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Medical student, peer supporter and mental health champion Armaghan Alam embraces a new challenge
Armaghan Alam (who goes by Army) comes by his passion for mental health honestly. At 14, he found himself an ocean away from his family at a boarding school in Ontario.
“I was born in Pakistan, but we moved around a lot,” recalled Alam, who is currently a medical student at the University of British Columbia. “My family was living in Saudi Arabia, but I chose to pursue schooling here.” The gulf between Alam and his family left him feeling isolated and adrift. Peer support became a veritable lifeline.
“I quickly saw the value of a listening ear and, in turn, lending a hand to others,” he said, a belief he carried to McGill University, where he helped expand its peer support initiatives and quickly became a campus champion.
Now, at UBC, he’s found himself in a culture where it’s a much harder sell. “It’s ironic, really, because if anyone needs to be able to decompress with someone who understands the depth of their experiences, it’s medical students.”
But the “hidden curriculum” that puts self-sacrifice at the top of the syllabus makes them reluctant to come forward.
“I think there’s a wall that health-care providers have to put up in order to care for their patients,” he said. “We’ve got to be able to compartmentalize to do our job effectively. But when it comes to managing our own emotions, the wall can become our undoing.”
That such stigma was slowly being peeled back in recent years among health-care workers isn’t in dispute. Yet Alam worries whether those delicate incisions into the entrenched culture of stoicism will be overgrown by the scar tissue left by COVID-19.
“Just as we were beginning to talk seriously about health-care providers caring for themselves, we have a global pandemic that is seeing their selflessness being celebrated in all corners of the world. We’re holding up our health-care workers as the heroes they are — but when do they get to take off their proverbial capes and put their feet up? Who is looking after them?”
Alam likens the pandemic to a chronic disease that needs to be managed rather than an acute symptom that can be more readily addressed — and everywhere he turns, he sees its mental health implications.
“To look after mental health means good social policy, sound economics, and a functioning justice system,” he said. “It means addressing racism, intergenerational trauma, and the cultural barriers to care.” As a member of an immigrant community, Alam’s perspective offers a lens into the unique hurdles facing ethnocultural groups, where mental illness remains highly stigmatized.
Being an avid reader and life-long learner, mental health offers him endless avenues of fascinating study. And when he considers his future career, Alam is confident that, regardless of the speciality he ends up pursuing, he won’t stray too far from his passion.
“Whether I elect to focus on psychiatry or surgery, the fact is, every patient is more than just the sum of their diagnosis. Some of the most profound, life-changing conversations I’ve borne witness to have happened just before a patient goes into surgery. Staring down your mortality is one of the most powerful things anyone can experience. Being there with them in that moment — that’s not too far removed from why I fell in love with peer support.”
Bringing his skills and experience full circle, Alam is excited to offer his spirit of curiosity to the Mental Health Commission of Canada’s (MHCC’s) board of directors, where he’s keen to learn from experts in economics, justice, and governmental affairs.
“On several occasions, I’ve had the privilege of speaking with Dr. David Goldbloom (the MHCC’s former board chair), someone I looked up to in my formative years. To have a seat at the table he once helmed . . . it’s an honour beyond measure.”
Suzanne Westover
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A call for communities to join our Roots of Hope Early Adopters initiative
When the Mental Health Commission of Canada (MHCC) launched its Roots of Hope suicide prevention project in eight communities across Canada, the concept was ambitious: Build on community expertise to implement interventions tailored to the local context, while developing a wider evidence base of best practices, guidelines, and tools fit for a national scale-up.
But with the initial demonstration phase of the project slated to take place over five years, others began asking how their community might get involved without having to wait so long. Eager to share the model as widely as possible, the MHCC’s Prevention and Promotion team answered the call by developing the Roots of Hope Early Adopters initiative.
Like the demonstration project, the strategies and activities developed by Early Adopters will be based on Roots of Hope’s five pillars: specialized supports, training and networks, public awareness campaigns, means safety, and research.
“This program was born from community demand,” said Nitika Rewari, manager of Prevention and Promotion Initiatives at the MHCC. “Early Adopters will be the first to learn from what’s happened so far in the demonstration project as they begin building their own action plans, all with the guidance of the commission.”
Much of that guidance will be in the form of a community of practice (CoP), consisting of representatives from fellow Early Adopter communities and MHCC program staff. The CoP meetings will give Early Adopters access to tools and resources already developed in the demonstration project. It will also let them ask questions, share what is and isn’t working, and draw from the collective well of experience. It’s a model that’s proven invaluable for the first eight Roots of Hope communities, who continue to draw on their own CoP meetings for guidance, knowledge sharing, and connection.
“The diversity of communities represented in the CoP has been incredibly informative to the work we are doing in Iqaluit,” said Opal Mcinnis, PhD, territorial manager of mental health and addictions facilities with the Nunavut government. “As a project site that is in its early days of planning, the CoP has created excitement for what we can look forward to achieving.”
Denika Ward, a suicide prevention coordinator with the Burin Peninsula community, agrees about the value of the CoP. “It has allowed for networking with individuals from various communities involved in the Roots of Hope project across Canada and contributed to the positive, long-lasting effects of suicide prevention efforts for residents of the Burin Peninsula.”
While the eight demonstration project communities and the Early Adopters will operate independently, all the findings will ultimately contribute to a national scale-up of the Roots of Hope model. As communities band together to find the most effective strategies for them, they will simultaneously lay the groundwork for a Canadian model of community-led suicide prevention.
For Ryan Walsh, Prevention and Promotion program manager, that combination of long- and short-term rewards is what sets the Early Adopters initiative apart. “Not many communities can say they directly contributed to suicide prevention on a national scale. Early Adopters have a rare opportunity to demonstrate their commitment to suicide prevention, benefit from what the demonstration project communities have learned, and be at the forefront of the Canadian model.”
As Walsh is quick to point out, the opportunity to be an Early Adopter is not limited to large, urban areas — far from it. “Part of the project’s strength comes from the diversity of the participating communities. What works for one area may be completely unfeasible for another. The more we can learn from those differences, the more successful the model will be in reducing the impact of suicide across the country.”
Interested in becoming a Roots of Hope Early Adopter? Email Nitika Rewari for more information at nrewari@mentalhealthcommission.ca
Amber St. Louis
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How one group is making strides toward better access to psychotherapy
“Parity,” “shorter wait times,” “fewer barriers,” “what we need, when we need it.”
Those were some of the key words and phrases members of the psychotherapy policy implementation network (PPIN) shared when asked to describe what better access to psychotherapies means to them. At their first meeting last February, of course, they couldn’t have imagined that a brewing pandemic would heighten the urgency of their work.
The PPIN consists of thought leaders, people with lived experience, Canadian health‑care provider associations, clinicians, researchers, and other experts. Its goal is to develop recommendations for the federal government that will increase access to psychotherapies in the Canadian health-care system. In its role as secretariat, the Mental Health Commission of Canada (MHCC) acts as an impartial facilitator of the group’s activities. Dr. Karen Cohen, CEO of the Canadian Psychological Association (CPA), co-chairs the network alongside the MHCC.
“While some publicly funded psychotherapies exist in hospitals and mental health centres, they have long waiting lists and many people cannot afford the services offered in private practice,” noted Louise Bradley, the MHCC’s president and CEO. “Yet these treatments are essential to our population’s health.”
The network is a place to share information, explained Kam Tello, the program manager for the MHCC’s Access to Quality Mental Health Services. “We have to look at what’s available in each jurisdiction, what’s working, and where the gaps are from different perspectives. It’s a collaborative effort.”
The PPIN is currently drafting a declaration on the need to enhance access to psychotherapy. In charting the process and recommendations about how to do so, it will consider funding models, quality assurance, implementation, and outcome-based measurements of care.
This work has taken on even more significance in light of the fears, uncertainties, job losses, and economic instability wrought by COVID-19. For Cohen, the need to close the gaps in access to psychological services has increased in urgency as individuals, families, and communities cope with the physical and mental health impacts of the pandemic.
Canada’s public and private health sectors have thankfully stepped up to offer mental health services and supports. Examples include CPA’s crisis response initiative for front-line health-care workers and social workers, the addition of counsellors/psychotherapists as employee benefits for government workers, and the federal government’s Wellness Together Canada portal with free resources and counselling.
While these enhancements are a step in the right direction, unfortunately, many are program based and may only be temporary. To improve wellness and treat illness over the long term, we need sustainable investments in mental health services and supports.
“That’s why the PPIN is focused on long-term solutions,” said Tello. “When COVID-19 is behind us, perhaps along with many of the programs and services it has inspired, people in Canada will still need access to meaningful, evidence-based mental health treatments, maybe more than ever.”
To develop recommendations that fit the Canadian context, the PPIN is also looking abroad. The United Kingdom and Australia have their own expanded access programs, built on grant- and insurance-based models, which serve as important case studies in crafting a built-for-Canada solution. (Visit the MHCC’s Expanding Access page for a more in-depth look at these examples.)
While the PPIN has much work ahead, its members are encouraged by the shift in the mental health conversation.
“There seems to be growing recognition that mental health is part of health and should be treated equally,” said Tello. “There’s more interest from employers, more coverage from the media, and more discussion about access and why it matters.”
Bradley concurs. “Access to better mental health care could be a deciding factor for curbing an echo pandemic in mental illness as we (eventually) emerge from COVID-19. If there is a silver lining to the challenges we’re hurdling now, it may be the recognition that physical health is only half the battle. There is no health without mental health.”
As the conversation about physical and mental health parity gains steam, the PPIN is striving toward meaningful action to achieve it. By developing sound recommendations, the group hopes to help position Canada as a global leader in expanded access to psychotherapies.
For Maureen Abbott, manager of the MHCC’s Access to Quality Mental Health Services, the composition of the network itself only makes such an outcome more likely. “The members offer relevant personal and professional experience regarding access to psychotherapies. But a great strength of the group is respecting and valuing members’ diversity of opinions and perspectives as they reach consensus during the decision-making process.”
Update, February 2022: The work of the PPIN is now complete! Read The Time is Now: Considerations for a National Psychotherapy Program.
Amber St. Louis
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New toolkit promotes psychologically safe workplaces during COVID-19
COVID-19 has challenged employers everywhere to rethink the way they operate. In Canada, the easing of restrictions has allowed many businesses to resume operations and welcome staff back to the workplace. But working during a pandemic is not business as usual, and the changes employers make can have a drastic impact on the mental and physical health of their staff.
“Creating a safe workplace isn’t just about protecting physical health,” said Liz Horvath, manager of Workplace Mental Health at the Mental Health Commission of Canada (MHCC), “it must also include psychological safety. The effects of the pandemic will be with us for some time, but employers can play an important role in taking proactive measures to get ahead of the anticipated mental illness curve.”
To help them navigate this new role, the MHCC’s Opening Minds team created the Building Mental Health into Operations During COVID-19 Toolkit. The toolkit is a collection of guidelines, tip sheets, videos, conversation guides, and other resources to help employers and workers weave mental health into the fabric of their workplace.
One upcoming resource in the toolkit will be a series of guidelines to help employers address the key workplace factors that can affect staff members’ mental health during a pandemic. These factors are based on the National Standard of Canada on Psychological Health and Safety in the Workplace, a framework developed by the MHCC and CSA Group to help promote mental health and prevent psychological harm at work.
“These guidelines are about more than reacting to the pandemic in an ad-hoc way,” Horvath explained. “We want to encourage employers to build mental health into their operations proactively so they can get through the current pandemic and be better equipped for future crises. While Canada has fared relatively well during the pandemic, we have to be prepared to ride the waves that may come.”
The guidelines encourage those in leadership positions to remember that workers may be facing a range of challenges outside of work during a pandemic. “When we talk about performance, we have to talk about mental health,” said Horvath.
“Stress is cumulative, she added. “The hardships we experience away from work affect us while we’re working and vice versa. By integrating workers’ mental health into their operations, leaders can reduce their overall stress. Its about managing energy well, so people can work well and live well.”
To support workers through the pandemic, the guidelines encourage managers to
- practise empathetic listening
- understand and address the psychological impact of changes to the physical workplace
- give workers a safe space to openly share their needs and concerns
- prepare to make accommodations for workers requiring additional support.
The guide also addresses the issue of stigma, since very often, workers won’t speak up about mental health concerns, either out of a fear of being judged by peers or because of self-stigma. Workplaces that provide staff with mental health education and encourage open dialogue about mental health concerns can reduce stigma in the workplace and prompt those who need help to seek it sooner. Employers also need to manage the rise of blaming and shaming others that can occur during a pandemic by ensuring that workers receive psychological protection against the discrimination and harassment associated with social stigma and xenophobia.
The good news, according to research, is that correctly managing emergencies and disasters can have positive effects on workers’ mental health, including increased morale, resilience, and compassion.
“This pandemic has brought people together in an unprecedented way,” noted Horvath. “We can recreate that same spirit of connection and support in the workplace, as long as we’re willing to put in the work.”
Amber St. Louis
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Going virtual to support essential workers and post-secondary students
In mid-March, as the world was grinding to a halt, the Mental Health Commission of Canada’s (MHCC’s) Opening Minds team knew it was time to get busy.
“Our face-to-face training had come to a standstill literally overnight,” explained Mike Pietrus, the director of the program, which is the MHCC’s training arm. “But we also knew we had mental health and resiliency training that needed to get into the hands of essential workers.”
And that’s exactly what the team pulled together to do.
“As they were adjusting to a global pandemic, working remotely and caring for their own families, they completely overhauled the training so it could be delivered virtually and at no cost to the people on the front lines of the crisis,” said Pietrus.
Louise Bradley, the MHCC’s president and CEO, remains in awe of the response. “I would have to describe this undertaking as nothing short of heroic,” she said, noting that over 400 free courses have been delivered to more than 4,000 essential workers.
The MHCC’s learning specialists took the most relevant components of Mental Health First Aid (MHFA) and The Working Mind (TWM), and compressed each into two-hour, interactive sessions to teach people how to look after their mental health and how to care for others. An additional one-hour course was created specifically to help managers care for their teams.
Pietrus noted that the experience required the team to do its homework and learn about virtual best practices. “But in mounting this incredible response, we are now poised and ready to begin rolling out our most-loved training courses virtually,” he said, referring to the training suite that includes MHFA and TWM and its variations.
“Our first offering,” he explained, “is going to be The Inquiring Mind Post-Secondary,” which provides mental health and resiliency training for college and university students. “We figured they were a natural first choice. Not only do they tend to be more comfortable with virtual interaction, they’ll also soon be coping with a tremendously different academic environment and need support to navigate a range of new challenges.”
Beginning in August, post-secondary institutions will be able to offer the training, which has also been overhauled in a big way.
“We learned a lot from preparing our free crisis training courses,” said Rebecca Richardson, learning specialist with MHFA and Opening Minds. “You can’t just take the face-to-face format and deliver it online. It doesn’t translate. We had to really do our research and bone up on how to make sure we were effectively engaging with participants.”
That engagement included expanding the course to four 45-minute modules or a single three-hour course. Small groups will have the opportunity to brainstorm solutions for challenging situations, seek participants’ opinions through online polls and quizzes, and ensure that any who feel triggered by the material are connected to mental health supports.
“We needed to find a way to manage all these moving pieces,” said Pietrus, and that turned out to be creating a new role in the virtual classroom to support the facilitator. “We engage producers to handle the technical aspects of delivering the course, so the instructor could zero in on the material.”
The result of the pilot testing, at Bishop’s University and Laurentian University, speaks for itself.
“Over 82 per cent of course participants were confident they could apply the knowledge and skills they learned when they were in everyday situations,” said Richardson. “After observing both pilots, I was encouraged and inspired by the students’ energy and passion and their willingness to discuss challenging topics — even in a virtual setting.”
Bishop’s student Chloe Kendall said she found “the course extremely insightful. It helped me understand my own mental health and gain awareness of how other people might be feeling. The knowledge I gained in two days will last me a lifetime.”
Richardson is convinced that this willingness to embrace vulnerability and seek support will be essential for fostering mental wellness as students return to school this fall.
“Many will be looking for strategies to cope with the stresses of remote learning and social isolation, as well as ways to discuss and make sense of their experiences over the last few months. Moving The Inquiring Mind course to a virtual format in time for the autumn semester will help post-secondary institutions support students through these challenges.”
Visit TWM’s Inquiring Mind Post-Secondary Virtual page to find out where courses are being offered.
Suzanne Westover
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Supporting the mental health of health-care workers during COVID-19
“Health-care workers have always been heroes in my eyes,” said Louise Bradley, president and CEO of the Mental Health Commission of Canada (MHCC), herself a registered nurse and former hospital administrator. “But when a once-in-a-generation crisis like COVID-19 arises, we ask even more of an already overextended workforce.”
Ed Mantler, the MHCC’s vice-president of Programs and Priorities, agrees. “Pre-pandemic, 40 per cent of physicians and nurses were experiencing advanced stages of burnout. So we were already working hard to create a suite of training modules and resources to bolster the mental wellness of this critical workforce.”
Now, those tools are more relevant and important than ever.
“We know that the psychological toll of a pandemic can have serious consequences for health-care workers,” affirmed Bradley, who pointed to one study estimating that between 29 and 35 per cent of these workers experienced a high degree of distress during the SARS outbreak in a Toronto hospital. A similar survey of medical staff in Taiwan found that 93.5 per cent considered the SARS outbreak a traumatic experience.
Fortunately, health-care workers do not have to face the burden alone. A variety of mental health resources are now available to bolster their resiliency and improve their well-being.
The Centre for Addiction and Mental Health, for example, offers a resource hub specifically for those working in health care during COVID-19, which features helpful advice, videos, and links to external supports.
The MHCC has spent many years developing various mental health resources in health care, including a recent webinar series exploring self-care for workers and advice for leaders during COVID-19.
“It’s important to recognize that health care has always been a demanding field, and that many of the mental health challenges workers are now facing will not disappear once the pandemic is over,” said Bradley. She urged health-care organizations to use proactive education measures for staff, such as posters like this to remind workers how they can manage anxiety and substance use.
For Mantler, “While resources for individual providers are important, enhancing mental wellness is also a matter of shifting a culture where stoicism has been the norm for far too long.”
Often, the first step toward improvement is assessment. Caring for Healthcare Workers — Assessment Tools is a helpful resource for doing so. It looks at a variety of psychosocial factors to help health-care organizations identify areas of vulnerability and take steps to improve psychological health and safety.
Creating a culture of mental wellness also takes commitment. A great way to understand what an organization is doing well and where there is room for improvement is through the National Standard for Psychological Health and Safety in the Workplace (the Standard), a framework that provides comprehensive guidelines to promote positive mental health in the workplace.
“I was hired to run a large teaching hospital many years ago,” Bradley recalled. “At first I felt my skill set wasn’t aligned with the role. But I soon learned I wasn’t there to tell medical experts how to do their jobs. I was brought in to change the culture they worked in.”
To help guide the implementation of the Standard in health-care settings, the MHCC co-developed the Caring for Healthcare Toolkit, which includes real-world accounts of health-care organizations adopting the Standard and nearly 40 practical tools to assist with that process.
For more on the MHCC’s health-care tools and resources, see our complete list.
For Bradley, the work to support health-care workers began long before COVID-19, and it will continue long after. “When the masks come off and the world re-opens, health-care workers will still be heroes, and they will still deserve our support.”
Amber St. Louis
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National suicide prevention week in Quebec
For the last 30 years, l’Association québecoise de prevention du suicide (AQPS) has devoted the first week in February to fostering conversations on suicide prevention.
Yet, as you read this over your morning coffee, today, three people in Quebec will die by suicide and 11 more will be hospitalized.
They are our friends, loved ones, colleagues and neighbours.
A lot has changed in thirty years, and as our understanding has grown thanks to the effort of pioneers like the AQPS, we’ve debunked a lot of myths.
For example, we know asking someone if they are experiencing suicidal thoughts won’t “plant an idea in their head.”
But much more work is needed.
Research has shown us that almost everyone who dies by suicide visits their family doctor in the six months before they take drastic action.
What questions aren’t primary care providers asking, and why? And how can we better equip them to respond to the mental health needs of their patients?
In addition to engaging with public health practitioners, we know that growing public awareness is key – a role for governments, civil society as well as media.
We no longer believe it’s constructive for the media to hush suicides for fear of contagion. But we do know that responsible reporting on the topic is critical.
From eschewing sensationalist coverage, to restraint around revealing method, there are important ways to frame a public dialogue about suicide that can save lives.
Above all, what we know is that while suicide results from a complex confluence of social and biological factors, we can work towards a society where prevention is a shared priority.
The Mental Health Commission of Canada has long made suicide prevention an important part of our work and continues to be grateful for opportunities to collaborate with and learn from our partners in Québec.
With the proliferation of Roots of Hope, our community-based suicide prevention project, we are reaching some 1.8 million people in eight communities across Canada and confirming that solutions must consider context and be community driven.
Roots of Hope principal researcher, Dr. Brian Mishara, an internationally renowned expert on suicidology, Professor at l’Université du Québec à Montréal, and co-founder of AQPS, said it best at the program’s launch in September 2019.
When describing the efforts of psychiatrists and psychologists who descended on Rwanda following the genocide, he explained that their interventions did more harm than good. As it turns out, everything about how they approached trauma, from isolating patients, to having them relive their experiences, and treating them indoors, was the opposite of what was culturally appropriate. To feel safe, they needed to be outdoors in the sunshine, surrounded by family, recalling happy times.
So, while the how of suicide prevention may be different in every community, what we share with our partners in Québec and across Canada is the resolve to reduce the devastation wrought by suicide, and a blueprint to leverage the strengths they know best.
30 years from now, it’s my hope that suicides will be the rarest of events, because we will have been successful in encouraging open and caring conversations and in building life saving supports and resources.
Today, in Canada 11 people will die by suicide. We know that by working together, it doesn’t have to be that way tomorrow.
This article originally appeared in Le Droit on February 11th, 2020.
Louise Bradley
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In March, we celebrate Social Work Month and acknowledge the contributions of social workers. Whether they’re connecting someone who has lived experience of substance use to supportive housing, helping a survivor of gender-based violence find accessible childcare options, or working on mental health policies for post-secondary students, no two days are alike. But each day requires the kind of selflessness that few professions demand.
Of course, selflessness has its own set of perils. Social workers are faced with situations of childhood poverty, sexual assault, and bear witness to the structural inequality in our world. Such experiences expose them to ongoing vicarious trauma and often lead to compassion fatigue. Yet, as Polly Leonard, Mental Health Commission of Canada (MHCC) program manager and registered social worker, noted, “There can be an attitude of stoicism among social workers who feel like their distress pales in comparison to that of their clients.”
Who, for example, can social workers turn to for support when their friends or colleagues double as the therapists they’re encouraged to talk to? “If you do seek external support, you have to search high and low to be sure that you don’t end up talking to a friend or colleague who also works as a private therapist,” said Leonard.
Louise Bradley, MHCC president and CEO, concurred. “Social workers are truly the unsung heroes of the caring professions. While firefighters and police officers may make headlines for grand displays of courage, social workers must dig deep into their well of compassion every day. Not only do they advocate for the underserved and the vulnerable, they are regularly exposed to the kind of vicarious trauma that can lead to the operational stress injuries often associated with other first responders.”
Leonard summed it up plainly: “When we’re finished talking about our cases, it doesn’t feel like there’s space left to talk about anything else.”
That’s one reason the Canadian Association of Social Workers encourages registered social workers to develop a clear understanding of how their work affects their well-being.
Few people are surprised to learn that health-care workers and other first responders face similar challenges to those of social workers.
Chronic stress and burnout are common in health care, with many workers reporting stress-related conditions like depression and anxiety or substance use disorders. The MHCC’s Caring for Healthcare Workers assessment tools can help organizations identify areas of vulnerability and improve their workers’ psychological health and safety.
Paramedics, firefighters, and police officers, who experience PTSD at two times the rate of the general population, also have an increased risk of depression, substance use, and thoughts of suicide.
For paramedics, who have some of the highest rates of mental illness in the country, the CSA Group developed the Paramedic Standard, whose dedicated workplace standards can help them shine a light on stigma, identify psychological hazards, and promote mental wellness.
For other workers in emergency response settings, The Working Mind First Responders (TWMFR) course is designed to promote mental wellness, build resiliency skills, and reduce the stigma of mental illness. Based on the mental health continuum model, TWMFR helps first responders recognize psychological injuries in themselves and their peers. There’s also a Family Package to help relatives open an informed and constructive dialogue within families.
Fortunately, through carefully developed tools and resources, these front-line workers have access to mental health resources as unique as the situations they face — whether they’re being featured on the front page or buried in the fine print.
Amber St. Louis
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Improving access to psychotherapy and encouraging women in science
When Dr. Patricia Lingley Pottie was about to graduate high school on Nova Scotia’s south shore in the early eighties, she was given the results of a new computerized aptitude test — which she calls a “very primitive precursor to today’s artificial intelligence, albeit a pioneer in its day.”
“I was assessed as being well-suited to three career path options,” she said, fresh off a flight from the Northwest Territories. The Strongest Families Institute (SFI), where she is president, CEO, and co-founder, has just received funding to expand its services from Bell Let’s Talk and the N.W.T. government.
SFI re-imagines what good mental health care looks like. It provides cost-effective solutions to the barriers often associated with receiving mental health care, and has strong, successful outcomes. The organization’s highly trained coaches deliver proven, skills-based programs to families in the comfort of their own homes (by phone and internet).
“I can’t emphasize how important such flexibility is,” said Pottie. “Many families that come to us have incomes around the poverty line, so missing work is a non-starter. SFI’s approach ensures that clients don’t miss work; plus,” she continued, her irrepressible passion bubbling to the surface, “our client-centred approach also means no waiting and no financial burden!”
When seeing those early aptitude test results, Pottie couldn’t have dreamed where her career would take her. “At that time,” she said, “my three best career choices were housewife, hairdresser, and nurse.” While wondering aloud about the role of sex and gender in her computer-generated tea leaves, she noted that “so many more doors are open to women today, and we’re seeing an increase in their numbers in the sciences.”
Pottie’s early career as a nurse at SickKids Hospital in Toronto, largely in the nephrology unit, reached a turning point when one of her smallest patients, a little girl named Judy, died from a rare genetic disorder after having lived through 28 agonizing surgeries and three transplants.
“In the three years I cared for Judy I watched her endure more than most people do in a lifetime. She was the inspiration for me to make the leap from caring to curing,” Pottie explained. “As a nurse, I could alleviate suffering, which is so important. But as a student who had always been enamoured with chemistry, math, and sciences, a big part of me wanted to do research, where I felt there was a capacity to learn more about how to prevent and cure illnesses.”
Fast-forward three decades, during which time Pottie has achieved many impressive milestones her aptitude test never imagined. She is now a world-renowned researcher with the IWK Health Centre in Halifax and an assistant professor in psychiatry at Dalhousie University. Together with co-researcher Dr. Patrick McGrath (SFI co-founder and board chair), Pottie is well on her way to turning the mental health service delivery model on its head.
“Innovation is important, and that’s why I’m so proud of how we’ve built the technology to deliver high-quality distance education and behavioral skills training for a fraction of what traditional programs cost.”
Pottie is talking about IRIS — an innovative software platform so sophisticated and integral to the running of SFI that ‘she’ is thought of as a fully fledged part of the team. “IRIS can tell us anything we ask her, because we built her from the ground up to be the most responsive, user-friendly, useful tool we could imagine.”
We’ve come so far from the early days of AI that you’d be forgiven for thinking IRIS was a human being with thoughts and feelings of her own. While Pottie’s effervescence is at its peak when she’s describing IRIS’s capabilities, she laments that running IRIS is no mean feat as a non-profit.
Luring programmers with the promise of “change-the-world work,” she hopes her small stable of computer scientists will soon be building an app that is the capstone of SFI’s stepped care model.
“If I won the lottery tomorrow, we’d be building an app people could use on- and off-line, not only in Canada’s rural and remote communities, but also for military personnel overseas,” enthused Pottie (her biggest challenge is explaining to potential funders how expensive IRIS is to maintain and advance). “I would also leverage the funds to ensure equitable access to our programs for all Canadians!”
SFI’s success is due largely to Pottie’s indomitable character. When asked what excites her, she exclaims, “Data! The information we mine is worth more than gold! With data, we can report outcome results to our clients and funders, and we know what changes are needed to meet our clients’ needs!”
Pottie’s generous spirit infuses everything she does. Her only frustration is being unable to help every family who knocks on her door.
But where she can effect change, she does. Pottie mentors nearly every potential leader who walks through SFI’s doors. She believes in the power of investing in the next generation of innovators and offers advice to young people who are seeking to find their path.
In Pottie’s own words, “Find a mentor whose beliefs, vision, and aspirations align with yours, then ask them to meet with you. It’s amazing how many will say yes.
There’s no stopping today’s young people. They aren’t confined to the narrow results of an aptitude test.”
As it turns out, neither was she.
