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Home » News » Page 2

Canadian Mental Health Association on Reconciliation and mental health

June 21, 2021 By Jessica Samuels Leave a Comment

Statement From CMHA Kelowna CEO

My heart aches over the discovery of the unmarked burial ground of 215 children in Kamloops on the site of a former residential school. It aches with the knowledge that there are so many more to be found and it aches with the knowledge that this has come as news to so many. 
There is hope however, that this is a moment of transformation where we acknowledge that we can all do and be better. CMHA Kelowna stands by the Truth and Reconciliation calls to action published in 2015 and over the years our organization has taken steps, albeit small, to inform our own Indigenous cultural competency. This past year we prioritized this effort through the official forming of an Equity Diversity and Inclusion Committee that is dedicated to supporting a CMHA Kelowna that fosters the health and wellbeing of all people. We know it’s more than just committees. It’s in our actions.  We’ve also embarked on additional Indigenous Cultural Training and used our platforms to raise Indigenous voices in our community. And, recognizing that we are part of  a larger system of historical racism and oppression, we are forming new common practices throughout our organization and challenge and question every aspect of CMHA Kelowna and the institutions and systems we are part of. No matter how tough that can be.
This is a journey, not a destination where we get to tick a box. Because we know that, we are constantly challenging our selves to examine and then dismantle our own actions that allow colonial practices to continue. Because once we know better, we must do better.
Shelagh Turner, CEO, CMHA Kelowna

CMHA National Statement

The Canadian Mental Health Association (CMHA) is deeply troubled by the findings of the remains of 215 children in unmarked and undocumented graves at a residential school in Kamloops, BC. We extend our deepest condolences to those who are grieving and for whom this news reawakens or compounds pain and trauma.

We acknowledge that as the largest and one of the oldest providers of community mental health services in Canada, CMHA must take responsibility and the steps needed to address the harmful ways in which our mental health system has upheld racist and colonial practices. We call on our health care system and decision-makers to heed the recommendations of the Truth and Reconciliation Commission (TRC) to support Indigenous communities’ calls to action on reconciliation, and particularly those in support of Indigenous mental health, healing, and well-being.

Canada’s Indigenous peoples have long known that many children died at the government and church-run residential schools that they were forced to attend. As the Truth and Reconciliation Commission has stated, residential schools, a product of Canada’s colonial policies, endangered the health and well-being of the children who attended them; the physical, psychological and spiritual violence, neglect and harm from the forced separation of families has caused pain that has been passed from generation to generation. The tragedy in Kamloops reflects the long history of racism, violence and cultural genocide towards Indigenous peoples that did not end with the closure of residential schools. It continues to this day. Every day, Indigenous people live the very real impacts of systemic racism and colonialism, which affect their mental health and well-being.

Residential schooling denied many Indigenous children and their families the experiences of positive parenting, worthy community leaders, and a positive sense of identity and self-worth, which have structured and contributed to the systemic discrimination faced by Indigenous communities today.[1] Intergenerational trauma is felt within communities in the disproportionately high rates of suicide, which impact Indigenous peoples at a rate three times higher than non-Indigenous Canadians.[2] Communities continue to contend with the grief and trauma of the loss of the thousands of missing and murdered Indigenous women and girls, pain which is compounded by government failures to take meaningful action to address this systemic violence and bring closure, justice and accountability for mourning families who still do not know what happened to their stolen sisters. Indigenous children continue to be overrepresented in Canada’s child welfare system despite the known mental health impacts of separating children from their families. Furthermore, the lack of access to clean water, health and mental health care, employment, education and safe housing are part of the daily psychological stresses and human rights violations experienced by many Indigenous communities in Canada.

CMHA fully supports the calls to action that the TRC published in its substantial 2015 report calling on the Government of Canada to advance its commitment to reconciliation.

To promote the well-being and mental health of Canada’s Indigenous peoples, the TRC recommended that the Government of Canada, and those in the health sector:

  • establish measurable goals, in consultation with Indigenous communities, to identify and close the gaps in health outcomes between Indigenous and non-Indigenous communities, and to publish annual progress reports and assess long-term trends, (with specific mental health indicators);
  • provide sustainable funding for existing and new Indigenous healing centres to address the physical, mental, emotional, spiritual harms caused by residential schools;
  • recognize the value of Indigenous healing practices and use them in the treatment of Indigenous patients;
  • increase the number of Indigenous professionals working in the health-care field, ensure the retention of Indigenous health-care providers in Indigenous communities, and provide cultural competency training for all healthcare professionals;[3]
  • take action on the calls to work with Indigenous communities to identify, document, maintain, commemorate, and protect residential school cemeteries, to provide the TRC with all records of the deaths of Indigenous children in residential schools, establish a National Residential School Student Death Register, and to respond to families’ wishes for appropriate commemoration ceremonies, markers, or reburials where requested.

In addition, the TRC report includes many other important calls to action in the areas of child welfare, land rights, education, language and cultural rights, justice and access to information about missing children and burials, all of which collectively contribute to healing and reconciliation and which impact and support the mental health and well-being of Canada’s Indigenous peoples.

There is much work to do to achieve these goals. CMHA has its own history of upholding racist and colonial practices that have had deep and lasting negative impacts on Indigenous people in Canada. The Canadian National Committee for Mental Hygiene, out of which CMHA and our modern mental health system developed, was rooted in colonial, racist and ableist health policies and failed to uphold the human rights of Indigenous children and their communities. We deeply regret this past and the harm it has caused Canada’s Indigenous peoples and know that there is still much work left to do to decolonize and apply an anti-oppression lens to our practices and policies within the mental health system today.

Across the CMHA federation, we will build on our existing work and set new standards that will support the recommendations of the TRC. Many CMHA branches, regions, and divisions across Canada have been engaging in meaningful partnerships with Indigenous organizations and leaders in the development and implementation of cultural programs and services, including land-based healing, supporting Indigenous-led mental health promotion within communities, valuing Indigenous healing practices and ways of working rooted in the principles of cultural safety and self-determination, and offering Indigenous cultural awareness training for staff members. There is still much work that we must do to ensure that we are supporting and advancing the goal of reconciliation.

In addition to our own commitment to advance reconciliation, CMHA calls on the Government of Canada to take immediate steps to work in partnership with Indigenous communities to act on the TRC’s recommendations.

For more information, please contact:

Katherine Janson
National Director of Communications
Canadian Mental Health Association
647-717-8674
[email protected]

[1] TRC, 135.

[2] https://www150.statcan.gc.ca/n1/en/catalogue/99-011-X2019001

[3] http://trc.ca/assets/pdf/Calls_to_Action_English2.pdf

Filed Under: News Tagged With: CMHA, CMHA Kelowna, CMHA Kelowna Statement, National Indigenous Peoples Day, Statement form the CEO, Truth and Reconciliation

Lesbian, Gay, Bisexual, Trans & Queer identified People and Mental Health

June 1, 2021 By Jessica Samuels Leave a Comment

Although lesbian, gay, bisexual, trans and queer identified (LGBTQ) people are as diverse as the general Canadian population in their experiences of mental health and well-being, they face higher risks for some mental health issues due to the effects of discrimination and the social determinants of health.

This information was compiled by Rainbow Health Ontario and CMHA Ontario and originally appeared on the CMHA National Website.

What factors impact on mental health?

Socio-economic factors (or determinants) play a key role in mental health and wellbeing for all of us, and are particularly important for marginalized populations. Three significant determinants of positive mental health and wellbeing are: social inclusion; freedom from discrimination and violence; and access to economic resourcesi.

All three factors impact LGBTQ individuals and communities in Ontario:

  • Bisexual and trans people are over-represented among low-income Canadians
    • An Ontario-based study found that half of trans people were living on less than $15,000 a yearii

LGBTQ people experience stigma and discrimination across their life spans, and are targets of sexual and physical assault, harassment and hate crimesiii

  • Hates crimes motivated by sexual orientation more than doubled in Canada from 2007 to 2008, and were the most violent of all hate crimesiv
  • An Ontario-based study of trans people found that 20 per cent had experienced physical or sexual assault due to their identity, and that 34 per cent were subjected to verbal threats or harassmentv
  • Trans people in both Canada and the US report high levels of violence, harassment, and discrimination when seeking stable housing, employment, health or social servicesv

Additional factors that may impact on mental health and well-being for LGBTQ people include the process of “coming out” (sharing one’s LGBTQ identity with others), gender transition, internalized oppression, isolation and alienation, loss of family or social support, and the impact of HIV and AIDS.vii

Intersectionality

LGBTQ individuals may experience multiple forms of marginalization or disadvantage at the same time. For example, an individual’s experience may be shaped at the same time by their sexual orientation, racialization, gender, disability and income (e.g. a bisexual South Asian woman may have an anxiety disorder and be living in poverty).

Intersectionality refers to an approach by which intersecting experiences of marginalization and the needs of the whole person are considered.

There are multiple ways that intersectionality impacts the mental health of LGBTQ people. For example, LGBTQ people may experience other forms of marginalization – such as racism, sexism, poverty or other factors – alongside homophobia or transphobia that negatively impact on mental health. Additionally, an individual with a mental health condition who is also an LGBTQ person may face added challenges in accessing mental health services that are appropriate and inclusive and may face discrimination on the basis of both disability and sexual orientation.

LGBT people and the DSM

Due to homophobia and transphobia, LGBTQ identities have been included in the Diagnostic and Statistical Manual of Mental Disorders (the DSM). The DSM is a classification of mental health conditions (termed mental disorders) published by the American Psychiatric Association (APA) . The first edition of the DSM was published in 1952, and multiple revised editions have been released since.

In 1973 and 1974, due to growing evidence and protest, a majority of APA membership agreed to remove homosexuality from the manual. Although homosexuality was delisted in the 1980 edition (the DSM-III), variations of the listing remained until 1986. Since 1980, Gender Identity Disorder, or trans identity, has been listed as a disorder. The fifth edition of the DSM, released in 2013, introduces the term ”Gender Dysphoria” to replace previous terms.

Facts and figures

LGBTQ people face:

  • Higher rates of depression, anxiety, obsessive-compulsive and phobic disorders, suicidality, self-harm, and substance use among LGBT peoplex
  • Double the risk for post-traumatic stress disorder (PTSD) than heterosexual peoplexi

LGBTQyouth and trans people face increased risk. For example:

  • LGBTQ youth face approximately 14 times the risk of suicide and substance abuse than heterosexual peersxii
  • 77% of trans respondents in an Ontario-based survey had seriously considered suicide and 45% had attempted suicide
    • Trans youth and those who had experienced physical or sexual assault were found to be at greatest riskxiii

There is also evidence that LGBTQ people are at higher risk for substance use issues than the general populationxiv:

  • Some research suggests that use of alcohol, tobacco and other substances may be 2 to 4 times higher among LGBT people than heterosexual peoplexv
  • A Toronto-based study found significantly higher rates of smoking among LGBT adults (36%) than other adults (17%) xvi
  • American studies report higher rates of alcohol-related problems among lesbian and bisexual women than other women xvii

Promoting positive mental health and wellbeing

Key factors for positive mental health and wellbeing for LGBTQ individuals include:

  • Support from family and friends, particularly for youthxvii
  • Supportive workplaces and neighbourhoodsxix
  • Low levels of internalized homophobia (homophobia adopted by the LGBT person themself)xx, which can be fostered and supported through identification or community building with other LGBT individualsxxi
  • Experiencing positive responses to coming outxxii
  • Addressing the social determinants of health

Information for health providers

Rainbow Health Ontario, a provincial organization which seeks to promote the health of Ontario’s LGBTQ communities, recommends the following steps be taken by providers working with LGBTQ individuals:

  • Increase awareness of the broader social and legal context in which LGBTQ clients live
  • Become familiar with the degree to which internalized discrimination can impact on health
  • Develop understanding of the social determinants of both physical and mental health
  • Promote family acceptance of LGBTQ adolescents and encourage them to connect with LGBTQ communities
  • Provide appropriate equity training to ensure that suicide response and crisis intervention staff approach LGBTQ clients without stereotypes or discrimination, and that gender of trans clients is not misidentified
  • Improve recognition that individuals who belong to multiple marginalized communities may face additional barriers to maintaining good mental health
  • Increase familiarity with resources to support LGBT people at greatest risk for suicide, including youth and trans people (see below)

Additional Resources

Rainbow Health Ontario has developed a fact sheet about LGBTQ Mental Health.

It Gets Better Campaign – In response to publicized suicides by LGBT youth, author Dan Savage initiated the It Gets Better campaign (http://www.itgetsbetter.org) through which supportive LGBT people and allies share supportive messages through online videos.

Kids Help Phone – Children and youth ages 5 to 20 can speak with trained cousellors at Kids Health Phone (1-800-668-6868).

Lesbian, Gay, Bi & Trans Youthline – The Lesbian, Gay, Bi & Trans Youthline offers free peer support for youth aged 26 and under (1-800-268-9688).

Parents, Friends of Lesbians and Gays (PFLAG) – PFLAG (www.pflagcanada.ca) is a resource for LGBT people and their families.


iCentre for Addiction and Mental Health, Canadian Mental Health Association Ontario, Centre for Health Promotion – University of Toronto, Health Nexus, Ontario Public Health Association. Mental Health Promotion in Ontario: A Call to Action, 2008.
iiM. Tjepkema. Health care use among gay, lesbian and bisexual Canadians. Statistics Canada. Canada: Statistics Canada,2008; G. Bauer, Boyce M, Coleman T, Kaay M, Scanlon K, Travers R. Who are trans people in Ontario? Toronto: Trans PULSE E-Bulletin; 2010. Report No.: 1(1).
iiiI.H. Meyer. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin. 2003; 129(5):674-697.
ivM. Dauvergne. Police reported hate crime in Canada, 2008. Juristat [Internet]. 2010; 30(2). Available from: http://www.statcan.gc.ca/pub/85-002-x/2010002/article/11233-eng.pdf.
vBauer et al. Suicidality among trans people in Ontario: Implications for social work and social justice. Service social, 2013; 59 (1): 35-62.
viSee: S. Gapka and R. Raj. Trans health project: A position paper and resolution adopted by the Ontario public health association. Toronto: OPHA; 2003; EL Lombardi, G. Van Servellen. Building culturally sensitive substance use prevention and treatment programs for transgendered populations. Journal of Substance Abuse Treatment. 2000; 19:291-296; JSI Research & Training Institute, Inc. Access to health care for transgendered persons in greater Boston. Boston: Report for GLBT Health Access Project; 2000; LJ Moran, AN Sharpe. Violence, identity and policing. Criminal Justice. 2004; 4(4):395-417; V. Namaste. Invisible lives: The erasure of transsexual and transgendered people. Chicago: University of Chicago Press; 2000.
viiCentre for Addiction and Mental Health. “ARQ2: Asking the Right Questions 2”. Toronto: Centre for Addiction and Mental Health: 2007. http://www.camhx.ca/Publications/Resources_for_Professionals/ARQ2/index.html
viiiSee American Psychiatric Association website: http://www.psych.org/MainMenu/Research/DSMIV.aspx
ixKE Bryant. The Politics of Pathology and the Making of Gender Identity Disorder. University of California, Santa Barbara: 2008
xAL Diamant, C. Wold. Sexual orientation and variation in physical and mental health status among women. Journal of Womens’ Health. 2003; 12(1):41-49; SD Cochran, VM Mays. Physical health complaints among lesbians, gay men, and bisexual and homosexually experienced heterosexual individuals: Results from the California quality of life survey. American Journal of Public Health. 2007; 91(11):2048-2055; S. McCabe, WB Bostwick, TL Hughes, BT West, CJBoyd. The relationship between discrimination and substance use disorders among lesbian, gay, and bisexual adults in the United States American Journal of Public Health. 2010; 100(10):1946-1952.
xiRoberts AL, Austin SB, Corliss HL, Vendermorris AK, Koenen KC. Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health. 2010; 100(12):2433-2441.
xiiGibson P. Gay and lesbian youth suicide. In: Fenleib MR, editor. The Secretary’s Task Force on Youth Suicide, United States Government Printing Report of the Secretary’s Task Force on Youth Suicide, United States Government Printing Office, 1989; Benibgui M. Mental health challenges and resilience in lesbian, gay and bisexual young adults: Biological and psychological internalization of minority stress and victimization. 2011.
xiiiBauer et al.
xivCanadian Centre for Substance Abuse. Lesbian, Gay, Bisexual, Transsexual, Transgender, Two-Spirit, Intersex and Queer (LGBTTTIQ). http://www.ccsa.ca/Eng/Topics/Populations/LGBTTTIQ/Pages/default.aspx
xvQueensland Association for Healthy Communities. “Alcohol, Tobacco & Other Drug Use in Lesbian, Gay, Bisexual and Transgender (LGBT) Communities.” Available at: http://www.qahc.org.au/files/shared/l__Tobacco___Other_Drug_Use_LGBT_factsheet-p.pdf.
xviClarke, M et al. The Toronto Rainbow Tobacco Survey: A report on Tobacco Use in Toronto’s LGBTTQ Communities, 2007. Available from: http://www.sherbourne.on.ca/PDFs/TRTS-Report.pdf
xviiEliason, M. Best Practices for Lesbian/Bisexual Women with Substance Use Disorders. 2009. Available at: http://gilgerald.com/storage/research-papers/09%20report%20women.pdf
xviiiBenibgui M. Mental health challenges and resilience in lesbian, gay and bisexual young adults: Biological and psychological internalization of minority stress and victimization. 2011; Ryan C, Russell ST, Huebner D, Sanchez DR. Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing. 2010; 23(4):205-213; Ryan C, Hueber D, Diaz RM, Sanchez J. Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics. 2009; 1:346-352.
xixGoldberg E, Smith JZ. Stigma, social context, and mental health: Lesbian and gay couples across the transition to adoptive parenthood. Journal of Counselling Psychology. 2011; 58(1):139-150.
xxGoldberg et al.
xxiCox N, Berghe WV, Dewaele A, Vincke J. Acculturation strategies and mental health in gay, lesbian, and bisexual youth. Journal of Youth and Adolescence. 2009; 39(10):1199-1210.
xxiiRosario M, Schrimshaw EW, Hunter J. Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: Critical role of disclosure reactions. Psychology of Addictive Behaviour. 2009; 23(1):175-184.

Filed Under: News Tagged With: Bisexual, CMHA Kelowna Pride, CMHA Pride, Gay, Lesbian, LGBTQ2S+, Pride Month, Trans & Queer identified People and Mental Health

New mobile unit provides greater access to mental health and substance services for Central Okanagan youth

May 26, 2021 By Jessica Samuels Leave a Comment

KELOWNA – Youth aged 12-24 in the Central Okanagan will soon have low-barrier access to health and mental health care through Foundry Kelowna’s new wellness on wheels service. Set to launch this summer, this new mobile unit, comprised of a retrofitted motorhome, will travel to West Kelowna, Westbank First Nation and Lake Country, to places where youth are – so they can more easily access the support they need, when they need it.

Operated by CMHA Kelowna and co-created with and for youth, Foundry Kelowna’s wellness on wheels project engaged more than 100 diverse youth from across the Central Okanagan to ensure the initial concept, look and feel, and services meet the unique needs of young people in this region.

This first-of-its-kind in BC mobile unit will initially be reaching out to youth in the Central Okanagan starting mid-June 2021, providing drop-in counselling and navigation supports, with plans to expand service levels by late August 2021.

Foundry Kelowna’s wellness on wheels service is an extension of Foundry’s provincial model of care, which is an integral part of A Pathway to Hope, BC’s roadmap for making mental health and addictions care better for people in British Columbia.

“I have heard from many parents that their children need access to more mental health and substance use services close to home and without delay”, said Sheila Malcolmson, Minister of Mental Health and Addictions. “It is innovative and low-barrier services like Foundry’s new Kelowna wellness on wheels project that will make life-saving supports more easily accessible for young people in Central Okanagan. I look forward to hearing how this service is making a positive impact in the region.”

“Since opening less than four years ago, more than four thousand young people and a thousand families have come to get help from Foundry Kelowna and the numerous partners who provide services there. What we’ve learned when talking to young people about their mental health is that there are still barriers to getting help,” said Shelagh Turner, CEO of CMHA Kelowna. “With this wellness on wheels service, we are eliminating geographic obstacles to care by bringing help and support to young people in communities throughout the Central Okanagan. It amazes me how the community has come together for this project. Their generosity is truly what made it possible.”

Young people actively working with Foundry Kelowna, as well as youth living in the communities where the mobile unit will operate, played a key role in the determination of the kinds of services provided.

“Wellness on wheels is a resource that is meant to increase accessibility to all the youth that struggle to find a way to come to Foundry Kelowna whether that’s because of transportation or anxiety,” said Anansha Gounder, Foundry Kelowna Peer Supporter and Youth Advisory and Action Committee lead. “I am so excited for this service to be in the community and help young people get the help they truly deserve! Wellness on wheels is going to benefit youth so much!”

Steve Mathias, Executive Director, Foundry BC:
“Whether it’s because of transportation or financial challenges, or perhaps barriers due to stigma, there are youth who are not able to get to the help they need in our province. Finding the right supports should not be a difficult endeavour for our young people. Like our new virtual services, Foundry Kelowna’s wellness on wheels service addresses gaps and eliminates barriers so that youth in the Central Okanagan can get help more easily and thrive.”

Learn More:
To learn more about Foundry Kelowna, visit: foundrybc.ca/kelowna
To learn more about Foundry, visit: foundrybc.ca

We are immensely grateful for the generous community support that helped make Foundry Kelowna’s Wellness on Wheels service a reality. This first of it’s kind in BC, youth mobile mental health unit would not have been possible without the support of a Province of BC Capital Gaming grant a private donor to the Foundry network and local corporate, individual and special event donors. Thank you!

Filed Under: News Tagged With: british columbia, community, Foundry BC, Foundry Kelowna, mental health, Okanagan, support, Wellness on Wheels, youth mental health

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