mental health

Dallaire and Michaud visit Ukraine to push mental health resources for military families

Dallaire and Michaud visit Ukraine to push mental health resources for military families

Peter Black, Local Journalism Initiative reporter

peterblack@qctonline.com

It was a first-time visit to Ukraine for both retired lieutenant-general and senator Roméo Dallaire and his wife Marie-Claude Michaud, former head of the Valcartier Military Family Resource Centre.

The two-week tour across the country a month ago left them with concerns about the resources available for the mental health of military personnel and their families, but also ideas for a plan to address the situation.

In an interview with the QCT from the home she and Dallaire share in Saint-Roch- des-Aulnaies, about 90 minutes east of Quebec City, Michaud described the resources available for military families in Ukraine as “chaos.

“The needs are so urgent and the resources are not ready yet [because] they’re always in an emergency. So they offer counselling services for injured veterans, the ones that are deeply injured physically and their families,” Michaud said.

“But for the rest of the veterans and their families, there’s a lack of resources. They are trying things, but there’s no coordination between the resources. A lot of NGOs are in the field, trying to offer services and activities, but they compete with one another for resources.”

Michaud and Dallaire toured Ukraine at the request of the Global Initiative on Psychiatry and Toronto-based Fairfax Financial, an insurance company with operations in Ukraine.

Dallaire has turned his horrific experience as commander of the U.N. peacekeeping mission during the 1994 genocide in Rwanda into a personal crusade for causes ranging from better treatment for veterans living with trauma to a movement to rid the world of child soldiers. He has written several books inspired by his experience, including the most recent, titled The Peace.

Michaud’s experience dealing with military families at the Valcartier Family Centre, including stints in Afghanistan, led her to develop a different approach to leadership that she described in a 2021 book titled Leadership Without Armour: The Power of Vulnerability in Management.

Michaud said, “I spent 25 years supporting military families in Canada and I have to tell you that what they are going through there, all these spouses and children, it’s quite the same.”

One encounter Michaud found particularly moving was with a psychiatrist working at the Veteran Mental Health Centre of Excellence at Taras Shevchenko University in Kyiv, whose husband was on the front lines with the army.

“She hugged me and she told me this is the first time that I have someone who understands what I’m going through,” Michaud said.

At a meeting of Fairfax employees and families involved in the war, Michaud said, “When I talked to them, a lot of them started to cry because I was explaining to them what it was like to be a military spouse when you have a loved one fighting and being away from home.”

During the visit, travelling 1,800 kilometres by train and 2,000 by road, they visited the front lines, saw a mass grave and witnessed firsthand the destruction the Russian invasion has wrought.

“One of the cities, Borova, was bombarded just an hour before we arrived there and we had to leave quickly because the Russians were very, very close.” The city was evacuated the next day.

Armed with what they learned from the Ukraine visit, where they met with a variety of people, including government leaders, the Canadian ambassador and the staff and patients at a rehabilitation centre, Michaud and Dallaire will prepare a plan to present to a meeting in Toronto next week.

The pair hopes to have Fairfax employees in Ukraine affected by the war serve as participants in a pilot project on dealing with mental health issues for wider implementation.

She said they will be talking with Canadian government officials about bringing help for Ukrainians to deal with the mental health impact of war.

“Roméo and I think Canada can certainly make a difference with this country, because 35 years ago, there were no services in Canada for military families and the members and it’s quite the same for the vet- erans. Roméo was the one who opened the door.”

Michaud said the visit was a particularly moving one for Dallaire, harkening back to when he was a young soldier in the Canadian army, posted in Germany.

“It was kind of emotional when we crossed the border, just realizing that [it was] so many years after him being in Germany and being there because of the Cold War and watching over the Russians,” she said.

She said they also had to be “very cautious” while in Ukraine because Dallaire is on Russian President Vladimir Putin’s list of Canadians barred from entering the country.

As for how and when the war, now past 1,000 days of fierce fighting, might end, Michaud said, “Well, it’s going to end someday, but the damage is so deep it’s going to take generations and generations to get over this.”

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Male caregivers are welcome in the Shedquarters

Male caregivers are welcome in the Shedquarters

Ruby Pratka, Local Journalism Initiative reporter

editor@qctonline.com

English-speaking men in the Quebec City region who are caregivers will soon have access to a new Wellness Centre program aimed at creating social connections and making the experience of being a caregiver less isolating.

The Shedquarters project is inspired by the pan-Canadian Men’s Shed movement, ex- plained project co-ordinator Elise Arsenault. Men’s sheds are autonomous community initiatives that provide a safe and friendly environment where men can work on meaningful projects at their own pace, in their own time, in the company of other men. Arsenault, a master’s student in social work at Université Laval, explained that women tend to be more at ease than men when it comes to discussing difficulties they face openly, whether with a professional or with a friend or family member. “We know there are male caregivers around who are not using existing support services. When men talk about what’s bothering them, they tend to do it shoulder to shoul- der, rather than face to face,” she explained.

Shedquarters intends to give participants the opportunity to do just that. Arsenault said she hoped participants would take ownership of the project, creating “a community of English-speaking male caregivers, by and for the participants.”

The project is open to English-speaking and bilingual men of all ages who are caregivers, the schedule is flexible and the definition of “caregiver” is not restrictive. “You could be caring for a spouse or family member, or helping out a friend or neighbour – it’s a very wide definition,” said Arsenault. Men from around the greater Quebec City, Valcartier and Lévis areas are welcome to join. Arsenault said the program has already had several expressions of interest, and activities were expected to begin later this fall.

If you would like more information about the Shedquarters program for English-speaking male caregivers, either for yourself or someone you know, contact Elise Arsenault directly by phone (418-928-8388) or email (elars18@ulaval.ca).

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A series on mental health in the Pontiac Part 2: Farmers

Sophie Kuijper Dickson, LJI Reporter

Mental health stigma, eroding social networks leaving Pontiac farmers feeling isolated

When Chris Judd was a younger dairy farmer in Clarendon, he would get in his truck and take a drive to visit a neighbour when he was feeling stressed out or overwhelmed by the work that lay ahead of him.
Together, he and whichever neighbour he could find would talk corn prices, or hay conditions, or lament the price of fuel.

Judd said he does not remember ever struggling with his own mental health, but figures that is in part because he felt he was part of a wider community of people, all living through the same stresses.
“To me that’s really important, just to talk to somebody,” Judd said.
“It used to be you’d be driving the horses and stop along the fence and have a chat with your neighbour. Now everybody is isolated in their own tractor. You don’t even see the neighbour.”
This is in part, Judd figures, because the number of active farms in the region has significantly decreased since he began farming about half a century ago.

“When I came home from college there were 101 dairy producers in our county. Now there are 15,” he said.
Bobby Fitzpatrick has felt the impacts of the shrinking farming community as well.
He has spent 63 years farming beef on Allumettes Island.
“We used to have a network that was a lot bigger, but they’re all retired or quit, so now the network is really small,” Fitzpatrick said.
“Now there’s no occupation where people are more alone, working all the time.”
It is no secret that the waning of Pontiac’s once thriving farming industry has had significant impacts on economic prosperity in the region.
Any attention to the abandoned farm houses and collapsing barns scattered across Pontiac’s countryside will reveal this.

But the shuttering and consolidating of farming operations over the last half-century has also had harmful, and in some cases life threatening consequences for the people who have chosen to continue farming in the region.

In addition to the financial, environmental, and administrative pressures that weigh on a farmer today, the gradual erosion of the social support network that once made all of these stresses bearable has meant significant numbers of agricultural workers now carry the brunt of these stresses alone.
And without active social support networks, anxiety, depression and suicide are becoming growing threats to farmers’ health and safety.

Recent research (2023) out of the University of Alberta reviewed results from previous farmers’ mental health studies done in Canada, the United States, the United Kingdom, Australia and India to better understand the risk factors that make farmers vulnerable to suicide.
The study highlighted that “farmers and agricultural workers – individuals who own, operate, or work on a farm of livestock or crops – have higher suicide rates than those working in other occupations.”
It pointed to data from the National Violent Death Reporting System in the US which in 2016, revealed significantly higher suicide rates among people, particularly men, who worked in agriculture, forestry and fishing, as compared to the national average.

It also pointed to results from a national study of Canadian farmers in 2020, published in the peer-reviewed journal Social Psychiatry and Psychiatric Epidemiology, which found that 57 per cent of farmers were considered to have anxiety, 34 per cent met the criteria for depression, and 62 per cent experienced psychological distress.

The final analysis from the Univeristy of Alberta found seven specific stressors that were often linked to suicide, including the desire to maintain a ‘farmer’ identity, financial crisis, family pressures, an unpredictable environment, and isolation from others.

Cindya Labine, a young beef farmer in Clarendon, does not need these statistics to understand the real threat that poor mental health poses to her the farmers in her community.
In 2019, her brother Éric died by suicide in the height of hay season.

He was young – 26 years old – and had only been farming independently for a few years. In the weeks leading up to his death, he was scrambling to get his hay harvested while conditions were good, while also working on two other farms to make ends meet, one of them his father’s.

“That’s the reality of farming, right,” Labine said. “In the summer, it’s a week straight of no rain. You’ve just got to go, go, go. If you stop you’re going to miss out on your best crops and you’re going to pay for it later. That quality of hay is also your revenue. It’s the money you get to put food on the table.”
On top of this seasonal pressure, Éric had just discovered the tile drainage he had recently installed was not working and had to be redone.
Labine said while the immense pressure Éric was under was obvious to anybody, his death shocked the family.

“It was definitely a surprise. No one suspected it,” Labine said. “I think we all have a lot of guilt for not seeing the signs, if there were any.”
She said Éric spoke about being tired, about feeling worn out, but never spoke about his inner world – how he was feeling inside.
“It feels taboo for men to talk about it. There’s still maybe that stigma or that worry of others judging.”
Labine said she is always worried that Éric’s stresses, the burdens that he felt, will get to other people she loves.

On top of farming beef, Labine is also a mother of three young girls and works as a special education technician at Pontiac High School.
“I’m worried for my husband, and that is weighing on my shoulders too,” Labine said. “He has the same work ethic as Éric had.”
Labine said she has tried to convince her husband to take a break, but knows he feels this is almost impossible to do.
Bobby Fitzpatrick, the beef farmer from Allumettes Island, has also come to understand how real the risk of suicide is.

A neighbour of his, a long-time farmer in his 60s, died by suicide less than 10 years ago.
“Health wise, he had no hope of ever getting better,” Fitzpatrick said, explaining his neighbour had struggled with mental health challenges for some years, including depression and bipolar disorder.
“I went to see him one time and he said ‘I’m not well’.”

Fitzpatrick recalled this to be a fairly common occurrence, in fact. His friend often told him he was sick.
“He asked for help and he couldn’t get help,” he said, remembering his friend even went to the hospital to ask they hold him there overnight, but that the hospital couldn’t accommodate him. “I guess you get so hopeless that you don’t know what to do.”

Challenging the stigma

This feeling of hopelessness is what Chris Judd, now mostly retired, has turned his attention to addressing.
He is adamant that talking openly about mental health challenges will literally save lives.
In his decades of farming in the region, as well as his 50 years as president of the Quebec Farmers Association and 40 or so years of involvement with the farmers union, he has seen the tole that farm stresses take on farmers’ well being.
By his count, 140 people have died from farm related accidents since about 1950. He said 10 of these have been suicides.
“To me, that’s too many. That’s why I got involved. Because we should be doing something about it,” Judd said.

In recent years, he has begun working with various community groups including Shawville’s Anglican Church and Connexions Resource Centre to host suicide awarenss and prevention workshops, where he shares information about the different stages of mental health that can lead to one thinking about suicide.
“In all the meetings we’ve put on, the most people that have come have been farmers’ wives,” Judd said.
He figures the men are not attending “because they don’t want to be caught around a place like that because somebody would think they were crazy.”

Gabrièle Côté-Lamoureux is a social worker with Écoute-Agricole, an organization that offers mental health support specifically to farmers in the Outaouais.
She said loneliness is absolutely among a handful of stressors weighing on farmers in the Pontiac, and that most farmers will not seek the help they need on their own accord.
Most phone calls she gets are from people referring a neighbour, friend, or employee to her services. This can be done confidentially, both for the farmer and for the person making the referral.
She said often suicide, homicide, depression and burnout are the result of a collection of smaller problems that buildup and eventually explode.

“Often we get calls because things have exploded,” Côté-Lamoureux said.
By her read, people don’t reach out earlier because they are ashamed to need help in the first place.
“If someone breaks their arm, there’s no question that they would go to the hospital, but when it’s our mental health, it’s a lot more taboo to ask for help to get better, so that’s the big difficulty in outreach,” she said.

This is why Judd is making plans to take a different approach, through casual meetings he refers to as ‘shed talks’.
“A group of farmers get together and sit around on lawn chairs, have a coffee, and chat about all the things that are bothering them,” Judd explained.
“When you think you’re alone, and you’re the only person with a problem, you get really stressed.”
Judd hopes to host the first Pontiac shed talk in the near future.

The isolating stigma around mental health is something Labine is also trying to change.
Since her brother’s passing, Labine has made a very deliberate effort to speak openly about how Éric died, and about how his death, along with her own load of farming stresses, have affected her mental health.
In front of a crowded room at a farmers’ mental health gathering hosted at the Little Red Wagon Winery just last month, Labine spoke openly about how the pressures that come with raising three kids, keeping a farm afloat, and working a full-time job off farm wear on her.
She cried, if not sobbed, into the microphone, describing her struggles with postpartum depression and the urge she has had, at times, to end her own life.
Labine says she decided to share this vulnerability in an effort to break down the stigma that surrounds mental health discussions.

She thinks it’s important to be open about how her brother died because she believes if people understand that it happened to her brother, who on the surface was struggling with the same handful of problems that weigh on most farmers in the community, the reality of the risk of suicide will become more real for others.
Being open, for Labine, is an act of care for her community – the community that rallied to support her and her family when Éric passed away nearly five years ago.

From this experience Labine learned that it’s not a lack of community that is the barrier to more resilient mental health for farmers. The support network is there.
“It’s pretty special and I think not a lot of places have that,” Labine said.
What’s missing, however, is a communal willingness to talk about mental health directly, to stare the beast in the eye.
And even this, she says, is changing.

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AutonHomme farmers’ social promotes mental health

Sophie Kuijper Dickson, LJI Reporter

On Thursday evening, Cindya Labine asked a group of Pontiac farmers packed into Clarendon’s Little Red Wagon Winery how they would describe what it feels like to be depressed.
Labine, herself a beef farmer, was standing with a microphone at the front of the room, speaking openly about her own struggles with mental health as part of a gathering organized by AutonHomme Pontiac to raise awareness about farmers’ mental health challenges.
When Labine put this question to the audience, she got answers.
“Empty,” said a voice from one corner of the room.
“Invisible,” offered another.
“Tired,” shared a third.

The room was absolutely still. Members of her audience, some sitting on the edge of their chairs, seemed to be hanging on every word Labine offered about what it was like to live with postpartum depression while raising kids on a farm, and how she recovered from it, twice.
Recounting the grief and guilt she experienced after her brother Éric, also a farmer, died by suicide in 2019, she stepped away from the microphone to let out a sob.
“Thank you for your understanding that I might choke up but that I will be ok,” Labine said.
Labine’s message was clear – that being open about mental health struggles, while perhaps initially uncomfortable, is important and can save lives.

Terry MacDougall, owner of a dairy operation in Stark’s Corners, was among those listening to Labine share her experience Thursday.
He said what Labine shared about feeling tired and rundown and not knowing where to seek help would likely resonate with most farmers he knew, but that many would not admit to it.
“You’re all going through it,” he said. “But you don’t want to be the one that’s a weak link.”
Once Labine had concluded her talk, musicians Louis Schryer, Willy Rivet and Eric Lanoix returned to the stage, filling the room with toe-tapping classics, which attendees enjoyed over plates of charcuterie snacks provided by the winery’s kitchen.

Kim Laroche, organizer of the event, takes the lead on facilitating mental health and suicide prevention services for AutonHomme Pontiac.
“I did a few trainings for suicide prevention with farmers. A lot of time they mention not having enough social events, not being able to get together and gather,” Laroche said, describing her incentive for inviting farmers out to a social gathering.
“Suicide prevention is not just training. It’s also events like this.”
*Stay tuned for an upcoming feature from THE EQUITY about farmers’ mental health in the Pontiac.

If you or someone you know is struggling with mental health, there are ways to get help:

  • Suicide Crisis Helpline: Call or text 9-8-8
  • Kids Help Phone: 1-800-668-6868.
  • Reach out to an Écoute Agricole farmer social worker: 873-455-5592, tr.outaouais.est.eagmail.com

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A series on mental health in the Pontiac Part 1:Youth

Pontiac youth facing significant mental health challenges post-pandemic

Camilla Faragalli, Local Journalism Initiative Reporter

The MRC Pontiac Youth Council hosted a well-attended forum last week in an attempt to raise awareness and encourage community members to speak openly about the growing mental health needs of youth in the region.

The forum, which took place over two days, was hosted in French at l’École secondaire Sieur-de-Coulonge (ESSC) in Mansfield and Pontefract on Thursday, and in English at Pontiac High School (PHS) in Shawville on Friday.

“The previous youth council before covid had really implied that mental health was the most important thing that they wanted to focus on, especially youth mental health,” youth council president Léa Gagnon told
THE EQUITY.
She said the current youth council agreed that addressing the issue of youth mental health should be its top priority.

“I feel like everybody, especially after covid, has faced some sort of mental struggle,” Gagnon said. “So we really put importance on that and we made the forum happen.”
Falling during Quebec’s annual school perseverance week, the forums were attended by hundreds of students from ESSC, PHS and visiting school Dr. Wilbert Keon.
Both events featured an hour-long presentation from multidisciplinary artist and motivational speaker, David Houle.

“I came here to share some tools that I’ve learned since high school surrounding mental health, because I believe that since the pandemic, there’s been a bit of a cry for help from students,” Houle told THE EQUITY.

The post-pandemic struggle

PHS principal Dr. Terry Burns said the consensus among educational leaders is that COVID-19 had serious impacts on student life.
“There have been changes in the environment, changes to brain development for a whole lot of different reasons and it does affect the experience the students are having in school,” he said.
Megan Lunam is a youth worker at Le Jardin Éducatif du Pontiac, a non-profit organization offering rehabilitation, reintegration and reorientation services to young people in the region.
She works with youth who are attending high school, as well as with those who, for a variety of reasons, are not.

“Our numbers do continue to grow year to year since we introduced the in-school support service, and as well with the creation of the Alternative Suspension program that supports youth from both the French and the English school boards in the Pontiac,” she said.
“The most common issues I have been seeing lately are youth who are expressing feelings of loneliness, anxiousness, and sadness,” Lunam told THE EQUITY, adding that she has seen a greater number of youth struggling with anxiety, in particular, since the pandemic.

While Lunam says she believes more support for youth and their parents will always be needed, she cited several local supports for young people including L’Entourelle, AutonHomme, Connexions and CISSSO’s 8-1-1 phone line, as well as Kids Help Phone, which youth can either text or call.
“A lot of the time they [youth] just need someone to listen to them with no judgement, to support them at their worst and cheer them on at their best, I think to just not feel so alone with some of their big, dark, not-always-fun feelings and thoughts,” she said.

Lunam said that Les Jardins does try to help as many youth as they can, even if only to connect them with the right support from the above-mentioned organizations.
Erica Tomkinson is one of two social service workers offering mental health services, specifically for substance use intervention and prevention, to the entire Western Quebec School Board.
Tomkinson, who has held her position for 15 years, is responsible for seeing students at Pontiac High School two days per week, and at Dr. Wilbert Keon school two days per month.
She believes a lot of youth are overwhelmed with all of the stressors in their life, and lacking the coping strategies to deal with them.

“There’s academic stressors, there’s familial stressors, there’s economic stressors, there’s the desire to perform, there’s just adolescence in gener al with puberty and raging hormones . . . they have a lot on their plate all at the same time,” she explained.

Rural challenges

Beyond the challenges that have arisen from the prolonged isolation youth experienced during the pandemic, there are additional factors contributing to youth mental health struggles in the Pontiac.
Tomkinson said the lack of support services in the region makes it difficult for youth, many of whom are already feeling isolated, to get the help they need.
She gave the example of making a call to social services by way of Quebec’s general healthcare 8-1-1 phone line.

“They have a quick initial response, and you’re able to speak with somebody, but sometimes what happens is the followthrough just isn’t there because of the lack of employment or the lack of service,” Tomkinson said, adding that accessing services in English can sometimes be another challenge altogether.
Sid Sharpe is a member of the MRC Pontiac youth council and a student at PHS.
They say they know a peer who was recently referred by a social worker to see a psychologist, only to find the wait-list they had been placed on was three years long.
“It’s crazy. I think we need more support, and more than just hotlines,” Sharpe said, explaining that they felt that while helpful, hotlines seemed like they may be impersonal, without the deeper connection of a face-to-face interaction.
“People need that support, and living here, sometimes you don’t get the support that you might need,” they said.

Youth council members also raised the heightened potential for stigma around discussions of mental health in rural areas.
“It [mental health] goes so unrecognized around here,” said youth council member Ollie Côté.
“It’s such an isolated environment, it’s such a small town. It’s in the middle of nowhere, there’s not a lot of diversity here. I think we’re lacking exposure,” Côté said.
Tomkinson said that while the stigma in rural communities around mental health is not necessarily different from that which exists in urban centres, the lack of diversity in rural areas can make it feel that way.
“I think the stigma is just more apparent because there aren’t as many people with different viewpoints. In an urban area you’re always going to have different perspectives. In a rural area there’s generally going to be fewer lanes of thought,” she said.
Sharpe thinks the isolation that comes with living in a small town can contribute to youth mental health issues.
“Life is difficult growing up here, a little bit,” they said. “Everyone has different problems and different barriers and different obstacles that they’re dealing with, but I think that we all have that same sense of wanting to belong and wanting to be understood.”

Stigma decreasing

As Lunam sees it, while the pandemic undoubtedly had negative impacts on youth mental health in the Pontiac, she has since seen community members become more comfortable speaking about their challenges openly.

“There has been so much changing in the past few years to promote mental health in the Pontiac, so I do think the stigma is decreasing,” Lunam said.
Tomkinson echoed this optimism, noting that while youth face ever-evolving struggles with their mental health, she would like to think that, “societally, we are making leaps and bounds.”
“A lot of people were feeling the effects of it [the pandemic] with their mental health. I know I was,” Sharpe said.
“I think that it became a good way to talk about what we’re struggling with. I think that during the lockdown and pandemic, it was a perfect time to have that self-reflection.”
Sharpe believes that parents, teachers, and any other caring or concerned adult should have an open mind, and be willing to speak with their students, children, or youth in the area. They said they hope that discussions around mental health continue to become less stigmatized in the future, adding that they hope the youth forum makes it a little easier for local students to “start a conversation.”
“Because the first step is really hard,” they said. “Asking for help.”
‘You cannot change a kid, you can just inspire them’

David Houle’s presentation each day of the mental health forum began with a series of back-handsprings, and was interspersed with other forms of acrobatics, dance and vocals.
The vivacious 35-year-old told students that while he has enjoyed a successful career as an artist, including as a lead performer with internationally acclaimed circus, Cirque du Soleil, and as a guest dancer for the Canadian Opera Company, he is no stranger to mental health challenges.
“I really struggled in high school, I was bullied often, and after losing my mother my mental health wasn’t the best,” Houle shared during his presentation, noting that it was largely thanks to the encouragement he received from a teacher in his final year of high school that he was able to combat his own struggles with mental health, and turn his life around.

“I tell them [students], if I did it, just a small town guy from Outaouais, they can do it. I never thought I’d have the privilege to do what I do today.”
“You cannot change a kid, you can just inspire them,” he later told THE EQUITY.
Houle appeared to inspire ESSC student Talira Savard, who attended the forum on Thursday.
“I love dance, and the fact that he [Houle] put himself out there in front of a bunch of adolescents that judge a lot made me feel confident about myself, even though it was him that was on the stage,” Savard said.
“I love the fact that he didn’t care about what everybody else thought. And that he was confident in his skin,” she added.

Savard says she thinks the youth mental health forum was a good idea, as she believes many of her peers can relate to Houle’s struggle.
“This day and age, everybody is judged, everybody is down, everybody feels like they’re trapped, but at one point you have to climb back up,” she said.
“That’s the hardest thing to do, for every individual. For some it’s harder, and they need a little boost,” Savard added.
“This is the little boost that some people need.”

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Alternatives to the SPVM: The importance of low-stakes alternatives to calling 911Alternatives to the SPVM

Graphic Myriam Ouazzani

Max Moller
Local Journalism Initiative

Disclaimer: If someone is dying or in immediate danger, please call 911.

According to its 2022 activity report, the Montreal police responded to over 1.4 million calls. Over 13,000 of these calls were about domestic disturbances. The SPVM’s specialized mental health team, the Équipe de soutien aux urgences psychosociales, has responded to 14,000 calls since 2012.

These numbers pale in comparison to the calls received by non-police entities that correspond to the same issues. From April 1, 2022 to March 31, 2023, SOS, a domestic violence support line, fielded over 50,000 requests for support, and Tracom, a mental health crisis intervention centre, conducted 13,000 interventions. 

Based on these statistics, many people are reaching out to these organisations instead of the cops. But why?

Claudine Thibaudeau, SOS’s manager of support and training, said that it may be due to the high stakes associated with taking action through the police. 

“For example,” she said, “Let’s say I’m with my partner, and we live together. He hits me, and I press charges. He’s going to be arrested, he might be incarcerated, he might lose his job. That’s gonna impact me.”

Involving police can also be stressful for people without proper legal documentation. The SPVM recommends going to a hospital or local community services centres, known as CLSCs for psychological aid. But as Maria Lorelli, Tracom’s clinical administrative coordinator, pointed out, these services typically require registration with the Régie de l’assurance maladie du Québec. 

Tracom clients do not need to be registered, which allows them to help people who may not have proper legal status. They also do not need any form of medical diagnosis to receive aid. “Some of the people we see don’t want to consult, and they don’t want a diagnosis or medication,” Lorelli said.

According to Thibaudeau, another reason for people to avoid calling the SPVM is because pressing charges is not always a safe option for victims. In one such case, Nathalie Piché, a 55-year-old woman, filed domestic violence charges against her spouse with the SPVM in December 2020. After he signed a peace warrant pledging to not bother her, the charges were dropped. Later that year, Piché was killed by the same man.

The care provided by SOS and Tracom also extends beyond what the SPVM can offer. Tracom offers more than interventions, creating safety plans with people in crisis, helping them explore coping tools such as breathing and grounding exercises. SOS’s referral network covers over 4,000 organizations, such as legal aid and shelters. 

“A victim of violence will have many different needs…. [Violent partners] use anything in order to create a prison around a person. Our job is to find out, what can we do to help people break those bars?” Thibaudeau said. 

She added that SOS puts a lot of work into the prevention of domestic abuse by providing education to people who may not even be aware that they are experiencing violence. “It’s almost like a vaccine,” Thibaudeau said. “If you don’t know what subtle kinds of violence look like, you might not recognize it.”

All the people answering the calls at Tracom and SOS have backgrounds in psychology, social work, criminology, psycho-education and similar fields. Once hired, the employees go through a training process (three weeks at SOS, three months at Tracom). In contrast, the SPVM crisis training mainly consists of a mandatory two-day containment and de-escalation training program. “There are a lot of interventions that perhaps could have ended up being in a 911 call, but were diverted to something else,” Lorelli said.

SPVM online resources for domestic violence state that “if you are aware that an attacker is subject to conditions laid down by the Court […] call 911 immediately,” and that “you should speak up as soon as possible to break the cycle of abuse.”

Thibaudeau pointed out that the most crucial aspect of helping victims of intimate partner violence is to not push them into making decisions. “Violence is someone taking away your choices. To help someone, you have to do the opposite,” she said. 

SPVM resources for those experiencing mental crises also remain limited to two options. Their pamphlet on helping a loved one with a disturbed mental state lists the following: Either get the person to go in for a psychological evaluation—no further information is offered on how to do this—or try to get provisional custody over them and force them to have a psychiatric evaluation. This is a distinctly bureaucratic process that entails an applicant to state their case in front of a judge.

“It’s really hard for people to get past the shame involved with not doing well […] The shame sometimes blocks people from reaching out for help,” said Lorelli. “When family or friends call, [we] say ‘Go see that person. Talk to them, show them care, empathy, and then call us together.’”

If you or someone you know needs support, low-stake options are available.

To reach SOS, call +1 (800) 363-9010
To reach Tracom, call (514) 483-3033

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