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

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 use disorder 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.

LISTEN IN: Click here to hear Dr. Seethapathy explain how a patient transitions out of care

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.

LISTEN IN: Click here to hear Dr. Seethapathy discuss a client’s struggle with PTSD and alcoholism

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.

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.

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

“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.

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Tsawaayuus Rainbow Gardens is a multi-level care facility for seniors, located on Russell Place in Port Alberni. (ELENA RARDON/ Alberni Valley News)
Third case of COVID-19 confirmed at Tsawaayuus Rainbow Gardens

Second resident diagnosed with illness from Nov. 16 outbreak

The Ahousaht First Nation confirmed its first case of COVID-19 on Nov. 26, 2020. (Westerly file photo)
Ahousaht First Nation on lockdown over COVID-19

“Emotions are high. The anxiety is high. We want our community to pull through.”

A sign at the entrance to Ty-Histanis asks visitors to stay out of the community during the COVID-19 pandemic. (Andrew Bailey photo)
Tla-o-qui-aht First Nation announces lockdown after member tests positive for COVID-19

Essential travel only and restricted to Tofino and Ucluelet.

Joe and Della Drinkwater pose for a formal portrait circa 1898. The Drinkwater name has been a noted one since the 1800s, and numerous landmarks and streets are named for different family members. Drinkwater Creek at the headwaters to Great Central Lake was named for Joe Drinkwater, who had a number of mining claims in the Drinkwater Valley. Joe named Della Falls—the highest waterfall in British Columbia—after his wife Della (née Fayette). The couple was married in December 1899. This photo is one of 24,000 in the Alberni Valley Museum’s online archives, available for public viewing at https://portalberni.pastperfectonline.com. (PHOTO PN01129 COURTESY AV MUSEUM)
A LOOK BACK: Joe Drinkwater carves a name for himself in the Alberni Valley

Take a peek at the history of the Alberni Valley with the AV Museum

The Harbourview Apartments on Third Avenue (popularly referred to as “The Frigstad”). ELENA RARDON PHOTO
Port Alberni city council to discuss Harbourview Apartments in-camera

Owner of the property failed to meet Nov. 12 deadline

Mary Cox and Jack Plant dance in their pyjamas and slippers at the morning pyjama dance during the Rhythm Reelers’ 25 Annual Rally in the Valley Square Dance Festival in Chilliwack on June 4, 2011. Sunday, Nov. 29, 2020 is Square Dancing Day. (Jenna Hauck/ Chilliwack Progress file)
Unofficial holidays: Here’s what people are celebrating for the week of Nov. 29 to Dec. 5

Square Dancing Day, Disability Day and International Ninja Day are all coming up this week

Black Press Media and BraveFace have come together to support children facing life-threatening conditions. Net proceeds from these washable, reusable, three-layer masks go to Make-A-Wish Foundation BC & Yukon.
Put on a BraveFace: Help make children’s wishes come true

Black Press Media, BraveFace host mask fundraiser for Make-A-Wish Foundation

A small crash in the water south of Courtenay Saturday afternoon. Two men had to be rescued, but reports indicate there were no serious injuries. Photo by Mike Chouinard
Small plane crash in Comox Valley waters Saturday afternoon

Two rescued from plane that had flipped in water; no serious injuries reported

Vees goalkeeper Yaniv Perets stands watch while Tyler Ho takes the puck around the back of the net on Nov. 7. The BCHL press release did not name the player who tested positive.(Brennan Phillips - Western News)
Penticton Vees quarantining after player tests positive for COVID-19

The team, staff and billets are isolating while they are tested

A photo from 2017, of Nuchatlaht First Nation members outside court after filing a land title case in B.C. ( Submitted photo/Nuchatlaht First Nation).
Vancouver Island First Nation calls on B.C. to honour UNDRIP in historic title case

Nuchatlaht First Nation says Crown counsel continues to stall the case using the ‘distasteful’ argument that the Nation ‘abandoned’ their land

Cannabis bought in British Columbia (Ashley Wadhwani/Black Press Media)
Is it time to start thinking about greener ways to package cannabis?

Packaging suppliers are still figuring eco-friendly and affordable packaging options that fit the mandates of Cannabis Regulations

West Vancouver Island’s Ehattesaht First Nation continues lock down after 9 active cases were reported today after a visitor tested positive last week. (Ehattesaht First Nation/Facebook)
Ehattesaht First Nation’s COVID-19 nightmare: nine active cases, a storm and a power outage

The Vancouver Island First Nation in a lockdown since the first case was reported last week

114 Canadians were appointed Nov. 27 to the Order of Canada. (Governor General of Canada photo)
Indigenous actor, author, elder, leaders appointed to Order of Canada

Outstanding achievement, community dedication and service recognized

The Ahousaht First Nation confirmed its first case of COVID-19 on Nov. 26, 2020. (Westerly file photo)
Ahousaht First Nation on lockdown over COVID-19

“Emotions are high. The anxiety is high. We want our community to pull through.”

Most Read