Keeping it surreal.

Keeping it surreal.

The other day I recieved a reminder of just how subtle the balance of ones mental health and recovery can be.

I was giving an acquaintance a ride. As we were making our way to the car the conversation turned to mental disabilities and he asked about my personal mental health challenges.

It turned out he has a friend who also has to deal with agoraphobia and I was regaled with stories about his friend’s trials and tribulations. I could certainly relate to his friend’s challenges. Unfortunately every attempt to change the subject failed and it was a relief to drop my passenger off.

I breathed a sigh of relief and drove away.

Waking the next morning revealed that there is a certain amount of truth in Clare Booth Luce’s “No good deed goes unpunished” and I had not gotten away scot-free from my good deed providing a ride.

All I wanted to do was pull the covers over my head and stay safe and sound behind my locked front door.

This was not really a head space I wanted to revisit. At that earlier point in time of my life my phone ringing or someone knocking on my front door had me cowering, shaking and frozen in place in a panic attack. People talking outside the front door had my freezing, trembling and praying they would not knock. My front door became a barrier I could not pass beyond.

As I said, not a situation I have any interest or desire in returning to.

Fortunately I do have an interest and desire to practice the needed mental hygiene to stay in recovery. This is why I have a WRAP, a Wellness Recovery Action Plan.

Thus, when I awoke in that bad head space and mired in a negative/unhealthy mind set I did not pull the covers over my head and descend into anxiety, panic and agoraphobic behaviours. Instead I recognized what was happening and reached into my Wellness Toolbox for the mental health tools I needed to work through this … black, dark crap – and recovery my mental balance/health.

It was a long, uncomfortable 2 – 3 days and I spent a lot more time than usual meditating, but in the end I succeeded in letting it all go and finding a place of serenity.

I speak of recovery not of cure because, as this incident served to remind me, mental health (or addiction recovery) can be lost or disturbed unexpectedly and by events beyond one’s control, events that seem innocuous.
Being in a recovery mindset rather than “I am fine, I am cured” mindset lets one recognize and react appropriately before you find yourself not fine and in your illness or addiction again. I facilitate WRAP groups to share the plan that has made and continues to make such a difference in my life and which I feel is a plan, a tool, everyone who has need of it should have in their lives.

One cautionary note to keep in mind should you find yourself in the situation my acquaintance found himself in – DON’T start in on horror tales. They can have unintended negative effects on the listener.

Brought thoughts of the Food Bank to mind

The television news report about Santa in July to raise awareness and donations for the Vancouver Food Bank set me to wondering how our local Abbotsford Food Bank was faring. So I asked the Food Bank Coordinator what the situation is.

The number of people accessing the Food Bank have stabilized somewhat. They are however averaging a couple of new people per day and while a few of those are homeless most aren’t.

I am not surprised that most were not homeless. With the cost of housing in Abbotsford and the increases in what it costs to live (especially gas), more and more families are faced with having less, little, or no money to buy food with.

I would be interested in knowing at what point the addition of a couple of new people every day ceases to be “stable” and becomes a worrisome increase.

The Food Bank is already buying pasta and by Thanksgiving, two short months away, it will be slim pickings. The coordinator is planning to put the word out to his sources this week about the need for funds and/or food donations.

I know it is a busy time of year for many, but by remembering those in our community who need the communities help to have food to eat, we can make sure that come Thanksgiving the Food Bank shelves are stocked – giving all something to be thankful for.

With school looming a food drive would be an auspicious and philanthropic manner to start the school year with, don’t you think?

Please take the time to share and help feed the hungry by supporting our Food Bank.

Commentary: Joey Thompson’sdrug court column

Fate put a copy of the June 23, 2008 Province, containing Joey Thompson’s column on drug court into my hands. Reading that column and the prior June 20 column she wrote on Vancouver police chief Chu’s comments on sentencing says much about why we have such an a abysmal record when it comes to helping addicts into successful recovery behaviour.

From the June 20 column: “…to ensure the crap doesn’t kill them in the short term, even though we all know it still will in the long term.”

I would predict that any program born under or from this kind of attitude will fail to provide effective help in helping addicts into recovery, but will succeed in proving those with this attitude correct by letting their addiction “kill them”.

Let us move forward to the June 23 column.

“After about a year of court appearances and treatment by a specialized recovery team, offenders are expected to have conquered their addiction and found stable housing and a job, or relative training.”

I do not know exactly what the specialized team specialized in, but having known several people who were involved in drug court I can say that whatever it was the team specialized in, it was not recovery. In fact, based on what I saw and learned of the program and feedback from participants in the program, you would be hard pressed to deliberately design a program more guaranteed to ensure the failure and relapse of participants. Or perhaps it would be more accurate to refer to them as victims rather than participants.

Given the program associated with the drug court it is not surprising that few choose to join the program, that so few complete the program and that among those who complete the program so many relapse.

“Send them off to jail, and make sure facilities offer them plenty of treatment and recovery options.”

The important unasked and unaddressed point is what these treatment and recovery options will look like. Should they be designed by the same “experts” who designed the drug court program or the majority of our current crop of treatment programs we will get our usual abysmal failure rates.

No rational, semi-intelligent person with experience with addicts and addiction would ever entertain the idea that “After about a year … offenders are expected to have conquered their addiction”.

If that is the basis of your program you are going to fail those in the program, leaving them in or sending them back to their addiction. And “Program enthusiasts (who) said they were pleased with the results, given the tough demands placed on addicts to clean up, find a job and a place to live” are badly in need of a reality check. Working with a bad or unrealistic program is self defeating since the outcomes are not going to improve in any significant manner.

You might just as well put them on probation requiring participants to go to treatment and complete the treatment program. You will end up with about the same number of positive outcomes and you can invest the funds you do not waste on an ineffective program in developing effective programs and community based support systems.

Current research and knowledge, best practices and successful recovery programs all exist. We can, if we choose to, design community based programs and support systems that achieve high success rates.

But we have to set success as our goal, design the systems to achieve that goal based on knowledge not “that’s how it is done” and to refuse to be pleased with results that do not achieve our goals.

It will not be easy or neat and tidy, but it is achievable.