Tag Archives: Susan Pigott

Phase II of mental health plan serves up crumbs from the health care table

Above: Arthur Gallant — one of the more inspired choices for the Mental Health and Addictions Leadership Advisory Council.

Ontario Health Minister Dr. Eric Hoskins has been doing a lot of tweeting this week about the second phase of Ontario’s 10-year Mental Health plan. You may recall that the 10-year plan really was a three-year plan in 2011, which is being followed by another three-year plan now. We presume they’ll just continue making it up as they go along.

First the good news: The government is investing $16 million to create 1,000 more supportive housing spaces, opening a 12-bed paediatric residential treatment unit at Ontario Shores Centre for Mental Health Services, and spending $2.75 million to improve access to mental health and reduce wait times at four of the big psychiatric hospitals – The Centre for Addiction and Mental Health (Toronto), Waypoint Centre for Mental Health (Penetanguishene), The Royal Ottawa (Ottawa and Brockville), and the aforementioned Ontario Shores (Whitby). He is also creating a Mental Health and Addictions Leadership Advisory Council and is “partnering” with the province’s public health units to increase awareness, fight stigma, and promote mental health in schools and in the workplace. The largest chunk of cash — $138 million over three years — will go to community service agencies to increase access to peer support groups, treatment programs, and crisis and early intervention initiatives.

Now the bad news: It’s called perspective.

$2.75 million added to those four hospitals amounts to less than half a percentage point on the nearly $650 million a year they presently spend.

The $16 million in supportive housing will be over three years, or a little more than $5 million per year. There are 8,000 people presently waiting for supportive housing – just in Toronto alone.

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CMAJ: Are we betting on the welfare of our patients?

This week’s editorial in the Canadian Medical Association Journal may have raised the eyebrows of some hospital CEOs.

John Fletcher raises a question we asked more than year ago – does the duty to first ‘do no harm’ apply to gambling meant to support public services?

In February 2012 we questioned the role Susan Pigott (VP at the Centre for Addiction and Mental Health) played in the recommendations made by the Drummond Commission to increase access to gambling in Ontario. The recommendation was one of many by the Commission that appears to throw the well-being of citizens overboard to shore up government finances.

How different is it for hospitals to do the same, given hospital lotteries have become so ubiquitous in Ontario? The CMAJ says it is contradictory to ban hospitals from selling tobacco while allowing them to promote another addictive habit – gambling.

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Drummond Report: CAMH VP supports more access to gambling?

One has to wonder about what role Susan Pigott played on the Drummond Commission for Public Sector Reform.

Pigott is one of four appointed Commissioners.

Piggott’s day job is Vice-President Communications and Community Engagement at the Centre for Addiction and Mental Health.

You would think, being one in four, her influence would have considerable impact on the final report. We read the Commission report expecting it would come out swinging in favour of good mental health and addictions policies.

And yet the Commission comes out squarely in favour of more access to gambling.

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