Pubdate: Fri, 03 Mar 2006 Source: Victoria Times-Colonist (CN BC) Copyright: 2006 Times Colonist Contact: http://www.canada.com/victoriatimescolonist/ Details: http://www.mapinc.org/media/481 Author: Jim Gibson, Times Colonist Bookmark: http://www.mapinc.org/rehab.htm (Treatment) NEW CENTRE A HAVEN FOR RECOVERING ADDICTS West Coast-Style Log Residences Offer Treatment, Counselling Programs The abandoned Skeleem Recovery Centre for head injuries at Cobble Hill is undergoing a multi-million-dollar transformation into a private, residential addiction-treatment facility. The $2.5-million Cedars at Cobble Hill is expected to open mid-month, joining Nanaimo's Edgewood Treatment Centre as the only for-profit residential addiction facilities on Vancouver Island. The demand for addiction treatment surpasses what's now available from the public, non-profit or private sectors, according to Alan Campbell, director of mental health and addiction services for the Vancouver Island Health Authority (VIHA). "It's a seller's market," concedes Campbell. Clients are usually seen within days for an initial addiction assessment, but, on average, there is a a two-week waiting period for VIHA's treatment programs, says Campbell. VIHA programs are non-residential, although group or individual homes can be found for those without a support network in the community. Initially, Cedars at Cobble Hill will admit up to 12 clients, each paying $250 a day. By its third year, the target is 52 clients, says Cedars executive director Neal Berger. Apart from addiction treatment, Cedars will offer a week-long residential program for those affected by the addictions of others, and eventually week-long individualized programs to assist those with anxiety and other mood disorders. At Cedars, 20 clients are to be housed in each of three West Coast-style log residences. Much of the program is co-ed, but living accommodations are separate, reducing the chance of interpersonal relationships jeopardizing treatment. Berger sees such romances as replacing one inappropriate relationship - -- chemicals -- with another, just so those involved can feel good about themselves. "People need to achieve autonomy as an individual [first], capable of self-direction in order to feel better about themselves," says Berger. That autonomy is an essential step before individuals can reconnect with who they were before the addiction. But it's easier for those who became chemically dependent later in life than those who started using as young teens, when they had little sense of self. Reconnecting with the self may mean taking clients back to the period when they first became aware of alcohol or a drug. "They have to come to understand what they learned growing up determines who they are as adults," says Berger. In the past 30 years, Berger has been involved with seven residential treatment centres in Canada and the U.S. He and then-wife Jane Berger started Nanaimo's Edgewood in 1994 in response to forest-industry concerns about employee addiction. More recently, he has served as a consultant assisting corporations to recognize and deal with addiction in the workplace. In Canada, Berger says, addictions are estimated to account for $20 billion in lost productivity annually, which means individuals, employers and insurance companies all have a stake in successful treatment. While those in the recovery field estimate 10 to 20 per cent of the population is in need of treatment, less than five per cent of those actually receive help, says Berger. At Cedars, Berger has set out to create a treatment program that he says is not readily available in Canada, one that's tailored to the client. "One size doesn't fit all," says Berger, noting individualized programs will be determined after an initial assessment by counsellors and staff physicians certified in addiction medicine. Many treatment programs operate on a 28-day model, a time frame initially dictated by the length of time for which U.S. private insurers were prepared to pay. Berger says some clients might be ready for discharge in under 28 days, but others may require a considerably longer stay. "I don't care if someone is still here [at] 40 to 45 days, as long as staff can tell me why they're here and what's their goal," says Berger. At Cedars, according to Berger, success involves more than just doing well in residential treatment, which means clients will be discharged with referrals to local counsellors and community self-help programs. Often the family is involved, as is the employer. "For us, the treatment process is not a make-or-break deal; [it's] our ability to provide continuing care," says Berger. "If the after-care for them is good, the chances for success are relatively high." Berger is one of three partners in the treatment-centre management company leasing the upgraded and refurbished facility from three entrepreneurs, all with an interest in addiction recovery. The goal is for the Cedars to be self-sustaining and eventually profitable. Negotiations began almost two years ago with the University of B.C., which owns the 60-acre property, and the sale was finalized in August. The delay, says Berger, was to secure rezoning to subdivide 30 acres into five-acre lots to finance the restoration and furnishing of the multi-building centre. In September, restoration of the facility began - -- the property had been vandalized and overgrown since the non-profit Skeleem Centre shut down due to lack of funding in February 2003. [sidebar] ADDICTION RESOURCES A MIX OF PUBLIC, PRIVATE PROGRAMS Help is available for those dealing with addictions on Vancouver Island, but it's rarely available the moment it's needed. One place to start is your family doctor, but even a doctor's appointment can take a day or two. In the blue pages of the phone book under "Health Authorities," you'll find a listing for addiction inquiries. Call 370-8175 in Victoria, 709-3040 in Duncan, 755-3361 in Nanaimo, 724-3554 in Port Alberni, 850-5800 in Campbell River and 338-9777 in the Comox Valley. The numbers will put you in touch with the Vancouver Island Health Authority's (VIHA) services for those battling addictions. An initial assessment can usually be scheduled within a few days. However, the demand is such that admission to detox, stabilization and treatment programs can take several days to weeks. VIHA has no residential programs, but such programs are available on the Island. Not-for-profit programs include: - - Victoria's Foundation House (for adult men), established 1993, contact 480-1342, www.foundationhouse.org - - Nanaimo's Surfside Recovery House (for adult men), established 1979, contact www.surfsiderecovery.com or 250-758-5611 - - Courtney's Comox Valley Recovery Centre (for adult men), established 1976, contact 250-338-7144 or www.recoverycentre.ca For-profit residential programs include: - - Nanaimo's Edgewood Treatment Centre (co-ed adults), established 1994, contact 250-751-0111 or www.edgewood.bc.ca - - Cedars at Cobble Hill (co-ed adults), established 2006, contact 1-866-716-2006 or www.cedarsatcobblehill.com For information on B.C. treatment programs for all ages, log onto www.kaiserfoundation.ca - --- MAP posted-by: Richard Lake