New mental health program goes mobile in Surrey
SURREY – A mobile mental health program is hitting the streets of Surrey, taking aim at helping the area's most vulnerable.
The new Surrey Assertive Community Treatment (ACT) program is the first of its kind for the Fraser Health Authority.
ACT, a specialized outreach program, will take mental health support outside the walls of traditional treatment facilities, such as hospitals, to community settings that are comfortable and convenient for vulnerable and hard-to-reach clients.
The ACT team will be mobile with 75 per cent of their services delivered in settings such as a person's home, shelters, drop-in centres or parks.
Jonquil Hallgate, executive director of the Surrey Urban Mission, said this type of program is exactly what Surrey needs. “I don't think it's any secret that issues around homelessness and poverty go hand in hand with mental health issues. If you don't have access to services, you can't become well.”
Hallgate said she's particularly excited about two aspects of the program: that it's mobile and that it has extended hours.
She pointed to the extreme weather beds the mission operates.
“That starts at 7 (p.m.). By that time, all the psychiatric services are closed and we're kind of at a loss,” she said.
With the extended hours and mobility of the new ACT team, the mission will now have an efficient way to get people the help they need.
“We can call the program and ask them to come out and assess people we see who we think are in need,” she said.
Many times, Hallgate has seen people struggle with mental health issues, only to go through the revolving doors of the medical system.
“It's frustrating the number of times a person ends up in the psychiatric unit and is discharged to the street. They are healthy at that point, and there's been a significant cost to the health-care system to get them to that point,” Hallgate said.
“But a few months go by, they're not on their meds, they're on the street, perhaps using drugs, and they end up back in the hospital. We know of people who've gone through this cycle two, three, fours times in a matter of 18 months.”
Hallgate hopes the new ACT program will be able to intervene and stop the cycle.
Once up and running, Fraser Health estimates the program will be able to help 80 to 100 individuals.
Will that be enough to meet the need in Surrey? “It's a good start,” Hallgate said, but added she hopes this is just the start of an integrated service model that looks at all of the issues surrounding addictions, housing and mental health.
Lois Dixon, executive director of mental health and substance abuse services for Fraser Health, said it was easy to pick Surrey as the location for the ACT program.
“Surrey is the fastest growing population in the Fraser Health region. It's our largest community. Because ACT is a specialized, intensive model, it was easy to put it in the community that was the largest and that had a great need,” Dixon said.
Dixon said many of the patients to be helped are homeless, at-risk of being homeless or struggle with addictions. In other words, patients with serious mental health or functional impairment issues who haven't responded well to traditional services.
“We'll not only improve their health and quality of life, but also stop the revolving door to the emergency department and to lengthy hospital stays,” Dixon said.
The ACT team will include a co-ordinator, psychiatrist and 10 or more mental health staff, including social workers, nurses and mental health-care workers. Services in the program will include assessment, treatment, rehabilitation and support activities.
Dixon said this model has had great success in the many other health authorities that utilize it and it has been internationally recognized for its effectiveness.
“We're very excited,” Dixon said.
Surrey Mayor Dianne Watts said she thinks the program will help Surrey's most vulnerable citizens get the specialized care they need.
“A mobile team is more effective at connecting with those individuals who are hard to reach or need more specialized care than can be provided under the traditional model of care,” Watts said. “The program is comprehensive, convenient and innovative, and we believe it will make a real difference in our community.”
Fraser Health has committed $1.9 million annually to support the program.
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New mental health program goes mobile in Surrey