Centres’ shutdown over holidays called symptom of underfunding
It’s bad enough a funding shortfall is forcing provincial drug-treatment centres to close over Christmas, but staff say that’s just one grim symptom of chronic underfunding at the Addictions Foundation of Manitoba.
Addicts often wait three months for drug treatment and a year to get into the methadone program. Staffing levels are stagnant, even though client numbers have increased nearly 20 per cent over the last five years. The province kiboshed a plan to hire extra staff for treatment centres, forcing many to work solo with potentially violent clients.
Come next year, the AFM will no longer be able to afford to dispatch addiction counsellors to 65 schools across the province.
And treatment-centre cooks are using coupons to save money on food.
In an interview, four front-line staff members said that, on their own, individual cuts aren’t too damaging.
Added together, though, they amount to a dramatic erosion of services for addicts at a time when the courts are ordering more people into mandatory treatment and addictions are getting more complicated.
“(AFM CEO John Borody) is just constantly putting his finger in all the dikes,” said Dave Grift, a prevention and education worker. “The AFM keeps trying to do more with no money to do it with.”
That means staff have higher caseloads, spend less time with clients and turn away people ready to get clean.
“We’re worried we’re moving to a factory style of treatment,” said Rae Kujanpaa, a community addictions worker based in Dauphin. “People are just getting rolled through.”
The AFM revealed this week it will close most of its treatment centres over Christmas to save $50,000, a move Healthy Living Minister Jim Rondeau defended Thursday. He said few people are in month-long residential treatment programs over the holidays and it makes sense to ramp up for the post-Christmas influx.
He said the NDP has boosted AFM’s budget by nearly 55 per cent over the last decade — a hefty increase.
“We continue to expand programs and make them more accessible,” said Rondeau. “We’ve been trying to get them the resources they need.”
But staff say recent increases have been eaten up by new pension contribution rules set by the province.
Salaries, mandated by union agreements, have also increased, leaving virtually no extra money to cover inflationary operating costs.
Nearly 16,000 people got treatment at the AFM’s programs in the last fiscal year. That’s up by more than 2,300 from five years ago. But staff numbers have remained static at about 280 people, said Borody.
The province recently spent $9 million on a new treatment centre in Thompson that staff called “beautiful.” But so far, the AFM hasn’t seen any extra operating funding for maintenance, to staff three extra beds or to cover a $67,000 property tax bill.
Earlier this year, the AFM hoped to make good on a long-standing promise to staff its five adult treatment centres with two residential-care workers at all times. The province kiboshed the funding request.
Addicts often suffer from mental illnesses or multiple addictions and can get violent, making it dangerous for staff and other clients. On one shift last month, a staff member working solo reported dealing with an intruder, a suicidal patient, a diabetic with dangerously low blood sugar and an incoherent client who needed an ambulance.
http://www.winnipegfreepress.com/local/addicts-out-in-cold-workers-70603952.html
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