C.B. psychiatrist shortage could force youth in crises to Halifax for care

A shortage of psychiatrists in Cape Breton could force youth incrises to travel more than fourhours to the IWK in Halifax to get help.

In a recent memo to hospital staff, the headofCape Breton'spsychiatry department said it's no longer possible for the psychiatrists to adequately treat youth and children in the ER and adult psychiatric inpatient units.

Dr. Scott Milligansaid as of Dec1., anyone underthe age of 19 requiring psychiatric care beyond what's available at outpatient clinicsshould besent to the IWK for assessment.

That recommendation hasn't been accepted yet, said theNova Scotia Health Authority.

The memo noted that there's only one part-time child and adolescentpsychiatrist and seven adult psychiatrists at the Cape Breton Regional Hospitalwhen the regionshould have closer to16.

It's the second such memo this month todrawattention to the shortage of psychiatrists inCape Breton.

"We have always done our utmost to treat these patients locally but we simply do not have the resources to provide the safe, timely and appropriate care that these young people deserve," wrote Milligan in the internalmemo dated Nov. 19.

"Youth in Cape Breton, just as youth in Halifax, deserve specialized care when required. Having fourteen or sixteen year olds on an adult psychiatric unit in Sydney is not acceptable."

Youth will slip through cracks

Dr. Margaret Fraser, who works part-time in the Cape Breton ER, said she'sworried families won't make the trek to Halifax because they can't afford it.

"I can see a lot of patients declining and saying, 'No, I'm sorry. We simply can't do that.' So I can see children slipping through the cracks. I can see children not receiving care because of this," said Fraser.

She typically sees about four youth who are experiencing a mental health crises every month, she said.

Given the three teensuicides that happened in the communityin the past year, Fraser wonders wherethe province's promise of help is.

"This is a pretty basic service child psychiatry. This is something that we absolutely should have," said Fraser.

Health authority 'still recruiting'

Nova Scotia Health Authority spokesperson Greg Boone said tapping into resources from other psychiatric units in the province is a possiblity.

"We know that we will have to adjust how we deliver some services based on the resources we currently have available, and that's not been a secretin the sense of thefact that we have vacancies and we're still recruiting," he said.

If Cape Breton youth were sent to Halifax, it would be those in emergency situations. But howlong theywait will be up to the IWK team that does the assessment, said Boone.

111-day wait in Halifax

According to the province's website,the average wait time forchild and adolescent mental health services at the IWKis almost four months. The only region with higher wait times is Cape Breton, where patients can be expected to wait about 5 months.

Todd Leader, an author and mental health and addictions consultant, saidfixing the chronic wait-time problemrequires a system-wide overhaul.

People should not have to wait until they're in crises to get help, he said.

"We draw a line and we say, 'Sorry you don't qualify,' but the result of that is we end up with like in Cape Breton now too many youth who are at a point where they potentially need that higher level of care," he said.

Leader said manyproblems thatyouth experience in mental health and addictions arepreventable if caught early.

If you are in distress or considering suicide, there are places to turn for support. Nova Scotia's Mental Health Mobile Crisis Team can be reached at 902-429-8167 or Kids Help Phone at 1-800-668-6868. The Canadian Association for Suicide Prevention also has information about where to find help.