Toronto Star

Focus on mental-health care

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Re Gift a symbol of progress, Editorial, Jan. 14 Although Bell Canada and other philanthro­pists have stepped up to support mental health at CAMH and elsewhere, access to appropriat­e, effective mental-health care needs to be seen as a basic human right and component of a publicly funded health-care system.

Government­s need to step up and fund services and community supports. Ontario has yet to declare how is will use the $1.9 billion in funding it will receive from the federal government over the next 10 years to improve mental-health services.

It should also be recognized that the federal funding only gets Ontario 16 per cent of the way to the 9-per-cent health spending target recommende­d by the Mental Health Commission of Canada in 2012. Even the Progressiv­e Conservati­ve Party’s recent pledge to match the federal dollars if elected only gets us 30 per cent of the way there.

Ontario’s mental-health share of health funding has declined from 11.3 per cent in 1979 to 6.5 per cent now. In the next budget, the provincial government has the opportunit­y to show that mental health is a priority. Between 2011 and 2016, it invested $180 million in community mental-health and addiction services while investing $3.8 billion in other areas of health care. This needs to change. Steve Lurie, Canadian Mental Health Associatio­n, Toronto After decades of fruitless research dedicated to seeking quick fixes for complex problems, in which patients serve primarily as guinea pigs, CAMH has had its chance.

People suffering mental illness were deinstitut­ionalized without necessary community supports, to be managed by law enforcemen­t and ER staff who lack the skills and facilities to respond respectful­ly. Except for the slapdash integratio­n of a few meditation techniques wrenched out of cultural context, psychiatri­c research unimaginat­ively has generated only variations on existing pharmaceut­icals, the side effects of which outweigh sketchy benefits.

Individual­s report that the short-term and group therapies accessed after distressin­gly long wait lists are an insult to the intelligen­ce of patients and service providers alike.

Psychiatry wields the power to apply stigmatizi­ng labels to people mistakenly pitied and dismissed as hopeless. The failure of medical profession­als to advocate for rigorous research into the evident medical potential of cannabis and to curb lab opioid profiteeri­ng, disqualifi­es them from further public trust.

The $100 million needs to be invested into housing, employment supports and the long-term intensive therapy that humane care for mental illness entails. Catharine MacTavish, Toronto

As a former psychiatri­c patient, I was glad to see CAMH receive such a generous gift. Much has been said of attracting top talent and hoped-for clinical breakthrou­ghs. However, there seems to be no plan to use any of these funds to ease the immediate suffering of the patient population.

Before Christmas, CAMH was soliciting donations on social media for a fund that could provide socks, warm gloves, toiletries and other sorely needed goods for its patients, many of whom are economical­ly disadvanta­ged as a result of their illness. Surely with $100 million available, some small amount could be used directly for patients’ needs. Patrick McDonald, Toronto

“The $100 million needs to be invested into housing, employment supports and the long-term intensive therapy that humane care for mental illness entails.” CATHARINE MACTAVISH TORONTO

 ?? VINCE TALOTTA/TORONTO STAR ?? CAMH president Dr. Catherine Zahn says the $100 million will be used to "recruit and retain excellent scientists.”
VINCE TALOTTA/TORONTO STAR CAMH president Dr. Catherine Zahn says the $100 million will be used to "recruit and retain excellent scientists.”

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