Mental Health Services
Mental illness is a major health issue for society and for government. Discrimination persists in the organization and provision of hospital care and community health care for people with mental illness. The Canadian Mental Health Association is working actively to maintain and to improve a health care system in which the principles of universal access, uniform terms and conditions, comprehensiveness, portability and public administration are upheld.
Mental health professionals require better training to respond to women’s mental health needs. Most training programs presently do not require coverage of gender issues nor do they even attempt to address how women’s experiences are different from men’s. Women’s biological, psychological and social needs are not part of the curriculum in professional schools, and most therapy and research are premised on male experience. Mental health research by women receives only 6.05% of all mental health research funds in Canada and only 0.42% of all health research funds.
The Canadian Mental Health Association, through research and experience, has proved that people who experience mental illness can be employed successfully. Persons with mental illness can and do hold responsible jobs and make significant contributions in their work, home and leisure lives. However, not all persons who could be employed are working because they, potential employers, professional caregivers, and the public emphasize their disabilities, not their capabilities.
For some time now, the CMHA has struggled with the issue of community committal or compulsory community treatment. Proposed as an alternative or a supplement to involuntary hospitalization, community committal has strong support from family groups and the psychiatric profession. Many consumer groups are as strongly opposed. Views on community committal are influenced by personal experiences. Family members see their loved ones rejecting treatment and support, especially medication, and are naturally distressed by the suffering which is the usual result. Many consumers, on the other hand, have had very negative experiences with involuntary treatment. Ironically, both consumers and family members have experienced great frustration with obtaining adequate services, including hospitalization, on a voluntary basis.
The Canadian Mental Health Association recognizes that sexual exploitation and abuse by mental health service providers takes place. The Association also recognizes that without fail such exploitation and abuse are harmful to mental health consumers. Evidence has come from anecdotal reports, complaints to professional associations, and more recently from surveys of the general public and professional groups.
Since its inception over seventy years ago, the Canadian Mental Health Association has been a unique advocate for the chronically mentally ill. During the past decade, CMHA has expanded its mandate from promoting service delivery to active support of self-help initiatives and the community resource base. The protection of individual rights in therapeutic programs and in the community has become a major focus.
A number of studies on women’s health have demonstrated strong links between health status and socioeconomic factors affecting women. Limited participation in public life, restricted decision-making, devalued role expectations, poverty, violence and sexual abuse encumber the potential for mental well-being. Social and economic stresses, coupled with the inequitable burdens imposed by role expectations, often have a negative impact on women’s health, happiness and potential for personal fulfillment and achievement.
Social inequality has damaging consequences for the mental and emotional well-being of women. Throughout their lives, women may be considered “at risk” of developing emotional problems due to a host of social factors. Limited participation in public life, restricted decision-making, devalued role expectations, poverty, violence and sexual abuse undermine the potential for emotional well-being. Social change is needed to strengthen the emotional well-being of women individually and collectively in society.
Access to mental health services is an issue that significantly impacts all Canadians, whether living with a mental illness or not. When the First Ministers convened this past February to discuss the long-term future of health care in Canada, improving access and quality of community mental health services was identified as one of eight priority areas. We believe the federal government has a critical role to play in facilitating federal/provincial/ territorial partnerships to begin to address many of the access barriers facing Canadians today.
Project IN4M is a three-phase research project, jointly funded by Health Canada and the Mental Health Commission. It’s overall goal is to improve the accessibility of high-quality mental-health services “through needs-based predictive modelling of health, social, education, criminal justice and private sector human resources – including informal caregivers.” Phase One, the subject of this report, examines possibilities for predictive modelling based on needs-based planning experiences in Canada and around the world.