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More Important Now Than Ever: Remembrance and a few thoughts on this World Suicide Prevention Day

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More Important Now Than Ever: Remembrance and a few thoughts on this World Suicide Prevention Day

Tracey Lubkey

On August 31, 2019 my sister Kelly and I lost our bright, kind, and beautiful mother Tracey to suicide. In the weeks preceding her death, a major depression Mum had dealt with and overcome several times before in her life came back with a suddenness and intensity that staggered us. It was terrifying to see this episode’s impact and how debilitating it was; the helplessness you feel when a loved one is being tormented by their own mind is it’s own kind of torture. Still, even through her long and grinding bouts of depression in years past, suicide somehow never felt like a possibility. The very notion was abstract, dark, and seemed impossible- so it was the most shocking and devastating thing we could have imagined that it happened. It’s now just over a year later and there are many days we still can’t believe she’s gone.

Our Mom was our best friend, our biggest cheerleader and just exuded light and kindness. She always wanted to help, whether it was my sister and I, her friends and family or complete strangers- if there was a need for volunteers, she’d be one of the first to sign up. She had so much love for us, for her dogs, for travelling, for golfing, for gardening, for relaxing with drinks on the patio and talking for hours. She was so compassionate and could truly see the good in everyone. When we were growing up, she worked as a registered nurse and often brought home little gifts from patients and their families that she had cared for. She left such an impression on the people she met and this was especially obvious at her memorial, where we were just blown away by the amount of people who attended that had worked with her years, even decades ago. The stories people were generous enough to share with us about our mom were so beautiful- they were such a gift and helped to propel us through that surreal day.

Last year at this time, as we moved through the chaos and fog immediately following Mum’s death, I began to see bright yellow billboards all over town stating that ‘11 Edmontonians attempt or die by suicide per day’. As it turns out, each year, over 50 countries recognize September 10th as World Suicide Prevention Day. So soon after losing my mother this way, the subject of suicide was the only thing on my mind apart from the endless ‘Why?’s. This campaign’s timing was bananas.

I quickly learned the ads were promoting 11 of Us, a resource portal developed as part of Living Hope: A Community Plan to Prevent Suicide in Edmonton. The Living Hope initiative was developed by a committee of individuals and organizations dedicated to preventing suicides in Edmonton. The plan’s objectives include raising awareness and making education on mental health and suicide prevention available to Edmontonians, in most cases free of charge.

Over the past year, I’ve taken advantage of this initiative and attended excellent courses provided by Living Hope stakeholders including Mental Health First Aid (Basic Course), Safe Talk, Question, Persuade, Refer (QPR), Applied Suicide Intervention Skills Training (ASIST), and Trauma Informed Care. Through these courses I have been lucky enough to meet and share my story with so many kind, compassionate and interesting people, whether they were the ones delivering the course or learning alongside me.

Of course COVID-19 has changed everything. Most of these courses are now offered online, including one I have yet to take called LivingWorks Start which teaches trainees to recognize when someone is thinking about suicide and to connect them with help and support. While many of us are dealing with screen-fatigue, please don’t let the idea of one more online session deter you. Most courses don’t require more than an hour, but the information you’ll learn really could help keep someone with us.

This past year has been the hardest of my life, yet I’ve been encouraged and inspired by the work and efforts of so many as I try to gain peace and a better understanding of my family’s experience. It goes without saying that suicide is a difficult topic- I’ve come to learn that nothing sucks the air out a room quite like the mention of it. It’s much easier to look away, but for World Suicide Prevention Day this year, if your own mental health allows for it, take a moment to read about the experiences of suicide attempt survivors, caregivers, suicide loss survivors, and those at risk of suicide.

We live in a new world now and we’re going to need each other more than ever. Like another one of those big yellow 11 of Us billboards I saw recently said, ‘There’s rarely been a more important time to check in with one another.’

WHERE TO GET HELP

Call 911 if someone is in immediate danger of becoming injured or dying.

In Edmonton: Call The Canadian Mental Health Association’s (CMHA) Edmonton Distress Line 24/7 at (780)-482-4357 (HELP)

In Red Deer & across Alberta: Call the Mental Health Help Line at 1-(877)-303-2642

In Calgary: Call the Distress Centre Calgary’s Crisis Line 24/7 at (403)-266-4357 (HELP)

Alberta

Early Success: 33 Nurse Practitioners already working independently across Alberta

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Nurse practitioners expand primary care access

The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.

Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.

Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.

“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”

Adriana LaGrange, Minister of Health

To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.

With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.

“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”

Martin Long, parliamentary secretary for rural health

“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”

Chelsae Petrovic, parliamentary secretary for health workforce engagement

“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”

Jennifer Mador, president, Nurse Practitioner Association of Alberta

The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.

Quick facts

  • Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
    • Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
  • Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
  • For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
    • There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
  • Data from the Nurse Practitioner Primary Care Program show:
    • Nine applicants plan to work on First Nations reserves or Metis Settlements.
    • Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
  • Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
  • Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.

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Alberta

Province considering new Red Deer River reservoir east of Red Deer

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Central Alberta reservoir study underway

Alberta’s government is moving forward a study to assess the feasibility of building a new reservoir on the Red Deer River to help support growing communities.

Demand for water from communities and businesses is increasing as more families, businesses and industries choose to live and work in central Alberta. The Red Deer River supplies water to hundreds of thousands of Albertans across the region and expanding water storage capacity could help reduce the risk of future droughts and meet the growing water demands.

Alberta’s government has now begun assessing the feasibility of building a potential new reservoir east of Red Deer near Ardley. A two-phase, multi-year study will explore the costs and value of constructing and operating the reservoir, and its impact on downstream communities, farmers and ranchers, and businesses.

“Central Alberta is a growing and thriving, and we are ensuring that it has the water it needs. This study will help us determine if an Ardley reservoir is effective and how it can be built and operated successfully to help us manage and maximize water storage for years to come.”

Rebecca Schulz, Minister of Environment and Protected Areas

Reservoirs play a vital role in irrigation, drought management, water security and flood protection. Budget 2024 allocated $4.5 million to explore creating a new reservoir on the Red Deer River, at a damsite about 40 kilometres east of the City of Red Deer.

Work will begin on the scoping phase of the study as soon as possible. This will include reviewing available geotechnical and hydrotechnical information and exploring conceptual dam options. The scoping phase also includes meetings with municipalities and water users in the area to hear their views. This work is expected to be completed by December 2025.

“Reliable water infrastructure is essential for Alberta’s growing communities and industries. The Ardley reservoir feasibility study is a vital step toward ensuring long-term water security for central Alberta. As we assess this project’s potential, we’re supporting the sustainability of our economic corridors, agricultural operations and rural economy.”

Devin Dreeshen, Minister of Transportation and Economic Corridors

“Water is essential to the agriculture industry and if the past few years are any indication, we need to prepare for dry conditions. A potential dam near Ardley could enhance water security and help farmers and ranchers continue to thrive in Alberta’s unpredictable conditions.”

RJ Sigurdson, Minister of Agriculture and Irrigation 

Once that is complete, the feasibility study will then shift into a second phase, looking more closely at whether an effective new dam near Ardley can be safely designed and constructed, and the impact it may have on communities and the environment. Geotechnical and hydrotechnical investigations, cost-benefit analyses and an assessment of environmental and regulatory requirements will occur. The feasibility phase will also include gathering feedback directly from Albertans through public engagement. This work is expected to be completed by March 31, 2026.

Quick facts

  • The Ardley dam scoping and feasibility study will be undertaken by Hatch Ltd., a Canadian multi-disciplinary professional services firm.
  • Once the feasibility study is complete, government will assess the results and determine whether to pursue this project and proceed with detailed engineering and design work and regulatory approvals.
  • Alberta’s government owns and operates several large reservoirs in the South Saskatchewan River Basin that help ensure sufficient water supply to meet demand from communities, irrigators and businesses, while also maintaining a healthy aquatic environment.
  • Water stored at Gleniffer Lake, the reservoir created by Dickson Dam, helps supplement low winter flows along the Red Deer River and helps ensure an adequate water supply for Red Deer and Drumheller.

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