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

Just Posted

Environment Canada has issued a snow warning for the Kootenays on Friday. File photo
Environment Canada issues snow warning for Friday

Two-to-10 centimetres is expected to fall

A Kimberley Speed Watch volunteer. Photo courtesy of Kimberley RCMP.
Kimberley RCMP thank Speed Watch volunteers for 2020 season

Speed Watch deployed 20 times and recorded speed of 4000 vehicles

COVID-19 test tube. (Contributed)
test tube with the blood test is on the table next to the documents. Positive test for coronavirus covid-19. The concept of fighting a dangerous Chinese disease.
Interior Health launches online booking for COVID-19 tests

Testing is available to anyone with cold, influenza or COVID-19-like symptoms

Mainroad Communications warns of coming weather event.
Mainroad Communications notifies drivers of snowfall event over next 24 hours

It’s that time of year again. A weather event is heading to… Continue reading

Cranbrook's Casey Hanemayer reaches a rating of 1022, jumping up 17 points and becoming the highest ranked player in Canada. Paul Rodgers file.
Cranbrook’s Casey Hanemayer becomes Canada’s highest-rated disc golfer

Cranbrook’s Casey Hanemayer has become Canada’s highest ranked disc golfer, after the… Continue reading

Provincial health officer Dr. Bonnie Henry presents modelling of COVID-19 spread in B.C., March 25, 2020. (B.C. government photo)
B.C. sets another COVID-19 record with 203 new cases

up to 1,766 active cases in B.C., two more deaths

RCMP. (Phil McLachlan - Black Press Media)
British Columbia man dies during ski trip near glacier west of Calgary

Kananaskis Public Safety and Alpine Helicopters responded around 2:30 p.m.

Prime Minister Justin Trudeau arrives on Parliament Hill in Ottawa on Monday, Oct. 19, 2020, following a week-long break for the House of Commons. THE CANADIAN PRESS/Sean Kilpatrick
One crisis after another for Trudeau since last federal election one year ago

It has been a year of unprecedented calamity and crisis

Rio Tinto Alcan’s aluminum smelter at Kitimat competes against producers in the Middle East and Russia that have no carbon tax. (Rio Tinto)
B.C. carbon tax highest in Canada, export industries unprotected

B.C. NDP, B.C. Liberals say they’re looking at exemptions

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

(Pixabay)
Vancouver teacher suspended after swearing, touching students and complimenting underwear

McCabe touched students, including rubbing their backs and necks, touching their hair and hugging them

Jack Vellutini, 100, is still making sweet music. Photo: Submitted
Music stirs memories as Trail serenader nears 101st birthday

Jack Vellutini gave his brass instruments to Trail up-and-comers so the legacy of music can live on

BC ELECTION
B.C. political leaders reflect on rural health care as election looms

NDP leader John Horgan, BC Liberal leader Andrew Wilkinson talk health care priorities in the Kootenays

Most Read