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Exposing the mistreatment of mental health patients in Jamaica; A psychiatric refugee’s story

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Photo Credit: Danilo Alvesd

BY JANIECE CAMPBELL

“What I hope will happen by telling my story is that when doctors are treating someone with a mental illness, they won’t just be treating an illness or a set of symptoms, but that they’ll be treating a human being. There’s a whole person there that has had trauma, pain and they have all the same needs as everyone else.” Roxanne Stewart-Johnson

Mental illness is a prevalent issue in Jamaica that not many citizens take seriously. A growing cause for concern, the developing nation’s adult rates of mental health challenges range from 3-5% with psychosis, 15-20% with depression and anxiety, and 30-40% with personality disorder, according to a study by the Caribbean Policy Research Institute. Though the statistics are striking, the sad reality is that many Jamaicans are not adept at dealing with mental illness, with many believing it stems from the work of demons or the practice of “obeah.”

“In Jamaica, it’s very easy to be branded as someone who’s weird. It’s very easy to be a pariah in a culture that views any kind of oddity in a negative way. So, with things like mental illness, you can very easily find yourself socially isolated because people don’t want to have anything to do with you,” says Roxanne Stewart-Johnson, a mother of two living with bipolar disorder. “There’s a stigma and there’s a lot of ignorance around mental health. I had a friend tell me that someone at church told them not to visit me anymore because they thought that the devil was in my house.”

Roxanne, originally from Jamaica, was diagnosed in college after experiencing an episode of psychosis, which incited fear and caused her to run into oncoming traffic. After several failed attempts at finding a psychiatrist that would treat her with compassion while also dealing with the heavy side effects of medication (that doctors did not warn her about) including weight gain, hypersomnia, and hallucinations, her life momentarily took a turn for the better. She fell in love, got married, and gave birth to her first son, Benjamin.

But her highs were then followed with a series of lows.

Three months after giving birth, Roxanne experienced psychosis once again and had to be hospitalized. On this occasion, she was heavily sedated with lithium and haloperidol, both used to treat mania. Conscious and complicit, nurses then told her that the doctor would administer an injection. Before she could get more information, it was lights out. When she woke up, she was unable to speak properly; she had a stutter and couldn’t put sentences together coherently. She’d been given six weeks’ worth of fluphenazine, an antipsychotic medication for schizophrenia, without her consent.

Roxanne’s perfect love story also soon went awry when her now ex-husband began showing signs of domestic violence through wielding a hot iron near to her as she slept and through verbal abuse. At the same time, she was having troubles at work, having disagreements with her mother, and to her surprise, she became pregnant for the second time.

Unfortunately, the psychiatrist that saw her through her first pregnancy passed away, so Roxanne was off to find a new doctor. She aimed to be on little to no medication alike her first time around. A friend recommended Dr. Jacqueline Martin, the doctor who would activate her fight or flight response.

Upon meeting for the first time and without looking at her prior history, Dr. Martin suggested that Roxanne abort the baby and be hospitalized. Unwilling, she insisted on keeping the baby and fulfilling a full-term pregnancy. The second time they met, Roxanne wanted a refill on her prescription of quetiapine, a low-dosage medication that helped her sleep. Though she had no symptoms of psychosis and didn’t exhibit any harmful behaviours, the doctor then became aggressive, threatening to put her on an unsafe combination of multiple drugs and forced hospitalization. Dr. Martin then asked her to sign a waiver, an agreement to proceed with all of this while totally absolving herself of any responsibility should the baby die or be harmed in the process.

Knowing her requests would continue to be ignored by healthcare professionals, at thirteen weeks pregnant, Roxanne made a lone decision to leave everything behind and seek asylum abroad. Without telling her husband or her family, Roxanne and her son boarded a flight to Canada and never looked back.

“I was hearing so many good things about Canada on the news. At the time, the whole thing with the Syrian refugee crisis was happening, and Justin Trudeau was saying he wanted to help them. This was also the Trump era, so many immigrants were avoiding the United States. So, I said Canada’s cold, but that’s where we’re going!”

With no regrets, Roxanne would soon give birth to her second son, Salem in Toronto. After a lengthy series of court hearings, her and her children would later be granted refugee protection by the Canadian government. She then pursued and completed her Master of Journalism degree at Ryerson University. While it’s a blessing that she successfully made it out, many other mental health patients in Jamaica will continually deal with physical and sexual abuse at the hands of healthcare workers as well as have their human rights being violated. Roxanne aims to be the ground-breaking voice for those who are silenced back home.

“I definitely want to see more accountability and transparency within hospitals. I would love for a body like the United Nations to look at Jamaica and countries alike and see how mental patients are being treated inside those institutional walls. There’s a lot of silence, and people that are speaking out aren’t believed because we have a mental illness,” she says.

She continues.

“I’d also like to see more patient autonomy and respect for their rights, where they’re allowed to make decisions about their treatment. I know for most of the doctors that I went to, none of them spoke to me about the side effects associated with these drugs and they didn’t ask for my informed consent. I don’t even think they knew about the side effects themselves! A lot of patients are being forcibly treated without giving their informed consent or without consent period.”

For more information on Roxanne’s inspirational story, watch “A Psychiatric Refugee” on YouTube, a thought-provoking two-hour documentary where she delves deeper into her personal experience of fleeing Jamaica’s abusive psychiatric system.

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Timeless music brought to life on stage; Welcome to the Soul Nostalgic Experience

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Photo Credit: Jose Maria Elizalde

BY SIMONE J. SMITH

“Ladies and gentlemen, welcome to the Soul Nostalgic Experience! Tonight, we’re taking a journey back in time to relive the magic of an era that continues to inspire and captivate audiences worldwide. Are you ready to feel the groove?”

The audience erupts into cheers and applause as the band launches into a classic soul tune. People start swaying in their seats, unable to resist the infectious beat. A few brave souls even start dancing in the aisles.

Imagine being transported back in time to the golden era of R&B and Soul music, where smooth melodies and infectious rhythms ruled the airwaves. Now, envision this timeless music brought to life on stage with the energy and spectacle of a Las Vegas residency.

That’s precisely what the Soul Nostalgic Experience is all about. As I stepped through the doors, I was greeted by the smooth ambiance of classic R&B tunes mingling with the clinking of glasses and the tantalizing aromas wafting from our kitchen. The atmosphere was electric, alive with the anticipation of what the night had in store.

In the heart of Toronto’s vibrant music scene, there exists a figure who orchestrates brilliance from the shadows. Steve Hollywood, a name whispered among those in the know, is the unseen force behind many of the city’s musical endeavors. Despite his significant contributions, he stays removed from the spotlight, preferring the quiet hum of behind-the-scenes influence. Regardless, his presence remains enigmatic, known only to those privileged enough to collaborate with him. It’s a rare invitation to glimpse into his world, an offer extended to a select few, beckoning them to join the symphony of creativity he meticulously curates.

On Thursday, April 25th, 2024, the Toronto Caribbean Newspaper was welcome to the Acqua Supper Club, where the heartbeat of Toronto’s R&B and Soul scene will pulsate throughout the summer. Nestled in the heart of the city, the venue is a sanctuary where men and women will be able to gather for unforgettable evenings of soulful music and culinary delights.

At the helm of this musical journey is none other than DRU, a Juno Award-winning and gold record artist with a visionary passion for bringing back the magic of the 90s and 2000s R&B/Soul era. From timeless classics to contemporary hits, his performance was a journey through the soul, evoking nostalgia and stirring the spirit. Inspired to create something truly special, DRU collaborated with the immensely talented The Recipee Band to craft a show unlike any other. The Recipee Band, comprised of musical virtuosos: Jason Larmond, Otis Williams, Juwayon Clarke, and Jonathan Kerr, bringing over two decades of collective experience to the stage.

Drawing from a diverse range of genres and generations spanning from the 50s to the present, The Recipee Band serves as the backbone of Soul Nostalgic, infusing each performance with their unmatched musicality and passion. Soul Nostalgic isn’t just a concert; it’s a collective of exceptional talent coming together to create an immersive experience that will transport you back in time.

The night brought me through a ray of emotions, from high-energy dancing to electrifying live music, every moment of the show was designed to make you groove and feel good.

As the night unfolded, I found myself immersed in a world where time seemed to stand still, where the troubles of the outside world faded away, and all that mattered was the connection between music, food, and community.

I completely co-sign on this unforgettable journey. On May 30th, 2024, they are sharing this experience with the city again, so get ready to dance, sing along, and relive the magic of an era that continues to inspire and captivate audiences worldwide. This is more than just a concert; it’s the Soul Nostalgic Experience.

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Generational survival: Can our young people survive our generation?

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Photo Credit: Dr Obotdean

BY STEVEN KASZAB

The young people of the day are often criticized for not voting or participating in our electoral and public service efforts. Called bubble wrapped by some, those who attend schools of higher learning face challenges presented to them such as: professors who are not objective but espouse various ideologies of the left or right. Professorial prejudices often place the young student in academic limbo, encouraged to choose their professors preferred political outlook.

Raised to be democratically inclined, our youth often witness the actions of our establishments, which can appear to be very undemocratic. Terms like “Do as we say, not as we do,” hypocritical actions by the administration and police often lead our youth an openness towards misguided ideologies and movements of purported social change.

Our youth are encouraged to insert themselves into local, national and international politics, only to be witness to the horrible events, misinformation and the manipulative nature of global media who present their own interpretation of said events. Media is in fact a business manipulated by corporate and politically friendly owners. So, how can our youth truly believe what is in fact real, truthful, honest and objectively presented?

Our youth will often develop a sense of “Stockholm Syndrome” like attitudes, actions and desires. Desire to change a society that is obviously unacceptable but have an attitude to accept no other message except that which is given by their governments and institutions.

Our youth find the idea of voting in a system that remains the same, changes nothing and has players who all look and act alike to be a waste of time and effort. There will always be bad guys, taxes, raising prices, and diminishing opportunities. One’s outlook can be deflated, filled with nervous tension and even fatalism. War, addiction, premature deaths, abortion, women rights, democracy while supporting and doing business with dictatorships.

To be young, means to create, grow and aspire to positive things. Our national and global experience is seen as the opposite of that approach. There is simply: too much going on, too many people being harmed, too little opportunity, too much misinformation, too much greed to allow our young to develop in a well-balanced, mentally positive manner.

Mental health concerns for not only the youth, but our own as adults challenge us to change our ways, assist each other with an: empathetic, charitable manner, open minds and hearts.

Our young people are our treasure and future hope. If they are screwed up, so too are our future expectations and future goals. We have to continue to work on getting it right.

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The Black Business and Professional Association (BBPA) scandal: Is there room for corrections and restoration?

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BY MICHAEL THOMAS

After over 40 years of upholding a legacy of integrity and excellence, accusations and allegations of mismanagement of public funds and conflict of interest have raised its ugly head at the Black Business and Professional Association (BBPA).

As I investigated the meat of information surrounding this case it is easy to see why many buzzards are circling this prey. One of the main allegations I have noticed is that BBPA management awarded contracts to companies controlled by the former President and CEO, Nadine Spencer, without appropriate due diligence. Again, if this turns out to be true, an organization that has been in business for four decades must have seen this coming.

If the rules of receiving the funds, or government grants say that you must put out tenders to hire workers, then by all means do so. We have to remember that bad news travels twice the speed of good news.

There is more; on November 5th, 2021, the BBPA’s President at the time, Nadine Spencer became the CEO where she was allegedly paid in the range of $250,000. This was used to make the comparison that a bigger organization was thriftier with their money than BBPA, here is how. As an example, the Executive Director of Tropicana Community Services, a much larger non-profit organization, earned a salary of $163,671 in 2023.

My job in this article is not to throw BBPA under the morality bus, but to shed a bit of light on how as a people we must realize that all eyes are on us. Something I quickly spot is how many mainstream media took the opportunity to jump at this alleged scandal in BBPA, yet, for over four years now Canada has been led off the cliff, and because these same mainstream media folks were paid and funded, they looked the other way.

Do I condone the misuse of public funds? Hell no! If these allegations are proven to be true, should BBPA be held accountable? Hell yes!

That said, I went to BBPA’s website to have a bird’s eye view of what this organization is all about, and after reading I must say I was impressed.

I am hoping that BBPA realizes that to whom much is given, much is required.  An organization that has kept such a sterling reputation over the last four decades need not look only in its rearview mirror, but in blind spots as well.

Misappropriation of funds is no laughing matter regardless of how big or small an organization is, nor is conflict of interest. These are tantamount to having blood stains on white garments. If proven there needs to be public apologies, and most importantly “a complete cleaning of the house.”

The Boards of Directors of the BBPA released a statement on Friday, April 26th, 2024, in response to the call for their resignation in the midst of the allegations of financial mismanagement. The statement was addressed to BBPA members/supporters. It states, “We want you to know that we have been listening to the concerns that have recently been raised. The BBPA has hired independent professionals to undertake the appropriate reviews. The current BBPA Board has and continues to proactively take steps to strengthen governance and compliance practices. We are all dedicated to learning, improving, and continuing to work together through this process. We, as Directors, also want you to know that you can reach out to us any time for a conversation.”

Now in the case of Mr. Harry Jerome’s daughter, when one engages in asking an organization that has upheld her father’s name for four decades to quit using the name. I would like to think that this individual has solid proof of wrongdoing, or if proven wrong is ready to apologize as well, but with all these wolves circling the wagon. I understand her plight.

Starting from a small gathering that honored just six Black Canadian athletes who excelled at that year’s Commonwealth Games in 1983, to an organization that built an endowment fund of close to $600,000, and in the last 24 years the fund has granted over 650 scholarships totaling close to 2.5 million dollars, BBPA has a lot to be proud of.

However, if these allegations are found to be false, I am hoping that the accusing parties will do the right thing and apologize. On the other hand, if BBPA is found to be in the wrong, then the organization should be wise enough to rock the boat and throw those found guilty of tarnishing BBPA’s and Mr. Harry Jerome’s good reputation completely overboard.

According to news sources, BBPA has categorically denied all allegations. Whichever way this cookie crumbles, BBPA, your decision should and must make your people, and the late sprinter Mr. Harry Jerome’s name and family proud.

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