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

People are more honest when using a foreign tongue, research finds

August 17, 2018
New UChicago-led research suggests that someone who speaks in a foreign language is probably more credible than the average native speaker.

FDA approves brain stimulation device for OCD

August 17, 2018
(HealthDay)—A brain stimulation device to treat obsessive-compulsive disorder (OCD) has received approval for marketing Friday by the U.S. Food and Drug Administration.

Research eyes role of stress in mental illnesses

August 17, 2018
We all face stress in our lives. Even researchers seeking to understand why some people shrug it off while others face battles against disorders like depression or PTSD.

16 going on 66: Will you be the same person 50 years from now?

August 17, 2018
How much do you change between high school and retirement? The answer depends on whether you're comparing yourself to others or to your younger self.

Expecting to learn: Language acquisition in toddlers improved by predictable situations

August 16, 2018
The first few years of a child's life are crucial for learning language, and though scientists know the "when," the "how" is still up for debate. The sheer number of words a child hears is important; that number predicts ...

Letting PTSD patients choose method of treatment improves their health, quality of life: new research

August 16, 2018
Letting people with post-traumatic stress disorder (PTSD) choose between treatment methods improves their quality of life and reduces the disorder's symptoms, according to new research from Case Western Reserve University.

0 comments

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.