
Actually, the goal of the Maison La Vigile is not to provide psychotherapy or to work directly on the trauma. You have to understand that, when a person is living through an experience, it triggers thoughts and interpretations of the event, which lead to the particular behaviours. It’s often those initial interpretations that are false.
At the Maison La Vigile, we use the cognitive behaviour approach. We are interested in the interpretation of the thoughts, whether it is realistic, whether it can be countered, in order to lead the person to change their behaviours when they realize that the thoughts are not accurate. Our involvement is based on the cognitive behaviour approach that is widely used by psychologists.
Collapse
View Robert Kitchen Profile
CPC (SK)
Thank you, Mr. Chair.
Ms. Dussault, Mr. Simard, I do not speak a lot of French, but I am learning. I learn a new word each day. Thank you for your presentation.
That's as far as I'm going to go, because if I do, then we'll never get any questions in.
What we've talked about a lot in our committee has been about dealing with family members, and in your presentation I see there's some talk about family members.
If I understand you correctly, there are not a lot of family members who are participating in your program. Is that correct?
Collapse
Results: 1 - 15 of 32 | Page: 1 of 3

1
2
3
>
>|
Export As: XML CSV RSS

For more data options, please see Open Data