Edmonton Social Planning Council

Category: **Resources: ESPC Documents:

  • Research Review: Addressing Indigenous Mental Health: a Journey to Reconciliation

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    The article aims to develop strategies to improve mental health systems in Indigenous communities through a two-day forum in the Regional Municipality of Wood Buffalo. The forum gathered information on what the mental health needs are for this community, and performed interviews with relevant stakeholders to understand what their concerns were. This allowed the authors to develop four key themes that would provide directions and strategies to be followed in order to improve these systems and the Indigenous lives that could benefit from them. 

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  • CM: Job Burnout: Why We Need Equitable Access to Mental Health Services 

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    By Sydney Sheloff

     

    Defining Burnout  

    “Burnout is a state of emotional, physical and mental exhaustion caused by excessive and prolonged stress” (CAMH, n.d.). While burnout is often associated with work, it is exacerbated by compounding stresses in all aspects of one’s life. Burnout has always existed, but it has been heightened by the pandemic. Work responsibilities have increased during the COVID-19 pandemic, but individuals and families have also had to deal with the stress of school and child care closures, fears surrounding the virus, increases in the cost of living, and many more stresses. All these factors compound and may lead people to feel helpless, emotionally drained, and unable to function. If not taken care of, burnout can morph into more serious mental health disorders such as anxiety or depression (CAMH, n.d.). 

    Incidents of burnout vary greatly source-to-source, and as such we do not have reliable numbers on this phenomenon. This variation likely comes from the different ways in which different studies define and measure burnout. A study by Mental Health Research Canada found 35% of Canadians are experiencing burnout at work (MHRC, 2021). Another found that 47% of Canadian workers feel exhausted on a typical workday. Yet another study found 84% of workers at Canadian organizations with 100 or more employees are suffering from career burnout, and 34% of those workers report high or extreme levels (Moore, 2022). While the numbers themselves vary considerably, they all show that burnout is prevalent in Canadian workplaces. 

    Burnout in different sectors 

    Experiences of burnout varies by occupation. Folks working on the frontlines during the pandemic face considerable stress. They are dealing with the pandemic head-on as they care for patients with COVID, while dealing with staffing and hospital bed shortages. According to Mental Health Research Canada (2021), 53% of people working in health and patient care, and 66% of nurses reported experiencing burnout. Almost a fifth (17.9%) of health care workers intend to leave their job within the next three years, 63.2% of those workers want to leave due to stress or burnout (Statistics Canada, 2022). Many folks in other caring positions struggle with burnout as well. For example, 38% of people working in education and child care reported experiencing burnout (MHRC, 2021). Teachers had to quickly adapt to teaching children online with little training, and child care workers have faced precarity in the face of centre closures. Women are overrepresented in these roles, making them more vulnerable to all these issues (Canadian Women’s Foundation, 2022). 

    Parents working from home had to work a full day while simultaneously supporting their children in online learning. Women have had to take on more of the responsibility to manage this situation during the pandemic. In a 2022 poll, almost half (48%) of mothers stated they were at their ‘breaking point’ (Canadian Women’s Foundation, 2022). In addition, having work and home in the same space blurred the boundaries between work and home life, with many people unable to “turn off” and relax at the end of the day. While reasons for and experiences of burnout vary from occupation to occupation, and situation to situation, this is an issue prevalent for almost everyone.  

    Burnout by demographics 

    Burnout also varies by demographics, with marginalized communities more likely to experience burnout. 41% of Black Canadians and 37% of South Asians reported experiencing burnout, compared to 17% of non-visible minorities (MHRC, 2021). Black and South Asian peoples were more likely to be working in ‘essential’ occupations such as nurse aides, orderlies and patient service associates (Turcotte and Savage, 2020). At the same time, Black, Indigenous, and People of Colour (BIPOC) must also contend with discrimination, feeling invalidated at work, and a pressure to do more than their coworkers (Washington, 2022). In other words, BIPOC folks working in healthcare are deemed “essential” yet continue to be treated as less-than, which has large impacts on their mental health. 

    Impacts of Burnout 

    Burnout has significant impacts on an individual’s work. People experiencing burnout feel dissatisfied with their jobs and achievements and miss more work (Salvagioni et al. 2017). They may face a lack of motivation and find it difficult to get tasks done, which impacts their effectiveness on the job (CAMH, n.d.). In more serious cases, affected individuals may want to leave work altogether. However, the impacts of burnout are not isolated to work, but reach into every facet of the lives of those effected. 

    53% of Canadians report they are unable to reasonably balance the demands of work and personal life (MHRC). In other words, Canadians are overwhelmed with the number of responsibilities they have. They may not have the time or energy to devote to their home and family lives. Being emotionally drained is a symptom of burnout (CAMH, n.d.), so this may mean that people have a hard time connecting with loved ones and relationships can get strained. Furthermore, people simply do not have the time or energy to engage in the activities that bring them joy. 

    A meta-analysis of studies about burnout found that burnout was a predicator of many physical and mental health conditions. Physical health conditions included type 2 diabetes, heart disease, prolonged fatigue, and gastrointestinal issues. Mental conditions included insomnia, depressive symptoms, and hospitalizations for mental disorders (Salvagioni et. Al. 2017). Burnout is literally making us sick.  

    A Lack of Support 

    Often, solutions for burnout focus on individual level self-care techniques. People experiencing burnout are told to socialize more, exercise, eat healthy foods, engage in relaxing activities, and disconnect after work (CAMH, n.d.., Dene, 2022). However, it isn’t that simple. In modern ‘hustle’ culture, taking time for oneself can make people feel worse, as they’ve been conditioned to think they should be productive all the time (Healthline, 2022). Some professions, such as nurses, work long, demanding hours and do not have the time or flexibility to engage in self-care activities. Encouraging people to take care of their own mental health downloads more responsibility onto already overworked people. What is truly needed is accessible and affordable mental health care. 

    Edmontonians face several barriers to accessing mental health care. A survey from the Canadian Mental Health Association found that almost a quarter (23%) of Albertans needed help for problems with their emotions, mental health, or substance use, but did not receive it. Of those who did not receive help, 47% did not know where or how to access help, 54% could not afford it, and 26% reported their insurance would not cover it. Canadian workplaces are both creating the conditions that produce burnout, and not giving employees the resources, they need to deal with it. All Canadians, regardless of their employment status, should have access to robust mental health care. Perhaps it is time we consider folding mental health care into the universal health care system. 

     

    Note: This is an excerpt from our December 2022 Community Matters, you can read the full publication here

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    Resources 

    Canadian Women’s Foundation (2022). The facts: Women and pandemics. https://canadianwomen.org/the-facts/women-and-pandemics/  

    Center for addiction and mental health (CAMH) (n.d.). Career Burnout. https://www.camh.ca/en/camh-news-and-stories/career-burnout  

    Canadian Mental Health Association (2022). Summary of Findings Mental Health Impacts of COVID-19: Round 4. https://cmha.ca/wp-content/uploads/2022/02/Key-findings-summary-UBC-round-4-Final.pdf  

    Environics Institutes (2021). Making up time: the impact of the pandemic on young adults in Canada.  

    Healthline (2022). For Many People with Anxiety, Self-Care Just Doesn’t Work. https://www.healthline.com/health/mental-health/self-care-is-hard#1  

    Mental Health Research Canada (MHRC) (2021). Psychological Health & Safety in Canadian Workplaces 

    Moore, Dene. (2022). Worker burnout is becoming endemic and it’s everyone’s job to treat it. The Globe and Mail. Worker burnout is becoming endemic and it’s everyone’s job to treat it – The Globe and Mail 

    Salvagioni, D., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L., & Andrade, S. M. (2017). Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PloS one, 12(10), e0185781. https://doi.org/10.1371/journal.pone.0185781  

    Statistics Canada (2022). Experiences of health care workers during the COVID-19 pandemic, September to November 2021. https://www150.statcan.gc.ca/n1/daily-quotidien/220603/dq220603a-eng.htm  

    Turcotte and Savage (2020). The contribution of immigrants and population groups designated as visible minorities to nurse aide, orderly and patient service associate occupations. https://www150.statcan.gc.ca/n1/pub/45-28-0001/2020001/article/00036-eng.htm 

    Washington, K. (2022). Why BIPOC Employees Are Burning Out—and What People Leaders Can Do About It. Spring Health. https://springhealth.com/blog/help-bipoc-employees-reduce-burnout/  

     

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    1. CM: Poundmaker’s Lodge and its Role in Combatting The Fear of ‘Stigma’ and its Social Violence 

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      By Siobhan Dreelan and Virginia Duran

       

      Mental Health and Wellness can have both positive and negative effects on the individual, family, community, and Nation. In today’s society, you can see people struggling with Mental Health and Wellness negatively – suicides, addictions, homelessness – however what fails to be recognized and/or addressed are the ‘stigmas’ around mental health that limit the possibilities for effective services. These existing stigmas put fear and blame on the individual, while society distances itself from those who are suffering. This is quite problematic because people don’t understand mental health and wellness, although they are quick to judge, deny, and create barriers. 

      Studies have proven that trauma has lasting impacts on people’s mental health, and trauma is experienced every day. For example, losing a job, breakups, losing a loved one, or injuries. Further, we know that intergenerational and historical traumas continue to impact the lives of Indigenous Peoples. The lasting impacts of trauma play out though addictions, chronic negativity, mental unwellness, hopelessness, poverty, violence, and more that continue to plague many people.  

      What is Poundmaker’s Lodge?  

      Poundmaker’s Lodge is a residential treatment service provider that offers two treatment programs, a 42-day program and is open to anyone over the age of 18 and a 90-day program that is structured and guided by Alberta Health Services, which focuses on life skills and is tailored for persons ages 18-24. Poundmaker’s Lodge has a medical detox centre onsite and has some harm reduction strategies particularly in the opioid dependance program. It also offers the Iskwew women’s healing lodge, where women can stay for 3 months to a year where they learn life skills, and gain support, skills and access to counselling, school, volunteer opportunities and employment.  

      Programming at Poundmaker’s Lodge is a combination of Indigenous and Western modalities, a blend of perspectives that provides a unique approach that can start where people are comfortable, provide wrap around care and involves collaborative teamwork.  

      Poundmaker’s Impact 

      Poundmaker’s Lodge works with numerous Indigenous communities who might not otherwise have access to help with substance use. These folks come from all over Treaty 6, including Saskatchewan as Treaty 6 crosses provincial borders. Folks also come from Treaties 7 and 8. Poundmaker’s Lodge offers culturally competent programming including bringing in Indigenous Elders from various different tribes and communities, recognizing that the Indigenous umbrella is broad and encompasses many different groups of people with unique perspectives, experiences and ways of knowing.  

      The idea of representation is incredibly important at Poundmaker’s Lodge, where a person can feel at home around others like themselves. Having people who walk with, and role models recovering from addictions and who talk about mental health is integral to the work of connecting with folks at Poundmaker’s Lodge as a community. As well those at Poundmaker’s Lodge advocate for reducing stigma associated with Indigenous Peoples.  

      Challenges 

      Where there is trauma, healing is the answer. Those who work at Poundmaker’s Lodge find it very difficult for the clients they serve and support to access assessments (psychiatrist), get identification, receive Alberta healthcare, obtain safe and affordable housing, access affordable therapy and medications, peer support, community, follow-up and transition support, and services for those who are hearing and visually impaired.   

      When clients come for intake, Poundmaker’s Lodge admissions team has been noticing that many of the clients are struggling with mental health, and clients have disclosed that it is difficult to get a bed at the Alberta Hospital and the Royal Alexandra Hospital for their mental health needs. It can take months for someone to see a psychiatrist, and for clients that have co-occurring disorders it is very challenging for them to address addictions when their mental health isn’t stabilized. Mental health should come first and then addiction treatment.  

      Funding continues to be a challenge. In part this is because Poundmaker’s Lodge is not recognized by funders as a cultural program. This creates barriers for folks on the Saskatchewan side of Treaty 6 gaining funding to access Poundmaker’s Lodge, because while Treaty 6 extends into Saskatchewan, the funding does not. Another example is the challenge of accessing places where Indigenous medicines can be picked when funders do not have the cultural understanding and competency to understand this is an important part of the healing process.  

      When folks leave treatment at Poundmaker’s Lodge or other community supports, there are not enough resources like housing. Often times the individual is blamed as if they are lacking or should be responsible for the entirety of their situation. The reality is it is societal pressures and factors that contribute to the continued struggles. Poundmaker’s Lodge has recovery coaches who help get people started once they leave the treatment centre and provide the bridge of support for people on their path of recovery as they reintegrate into society. 

      Indigenous Ways of Knowing 

      There are four parts to every person, the mental, emotional, physical and spiritual. Mental wellness and how it intersects with substance use can be seen in all four dimensions, and so healing must happen holistically in all four dimensions. All the quadrants are worked on during programming where clients learn to understand that there are root causes to addiction, including the numbing of trauma.  

      In addition to recognizing and incorporating the 4 quadrants, on the spiritual level the 7 directions are incorporated. Each has a value system, medicine and connectivity with things outside the self. The goal is to work towards the centre, which is the love component – where healing can happen. This further develops into a focus on the self and how actions such as a choice of kindness are the responsibility of the individual and relate to how they can connect to recognize their place and role in the community. 

      Through the Indigenous Ways of Knowing people learn to cope and co-exist with their mental health challenges, because these can continue well after substance use has been addressed.  

       

      Note: This is an excerpt from our December 2022 Community Matters, you can read the full publication here

      Did You Enjoy this Article? Please provide feedback here: Microsoft Forms 

       

      To learn more about Poundmaker’s  Lodge or if you are in need of help:  

      Phone: (780) 458-1884 Toll Free: 1-866-458-1884 Fax: (780) 459-1876 

      Intake : admissions@poundmaker.org  

      Medical Detox : detox@poundmaker.org         

      General : info@poundmaker.org 

       

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      1. Research Review – The State of Childcare Services in Canada: Towards Affordability 

        [et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_margin=”0px||0px||false|false” custom_padding=”0px||0px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row column_structure=”3_4,1_4″ use_custom_gutter=”on” _builder_version=”4.16″ _module_preset=”default” width=”100%” custom_margin=”0px||||false|false” custom_padding=”0px||0px||false|false” border_width_bottom=”1px” border_color_bottom=”#a6c942″ global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”3_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_post_title meta=”off” featured_image=”off” _builder_version=”4.16″ _module_preset=”default” title_font=”||||||||” custom_margin=”||3px|||” border_color_bottom=”#a6c942″ global_colors_info=”{}” theme_builder_area=”post_content”][/et_pb_post_title][/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_image src=”https://edmontonsocialplanning.ca/wp-content/uploads/2020/12/COLOUR-BLOCKS_spaced-300×51.png” title_text=”COLOUR BLOCKS_spaced” align=”center” _builder_version=”4.7.7″ _module_preset=”default” max_width=”100%” max_height=”75px” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”10px|0px|20px|0px|false|false” global_module=”96648″ global_colors_info=”{}” theme_builder_area=”post_content”][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure=”3_4,1_4″ use_custom_gutter=”on” make_equal=”on” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”100%” custom_margin=”0px|auto|0px|auto|false|false” custom_padding=”30px|0px|0px|0px|false|false” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”0px|0px|0px|0px|false|false” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_text _builder_version=”4.16″ _dynamic_attributes=”content” _module_preset=”default” text_font=”|600|||||||” text_text_color=”#2b303a” custom_padding=”||32px|||” global_colors_info=”{}” theme_builder_area=”post_content”]@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9kYXRlIiwic2V0dGluZ3MiOnsiYmVmb3JlIjoiIiwiYWZ0ZXIiOiIiLCJkYXRlX2Zvcm1hdCI6ImRlZmF1bHQiLCJjdXN0b21fZGF0ZV9mb3JtYXQiOiIifX0=@[/et_pb_text][et_pb_button button_url=”https://edmontonsocialplanning.ca/wp-content/uploads/2023/01/Research-Review-2.pdf” url_new_window=”on” button_text=”Download the Research Review (PDF)” _builder_version=”4.19.5″ _module_preset=”default” custom_button=”on” button_text_color=”#ffffff” button_bg_color=”#008ac1″ custom_margin=”||19px|||” custom_padding=”||5px|||” hover_enabled=”0″ global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″][/et_pb_button][et_pb_text _builder_version=”4.19.5″ text_text_color=”#2b303a” text_line_height=”1.6em” header_2_font=”||||||||” header_2_text_color=”#008ac1″ header_2_font_size=”24px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” text_orientation=”justified” width=”100%” module_alignment=”left” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”25px||||false|false” hover_enabled=”0″ locked=”off” global_colors_info=”{}” theme_builder_area=”post_content” sticky_enabled=”0″]

        The cost of childcare services has steadily risen over the years and the federal government announced an ambitious plan to decrease fees to $10 a day in all provinces and territories. There are however several considerations to analyze before this reality can take place. 

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      2. CM: How a Livable Income Impacts Mental Wellness

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        By Brett Lambert 

         

        The ability to make ends meet—which includes keeping a roof over one’s head, putting food on the table, and meeting other basic necessities—is integral for both a person’s physical and mental well-being. Whether a person’s primary source of income is from employment, or they are reliant on income support programs, everyone deserves a livable income that allows them to meet their needs, especially at a time when inflation is at an all-time high. 

        Research has shown that living in low-income is a risk factor for psychological distress. A Statistics Canada longitudinal study showed that lower incomes are significantly related to future episodes of psychological distress and that the everyday social environments of low-income Canadians were implicated in these health disparities. In addition, living in low-income means having fewer resources to cope with and mitigate these stressors. The presence of these stressors and the absence of supports have been linked to physical and mental disorders. (1) 

        If living in low-income has detrimental effects on a person’s mental health, will raising their income contribute to an improvement in mental health? The research seems to point to a resounding yes. 

        Increases to the minimum wage – which is the lowest hourly rate of pay allowed by law – has been linked with lowering suicide rates. In a study published in the Journal of Epidemiology & Community Health, the research showed that for every dollar added to the minimum wage, suicide rates among people with a high school education or less dropped by 3.4 to 5.9%. Among adults with levels of education above high school, there was no reduction in suicide rates because they would be less likely to work in lower-wage jobs. (2) 

        Within Alberta, there have been dramatic changes to the minimum wage within the last decade. Between 2015 to 2018, the minimum wage was raised incrementally each year from $10.20 per hour to eventually $15 per hour. (3) Workers who received a raise overall reported feeling more at ease with the greater financial stability. (4) With a change in government in 2019, the provincial government rolled back the minimum wage to $13 per hour for youth under the age of 18. This change to the minimum wage was particularly jeopardizing to the morale of marginalized youth striving to attain financial independence who may also be experiencing homelessness, substance abuse, and mental health issues. (5) 

        Improvements to mental health have also been linked to universal basic income—a government program that gives its citizens a set amount of money regularly to cover their living expenses with no strings attached. While basic income programs have largely been implemented regionally as pilot programs through the years, the results of these studies have shown that improvements to a population’s mental health are among the impacts of such a program. This included improved time with family and friends, a reduction in perceived stigma, and a renewed sense of hope for the future. (6) For the Ontario basic income pilot from 2018 specifically, 83% of respondents who took part in the pilot program reported feeling less stressed and anxious and 81% reported feeling more self-confident. (7) 

        Current income support programs in place within Alberta pay recipients below the poverty line, which is roughly defined as an annual income of $40,777 for a family of four or $20,289 for a single individual in Alberta. (8) For example, Assured Income for the Severely Handicapped (AISH)—which pay a maximum monthly benefit rate of $1,685 per month—does not keep pace with the cost of living. While the program is finally being re-indexed for inflation as of January 1, 2023 as a response to the price of essential goods becoming more expensive, AISH recipients are still having to catch up after more than three years of stagnant benefit rates. (9) When elected officials merely discuss making changes to the program—often to the detriment of current or future recipients—this has impacts on a recipient’s mental health. When the provincial government was considering re-evaluating eligibility for those with mental illness, recipients reported feeling their anxiety levels going up over the thought of losing their benefits. (10) 

        No matter the primary source of income people live on to make ends meet, it is clear that the amount they receive can either be a major stressor if it is inadequate or can alleviate a lot of pressure if their basic needs are met. Providing adequate and livable incomes will not necessarily solve all mental health challenges, but it will save lives. Any conversation on addressing mental health challenges needs to robustly consider the ways in which livable incomes and poverty intersect with this issue. 

         

        Note: This is an excerpt from our December 2022 Community Matters, you can read the full publication here

        Did You Enjoy this Article? Please provide feedback here: Microsoft Forms 

        References 

        1. Orpana, H.M., L. Lemyre, and R. Gravel. Statistics Canada (2009). Income and psychological distress: The role of the social environment. Health Reports. Vol. 20, no. 1 (March 2009). Pp: 21- 28. Retrieved from: https://www150.statcan.gc.ca/n1/en/pub/82-003-x/2009001/article/10772-eng.pdf?st=A55AkkD2  
        2. Kaufman, J.A., Salas-Hernández, L.K., Komro, K.A., and Livingston, M.D. (2020). Effects of increased minimum wages by unemployment rate on suicide in the USA. Journal of Epidemiology & Community Health. Vol. 70, no. 3. Pp. 219-224. https://jech.bmj.com/content/74/3/219  
        3. Government of Alberta (2020). Minimum wage expert panel. Retrieved from: https://www.alberta.ca/minimum-wage-expert-panel.aspx  
        4. Issawi, H. and Doherty, B. (2018). Alberta’s minimum-wage workers tell us what $15 an hour really means for their bottom line. Retrieved from: https://www.thestar.com/edmonton/2018/09/30/paid-in-full-albertas-low-wage-workers-mull-over-the-final-pay-bump.html  
        5. Wyton, M. (2019). ‘Difficult realities’: Vulnerable youth left in lurch by UCP cut to minimum wage, advocates say. Retrieved from: https://edmontonjournal.com/news/politics/vulnerable-youth-left-in-lurch-of-uncertain-pay-following-ucp-cuts-to-youth-minimum-wage  
        6. Wilson, N. and McDaid, S. (2021). The mental health effects of a Universal Basic Income: A synthesis of the evidence from previous pilots. Social Science & Medicine. Volume 287. https://www.sciencedirect.com/science/article/abs/pii/S0277953621007061  
        7. Ferdosi, M., McDowell, T., Lewchuk, W., and Ross, S. (2020). Southern Ontario’s Basic Income Experience. Retrieved from: https://labourstudies.mcmaster.ca/documents/southern-ontarios-basic-income-experience.pdf  
        8. Canada. Employment and Social Development Canada (2018). Opportunity for All: Canada’s First Poverty Reduction Strategy. Retrieved from: https://www.canada.ca/en/employment-social-development/programs/poverty-reduction/reports/strategy.html  
        9. Tran, P. (2022). Alberta’s government benefit programs to be re-indexed starting next year. Retrieved from: https://globalnews.ca/news/9309545/alberta-premier-danielle-smith-reindexing-aish/  
        10. Fletcher, R. (2020). What it’s like living on AISH while the government spars over its future. Retrieved from: https://www.cbc.ca/news/canada/calgary/alberta-assured-income-for-the-severely-handicapped-feature-1.5752665  

                         

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                        1. CM: The Impact of Income: Post-Secondary Students’ Mental Health

                          [et_pb_section fb_built=”1″ _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_margin=”0px||0px||false|false” custom_padding=”0px||0px||false|false” global_colors_info=”{}”][et_pb_row column_structure=”3_4,1_4″ use_custom_gutter=”on” _builder_version=”4.16″ _module_preset=”default” width=”100%” custom_margin=”0px||||false|false” custom_padding=”0px||0px||false|false” border_width_bottom=”1px” border_color_bottom=”#a6c942″ global_colors_info=”{}”][et_pb_column type=”3_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_post_title meta=”off” featured_image=”off” _builder_version=”4.16″ _module_preset=”default” title_font=”||||||||” custom_margin=”||3px|||” border_color_bottom=”#a6c942″ global_colors_info=”{}”][/et_pb_post_title][/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https://edmontonsocialplanning.ca/wp-content/uploads/2020/12/COLOUR-BLOCKS_spaced-300×51.png” title_text=”COLOUR BLOCKS_spaced” align=”center” _builder_version=”4.7.7″ _module_preset=”default” max_width=”100%” max_height=”75px” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”10px|0px|20px|0px|false|false” global_module=”96648″ global_colors_info=”{}”][/et_pb_image][/et_pb_column][/et_pb_row][et_pb_row column_structure=”3_4,1_4″ use_custom_gutter=”on” make_equal=”on” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” width=”100%” custom_margin=”0px|auto|0px|auto|false|false” custom_padding=”30px|0px|0px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”3_4″ _builder_version=”4.16″ custom_padding=”0px|0px|0px|0px|false|false” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ _dynamic_attributes=”content” _module_preset=”default” text_font=”|600|||||||” text_text_color=”#2b303a” custom_padding=”||32px|||” global_colors_info=”{}”]@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9kYXRlIiwic2V0dGluZ3MiOnsiYmVmb3JlIjoiIiwiYWZ0ZXIiOiIiLCJkYXRlX2Zvcm1hdCI6ImRlZmF1bHQiLCJjdXN0b21fZGF0ZV9mb3JtYXQiOiIifX0=@[/et_pb_text][et_pb_text _builder_version=”4.19.5″ text_text_color=”#2b303a” text_line_height=”1.6em” header_2_font=”||||||||” header_2_text_color=”#008ac1″ header_2_font_size=”24px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” text_orientation=”justified” width=”100%” module_alignment=”left” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”25px||||false|false” hover_enabled=”0″ locked=”off” global_colors_info=”{}” sticky_enabled=”0″]

                          By Alejandra Hasbun, Practicum Student 

                           

                          Income affects every aspect of a person’s life. It can alter choices in everyday decisions, for better or worse. For post-secondary students, not having enough income to meet basic needs is an extremely heavy burden to carry. Not only do they have to worry about managing the stress of school, but also about not having enough money to eat a proper meal, struggling to pay for tuition and rent, and engaging in a social life. These factors also cause time scarcity, which altogether can be so overwhelming it produces severe mental health issues for post-secondary students. 

                          Income affects food security 

                          Having a good healthy meal is strongly linked to a person being able to perform at their mental best (Firth et al., 2020). Most student diets circle around the idea of eating anything cheap and easy (Vadeboncoeur, 2015). People could argue that this is due to strict time factors, but it is also because it is the only option affordable to them. Food prices are increasing by 5 to 7 percent in 2022, making food even less accessible (Dalhousie University, 2022). Students have been struggling so much financially that they have reached out to food banks at unprecedented levels, which means they are not just looking for cheap food anymore, they are looking for food support. The University of Alberta has 200 new students requiring food bank services as of September 2022, increasing 73 percent since 2019 (Anchan, 2022). A lot of universities in Canada offer food banks for their students, which is a helpful act. However, the mere idea that a student does not have enough money to buy groceries because of how high other expenses are is outrageous. How are students expected to focus on learning when they are worried about a basic need like food? 

                          Income affects students with children 

                          People with children who study not only have to worry about sustaining themselves financially but also their families. It would be extremely hard for a person concerned about feeding their children or affording quality childcare to focus on school and manage to get good grades or stay enrolled. This will inevitably cause the overall well-being of the student to decline, and their mental health could be affected. A parent with poor mental health may struggle to provide good care for their family, which can impact the family’s overall health (Wolicki et.al., 2021). Children with no access to quality care can have an increased risk of developmental challenges, which can cause later issues in school focus and achievements (Alexander et.al., 2017). 

                          Income affects Social Life 

                          Having a healthy social life is an essential part of any human being’s life, people are wired to connect and interact with others (Penttila, 2019). Restaurants play a key role in socializing because social dining is one of the most common acts when meeting with friends. People who eat socially feel better and are closer to other people (Dunbar, 2017). If students do not have enough money to go out occasionally with friends, feelings of loneliness and isolation may increase. Now more than before, it has become a larger issue since restaurants in Canada have increased prices by over 10-15 percent, making it less accessible for students to enjoy time out with friends (Restaurants Canada, 2022). Asking students to ignore this part of their life because of a lack of income can be damaging because an active social life is important for positive well-being.  

                          Supports Available  

                          Counseling Services 

                          Most universities offer services to help students with their mental wellness. The University of Alberta has wellness support groups, free counseling and clinical services, peer support centers, and other programs to help students better handle the struggles of school and their personal lives (Mental Health Supports for Students, n.d.). 

                          While many universities offer free counselling services, the Queen’s University found only 35 percent of undergraduate students solicit help from those counseling services (Linden & Stuart, 2022). Students’ mental health is declining, as 70 percent reported feeling stressed, anxious, or isolated and 80 percent of students reported being concerned about finances (Centre of Innovation in Campus Mental Health, 2021).  

                          Then, why is it that students do not seek help? Most undergraduates are so overwhelmed with their responsibilities they do not have time to seek proper help. Some students might not know they have free counseling resources available, so they do not utilize them. Others believe that stress is normal as a student, so they don’t need or shouldn’t need any help (Eisenberg et.al., 2018). Some students and faculty are wondering why mental health measures are necessary, showing that people are still not aware of the issue (Mount Royal University, 2020). 

                          On-campus counselling centers in Alberta’s post-secondary institutions do not usually offer long-term therapy for students. If a student decides to get help beyond the initial visitation, they will be referred to an outside counseling service (Heck et. al., 2014). This becomes very challenging for the student because when trust is already built with a counselor. Having to switch therapists outside of school can be discouraging, unaffordable, and inaccessible.  

                          Financial Aid  

                          Universities offer financial aid for students, but how easy is this to obtain? Financial aid can include loans and grants, scholarships, [bursaries] and other aids (Service Canada, 2022). Loans help momentarily to get a degree and or graduate from a program, but these can have an effect after the student graduates. If the recent graduate does not get a well-paying job right after university, they can be in debt for years. A scholarship is money that does not have to be paid back. Why isn’t every student getting scholarships to pay for their education? Scholarships are based on a variety of things including GPA, athletic ability, program major, etc. (Service Canada, 2022). Scholarships, bursaries and grant applications require a lot of time to complete and there is no guarantee of being awarded. While financial aid is available, it is not accessible to all students, and it is conditional. Are universities really doing everything to help students financially?  

                          Action 

                          What can universities do to support students? Universities should have more accessible options for financial aid, options that everyone can apply for and with no strenuous process. If not, institutions and governments should implement policies to make tuition more affordable. The free counselling that schools offer often goes unnoticed and can be difficult to access, particularly for long-term needs. Counselling should be accessible long-term, as mental wellness is an ongoing process, that requires more than a momentary solution. Some universities offer more support than others, there must be more consistency so all students can have the mental health support they deserve. Students should have mental health support that is accessible, affordable, and destigmatized. Mental health and income have a strong relationship in post-secondary students; thus, institutions have a responsibility to support and develop policies and programs that alleviate financial strain.

                           

                          Alejandra Hasbun (she/her), an international student from El Salvador, possesses a strong interest in the field of human behavior and mental health advocacy. In her spare time, her passion lies in travelling and exploring the world, immersing herself in new cultures, and gaining a different understanding of the world through meeting new people.  

                           

                          Note: This is an excerpt from our December 2022 Community Matters, you can read the full publication here

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                          References: 

                          Alexander, C., Beckman, K., Macdonald, A., Renner, C., & Steward, M. (2017). Ready for life: A socio-economic analysis of early childhood education and care. The Conference Board of Canada. https://www.conferenceboard.ca/temp/3dba428b-805f-4792-9a06-743051b1b0b2/9231_Ready-for-Life_RPT.pdf 

                          Amy, J., Hollins, A., & Mudd, K. (2021, June 1). 5 reasons why students with depression don’t seek help. The Horizon. Retrieved October 4, 2022, from https://iushorizon.com/26423/opinions/5-reasons-why-students-with-depression-dont-seek-help/ 

                          Anchan, M. (2022, September 20). Campus food banks in Edmonton feeling the pinch of inflation as demand increases. CBC. Retrieved October 4, 2022, from https://www.cbc.ca/news/canada/edmonton/food-banks-canada-data-suggests-albertans-using-food-banks-more-than-ever-before-1.6631694 

                          Centre of Innovation in Campus Mental Health institutions. (2021, June). The impact of COVID-19 on post-secondary https://campusmentalhealth.ca/wp-content/uploads/2021/06/CICMH_COVID-19_Impact_Infosheet_EN.pdf  

                          Chatterjee, A., & Chatterjee, A. (2020, June). Managing through uncertain times: A study to understand the effects of conducting socio-academic life online during COVID-19. Independent Research, San Jose, California. https://psyarxiv.com/vcbrw/download?format=pdf 

                          Dalhousie University. (2022). Canada’s Food Price Report 2022. Retrieved October 21, 2022, from https://www.dal.ca/sites/agri-food/research/canada-s-food-price-report-2022.html 

                          Dunbar, R. I. M. (2017, March 11). Breaking Bread: The Functions of Social Eating. PubMed Central. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979515/  

                          Eisenberg, D., Golberstein, E., & Gollust, S. (2018). Help-Seeking and Access to Mental Health Care in a University Student Population. Medical Care. http://www-personal.umich.edu/~daneis/papers/hmpapers/help-seeking%20–%20MC%202007.pdf 

                          Firth, J., Gangwisch, J. E., Borsini, A., Wootton, R. E., & Mayer, E. A. (2020, June 29). Food and mood: how do diet and nutrition affect mental wellbeing? NCBI. Retrieved October 4, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322666/ Penttila, N. (2019, November 13). In Sync: How Humans are Hard-Wired for Social. . . Dana Foundation. Retrieved October 4, 2022, from https://dana.org/article/in-sync-how-humans-are-hard-wired-for-social-relationships/ 

                          Heck, E., Jaworska, N., DeSomma, E., Dhoopar, A. S., MacMaster, F. P., Dewey, D., & MacQueen, G. (2014, May). A Survey of Mental Health Services at Post-Secondary Institutions in Alberta. NCBI, PubMed Central. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4079139/ 

                          Linden, B., & Stuart, H. (2022, July 5). Canadian Post-Secondary Student Mental Health and Wellbeing: A Descriptive Analysis. Queen’s University. https://osf.io/4ajv6/download 

                          Mount Royal University. (2020, August 20). Tools for Success: Models for Exemplary Student Mental Health Initiatives at Alberta Post-Secondary Institutions. https://campusmentalhealth.ca/wp-content/uploads/2020/09/Tools-for-Success-Mental-Health-Toolkit.pdf  

                          Restaurants Canada. (2022, September 15). 2022 Foodservice Facts. Retrieved October 4, 2022, from https://members.restaurantscanada.org/2022/09/15/2022-foodservice-facts/  

                          Service Canada. (2022, July 27). Student aid – Canada.ca. Retrieved October 21, 2022, from https://www.canada.ca/en/services/benefits/education/student-aid.html  

                          University of Alberta. (n.d.). Mental Health Supports for Students. Retrieved October 4, 2022, from https://www.ualberta.ca/current-students/wellness/mental-health/index.html  

                          Vadeboncoeur, C. (2015, May 28). A meta-analysis of weight gain in first year university students: is freshman 15 a myth? – BMC Obesity. BioMed Central. Retrieved October 14, 2022, from https://bmcobes.biomedcentral.com/articles/10.1186/s40608-015-0051-7 

                          Wolicki, S.B., Bitsko, R.H., Cree, R.A. et al. Mental Health of Parents and Primary Caregivers by Sex and Associated Child Health Indicators. ADV RES SCI 2, 125–139 (2021). https://doi.org/10.1007/s42844-021-00037-7 

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