Debates of February 10, 2011 (day 37)

Date
February
10
2011
Session
16th Assembly, 5th Session
Day
37
Speaker
Members Present
Mr. Abernethy, Mr. Beaulieu, Ms. Bisaro, Mr. Bromley, Hon. Paul Delorey, Mrs. Groenewegen, Mr. Hawkins, Mr. Jacobson, Hon. Jackson Lafferty, Hon. Sandy Lee, Hon. Bob McLeod, Hon. Michael McLeod, Mr. Menicoche, Hon. Michael Miltenberger, Mr. Ramsay, Hon. Floyd Roland, Mr. Yakeleya
Topics
Statements

QUESTION 432-16(5): MENTAL HEALTH AND ADDICTIONS REVIEW

Thank you, Mr. Speaker. My questions today are addressed to the Minister of Health and Social Services. I talked in my statement about mental health and addictions programs and services in the NWT and about the needs that we have and that we don’t have the resources to meet those needs.

I mentioned the mental health review that the Minister mentioned to us in the last couple of days. My first question to the Minister is if she could advise what the focus of this particular mental health and addictions review is.

Speaker: MR. SPEAKER

Thank you, Ms. Bisaro. The honourable Minister responsible for Health and Social Services, Ms. Lee.

Thank you, Mr. Speaker. The focus is to review how we are delivering our mental health services. Over the many months now, Members are talking about the need for more focus on communities. There are those who feel that we could do better with the $6 million that we’re spending through our mental health programming. More recently we’ve had lots of issues being raised about the more acute mental health services being delivered out of Stanton. We are looking with the experts and people involved to see how we can do better what we already do.

I’d like to thank the Minister for the response. I have to say that I noted in there that there was no reference to an increase in funding, which is very unfortunate. I talked in my Member’s statement about the needs of the mentally ill when they are released from hospital particularly, or some other area. To me it’s an area where our residents and patients are particularly vulnerable. I’d like to know if the review will look at the after-care needs of the patients once they are released and will it also look at the after-care needs in light of the service providers who try to assist patients at this time.

That issue was raised and I spoke about that when MLA Bromley asked. I think we need to be... I understand what the Member is saying, but we should be aware of some of the clinical decisions that clinicians make. There is some legislation in place that has a bearing on when the people are being discharged. There are limitations on how long we can keep some of these people in treatment places. There are Charter issues and Freedom of Rights issues as well. So it’s not always just about money that our clinicians make their decisions based on their clinical expertise as well as their legislative obligations.

The purpose of this review is to come up with an action plan to ensure -- and I think that should please the Member -- that we are reviewing to see how current and how accessible and how well we are meeting the needs of people that we serve within the Mental Health Program as they are currently structured. I look forward to having some action plan out of that to improve the services we deliver.

I thank the Minister for, I guess, being very... She answered my next question before I asked it, but I didn’t get an answer to the first one. I’d like to know from the Minister whether or not this review will look at the after-care needs of patients and look at the service providers who try to provide that after-care. I would also like to know relative to patients being released early, which is where the Minister went, is can we look at legislation and change our legislation to assist in that particular area of difficulty.

I believe those two issues that the Member raises are part of the review and I hope to have the results by April-May and we can have further discussion on that. After-care is obviously a part of the needs of our community and when we are talking to the people that are delivering it, I’m sure that’s being raised, as well as some of the legislation that might need to be changed.

Speaker: MR. SPEAKER

Thank you, Ms. Lee. Final supplementary, Ms. Bisaro.

Thank you, Mr. Speaker. I’m very pleased to hear about the legislation being looked at, because to me that is the crux of the issue of why we release patients way too early. They’re not ready to be released but they can’t be held. Can the Minister advise if there are recommendations to change the legislation and when that might come forward?

I think we’re being a little ahead. I don’t know what the action plan will say and what recommendations from the review will speak about. I am thinking, and I think that recommendations would include after-care and seamless transition of the people in mental health services and how we can fill some of the gaps. I’m hoping they’ll identify the gaps and how we could fill some of the gaps. I’m hoping they’ll identify the gaps and how our providers that are providing services already can do things differently. I expect those options to be available. I don’t know if they’re going to recommend legislative change, so I think we should wait until the review comes out. I will be going to standing committee and we can work through them together.

Speaker: MR. SPEAKER

Thank you, Ms. Lee. The honourable Member for Sahtu, Mr. Yakeleya.