recovery

Recovery from surgery

Don’t let anybody tell you that recovery from knee replacement surgery is a walk in the park. It’s more like a hobble through hell. A very slow, frustrating, hobble with plenty of hurdles, pain and frustration. But, also, gradual victories and milestones.

My journey started off a bit rocky. One week before my knee surgery, I was diagnosed with severe sleep apnea and had to get a CPAP machine. Getting used to that is like getting used to having someone hold a pillow over your face while you sleep. And the apparatus itself – think Hannibal Lecter. Three weeks after my knee surgery, I had a bowel obstruction and landed back in the hospital for a couple of days.

As for the actual knee surgery, I had a spinal anesthetic and a nerve block. They also gave me conscious sedation, which, quite frankly, was my new best friend. Until I felt the surgeon cut into my leg, heard the electric saw they use to cut the thigh and shin bones, and felt the hammering. An unnerving experience, to say the least, and not one I’d care to repeat.

After surgery, in the recovery room, a young woman with black-and-green hair came over and announced that she was going to take an X-ray of my knee. As she leaned over me, the lanyard around her neck swung near my face. The strap on the lanyard said “Vancouver City Morgue.” I looked around, paused for a second, and said: “So, is this what hell looks like?” She corrected the misunderstanding and said the lanyard was a joke. I suggested she might want to remove it, lest she scare the next unsuspecting patient.

As for the process of recovery – I realize that each person’s journey is different and the most important piece of advice I can give someone going into knee surgery is this: do not, I repeat do not, compare your progress to others. While some well-meaning physiotherapists and other medical professionals suggested I might want to join a Facebook support group for people who’ve had knee replacement surgery, I strongly advise against this. There are people who will boast that they achieved a 90-degree bend in their knee two days after surgery, while others will bemoan the fact that it’s been 12 weeks and they still don’t have a 90-degree bend. Everyone heals differently and comparing yourself to others will only make you feel crummy. I speak from experience. Don’t do it.

Full recovery from a knee replacement is slow – they tell you it takes anywhere from six months to a year. If you’re an impatient patient like I am, it can be hard. Take the wins where you can, be thankful for every small step forward, celebrate the successes along the way.

Part of every knee replacement is the post-surgery physiotherapy. If I had to compare it to something, it would be like having a 350-pound bodybuilder sit on your newly operated knee, while bench pressing a Ford F-150 full of cement. It is the polar opposite of a pleasant experience. My physiotherapist happens to be a tiny but extremely muscular and strong woman. She’s only doing what she’s been trained to do but, from my perspective, it’s pure torture. Her goal is to get you mobile, bending your knee and active as quickly as possible. Even if that means making you cry and scream during your half-hour sessions. I always thought I had a fairly high pain threshold, but she blew that theory out of the water right at the get-go.

To be clear, I am the most compliant patient anyone could ask for. If my physiotherapist tells me to exercise two to four times a day at home, I do it. Sometimes, it pays off, sometimes it doesn’t. That’s where the frustration comes in. But then you get to a certain point where you wake up one morning and you think, “Hey, I can do the stairs more easily now. How did that happen?” To be sure, there are countless ups and downs during the recovery. The trick is to keep your eye on the prize and know that, at the end of it all, you’ll have a knee that no longer locks or gives out on you.

Recovery would have been much harder had I not had an incredibly devoted husband who did nothing but take care of my every need for more than two months. From helping me shower to doing all the grocery shopping, cooking, cleaning, laundry, driving me to physio and doctor appointments, running errands, and taking care of many other things, Harvey was my rock. He never complained but, not surprisingly, he was exhausted. He’s 74 years old and has some medical issues of his own. More than once I suggested we get a cleaning lady, or do more food takeout, but he wouldn’t hear of it. He recently relented on the food takeout, I’m happy to report.

Here are a few things I’ve learned from this whole experience:

Give people what they need and want; not what you think they need and want.
Always express your gratitude for kind gestures, large and small.
Pay the kindness forward wherever and whenever you can.
Use whatever resources are available to keep calm, distracted and positive during the recovery process.
You don’t need to fight every fight. Choose your battles and conserve energy.
Help others as you would want to be helped.
Struggle is optional.

At age 67, I feel like the past few years, with their accompanying health challenges, have been one long audition for old age. Turns out there’s good news and bad news. The good news is that the audition is over. The bad news is that I got the starring role.

Shelley Civkin, aka the Accidental Balabusta, is a happily retired librarian and communications officer. For 17 years, she wrote a weekly book review column for the Richmond Review. She’s currently a freelance writer and volunteer.

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].

Community milestones … Duhan Kaplan, B.C. Flood Relief Fund, Community Recovery Task Force

The Committee on Teaching and Learning of the American Academy of Religion has honoured Rabbi Dr. Laura Duhan Kaplan with the 2022 Katie Geneva Cannon Excellence in Teaching Award, which recognizes the importance of teaching and celebrates outstanding teaching in the field.

Duhan Kaplan currently serves as the director of inter-religious studies and is a professor of Jewish studies at Vancouver School of Theology. The award committee was deeply impressed by her commitment to critical and trauma-informed pedagogy, meaningful interreligious dialogue and community engagement. They also noted her innovative classroom practices, including an intensive course that culminates in a public-facing conference on contemporary interfaith issues.

The American Academy of Religion, in Atlanta, Ga., is dedicated to the academic study of religion, with more than 5,000 members around the world. Its mission is to foster excellence in the academic study of religion and enhance the public understanding of religion.

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Late last fall, storms flooded the entire cities of Princeton, Merritt and Abbotsford, and many other areas across the Fraser Valley. In response to the damage and displacement caused, the Jewish Federation of Greater Vancouver was among the organizations that set up mechanisms to aid those affected.

In November 2021, Federation opened the B.C. Flood Relief Fund with a $10,000 disbursement from its emergency relief fund. Since then, thanks to the support of hundreds of donors, including funds from Jewish Federation of Victoria and Vancouver Island, more than $359,000 has been raised.

To date, $36,000 has been given to Gurdwara Dukh Nivaran Sahib (Surrey Sikh Temple) and the Guru Nanak Food Bank to offset the cost of shipping the goods to Merritt and renting a warehouse to establish a new food bank there, as well as to purchase blankets and air mattresses for people who were displaced by the flooding or lost their possessions or both.

Additionally, $50,000 has been used to purchase emergency kits for First Nations Emergency Services Society (FNESS) to distribute to 30 First Nations communities. As well, $25,000 has been directed to GiveClear to support ongoing efforts, which includes $12,000 to support displaced agricultural workers from Mexico whose belongings were lost in the floods.

On Feb. 14, Jewish Federation was one of the donors that participated in GiveClear Foundation Canada’s Celebration of Giving event at Arnold Community Church in Abbotsford. The online platform, a registered charity operated out of Abbotsford, created a quick and simple way for people and businesses to donate to local flood recovery and, so far, more than $600,000 has been raised through various campaigns facilitated by GiveClear.

Jewish Federation has formed key partnerships to maximize the impact of the B.C. Flood Relief Fund, and it takes networks both within Federation and beyond to nurture these relationships. Much of what has been accomplished in the last several months is the result of many years of ongoing efforts. Shelley Rivkin and Rabbi Philip Bregman from Federation’s office, and Nico Slobinsky and Etti Goldman at the Centre for Israel and Jewish Affairs, have done invaluable work in this area.

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In July 2020, the Jewish Federation of Greater Vancouver established the Community Recovery Task Force, chaired by Risa Levine. Combined with the emergency funds released at the start of the initial lockdown almost two years ago, Federation has distributed nearly $1,320,000 to aid community recovery from the impact of COVID.

Here is a summary of Community Recovery Fund distributions to date:

Initial grants ($593,100) addressed the immediate consequences of the pandemic on the day-to-day operations of local organizations in the areas of technology, mental health, operational losses, COVID-associated expenses, critical social services, and capacity building.
Camp grants ($111,000) helped offset the significant expenses summer camps incurred in order to meet new public health guidelines.
Capacity grants ($25,500) assisted organizations in hiring an outside facilitator to help them develop a recovery plan.
Transformation grants ($385,000) are for developing innovative and collaborative programs and services that will lead to long-term change in the community.
Transition grants ($200,000) enabled agencies to maintain stability and restore their revenue streams.

Additional funds have been distributed recently for continuing COVID needs, such as N95 masks for schools and community organizations, and small gifts to frontline community staff in special recognition of their outstanding commitment over the last year.

The task force’s final recommendation is that, when it is determined that the pandemic is truly over, if there are funds remaining, these should be used so that the community can continue to be prepared to help agencies in future crises.

A subcommittee of the task force, comprised of Levine, Candace Kwinter, Hodie Kahn, Shawn Lewis and David Porte, with additional assistance from Diane Switzer, has been formed to respond to anticipated needs as a result of the continuation of the pandemic. They will consult with Shelley Rivkin, Federation’s vice-president, global and local engagement, on the further expenditure of COVID recovery funds when new needs arise.

Federation thanks the task force – Levine, Porte, Kwinter, Kahn, Lewis, Andrew Altow, Jill Diamond, Michelle Gerber, Justin L. Segal and Isaac Thau – for their commitment, as well as Rivkin and Marcie Flom, executive director of the Jewish Community Foundation, who provided professional support to the task force, and everyone who has contributed to the Community Recovery Fund or helped in others ways.

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.

Help repair the world

I am flipping through one of my social media outlets, as I lie on my bed, cuddling my 7-month-old baby to sleep. A picture catches my eye. Garbage strewn in front of a restaurant. I look closer, puzzled as to why someone would post a picture of garbage. Then I see. Discarded needles littered amongst the garbage. I read the accompanying message. The poster says that we need to relocate addicts to a secured facility in the north. Provide them with drugs and food and medical care, but we need to get them off of our streets.

I scroll through the comments. I cringe as I read them. I see posts such as, “These people,” “Get them off of our streets,” “Decided to act against societal norms,” “Until they wish to act like proper citizens,” “Undesirables” and so much worse.

The poster is Jewish. Many of the people commenting are Jewish.

My mouth drops open. I take a sharp breath and feel a pain deep inside of me. My heart hurts. I want to cry. My hands shake. It takes all the strength I have not to respond. I am hurt and angry. I shake my head in pain.

I am a recovering alcoholic and drug addict. I haven’t had a drink or a drug in a little over 20 years.

Yes, I am one of those undesirables. So is my husband. My mother and some of my best, most cherished friends.

I was 25 years old when I found recovery. I am one of the lucky ones. I never lived on the street. I didn’t do needles. I didn’t have to experience that kind of bottom, but what being in recovery has taught me is that I am no different than those who live on the streets, than those who inject themselves with needles. Because I am an addict. Once I use, I can’t stop.

The American Psychiatric Association classifies addiction as a complex brain disease that is manifested by compulsive substance use despite harmful consequence. I have a brain disease. I will drink and drug even though it causes harm to me and those close to me. Once I use, I don’t care about anything else. I have a disease that I have to live with and battle for the rest of my life. It is painful. It is a struggle. Some days are easier than others, but the fact of the matter is, I have to live with a disease that can return at any moment. Like a person in remission from cancer.

Does the Jewish community not want me or my children because I am an addict? Am I less of a worthy Jew because of my disease? What about my children? Even as I write this, my heart is beating fast, my breathing is shaky. I think of v’ahavta l’reacha kamocha. I think of how we, as Jews, are commanded to love the stranger who dwells among us, to have one law for the stranger and the citizen, to never embarrass our fellow human beings in public, and to guard our tongues and speak no evil.

Where is the love of humankind when we classify human beings as undesirables? Where is the humanity in suggesting that we take human beings and put them into remote locations, away from civilization? Is this starting to sound familiar? Perhaps like the Shoah? When Hitler classified us Jews as undesirables? Did those Jews have a choice as to whether or not they were classified as Jews even?

I have a disease. I did not choose to be an addict. I did not know, when I drank my first drink and smoked my first joint that I would end up addicted. I was a kid. I did what almost every other teenager did. I experimented. None of my friends from high school are addicts. I am. I got it.

Addicts come from all walks of life. They are your teachers, your lawyers, your doctors, heads of companies, celebrities. They are also those living on the street and leaving their dirty needles behind. Addiction doesn’t discriminate based on your ethnicity, your socioeconomic status or your religion, yet we, as a community, want to believe that addiction doesn’t happen among our tribe. I can tell you that it does. I can also tell you that there are many Jewish addicts and their families who are afraid to come forward precisely because they are afraid that they will be looked down upon and judged as morally impaired. As undesirables.

This, to me, is morally reprehensible. We, as a community, need to act with love. Let’s help repair the world that we live in so that we can love and support all people, even when they are sick with a disease that we don’t understand. It is our duty as Jews. V’ahavta l’reacha kamocha and tikkun olam. Love your fellow as yourself and help repair what is broken.

Amanda Haymond Malul is a JACS (Jewish Addiction Community Service) Vancouver supporter.

Talking helps reduce stigma

Left to right: Peggy Allen, Shelley Karrel, Shelley Rivkin, Jordan Bowman and Howard Harowitz. (photo from JACS Vancouver)

The capacity for transformation and healing was front and centre at the event Optimism and Hope: Erasing Stigma of Mental Illness, Addiction and Homelessness.

Co-sponsored by Jewish Family Services (JFS), Tikva Housing and Jewish Addiction Community Services (JACS) Vancouver, the panel discussion on Feb. 26 was held at Temple Sholom. It featured Shelley Rivkin of the Jewish Federation of Greater Vancouver, Abbotsford entrepreneur and volunteer Peggy Allen, and Jordan Bowman of Last Door treatment and recovery centre in New Westminster.

Temple Sholom’s Rabbi Dan Moskovitz welcomed those gathered by talking about the Aleinu prayer, which, he said, asks us “to go out into the world and do what we’re praying for. And so, if I can make a request of all of us, myself included, it’s to go out from this room and to do and to share what we’ve learned and what we’ve heard tonight with our families and with our broader circle. That’s our shlichut, that’s our sacred mission, beyond just coming here today to get what we need for ourselves.”

JACS Vancouver board chair Howard Harowitz briefly described the missions of each of the event sponsors before introducing the night’s speakers, beginning with Rivkin, who shared the stories of a few community members who have been impacted by the risk of homelessness. She prefaced her remarks by saying homelessness is not limited to people living on the street or who live in shelters. Rather, the growing concern in our community is “relative homelessness, the lack of suitable, consistent and predictable housing,” she said.

She also noted that “it is not a natural equation that addiction, mental health and homelessness are faced by all people” in need. “Each person has to be approached individually and uniquely,” she said, then listed six sources of support in our community: JFS, Tikva Housing, Yaffa Housing, JACS, the Kehila Society of Richmond and the community’s synagogues.

Originally from Regina, Sask., Allen has lived in Abbotsford for a long time. She lives in an area where homeless people have gathered since the Salvation Army moved into the neighbourhood in 2004. A wife and the mother of two children, the situation was very difficult initially. She shared stories of her young granddaughter witnessing people having sex and shooting up, and of being chased out of her home by a crack addict.

“I was quite a happy person and then the homeless moved in and I changed forever,” she said. “I got angrier and angrier and angrier and I ended up making, in 15 years, I made 463 calls to the police. And they came every time and did nothing, because what are they going to do?”

Allen said she became very depressed. Then, she was invited to a meeting at city hall about the homeless. She challenged attendees to come and see the extent of the problem for themselves, and two women from Fraser Health took her up on it. Over coffee, Allen shared with them her concerns and, despite her self-described antagonism to them, they invited her to speak at a meeting of the Drug War Survivors, a peer-based user group that participates in the development of harm-reduction policies, among other things.

Reluctantly, she agreed. Expecting an audience of maybe 10 drug addicts, “there were 110 of them,” she said. “I look around and I open my mouth and I just let it all out. I don’t know what happened, it was a miracle, really. I talked about my father and I talked about him beating my mother so desperately,” waking Allen’s sister, who was told to return to bed by their mother, and did. “That’s what we were raised with,” said Allen. “I had never spoken about it, and I just let it all out,” including how she was kicked out of a school in her teens for selling drugs.

After her remarks, audience members lined up, but she didn’t know why, so she started to leave. “As I’m walking out, the first guy comes up and hugs me. They were all standing there to hug me,” she said, holding back tears.

One of the men recognized Allen from secondary school. He shared with her that he was raised with such anger that he went down the path of drugs, whereas she – who his family warned him about as a teen, since she sold drugs – did not. He said to Allen, “I see now that I, too, can change my life.”

This interaction, she said, changed her life. “I went home, and I was walking up the driveway to get the mail and this crazy lady that lived on the street and was a huge drug addict and was nasty and did not like me, she came running up my driveway swearing and yelling at me with this other guy. I was so emotional, I went running at her, I don’t know what I was going to do, and I stopped. I changed my mind. I turned around and I went home. And my life changed. Everything on our street is still happening and nothing has changed much there, except me.”

Allen started giving to the homeless. She joined the city’s Business Engagement Ambassador Project, which works to build relationships between Abbotsford residents, business owners, homeless and others to strengthen the sense of community. “What I do is I speak all over the place and raise money to help them help themselves,” she said of those who are homeless.

The project is a year-and-half old and she described it as a success. One aspect in particular that is working, she said, is that the program pays homeless people to clean up area businesses and parks.

The last speaker, Bowman, now 22 years old, has been clean for just over four years. He is a youth program support worker at Last Door, the centre at which he was set on the path of recovery.

Bowman said he had a good upbringing, went to Jewish summer camp and day schools, was into sports, has lots of friends and has a great family. Having lost his mother to cancer when he was 10, he said, “That was obviously tough, but by no means do I point my finger at that and say, ‘that’s when I started using drugs.’”

He described his life as normal, living with his dad and brother. There were no indications, he said, that he would become an addict. Addiction does not discriminate, he said, and people need to know that. His family, he said, were completely surprised to find out about his drug use and were “unversed in the topic of addiction.” Luckily, he had a cousin who works as a drug and alcohol counselor and “she saved the day” when it came to him seeking help.

At age 14, Bowman started to experiment with marijuana. He couldn’t say exactly why he started using harder drugs, but perhaps he had just gotten in with the wrong crowd. He described the process as progressive. “It went from using once in awhile to using every day, to doing whatever it takes,” he said.

“I’m not going to get too much into the things I did to get to get high every day but it definitely involved a lot of stealing from the people very close to me. It didn’t matter if you would love me, if you would hate me, if you were older, if you were younger, if I had the chance, I would try and rip you off if I was with you, and that was the reality of my life.”

From age 16 to 18, he was using opiates every day, while still going to school, while still trying to cover up that he was an addict. “I wanted help, but I didn’t,” he said. “I wanted help because I knew in my mind that I could be a better person than I’m being right now but, in the other part of my mind, I was scared and I wanted to keep getting high.”

The breaking point came when he stole a significant amount of money from his brother. From that day, when his brother reacted with love rather than anger – Dec. 22, 2015 – the efforts at recovery began, with the help of his father, brother, cousin and others. There were a few false starts, a couple of detox and treatment centres, before he landed at Last Door in mid-January 2016. He has not used drugs since.

Waiting times and the cost of treatment were among the topics discussed in the question-and-answer period. Giuseppe Ganci, director of community development for Last Door Recovery Society, was in the audience. He explained some of the different levels of care, ranging from assisted living residences, for which there are minimal guidelines, to treatment centres, which will have psychiatrists and other professionals on site. The definitions of the levels differ between regions in the province, he said, making the system hard for people to understand and, therefore, access.

“The problem is,” he said, “you always hear there are not enough beds in British Columbia. That’s actually a myth. There are so many beds. Last Door runs probably at 80% capacity every day [and has] for years. We have about 100 beds and only 35 of them are funded [by government]; the rest, there’s no funding for them, so it’s a shortage of funding for treatment, it’s not a shortage of beds.” This means that people who can afford it are able to get treatment within 24 hours, rather than join the queue of six to eight weeks or longer, he said.

After a couple more questions, Harowitz wrapped up the event. Addiction is not a choice, he stressed, citing JACS speaker Steve Whiteside. “It’s not a weakness of character, it’s not anything other than any other kind of disease that people have,” he said, challenging the audience “to keep the conversation going.”

Rehab centre fills gap

Ian Rabb with his dogs Samson and Ariel. (photo from Ian Rabb)

After falling prey to the habit himself, being rescued by his family and brought back home to Winnipeg for recovery, Ian Rabb began giving back – not just to his supporting family and the Jewish community, but to the greater community of Manitoba.

Rabb knew how the system worked from personal experience, had learned its flaws and, after recovery, set about to fix it.

“What I noticed then was a broken system in Manitoba, where there was no continuity of care,” said Rabb. “People didn’t have the ability to have extended stays in any kind of stable environment and, as I started doing my research and working in the program, I was appointed to the board of directors of the Addictions Foundation of Manitoba.”

With help from his brother, Jeff, Rabb determined that the biggest problem was the lack of a safe house where recovering addicts could take their time and realign their lives after completing their residential treatment program, which comprises a couple of weeks of rehabilitation. He opened Two Ten Recovery, a men’s house of recovery, as well as Destiny House for women. Today, there are three homes with a total of 33 beds.

“Our aim is to help people stabilize their lives and get them back to being fully self-supporting citizens, having a better prognosis or outcome when they leave,” said Rabb. “We allow them up to two years in our homes, where they have to be working and self-supporting within three months. Our success rate is at about 83%. What we’ve learned over the last number of years is the longer we can stay connected to someone post-treatment, coming out of a treatment centre, the better our success rates will be.”

It was six years ago that Rabb began hatching a plan to open a 24-hour, full-service drug and alcohol rehab centre. Once the Addictions Foundation closed their detox clinic, it became clear that a detox centre was also needed. Aurora Recovery Centre was established.

“I realized one thing very early on – that there was desperate need for a medical detox program where anyone could access medical services at any time, for any substance, and be provided with a service that would help them get off that substance, ultimately moving to the next step, addiction treatment,” he said.

Another thing that was critical in Rabb’s mind was to eliminate the wait time. “You don’t have time to wait when it comes to addiction treatment,” he said. “When someone’s ready for treatment, they need to be able to access a treatment facility. That doesn’t exist here. There’s months-long wait.

“All across Canada, because of the epidemic of addiction, even private centres are having severe wait times. So, ultimately we’re scrambling for places to send people when they need immediate help.

“The best centre in the world is just south of us, in Minnesota.

It was the first one ever started. Our model (at Aurora) is replicating the Hazelden model of addiction treatment.”

Aurora Recovery Centre is located on 28 acres of land along Lake Winnipeg, just north of Gimli. It will start as a 76-bed primary care centre, with 16 beds devoted to medical detox and emergency situations.

“We will be able to handle the ongoing problems here in Manitoba and hopefully will be busy enough to expand,” said Rabb. “We have lots of acreage there. We’re opening smaller with the plan of creating a full campus.”

To manage the centre, Rabb hired Peter Connelly, a Manitoba-born and -raised clinical director who has worked at the Minnesota Hazelden recovery centre for the past 13 years.

“I really believe that more services are needed, not only in Manitoba, but also in Canada,” said Connelly. “It’s an exciting project. It’s going to provide people who obviously need help with programs, so that’s really my reason for coming back. I certainly have a passion for recovery.”

Apart from the detox unit, which Connelly views as critical, his focus will be on the continuum of care, as he believes that after-care is of vital importance – the available services once clients have completed their in-patient treatment.

“The reality is that in-patient treatment is very difficult,” said Connelly. “It’s about people making a change, about people learning the tools of recovery and taking these tools into the outside world and using them to deal with life, on life’s terms.

“Addicts, alcoholics, need structure. They need to take responsibility and be accountable. Once they finish in-patient treatment, those are the challenges they face, so after-care is critical.”

This is an area that Aurora aims to focus on, with a number of programs that aid patients, including the option of extended-care programming, sober-housing on site, and continued follow-up with clients after they leave the centre.

“We will be developing an extensive out-patient program, so those who’ve been through the program can continue having group sessions and individual counseling after they leave,” said Connelly. “Through a number of programs that we’re developing and have developed, we’ll have clients come back yearly for an annual reunion.”

The facility is privately funded; participants and/or their family members will need to pay for their treatment. But, the cost is all-inclusive, with no added fees. “At the end of your stay, you certainly won’t be getting a bill for additional charges,” said Connelly. The cost is determined on a case-by-case basis, dependent on treatment and other factors.

At Aurora, the aim will be to have no wait time. “This is critical,” said Connelly. “We all have a tendency to procrastinate and the addict/alcoholic has a tendency to change their mind. When someone finally makes a decision they need to go, or a family member helped them with that decision, we need to get them into treatment as quickly as possible.

“As we move forward, I think people will see that the programming we offer is certainly needed. We’ll see what kind of relationships develop from there.”

Aurora began accepting patients on Oct.16. For more information, visit aurorarecovery.com.

Rebeca Kuropatwa is a Winnipeg freelance writer.