The ups and (major) downs of governance by whimsy

The provincial government made the very interesting choice over the Christmas season to buy a former air-force base near Prince George that’s been turned into an addiction treatment centre for men.

On the one hand, it’s great news. B.C. has never had anything quite like this centre before. Men can stay for up to a year in a village-style setting at the Baldy Hughes Therapeutic Community, with government footing the bill if people qualify for income assistance. That’s terrific.

On the other, it’s a striking reminder of how political and uneven the decision-making has become in B.C. Wonderful to have a new addiction resource available for British Columbians, but just a little unsettling when it happens in the same year that other addiction services are being cut across the province.

Welcome to life in a province with no social policy. Funding comes and goes based on whim and political influence, as far as I can tell. Even while the Baldy Hughes facility was launching for men with severe addictions, an effective and well-used provincial treatment centre for youth in Terrace was closing due to funding cuts. 

Political connections certainly seem to help when it comes to who’s up and who’s down. Baldy Hughes was started in late 2007 by former Liberal MLA Lorne Mayencourt. He’s no longer involved, but I have to think that being founded by a high-profile Liberal is a plus when looking for money.

But the source of funding is also a critical piece. A budget crisis among B.C.’s health authorities caused the cuts to addiction services last year. The $3 million to buy and operate Baldy Hughes is mostly coming from B.C. Housing and the Social Development Ministry.

Good news for Baldy Hughes. Less good for whatever provincial housing/welfare priorities got tossed as a result of money being routed to addiction services instead.

As for sustainability, nobody in the non-profit sector can count on that. Funding priorities can change in an instant when a province is making social policy up on the fly. That’s the real harm of political decision-making in a policy vacuum, particularly in a downturn: Anything can happen, and it rarely has anything to do with whether a service is effective and well-used.

Baldy Hughes executive director Marshall Smith says the therapeutic community has already had significant success. He’ll be releasing the data bearing that out later this month after a University of B.C. evaluation wraps up.

Seventy men are now staying at the centre, and soon there will be 90. Success is measured by ongoing sobriety, improved health and “positive citizenship,” says Smith.

“Are you employed? Are you housed? Have you stopped committing offences? Those are all measures of positive citizenship, which is unique to a therapeutic-community approach,” says Smith. “That’s a necessary thing if someone’s going to maintain their success.”

Smith has some expertise on that front. A former political aide to Ted Nebbeling, he was on the streets himself for more than three years, 2004-07, after a drug addiction took over his life. He sobered up and signed on with Mayencourt to develop the centre.

Unfortunately, the centre could turn out to be an amazing success and that still wouldn’t assure its funding. Many, many fine programs and services have folded in B.C. over the years - not because anyone was unhappy with their work, but simply because funders lost interest or found a new flavour. 

Baldy Hughes is getting $277,000 annually from B.C. Housing for operating expenses and another $610 a month from the Social Development Ministry for each resident on income assistance, up to $676,000 a year. (Those who don’t qualify for assistance pay $3,000 a month.)

It’s a pretty unusual funding envelope for addiction services. And it’s a risky one as well, because the largesse usually lasts only until somebody in the ministry decides down the line it’s time to get back to “core services.”

Addiction services should be funded just like any other kind of essential care. They’re too important to be managed in this random, poorly considered fashion.

Don’t get me wrong - I like what they’re trying to do at Baldy Hughes. The continuum of addiction services is desperately thin in B.C., and I like the idea of an abstinence-based village in the wilderness that keeps people away from their troubles long enough to forge new ways to cope.

But we’re talking about people’s lives here. We need a broad and consistent vision that holds steady long after the winds of political popularity blow over.

Things are going to get better...aren't they?

I'm on the final day of a three-day juice fast and it's raining, raining, raining, so maybe that explains why everything in the newspapers this morning just seemed like a complete bummer.
Starving bear cubs, cheap honey imports from China destroying the honey industry, sick stories of (alleged) pedophiles rigging weird broom-handle contraptions to torment young boys, the usual array of murders, assaults, fires and mixed fatalities. And the relentless drone of B.C. leadership candidates trying to get out their messages, none of which has so far given me any hope for a bright new future (Christy Clark, please stop with the tiresome talk-radio persona).
Fortunately, I did find one heartening thing to read this morning, a column in the Times Colonist by the Ottawa Citizen's Dan Gardner. I like him when he rants but I like him even better when he just lays out the cold, hard facts, as he does in this piece about our misplaced hysteria about Muslims.

Oh, news from the world can be very weird sometimes, like this story out of Kansas of nursing students posting a picture on Facebook of them posing with a human placenta.
Not a great idea, as it turns out, although I can't for the life of me understand the comments in the story that one of these young women may now be blacklisted from nursing as a result. I guess it shows poor judgment to want to get your photo taken with a placenta and share it with the world, but it doesn't seem like the kind of act that automatically rules you out of nursing.
My mom, an old nurse herself, told me that when she was a student nurse, one of the almighty-god kinds of doctors they had running the show at that time actually threw a patient's uterus at my mother after she'd had the misfortune of handing the guy the wrong instrument during a hysterectomy.
Now THAT's an act that deserves a little censure, on all kinds of fronts.

 May your new year be meaningful!

New years are interesting things. They’re basically just the rather arbitrary start to another 365 days, but I do like the sense of hope that always seems to accompany them.

If nothing else, a new year is an invitation to reflect on the old one. Unless you’re one of those rare creatures living the dream, that usually leads to some deep thinking about what needs changing in your life and in your world.  I suspect that’s what gives the new year that air of hopefulness.

Fat people resolve to get thin. Harried parents resolve to spend more time with their neglected kids. Struggling businesses resolve to have the year that changes everything. The resolutions of a new year are whatever you want them to be, but they’re virtually always about doing better.

That’s not to say that our resolutions end up happening. We all know the high failure rates of new-year resolutions. But even just thinking about the things that need to change is better than not thinking at all, and for that we ought to be grateful.

I spent three years working with women in crisis at PEERS Victoria. In the early months, I was tripping all over myself trying to understand the kinds of things that were going on in their lives and how to help them.

Fortunately, a local psychologist suggested I do some reading around the stages of change. And it all fell into place.

In that instance, I used the stages model to help me understand why people continued to use drugs harmfully even when they were completely destroying their lives doing it. But I’ve used the stages of change to think about all kinds of puzzling behaviours since then, because it’s really clarifying.

In the language of that model, the new year is essentially the preparation stage - stage three in the five-stage process. It’s the stage where you’ve recognized your problem and that something has to change, and now you’re determined to act.

Not surprisingly, the preparation stage was a profoundly hopeful period in the lives of the street-entrenched sex workers who tended to come through the doors at PEERS in my time there.

They’d gone through much adversity getting to that point, and knew that much personal work still lay ahead if they were to succeed.  But at that very moment, there was nothing but hope.

The new year has that same feeling. For at least a few days once a year, we collectively focus on problems that we’ve been thinking about for a while, and what we’re prepared to do about them. We recognize our own role in making change happen.

I like to think that people in high places experience something similar at the start of a new year. Sure, they probably swear off bad carbs and vow to do more exercise just like the rest of us; Stephen Harper definitely trimmed down over the past year. But I hope they spare a thought or two for the bigger picture.

We need our politicians, policy-makers and business leaders making resolutions. We need health-system CEOs preparing for change. We need provincial leadership candidates who can articulate more meaningful transformation for B.C. than the trivial bits and pieces put forward so far.

And it’s not just up to them. Imagine if everybody made at least one resolution for the larger world this coming year, something that they then made happen.

World peace and an end to global hunger would be really nice in 2011, but a better world is actually built one small good deed at a time. What will yours be?

For those with more traditional resolutions around weight loss and fitness, I hope you find the discipline this year to make them happen.

It’s been 28 years now since I first made exercise a permanent feature of my daily life. I’m deeply grateful for the health, strength, agility and peace of mind it continues to bring me, and for the 25 pounds I managed to lose this past year by eating better (and less).
‘Tis the season of the poet at the Times Colonist. I recommend a piece that I virtually memorized during my time at  PEERS, “Autobiography in Five Short Chapters,  by the late American singer and songwriter Portia Nelson.

Some say the poem perfectly describes the five stages of change. A toast, then, to new beginnings.

A government news release three days before Christmas is always cause for greater scrutiny, because those guys know full well the media are off their game (as are readers and viewers) in the runup to the holiday. So when you see a Dec. 22 release about the province buying former Liberal MLA Lorne Mayencourt's therapeutic village in Prince George, it's just one of those things that make you go, "Hmm."
Not that it's necessarily a bad thing that the province is taking over the addiction treatment centre. I haven't looked into this at all, so I'm definitely not trying to say there's something wrong about the deal. But I'd suggest it's worth a deeper look just to get a better understanding of how this has come to pass, and what it means to other addiction services if money that used to go to them ends up diverted to cover costs at the Baldy Hughes Therapeutic Community. 
Interesting that it's BC Housing ponying up for the project. They've also been tapped for the $20 million in capital costs to build the Pacific Family Autism Centre in Vancouver, a project put together by Vancouver power-couple Sergio and Wendy Cocchia. About $900,000 of that is being provided to the project proponents in advance so a consultant could be hired and a series of focus groups done around the province this past fall.
Again, that's not to say having a fine new autism centre for excellence is a bad thing. But is this new money, or coming out of existing services? If the private sector doesn't come up with the $34 million in funds that the autism-centre proponents are hoping for, will taxpayers soon be on the hook again for yet another private/public dream that didn't work out as planned? And at what cost to existing services?
I'm all for government funding important community services, of course. But not at the cost of other effective, efficient community services, which the province has been putting the squeeze on for a decade now. Just seems to me we need to have a conversation in B.C. about some of this, because it all feels a bit like social-service-by-political-connection at the moment.