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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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Louise Bradley in conversation with Minister of Health Patty Hajdu
On May 20, I sat down for a candid, wide-ranging virtual discussion with Health Minister Patty Hajdu. Since the onset of the COVID-19 pandemic, she has become a familiar face in living rooms across the country as she faithfully provides daily briefings to keep the people in Canada up to date on the tireless public health response mounted by the federal government.
It’s fitting, then, that our meeting began just as fire alarm testing in her building got underway. Apologetic and with wry wit, the minister admitted that working from home isn’t the idyll we’d all imagined.
As the siren wails periodically, I’m reminded that she has been answering the call of a national emergency without respite since January 15. I wanted to know what that experience has been like for her, not only as a politician, but also as a person.
I begin by asking her how she’s doing. Her frank response mirrors a reality many of us can relate to. “Honestly, it depends on the day. And I think it’s so important to normalize feelings of fear, frustration, anger, and anxiety. Those feeling aren’t exclusive to a pandemic either. We’re liable to experience them just about any time. But right now, of course, everything is heightened.”
Not only has Hajdu worked with vulnerable populations as the head of a shelter in Thunder Bay, she’s also walked the lonely road of single parenting and knows that half the battle of accessing care, when your own resources are about to run dry, is just getting there.
“I used to have to haul my kids out of school and disrupt my own work to get our family the counselling it needed,” she explained. “Virtual care hurdles so many of these barriers, and it also guards against people feeling their privacy might be compromised. As someone who has lived in a rural community, I know how hard it can be to get professional advice from someone you haven’t seen at the hockey rink or run into at the school.”
“We’re really striving to let people know this care is available,” said Hajdu. “When I hear about communities pooling their funding to raise money to access psychotherapies, I wish there was more we could do to alert people that we’ve got an entire toolbox at their disposal.”
But the minister is quick to point out additional resources aren’t a panacea. “I think the pandemic has revealed, broadly speaking, what those of us toiling in the annals of mental health have known for a very long time. If you don’t have the basic dignity of a house to live in, if you don’t have a job from which you derive self-worth, and if you aren’t connected to community, all the tools in the world aren’t going to fix your problems.”
An impassioned advocate for the most vulnerable, Hajdu became visibly distressed at the suggestion that counselling can be of service to those whose basic needs are not being met.
Content Warning: sexual abuse
“I’m going to go out on a limb here,” she said, clearly speaking as someone who has seen the gritty reality of homelessness. “It’s bordering on unethical to offer counselling to a woman being raped at a shelter she’s got no choice but to stay at. We need to get her out of that environment and get her safe. Then we can talk about dealing with her trauma.”
Hajdu’s authenticity is palpable, even through Zoom. And I’m not alone in feeling it. When I ask her what has given her hope during these difficult times, she doesn’t hesitate.
“You know, I have hard days. Days when I miss my spouse and my kids. Days when, like everyone else, I am just craving that human connection,” she said, explaining that the demands of her job have upended her routine, keeping her in the nation’s capital for weeks on end and preventing her from seeing her family in Thunder Bay. “But then I get an email from someone who tells me I’m doing a good job.” Here, her eyes shine, and I don’t think it’s from the screen’s glare, though I can’t be sure.
“When someone reaches out, despite whatever it is they may be dealing with, and offers me kind words of encouragement, I’m reminded that, while it might be harder to do right now, being kind is just the essence of what is going to get us through this. We might be a little tattered and torn, but it’s the connection, the sense of community we have as a country, that’s going to be our saving grace.”
Speaking of community, Hajdu reflects on the efforts of an organization in her hometown that successfully pivoted from its gardening program for at-risk youth to creating a lunch program for kids without access to school meals.
“They didn’t know if they were going to have funding for this. They just mobilized volunteers and stepped into the breach. It’s inspiring.”
One could argue that Hajdu herself has done much the same. “I was never prepared for this,” she admitted. “And we’re learning as we go. But I think we’re learning some really important things. We’re learning how to innovate faster. We’re learning how to work better together across jurisdictions and across party lines. And we’re learning that we’re all maybe a lot stronger than we thought we were.”
I end by asking the minster to describe her experience at the helm of what is arguably the most important and challenging portfolio in all of government . . . in three words.
She pauses. But, as ever, rises to the challenge. “Today, I would say intense, inspiring, and optimistic. Intense, I think is obvious. Inspiring because we’ve pulled together, and optimistic because I believe we are resilient enough to emerge from this not just different, but better.”
The fire alarm is still sounding when we finish our call, reminding me that the minister’s job is far from over.
If you are in distress, please contact your nearest distress centre or rape crisis centre. If it is an emergency, call 9-1-1 or go to your local emergency department.
Louise Bradley
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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.
Suzanne Westover
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Remembering Aimee LeBlanc
Aimee LeBlanc loved winter. She spent her honeymoon in the Yukon in late summer, freezing in the back of a pickup with a hardtop camper. Aimee and her husband Dan were a devoted couple who made the most of life’s adventures, big and small.
Aimee was as unique and multi-faceted as the snowflakes she welcomed with joy each season. It takes a special kind of person to face a cancer diagnosis with grace and courage, but that is exactly who she was. As the disease ebbed and flowed for more than a decade, Aimee never let its shadow dim her spirit or encroach on the work she felt called to do.
Her early career in social work shaped her belief that the kind of meaningful change required to lift people out of poverty and afford them greater opportunities needed to begin with policy makers. That led her to spend nearly ten years learning the ins-and-outs of mental health policy with the Ontario government, which would provide a solid foundation for her work with housing and homelessness
Armed with this depth of knowledge, enhanced by her earlier hands-on experience, she had no interest in pushing paper. She wanted to push the envelope. She believed in society’s obligation to uplift the vulnerable — a conviction that was matched by her quiet leadership and fierce tenacity.
Aimee never allowed her deteriorating health to have agency over her joie de vivre. She lived each day in thrall to nature’s wonders, and she and Dan wrung joy from the mundane and the miraculous. Aimee’s can-do attitude and innate dignity are qualities that have left her colleagues inspired to roll up their sleeves in tribute to her unflagging optimism.
An indomitable spirit and zest for life infused her worldview. Every community Aimee visited, whether in Newfoundland or Nunavut, was an opportunity to explore — on foot in her time-worn hiking books or in her trusty canoe, lovingly nicknamed “Herkimer.”
Recruited by Dr. Paula Goering to fill the role of senior policy adviser with the MHCC, Aimee left her mark on Canada’s housing and homelessness policy through her contributions to At Home/Chez Soi. In a speech at the conclusion of the project, MHCC president and CEO Louise Bradley highlighted her extensive contributions.
“Quiet leadership is a quality Aimee has in spades,” said Bradley. “She always puts the work first. She never craves credit and she isn’t interested in limelight. What she wants, above all, is to see progress. To see people living with serious mental illness given the dignity of a safe place to live, and to support them as they progress in their recovery.”
Aimee’s work on the heels of At Home saw her channel her compassion and expertise into the crafting of Guidelines for Recovery-Oriented Practice. This commitment to recovery stayed with Aimee even in her final days. As she awaited emergency treatment, her concerns lay with a young woman experiencing a mental health crisis who was being restrained by hospital staff.
Aimee’s hallmark sensitivity and pragmatism can also be found in the earliest iteration of the MHCC’s national suicide prevention project, which blossomed into Roots of Hope.
There is broad agreement across the MHCC that Aimee’s signature capacity to bring grace and respect to all her interactions, no matter what circumstance or role, endeared her to colleagues and inspired the kind of creative collaboration that results in the most constructive solutions to the biggest policy challenges.
Near the end of her journey, in early November 2019, Aimee displayed her characteristic modesty when she shared that it brought her great comfort to reflect on “the privilege of playing a small part in the MHCC’s extensive work.”
Just as snow melts in spring, leaving behind nothing but memories of its shimmering wonder, in Aimee’s final message before her passing on December 14 she asked friends and colleagues to consider their impact on the world and to leave nothing behind but memories and their efforts to make the world a better place.
Aimee will be dearly missed, but her colleagues will honour her memory every day as they carry out the work that meant so much to her.
