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Our Position on
the Role of the Council After the Merger
September 25, 1997
The Queen Street Patients Council is anticipating
the formation of a new public mental health and addictions treatment
centre with an open mind. Relative to the status quo, we may even
hope for some new beginnings. Negotiations have not begun yet between
the users of the future centre and its Steering Committee (though
we've made our positions clear on an accountable governance structure.
It should invite consumers and survivors, elected in a free and
self-determined process, to participate in governing). We will be
monitoring changes during and after the merger, and responding to
them as our constituency must respond to them in their living spaces.
When the governing board wishes to address our concerns, such as
governance, it is invited to do so in letters to our office.
The Council looks forward to discussing our
goals with the new governing board, and we will continue to negotiate
many of those goals with internal management at Queen Street Mental
Health Centre, whatever its name or structure after the merger.
We are as always committed to the people served by Queen Street,
survivors and consumers of mental health who live in the Queen Street
catchment area, who may be served by other institutions in that
area as well. Our incorporated organization will not change its
goals or structure as a result of the merger. Our ever-growing and
-changing constituency remains concerned with the same problems
and issues it has faced well before amalgamation, well before Queen
Street's earliest general shifts in policy, management and practice.
We are committed to providing a voice for these concerns.
We thank the Queen Street management for its
actions on our requests and our issues in the past. Our board continues
to invite the Steering Committee and future governing board to respond
to consumer and survivor issues. We hope they will find success
in developing trust with clients in the upcoming years.
Issues Regarding Collaboration with
New Corporation
1. Representation
Consumers and Survivors are underrepresented
on all decision making bodies of the new corporation and the institutions
it oversees. It was our position that the new Board should be at
least 50% c/s's. If that was not the case, Ministry of Health policies
support at least a third of the Board being c's's. We got, of course,
nothing like this representation. We have made two other requests
for positions regarding governance:
- there should be a Psychiatric Consumer/Survivor
Standing Committee of the Board
- the Quality Assurance Committee should
be at least 50% c/s.
2. Accountability
All consumer and survivor representatives
must be chosen by consumers and survivors. The conflict of interest
that arises when c/s reresentatives are chosen by staff is not acceptable .
Consumers appointed to committees by staff have been known to say
that they dare not disagree with staff on committees for fear that
they will lose their "job" (meaning the committee work and the honorarium
that comes with it). C/s's should be clear that they are representing
c/s's.
3. Peer Advocacy
Attempting to be a voice for the thousands
of c/s's who use these institutions is no small feat, and the organizations
that work to do so such as the Patients Council require funding
and commitment to act upon the issues we raise. (These organizations
must be accountable for their policies to their c/s membership not
to the corporation.) A statement regarding the corporation's support
of peer advovacy should be part of a "Culture of Collaboration".
A statement supporting patients' rights should also be included
in the corporation's Vision Statements.
4. Self Identified Needs
We hope that the "consumer needs" that are
referred to in the draft policies are people's self identified needs,
with all that entails.
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