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

A nurse performs a test on a patient at a drive-in COVID-19 clinic in Montreal, on Wednesday, October 21, 2020. (THE CANADIAN PRESS/Paul Chiasson)
30 new COVID-19 cases, five more deaths in Interior Health

This brings the total number of cases to 7,271 since testing began

(Stock photo)
EDITORIAL: The freedom to read

Books have been challenged many times in the past

The Penticton Speedway has been sold but the investment group who bought it is planning to create an enhanced racetrack and racing experience. (File photo)
Penticton Speedway sold and staying as a racetrack

Investment group that includes founder of Area 27 intends to buy the Speedway

Forward Ethan Mann from Wisconsin has committed to the Penticton Vees for the 2021-22 season.(Contributed)
Penticton Vees land Wisconsin-born forward Ethan Mann

Mann scored 32 points in 21 high school hockey games this year in Wisconsin

Brad Eliason as seen here after he came out of a medically-induced coma after being severely injured during an unprovoked assault at Okanagan Lake beach by Thomas Kruger-Allen. (Photo courtesy of GoFundMe)
Beach attacker’s sentencing delayed in Penticton court

His defense lawyer has introduced a Charter of Rights breach application

Dr. Bonnie Henry talk about the next steps in B.C.'s COVID-19 Immunization Plan during a press conference at Legislature in Victoria, B.C., on Friday, January 22, 2021. THE CANADIAN PRESS/Chad Hipolito
456 new COVID-19 cases in B.C., 2 deaths

Since January 2020, 78,278 have tested positive for the novel coronavirus in B.C.

A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic in Toronto on Thursday, January 7, 2021. (THE CANADIAN PRESS/Nathan Denette)
Vaccinating essential workers before seniors in B.C. could save lives: experts

A new study says the switch could also save up to $230 million in provincial health-care costs

The late Michael Gregory, 57, is accused of sexually exploiting six junior high students between 1999 and 2005. (Pixabay)
Former Alberta teacher accused of sexually assaulting students found dead in B.C.

Mounties say Michael Gregory’s death has been deemed ‘non-suspicious’

According to a new poll, a majority of Canadians want to see illicit drugs decriminalized. (THE ASSOCIATED PRESS)
Majority of Canadians think it’s high time to decriminalize illicit drugs: poll

More than two-times the B.C. residents know someone who died from an overdose compared to rest of Canada

Ranchero Deep Creek firefighters respond to a blaze involving two adjacent structures at a property off of Deep Creek Road on Sunday, Feb. 21. The buildings were believed to have been used as part of a cannabis growing operation, and RCMP are investigating. (Sean Coubrough/CSRD photo)
Ranchero Deep Creek firefighters respond to a blaze involving two adjacent structures at a property off of Deep Creek Road on Sunday, Feb. 21. The buildings were believed to have been used as part of a cannabis growing operation, and RCMP are investigating. (Sean Coubrough/CSRD photo)
Shuswap firefighters responding to structure blaze find cannabis grow operation

RCMP investigating, attempting to track down owner of property

Interior Health officially declared a COVID-19 outbreak at Creekside Landing in Vernon on Jan. 3, which was followed by the first death from the virus 10 days later. (Kaigo photo)
COVID outbreak over at Vernon care home

Creekside Landing cleared of coronavirus, despite additional death in last day

The dam at Thirsk Lake, west of Summerland, was expanded in 2007. A crack has now been discovered where the old and new portions of the dam meet. (Summerland Review file photo)
Crack at Thirsk Dam to be examined

Reservoir west of Summerland was expanded in 2007

(Black Press Media file photo)
B.C. residents can reserve provincial camp sites starting March 8

B.C. residents get priority access to camping reservations in province

Most Read