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

Comments are closed

Just Posted

Student athletes recognized for outstanding seasons

Fernie Secondary School students got their awards in a drive by ceremony last week

The Elk Valley celebrates Canada Day

Creative socially distant Canada Day festivities were held in both Fernie and Sparwood this week

Vintage vehicles, costumed drivers cruise Fernie streets

Wheels in the Valley hosted their first ever Rally in the Valley event this past Saturday

Food conditioned black bear destroyed in Elk Valley

The bear was destroyed by the Conservation Officer Service on June 28

Elk Valley wildlife conservation projects receive funding

The Habitat Conservation Trust Foundation announced $9.2 million in funding across the province

The pandemic is widening Canada’s workplace gender gap

Gender pay gap is incentivizing fathers to work while mothers watch children, a new B.C. study has found

Indigenous leader Ed John pleads not guilty to historical sex charges

Ed John’s lawyer entered the plea by telephone on behalf of his client

Woman who talked to unconscious husband for 30 years gets solace from B.C. study

Ian Jordan suffered a head injury when he and another officer were on their way to a call in Victoria in September 1987

RCMP investigate threat against Indigenous totem poles on B.C.’s Sunshine Coast

Police describe the nature of the threat as ‘sensitive’

Trail RCMP officer accused of criminal harassment, forcible entry

BCPS: The charges against Murchie date between 2017 and 2020

Ex-Okanagan Mountie forfeits 20 days’ pay after sexual misconduct review

A former Vernon RCMP constable made sexual comments, grabbed genitals of male officer in two incidents 10 years ago

Man found dead on Okanagan trail identified as Hollywood actor

GoFundMe campaign launched for man found dead at summit of Spion Kop

3 people dead in Prince George motel fire

Fire personnel believe the blaze was suspicious although investigation in early stages

B.C. sets terms to review police, mental health, race relations

MLAs to recommend Police Act changes by May 2021

Most Read