B.C. centre at forefront of treating mental health and addiction together

Addiction and mental illness often occur together but treating them together is so complex

Sitting on a dark brown leather couch, Lisa Balkwill’s hands are knotted together on her lap. Her brown hair is tied in a bun, under a bedazzled black hat that matches her sweater, pinned by an angel brooch.

From across the room, Balkwill looks out through the barred window into the front parking lot of the Burnaby Centre for Mental Health and Addiction.

When asked about herself, the 33-year-old doesn’t hesitate: “I was young and got into an abusive relationship and started using cocaine.”

It’s not uncommon for people recovering from substance abuse to describe themselves using their addiction.

Balkwill is one of 94 patients at the centre, who all must have a severe, chronic mental-health issue as well as a substance-use issue to be admitted.

For Balkwill, it’s psychosis. “I get visions and voices… Yeah, it’s scary.”

Growing up in the Cowichan Valley and Nanaimo, Balkwill started using cocaine in high school, but when the drug proved hard to find and too expensive, she escalated to crystal meth.

She managed to still graduate at the age of 20, around the time she starting seeing the visions and hearing the voices.

At one point, Balkwill had agreed to seek treatment with the support of her father, but the facility was unable to help her with her psychosis.

“I tried one other place, but they didn’t facilitate treatment for addiction as well as mental health,” she said.

Balkwill relapsed shortly after, using drugs in secret until a psychotic episode put her in the hospital.

“When you are keeping it a secret, it’s shameful,” she said. “I got discharged from the hospital and continued using, and then we found this place.”

READ MORE: There have been 1,380 overdose deaths in B.C. this year: Coroner

READ MORE: Opioid crisis may be shortening British Columbians’ life expectancy

Doctor has hopes of centre expanding locally and regionally

The centre stands out across the province as one of the only facilities to offer care for severe mental health and addiction in tandem.

Mental health director Dr. Vijay Seethapathy told Black Press Media that addiction and mental illness very often occur together, and even engage the same part of the brain, but treating them together is so complex that many facilities simply don’t.

But treating only one of the disorders doesn’t work, Seethapathy said, as one often exacerbates the other.

Lisa Balkwill, 33, plans to move back to Nanaimo after she finishes her program at the Burnaby Centre for Mental Health and Addiction. (Ashley Wadhwani/Black Press Media)

“When people have one condition, the other occurs in an average of about 30 per cent of cases,” he explained.

“They are kind of closely linked with each other, and there are several of the factors that lead people to having mental health problems that also lead people to getting into the severe substance-use problems.

“For example, people with trauma can have a severe difficulty with coping. … On the other hand, the only way many of them cope is by using substances.”

Since opening in 2008, the centre has offered programs ranging from one to nine months, or longer depending on the severity of the patient’s situation.

The team involves a case worker, who acts as the key contact overlooking the care plan from beginning to discharge, a medical team that acts as an advocate, and a care team that helps the patient transition back into their community.

READ MORE: New in-depth report sheds light on who in BC is dying of drug overdoses

READ MORE: Most fatal overdose victims did not have recent police contact, Stats Canada data shows

The aging facility is slated to move to the Riverview lands in Coquitlam, with 11 more beds. Seethapathy said he hopes to see the program expand further across B.C.

“It’s really, really important for us to continue to double up, continue to train and educate, and increase capacity and skills so that we can target clients suffering from mental health and addiction locally, regionally and when they need specialized care at the Burnaby centre.”

Centre mixes group, art therapy and more

Art classes, music therapy and exercise classes are a few facets of the program Balkwill has come to enjoy.

“I can tell you when I first came here I didn’t think it would work, because I was coming here for all the wrong reasons. I was coming here to please my father,” Balkwill said.

“But every day that went by, it became more and more about myself. And I notice now a big difference in my mental health.”

Balkwill is in her eighth month of the program, which includes daily group meetings and one-on-one sessions with doctors and medical staff.

Lisa Balkwill is at the Burnaby Centre for Mental Health and Addiction following a psychosis event that ended with her in the hospital. She is now in month eight of her program. (Ashley Wadhwani/Black Press Media)

“We have all kinds of groups. Some are based on recovery or relapse prevention,” she said. “I do boot camp. It gives me a big sense of pride.”

Once she is ready to leave, she will be backed by a support team as she tests her sobriety in the place she feels most at home: Nanaimo. Her plan is to enter transitional housing.

But until that time comes, Balkwill is dreaming and setting goals for the future. She hopes to one day become a trades teacher.

“I plan on going back to do more school,” she said. “I fell in love with carpentry when I was in high school. It’s my passion.”


@ashwadhwani
ashley.wadhwani@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Just Posted

UPDATE: One dead after crash on Highway 97A near Armstrong

Police have confirmed that one person is dead following an accident on Highway 97A Friday

Multi-vehicle collision slows traffic on Highway 1

Trans-Canada Highway reduced to single lane between Salmon Arm and Sicamous

Music program discord attributed to lack of oversight

North-Okanagan-Shuswap schools struggle to retain musical excellence amidst many challenges

School district facing capacity challenges

Rising enrolment, outdated data and classroom changes prompt discussions

Seatbelts on school buses would come with safety, cost concerns

Retrofitting belts would cost approximately $240,000 for 24 buses

National Energy Board approves Trans Mountain pipeline again

Next step includes cabinet voting on the controversial expansion

Crews continuing to clear rock north of Summerland

Site has had no movement for the past eight days

No gas in Okanagan town as lone station closed for renovations

Falkland’s Petro Canada will remain closed for renovations until March 1

Developer makes an effort to help Okanagan students left homeless after flood

U-Two developer is making an effort to help university students who were left in a lurch

Alleged Okanagan sex offender arrested in P.E.I.

Offences occurred while Ivan Glen Winchester was living in Summerland between 2006 and 2010

GoFundMe reaches halfway mark after death of beloved Central Okanagan yogi

A fundraiser was started for Tessa Hutton’s family

B.C. Special Olympics officially underway in Vernon

Athlete’s Oath: “Let me win. But if I cannot win, let me be brave in the attempt.”

Vancouver Aquarium wants your help to name a baby killer whale

The public helped name Springer’s first calf, Spirit, and is being asked to help with the second

Most Read