:
Good afternoon, committee members.
As you know, we were delayed for a vote, but the clerk has advised me that we have quorum, and we will call the meeting to order.
Welcome to meeting number 19 of the House of Commons Standing Committee on Human Resources, Skills and Social Development, and the Status of Persons with Disabilities.
I'm going to dispense with the rest of the introductory items. I expect everybody to follow the health protocols that have been approved by the House of Commons. I would remind members who are appearing virtually that if you want to get my attention, please use the “raise hand” icon. For those members in the room, simply raise your hand. As you know, please speak clearly and slowly so that the interpreters are able to interpret accurately for the benefit of the committee.
With that, at this time, I want to welcome Tara Collins, the 2018 Centennial Flame Research Award recipient, to begin our discussion with five minutes of opening remarks, followed by questions. For the question period, we will simply be following an informal process, not the normal questioning allocation. Any member of the committee who has a question for Ms. Collins, simply raise your hand and I will recognize you in order so that everybody gets a chance to question Ms. Collins.
Ms. Collins, if you're ready, please begin with your opening statement. Thank you for being patient and waiting while committee members did the business of the House, which was to vote in the commons. Ms. Collins, the floor is yours.
:
Good afternoon, everyone. Thank you very much.
I want to say thank you very much for the award as well.
Normally, I start with a territorial acknowledgement. However, I realize that I have five minutes here, so I just want to say that I am on the Treaty 7 region in southern Alberta. I do want to recognize that in the name of truth and reconciliation.
I want to present in terms of my interest. My interest really came from my own personal PTSD—post-traumatic stress disorder—as well as seeing my children struggle with some mental health issues. There are some gaps in literature, and there are limited services, in particular for children. One thing my daughter said that really struck me was, “Why are you and dad able to go to an equine therapy program and I'm not able to?” It really impacted her as well. I still see that with her, and I see it with myself, when struggling still at times with my own PTSD, with some nightmares. As well, I'm easily startled.
This award means a lot to me.
I want to start by just saying that there's a large range of PTSD, depending on whether or not somebody's in a war zone. It can range from about 8% to 20%. A really important piece is that it impedes a family's functioning as well.
I looked at how families cope when they live with a military parent experiencing post-traumatic stress disorder. For my findings, I looked at what's called Corbin and Strauss's “grounded theory”, which looks at “how do I engage with the literature?” and “how do I engage with the data?”.
I had 25 participants. Twenty-one were non-military parents and four were adult children. I conducted interviews that were semi-structured and in-depth. For the findings, what happens with the grounded theory is that we really look at developing a theory: How can you explain and how can you predict coping?
The findings were family-evolving; that was my theory that I developed. I ended up looking at the definition as the process involved in “the modification, adjustment or alteration of family behaviours in responses to changes in the family environment with the aim of overcoming and adapting to adversity posed by military PTSD”. Basically what that means is that we're looking at the stressors and available resources. As the stressors become more predominant and the resources deplete, the more challenging it is for individuals to cope.
I just want to really quickly read one of the quotes that I have:
Life changed after he was diagnosed with PTSD. He changed; our family changed. The way we did things changed. We had to be careful not to upset him, so we walked on eggshells and tried not to get him going.
That was a very common theme: walking on eggshells and really trying to protect the family, and not only the family but the military member as well, to protect them from being triggered.
Based on this, I was able to determine that there are six states of functioning. I won't go into the details, just in the name of time here.
One of them was stability and healthy functioning, which occurred prior to the military member's having PTSD. Eleven of the participants knew the military member before PTSD, and that included all four of the adult children, who had known the military member before they developed PTSD. This state was stability and healthy functioning, which doesn't necessarily mean that there aren't any stressors; however, this was when there were not as many stressors experienced without PTSD.
Also, then, there are instability and wavering functioning. That occurred when there were more stressors placed on the family and the family had not as many resources, so they ended up spiralling a bit more into an area where they weren't functioning as well.
Five of the families ended up going into the next state, which was crisis and emergency functioning. What that looked like was really a crisis happening in the family, with risks to themselves or risks to others. Those could be suicide attempts. It could be police involvement. It could include child welfare. This happened in particular when the military system or Veterans Affairs was not providing enough support to them.
All of those families who did not have the support they needed ended up going into a crisis, unfortunately, and then they went into rebalancing and rebuilding.
Now, these families don't fit into this little box, so it's important to recognize that it's like an oscillating state of functioning. They go through some phases, but as well, they will not go through other states. They bounce all over the place, depending on those resources. Following the rebalancing are reoccurring instability and deflated hope. Once again, they started feeling hopeless that things would change.
Finally, there is a refocusing and evolving functioning. That point in time is really when they evolve. The military member is likely seeking support and the children are receiving support. Unfortunately, all four of the adult children did not receive any support. Their support often came from recreational activities, which can be problematic, because about 25% of families identify that they do not have the money for being able to attend those recreational activities.
The implications for military families are the recognition that prevention is really needed, and intervention as well, in looking at families oscillating again through those states. My theory was really able to capture the presenting concerns and the family dynamics, as well as coping, whereas most studies look at the presenting concerns and the family dynamics without taking into consideration the holistic piece there, and really recognizing as well that case managers play a role. Unfortunately, a lot of them did not find case managers helpful.
That being said, I do want to say that all of these families were extremely resilient, so my recommendation would be to ensure that multiple strategies are taking place to help families adapt to the change. Families continually revise and refine strategies and structures, so again, it's often an ongoing kind of process to ensure that families are getting that support as well and that there are proactive supports in place.
I will end there. I think that was about five minutes. That was very quick. I originally had a presentation of about an hour, so I cut it down as much as I could there. Thank you very much, and again, thank you very much for the award.
:
Thank you. I think I understood that in French. I took French immersion; however, it's rusty.
With regard to the definition of “family”, I would say that is actually something that would be a limitation in my study. I did have somebody ask whether or not it could be just partners whom I interviewed or if a family had to include children. With regard to that piece, I did not interview partners solely who did not have children, because of the fact that there has been literature and there have been studies done on that “family”.
Another challenge was the different dynamics. In terms of having two same-sex parents, although I would definitely consider that a family, I actually was not able to find anyone in my study who came forward and identified as a same-sex couple. As well, in terms of different cultures, I know that some cultures identify extended family as well. I would say that Veterans Affairs unfortunately at this point in time does not take into consideration some of the additional family members who are integral to families' lives.
As I said, there are certainly no supports for even the adult children. The Veterans Affairs crisis line does not look at allowing people to call in for support after the age of 21. Even that piece was problematic.
In terms of supports, I think what I would recommend as well for families would be ensuring that they have more input into the care and having the case manager being extremely transparent about what services are out there and what they qualify for. A lot of these participants were really having to dig for what supports were out there and what they qualified for and, as I said, really fight for those supports. For the website to identify that families are “integral” and yet not provide a smooth transition is problematic.
Did I answer all of that?
Thanks, Ms. Collins, for coming and speaking to us today, and thanks for your support. To my understanding, your ex-partner was military.
From personal experience, military people can't do their job without the support of their families. I know that it's so difficult when members are facing this and family members end up dealing with post-traumatic stress and other types of challenges that come with supporting somebody in the military lifestyle.
I know that you were doing this as part of your Ph.D. You indicated on your application that you were in the process. Have you finished your Ph.D.? I ask because the angle here, not just from the academic perspective and your sharing it with us here at this committee and through the award, is whether or not your information been shared with Veterans Affairs Canada already and with others, with the Canadian Armed Forces directly or with the military family resource centres. I'm wondering where the information has gone and what kind of feedback you've received to date.
I have a subsequent follow-up.
Thanks.
:
That's super. Congratulations on finishing a Ph.D. That's a phenomenal accomplishment that not a lot of people do.
Looking forward, for anything the committee can help with and for anything I can help with personally, feel free to reach out directly so that we can put you in contact with some of the different organizations.
My final comment is more for the whole committee and everybody listening, but is for you as well, Ms. Collins. I don't know if you're aware that there's the Sam Sharpe breakfast next Tuesday morning from 7:30 to 9:30 here in Ottawa. It's supposed to be virtual, but we're having some technical difficulties. It's the ninth annual one. It's hosted by the and retired Lieutenant-General the Honourable Roméo Dallaire. It's all about mental health.
The guest speaker is retired Lieutenant-Colonel Christian Lillington. He's speaking this time around. He's retired and has just published his own book as well, but from a family perspective, and it's some great research. There will be a number of organizations participating in that. You'd likely benefit from attending.
Again, feel free to reach out. I will pull whatever strings I need to make sure you get a personal invite.
:
Thank you for the question.
I think this study has a huge impact in recognizing that coping is not a linear process. A number of different factors will impact families. It depends on their presenting concerns and what they come with at that time, while also recognizing that there are those shifts in family dynamics.
I don't want to say that it's only for the families who are coming in, as this could also apply to civilian families, but obviously there are more complex dynamics. I do want to acknowledge that I think it's really important to look at multiple levels. It's not just about looking at the micro level and looking at families; it's also about looking at the external bodies. What are the policies? What's the culture? It might be looking at the Canadian culture. How does that influence the families?
Actually, interestingly enough, I know that some of the research suggests that immigrants who come here experience a higher level of mental health issues. I think that's important as well. It's about just recognizing that multiple levels take place. Making sure that we implement supports prior to their even developing any mental health issues would be very important.
In terms of recommending, obviously you can't force people to access supports, but I think we should be implementing as many supports as we can, and recognizing as well that people are essentially having to relocate. Look at the relocation of Canadian military members. They are facing a number of different losses in terms of the lack of support systems and having to look at different employment and medical care. All of those pieces need to be considered. Obviously, it's oftentimes hard to find a doctor. How do you connect these people with all of these different resources so that they're not experiencing additional stress? I think it has a lot of relevance there as well.
Committee members, we may take some time for committee business. If it's okay with the committee, we'll remain in public so we don't have to Zoom in and out. For those members who are here virtually, just stay with the link you're in. If that's agreeable to the committee, we will stay in public.
On this particular part, we have a couple of items of committee business that we'd like to deal with.
First, what's your direction on setting the award for the coming year, for the coming award? That is part of what we have to establish. What we need is the deadline for submitting an application, recognizing that usually this is circulated earlier in the year.
Madam Clerk, can you speak to this?
:
I'm just going to add a quick insert about this.
Normally we give applicants about five weeks from the date we actually publicize it to submit an application. Just looking at the time frame and understanding that many of the applicants, like Tara Collins, are often in education, in school and post-secondary education, in looking at the time, you have from September until April.
Ideally, we'd like to circulate this and give enough time to get everyone involved. So maybe a deadline of September might be agreeable. That way, we would capture people who come back to school in September, and they could submit an application then.
Maybe some time at the end of September if the members are agreeable...? That way, they take a look at it when they come back, translate everything and circulate it to the members, if that would that be agreeable.
:
One of the challenges with the video is the timing of the video: to make sure the video comes out quickly enough. It's also a matter of our usually doing low-cost options, to make sure that the funding for the award goes to the applicants themselves, and not to the video production. It's also a matter of accessibility, the accessibility of the video, to make sure for people who have hearing or visual impairments that are also accommodated in the video. Hence, it might be quite resource-consuming to do a video.
When we talked to the communications people, lots of the options.... As Mr. Van Bynen said, having the applicants' documents get posted on the website could be an option to better publicize it. For mass emails, we're looking more at a strategy for emailing individuals: creating lists for universities, cultural groups and visible minority groups to make sure we get them to the groups themselves, and then have a staggered approach. Quite often in the past, we just did one email. We're looking more at a staggered approach, so the moment the news release comes out, we can do multiple emails throughout the months of May and June, and do a second bombardment of communications in September when people come back.
On top of that, we can also do news releases and infographics. Infographics will allow us to have have text-based materials, which we can also share with the members to put in their constituency emails and mailouts. We're looking more at more print-based option that would probably be more accessible than video. It's also a matter that maybe not everyone would be comfortable appearing in a video and being on the website forever too. We're really looking more at text-based approaches, visual approaches, and that's where we're leaning for communications.
These are more questions than comments.
I understand the purpose of this new disability benefit and what it might look like, and I'm not questioning that. Rather, I'm wondering how it would be possible to codify all the people who receive provincial support. I'll give the example of Quebec. I don't know how things work in the rest of Canada, but in Quebec, there are allowances for disabled adults or children, and these allowances are independent of what happens at the federal level. How can the federal government get information on these people, since this comes under Revenu Québec?
I'm trying to look at that possibility, and I'm wondering if it's feasible. I imagine that if officials are unable to obtain this information, it's because something is preventing them from doing so, either a problem with minimal information or differences between the provinces. I'm wondering about that, not the substance of the motion.
Is it feasible?
I will support my colleague's motion.
I do think it would be very beneficial to know who is receiving support, particularly at the provincial level, so that it can be considered.
To answer Ms. Chabot's question, in the motion, instead of asking the government to codify people, we could ask the government for the ability to codify people.
We need to find a way to do this. I think that would give the motion some flexibility. I would also add something to the motion. I don't have the text in French, but I'll read it in English, and I think everyone will understand.
[English]
It's that pursuant to Standing Order 101 the committee request that the government table a comprehensive response.
[Translation]
I would add that the committee must report to the House.
:
We have a second amendment on the floor from Madam Ferrada.
Clerk, could you give the proper terminology?
Ms. Ferrada wants to add “That, pursuant to Standing Order 109, the committee request that the government table a comprehensive response to this report.”
This is your amendment, Madam Ferrada?
All those in agreement will signify by saying “aye”.
(Amendment agreed to [See Minutes of Proceedings])
The Chair: Now we will vote on the motion as amended.
All those in agreement with the motion of Madam Zarrillo as amended?
We have unanimous consent.
(Motion as amended agreed to [See Minutes of Proceedings])
The Chair: In the few minutes we have left, there's one more item.
On April 27 a study budget in the amount of $26,750 was circulated for consideration and adoption. We need approval of the budget for the housing accelerator study.
Do we have agreement? Do we have approval?
(Motion agreed to)
The Chair: Good. The budget is approved.