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Comment: Addressing the needs of individuals with brain injuries

By focusing on prevention, responsive care, and long-term support, we can build a more compassionate and sustainable system that benefits individuals and communities alike.
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In this photo provided by the University of California, San Francisco, neurosurgeon Dr. Edward Chang is reflected in a computer monitor displaying brain scans as he performs surgery at UCSF. (Barbara Ries/UCSF via AP)

A commentary by the executive director of the B.C. Brain Injury Association, who is community lead on the National Strategy of Brain Injury.

In response to the recent announcement regarding involuntary care under the Mental Health Act, I want to acknowledge the thoughtful work that has gone into developing this important strategy, aimed at supporting individuals with complex mental health and addiction challenges, including those with acquired brain injuries.

The goal of creating safer, healthier communities is one that we can all support.

However, it is crucial that the enforcement of involuntary care be reserved for only the most extreme circumstances.

To truly address the challenges faced by individuals with brain injuries and concurrent disorders, we must find a balance between crisis response and preventative care.

While securing long-term care for those with severe conditions is a necessary step, early intervention, education, and community-based support must be prioritized to prevent conditions from escalating to the point of requiring involuntary care.

Equally important is ensuring that individuals receive long-term support upon release, including access to rehabilitation, housing and community services. Without these ongoing supports, many individuals risk cycling back into crisis.

By focusing on prevention, responsive care and long-term support, we can build a more compassionate and sustainable system that benefits individuals and communities alike.

As we approach the provincial election, it is important to consider how a comprehensive provincial strategy for brain injury support and advocacy could complement the current response. Such a strategy would align closely with the objectives of Bill C-277, the National Strategy on Brain Injury Act, which proposes a national framework for brain injury support across Canada. Key elements of this strategy could include:

1. Lived experience and expertise: Forming a provincial task force made up of brain injury survivors, families, service providers and policymakers to ensure that provincial policies reflect the real needs of those impacted by brain injuries.

2. Education and prevention: Raising awareness of brain injuries, including the links between substance use and brain injuries, and reducing stigma through public campaigns.

3. Research and data collection: Supporting ongoing research on brain injury, particularly its intersections with mental health and addictions, and contributing to national databases to improve understanding and outcomes.

4. Supporting service providers: Increasing the capacity of local brain injury associations and service providers to meet the growing demands for rehabilitation and recovery services, ensuring they are equipped to offer quality care.

5. Inclusive socio-economic policies and long-term supports: Engaging ministries responsible for housing, disability, seniors and public safety to develop inclusive policies that address the comprehensive needs of brain injury survivors, especially upon release from care, ensuring access to housing, employment and community-based services.

By integrating these priorities into a provincial strategy, we can ensure that those living with brain injuries receive the care and support they deserve — both during crisis and afterward.

I encourage the government to consider these points as they continue to address this urgent issue.

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