Saturday, May 9, 2009

The Church and 'The Mentally Ill'

The following article by Peter Andres, written on Aug. 9th, 2007, can be found at
http://www.canadianchristianity.com/christianliving/070809ill.html

CHURCH RESPONSE TO THE MENTALLY ILL

'Are people of faith with a mental illness different from those who have a physical illness? Much about mental illness still remains a mystery. That's one of the reasons people are tempted to spiritualize the problem. They hope that the person with mental illness would be able to gain spiritual strength and thus gain victory over the illness.

What remains hard for many to understand is that having a mental illness and being a strong person of faith is no different than having a serious physical illness and being a strong person of faith.

How can church leaders encourage support of people with a mental illness? What does a person with a mental illness need to help him or her feel accepted and part of the congregation? How does the Christian message and experience take on meaning under these circumstances? What exactly is mental illness, anyway?

Marja Bergen, in her book 'Riding the Roller Coaster' (Northstone, 1999), describes her experiences living with bipolar disorder. She talks about the many important factors that helped make her life with this illness tolerable and manageable. Having a supportive husband, friends, and service systems were critical, but she also acknowledges the importance of a spiritual home.

Her church friends learned to understand her illness and provided spiritual nurture, especially during difficult times. She speaks about friendships which include a common belief as being the most valuable ones she'll have. But she also admits that she was fortunate in this regard.

Sadly, many people with mental illness who look for spiritual help during difficult times face ignorance, stigma, avoidance, and judgment. The spiritual counsel and prayer these people receive frankly do more harm than good.

Understanding mental illness, even from the professional, scientific perspective, is still very much a work in progress. Schizophrenia and its related disorders, bipolar disorder (also known as manic depression), major depression, panic and obsessive-compulsive disorders, are all considered mental illnesses. It is estimated that between 15 percent to 20 percent of North Americans will, at some time in their lives, experience a mental illness. Most of these will suffer debilitating depression.

Evidence suggests there are probably organic (biochemical) reasons for the illness, or psycho-social origins -- or a combination of the two. Treatments that deal with the symptoms include medications, psychotherapy or a blend of both.

What is clear to people working in the field is that the experience of the illness goes far beyond living with the symptoms. While a person who has a physical illness -- even cancer -- suffers discomfort and anxiety related to the illness, those who have a mental illness suffer from a constellation of additional issues. These all affect their ability to return to wellness. One of them is stigma, both internally and externally imposed. There's also the loss of self-worth and self-efficacy that might come with a loss of job, friends, marriage and the feelings of being separated from God.

How can the church assist someone in a situation as devastating as this?

1. Church leaders and church members need to know that a mental illness is not the same as a spiritual crisis. Nor is the absence of healing, especially after fervent prayer, a sign of judgment or lack of faith.

2. There should be no judgment about the use of mood altering medications. Medications are commonly needed to treat the bio-chemical causes for the disorder and radically help many keep their symptoms under control.

3. Quality of life for a person suffering from mental illness does not depend on a complete remission from the illness.

What church members need to know is that many experience a recovery which allows them to return to an active and fulfilling life -- but still continue to experience times that are difficult. Recovery from mental illness means: the return of a positive sense of self, usually through meaningful endeavour (work, vocation), a circle of meaningful relationships, a place to live that the person can call his or her own, and a spiritual life that feels a reconnection with God.

The recovering person can be experiencing personal brokenness and limitations, yet have valuable gifts to offer to the church community.'

Peter Andres is a regional director for MCC Supportive Care Services, a non-profit charitable organization which supports people with disabilities -- including people with mental health issues. He can be contacted at peter@mccscs.com.

Monday, April 6, 2009

Discrimination and stigma plague Canadians with schizophrenia

Evidence straight from those who know!
Would you wait 18 weeks to have a broken leg treated?

According to a national report released in Winnipeg, Manitoba, on March 30/09, by the Schizophrenia Societies across Canada, 60% of Canadians assume that people living with schizophrenia are likely to act violently toward others.

Schizophrenia in Canada: A National Report calls on Canadians, health care professionals and government to support a National Mental Health Strategy that addresses the disparities and inequities faced daily by those living with schizophrenia and their family members.

The report describes different factors affecting those with
schizophrenia, such as public perceptions and discrimination, quality of life, access to health care services, access to medications, wait times and government spending on mental health. These are key factors that illustrate the standard of schizophrenia care in Canada.

"While 92% of Canadians surveyed have heard of schizophrenia, most do not understand what it is or its symptoms. In fact, the majority confuse it with split personality disorder," said Chris Summerville, CEO, Schizophrenia Society of Canada. "Misconceptions such as these lead to negative stereotyping and stigma towards people living with schizophrenia."

The report examines how stigma negatively impacts the lives of people living with schizophrenia. Stigma causes gradual social isolation, making it harder for them to seek the help and treatment they need to manage their illness.

The report found that people with schizophrenia also experienced discrimination within the Canadian health care system. Schizophrenia in Canada calls highlights the findings of a 2008 report by the Fraser Institute on hospital waiting times, in which, physicians were asked to provide a reasonable wait time to receive various medical treatments. On average patients are waiting over six weeks longer for psychiatric treatment than is deemed reasonable. (Source: Fraser Institute, Waiting Your Turn: Hospital Waiting Lists in Canada, 2008 Report)

"It is simply unacceptable that people living with schizophrenia wait an average of 18.6 weeks from referral to receiving treatment for psychiatric care," said Mr. Summerville. "Mental health must be considered a top priority in the national and provincial wait time strategies."

The research for Schizophrenia in Canada: A National Report was conducted by Léger Marketing and supported through an unrestricted educational grant from Pfizer Canada Inc.

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The Schizophrenia Society of Canada began in 1979 and is dedicated to improving the quality of life for those affected by schizophrenia and psychosis through education, support programs, public policy and research. The Society works with 10 provincial societies in a federation model to: raise awareness and educate the public in order to reduce stigma and discrimination; support families and individuals; advocate for legislative change; and support research through the SSC Foundation and other independent efforts. All the Societies are united through each organization's efforts and share a common goal to raise awareness and educate the public in order to reduce stigma and discrimination.


For further information: or to book an interview with Chris Summerville, CEO, Schizophrenia Society of Canada, please contact:
Jennifer Gordon, Thornley Fallis Communications,
(416) 515-7517 x 348, gordon@thornleyfallis.com;
or
Marissa Lukaitis, Thornley Fallis Communications,
(416) 515-7517 x 324, lukaitis@thornleyfallis.com