Mental Health in London: Losing a job and a friend

LONDON – Five staff at Regional Mental Health London are doing what they can to prepare the last of their 60 remaining clients for the closure of Andrew’s Resource Centre – a workshop that provides basic employment and helps individuals with mental illness to seek jobs in the broader community.

In recent weeks they have been helping clients with resumes, organizing job fairs and polishing up their interview skills knowing it’s going to get a lot tougher for these individuals when the centre closes its doors for the last time at the end of March.

It’s not easy to get a job when you have a severe mental illness and the five staff worry that many of their clients will become isolated when they no longer have the centre to come to.

A friend, a job, a home – these are the building blocks for successful rehabilitation, yet two of three of these blocks are now at risk.

None of the five staff even think to talk about their own futures. Between them they have about 200 years of experience, but amid a growing mental health crisis they too are being told their work is no longer needed.

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PSW Strike: Funding restraint for wages a blunt instrument that is harming home care

Today striking Red Cross Care Partners personal support workers are at the door step of three government ministers – Deb Matthews (Health), Yasir Naqvi (Labour) and Charles Sousa (Finance).

In recent days Health Minister Deb Matthews has said she wants to let collective bargaining run its process.

It’s a little like the Tories saying they won’t get involved in the collective bargaining process but would be willing to legislate an additional two-year across-the-board wage freeze.

What is a wage freeze other than direct interference in the bargaining process?

In this case, recognizing the 2007 Supreme Court of Canada decision that struck down British Columbia’s attempt to restrict bargaining rights, the Wynne government has instead cleverly restricted funding for compensation increases to agencies such as Red Cross Care Partners. That is expected to continue until the government balances its budget – officially projected to be 2018 (but likely to happen much sooner).

But don’t say they are interfering in the bargaining process!

The problem with this approach has been evident from the start – an across the board freeze on funding for wage compensation doesn’t separate the highly compensated CEOs from those earning poverty-level wages. The ability to endure a period of freeze is much different between the two.

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Mental Health Care: Two stories, two different parts of the province

Back in the early 2000s when the economy was booming more than a quarter of million Ontarians experiencing serious mental illness could not find a job.

Mental illness and poverty are a catch-22. A mental illness can make an individual subject to stigma and discrimination that in turn can make it difficult to find work. On the other hand, not having work or a sustaining income can be a substantial risk factor for mental illness. Countries with rising levels of income inequality also experience a corresponding rise in mental illness.

According to the Canadian Mental Health Association, mental illness often first becomes evident in adolescence and early adulthood, often impacting on the ability of an individual to secure the kind of education they need to get ahead.

We’ve been thinking about this issue over the last two days, each spent in a different part of our province.

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Ontario sixth province to fill in gaps in refugee health coverage

It was last January when we stood shivering outside the Ministry of Health with a group of young activists concerned about federal cuts to refugee health coverage.

A year ago Saskatchewan, Manitoba and Quebec had already signed on to fill in the gap left by the federal government. Nova Scotia and Alberta followed.

Ontario has now become the sixth province to provide needed care to refugees impacted by cuts to the Interim Federal Health Program.

More than half of the refugees left without care by the Harper government live in Ontario.

Claiming that the senior level of government has “abdicated” their responsibility, the Ontario government says it intends to extend needed coverage and send the bill back to Ottawa.

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PSW Strike: A real-life Dickens tale here in Ontario

It’s day three of the Red Cross Care Partners (RCCP) strike and the weather is freezing.

4,500 personal support workers across the province went on strike Wednesday after the Service Employees International Union (SEIU) and RCCP failed to reach an agreement.

While the strike does not involve members of our union, it is a David and Goliath struggle that we should all be concerned about. These are the lowest paid workers in the health system. They have tough jobs that can be physically and emotionally demanding as well as require a high degree of skill. SEIU tells us the average age of these workers is 53. They are predominantly women.

This is the government’s home care policy made transparent – the lowest possible wages paid to a group the government feels has little power or leverage.

Three days in and reports are emerging of agencies scrambling to offer financial incentives to PSWs at other agencies in order to fill in the gap. The money that didn’t exist at the bargaining table seems to now be flowing to keep these poverty-wage women out in the freezing cold.

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Future Federal surplus? Use it for health care say Canadians

There is little doubt that the Harper government intends to start the tax cuts rolling again as soon as it reaches a balanced budget, but are Canadians really looking at the state of the nation and demanding more of their own money back?

Canada is by international comparison a low tax country. There is no particular need to cut individual or corporate tax revenues further, although taxes could be reformed to be much more fair.

In a November poll done by Nanos for the Canadian Health Coalition, 45 per cent of those surveyed believe surpluses should go to improving the health care system. Only 16 per cent said it should be used for tax cuts.

Further, more than six in ten Canadians would be willing to payer higher taxes if it meant home care or drug costs would be covered under Medicare.

How do Canadians view Federal Finance Minister Jim Flaherty’s plan to let future federal health transfers to the provinces to become dependent on the state of the economy? Sixty-five per cent said they prefer the Government of Canada to commit to a fixed rate rather than let the transfers rise and fall with the economy.

Flaherty has been projecting that the federal government will be back into surpluses by 2015.

Find the full poll results by clicking here.

35 VON PSWs get last minute deal, 4500 RCCP PSWs to strike

35 down, 4,500 to go. OPSEU’s 35 personal support workers reached a tentative agreement with VON Grey Bruce late this afternoon while 4,500 PSWs working for Red Cross/Care Partners will be on the picket line tomorrow. These workers are represented by the Service Employees International Union (SEIU).

The Ontario Health Coalition and SEIU will be holding local rallies across the province tomorrow to draw attention to the low-wage strategy the Ontario government is pursuing in the key home care sector.

“It is not usual for the Ontario Health Coalition to get involved in strikes,” OHC Director Natalie Mehra stated tonight, “but this is an exceptional situation and it warrants an exceptional response.”

Calling the working conditions “starkly exploitive,” Mehra says the strike could shine a light on the mess that is home care.

Like the VON PSWs, the Red Cross/Care Partners workers are among the lowest paid in the health system – most earning an annual income that hovers at about or slightly below the poverty line. Many have to work two or more jobs to support their families and maintain a vehicle to be able to shuttle between clients.

Without compensation for travel time, many of these workers get paid part-time wages for full-time hours.

The province’s pursuit of low-wage PSWs has created significant instability in the home care workforce as few stick around with such non-competitive wages. Only four of 35 OPSEU VON PSWs had reached the top of their wage grid prior to today’s tentative agreement.

Former Health Minister Elinor Caplan recognized the retention problem and its impact on continuity of care. In her 2005 review of the home care competitive bidding process, she recommended that the Ontario Association of Community Care Access Centres and the health care providers establish an “industry standard” that would include including dental, drug plans, pension and mileage. In 2006 the province instead established a disappointing minimum wage of $12.50 an hour for PSWs. It hasn’t been adjusted since.

The 35 OPSEU PSWs are asked to come to a ratification meeting at 7 pm, December 11 at the OPSEU Regional Office in Owen Sound.

Support PSWs Wednesday at 25 noon rallies across Ontario

If you would like to support the striking SEIU PSWs, especially as they approach the holiday season, the OHC has provided a list of locations where they will be rallying tomorrow (Wednesday, December 11). All rallies begin at noon.

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Something is off this December — we’re ditching the parties for placards

Something is definitely off this holiday season. Instead of being invited to the usual round of parties, we’re getting invitations to demonstrations and press conferences. Instead of decking the halls we’re decorating placards.

How oblivious Health Minister Deb Matthews is to this growing unrest is hard to tell, although the recent revelation that she never read the ORNGE audit suggests a shocking disengagement that likely extends well beyond that scandal.

Today in Arnprior staff at the local hospital will be marching to protest ongoing shrinking services. A few more physiotherapy hours to be lost in January, some x-ray… this is the hospital that decided to totally do away with personal care workers (PSWs) as it sheds staff to balance its frozen budget. This slow striptease of staff has a way to go if the government thinks it can continue on this road to at least 2018.

Today is also the day that VON PSWs in Grey-Bruce Counties go back to the bargaining table in a last attempt to avoid job action. One of the workers pointed out that a staffing agency is advertising on Kijiji for temporary PSWs. Is the VON or Red Cross Care Partners – also in a strike countdown – contemplating hiring strike breakers, or are the more affluent residents of this community seeking some interim help should all hell break loose? The classified ad says the employment agency is willing to negotiate wages, something that so far their real employers don’t seem willing to do.

We went through a similar countdown last week with Frontenac Community Mental Health and Addictions Services in Kingston. They are supposed to represent this brave new world of improved community-based services that Matthews has been selling, but their agency’s base budget has been cut. In the end the workers got enough for their bargaining team to recommend a deal – it has yet to be ratified. This is one of the agencies that’s supposed to pick up the slack from 60 full-time equivalent jobs departing the local psychiatric hospital. That’s clearly not happening.

Next week we are travelling to London not for eggnog, but to talk to more mental health workers who have seen their clients similarly betrayed by this phoney health transformation.

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Arnprior rally to oppose ongoing cuts to rural hospital

Arnprior is an Ottawa Valley community 66 kilometres north of the nation’s capital. The town is built around the mouth of the Madawaska River and has a population of more than 8,000 residents. The communities around Ottawa, including Arnprior, are seeing significant growth as the urban center extends further into the rural regions around it.

Like many smaller communities it has seen pressures to reduce local health services and force residents to travel to the city to seek health care.

It appears the province’s idea of the right care at the right time in the right place is seldom in a rural community. It has led to significant fight-back campaigns across the province – many of them successful.

The Arnprior and District Memorial Hospital’s health care professionals and support staff are hoping their community will be among those successes. They are calling on the community to join them in opposing the cuts as they march tomorrow morning (Tuesday, December 10) at 11:30 am from Hydro Park to the hospital.

Over the summer six acute care beds were closed at the hospital – not an unusual seasonal occurrence despite the northward migration of cottagers at that time of year. Usually the beds are restored in the winter, but not this year.

Residents fear that their emergency room will back up without the available beds.

Along with the bed closures the hospital is also reducing numerous professional supports. Fresh cuts include physiotherapy and diagnostic imaging services. The hospital also cut all of its personal support workers.

The problem with this emptying of health service capacity in the rural communities is that patients are ending up in big city hospitals that are also under stress.

Earlier this year The Ottawa Hospital announced job losses amounting to 290 full-time equivalent positions.

All hospitals are in the second year of a base funding freeze that is expected to last until 2018. Despite the claims by the province that it is not cutting health care, the reality of a funding freeze is that hospitals are losing considerable ground each year – some CEOs have told us the impact is somewhere between three and five per cent annually.

The province insists that the freeze is intended to facilitate health care transformation to community-based care, but that reinvestment often appears to be grossly insufficient to get the job done. Community-based care can also be expensive – especially for privately-run diagnostic services. It can also have much more limited hours and attach unpopular user fees to these services.

$110k Owen Sound MPP shrugs off 6-year PSW wage freeze, calls for two years more

Bill Walker walked into the room with a big smile but his body language gave away his discomfort of being a Tory MPP in a union hall. He constantly fidgeted with his purple scarf and never strayed far from the door.

The MPP from Bruce-Grey-Owen Sound was asked to come to a media conference OPSEU was holding in his community. We were pleading the case of 35 low-wage VON personal support workers that were likely to be on strike the following week.

Walker arrived late – about 20 minutes after the media had left.

When asked point blank whether he would join the workers on the picket line, he didn’t hesitate in saying “no.”

Walker said it wasn’t his place to interfere in the bargaining process. Yet barely a moment later he made it clear that it was his party’s position to interfere.

Walker said he supported his leader’s call for a two-year across-the-board wage freeze for everybody in the public sector – no exceptions. That includes these 35 part-time workers who are struggling to make ends meet for their families on a wage that for most falls below $14 an hour.

These workers have already had their wages frozen for six years.

It’s one of the reasons they chose to unionize.

Walker shrugged off the six years, noting as an MPP his wages had also been frozen. Of course, Walker didn’t get to the legislature until October 2011, meaning he himself has only sustained a wage freeze for a little over two years.

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