The past and present of mental health care

July 16, 2018 by Chris Morin, University of Saskatchewan
Erika Dyck, a U of S history professor and medical historian. Credit: University of Saskatchewan

Stories about the issues surrounding mental health care are seeing a greater prominence in the media as policy-makers, politicians and activists raise questions about the quality of care and treatment being delivered in the province and across the country.

At the same time, campaigns such as Bell Let's Talk—an initiative to promote mental education, research and awareness—are attempting to normalize what it means to struggle with mental illness.

However, Dyck, a University of Saskatchewan history professor and medical historian, said all too often there is a disconnect between the actual conversations and the overall stigma of mental health.

"So often get into the news because of some disaster—some horrific violence. So, there is a focus on fearing mental illness, and there is a long history of the notion that mental illness somehow makes people unpredictable and violent," said Dyck. "With how we talk about these issues, we often say that we need to be tolerant and accepting, yet we are still nervous about what it means when someone has a serious mental illness and how to deal with the potential for a crisis."

A Canada Research Chair and expert in the early days of LSD testing, much Dyck's research focuses on how Saskatchewan's history of psychiatry and mental health has changed, particularly since the 1950s. At that time, Saskatchewan was the epicenter of research into psychedelic drug testing, which was used to treat addictions such as alcoholism, she said. And while she points out that views in today's society may have changed enough to consider retesting LSD as a potential therapy—particularly in light of increasingly lax laws towards marijuana—there are a number of different sets of mental health issues.

Public perception of drug therapies isn't the only thing that has changed, she continued.

"The technologies have changed, the access and reliance on pharmaceuticals has changed since Medicare was introduced, and I don't think we've engaged with the idea of Medicare to allow it to evolve," said Dyck. "Looking at it historically allows us to appreciate just how much nuance went into the creation and where it ended up stopping instead of continuing that conversation."

The stigmas have also seen a drastic evolution—a subject she explores in her book Managing Madness: Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada, which traces the history of the Saskatchewan institution from a large Victorian-styled asylum to its focus on care in the community.

Written with U of S alumnus Alex Deighton, by examining the past the book aims to promote that it is the collective's responsibility to challenge present discrimination when it comes to .

"We looked at the different ways in which people articulated their experiences and where they found ways to dig in and challenge the system," said Dyck. "And by giving voices to those individuals and organizations, we are able to put a face on some of that discrimination, so it's not just discussing policies in an abstract way. We look at how difficult it is for someone to get housing if they carry those stigmas or if they are being discriminated against for how they may or may not behave."

And as to how the current conversations have changed, Dyck points to the growing number of advocates discussing issues such as income insecurity.

"There's been a lot of talk about raising the minimum wage in Saskatchewan recently, so talking about having some basic income structures in place. Of course, this isn't exactly a mental health issue, but it also is a mental health issue.

"I'm encouraged by what I am seeing in the media," she continued, "which is drawing further attention for the need to link things like anti-poverty campaigns and care."

Explore further: More mental health care alone will not stop gun violence

Related Stories

More mental health care alone will not stop gun violence

June 19, 2018
Gun violence remains a highly controversial issue in the wake of school shootings in Parkland, Florida, and other communities. At such times, politicians seem compelled to offer the public solutions.

Health insurance changes, access to care by patients' mental health status

September 6, 2017
A research letter published by JAMA Psychiatry examined access to care before the Patient Protection and Affordable Care Act (ACA) and after the ACA for patients grouped by mental health status using a scale to assess mental ...

Gender minorities have greater mental illness, disability

March 6, 2018
(HealthDay)—Gender minority Medicare beneficiaries have larger disability and mental health burdens than the general Medicare population, according to a study published online March 4 in Health Affairs.

Raising awareness of mental health issues is not enough

January 31, 2018
The profile of mental health has been raised significantly in the past few years, partly due to campaigning from mental health charities and partly due to high-profile people – from Prince Harry to Professor Green – speaking ...

Approach to childhood mental health based on Victorian values

March 21, 2017
The approaches to protecting children with mental health issues are much the same today as in Victorian and Edwardian times, new research shows.

Youth struggle with access to mental health and addictions care, study shows

August 31, 2017
People with mental illness in Manitoba have better access to family doctors and rely less on emergency departments than in four other Canadian provinces, a comparative study has found.

Recommended for you

Self-perception and reality seem to line-up when it comes to judging our own personality

December 14, 2018
When it comes to self-assessment, new U of T research suggests that maybe we do have a pretty good handle on our own personalities after all.

Levels of gene-expression-regulating enzyme altered in brains of people with schizophrenia

December 14, 2018
A study using a PET scan tracer developed at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital (MGH) has identified, for the first time, epigenetic differences between the brains of individuals ...

Researchers discover abundant source for neuronal cells

December 13, 2018
USC researchers seeking a way to study genetic activity associated with psychiatric disorders have discovered an abundant source of human cells—the nose.

Video game players frequently exposed to graphic content may see world differently

December 13, 2018
People who frequently play violent video games are more immune to disturbing images than non-players, a UNSW-led study into the phenomenon of emotion-induced blindness has shown.

New genetic clues to early-onset form of dementia

December 13, 2018
Unlike the more common Alzheimer's disease, frontotemporal dementia tends to afflict young people. It accounts for an estimated 20 percent of all cases of early-onset dementia. Patients with the illness typically begin to ...

How teens deal with stress may affect their blood pressure, immune system

December 13, 2018
Most teens get stressed out by their families from time to time, but whether they bottle those emotions up or put a positive spin on things may affect certain processes in the body, including blood pressure and how immune ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.