{"id":1148,"date":"2019-11-29T17:38:27","date_gmt":"2019-11-29T17:38:27","guid":{"rendered":"https:\/\/cusjc.ca\/yow\/?p=1148"},"modified":"2019-12-01T03:36:16","modified_gmt":"2019-12-01T03:36:16","slug":"lost-in-limbo","status":"publish","type":"post","link":"https:\/\/cusjc.ca\/yow\/2019\/11\/29\/lost-in-limbo\/","title":{"rendered":"Lost in Limbo"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.5&#8243; custom_padding=&#8221;0px||0px|||&#8221; locked=&#8221;off&#8221;][et_pb_row _builder_version=&#8221;4.0.6&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_image src=&#8221;https:\/\/cusjc.ca\/yow\/wp-content\/uploads\/2019\/11\/YOW-logo.png&#8221; url=&#8221;https:\/\/cusjc.ca\/yow\/&#8221; _builder_version=&#8221;4.0.6&#8243; height=&#8221;270px&#8221; custom_padding=&#8221;||0px|||&#8221;][\/et_pb_image][et_pb_social_media_follow use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;13px&#8221; 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_builder_version=&#8221;4.0.6&#8243; background_color=&#8221;#ffb859&#8243; background_enable_color=&#8221;on&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]youtube[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.22&#8243; background_color=&#8221;#f7f7f7&#8243; custom_padding=&#8221;||1px|||&#8221; locked=&#8221;off&#8221;][et_pb_fullwidth_menu fullwidth_menu=&#8221;off&#8221; dropdown_menu_bg_color=&#8221;#f2f2f2&#8243; dropdown_menu_line_color=&#8221;#5ce1e6&#8243; dropdown_menu_text_color=&#8221;#000000&#8243; logo=&#8221;https:\/\/cusjc.ca\/yow\/wp-content\/uploads\/2019\/11\/Copy-of-About-YOW-3.png&#8221; show_search_icon=&#8221;on&#8221; search_icon_color=&#8221;#5ce1e6&#8243; cart_icon_font_size=&#8221;20px&#8221; search_icon_font_size=&#8221;20px&#8221; _builder_version=&#8221;4.0.6&#8243; menu_font=&#8221;News Cycle|600|||||||&#8221; menu_text_color=&#8221;rgba(0,0,0,0.81)&#8221; menu_font_size=&#8221;18px&#8221; menu_letter_spacing=&#8221;1px&#8221; background_color=&#8221;#f2f2f2&#8243; min_height=&#8221;48px&#8221; custom_margin=&#8221;-1px|||||&#8221; custom_padding=&#8221;0px||0px|||&#8221; border_width_top=&#8221;1px&#8221; border_width_right=&#8221;0px&#8221; border_width_bottom=&#8221;1px&#8221; border_width_left=&#8221;0px&#8221; menu_line_height__hover_enabled=&#8221;off|desktop&#8221;][\/et_pb_fullwidth_menu][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.0.6&#8243;][et_pb_fullwidth_post_title categories=&#8221;off&#8221; comments=&#8221;off&#8221; featured_image=&#8221;off&#8221; _builder_version=&#8221;4.0.6&#8243; title_font=&#8221;News Cycle|700|||||||&#8221; title_text_color=&#8221;#ffffff&#8221; title_font_size=&#8221;41px&#8221; meta_font=&#8221;Source Sans Pro||||||||&#8221; meta_text_color=&#8221;#ffffff&#8221; background_image=&#8221;https:\/\/cusjc.ca\/yow\/wp-content\/uploads\/2019\/12\/IMG_20191128_123120-2.jpg&#8221; height=&#8221;736px&#8221; custom_margin=&#8221;-1px||||false|false&#8221; custom_padding=&#8221;635px||||false|false&#8221;][\/et_pb_fullwidth_post_title][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.22&#8243; custom_padding=&#8221;0px|||||&#8221;][et_pb_row _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;12px|||||&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.0.6&#8243; text_font_size=&#8221;13px&#8221; text_line_height=&#8221;1.2em&#8221; min_height=&#8221;39px&#8221; custom_margin=&#8221;-3px||11px|||&#8221;]<\/p>\n<p style=\"text-align: center;\">The emergency department at the Ottawa Hospital\u2019s General Campus was ranked as having the longest wait times in the province last summer. Photo by Kayla Holmes.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.0.6&#8243; custom_margin=&#8221;-1px||1px|||&#8221;]<\/p>\n<h2><!-- divi:paragraph --><strong>Navigating the maze of psychiatric emergency care in Ottawa<\/strong><\/h2>\n<p><!-- \/divi:paragraph --><\/p>\n<p><!-- divi:paragraph -->When Taneeta Taljit first walked through the double doors of the emergency department at the Ottawa Hospital\u2019s General Campus, she was 18 years old.<\/p>\n<p><!-- \/divi:paragraph --><\/p>\n<p><!-- divi:paragraph -->\u201cMy case manager, at this point, felt it was probably safer for me to be under more intensive care. So she escorted me to the hospital.\u201d With her case manager from the Canadian Mental Health Association at her side, Taljit went through the typical triage process quickly.<\/p>\n<p><!-- \/divi:paragraph --><\/p>\n<p><!-- divi:paragraph -->After Taljit was triaged, she was assessed by a nurse, prioritized, and finally moved through the winding hallways of the hospital, guided by small purple dots lining the floor.<\/p>\n<p><!-- \/divi:paragraph --><\/p>\n<p><!-- divi:paragraph -->\u201cThey bring you to a small holding area. You\u2019re in a room and there are no windows, you share walls with a bunch of other people, there\u2019s one communal bathroom, and there\u2019s nothing to do,\u201d she said.<\/p>\n<p><!-- \/divi:paragraph --><\/p>\n<p><!-- divi:paragraph -->\u201cI don\u2019t know if there\u2019s an official name for it. We just called it limbo.\u201d<\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/cusjc.ca\/yow\/wp-content\/uploads\/2019\/11\/IMG_20191128_122749.jpg&#8221; _builder_version=&#8221;4.0.6&#8243; custom_margin=&#8221;-1px|||||&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.0.6&#8243; text_font_size=&#8221;13px&#8221; text_line_height=&#8221;1.2em&#8221; min_height=&#8221;36px&#8221; custom_margin=&#8221;-27px|||||&#8221;]<\/p>\n<p style=\"text-align: center;\">A small sign points towards the Psychiatric Emergency area at the Ottawa Hospital\u2019s General Campus. Photo by Kayla Holmes.\u00a0<\/p>\n<p><!-- \/divi:paragraph --><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.0.6&#8243; min_height=&#8221;486px&#8221; custom_margin=&#8221;-46px|||||&#8221; custom_padding=&#8221;0px|||||&#8221;]<\/p>\n<h2><b>Following the dots<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">That was in 2016. Not much has changed since.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In fact, in 2019, emergency room wait times in Ontario have reached <\/span><a href=\"https:\/\/www.cbc.ca\/news\/canada\/toronto\/june-hallway-medicine-data-1.5271281\"><span style=\"font-weight: 400;\">a record high<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Ottawa Hospital is worse than most Ontario hospitals, with the General Campus ranked as having the longest emergency room wait times in the province, <\/span><a href=\"https:\/\/www.hqontario.ca\/System-Performance\/Time-Spent-in-Emergency-Departments\"><span style=\"font-weight: 400;\">according to data<\/span><\/a><span style=\"font-weight: 400;\"> from Health Quality Ontario.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mental health patients are uniquely impacted by the increased strain on hospital space and capacity, waiting longer and failing to receive adequate psychiatric care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Further, these patients face being dismissed as seeking medication or attention. Hospitals, too, may not have proper response mechanisms for their specific circumstances, which can lead to neglect and, occasionally, unnecessary harm.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The \u201climbo\u201d to which Taljit was sent in 2016 is dedicated to Psychiatric Emergency Services. The windowless rooms and lack of activities are part of an effort to ensure the area is secure and offers low stimulation for patients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For many patients, though, it feels more like a cell.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taljit has seen the ins-and-outs of many psychiatric facilities in Ottawa. Still, she said her worst experience dealing with the system was with the Psychiatric Emergency Department.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.0.6&#8243; custom_margin=&#8221;-39px|||||&#8221; custom_padding=&#8221;20px|||||&#8221;]<iframe loading=\"lazy\" width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" allow=\"autoplay\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/720383470&#038;color=%235ce1e6&#038;auto_play=false&#038;hide_related=false&#038;show_comments=true&#038;show_user=true&#038;show_reposts=false&#038;show_teaser=true\"><\/iframe><!-- [et_pb_line_break_holder] -->[\/et_pb_code][et_pb_text _builder_version=&#8221;4.0.6&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">In the windowless room, Taljit was handcuffed and pinned to the ground after suffering from a panic attack. She waited for about 48 hours in the Psychiatric Emergency area before she was seen by a psychiatrist, assessed, and admitted to the hospital.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Taljit, though, had the benefit of a qualified case manager advocating on her behalf to the hospital that she needed intensive care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSome people I\u2019ve known have been there for 76 hours, some for two weeks, it all depends on how many beds are available,\u201d Taljit said.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Entering the system when she was 16, Taljit is still navigating it six year later.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before she turned 18, she was a patient in the Youth Inpatient Program at the Royal, Ottawa\u2019s dedicated mental health hospital. In more recent years, she\u2019s been admitted to the separate Ottawa Hospital through specialized programs.<\/span><\/p>\n<h2><b>Emptying the beds<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Between its two campuses, the Ottawa Hospital has 87 beds dedicated to psychiatric patients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These beds are supposed to be occupied by short-term patients.Taljit stayed 16 days, a little over the hospital\u2019s declared average of 11 to 13 days.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients with more complex mental health needs are supposed to move to specialized long-term psychiatric facilities. In Ottawa, that\u2019s the Royal.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But the Royal, too, is strained.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe Royal is generally full, at 98 per cent,\u201d said George Weber, who served as president of the Royal for 11 years. \u201cThe World Hospital Association would say that no hospital should be at more than 85 per cent, because you have to have surge capacity. There\u2019s no surge capacity at the Royal.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Without capacity at the Royal, hospitals are keeping patients for longer in their own psychiatric units. This, in turn, puts pressure on emergency rooms. There, patients spend days waiting or are sent home.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/cusjc.ca\/yow\/wp-content\/uploads\/2019\/11\/Updated-Infograph.jpg&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.0.6&#8243; custom_margin=&#8221;2px|||||&#8221; custom_padding=&#8221;2px|||||&#8221;][\/et_pb_image][et_pb_text _builder_version=&#8221;4.0.6&#8243; text_font_size=&#8221;13px&#8221; text_line_height=&#8221;1.2em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;-28px||-272px|||&#8221;]<\/p>\n<p>Graphic illustration by Kayla Holmes. Produced on Visme.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.0.6&#8243; custom_margin=&#8221;-16px|||||&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">The issue, though, is not as simple as providing additional funding to emergency rooms.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;When someone is having a major issue and can\u2019t find help anywhere else, the emergency room becomes a default,\u201d said Weber. \u201cBut emergency rooms are not the best place for mental health patients.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tim Simboli, executive director of the Canadian Mental Health Association\u2019s Ottawa branch, agrees. \u201cWhen we hear about the government wanting to loosen the pressure on our hospitals,\u201d he said, \u201cwhat we need to do is to invest in some tangible alternatives and have more community based services, more things which you can access before it becomes really urgent.\u201d<\/span><\/p>\n<h2><b>Finding the funding<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">In any given year, one in five people in Canada will experience a mental health problem. Only about seven per cent of health care funding went towards mental health in the 2016 Ontario budget.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe funding for mental illness has just never been there compared to physical ailments,\u201d said Weber. \u201cIt\u2019s always been treated as the long lost brother of the healthcare system.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Emergency room wait times affect everyone, but for patients suffering from mental illness, the challenges experienced are especially telling. The extensive wait times in emergency rooms are reflective of a system-wide lack of funding and capacity which ripples through the various layers of mental health services in the province.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Without change, people will continue to turn to emergency rooms and attempt to navigate the same complex system that Taljit has been working through.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cWhen you go through these systems, you\u2019re not seen as an individual person. You\u2019re seen as a product of your diagnosis,\u201d she said. \u201cSo I guess the last thing I want to add is that there\u2019s just a lot of things that need to be patched up.\u201d<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.6&#8243; custom_padding=&#8221;4px||0px|||&#8221;][et_pb_row _builder_version=&#8221;4.0.6&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.6&#8243;][et_pb_blog fullwidth=&#8221;off&#8221; posts_number=&#8221;3&#8243; include_categories=&#8221;5,2&#8243; show_categories=&#8221;off&#8221; _builder_version=&#8221;4.0.6&#8243; header_font=&#8221;News Cycle|700|||||||&#8221; body_font=&#8221;Source Sans Pro||||||||&#8221;][\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A look at navigating the maze of psychiatric emergency care in Ottawa.<\/p>\n","protected":false},"author":5,"featured_media":1151,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:paragraph -->\n<p><em><strong>Cover photo caption: <\/strong>The emergency department at the Ottawa Hospital\u2019s General Campus was ranked as having the longest wait time in the province in the summer of 2019. Photo by Kayla Holmes.<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Navigating the maze of psychiatric emergency care in Ottawa<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When Taneeta Taljit first walked through the double doors of the emergency department at the Ottawa Hospital\u2019s General Campus, she was 18 years old.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cMy case manager, at this point, felt it was probably safer for me to be under more intensive care. So she escorted me to the hospital.\u201d With her case manager from the Canadian Mental Health Association at her side, Taljit went through the typical triage process quickly.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>After Taljit was triaged, she was assessed by a nurse, prioritized, and finally moved through the winding hallways of the hospital, guided by small purple dots lining the floor.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cThey bring you to a small holding area. You\u2019re in a room and there are no windows, you share walls with a bunch of other people, there\u2019s one communal bathroom, and there\u2019s nothing to do,\u201d she said.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cI don\u2019t know if there\u2019s an official name for it. We just called it limbo.\u201d&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong><em>Image here!! Caption: <\/em><\/strong><em>A small sign points towards the Psychiatric Emergency area at the Ottawa Hospital\u2019s General Campus. Photo by Kayla Holmes.&nbsp;<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Following the dots<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>That was in 2016. Not much has changed since.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In fact, in 2019, emergency room wait times in Ontario have reached <a href=\"https:\/\/www.cbc.ca\/news\/canada\/toronto\/june-hallway-medicine-data-1.5271281\">a record high<\/a>.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The Ottawa Hospital is worse than most Ontario hospitals, with the General Campus ranked as having the longest emergency room wait times in the province, <a href=\"https:\/\/www.hqontario.ca\/System-Performance\/Time-Spent-in-Emergency-Departments\">according to data<\/a> from Health Quality Ontario.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Mental health patients are uniquely impacted by the increased strain on hospital space and capacity, waiting longer and failing to receive adequate psychiatric care.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Further, these patients face being dismissed as seeking medication or attention. Hospitals, too, may not have proper response mechanisms for their specific circumstances, which can lead to neglect and, occasionally, unnecessary harm.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The \u201climbo\u201d to which Taljit was sent in 2016 is dedicated to Psychiatric Emergency Services. The windowless rooms and lack of activities are part of an effort to ensure the area is secure and offers low stimulation for patients.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For many patients, though, it feels more like a cell.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Taljit has seen the ins-and-outs of many psychiatric facilities in Ottawa. Still, she said her worst experience dealing with the system was with the Psychiatric Emergency Department.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Audio clip here of Taljit describing being pinned by six security guards while in the unit.&nbsp;<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In the windowless room, Taljit was handcuffed and pinned to the ground after suffering from a panic attack. She waited for about 48 hours in the Psychiatric Emergency area before she was seen by a psychiatrist, assessed, and admitted to the hospital.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Taljit, though, had the benefit of a qualified case manager advocating on her behalf to the hospital that she needed intensive care.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cSome people I\u2019ve known have been there for 76 hours, some for two weeks, it all depends on how many beds are available,\u201d Taljit said.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Entering the system when she was 16, Taljit is still navigating it six year later.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Before she turned 18, she was a patient in the Youth Inpatient Program at the Royal, Ottawa\u2019s dedicated mental health hospital. In more recent years, she\u2019s been admitted to the separate Ottawa Hospital through specialized programs.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Emptying the beds<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Between its two campuses, the Ottawa Hospital has 87 beds dedicated to psychiatric patients.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>These beds are supposed to be occupied by short-term patients.Taljit stayed 16 days, a little over the hospital\u2019s declared average of 11 to 13 days.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Patients with more complex mental health needs are supposed to move to specialized long-term psychiatric facilities. In Ottawa, that\u2019s the Royal.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>But the Royal, too, is strained.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cThe Royal is generally full, at 98 per cent,\u201d said George Weber, who served as president of the Royal for 11 years. \u201cThe World Hospital Association would say that no hospital should be at more than 85 per cent, because you have to have surge capacity. There\u2019s no surge capacity at the Royal.\u201d<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Without capacity at the Royal, hospitals are keeping patients for longer in their own psychiatric units. This, in turn, puts pressure on emergency rooms. There, patients spend days waiting or are sent home.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>Graph here.<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The issue, though, is not as simple as providing additional funding to emergency rooms.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\"When someone is having a major issue and can\u2019t find help anywhere else, the emergency room becomes a default,\u201d said Weber. \u201cBut emergency rooms are not the best place for mental health patients.\"<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Tim Simboli, executive director of the Canadian Mental Health Association\u2019s Ottawa branch, agrees. \u201cWhen we hear about the government wanting to loosen the pressure on our hospitals,\u201d he said, \u201cwhat we need to do is to invest in some tangible alternatives and have more community based services, more things which you can access before it becomes really urgent.\u201d<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Finding the funding<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In any given year, one in five people in Canada will experience a mental health problem. Only about seven per cent of health care funding went towards mental health in the 2016 Ontario budget.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cThe funding for mental illness has just never been there compared to physical ailments,\u201d said Weber. \u201cIt\u2019s always been treated as the long lost brother of the healthcare system.\u201d<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Emergency room wait times affect everyone, but for patients suffering from mental illness, the challenges experienced are especially telling. The extensive wait times in emergency rooms are reflective of a system-wide lack of funding and capacity which ripples through the various layers of mental health services in the province.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Without change, people will continue to turn to emergency rooms and attempt to navigate the same complex system that Taljit has been working through.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>\u201cWhen you go through these systems, you\u2019re not seen as an individual person. You\u2019re seen as a product of your diagnosis,\u201d she said. \u201cSo I guess the last thing I want to add is that there\u2019s just a lot of things that need to be patched up.\u201d<br><\/p>\n<!-- \/wp:paragraph -->","_et_gb_content_width":"","footnotes":""},"categories":[5,8],"tags":[86,35,87,88,89],"class_list":["post-1148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-front-feature","category-third","tag-mental-health","tag-ottawa","tag-ottawa-hospital","tag-psychiatric-care","tag-the-royal"],"_links":{"self":[{"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/posts\/1148","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/comments?post=1148"}],"version-history":[{"count":12,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/posts\/1148\/revisions"}],"predecessor-version":[{"id":1462,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/posts\/1148\/revisions\/1462"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/media\/1151"}],"wp:attachment":[{"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/media?parent=1148"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/categories?post=1148"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cusjc.ca\/yow\/wp-json\/wp\/v2\/tags?post=1148"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}