addiction

Value of community

When we hear about addiction and recovery, most of us might think of the incredibly difficult journey to achieve and then sustain sobriety. For certain, this is one reality.

That said, it’s one thing to refrain from using, and quite another to rebuild one’s life. One of Jewish Addiction Community Services’ clients told us that, although they have been in recovery for three years, they felt that their life had little meaning. Working together, we uncovered the “missing link”: their prior lifestyle had damaged, and in some cases severed, many of their connections to family and community. More importantly, that insight led to building some practical plans for reconnecting. They now report that they feel like they have turned the corner – rediscovering motivation for work, life, and being an active member of our community.

Another client, who had been using drugs for over 25 years, is now seven months sober. They recognize that Judaism’s role in their early life was important, and reconnecting to some aspect of that former life is comforting and familiar. This client attended a seder for the first time in many years and looks forward to the High Holidays.

It is no secret that community plays a crucial role in sustained recovery. The harder part is to operationalize the insight. Our role at JACS is to meet people where they are, help them find treatment, if needed, work with them to rebuild their lives, and be a link to the greater Jewish community. At the very practical level, we have helped clients connect with Tikva Housing, access the Jewish Food Bank and get financial help from Hebrew Free Loan Association. As well, working with rabbis and other agencies, we are helping individuals find ways to reconnect with a Jewish social network, support systems and the community at large.

JACS is proud that we are here to help our community. It is gratifying to know that, through education, counseling and connection, we are making a difference for those who need to know they have value and do indeed belong.

For more information about what we do, visit jacsvancouver.com.

Shelley Karrel is manager of counseling and community education at JACS Vancouver. She can be reached at [email protected].

The gift of sobriety

Pesach is approaching, and the connection to addiction is obvious – we were slaves in Egypt, we are slaves to substances and behaviours to our detriment. Sadly, we hear daily about the perils of addiction – certainly the news of the toxic drug supply and deaths as a result are constant reminders of the struggle many face.

In the same way that Pesach teaches us that the possibility of redemption exists, that the oppressed can survive and ultimately triumph over their oppressors, so too can we remain hopeful that there is a pathway out of addiction. The struggle is hard, but with perseverance and critical support along the way, recovery is certainly achievable.

Our work at JACS is multi-faceted – we meet new people weekly who are looking for recovery support and those who are not sure yet they are ready to address the struggle. We meet people wherever they are.

While the challenge is real, we wanted to share what some of our clients have told us – the gifts of sobriety.

Life is simpler – I used to have to steal to feed my addiction. It took time and I would wake up wondering when and where I would find my next “fix.” Now I celebrate each day knowing I am free of that struggle.
I feel better about who I am – I no longer have secrets that I have to keep from those I love.
I am present to my feelings – I recognize the urge to use drugs as just that – an urge. I am able to reach out for help as I need it.
I feel physically better – I appreciate my physical, mental and emotional health. Yes, it has been work and I am worth it.
I am part of a healthier community – the people I used to connect with were struggling with addiction as well. Now I surround myself with people who want to be healthy, living lives filled with meaning.
I live with purpose – by helping others who may be struggling with this challenge, or just being present to whatever I am doing or whomever I am with.
I feel the freedom to have fun – I enjoy a walk in the rain or the sun, I know that my joy and happiness is up to me.

We continue to be inspired by the clients we have the privilege of working with and supporting on their journey. May their courage and strength serve as inspiration to us all.

Wishing you a Pesach sameach!

A complex problem

In British Columbia last year, 2,272 people died from toxic drugs, according to information released last week. More than 11,000 people have died of drug toxicity in the province since a public health emergency was declared in April 2016.

While many people associate these tragic deaths with the troubles of the Downtown Eastside, the reality is that Vancouver Coastal Health – the region that includes that neighbourhood as well as much of Metro Vancouver – accounted for 14% of the drug-related deaths in the province last year. Rural communities are disproportionately affected. Most disproportionately affected of all are Indigenous communities. The First Nations Health Authority reports that, while making up 3.2% of the province’s population, First Nations people comprised 15% of all toxic drug deaths in 2021 and 2022.

It is worth remembering that, while people have died from toxic drugs on the streets, they also have died in the living rooms of our most exclusive neighbourhoods, and they have died everywhere in between.

The City of Vancouver just announced $2.8 million for the hiring of 58 mental health workers and expanded programs to address frontline issues and public safety responses, according to Mayor Ken Sim. Also, this week, a new policy went into effect in British Columbia, under which possession of some illegal drugs will not result in arrest or charges. This is an innovative effort to reconsider the problem as a health issue, not a legal one.

While there may be disagreements and concerns about the approach the city, the province and the federal government are taking on the problems that plague individuals and communities around mental health, addictions, crime and safety, there has also been a degree of unnecessary and unwelcome cynicism. Too many seem to view the problems – and the people they affect – as an inconvenience to be swept away rather than as complex social issues requiring comprehensive responses.

In the search for explanations and solutions, there has been too frequent a tendency to blame the victim, to drive through troubled neighbourhoods in our city and province and condemn not the problems, or the context of those problems, but the people they affect.

In many instances, people suffering represent the contemporary impacts of policies and practices past and present. Land acknowledgments and efforts at reconciliation mean little to nothing if they are not accompanied by truth and by compassion for the long-term effects of these wrongs. Coming to terms with the impact on Indigenous peoples of residential schools, intergenerational trauma and generalized discrimination and lack of opportunity has opened many eyes to how these historical and contemporary realities have affected communities. Perhaps we have not done as well in recognizing how these impacts manifest in individuals.

People experiencing the harms of the drug poisoning crisis, Indigenous and non-Indigenous alike, come from a place of struggle and suffering. Really, every person is impacted in some way by circumstances of their social context, as well as their experiences. Some of the problems we experience are a result of individual health or vulnerabilities and others of systemic discrimination or falling through cracks in the education system or social safety net. Whatever the causes, they each require us to come together to address them.

Of course, these issues are not at all limited to our city. Across North America and elsewhere, urban and rural communities are troubled by substance issues and other problems, including a lack of safe and affordable housing, which is foundational to individual and communal well-being. If anyone had simple answers, they would have been adopted and implemented by now. This is an enormous challenge we must attempt to address humanely, compassionately and effectively without victim-blaming.

Organizations and many individuals in the Jewish community have been committed to these issues for some time and those collective efforts reflect the core Jewish value of tikkun olam, repairing the world, but they also reflect hakaim takim imo, “you shall surely lift him [and her] up.”

The tragic statistics confirm what we already know. They are a reminder, though, that a great deal remains to be done to address the problems and to reduce the social causes of the crisis. Trying new approaches that focus on compassion and justice is a right course. They may not work. But the cost of not trying is far too high.

Talking about addiction with L

Jewish Addiction Community Services (JACS) estimates that one in six members of the Jewish community in Metro Vancouver – or more than 4,000 people – are in need of support for dealing with substance use disorder. And yet, it is a topic that many of us find hard to talk openly about.

“I grew up around alcoholism in the home. There was shame in the family that dad had a drinking problem, and it affected my childhood, there is no doubt,” said L, who had the courage to speak with the Independent about their experience with alcoholism. “My dad was an angry drunk and he’d be embarrassing in public. He didn’t show up for commitments and didn’t turn out to be a very good father. I got to the point where I didn’t count on him because I couldn’t, and I resolved that with myself at a young age.

“Yet, there was a part of his life that was enticing and rather exciting for me,” added L, now a sober member of Alcoholics Anonymous (AA) and a participant in JACS Vancouver. “When my father would pick me up on a Friday night, we would head to the bar. I thought it was something fun, better than my boring life at home.

“I would be excited to play the bar games and drink Shirley Temples, but I was way too young to be in that environment, way too young to have my views shaped by those experiences.”

Although these tavern trips took place when L was in junior high school, they considered it normal. “I didn’t realize there were no other kids in the bar. It seems weird to me now that no one objected,” L reflected.

L grew up in an environment where Judaism was not talked about much, either. “There was already a stigma within a stigma. There was a great shame about being Jewish. Being Jewish was rarely discussed, the same way Dad’s drinking was rarely discussed. Both topics became elephants in the room.

“I think what I draw from that experience is that I really believe the disease of alcoholism is genetic; it seems to run in families,” L said. “All I needed was that environment to stir up that excitement. My dad had a full wet bar at home, and I just loved it. I was drawn to it like a magnet because I associated it with fun Friday nights when Dad took us to the bar.”

L’s father’s drinking led to L’s mother divorcing him when L was 5. There remained trauma within the home – matters that were not openly discussed – and alcohol presented a means “to take the edge off.”

L established their own relationship with alcohol and began drinking and using drugs as much as possible.

“I was the perfect rebellious child,” L said. “I found ways to drink – whether stealing it from my parents’ liquor cabinet or sneaking out at night to hang out with older kids to drink. I used to hide it in my room. I kept a mason jar of whiskey in my closet.”

As L’s dependence increased so, too, did their obsession to drown out reality. “In high school, I would sneak out to drink and do drugs. I would put a trashcan beside my bed so I would have a place to throw up when returning home. This way, I wouldn’t risk waking my parents, because my bathroom was right next to their bedroom. I was pretty far gone by high school. The more I drank, the less I was interested in life around me. I dropped out of school and then left the house at 16.”

The reliance on alcohol remained for another 10 years. Family members disassociated themselves and L eventually sought help. By the time L “hit bottom,” a phrase used in AA to describe the lowest moment in an alcoholic’s drinking experience, they were “unemployed, suicidal and physically dependent on alcohol to function on a daily basis.”

“I didn’t fashion myself to be that bad, yet I didn’t have any friends left,” said L. “No social network, I was very isolated. I didn’t leave my house anymore. I didn’t check the mail. I couldn’t even go to the grocery store without being drunk or high. I ended up going to a counselor, who thought I should go to an AA meeting. I thought that sounded horrible; I was only 26. AA sounded like it was for a bunch of old men and winos who lived under a bridge. However, my counselor said, ‘It has to be better than the way you’re living now.’”

Though there were struggles initially in attending AA meetings, L picked up a desire chip (sobriety coin) in August 1997 and has not had a drink or drug since, recently celebrating 25 years of continuous sobriety. L remains active in AA, and sponsors others who are looking for relief from their alcoholism.

AA, though it often holds meetings in churches, is a non-denominational program. “I am very steeped in Alcoholics Anonymous and that’s my central connection with sobriety,” L said. “It wasn’t until a Jewish friend in AA told me about JACS that I was able to reconcile my long-standing concern with the Christian side of AA.”

After attending some JACS meetings, L felt relieved that they could talk openly about their Judaism, which had been a sticking point for L in AA. Through JACS, L was introduced to the book Twelve Jewish Steps to Recovery, by Rabbi Kerry M. Olitzky and Dr. Stuart A. Copans.

“Just reading the foreword to that book helped me better understand that AA’s founder, Bill W., was only using the God of his understanding, which happened to be based in Christianity, to write the outline for sobriety in the AA literature.”

This realization was a profound moment for L, since they always “railed against [the Christian] part of the AA program,” saying “that never felt right.”

“All of a sudden,” L said, “I realized that AA wasn’t Christian at all, only Bill’s concept of his higher power was. AA allows me to choose the concept of my own higher power, which is based in Judaism.”

Becoming more involved with JACS has opened a whole new perspective for L, which was not found in AA meetings alone. “I couldn’t be more grateful for finding this missing piece of the puzzle at JACS and for the continued support of Shelley Karrel, who runs the Vancouver chapter,” said L, who attributes this shift to becoming more involved in the Jewish community and reconnecting with their lost Judaism.

“I would not have had this spiritual awakening without being more connected to my community and being introduced to JACS,” L said. “Being able to finally connect my sobriety with Judaism feels like coming home for me.

“When I think about my father’s demise – a sad and lonely alcoholic death – I know that could have been my fate as well. There isn’t a day that goes by without being reminded of where I came from and how grateful I am that I survived. I did not have to die by suicide, or alone with a bottle hidden away in my closet. I was given a new life. A sober life.

“Thinking about drinking is the furthest thing from my mind today,” said L. “It used to be the only thing I thought about 25 years ago. The obsession has been removed. I am completely safe and sound when it comes to alcohol now, as long as I stay active in AA and keep on the path of spiritual growth.”

For more information on available resources and support – within and beyond the Jewish community – visit jacsvancouver.com.

Sam Margolis has written for the Globe and Mail, the National Post, UPI and MSNBC.

Community milestones … Federation campaign success & Hebrew U donation

In announcing the results of the 2021 Jewish Federation of Greater Vancouver annual campaign, campaign chair Lana Marks Pulver expressed deep gratitude for the generosity of donors. Acknowledging the ongoing impacts of the pandemic, she said, “Yet, we have also seen some impressive achievements. Organizations have innovated faster and better. Volunteers have dedicated countless hours, pitching in wherever they are needed. And donors have given more generously than ever before.

“Together, we have generated $11.16 million for our community!”

The annual campaign raised $9.52 million, while $1.64 million was raised for additional support, which includes additional support for special projects, community recovery, emergency relief and donors’ multi-year commitments to Federation’s international partners.

In addition, the community raised more than $388,000 for B.C. flood relief during the campaign period. And the community has come together to generate more than $850,000 so far for Ukraine relief.

“We can all take pride in this remarkable achievement, which reflects our collective commitment to our Jewish values of tzedakah and tikkun olam (repairing the world), and our responsibility to one another,” said Marks Pulver.

“From the start of the pandemic, Jewish Federation took the lead in getting our community through to a brighter future. A successful annual campaign is a big part of our ability to do that and, as chair of the campaign, I am deeply grateful for your support.”

* * *

The Canadian Friends of the Hebrew University is pleased to announce a major gift of more than $5 million dollars from the estate of a Vancouver resident, to establish the Institute for Medical Research, Israel-Canada (IMRIC) Hub for Addiction Research at Hebrew University.

photo - Prof. Rami Aqeilan, chair of IMRIC — Prof. Rami Aqeilan, chair of IMRIC *(photo from CFHU)*

The mission of the IMRIC Hub for Addiction Research is to bring about wiser policies, better care and new treatment avenues for those struggling with addiction. This new program will focus on medical research relating to addiction, providing insights into the physical and chemical aspects of addiction, its prevention and treatment.

A silent addiction epidemic affects nearly 11% of adults (more than 615,000) in Israel. In any given year, one in five Canadians experiences a mental illness or addiction problem. Addiction can include both substance addiction (alcohol, drugs and other substances) and compulsive sexual behaviour, problematic use of pornography and problematic use of the internet. Moreover, addiction and mental health issues go hand in hand and must be addressed in tandem. Each year, addiction costs the Israeli economy approximately seven billion NIS and causes untold peripheral damage to families and communities.

“As a result of this generous gift, we at IMRIC are able to engage our best researchers in several specific research projects with diverse perspectives on addiction,” said Prof. Rami Aqeilan, chair of IMRIC. “Additionally, the hub will promote national and international interaction and foster collaboration with Canadian researchers.”

BI scholar-in-residence

Rabbi Eliezer Diamond (photo from jtsa.edu)

“I am particularly interested in the way that Torah can help us look inward. Each of the topics is about religious character formation, various ways in which we create a more godly character and personality,” said Rabbi Eliezer Diamond in a Zoom conversation with the Jewish Independent ahead of his visit to Vancouver next month.

Congregation Beth Israel will be hosting Diamond as its scholar-in-residence for three in-person talks under the collective title Making a Life of Meaning. A professor of Talmud and rabbinics at the Jewish Theological Seminary of America, in New York, Diamond will speak on Addiction and Judaism (April 28, 7:30 p.m.), the Power of Gratitude (April 29, 6 p.m., with a dinner to follow) and Seeking and Granting Forgiveness (April 30, 9:30 a.m.).

In regard to addiction, the rabbi compares the 12-step process of Alcoholics Anonymous with the laws of repentance by Maimonides and notes the parallel paths taken towards sobriety and repentance: acknowledgement, regret and acceptance.

“Not drinking and being sober are not the same thing. To recover from alcoholism, one has to change one’s way of living and thinking,” said Diamond, who discusses addiction from both a personal and professional perspective.

“I am a recovering alcoholic and I know about addiction from the inside,” he said. “Even though I am not a therapist or addiction counselor, what I can do is help people to be honest with themselves and say ‘I have a problem,’ which is an acknowledgement of the sin and a step towards repentance. It is important to help people see where they are at so that they can begin to make changes.”

It is also helpful, he added, for his rabbinical students to know that their teacher is a recovering alcoholic because there is frequently a shame involved in addiction and a sense that one is a diminished person as a result.

“I am there to say to them, those may be the cards one has been dealt. You can still be a productive human being and, if you take the steps you need to take to deal with addiction, there is no reason for shame. On the contrary, there is a reason for pride. You have been faced with a challenge and you have addressed it,” he said.

Diamond pointed out that, in a broad sense, there has been an acknowledgement in the past couple of decades within the Jewish community that Jews, like everyone else, have problems with addiction.

“We are not immune to addiction, as people think or would like to think,” he said. “In my own lifetime, the community has become more open. The founding of Jewish Addiction Community Services [JACS] is an example of that.”

In addition to Congregation Beth Israel, Diamond’s talks in Vancouver are being sponsored by JACS Vancouver, Jewish Family Services Vancouver and Jewish Federation of Greater Vancouver.

Diamond’s discussion on gratitude is tied to the teachings of Rabbi Eliyahu Eliezer Dessler, an early 20th-century leader in the mussar (Jewish ethics or values) movement, who saw giving as being at the heart of the religious personality. In Dessler’s teachings, God, by providing life, is the ultimate giver. Therefore, to follow in God’s path, we must be givers ourselves. There are times, however, when we must also be receivers, and the best way to receive is through gratitude, Diamond explained.

Expanding on the theme of gratitude, Diamond added, “Ultimately, whether or not we experience ourselves as wealthy or poor is intimately connected to finding happiness and satisfaction with what we have. If we focus on what we have and the happiness that it can bring us, then we can feel wealthy. This is a choice that all of us, especially in a first-world situation, have.”

On forgiveness, the rabbi cited Christian theologian C.S. Lewis, who spoke of the human desire to seek forgiveness yet the difficulty humans have in granting it.

“Forgiving is a hard thing to do,” said Diamond. “What does it actually mean to forgive someone? Because, unless we lobotomize ourselves, we are not going to forget what happened. The essence of what I will be talking about is the relationship between forgiveness and recognizing the essential humanity of every human being, including those who have wronged us.”

What often stands in the way of forgiveness, he said, is the inability to view another person as anything other than evil, and not as a flawed individual who has stumbled, as we all stumble. The path towards forgiveness, according to Diamond, is to make that distinction.

Amid social and political divisiveness, which causes rifts in families and communities, Diamond further emphasized the importance of being able to listen to and appreciate the inherent humanity and sincerity in belief of those with whom we may strongly disagree.

“Rabbi Diamond is one of most well-respected scholars in the Conservative movement today,” said Beth Israel’s Rabbi Jonathan Infeld. “He is exceedingly bright, knowledgeable and eloquent. He is also passionate about the human value of gratitude and the importance of recovery. Considering the fact that drug and alcohol addictions and overdoses have been less spoken about during the pandemic, we knew that Rabbi Diamond should be our first in-person scholar-in-residence since the beginning of COVID-19. We are so happy that other community agencies are joining us. We look forward to welcoming Rabbi Diamond to Vancouver and learning from this incredible rabbi.”

To register for the April 29 dinner, visit bethisrael.ca.

Sam Margolis has written for the Globe and Mail, the National Post, UPI and MSNBC.

Learning from Noah

This week, Jewish Addiction Community Services of Vancouver (JACS) is speaking across the community at various synagogues to help spread the word of how we can help those struggling with a substance use disorder. The talk centres around the weekly Torah portion, Noah, and what we can learn from it.

Who doesn’t know the story of Noah and the ark? Animals two by two, Noah saves the world.

The parashah (Torah portion) opens with: “Noah was a righteous man. He was perfect in his generation. Noah walked with God.” No wonder, then, that when God saw all the evil and sin and decided to “reboot” the system, He chose Noah as his agent on the ground.

But, there is a darker side to Noah’s personal story. The man we find at the end of the parashah is not the “perfect” man introduced to us at the outset.

The parashah tells us that, after the waters recede, the very first thing Noah does upon leaving the ark is plant a vineyard. And immediately thereafter: “He drank the wine and became drunk, and he uncovered himself in his tent.”

A casual read might lend itself to a wisecrack: after being cooped up with animals and no shower for so long, who wouldn’t crave a drink? We might chalk it up to a one-time overindulgence. But the rabbis tell us otherwise, that this digression from the central plot line is no accident. The parashah is drawing our attention to Noah’s misplaced priorities: instead of turning his energy to rebuilding and repopulating the world, his first priority was getting drunk. Thus, the rabbis consider Noah one of the first Jewish alcoholics.

And the story gets more distressing. Ham, Noah’s son, discovers his father passed out, and brings his two brothers into the mix as well, to cover their father’s naked body. The brothers are embarrassed, if not ashamed, to find their father in such a state. And, when Noah wakes up from his drunken stupor and pieces it all together, he is mortified. But instead of engaging in a moment of self-reflection, Noah channels his feelings into a rage and curses Ham and his descendants. In short, family chaos reigns, and shalom bayit (peace of the home) couldn’t be further from the truth.

This, then, is one of the earliest stories that gives rise to the saying that “addiction is a family disease” – it wreaks havoc on everyone. Through this lens, we might be tempted to judge Noah harshly for this significant failing. “How could he do such a thing?” “Did he not think of the consequences?” And, perhaps worst of all, “instead of taking responsibility for his actions he lashes out at his family? This is not OK!” At the extreme, in today’s world of uber political correctness, where cancel culture reigns, some might even be tempted to write off Noah altogether.

That said, yielding to the temptation to judge Noah would be missing the central point of the story. To be sure, Noah does not deserve a “free pass” on his behaviour, but questioning “how did this happen?” or “to what extent should we hold Noah accountable?” is of secondary importance. Far more important than “why did he do it” is “why are we surprised that he did?”

Noah was tasked by God with the responsibility for saving all species during the flood, and then repopulating the world thereafter. Is it any wonder he felt intense pressure? Let alone the significant possibility that, mixed with immense relief at being alive, Noah may have also suffered from a significant dose of survivor’s guilt.

We know that different people handle stress differently, and some end up resorting to coping mechanisms that are hugely self-destructive. Noah was in that camp. To be sure, he made some choices that ultimately led to his alcohol dependency, but, unfortunate as that may be, he was probably not the first to do so, and most certainly not the last.

At a Friday night service at Temple Sholom, Rabbi Dan Moskovitz, as part of his sermon, asked for a show of hands: how many in the sanctuary have been touched (self or a loved one) by substance abuse? The majority of hands went up. In short, our Jewish community is no different from any other subset of our world: far too many are afflicted by a substance use disorder.

This fact led to the formation a few years ago of JACS Vancouver. JACS’s mission is twofold.

First and foremost, JACS’s professional team helps individuals and their loved ones find a path to sustained recovery from substance abuse. If you or a loved one is struggling with substance abuse, JACS is here for you – no judgment, just support and a helping hand to navigate the system and get the resources you need to get better.

Second, JACS is dedicated to community awareness and education, striving to reframe the conversation around substance abuse disorders from judgment to compassion and support. To be clear, substance abuse disorder is a disease, not a choice: nobody sets out with intention to become drug- or alcohol-dependent. Yes, the individual’s path to acquiring a substance use disorder probably included some bad personal choices along the way, but how is that any different from a heart attack victim whose daily commute included hitting the Tim Hortons drive-through? Why do we judge the former, but organize meals and visits for the latter? And, of course, fear of being judged is a huge deterrent to reaching out for help.

Returning to Noah, the parashah is providing fair warning that none of us, not even the “a righteous man who walked with God” is guaranteed a smooth sailing through life (pun intended).

The Talmud teaches that “whoever saves one life saves the world entire.” What the parashah tells us is that Noah saved the world. What it teaches us is that it is our job by reaching out with compassion and understanding to help people save themselves.

For more information, visit jacsvancouver.com.

– Courtesy JACS Vancouver

COVID’s impacts on mental health

(image from bastamanography)

Purim 2020, which took place in early March, brought with it added significance. For some, it represented the last time they gathered in a Jewish setting in person, outside the home. For others, it was the first “live” service to be canceled as a result of SARS-CoV-2. In the days that ensued, lives changed as the perils of the coronavirus became apparent. School, work and religious services all moved online; personal contact with friends and family became exceedingly limited; travel, for most people, ceased.

Among the societal issues compounded by the pandemic have been increased isolation, drug dependence, and food and job insecurity. Underlying these problems has been COVID-19’s effect on mental health, including within the local Jewish community. As a result, numerous groups have stepped up their efforts to help the most vulnerable, and all those who have been impacted by the pandemic. During the past weeks, as the first anniversary of COVID-19 came and went, the Jewish Independent spoke with several people at the forefront of handling the Greater Vancouver Jewish community’s response.

At Jewish Family Services (jfsvancouver.ca), efforts to tackle mental health issues have widened, as more people have been seeking the agency’s support. Early on, JFS opened a crisis line that runs seven days a week, from 9 a.m. to 9 p.m. (604-588-5719 or [email protected], with the promise to respond within 24 hours).

“People are struggling, without a concrete end to the restrictions, and so demand for emotional support and learning different coping skills has surged. Our crisis line is always there for people who need immediate help and, for many community members, this is the easy way to connect with a counselor. If someone wants to remain anonymous, that is absolutely an option, we do not require a caller to identify themselves,” JFS chief executive officer Tanja Demajo told the Independent.

From its launch at the start of the pandemic to August 2020, the JFS Community Crisis Line received 955 calls, serving 494 individuals. Case workers spent 2,052 hours on the line. Additionally, 166 individuals accessed free programs offered by the JFS mental health and wellness team via telehealth and video conference – a 40% increase compared to pre-COVID times.

“Many are struggling with the added role of being a caregiver in the pandemic context, as well as dealing with their own emotions, so our workshops and support groups provide a community where people are able to vent, talk and support one another. We also connect people with friendly callers. These services have been a lifeline for many of our clients,” Demajo said.

A report released by the JFS client advisory committee last summer highlighted many ongoing concerns. One alarming quote from a client cited in the report reads, “COVID-19 has been depressing and frightening for me. My anxiety has been through the roof and I’ve had an increased number of panic attacks and migraines. My chronic health conditions have increased in severity and I have new ones. My nightmares and terrors have also increased.”

Prior to the pandemic, some JFS clients were already battling with mental health issues, often severe, which have been aggravated by the need to now cope with unaccustomed fears and anxieties. Some people, according to JFS, have refused to go outside, whether it be to the grocery store or outside for a walk. This problem is often felt by seniors, who, like everyone, need exercise and who confront serious health conditions such as heart disease, diabetes and high blood pressure.

Many housebound JFS clients depended on family and friends visiting for social and emotional connection before COVID hit and have been feeling deeply alone since the pandemic began. Irritability and anger are rising. Senior clients who were used to spending significant time with their grandchildren are missing them desperately. “I miss hugging my grandchildren,” is a common refrain.

Since mid-May of last year, there have been weekly depression and anxiety support group meetings with JFS’s mental health outreach therapist, Kevin Campbell. Run on Zoom, the 90-minute sessions teach coping skills and allow a safe place to talk and share. The group focuses on cognitive behavioural therapy and mindfulness techniques. JFS also has an active seniors caregivers support group led by Lily Shalev.

Not all COVID-19 developments in connection to mental health are grim, JFS notes. Due to technological developments, some of those experiencing isolation are able to access telehealth, work from home, get home deliveries and view a variety of educational and cultural offerings online, including many synagogue activities.

Jewish Addiction Community Services Vancouver (jacsvancouver.com), an organization that helps community members navigate the troubles of various substance abuse issues, has held one-on-one meetings on Zoom ever since COVID started.

“Clients seem to like this kind of individual counseling better, as it allows for greater intimacy, even though it is on Zoom,” said Shelley Karrel, manager of counseling and community education at JACS. “What people liked most about the group meeting was the getting together physically.”

To help those who would prefer to meet in person, Karrel has arranged for one-on-one socially distant coffee meetings. “What JACS has done is to make ourselves more available to someone when they want to talk, and to be able to schedule a meeting fairly quickly. As a registered clinical counselor, I am able to offer clients tools and exercises for managing their symptoms and for exploring the root causes when the issues of anxiety and depression are evident. Some of my clients are finding AA meetings helpful online. And, like with our clients, some are not using that medium for the same reason – it’s not personal enough.”

For ongoing support, JACS has a monthly email that lists many resources for people, if they want to reach out for specific help. JACS is also beginning a new program, Sustaining Recovery, that offers additional support in the form of a structured plan to help someone develop goals and be able to keep track of their progress. This plan, JACS finds, is very useful in creating accountability and support.

Inclusion services at the Jewish Community Centre of Greater Vancouver (jccgv.com/inclusion) continues to provide a number of targeted social and recreational programs intended to engage, educate and provide meaningful lifelong learning opportunities, as well as engage individuals with diverse needs. The programs are rooted in Jewish values and the principles of social connection, community building and belonging.

“Social isolation is a prevalent issue for individuals with diverse abilities [and] this reality was exacerbated by the COVID-19 shutdown,” explained Leamore Cohen, coordinator of inclusion services. “These communities have been particularly impacted by the loneliness, uncertainty and economic hardships caused by the global pandemic, leaving these individuals at higher risk for numerous health challenges. The work we do in the inclusion services department creates the needed awareness of the individuals we support. But, now more than ever, community members are looking to us for routine and engagement at a time when they are most vulnerable.”

As people have settled into life with COVID-19, “these individuals continue to be shut in and vulnerable to mental health challenges,” she added. “In response, we offer a hybrid of virtual and in-person programming throughout the week that is both accessible and safe. In-person programs adhere to best COVID practices, and our virtual offerings allow for those who are unable to attend in person to access programming and community virtually.”

The Bagel Social Club, for example, met weekly in pre-COVID times as a means to increase avenues for integration, self-reliance and wellness. The program has shifted to weekly social clubs over Zoom and a weekly Relax and Just Breathe class, which includes gentle stretching, breathing exercises and visualizations.

As the lockdown took effect last year, Jewish Federation of Greater Vancouver (jewishvancouver.com) began convening multiple stakeholder groups to determine the pandemic’s impact on many aspects of Jewish communal life. A common thread during these discussions involved concerns about the impacts of increased social isolation on seniors, families and youth. Federation also hosted several webinars on mental health for community members, related to the impacts of COVID-19.

“Through this work, we were able to identify a number of key initiatives that we could support both financially and organizationally,” said Shelley Rivkin, vice-president of global and local engagement at Federation. “These include over $170,000 in emergency funds to Jewish Family Services, part of which was used to support the emergency care line; funds for Jewish Seniors Alliance to expand their peer support program; and the organization of several webinars with community psychologists directed toward young adults, families and teens.

“The Jewish Community Foundation, Federation’s endowment program, has also supported a number of projects to enable community agencies to undertake mental health initiatives,” she added. “Support for mental health issues for both agency employees and leaders was also identified as a priority for the community recovery task force when they launched their first grant round. It will continue to be highlighted as we move into the next grant round.”

Last December, youth workers voiced concern about the mental well-being of youth and young adults. Consequently, Federation hosted a roundtable with key leaders to ascertain how community members in this age range are faring, especially when faced with so many disappointments and cancellations over the past year. Based on these conversations and others, Federation will be collaborating with these agencies to develop a community mental health strategy for children and youth.

Sam Margolis has written for the Globe and Mail, the National Post, UPI and MSNBC.

Judaism and addiction

When we think of Pesach, the theme that emerges is: “We were slaves of Pharaoh in Egypt, but the Lord brought us out of Egypt with a mighty hand.” As slaves, we endured years of torture and hardship, with no choice but to obey the edicts of the Pharaoh. In essence, we were powerless. Those addicted to either drugs, alcohol or a behaviour (think gaming, gambling) are slaves as well. They are chained to a disease that has control over their lives – their brain has been kidnapped into thinking “this is what I need to live, to survive.” They no longer have freedom. Often, the notion that they can break free is beyond what they can envision.

When the Jews left Egypt, their days in the desert were a struggle. Some wondered why they left what they knew for the unknown. Yet, here they were. With manna for food, a cloud for protection, they wandered for 40 years: a long, hard journey to learn how to live with their new-found freedom.

When someone initially breaks the chains of addiction, the struggles they face are no less daunting. There is fear, a sense of loss; a feeling of, will this work? Can I be successful? Will I be better off? In essence, they can feel like they are in a desert.

To assist individuals in the precarious time of new-found freedom, JACS Vancouver has launched the Sustaining Recovery program: a wrap-around service that supports clients with individual counseling, assessment and program planning.

Working with our client, we together build and implement a personalized set of supports and tools that focus on where they are in their journey, and what specific supports they need. When the opportunity arises, we help them focus on identifying the forces, triggers and/or messages that are beneath the surface of their addiction. They learn how to make different choices, where to go for help and how to recognize that life is better, health is possible.

The path to freedom, as our ancestors found out, was not easy – nor is it for those wanting to sustain recovery from addiction. With personal willingness and commitment, and solid and constant support, success and a purposeful life is within reach.

Shelley Karrel is a registered clinical counselor, and is manager of counseling and community education at JACS Vancouver. For more information about JACS, contact [email protected].

Making safe, inclusive space

Clockwise from the top left: Tanja Demajo, Shelley Karrel, Amanda Haymond Malul and Rabbi Yechiel Baitelman participate in a JACS Vancouver panel discussion Oct. 15.

“When someone comes through the door and says, ‘I’m an addict. I’m a recovering addict,’ do they feel judged or do they feel accepted? Do they feel that we are putting them in a box, giving them a label?” asked Rabbi Yechiel Baitelman in a recent community discussion. “We have to identify the illness, there’s no question about that. But, is that the only way to view a human being? I think to respect every human being for their humanity, that’s what people are really craving – respect and love.”

Baitelman, director of Chabad Richmond, was one of three panelists on the topic Building Safe and Inclusive Spaces for Those Affected by Addiction and Mental Illness. He was joined by Tanja Demajo, chief executive officer of Jewish Family Services (JFS), and Amanda Haymond Malul, a community member in recovery, in the Oct. 15 event presented by Jewish Addiction Community Services (JACS) Vancouver. JACS Vancouver’s Shelley Karrel moderated the conversation.

Haymond Malul would like to see more community discussions on addiction and people being taught acceptance. She spoke of the need to “have support from the religious leaders of the community, from every single agency in the community, to start talking about it – make it acceptable, educate.” (See jewishindependent.ca/help-repair-the-world.)

And we need to ensure that what we are teaching is in line with our actions, said Demajo. “If we talk to children about acceptance, but we don’t actually practise that, that’s creating double standards where we talk about certain things, but that’s not what people experience,” she said. This could be damaging, she said, to people who “really need that support and want to trust.”

We must see each member of the community as a human being, said Baitelman. Love is important, but, he said, “Love is on my terms, respect is on your terms. If I love you, it’s more a reflection of who I am. But, if I respect you, it’s more of a reflection of how I see you, what you are about – and I think that’s really important. Respect the humanity. If you can love them, that’s even greater. But respect is more fundamental.”

When Karrel asked panelists for tangible ways in which people could be more accepting and inclusive, with love and respect, Demajo said agencies are overwhelmed with the number of people needing support. She said it is up to each of us to connect on a personal level with others, accepting that it will take time for them to trust us enough to share.

“You have to build a relationship, and a relationship is not built overnight,” said Demajo. “I had a client who I often think of, a person who spent a number of years [in the] Downtown Eastside being homeless, not having pretty much anything in his life…. He would come to see me … and we would speak about books, because he was a huge reader and I love reading. It took him six months until he really started talking about things that were going on in his life and what he actually needed, and we started working from there. Now, he has a regular life. He has a home. He brought his family back. He is working. So, things are in a place that he wanted … a number of years ago. Recovery is a process of being vulnerable and, so, if social services don’t have the time to invest in people, I think we are setting ourselves up for a really huge failure.”

All panelists agreed that having a drop-in centre with people who understand is absolutely essential and that, while professional support would be ideal, it is not essential. To be kind, respectful and loving, you do not need to be a professional, they said.

While there are recovery clubs in the general community, Haymond Malul said it would be great if there were also one in the Jewish community – “having a safe place for people to come and be able to drop in, and know that this is the Hillel House of Recovery,” she said.

However, having a community place might inhibit some people from coming out, due to fear of being exposed, warned Demajo. “The other piece is that I do feel that what Amanda has done tonight, speaking of her own experience and being in the community, and [talking about] some of the things that were helpful for her, is important to start with; having those opportunities to open up the conversation – not just for me, in a professional role, but from a personal place – because that is where the relationship happens. I do believe that is the core of whatever we come up with – the core is the relationship.”

Each of us is deserving of respect, regardless of our achievements, successes, failures or addictions, stressed Baitelman. “The fact that you were created by G-d makes you worthy of the highest form of respect and no judgment,” he said.

“Why would I not be involved with somebody who’s in recovery?” asked the rabbi. “After all, these people are accountable. They’re working on character development and are improving certain areas of their lives that they have the courage to acknowledge need to be corrected. They’re actively making amends with people around them. They are working on a conscious relationship with G-d rather than on other forms of success that society often judges success by. This is really an achievement.

“How many of us would like to change even one iota of our character, and people in recovery have changed more than one iota. They have made an incredible change, which is so admirable and should command respect. I think that’s part of the attitude that should be helpful in the broader community, and how we act with people, and the stigma.”

Karrel closed the discussion by giving a brief synopsis of JACS and its services. “We are working to diminish the stigma of addiction,” she told the Independent after the event. “Let’s keep this conversation going so we all feel we belong in our community.”

Rebeca Kuropatwa is a Winnipeg freelance writer.