Systems, not symptoms: How do we address Mental Health and Wellbeing in Canada’s Downtowns?

Jul 24, 2024
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5 Key Takeaways

1. Mental health appears to be declining in Canada

The urgency of addressing mental health issues is heightened by their increasing prevalence. Paul Stam, sergeant at Ottawa Police Services reported a “55% increase in mental health calls for service” by Ottawa police, illustrating the rising demand for support. Chief of Paramedic Service and Director of Emergency Services Michael Nolan also observed a “significant explosion of issues” in Renfrew County, Ontario, highlighting the growing severity of these problems. Immediate and comprehensive action is crucial to address this escalating crisis effectively.

2. A Coordinated Approach is Essential

Effective mental health solutions require a well-coordinated strategy. As Pam Tobin, the CEO of Thames Valley Addiction and Mental Health Services (TVAMHS) at the Canadian Mental Health Association (CMHA) highlighted, “The funding is provided either in short term or it’s piecemeal and it’s not a coordinated approach.” Many services exist, but they often operate in isolation, leading to inefficiencies. Advanced Care Community Paramedic in Renfrew County Lori Shannon also emphasized that “everyone’s running in sort of like parallel lanes,” indicating a lack of integration. A long-term, sustainable, and cohesive approach is necessary to unify these fragmented efforts and optimize resource utilization.

3. Interventions Must Be Relationship-Based and Culturally-Specific

Successful mental health interventions should be grounded in strong relationships and cultural understanding. Lori Shannon observed, “I’ve noticed a big difference from the time that I started and just going out and meeting people,” emphasizing the value of personal connections. Andre Corbould, Senior Advisor at Integrated Strategic Partners and past City Manager of Edmonton added that “People care in our communities,” underscoring the importance of local engagement. Tailoring support to individual and community needs enhances effectiveness and ensures more inclusive care.

4. We can’t rely solely on individual champions – systemic solutions are needed

Addressing mental health challenges requires more than individual efforts; systemic solutions are crucial. Paul Stam noted, “We need to bake these processes into the system,” suggesting that relying solely on individual champions is insufficient. For real progress, mental health strategies must be integrated into broader systems and policies, ensuring that coordination and support are built into the infrastructure rather than dependent on personal advocacy.

5. Cost of Intervention vs. Cost of Inaction

While intervention involves costs, it is significantly cheaper than the consequences of inaction. Michael Nolan explained that “In the absence of these programs, it’s significantly more expensive to have homelessness,” pointing out that investing in mental health and addiction services is economically advantageous. Proper funding and proactive measures reduce long-term expenses associated with untreated mental health issues and social instability.