Tag: mental health
Bob Baldwin completed the Glenrose Hospital’s Short Term Assessment Rehabilitation and Treatment program close to seven years ago. The twenty-week program saw Baldwin attending discussion groups and presentations on memory, relaxation, visualization, depression, panic attacks, and other cognitive and mental health issues. Throughout the program, he made close ties with other participants with whom he connected because they were all seniors and all living with different mental health conditions. As the program was coming to a close, he realized that the work he had begun with the START program should not just end.
“The way the program ends is shuttering and kind of cold turkey,” says Baldwin. He explains that for some, the program ending sees a significant rise in the same mental health conditions they experienced before the program. “The contrast between how good you felt at the START program and then going back to living without it was really bad for some people.”
Realizing that easing off of a mental health support program would be better than simply ending, Baldwin and other friends he had made through the START program began exploring various seniors associations and recreation centres to see what existed to continue the mental health support work. Quickly he realized none existed. “We circled around the city and ended up right back at the Glenrose Hospital,” Baldwin says with a laugh. “That’s when it became clear that we needed to create this support group for ourselves.”
Leaning on his experience in leadership and organizing from his career as a teacher, Baldwin got help from the Glenrose to form START Plus. The staff at the hospital recognized the importance of building on the foundation that had been put in place by the START program and of having it organized and administered by the very people seeking the peer support. At its largest, START Plus had between 12 to 15 seniors regularly attending the Wednesday morning meetings. Finding a permanent home for the meetings proved to be a whole new challenge for the group.
“We would meet at the Glenrose, and we moved all around the building trying to find somewhere private and quiet to hold the meetings,” recalls Baldwin. “But we realized that we would have to find somewhere different to hold our meetings if this group were to be successful.”
One of the group’s members, Marlene Jones, immediately thought of her apartment building as a good venue for the regular meetings. She has lived at Strathcona Place for the past seven years, and remembered there was a large boardroom up on the ninth floor perfect for holding private meetings. The group has been happy in this space ever since, continuing the regular meetings and even having special guests attend, such as the Alberta Seniors Advocate, Dr. Sheree Kwong See.
With the group flourishing in its meetings, the members have grown incredibly close, being able to contact each other outside of the meetings and even creating memorial plans for each other as they face the inevitability of members passing on. The group decided that (if the individual member chooses to do so) as members pass on, they would have stars placed up in the Telus World of Science in remembrance.
“There’s a connectedness to this group; even if the members aren’t around, you know you’re connected to them,” says Jones. “The group has helped break isolation, encouraged us to reconnect, and made us interested in being a part of our communities.”
The mission of START Plus can be summarized as socializing, supporting, and providing a safe place in which to talk. What’s shared amongst the group stays with the group. The trust among the members is paramount to the group’s success, and the regularity of the meetings assures them that when they need it, there will be an ear — actually many ears — to listen.
“Even if there are only two people, we’ll have a meeting,” says Jones. “There would be a lot of disappointment if a meeting were cancelled. It gives us a sense of purpose and adds to our quality of life.”
Baldwin echoes Jones’ sentiment about START Plus giving the members of the group a sense of purpose. As the group selectively looks for new members (many of whom are from the START program at the Glenrose Hospital as well) and stands ready to help establish other groups with a similar mission, Baldwin reflects on why he continues to work so diligently on this group.
“I often get asked why I put so much time into START Plus,” says Baldwin. “It’s really not an onerous job and it gives me a sense of purpose. It’s something to look forward to. There are plenty of Wednesdays when I think ‘I’d rather stay in bed.’ I’m happy, though, every time I make the effort to come out to talk, give some support, and meet with ‘my second family.’”
Jenna Toogood and Saleen Shivji walk down one of the back halls at Kiwanis Place towards the work room where they, along with the rest of their group from their Nursing 202 class, meet to discuss the day’s activities and hold different clinical services for the seniors living in the building. Today, the nursing students are hosting a blood pressure clinic. A long line stretches out from the room and down the hall of seniors looking to take advantage of the services the students are offering to help the young nurses gain some real world experience.
“I was not expecting this many people to be waiting to have their blood pressure checked,” Shivji says with a laugh.
Both Shivji and Toogood are their second year of nursing studies at the University of Alberta. They explain that their first year of studies was heavily focused on classroom lectures and that the second year is their first chance to go out into the community and put what they’ve been learning into practice. As Toogood explains, she and Shivji both had some preconceived notions as to what their experiences were going to be working in a seniors apartment and lodge.
“I really didn’t understand the difference between nursing homes and independent seniors living,” says Toogood. “I was really surprised to see how healthy and active everyone at Kiwanis Place is and my experiences here have really changed my assumptions as to what seniors and aging are like.”
Toogood and Shivji are part of just one group of seven nursing students spending their semester at Kiwanis Place. All nine GEF Seniors housing lodges are hosting nursing students for the semester, totalling more than 100 nursing students receiving their first practical health care experiences working with seniors. The students work with the seniors directly on different real world project like documenting health history and wellness clinic such as hand massages. For Toogood and Shivji, the regular daily activity they wound up enjoying most surprised them.
“I think there is this big generation gap between me and the seniors who are living here, so I love just talking with them and hearing all of their stories,” says Shivji.
“When you’re in a classroom all day, you don’t interact much with people and that therapeutic communication is so important when working as a nurse. It’s building a good relationship and a lot of trust that can do so much for a person’s health and wellbeing,” says Toogood.
The group of Nursing 202 students working at the Virginia Park lodge echo Shivji and Toogood’s sentiment on the importance of communicating with the patients. In fact, the previous week’s clinical work for the students was focused entirely on connecting with a resident and beginning the process of building trust.
“Having that good communication and connection with the resident helps the healing process,” says Carlina Allegretto, one of the students in the Virginia Park group. “It’s treating the emotional side of healing, which can have a powerful effect.”
Brook Sherwin, another student from the Virginia Park group, explains how the connections from the previous week has helped them in their more practical clinical work, which has included hand hygiene and documenting health history.
“It’s one thing to just go through a list when you’re working on someone’s health history, it’s another to actually have a connection where that trust it built and they’re willing to disclose this medical information,” says Sherwin. “Here, we’re working in a natural setting and we’re not just going through a list. The seniors we’re working with can go at their own pace.”
“Learning to communicate with older adults and having those positive connections has been helpful and is going to be important when we work as nurses,” adds Danielle Zelt, another nursing student with the Virginia Park group. “This whole experience has been about taking what we learn in textbooks and applying it to real life.”
Though Toogood and Shivji aren’t sure just yet which way their nursing careers are going to take them, both see the value in the practices that help seniors live with a better quality of life and are seeing their interests grow in seniors health. They both credit this growing interest to their work at Kiwanis Place.
“I have a new love for doing puzzles,” Shivji says with a laugh. “Working directly with people like this is a lot more fun than sitting through a lecture”
Stephanie Mahé holds six bags of yellow and orange ribbons, smiling at the hard work from the four residents at Ottewell Manor who volunteered their time and efforts for the ribbons that are a part of international World Suicide Prevention Day on September 10. The residents at Ottewell Manor are no strangers to the struggles of mental health issues and Mahé explains that the residents are able to appreciate what these ribbons means on a more personal level.
“In four days, the resident volunteers made 520 ribbons,” Mahé says. “They really love ribbon making. It’s something that not only gets them out of their rooms, it also brings them together to work on something proactive and they can share their efforts with each other.”
In 2016, Mahé, her sister-in-law Elizabeth Turnbull (Edmonton based opera singer and University of Alberta voice instructor), and a group of their friends assembled a collection of Canada-wide concerts for international World Suicide Prevention Day, calling their events Mysterious Barricades Concert Society. The concerts, which included an eclectic mix of opera singers, drummers, jazz performers, quintets, choirs, and aboriginal performers, was livestreamed around the world. Quickly following the concert’s success came audiences and performers excited to for next year’s concert, something that the Mysterious Barricades Concert Society wasn’t sure was going to happen.
“Two and a half years ago, my brother died by suicide,” Mahé explains. “Mysterious Barricades was an event to try and help my sister-in-law [Turnbull] and me heal through music. With all the excitement around the event, we knew we had to keep it going.”
The event was named after Mahé’s brother’s favourite piece of music, “Les Barricades Mysterieuse” by François Couperin. Mahe explains that her brother was so moved by the composition that he actually built his own harpsichord a couple of years before his passing.
Last year’s concert saw 12 cities throughout Canada take part and stream free concerts as part of the awareness campaign to end the stigma around mental illness. This year’s concert will see 15 cities holding concerts, from St. John’s, Newfoundland, across to Victoria, British Columbia, with performers from notable performers such as Ontario based baritone Russell Braun and University of Victoria tenor Benjamin Butterfield. In all, the livestream will go on for 21 hours with performances starting at 2:00 a.m. Mountain Time, and all performance videos will be available on the Mysterious Barricades website for a week after World Suicide Prevention Day.
“The performers are all friends from the music community and they along with all the livestreaming technicians are volunteering their time for World Suicide Prevention Day,” says Mahé. “People kept reaching out, wanting to be a part of this event and the entire operation remains all volunteer based.”
The idea for Mahé to involve the residents at Ottewell Manor (where she works as an office supervisor) stemmed from two sources: the first being that the residents used to make ribbons for breast cancer awareness and were very disappointed when that volunteer program ended for them, and the second being the close connection between Mysterious Barricades and the mental health focus driving Ottewell Manor.
“There are people living here who were physical therapists, some have Master’s degrees,” says Mahé. “These are bright and intelligent people who have so much to give still and, just like my brother, mental illness took so much away from them.”
Mahé looks ahead to the future and sees what benefits international World Suicide Prevention Day and events like Mysterious Barricades can bring. Five years from now, she hopes to see a 24-hour staffed safe house open that can be available to people who struggle with mental illness on an emergency basis.
“A place like this will help show people struggling that they are not alone,” says Mahé. “People often spend evenings sitting in hospital hallways because they need help but hospitals are at capacity. Ottewell Manor has been lucky to have such a great relationship with Alberta Health Services, but not everyone is so lucky. By having these discussions and sharing these stories we can address mental illness more and work to end the stigma.”
Kay Robertson stands off to the side of the common sitting area at Beverly Place lodge. Three tables of men and women leaning over their bingo boards are laid out in front of her. They listen carefully as she calls out the numbers and letters, never stuttering or muttering as she draws each new ball.
Calling bingo is Roberson’s favourite volunteer activity and makes up a good chunk of her very active lifestyle. At age 93, she hasn’t slowed down her volunteer efforts and was recognized by local Edmonton MP Kerry Diotte with a 2017 Volunteer Award for her hard work and dedication over many years of volunteering.
Robertson started volunteering around 44 years ago when she and her husband first moved to the Evergreen area. She volunteered with the Evergreen Community Association right up to when she moved to Porta Place Apartments in 2007. In addition to her work with the Evergreen Community Association, she volunteered with the Lauderdale community, where her son still lives. It was her work specifically with the Lauderdale community that earned her the accolade from MP Kerry Diotte. She explains that being given the award was unexpected.
“My son told me we were going for a dinner with the Lauderdale community,” Robertson recalls. “All of the sudden, they’re calling my name and giving me an award. Once the shock wore off, I got to be very happy about it.”
This wasn’t Robertson’s first recognition for her volunteerism. In 2010, the Edmonton City Council awarded Robertson with a plaque in recognition of her contributions to the Evergreen Community Association, signed by at the time Edmonton City Mayor Stephen Mandel. As great as the awards and recognitions are, what drives Robertson to keep volunteering is knowing how much other people appreciate the time and energy she gives.
“With the bingo games, for example, that’s all a lot of the players have to look forward to,” Robertson explains. “I grew up in a big family, there were ten of us girls and three boys, so I like people and I like doing things for people. I don’t expect anything back for it.”
The deep connections Robertson’s made with many of the other residents and tenants between the Beverly Place lodge and Porta Place Apartments has helped her understand many of her neighbours and community members better and has helped keep her motivated to continue volunteering. She points out that many of the stories she hears about hardships and turmoil makes her appreciate the good life that she’s had and to give back whatever she’s able to.
Though she isn’t able to volunteer with the Evergreen community or the Lauderdale community anymore (last year, she finally decided to stop driving and sold her car), she hasn’t necessarily reduced the amount she volunteers. She’s just found more around her home to do for her neighbours. Even on top of all the volunteer work she does, Robertson still finds as much time as she can to get outside.
“I’m calling bingo again on Saturday and afterward my son is picking me up and I’ll be golfing with him, my granddaughter and her husband,” Robertson lists. “We’ll get a cart and play 18 holes around the Rundle Park Golf Course. I even still have my golf clubs.”
Robertson’s energetic and active lifestyle shows what aging with a good quality of life can do for a person. When people live somewhere that allows for those opportunities to arise, they’ll give back to the community that they’re a part of. For someone like Robertson, giving back is a natural drive that helps keep her going every day.
“I have to be doing something,” Robertson says with a laugh. “I can’t sit around and stare at four walls all day. As long as I’m able, I’ll keep volunteering.”
This is a story that was published in the August 2017 edition of Edmonton Prime Times. The editor was Maurice Tougas.
In the summer of 2015, GEF Seniors Housing opened Ottewell Terrace, welcoming more than 50 seniors to their new homes and over 70 children. On the main level of Ottewell Terrace, Primrose Place Family Centre, one of Edmonton’s oldest not-for-profit daycare centres, found its new permanent home. A staple in the East Edmonton community, Primrose Place Family Centre approached GEF Seniors Housing with the idea of building a day care in Ottewell Terrace.
Next door to Ottewell Terrace are two other GEF Seniors Housing buildings: Ottewell Manor and Ottewell Place. Where Ottewell Terrace is a completely independent living apartment, Ottewell Manor and Ottewell Place both offer lodge accommodations, which means a full recreation program for the residents. GEF Seniors Housing CEO Raymond Swonek points out that it didn’t take long to make the connection between the lodge’s recreation programs and the operations at the daycare centre.
“In no time, the residents at Ottewell Place and Ottewell Manor were interacting with the children,” says Swonek. “The residents love reading to the children, taking part in arts and crafts, and just spending time with them.”
Intergenerational recreation is a trend that is picking up. More seniors associations and youth organizations are teaming up with the intent of providing meaningful connections for the populations they serve. The science and research behind intergenerational recreation programs brings up many interesting benefits.
The benefits for the children involved with intergenerational recreation include improved academic skills, better social skills, decreases in negative behaviours, and increases in social stability. Children see an increase in self-esteem, problem solving skills, and an appreciation for seniors and aging when involved with these kinds of programs.
Where the benefits for the children revolve around their development, the benefits for seniors focus on their continued health. A 2004 study in the Journal of Urban Health shows that seniors burn 20 per cent more calories per week, experienced fewer falls, were less dependent on canes and other walking aides, and had better cognitive skills. Another study from 2003 in the American Journal of Alzheimer’s Disease and other Dimentias showed that older adults with dementia or other cognitive impairments saw significant improvements in their overall mental health during interactions with children.
The social and health benefits of intergenerational programs do not surprise Shelley Sabo, Community Animator with Sage Seniors Association. Her work on Sage’s Age-ing to Sage-ing program brought together seniors and youth in Edmonton’s Beverly neighbourhood. Activities included gardening with the Little Green Thumbs program, knitting and crocheting, organizing a back-logged school library, relaxation exercises, and helping out at school events.
“Seniors have so many gifts to share with the community and it is only a gift if it is given,” says Sabo. “This project created an opportunity for many seniors to share their gifts with their community and develop some caring relationships that benefitted both the seniors and the youth.”
Age-ing to Sage-ing focused its efforts in the Beverly neighbourhood because there are a high number of seniors and children who would greatly benefit from their company. Sage’s report on Age-ing to Sage-ing points out that some of Edmonton’s diverse neighbourhoods tend to have pressing social needs among seniors and youth including poverty, multicultural and intergenerational conflict, and declining community spaces. With a focus on recognizing that seniors have many talents, skills, and gifts they can share, Sage wanted seniors to realize that they still had so much to contribute to their communities, which was a new concept to many of the seniors who participated.
“The Beverly neighbourhood has so many strengths and it is important to keep their seniors in the community,” says Sabo. “One of the seniors involved with Age-ing to Sage-ing actually contacted Schoolboard Trustee Ray Martin and started a community conversation about turning the old Rundle School into a new intergenerational community centre. At the two community conversations hosted by the Edmonton Public School Board, more than 130 people turned out at each event to share their ideas.”
The seniors in the Beverly neighbourhood also saw some connection from the Abbottsfield Youth Project with the Love Grows Here program, which paired elementary school children with seniors living at Porta Place apartments and the Beverly Place lodge on an art project. The art piece was created over five sessions between the students and the seniors and saw a gala-style unveiling for the community on December 1, 2016.
Sabo sees the intergenerational programs all over Edmonton as much more than something to help keep seniors busy. At the core of every one of the programs has been the community connection that drives people to give something more.
“I remember one senior who was suffering from depression and she decided to take part in Age-ing to Sage-ing,” says Sabo. “For her, there was nothing better than going three blocks to her neighbourhood school where she had an opportunity to give something back.”
A new bench was placed outside of Cathedral Close on June 29, 2017, and while this isn’t normally something to pay special attention to, this bench represents something more than simply somewhere to stop for a quick rest. As part of the City of Edmonton’s Hello, How Are You? campaign to address urban isolation and mental health, the Buddy Benches were developed by the City Lab as an open invitation to make a connection.
Edmonton Transportation Service (ETS) donated 20 brand new benches to be used as Buddy Benches all over Edmonton as a means to try and address social isolation. The idea is that people can stop and sit on the bench as a signal that they’re looking for someone to talk to. Anyone else can then join the person on the bench, ask how they are, and start a conversation. Most Buddy Benches are painted bright colours with the hashtag #SayHelloYeg to signal that this bench is meant for connections.
“When the bench was being installed, a lot of the tenants were asking what it was about and after I explained the Buddy Bench program they really loved the idea,” says Colleen Simpson, Assistant Manager with Cathedral Close. “We have a couple of our own benches and a gazebo on our property, but the Buddy Bench is allowing more connection with the community, which is important for a lot of people.”
Areas being targeted for Buddy Benches include high density neighbourhoods with lots of pedestrian traffic and close to seniors residential buildings. Seniors are increasingly a population at risk for social isolation and more organizations are taking steps to try and address the isolation issues and help prevent any of the adverse health effects that follow social isolation.
“In the short time the Buddy Bench has been in front of Cathedral Close, I’ve already seen a few seniors sit on it, and these are seniors I don’t recognize,” says Simpson. “People from the community are already trying to make more connections and I’m really excited to see some of the interactions happen.”
This is a story that has been included on the Capital Region Interfaith Housing Initative blog, the November – December issue of Alberta Caregiver magazine, and in the fall 2016 edition of the Community Connections newsletter.
Kim Ruzycki remembers her first visit to Ottewell Manor. She recalls touring the building, walking through the dining room and seeing all the rooms in the building that she and her neighbours would be living in. She had spent the previous year living at Rosary Hall and many of her neighbours there were also making the switch to Ottewell Manor, so she wasn’t nervous about moving. In fact, as she settled into her new home, she was surprised by what her living conditions were like.
“We can make all of our own decisions and do things for ourselves,” Ruzycki says. “But there is a strong support system here.”
Ruzycki is one of 38 residents currently living in Otewell Manor. And like all the residents at Ottewell Manor, she’s living with conditions that would make living completely independently almost impossible. Residents at Ottewell Manor live with a range of different conditions from depression and anxiety to bi-polar disorder and schizophrenia.
Ottewell Manor was built in 1962 and was a seniors lodge for many years. In 2010, negotiations between Alberta Health Services (AHS) and the Greater Edmonton Foundation Seniors Housing (GEF Seniors Housing) began with the intention of dedicating Ottewell Manor strictly for seniors struggling with mental health conditions. In May of 2012, Ottewell Manor’s first new residents started moving in.
“None of us had any background in mental health before Ottewell Manor opened,” explains Shelley Fox, Assistant Manager with GEF Seniors Housing who spends the majority of her time overseeing the operations of Ottewell Manor. “We received some training from AHS before we opened, but we also set some clear guidelines in our agreement as to where the mental health support would be coming from.”
GEF Seniors Housing’s partnership with AHS focuses on the operations and support for its residents. Therapists, case workers, and even some homecare providers work directly with GEF Seniors Housing to ensure that everyone living in Ottewell Manor is receiving the mental health support that they need.
“AHS are the experts in mental health, we know and respect that and we wouldn’t want to try and replace that,” says Lisa Bereziuk, Manager of the larger Ottewell portfolio of buildings for GEF Seniors Housing. “What we as supportive living are doing is ensuring that the other side of that quality of life equation is being met. We’re making sure that the food we serve is of the best quality, the recreation options are things our residents are interested in, that the building is clean and well taken care of, and that the day to day of living here is the best it can possibly be.”
Like all GEF Seniors Housing supportive living sites, Ottewell Manor features a full commercial kitchen with a Red Seal chef on staff, a designated recreation coordinator setting up programs for the residents, and the freedom for the residents to choose what they want to take part in.
Both Fox and Bereziuk attribute a large part of Ottewell Manor’s success to the open communication they continue to have with their partners in AHS. With each organizations’ roles so clearly defined, there’s very rarely any disconnect between them, and that helps keep the operations in Ottewell Manor running smoothly and ensures that all the residents have a great quality of life.
“Hospital visits are considerably down for our residents, and most of the time you can’t even tell our residents are living with any sort of condition,” says Fox. “The work being done here is helping a lot with breaking the current stigma around mental health. Even within GEF Seniors Housing, new staff will be hired and not realize what Ottewell Manor does and they’ll be visibly uncomfortable about it until they actually visit Ottewell Manor and see how wrong their misconceptions were. That these are just normal people who want what anyone else would want: a good quality of life.”
What’s most important for Fox and Bereziuk every day is that the residents are happy with where they live. And they get to see their efforts help people with everything from just getting comfortable with where they’re living to helping with larger issues such as hoarding. The residents often show their appreciation for what the staff with GEF Seniors Housing does for them; some a little more vibrantly than others.
“There was one resident who became especially attached to the Ottewell portfolio’s previous manager Susan Scott and during our opening this resident actually hugged [Scott] so hard that she needed to see a chiropractor afterward,” says Bereziuk with a laugh. “But I think that resident expressed what a lot of the other residents were feeling that day and still continue to feel. And when we see our residents express that level of happiness, we know we’re doing a good job at giving them a good quality of life.”