The Boom of B.C. Addiction Treatment

Image by: Nik West
Lorne Hildebrand runs Edgewood addiction treatment facility, in Nanaimo, B.C., a posh example of B.C.'s booming treament industry.

In a province famous for its drug culture – where marijuana is our 
top cash crop and where strung-out addicts are part of the modern 
Vancouver tableau – it should come as no surprise that there are more 
addiction treatment providers in B.C. than anywhere else in Canada. 
What is surprising: how little is known about these facilities 
and whether their treatments actually work
.

It could be a spa. Or a corporate retreat that emphasizes mindful reflection once the PowerPoints are done for the day.


The reception area at Edgewood is a tasteful blend of leather couches, copper-tinted flagstone flooring and customer-service-sensitive personnel behind the counter. Out front, people stroll along a gently winding covered walkway, paper coffee cups in hand, or pause in the small garden behind for a moment of tranquility, in spite of the faint roar of a highway nearby. 

 

BCB Sidebar - Online Only

Inside, the gift shop is a cornucopia of artistic T-shirts and jewelry, stuffed animals and giant muffins. And the buzz of activity in the lobby next to it seems like a familiar morning preliminary from other realms, perhaps to another exciting day of “Achieving Better Sales in Office Supplies” or “Maximizing Infrastructure Projects for Your Region.”


Only the luxury pool appears to be missing.


Then the picture starts to come into more focus. The doors along the hallways open to rooms with plain single beds, two to a room, not luxury suites with 600-thread-count sheets on pillow-top king beds. The staff are not young kids schlepping suitcases and room-service trays but people in their 40s and 50s with the authoritative look of school principals. The sombre black plaque at the entrance to the building tolls the bell for “those alumni who have lost their lives to chemical dependency,” listing some 100 names, starting with “Bill G., Age 50” and ending at “Jeremy P., Age 31.”


And then there’s Andrew Singh (name and some details changed), who talks about his nine weeks here with evangelical fervour. 


“Now I’m so in touch with my higher power. I know somebody’s looking after me,” says Singh, a Bollywood-handsome 31-year-old whose well-off Prince George family is paying for a stay that is indefinite at this point. “There’s so many things this place has taught me. I used to think about tomorrow. Now I only think about today. I think about not having that hit today. It’s about accepting the things that happened in the past. If I dwell on it, I’m not going to have a chance to grow.”

Addiction Treatment: The Shadow Growth Industry

While it looks like one of the many resorts that dot Vancouver Island, Edgewood – a lodge-like building in a suburban/industrial cul-de-sac near Nanaimo’s Departure Bay ferry terminal – is, in fact, an addiction treatment centre. Andrew Singh is here on his second round of treatment in the past five years because of his problems with alcohol, cocaine and, occasionally, ecstasy. At the urging of both his wife and parents, he has taken indefinite leave from a shoe-store management job and spent two months going to group therapy, talking about what triggers him to use alcohol and drugs, learning that it’s a disease that he’ll always have and abiding by a routine of meetings and chores that’s meant to provide the structure for a new life forevermore. 


With 80 beds in its main facility, Edgewood provides services to as many as 500 clients a year, making it one of the province’s biggest treatment facilities. But it is just one small part of B.C.’s huge addiction treatment industry, a little-known growth industry that exists in the shadow of its publicity-hogging nasty big brother, the illegal-drug business. The industry defies easy analysis in much the same way as the illegal operations. Their results are, by and large, unverified. Standards and certification are variable. There is no unified approach to treatment. Indeed, there isn’t always agreement on exactly what treatment is. 


Related Links
Leave Your Comment
If you'd like to post a comment, please or . When submitted, your comment will be queued for approval.

Please note: If you were registered on the old BCBusiness website, your account no longer exists. Please take five seconds to create a fresh account.
12 Steps Equalls Government Religion,many people are of the view that 12 Steps is a cult of the blind leading the blind.Please check out Jack Trimpey Rational Recovery, 12 Step Deprogramming or orangepapers.org. All of these 12 Step efforts create as many problems as they solve. Treament Centres and recovery houses are in many cases branch plants for the jail system. Why is the Government invovled in actively helping addicts find a higher power.
Respected Paul. I am glad to see that there are a few people in this world who lives for other.I am also having the same spirit to do some thing for mankind,i was working for an NGO that is Al Falah Development Foundation working in the sector of awearness raising about health,community empowerment,skill trainings,political awearness.This project was ended on 31st of March 2010.what i mean to say is that some people like you are still working.Now i am wiating for another chance to work for human beings by getting a job in other NGO,s.Go ahead man you are the best man in the world.I will need your guidance.
"Health Minister Kevin Falcon says they’ve been discovering, for one, that early intervention is a powerful tool: “The work that my ministry has done shows the results from that are quite earth-shattering.” If early intervention is powerful why then is the BC government, the NDP opposition, and the media ignoring the connection between ADHD and addiction and not doing early intervention with them? Why are far too many children and adults with ADHD not properly diagnosed and treated in BC, leaving many to use alcohol and street drugs to self medicate their condition? Tobacco, alcohol & illegal drugs boost dopamine a neurotransmitter that people with ADHD have low levels of and ADHD medications help increase. As an adult ADHD coach who has ADHD and runs an adult ADHD support group, I've heard far too many people in BC tell me they can't find a doctor/psychologist/psychiatrist who knows ADHD well enough to treat it properly. Only 8% of kids and 5% of adults have ADHD and yet the smallest numbers of addicts with ADHD I've seen in peer reviewed clinical research is 20%, and I've seen much higher numbers. I.e., 30% of Teenage Cannabis Users in Outpatient Study had ADHD http://adultaddstrengths.com/2008/12/02/30-of-teenage-cannabis-users-in-outpatient-study-had-adhd/ 33% of Alcoholics had ADHD 65% of Drug Users Had ADHD http://adultaddstrengths.com/2008/10/24/study-33-of-alcoholics-had-adhd-65-of-drug-users-had-adhd/ 32% of teens in a meth treatment program who began using between the ages of 10 and 15 reported doing so because of the calming effect that methamphetamine had on them. These participants were classified using the Wender Utah Rating Scale as having ADHD symptomatology. http://adultaddstrengths.com/2005/07/21/crystal-meths-add-connection-part-2/ 35% of cocaine users had ADHD http://adultaddstrengths.com/2008/10/25/adhd-and-addictions-5-more-clinical-studies/ Despite this evidence and more I.e., what Vancouver DTES Doctor Gabor Mate's (who has ADHD) book on addiction says about ADHD and addiction, I've had many people who went through addiction treatment programs in BC say that no one mentioned ADHD to them during their programs. They later got diagnosed on their own. If you're using drugs and alcohol to self medicate ADHD and no one diagnoses and treats your ADHD, just your addiction, it's no surprise you probably have a higher likelyhood of getting multiple rounds of rehab. The BC ADHD clinic at Children's Hospital added an adult ADHD clinic to diagnose adults since ADHD is 80% genetic, if the kids have it, and they're not adopted, likely one or more of the parents have it. That adult ADHD clinic soon became half of their case load (there are more adults with ADHD than kids with ADHD) and had a year to 14 month wait list for an entire year. The clinic asked the BC govt for funding to reduce the wait list and the BC govt refused. So they shut down the adult ADHD clinic in January 2007. No other hospital picked up the clinic. Only one media outlet covered this. http://adultaddstrengths.com/2007/02/05/global-tv-interview-on-overwhelming-popular-bc-adhd-clinic-closing-doors-to-new-adult-patients/ The BC mental health system basically abandoned adult ADHD patients. UBC medical students only get one hour of instruction on ADHD during their program. How effective do you think those future GP's will be able to properly diagnose and treat a condition like ADHD which often has many other co-existing conditions like substance abuse, gambling, depression, anxiety, OCD, bipolar etc with one hour of training? It is very costly for society to treat addicts. It is infinitely less costly for society to properly diagnose and treat children & adults with ADHD (medication, ADHD coaching, therapy etc) so they don't self medicate with alcohol and drugs and become addicts. If ADDers take ADHD medication they're statistically less likely to become addicted to alcohol and street drugs that sadly many use to self medicate. Even if you don't care about people with ADHD as human beings, we're very costly for taxpayers to ignore, higher rates of speeding tickets, car accidents, crime, suicide, depression, anxiety, gambling, substance abuse, unemployment, divorce, etc. But properly managed, people with ADHD can do very well. There are many advantages of having ADHD and there are billionaires that attribute their success to ADHD, there's a MENSA ADHD group with 600 members. Why won't the BC government NDP opposition, and the media take ADHD seriously and adequately fund proper diagnosis and treatment for children and adult with ADHD? If early intervention is powerful as Minister Falcon says, why not reduce the number of people who need to get expensive treatment(s) for addictions by properly diagnosing and treating them for ADHD (do early intervention) so some of them don't end up treating themselves with alcohol and street drugs to manage their ADHD, and becoming addicts?
Firstly, thank you for sharing this often "taboo" addictions topic with the BC Business World via multiple methods. Secondly, your summary that the addictions industry does defy easy analysis is well agreed upon and points to the complex nature of addictions. According to the Canadian Centre on Substance Abuse “More than 50% of those seeking help for an addiction also have a mental illness." As the BC Government prepares for at least 2 reviews for public mental health & addictions, it may be time for a review of private treatment too, especially from the clients' perspective. Thanks for your article and your tweets. Paul twitter.com/healthworksbc
poll

What's your communication weapon of choice?

What's your communication weapon of choice?

Choices

S M T W T F S
 
 
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
11
 
12
 
13
 
14
 
15
 
16
 
17
 
18
 
19
 
20
 
21
 
22
 
23
 
24
 
25
 
26
 
27
 
28
 
29
 
 
 
 
Save over 50% off the newsstand price with a subscription to BCBusiness Magazine Subscribe Now
Other BCBusiness Features
Online and in print, BCBusiness articulates the trends and issues affecting business in BC. The award-winning BCBusiness, essential companion to corporate titans and entrepreneurs alike, delivers provocative BC business news and commentary on traditional and digital platforms: videos, articles, blogs, and columns addressing all aspects of business in BC, including management, marketing, leadership, innovation, technology, careers, human resources, finance, and entrepreneurship. Vancouver small business owners, managers, CEOs, and digital entrepreneurs prize BCBusiness for its signature mix of analysis and opinion on the issues and people shaping business in BC. Join BCBusiness on Twitter, Facebook, and LinkedIn - and at the premier West Coast business networking events, like BC's Top 100 Companies, Entrepreneur of the Year, BC's Top Innovators, and Best Companies to Work for in BC.