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Changing Directions, Changing Lives PDF

156 Pages·2012·11.47 MB·English
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CHANGING DIRECTIONS CHANGING LIVES The Mental Health Strategy for Canada Strategy Team: Mary Bartram, Howard Chodos, Sarah Gosling, Susan Lynn Hardie, Francine Knoops, Louise Lapierre, Donna Lyons, Barbara Neuwelt Translation Coordinator: Mylène Proulx Ce document est disponible en français. This document is available at www.mentalhealthcommission.ca Suggested citation: Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Calgary, AB: Author. ©2012 Mental Health Commission of Canada 10301 Southport Lane, SW, Calgary, Alberta, T2W 1S7 Production of this document is made possible through a financial contribution from Health Canada. The views represented herein solely represent the views of the Mental Health Commission of Canada. ISBN: 978-0-9813795-2-4 Legal deposit National Library of Canada CHANGING DIRECTIONS, CHANGING LIVES: THE MENTAL HEALTH STRATEGY FOR CANADA FOREWORD On behalf of the Mental Health Commission of Canada, it gives us great pleasure to place before you Changing Directions, Changing Lives: The Mental Health Strategy for Canada. The publication of this document represents the fulfillment of a key element of the mandate that was conferred upon the Mental Health Commission of Canada by the Government of Canada in April 2007. The Commission has drawn on the experience, knowledge and advice of thousands of people across the country in the course of drafting this Strategy. The stories we have heard from people living with mental health problems and illnesses, their families, and the many dedicated people who work with them across the country have moved us, have angered us, and have inspired us. This Strategy is about improving mental health and well-being for everyone and creat- ing, together, a mental health system that can truly meet the needs of people of all ages living with mental health problems and illnesses, and their families. This is not a simple task. There are no miracle solutions and there is no single template that will work for everyone or for every jurisdiction. This Strategy therefore tackles a broad range of issues and presents many recommenda- tions for change. The hard work of putting these recommendations into practice now becomes the responsibility of governments, of providers of mental health and related services, and of the countless people in every corner of our land who use these services every year. The Commission will continue to do its part, but transforming the mental health system in this country is truly a job for us all. 2 Changing Directions, Changing Lives: The Mental Health Strategy for Canada We believe that there now exists an historic opportunity to make a diference. It will not be easy, but the winds of change have been swirling about the mental health system for many years. We can and must defeat the stigma that has blighted people’s attitudes for far too long and has fed the discrimination that so many have endured. We can and must ensure that everyone who confronts a mental health problem or illness is able to count on the same support, treatment and services as anyone who is facing a physical health challenge. We can and must promote mental health in all walks of life, and do everything possible to reduce people’s risk of developing a mental health problem or illness, or of becoming so desperate as to contemplate suicide. There are many positive signs of progress. The media are playing an increasingly constructive role. The economic significance of better mental health is becoming more apparent to employers and governments alike. Our knowledge of what works to promote recovery and well-being is growing with each passing day. Changing Directions, Changing Lives provides the blueprint to translate aspiration for change into action, to draw together people’s eforts across the country into an unstop- pable movement to improve mental health. We hope that you will join with us to make this happen. Michael Kirby David Goldbloom Louise Bradley Foreword 3 CONTENTS Foreword 2 Executive Summary 8 Mental Health, Mental Illness, Recovery, and Well-Being 14 Strategic Direction 1 Promotion and prevention 20 PRIORITY 1.1 PRIORITY 1.3 awA reness 22 oW rkplaces 28 PRIORITY 1.2 PRIORITY 1.4 Children and youth 24 Seniors 30 Strategic Direction 2 eR covery and rights 34 PRIORITY 2.1 PRIORITY 2.3 oP licies and practices 36 iR ghts 42 PRIORITY 2.2 PRIORITY 2.4 Involvement 40 Criminal justice 46 Strategic Direction 3 cA cess to services 52 PRIORITY 3.1 PRIORITY 3.4 Primary health care 56 eP er suport 70 PRIORITY 3.2 PRIORITY 3.5 Comunity-based 60 Housing, employment 72 PRIORITY 3.3 cA ute and Intensive 64 4 Changing Directions, Changing Lives: The Mental Health Strategy for Canada Strategic Direction 4 Disparities and diversity 78 PRIORITY 4.1 PRIORITY 4.3 Social determinants 80 Northern and remote 86 PRIORITY 4.2 PRIORITY 4.4 Immigrants, refugees, ethno- Minority oficial language 90 cultural, racialized 82 PRIORITY 4.5 Gender, sexuality 92 Strategic Direction 5 First Nations, Inuit and Métis 96 PRIORITY 5.1 PRIORITY 5.3 First Nations Stream 98 Métis Stream 102 PRIORITY 5.2 PRIORITY 5.4 Inuit Stream 100 Urban, rural and social issues 104 Strategic Direction 6 Leadership and collaboration 110 PRIORITY 6.1 PRIORITY 6.3 Coordination 112 Human resources 118 PRIORITY 6.2 PRIORITY 6.4 Knowledge 114 Lived experience 120 Call To Action 124 INVESTMENT 124 WORKING TOGETHER 130 INDICATORS 127 References 134 Table of Contents 5 On listening, and including a diversity of views in the Strategy “In one of the consultations, the Commission heard from other consumers and family members, and our voices were honoured and valued. There was a real interest in hearing about things like experiences of racism, homophobia and class discrimination as it related to mental health and mental health services. We don’t have a good history in Canada in terms of how we deal with mental illness and have marginalized a number of people in our society. The Commission solicited opinions from people with lived experience of mental illness and all of our diverse views. The process was valuable and richer in the end.” Shana Calixte – Peer support advocate EXECUTIVE SUMMARY This is the first mental health strategy for Canada. Its release marks a significant mile- stone in the journey to bring mental health ‘out of the shadows’ and to recognize, in both words and deeds, the truth of the saying that there can be no health without mental health. Although there are several population groups and policy areas for which the federal gov- ernment has important mental health responsibilities, the organization and delivery of health care, social services and education in Canada largely fall to provincial and territo- rial governments. Despite the fact that pan-Canadian initiatives could help all jurisdictions to improve mental health outcomes, planning documents that address these matters from the perspective of the country as a whole are rare. Jurisdictional challenges have been compounded by the stigma that has kept discussion of mental health issues out of the public arena for far too long. Changing Directions, Changing Lives is the culmination of many years of hard work and advocacy by people across the country. A key driver behind its development has been the testimony of thousands of people living with mental health problems and illnesses. In increasing numbers they have found the courage to speak publicly about their personal experiences and the many obstacles they face in obtaining the help and support they need from an underfunded and fragmented mental health system. Family members have echoed this assessment while pointing to the many challenges that they also confront. Service providers (within the mental health system as well as outside of it), researchers, and policy experts have added their voice to the chorus calling for much- needed change. They have all had a voice in the development of this Strategy. nI any given year, one in i� ve ep olp e in Canada eepx riences a em ntal health rp olb e m or illness, iw th a cost to the econoym of ew ll in ecx ess of 05$ ib llion. 1 8 Changing Directions, Changing Lives: The Mental Health Strategy for Canada

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