IMPROVING CARE IN NORTH VANCOUVER ISLAND
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
inside: code hack drives innovation | building for health in cowichan | brave sensors live your healthiest life SUPPORT NOT STIGMA PRIMARY CARE OUTREACH NUTRITION AND MENTAL HEALTH IMPROVING CARE IN NORTH VANCOUVER ISLAND JOIN OUR TEAM Free Publication Spring 2023 Issue
CONTRIBUTORS Shawna Cadieux is an Island Health com- Annie Moore works in the Research Glenn Drexhage is an Island Health munications advisor with a background in Department to enhance education, communications advisor who has worked 11 19 34 broadcast journalism and communications. engagement and funding opportunities extensively in print journalism, with bylines She and her family – her husband, two young across the region. She works closely in numerous newspapers and magazines, adult children and spoiled Goldendoodle with researchers and colleagues to and his communications experience – are honoured to live, work and play on share stories about initiatives that can includes post-secondary education. He’s the traditional and unceded territory of the improve health and care where we live. grateful to live in Nanaimo with his wife, Cowichan Tribes people. seven-year-old son and two mischievous pups. 6 NORTH VANCOUVER 16 PRIMARY CARE OUTREACH: 26 NANAIMO CARDIAC CLINIC: ISLAND INVESTMENTS: Mobile clinic provides Greg Gunness credits clinic Improving care and compassionate care in Nanaimo for a new lease on life recruiting providers 17 CAR 54 CRISIS RESPONSE: 28 ELECTRONIC HEALTH RECORD: 11 PEER COORDINATOR Nanaimo partnership IHealth at Chemainus a game SPEAKS FROM EXPERIENCE: helps people in crisis changer for patient care Beth Haywood advocates for 18 FOOD TO NOURISH 30 CODE HACK: ‘nothing about me, without me’ BODY AND MIND: Inspiring innovation in care 12 HARM REDUCTION: Linking nutrition 32 RESEARCH: New policy promotes support, and mental health Island Health teams recognized not stigma 19 RECIPES: for using research evidence to 14 SERVICE LINK: Meals to promote mental wellness improve care New phone line connects 24 BUILDING FOR HEALTH: 34 COMMUNITY people with needed supports Tracey Thompson is a Project Manager Trish Smith is an event planner and Shari Bishop Bowes is a Communications Cowichan District Hospital WELLNESS GRANTS: who supported the development and writer working as part of Island Health’s Leader with the IHealth project team, 15 BRAVE SENSORS: Replacement work well underway Taking the ‘scary’ out Preventing toxic drug deaths of family bike rides implementation of Island Health’s Harm communications team. She is grateful to working to advance the electronic health in high-risk washrooms Reduction – Substance Use policy. She reside on the traditional territory of the record in Island Health. She lives with her recognizes and values People Who Use Snuneymuxw First Nation, where she was husband and two cats in the traditional Drugs (PWUD) as experts and included born and raised. Outside of work, you will territory of the Snuneymuxw First Nation, With great respect and humility, Island Health acknowledges the Coast Salish, Nuu-Chah-Nulth and Kwakwaka’wkaw cultural families; PWUD in the creation of the policy and the find her hiking, mountain biking, kayaking and enjoys exploring the natural beauty of whose relationship with these lands remains unbroken; whose homelands Island Health occupies. In making this acknowledgement, accompanying resources. Tracey has strong or skiing, depending on the season. Vancouver Island every chance she gets. we commit to walk softly on this land and work to uphold self determination of the health of Indigenous peoples. commitment to her community and is an active volunteer coaching in the Capital Island Health magazine is an award-winning free publication, produced in-house by Island Health’s Communications and Partnerships Department. Region Female Minor Hockey Association. EDITOR Moira McLean. PRINT Mitchell Press. No part of this publication may be reproduced without the written consent of Island Health. The information in this magazine is not meant to be a substitute for professional medical advice. Always seek the advice of your physician or a qualified health professional before starting any new treatment. We welcome all feedback about Island Health magazine at: magazine@islandhealth.ca. Cover photo: Clinical coordinator at Port McNeill Hospital – Eric Tsai Yi Head-Chen. #IslandHealthMag spring 2023 3
CONTRIBUTORS Shawna Cadieux is an Island Health com- Annie Moore works in the Research Glenn Drexhage is an Island Health munications advisor with a background in Department to enhance education, communications advisor who has worked 11 19 34 broadcast journalism and communications. engagement and funding opportunities extensively in print journalism, with bylines She and her family – her husband, two young across the region. She works closely in numerous newspapers and magazines, adult children and spoiled Goldendoodle with researchers and colleagues to and his communications experience – are honoured to live, work and play on share stories about initiatives that can includes post-secondary education. He’s the traditional and unceded territory of the improve health and care where we live. grateful to live in Nanaimo with his wife, Cowichan Tribes people. seven-year-old son and two mischievous pups. 6 NORTH VANCOUVER 16 PRIMARY CARE OUTREACH: 26 NANAIMO CARDIAC CLINIC: ISLAND INVESTMENTS: Mobile clinic provides Greg Gunness credits clinic Improving care and compassionate care in Nanaimo for a new lease on life recruiting providers 17 CAR 54 CRISIS RESPONSE: 28 ELECTRONIC HEALTH RECORD: 11 PEER COORDINATOR Nanaimo partnership IHealth at Chemainus a game SPEAKS FROM EXPERIENCE: helps people in crisis changer for patient care Beth Haywood advocates for 18 FOOD TO NOURISH 30 CODE HACK: ‘nothing about me, without me’ BODY AND MIND: Inspiring innovation in care 12 HARM REDUCTION: Linking nutrition 32 RESEARCH: New policy promotes support, and mental health Island Health teams recognized not stigma 19 RECIPES: for using research evidence to 14 SERVICE LINK: Meals to promote mental wellness improve care New phone line connects 24 BUILDING FOR HEALTH: 34 COMMUNITY people with needed supports Tracey Thompson is a Project Manager Trish Smith is an event planner and Shari Bishop Bowes is a Communications Cowichan District Hospital WELLNESS GRANTS: who supported the development and writer working as part of Island Health’s Leader with the IHealth project team, 15 BRAVE SENSORS: Replacement work well underway Taking the ‘scary’ out Preventing toxic drug deaths of family bike rides implementation of Island Health’s Harm communications team. She is grateful to working to advance the electronic health in high-risk washrooms Reduction – Substance Use policy. She reside on the traditional territory of the record in Island Health. She lives with her recognizes and values People Who Use Snuneymuxw First Nation, where she was husband and two cats in the traditional Drugs (PWUD) as experts and included born and raised. Outside of work, you will territory of the Snuneymuxw First Nation, With great respect and humility, Island Health acknowledges the Coast Salish, Nuu-Chah-Nulth and Kwakwaka’wkaw cultural families; PWUD in the creation of the policy and the find her hiking, mountain biking, kayaking and enjoys exploring the natural beauty of whose relationship with these lands remains unbroken; whose homelands Island Health occupies. In making this acknowledgement, accompanying resources. Tracey has strong or skiing, depending on the season. Vancouver Island every chance she gets. we commit to walk softly on this land and work to uphold self determination of the health of Indigenous peoples. commitment to her community and is an active volunteer coaching in the Capital Island Health magazine is an award-winning free publication, produced in-house by Island Health’s Communications and Partnerships Department. Region Female Minor Hockey Association. EDITOR Moira McLean. PRINT Mitchell Press. No part of this publication may be reproduced without the written consent of Island Health. The information in this magazine is not meant to be a substitute for professional medical advice. Always seek the advice of your physician or a qualified health professional before starting any new treatment. We welcome all feedback about Island Health magazine at: magazine@islandhealth.ca. Cover photo: Clinical coordinator at Port McNeill Hospital – Eric Tsai Yi Head-Chen. #IslandHealthMag spring 2023 3
“Providing compassionate, non-judgemental care is critical to supporting people in need. Island Health’s new Harm Reduction Policy gives Island Health employees the tools and education to support them in providing inclusive, person-centred care.” Spring is a time of renewal, optimism to improve care for these patients and hope. This spring edition of Island have been recognized with Evidence MESSAGE FROM THE Health Magazine shares many uplift- ing stories – including actions being into Practice awards. Each year, Island Health’s Research, & Capacity Building taken to stabilize and improve health Department hosts the Awards to recog- care services for the residents of North nize and honour innovators from across Vancouver Island – and new partner- Island Health who have navigated chal- ships and innovations to help combat lenges to create positive change. (page the toxic drug crisis, which continues to 32) On that front, in March, I attended cause irreparable harm to families and Code Hack. This intense but fun 24-hour communities across our health region. “hackathon” organized by the Island Health’s Innovation Lab, saw over 100 Providing compassionate, non-judge- participants from inside and outside mental care is critical to supporting healthcare identify health care challenges people in need. Island Health’s new and then design and build solutions. Harm Reduction Policy gives Island It was heartwarming to see patient Health employees the tools and edu- dignity was the inspiration behind the cation to support them in providing winning team’s solution. (page 30) inclusive, person-centred care. You can read about how the policy is promoting Steady progress is being made towards support, not stigma, and find resources the realization of the new Cowichan to learn more about harm reduction on District Hospital, which will bring a page 12. Being able to easily connect state of the art hospital to residents to supports is also critical for people of Cowichan. Site preparation is well seeking mental health and substance underway, and we are on track to move use services. Service Link, our new- into the new facility in 2027. (page 24) ly-launched centralized phone line, will And be sure to read the story of Greg make it easier for people to connect to Gunness (page 26) – a patient at our the resources they need. (page 14) And recently expanded Nanaimo Heart in Nanaimo, the introduction of Car 54, Function Clinic. He credits the clinic which pairs an Island Health nurse with with giving him another chance at life an RCMP officer, means people in crisis – but what I am taking to heart is how can experience safer interactions and Greg spreads joy and reminds us of be connected to needed care. (page 17) what is important. Improving care for patients with Chronic With heartfelt good wishes, Obstructive Pulmonary Disease (COPD) in Cowichan, and improving cogni- Kathy MacNeil, tive health in the Comox Valley have Island Health President and CEO something in common. The Island Health teams that developed new ways 4 Island Health magazine #IslandHealthMag spring 2023 5
“Providing compassionate, non-judgemental care is critical to supporting people in need. Island Health’s new Harm Reduction Policy gives Island Health employees the tools and education to support them in providing inclusive, person-centred care.” Spring is a time of renewal, optimism to improve care for these patients and hope. This spring edition of Island have been recognized with Evidence MESSAGE FROM THE Health Magazine shares many uplift- ing stories – including actions being into Practice awards. Each year, Island Health’s Research, & Capacity Building taken to stabilize and improve health Department hosts the Awards to recog- care services for the residents of North nize and honour innovators from across Vancouver Island – and new partner- Island Health who have navigated chal- ships and innovations to help combat lenges to create positive change. (page the toxic drug crisis, which continues to 32) On that front, in March, I attended cause irreparable harm to families and Code Hack. This intense but fun 24-hour communities across our health region. “hackathon” organized by the Island Health’s Innovation Lab, saw over 100 Providing compassionate, non-judge- participants from inside and outside mental care is critical to supporting healthcare identify health care challenges people in need. Island Health’s new and then design and build solutions. Harm Reduction Policy gives Island It was heartwarming to see patient Health employees the tools and edu- dignity was the inspiration behind the cation to support them in providing winning team’s solution. (page 30) inclusive, person-centred care. You can read about how the policy is promoting Steady progress is being made towards support, not stigma, and find resources the realization of the new Cowichan to learn more about harm reduction on District Hospital, which will bring a page 12. Being able to easily connect state of the art hospital to residents to supports is also critical for people of Cowichan. Site preparation is well seeking mental health and substance underway, and we are on track to move use services. Service Link, our new- into the new facility in 2027. (page 24) ly-launched centralized phone line, will And be sure to read the story of Greg make it easier for people to connect to Gunness (page 26) – a patient at our the resources they need. (page 14) And recently expanded Nanaimo Heart in Nanaimo, the introduction of Car 54, Function Clinic. He credits the clinic which pairs an Island Health nurse with with giving him another chance at life an RCMP officer, means people in crisis – but what I am taking to heart is how can experience safer interactions and Greg spreads joy and reminds us of be connected to needed care. (page 17) what is important. Improving care for patients with Chronic With heartfelt good wishes, Obstructive Pulmonary Disease (COPD) in Cowichan, and improving cogni- Kathy MacNeil, tive health in the Comox Valley have Island Health President and CEO something in common. The Island Health teams that developed new ways 4 Island Health magazine #IslandHealthMag spring 2023 5
north vancouver island healthcare improvements well underway by Shawna Cadieux The Salvation Army’s Michael Winter Eric Tsai Yi Head-Chen, clinical coordinator at in their expanding space in Port Hardy Port McNeill Hospital, with RN Keira Pfaff-Palanio Michael Winter is thrilled the sobering, assessment and sheltering program he runs Port Hardy Mayor Pat Corbett-Labatt “The expansion of this important pro- has lived in the region since 1975. gram is an amazing win for vulnerable at the Salvation Army’s Centre of Hope in Port Hardy is expanding, thanks to provin- She also sees value in expanding the people in our community, knowing that cial government investments announced January 27. $30 million is dedicated toward Centre of Hope’s sobering, assessment they won’t be out in the cold at seven and sheltering program, operated by o’clock in the morning, and getting stabilizing and improving health-care services in the North Vancouver Island region, the Salvation Army, a contracted Island the support they need. It will also help including funds for the Centre of Hope to double its sobering and assessment beds Health service provider, with support reduce visits to the hospital’s emergency and offer services 24 hours per day, seven days per week. from Island Health’s mental health department,” she says. “That govern- and substance use team, BC Housing, ment heard our requests for funding for Port Hardy Mayor “Historically, we have offered sheltering who feel like they belong. Out of the “Our centre provides so many vital ser- the District of Port Hardy and the this and other key health-care services Pat Corbett-Labatt services from late afternoon to early cold, wind and rain that winter brings vices, and the sobering and assessment Mt. Waddington Regional District. in the area is so meaningful.” morning, so people using these services to the beautiful, yet rugged coastline shelter is a very important component. have to find somewhere to go during of the very northern tip of Vancouver When someone is intoxicated, they the day and on weekends when the cen- Island, Centre of Hope clients watch don’t belong in police cells or out in tre is closed,” says Winter. “Offering 12 TV or visit in a warm, home-like envi- the cold. They need a safe place to “The expansion of this important program is an amazing beds and expanding these vital services ronment. They can access personal sober up and receive wrap around win for vulnerable people in our community, knowing that around the clock will offer more stabil- hygiene supplies, food and hot drinks, supports,” says Winter. “Ensuring our ity and long-term health and care for advocacy and family services, warm services are available around the clock they won’t be out in the cold at seven o’clock in the morning, the people and families we serve.” clothing, and phone and computer will help us to meet people where they and getting the support they need. It will also help reduce Watch this video stations where they can take care of are at, without judgement, and give about the expansion When you enter the Centre of Hope, visits to the hospital’s emergency department.” of the Salvation Army banking and apply for income assis- them a stepping stone towards success, Centre of Hope. you see the smiling faces of people tance or employment. whatever that looks like for them.” 6 Island Health magazine #IslandHealthMag spring 2023 7
north vancouver island healthcare improvements well underway by Shawna Cadieux The Salvation Army’s Michael Winter Eric Tsai Yi Head-Chen, clinical coordinator at in their expanding space in Port Hardy Port McNeill Hospital, with RN Keira Pfaff-Palanio Michael Winter is thrilled the sobering, assessment and sheltering program he runs Port Hardy Mayor Pat Corbett-Labatt “The expansion of this important pro- has lived in the region since 1975. gram is an amazing win for vulnerable at the Salvation Army’s Centre of Hope in Port Hardy is expanding, thanks to provin- She also sees value in expanding the people in our community, knowing that cial government investments announced January 27. $30 million is dedicated toward Centre of Hope’s sobering, assessment they won’t be out in the cold at seven and sheltering program, operated by o’clock in the morning, and getting stabilizing and improving health-care services in the North Vancouver Island region, the Salvation Army, a contracted Island the support they need. It will also help including funds for the Centre of Hope to double its sobering and assessment beds Health service provider, with support reduce visits to the hospital’s emergency and offer services 24 hours per day, seven days per week. from Island Health’s mental health department,” she says. “That govern- and substance use team, BC Housing, ment heard our requests for funding for Port Hardy Mayor “Historically, we have offered sheltering who feel like they belong. Out of the “Our centre provides so many vital ser- the District of Port Hardy and the this and other key health-care services Pat Corbett-Labatt services from late afternoon to early cold, wind and rain that winter brings vices, and the sobering and assessment Mt. Waddington Regional District. in the area is so meaningful.” morning, so people using these services to the beautiful, yet rugged coastline shelter is a very important component. have to find somewhere to go during of the very northern tip of Vancouver When someone is intoxicated, they the day and on weekends when the cen- Island, Centre of Hope clients watch don’t belong in police cells or out in tre is closed,” says Winter. “Offering 12 TV or visit in a warm, home-like envi- the cold. They need a safe place to “The expansion of this important program is an amazing beds and expanding these vital services ronment. They can access personal sober up and receive wrap around win for vulnerable people in our community, knowing that around the clock will offer more stabil- hygiene supplies, food and hot drinks, supports,” says Winter. “Ensuring our ity and long-term health and care for advocacy and family services, warm services are available around the clock they won’t be out in the cold at seven o’clock in the morning, the people and families we serve.” clothing, and phone and computer will help us to meet people where they and getting the support they need. It will also help reduce Watch this video stations where they can take care of are at, without judgement, and give about the expansion When you enter the Centre of Hope, visits to the hospital’s emergency department.” of the Salvation Army banking and apply for income assis- them a stepping stone towards success, Centre of Hope. you see the smiling faces of people tance or employment. whatever that looks like for them.” 6 Island Health magazine #IslandHealthMag spring 2023 7
Physiotherapist Erna Beunder (left) and Area Director Lesly Deuchar at a Health Care Career Fair in Calgary more about opportunities within the the Port Alice Healthcare Centre for to date demonstrate the level of com- North Vancouver Island region. discharged patients and staff. Further, mitment directed toward sustainability extension of Northern Health’s Travel of rural healthcare services, specifically “We had more than 120 people visit our Resource Program to include North in the North Vancouver Island area,” booth with approximately eight nurses Vancouver Island is providing access to says Deuchar. specifically asking about opportunities a pool of nurses to support the commu- with Island Health,” says Lesly Deuchar, “We also now know that the voices nity and stabilize services in the region. Island Health Operations Director, of local residents and staff have been Rural and Remote Services. “When Other actions include: heard. Belonging to these teams we told them about the temporary — Welcoming two additional long-term and participating in these important incentives, they were very interested care residents at Eagle Ridge Manor, changes has been a highlight of my in hearing more. We received more which has increased services and career and I am beyond excited for than one enthusiastic “Wow!” when we residential capacity to better support the next weeks and months to unfold. explained what we are doing to attract seniors requiring long-term care. This is really good work!” and retain staff. Our teams are currently — Expediting CT scanner procurement For more information or to apply for following up with these people.” to support local residents to no lon- positions in North Vancouver Island, ger travel to Campbell River or the So far, Island Health has posted doz- please visit islandhealth.ca/nvi Port McNeill Mayor Comox Valley for non-urgent CT ens of new jobs for physicians, nurse James Furney scans. Last year over 1,400 CT scans Island Health physicians wishing practitioners, nurses, allied health- were performed at other locations for to provide locum support are asked to care workers and supportive positions residents of North Vancouver Island. contact medstaffrecruitment@island- including Protection Services Officers health.ca to learn more about dates and drivers for a new, dedicated “Our teams are eager to be a part and travel supports. transport service between Port Hardy of these healthcare improvements. Hospital, Port McNeill Hospital and Changes that have been implemented A FOCUS ON RECRUITMENT To address challenges in attracting and “For people who may already be think- retaining skilled and qualified talent, ing about living and working in this government also announced temporary area, these investments and incentives “For people who may incentives around staff recruitment/ may trigger even more interest. It’s very referral awards, retention bonuses and positive news,” he says. already be thinking enhanced travel compensation. This An innovative recruitment campaign, about living and has increased applications and interest in positions in the North Vancouver #northvancouverislandcareers, is aimed working in this area, at attracting staff locally, provincially, Island area. Island Health anticipates these investments and nationally and internationally. Already delivering over $280,000 in quarterly more than 1,000 prospective candidates, incentives may trigger “There is great retention bonuses to more than 200 beauty here in North North Vancouver Island employees including a large number of nurses, even more interest. in the first quarter of the program, have shown interest in one or more It’s very positive news.” Vancouver Island and opportunities within Island Health. with eligible staff already receiving an incredible quality enhanced travel compensation. “We want to encourage new and existing health-care workers to stay here and of life, in addition to Eric Tsai Yi Head-Chen, clinical coordi- such a strong sense build their lives,” says Port McNeill Indeed, word is spreading across nator at Port McNeill Hospital, moved to the area with his partner several Mayor James Furney, a life-long res- the country. Most recently, Island of community where ident of the region. “There is great Health representatives attended a years ago after working as a registered beauty here in North Vancouver Island people know and care nurse in places like Nanaimo, Prince health-care career fair in Calgary, Rupert and Ottawa. He’s grateful for and an incredible quality of life, in Alberta, where they met with nursing for one another. If you addition to such a strong sense of com- the actions that government and Island professionals from a wide range of have an appetite for munity where people know and care for specialties including acute care, emer- Health are taking to ensure he and adventure, you will not one another. If you have an appetite for gency, and community with many his colleagues can continue to provide excellent care to their patients. adventure, you will not be disappointed.” expressing an interest in learning be disappointed.” 8 Island Health magazine #IslandHealthMag spring 2023 9
Physiotherapist Erna Beunder (left) and Area Director Lesly Deuchar at a Health Care Career Fair in Calgary more about opportunities within the the Port Alice Healthcare Centre for to date demonstrate the level of com- North Vancouver Island region. discharged patients and staff. Further, mitment directed toward sustainability extension of Northern Health’s Travel of rural healthcare services, specifically “We had more than 120 people visit our Resource Program to include North in the North Vancouver Island area,” booth with approximately eight nurses Vancouver Island is providing access to says Deuchar. specifically asking about opportunities a pool of nurses to support the commu- with Island Health,” says Lesly Deuchar, “We also now know that the voices nity and stabilize services in the region. Island Health Operations Director, of local residents and staff have been Rural and Remote Services. “When Other actions include: heard. Belonging to these teams we told them about the temporary — Welcoming two additional long-term and participating in these important incentives, they were very interested care residents at Eagle Ridge Manor, changes has been a highlight of my in hearing more. We received more which has increased services and career and I am beyond excited for than one enthusiastic “Wow!” when we residential capacity to better support the next weeks and months to unfold. explained what we are doing to attract seniors requiring long-term care. This is really good work!” and retain staff. Our teams are currently — Expediting CT scanner procurement For more information or to apply for following up with these people.” to support local residents to no lon- positions in North Vancouver Island, ger travel to Campbell River or the So far, Island Health has posted doz- please visit islandhealth.ca/nvi Port McNeill Mayor Comox Valley for non-urgent CT ens of new jobs for physicians, nurse James Furney scans. Last year over 1,400 CT scans Island Health physicians wishing practitioners, nurses, allied health- were performed at other locations for to provide locum support are asked to care workers and supportive positions residents of North Vancouver Island. contact medstaffrecruitment@island- including Protection Services Officers health.ca to learn more about dates and drivers for a new, dedicated “Our teams are eager to be a part and travel supports. transport service between Port Hardy of these healthcare improvements. Hospital, Port McNeill Hospital and Changes that have been implemented A FOCUS ON RECRUITMENT To address challenges in attracting and “For people who may already be think- retaining skilled and qualified talent, ing about living and working in this government also announced temporary area, these investments and incentives “For people who may incentives around staff recruitment/ may trigger even more interest. It’s very referral awards, retention bonuses and positive news,” he says. already be thinking enhanced travel compensation. This An innovative recruitment campaign, about living and has increased applications and interest in positions in the North Vancouver #northvancouverislandcareers, is aimed working in this area, at attracting staff locally, provincially, Island area. Island Health anticipates these investments and nationally and internationally. Already delivering over $280,000 in quarterly more than 1,000 prospective candidates, incentives may trigger “There is great retention bonuses to more than 200 beauty here in North North Vancouver Island employees including a large number of nurses, even more interest. in the first quarter of the program, have shown interest in one or more It’s very positive news.” Vancouver Island and opportunities within Island Health. with eligible staff already receiving an incredible quality enhanced travel compensation. “We want to encourage new and existing health-care workers to stay here and of life, in addition to Eric Tsai Yi Head-Chen, clinical coordi- such a strong sense build their lives,” says Port McNeill Indeed, word is spreading across nator at Port McNeill Hospital, moved to the area with his partner several Mayor James Furney, a life-long res- the country. Most recently, Island of community where ident of the region. “There is great Health representatives attended a years ago after working as a registered beauty here in North Vancouver Island people know and care nurse in places like Nanaimo, Prince health-care career fair in Calgary, Rupert and Ottawa. He’s grateful for and an incredible quality of life, in Alberta, where they met with nursing for one another. If you addition to such a strong sense of com- the actions that government and Island professionals from a wide range of have an appetite for munity where people know and care for specialties including acute care, emer- Health are taking to ensure he and adventure, you will not one another. If you have an appetite for gency, and community with many his colleagues can continue to provide excellent care to their patients. adventure, you will not be disappointed.” expressing an interest in learning be disappointed.” 8 Island Health magazine #IslandHealthMag spring 2023 9
harm reduction Person with Lived Experience Guides Harm Reduction Work by Lyz Gilgunn “Nothing about us without us” is a saying Beth The belief in the power of peers and importance of hearing the voices of Haywood lives by. It’s also the foundation of the people with lived experience (PWLE) is collaborative approach Island Health’s Mental the rationale for hiring a Peer Project Health and Substance Use (MHSU) teams are Coordinator, a pilot position in Island Health. In the South Island, Beth lends taking to tackle the drug poisoning crisis. her knowledge, skills and valued per- spective of PWLE to this work. In her role, Beth supports developing policies, programs and staff learning opportunities that seek to promote a culture of harm reduction. The goal is to shift perceptions of substance use so it’s considered a health concern – not a criminal issue. Island Health teams aim to address stigma in our health-care system so that all people have equitable access to inclusive care. This harm reduction approach, informed by the voices of peers such as Beth, will help improve care options and health outcomes for people who use substances. Beth used drugs for 20 years and has been sober for three. A proud mother of four children and loving grandmother to six, Beth is excited to join Island Health and make a difference by help- ing people understand substance use and drug addiction. She advocates for people who use substances and wants to tackle stigma, especially in the health- care system where discrimination can have harmful and deadly consequences. “If you don’t have someone who’s living or has lived that experience then you don’t know what they need.” Nothing about us, without us. 10 Island Health magazine #IslandHealthMag spring 2023 11
harm reduction Person with Lived Experience Guides Harm Reduction Work by Lyz Gilgunn “Nothing about us without us” is a saying Beth The belief in the power of peers and importance of hearing the voices of Haywood lives by. It’s also the foundation of the people with lived experience (PWLE) is collaborative approach Island Health’s Mental the rationale for hiring a Peer Project Health and Substance Use (MHSU) teams are Coordinator, a pilot position in Island Health. In the South Island, Beth lends taking to tackle the drug poisoning crisis. her knowledge, skills and valued per- spective of PWLE to this work. In her role, Beth supports developing policies, programs and staff learning opportunities that seek to promote a culture of harm reduction. The goal is to shift perceptions of substance use so it’s considered a health concern – not a criminal issue. Island Health teams aim to address stigma in our health-care system so that all people have equitable access to inclusive care. This harm reduction approach, informed by the voices of peers such as Beth, will help improve care options and health outcomes for people who use substances. Beth used drugs for 20 years and has been sober for three. A proud mother of four children and loving grandmother to six, Beth is excited to join Island Health and make a difference by help- ing people understand substance use and drug addiction. She advocates for people who use substances and wants to tackle stigma, especially in the health- care system where discrimination can have harmful and deadly consequences. “If you don’t have someone who’s living or has lived that experience then you don’t know what they need.” Nothing about us, without us. 10 Island Health magazine #IslandHealthMag spring 2023 11
support not stigma Since the toxic drug crisis was declared a public health emergency seven years ago, more than 11,000 people in B.C. have died from illicit drug toxicity. In 2022 alone, poisoned drugs ended the lives of 386 Island Health residents. As communities continue to experience death and injury related to drug poisoning, our commitment to reduce harms and stigma is imperative. Last August, Island Health demon- Cultural humility, cultural safety and trau- Harm Reduction strated our commitment to providing ma-informed care are cornerstones of the inclusive, compassionate and per- policy to ensure health services are safe, – Substance Use son-centred care with the launch of equitable and accessible to all. The safety a Harm Reduction – Substance Use of people receiving care, visitors, residents policy. This organization-wide policy and team members is vital. A harm reduc- Policy Improves Care aligns with our C.A.R.E. values and tion approach does not require staff to put recognizes substance use as a health themselves or others at risk; instead, this and social issue, not a criminal one. approach treats all people with dignity by Tracey Thompson and respect. It’s about providing sup- Substance use is personal and complex. port and standing up to stigma. Taking a harm reduction approach recognizes there is no ‘one size fits all’ The policy was developed over three solution to preventing harms associated years in collaboration with a dedicated with substance use; harm reduction team of people with lived and living seeks to reduce risk and maximize safety experience of substance use, represen- for people who use substances. A recent tatives from programs across Island example of a harm reduction approach is Health, Indigenous Health, First the provincial launch of decriminalization Nations Health Authority and the BC of possession of certain illicit substances. Centre for Disease Control. With grat- The purpose of the Harm Reduction – itude we recognize everyone who had Substance Use policy is to address stigma the opportunity to participate in the associated with substance use, which creation and implementation of this often prevents people from accessing policy to help reduce stigma related to life-saving treatment and support. The people who use substances. ultimate goal is to reduce harm, injury CURIOUS ABOUT HARM REDUCTION? and death related to the toxic drug supply. CHECK OUT THE LINKS BELOW! Providing access to harm reduction and — Harm Reduction 101: free learning other treatment and recovery services module offered through Interior is the standard of care at Island Health. Health – interiorhealth.ca/Harm- The policy provides guidance to all Reduction-101/story.html Island Health staff, medical staff and — Caring Conversations Cards: each leaders on creating environments where card sparks a conversation about people receive compassionate care in a harm reduction, trauma and non-judgmental and non-stigmatizing violence-informed care, cultural manner. Support tools to help guide humility and cultural safety – app. leaders and staff include a Leadership affinitylearning.ca/community/ Checklist, a Harm Reduction Handbook play/1047/sessions/408532 and a Staff Toolkit. These tools are — Wellbeing website: resource direc- intended to help staff explore and tory for a range of topics, including understand harm reduction principles harm reduction – wellbeing.gov. as part of their own learning. bc.ca/substance-use/harm-reduction 12 Island Health magazine #IslandHealthMag spring 2023 13
support not stigma Since the toxic drug crisis was declared a public health emergency seven years ago, more than 11,000 people in B.C. have died from illicit drug toxicity. In 2022 alone, poisoned drugs ended the lives of 386 Island Health residents. As communities continue to experience death and injury related to drug poisoning, our commitment to reduce harms and stigma is imperative. Last August, Island Health demon- Cultural humility, cultural safety and trau- Harm Reduction strated our commitment to providing ma-informed care are cornerstones of the inclusive, compassionate and per- policy to ensure health services are safe, – Substance Use son-centred care with the launch of equitable and accessible to all. The safety a Harm Reduction – Substance Use of people receiving care, visitors, residents policy. This organization-wide policy and team members is vital. A harm reduc- Policy Improves Care aligns with our C.A.R.E. values and tion approach does not require staff to put recognizes substance use as a health themselves or others at risk; instead, this and social issue, not a criminal one. approach treats all people with dignity by Tracey Thompson and respect. It’s about providing sup- Substance use is personal and complex. port and standing up to stigma. Taking a harm reduction approach recognizes there is no ‘one size fits all’ The policy was developed over three solution to preventing harms associated years in collaboration with a dedicated with substance use; harm reduction team of people with lived and living seeks to reduce risk and maximize safety experience of substance use, represen- for people who use substances. A recent tatives from programs across Island example of a harm reduction approach is Health, Indigenous Health, First the provincial launch of decriminalization Nations Health Authority and the BC of possession of certain illicit substances. Centre for Disease Control. With grat- The purpose of the Harm Reduction – itude we recognize everyone who had Substance Use policy is to address stigma the opportunity to participate in the associated with substance use, which creation and implementation of this often prevents people from accessing policy to help reduce stigma related to life-saving treatment and support. The people who use substances. ultimate goal is to reduce harm, injury CURIOUS ABOUT HARM REDUCTION? and death related to the toxic drug supply. CHECK OUT THE LINKS BELOW! Providing access to harm reduction and — Harm Reduction 101: free learning other treatment and recovery services module offered through Interior is the standard of care at Island Health. Health – interiorhealth.ca/Harm- The policy provides guidance to all Reduction-101/story.html Island Health staff, medical staff and — Caring Conversations Cards: each leaders on creating environments where card sparks a conversation about people receive compassionate care in a harm reduction, trauma and non-judgmental and non-stigmatizing violence-informed care, cultural manner. Support tools to help guide humility and cultural safety – app. leaders and staff include a Leadership affinitylearning.ca/community/ Checklist, a Harm Reduction Handbook play/1047/sessions/408532 and a Staff Toolkit. These tools are — Wellbeing website: resource direc- intended to help staff explore and tory for a range of topics, including understand harm reduction principles harm reduction – wellbeing.gov. as part of their own learning. bc.ca/substance-use/harm-reduction 12 Island Health magazine #IslandHealthMag spring 2023 13
support not stigma New washroom sensors prevent toxic drug poisoning deaths by Glenn Drexhage New motion detection sensors are help- sensors have already likely led to a life who uses our services,” says Lesley Howie, ing Island Health prevent drug toxicity being saved, after an Island Health director of Mental Health and Substance deaths in some high-risk spaces. staff member was notified of an unre- Use for the North Island. “It’s a visible sponsive person in a washroom. and concrete action we can provide. And “We know that the shame and stigma it reassures staff that there’s a system in of addictions have driven people to use Trials began in October at two Courtenay place. I am hopeful that this is a fore- alone – but given the increasingly toxic locations and in March at Nanaimo runner for something much bigger.” drug supply, using alone can be fatal,” Regional General Hospital. They will says Minister of Mental Health and run for a minimum of three months. The Comox Valley Healthcare Foundation Additions Jennifer Whiteside. “Our gov- (CVHF) is helping support the Courtenay “The sensor project marks one of the ernment is working to break down the pilot project. CVHF President Bill Anglin first trials to be launched under Island shame and stigma of addictions. These says the project “equips health-care staff Health’s innovation program, which trials by Island Health are another action with what they need, and supports patients explores new ideas and approaches to to save lives and better support staff.” to receive critical care, two priorities we improve the way health care is deliv- take really seriously at the foundation.” Connecting People with Mental The trials involve the installation of ered,” says Island Health board chair Tracey Thompson, Jill Fisher, Tara Fitzgerald, motion detection sensors in a group Leah Hollins. “I want to acknowledge The project is a team effort that involv- Health Substance Use Services Landon Walters, Larissa of washrooms identified as high-risk the work of everyone involved.” ing input from Island Health medical McCormick, Kory Eichhorn, spaces for drug poisonings. The sen- health officers, managers, clinicians Amanda Falconberg Innovation relies on input from staff, sors monitor movement and how long and two peer advisors. A key partner is physicians, partners – and most impor- a person has occupied the washroom, Brave Co-Op, the Vancouver company tantly, patients. Their contributions are and each site sets time limits based behind the sensors. enhanced by an Innovation Lab that on experience and needs. generates and tests potential solutions, Learn more about making washrooms For example, if someone hasn’t moved and a product team that conducts trials safer spaces for people who use sub- Island Health has launched Mental “This work was complete in just a few People seeking information can call for a minute, or has been in the wash- across Island Health. stances. uvic.ca/research/centres/ Health and Substance Use (MHSU) months time,” says Tracey Thompson, any day of the week between 8:30am – room for 10 minutes, a notification is cisur/projects/active/projects/saf- Service Link. This central access project manager. “Launching Service 8:30pm to speak directly with a Service “The sensor system gives that level of dig- texted to designated responders. The er-bathrooms.php phone number helps connect people Link so quickly would not have been Link provider: 1-888-885-8824. nity that we want to provide to everyone to MHSU information and services in possible without everyone’s incredible FIND MORE INFORMATION their community. dedication and support.” AND SERVICES: “We are pleased to support Service Link,” Service Link helps increase awareness — Island Health: Mental Health says Jill Fisher, community access man- of and access to Island Health and com- & Substance Use Services ager. “Our team is dedicated to helping munity-based services across the region. — BC Government: Wellbeing.gov.bc.ca people with mental health issues and “On behalf of MHSU, I extend so much — Call Service Link: 1-888-885-8824 those who use substances navigate our gratitude for the collaboration of our system. This phone line will go a long colleagues in making this happen!” Service Link responds to Health Canada’s way in connecting people to the right says Keva Glynn, MHSU executive lead. 3-year exemption to the Controlled Drugs resources in their community.” and Substances Act in BC. This exemp- Health care plays a crucial role in The January 31st launch of Service connecting people who use substances tion, known as decriminalization, means Link came through the incredible with the resources they need to achieve that adults in BC are not subject to crimi- dedication of Island Health staff in better health outcomes, including nal penalties for the possession of small Community Access and MHSU. Their harm reduction services, overdose amounts of certain illegal drugs for per- hard work, flexibility and collaboration prevention, addiction medicine (opi- sonal use. Decriminalization is one part to develop the phone line, hire staff and oid agonist therapy, prescribed safer of a larger provincial strategy to reduce L to R: Evan Humphreys, Manager, Comox Valley Primary stigma of those who use substances, Care, Dr. Charmaine Enns, Medical Health Officer, Jess implement Service Link is a reason to supply and other medication options), Aldred and Billl Anglin, Comox Valley Healthcare Foundation celebrate teams at Island Health. withdrawal management, and treat- increase access to care, and reduce injury ment and recovery services. and death from a toxic drug supply. 14 Island Health magazine #IslandHealthMag spring 2023 15
support not stigma New washroom sensors prevent toxic drug poisoning deaths by Glenn Drexhage New motion detection sensors are help- sensors have already likely led to a life who uses our services,” says Lesley Howie, ing Island Health prevent drug toxicity being saved, after an Island Health director of Mental Health and Substance deaths in some high-risk spaces. staff member was notified of an unre- Use for the North Island. “It’s a visible sponsive person in a washroom. and concrete action we can provide. And “We know that the shame and stigma it reassures staff that there’s a system in of addictions have driven people to use Trials began in October at two Courtenay place. I am hopeful that this is a fore- alone – but given the increasingly toxic locations and in March at Nanaimo runner for something much bigger.” drug supply, using alone can be fatal,” Regional General Hospital. They will says Minister of Mental Health and run for a minimum of three months. The Comox Valley Healthcare Foundation Additions Jennifer Whiteside. “Our gov- (CVHF) is helping support the Courtenay “The sensor project marks one of the ernment is working to break down the pilot project. CVHF President Bill Anglin first trials to be launched under Island shame and stigma of addictions. These says the project “equips health-care staff Health’s innovation program, which trials by Island Health are another action with what they need, and supports patients explores new ideas and approaches to to save lives and better support staff.” to receive critical care, two priorities we improve the way health care is deliv- take really seriously at the foundation.” Connecting People with Mental The trials involve the installation of ered,” says Island Health board chair Tracey Thompson, Jill Fisher, Tara Fitzgerald, motion detection sensors in a group Leah Hollins. “I want to acknowledge The project is a team effort that involv- Health Substance Use Services Landon Walters, Larissa of washrooms identified as high-risk the work of everyone involved.” ing input from Island Health medical McCormick, Kory Eichhorn, spaces for drug poisonings. The sen- health officers, managers, clinicians Amanda Falconberg Innovation relies on input from staff, sors monitor movement and how long and two peer advisors. A key partner is physicians, partners – and most impor- a person has occupied the washroom, Brave Co-Op, the Vancouver company tantly, patients. Their contributions are and each site sets time limits based behind the sensors. enhanced by an Innovation Lab that on experience and needs. generates and tests potential solutions, Learn more about making washrooms For example, if someone hasn’t moved and a product team that conducts trials safer spaces for people who use sub- Island Health has launched Mental “This work was complete in just a few People seeking information can call for a minute, or has been in the wash- across Island Health. stances. uvic.ca/research/centres/ Health and Substance Use (MHSU) months time,” says Tracey Thompson, any day of the week between 8:30am – room for 10 minutes, a notification is cisur/projects/active/projects/saf- Service Link. This central access project manager. “Launching Service 8:30pm to speak directly with a Service “The sensor system gives that level of dig- texted to designated responders. The er-bathrooms.php phone number helps connect people Link so quickly would not have been Link provider: 1-888-885-8824. nity that we want to provide to everyone to MHSU information and services in possible without everyone’s incredible FIND MORE INFORMATION their community. dedication and support.” AND SERVICES: “We are pleased to support Service Link,” Service Link helps increase awareness — Island Health: Mental Health says Jill Fisher, community access man- of and access to Island Health and com- & Substance Use Services ager. “Our team is dedicated to helping munity-based services across the region. — BC Government: Wellbeing.gov.bc.ca people with mental health issues and “On behalf of MHSU, I extend so much — Call Service Link: 1-888-885-8824 those who use substances navigate our gratitude for the collaboration of our system. This phone line will go a long colleagues in making this happen!” Service Link responds to Health Canada’s way in connecting people to the right says Keva Glynn, MHSU executive lead. 3-year exemption to the Controlled Drugs resources in their community.” and Substances Act in BC. This exemp- Health care plays a crucial role in The January 31st launch of Service connecting people who use substances tion, known as decriminalization, means Link came through the incredible with the resources they need to achieve that adults in BC are not subject to crimi- dedication of Island Health staff in better health outcomes, including nal penalties for the possession of small Community Access and MHSU. Their harm reduction services, overdose amounts of certain illegal drugs for per- hard work, flexibility and collaboration prevention, addiction medicine (opi- sonal use. Decriminalization is one part to develop the phone line, hire staff and oid agonist therapy, prescribed safer of a larger provincial strategy to reduce L to R: Evan Humphreys, Manager, Comox Valley Primary stigma of those who use substances, Care, Dr. Charmaine Enns, Medical Health Officer, Jess implement Service Link is a reason to supply and other medication options), Aldred and Billl Anglin, Comox Valley Healthcare Foundation celebrate teams at Island Health. withdrawal management, and treat- increase access to care, and reduce injury ment and recovery services. and death from a toxic drug supply. 14 Island Health magazine #IslandHealthMag spring 2023 15
Nanaimo’s Car 54 Drives Care and Connection by Glenn Drexhage Bringing Mobile Care to Nanaimo’s People experiencing mental health and/or substance use crises are receiving enhanced Marginalized Population by Trish Smith services in Nanaimo, thanks to Car 54 – a full-time mental health mobile program launched in October 2022. A permanent mobile van aims to remove the unhoused population and the “This has been a very collaborative effort Car 54 teams up Lianne Rear, a registered “Lianne can do an in-depth, thorough “When people are in crisis because of barriers to quality Constable Josh Waltmanprimary care for peo- health-care system. between the unhoused community, and RN Lianne Rear nurse from Island Health’s Mental mental health assessment, while I look mental health or substance use chal- ple experiencing homelessness or who the outreach team and a variety of “Health care services have to adapt to Health and Substance Use program, after the safety concerns and the risk lenges, we want them met with care and are marginally housed. The outreach community partners and service provid- meet the needs of people who have with Constable Josh Waltman, an concerns and make sure everyone is compassion,” says Jennifer Whiteside, program started in a Budget van as a ers,” said Jessy Knight, a peer support historically experienced multiple barri- RCMP mental health liaison officer. safe,” adds Const. Waltman. Since Car 54 Minister of Mental Health and Addictions. pilot project between Island Health’s worker who has been involved since ers to accessing care and may have had Together, they attend urgent calls in an launched, he estimates they’ve reviewed Mental Health and Substance Use pro- the program’s inception. “It’s exciting Nanaimo RCMP Superintendent Lisa adverse experiences with health sys- unmarked police car to support people and acted on hundreds of client files. gram and Primary Care Network, and the that we are making a difference with Fletcher believes Car 54 will greatly tems,” said Amanda Lemon, manager of in crisis. This effort joins other “crisis Nanaimo Division of Family Practice. Nanaimo’s most vulnerable population.” Sheila Leadbetter, Island Health’s enhance the Nanaimo RCMP’s overall Mental Health and Addiction Services. car” collaborations between Island executive director of mental health and response to mental health calls. “This “Having the Island Health primary care “Outreach needs to be consistent, visible Health and RCMP in Duncan/North substance use, says the partnership is initiative shows our commitment to van is a game changer,” says outreach and feel safe for those accessing service. THE OUTREACH TEAM PROVIDES Cowichan and in South Island. CARE TO ABOUT 400 PEOPLE A a huge success. “It assists some of our improving our response and working nurse Jody Sawchyn. “We couldn’t treat Understanding that each person we MONTH, WITH SERVICES INCLUDING: The goal of Car 54 is to resolve mental most vulnerable clients in distress, helps with our partners to address mental people inside the Budget van so were chal- serve has likely experienced significant — Wound care health crisis situations collaboratively and de-escalate crisis situations, and connects health challenges in our community.” lenged to offer privacy and comfort. We’ve trauma and severe stigma in their life — STI testing and treatment in the least intrusive way – which could people to resources and services.” worked hard to be visible and build trust is essential. Learning from people with — X-ray requisitions and include verbal de-escalation, involvement in the unhoused community and now, lived and living experience is the only specialist referrals of friends and family to help support the with the medical van, we are offering the way to move forward.” — Prescriptions client, and determining if hospital care or dignified care this population deserves.” Peer support worker Jan Mehlenbacher — Onsite bloodwork other options are needed, such as referrals “The Car 54 project is a part of the full suite The interdisciplinary team includes spent six years living on the streets — Harm reduction supplies, substance to community resources and supports. of services Nanaimo requires to help meet the physicians, registered nurses, social of Surrey and Nanaimo after he use support and options for treat- ment/withdrawal management “We don’t overdo it if we don’t have to. needs of people experiencing mental health or workers, mental health outreach work- was robbed when he first moved to We try to preserve some privacy and ers and peer support workers. A peer Vancouver. “I never want to live on the — Help with applications for supportive substance use issues.” — Nanaimo Mayor Leonard Krog dignity,” says Rear. “It’s about trying to support worker has lived experience streets again, but I’ve been there and housing and other Ministry supports find the most client-centred approach – and helps to bridge the gap between understand how it can happen,” he said. — Water and snacks that’s my lens.” 16 Island Health magazine #IslandHealthMag spring 2023 17
You can also read