Advocacy & Awareness Projects


Rally at the Legislature 2024

Rally at the Legislature 2024

Rise with us as we honour the resilience of our community, remember those we have lost, and demand better lives for adults with eating disorders. Press conference to follow.

Celebrating our community

On the final day of Eating Disorders Awareness Week, rise with us to honour those who are living with, recovering from, or lost their lives to eating disorders. We will hold space for our collective anger, love, grief, hope, and determination.

Rally details

Rally details: meet up at noon on the front steps of the BC Legislature
Press conference: 1:00 PM regarding new Telus Health ED service

Meet up at noon on the front steps of the BC Legislature, 501 Beleville Street, Victoria, BC. 

VIVED is calling a press conference with media at 1:00 PM immediately following our rally to voice our concerns with the delivery of a new Telus Health virtual eating disorder service.

VIVED speakers & guests:

  • Shaely Ritchey (VIVED co-founder)

  • Chelsea Kelly (VIVED media spokesperson)

  • Graham Hughes (VIVED member)

  • Sara Maximus (VIVED member)

  • Adam Olsen (MLA for Saanich North & the Islands)

  • Jonathon Morris (CEO of CMHA BC)


VIVED Virtual Town Hall EDAW 2024

VIVED Virtual Town Hall EDAW 2024

Vancouver Island Voices for Eating Disorders (VIVED) invites you to join us for our second Virtual Town Hall this Thursday, February 1st from 6:30 to 8:00 PM PST to acknowledge national Eating Disorder Awareness Week (EDAW) - February 1st to 7th, 2024. 

Our panel discussion provides an opportunity to honour the voices of lived & living experience in our community and share alternative ways of meaningful healing outside of standard models of care.

This event is facilitated by VIVED members, including our Moderator Chelsea Kelly. We want to honour the inherent capacity of each one of us to navigate challenging feelings and difficult conversations. Volunteers will be available to provide peer support.

Our panel of speakers includes persons with lived & living experience of an eating disorder, their loved ones, clinicians, mental health advocates, and government change-makers. 

This event is closed to the media and there will be no recording of the session for confidentiality of all in attendance. We look forward to an evening of sharing and learning.

Our Featured Panelists:

Dr Anita Federici, PhD, CPsych, FAED
Clinical Psychologist & Owner of the Centre for Psychology + Emotion Regulation
https://www.psychology-emotionregulation.ca/

Adam Olsen, MLA for Saanich North & the Islands
Member of the BC Green Caucus
https://adamolsen.ca/ 

J Nicole Little, PhD, RCC-ACS
Mental Health Therapist, Owner of RO DBT Canada
https://radicallyopencanada.ca/ 

Jonathan Morris, CEO of CMHA BC
Canadian Mental Health Association BC Division
https://bc.cmha.ca/ 


Local Advocacy Group Recommends Caution

Accessing New Island Health - Telus Eating Disorder Service on Vancouver Island

VICTORIA, BC - Vancouver Island Voices for Eating Disorders (VIVED) is concerned that the new Telus Health virtual eating disorder service will not deliver what is most needed for adults with eating disorders on Vancouver Island. While we support individuals in accessing whatever services they can, we urge those considering this option to ask questions and be fully informed about the service.

Our question and concern is whether Telus Health can deliver the following critical aspects of care as listed in the Request For Proposals (RFP) set forth by Island Health:

  • Virtual or in-person services with flexible hours, available Island-wide, and with self-referral options;

  • Meaningfully trauma-informed care;

  • Support services for adults who have have a persistent and enduring struggle with an eating disorder and/or have repeatedly not benefited from traditional recovery-focused treatment (in particular, those with comorbidities that exclude them from treatment);

  • A focus on reducing harms associated with the condition as opposed to full recovery, and increasing meaningful activity;

  • Counselling and wrap-around care including therapists, psychiatrist, physician and dietitian. Trauma therapist, outreach counsellor, occupational therapist, and substance use therapist would also be preferred components to proposed models;

  • Liaising with existing Island Health community-based services (which don’t exist in the South Island or other Island regions) when readiness and engagement to work towards recovery and pursue tertiary care occurs;

  • A shared care framework with primary care, general mental health and psychiatry, supported housing providers, Island Health community based eating disorder services, and local hospitals (it is unclear if a shared care framework exists, or how Telus is developing it);

  • Access to supervision from clinicians experienced with eating disorders.

We are also deeply concerned with: 

  • The neglect of informed consent related to private health data shared between organizations involved in this service and referral to it - MCFD, Island Health, and Telus;

  • Unclear communication between service providers on what the service provides and the target population;

  • Unclear determination of which clients/patients may be directed towards the service, the criteria such determinations are made on, and who makes such determinations;

  • Uncertain how the shared care framework will work when clinicians in VIHA’s Adult Mental Health services currently have no knowledge of the Telus program;

  • The complete absence of people with lived and living experience involvement in development of this service. VIVED’s request to participate in the evaluation process was denied;

  • Not providing adequate opportunity for competent nonprofit organizations to apply. The RFP for this service was announced before the winter holidays on Dec 20th, 2022 and closed only a few weeks later, leaving too narrow a window for proposals; 

  • Potential treatment costs being offloaded onto patients. In 2022, the BC Medical Services Commission petitioned the BC Supreme Court for an injunction against Telus Health for violating the Medicare Protection Act by offloading costs for MSP-covered services. While the parties have since reached a settlement, few of the services offered by Telus are MSP-covered. It is unclear whether clients will be charged for extra services or if they need to continue care after their one year of service is over.

Over the course of 2023, VIVED held numerous meetings with the multiple government ministries (including the MMHA, MoH, MCFD) and our regional health authority (Island Health) presenting our policy brief and bringing forward ideas for change and alternatives to the severely under-resourced and under-funded public healthcare system. Unfortunately, Island Health and MCFD walked away from the table in the fall of 2023. 

VIVED envisions a future where eating disorder services on Vancouver Island are safe, effective, and accessible to all. While our vision will take time and funding to achieve, we believe that Island Health can be offering a wider range of outpatient and inpatient services than currently available and we have made this feedback available to the government and the health authority on countless occasions.

To achieve this vision, VIVED has recommended a fulsome review of existing eating disorder services, followed by a broad redevelopment of services—both informed by PWLLE. This would align with A Pathway to Hope’s aim of improved access and better care, as well as the roadmap’s commitment that “people with lived experience inform and are leaders in mental health and addictions policy, planning and delivery of services and supports.”

What VIVED envisions for eating disorder care on Vancouver Island and across BC:

  • Timely access to primary, secondary, and tertiary care services on Vancouver Island;

  • Increased availability and diversity of local adult outpatient services, including day programs (also called “partial hospitalization”);

  • Multifaceted care which involves general practitioners, occupational therapy, dietetic support, family therapy, spiritual care, trauma therapy, individual counselling, meal support, traditional and alternative therapies, and community outreach;

  • Services which integrate harm reduction, palliative, and quality-of-life focuses as a viable and meaningful pathway to healing, persistent and enduring struggle with an eating disorder and/or have repeatedly not benefited from traditional recovery-focused treatment (in particular, those with comorbidities that exclude them from treatment);

  • Community-based, upstream, stepped levels of care which reduce disruptions to work, school, and family obligations and prevent cycling through existing treatment models;

  • Care that is comprehensive, holistic, patient-led, longer-term, part of a continuum of services, culturally-relevant and sensitive, as well as meaningfully trauma-informed, gender-affirming, weight-inclusive, and intersectional;

  • Increased support for loved ones of people living with eating disorders.

Specific suggestions to the health authority have included:

  • Improvement to psychiatric services through accredited continuing education on eating disorders for all Island Health psychiatrists working in outpatient and inpatient environments; 

  • Adapting of existing outpatient mental health services to include adults whose primary diagnosis or concurrent diagnosis is an eating disorder;

  • Expanding publicly available dietetic services through Island Health. Presently, Island Health Community Health and Nutrition Services are not qualified to provide dietitian support for eating disorders; 

  • Expanded eating disorder education and speciality for case management services through outpatient mental health programs; 

  • Expansion and improvement of education regarding eating disorders in emergency and psychiatric emergency settings, with a specific focus on dismantling stereotypes and the medical risks associated with all eating disorders;

  • An Eating Disorder Advocacy Nurse (EDAN) program, modelled on the Sexual Assault Nurse Examiner (SANE) program. 

References


Eating Disorders Awareness Week (EDAW) - our 2024 Statement

Better Lives for Adults with Eating Disorders

VICTORIA, BC - From February 1st to 7th every year, Eating Disorder groups across Canada unite to light notable landmarks in purple and commemorate Eating Disorder Awareness Week (EDAW) with a national week focused on raising awareness and creating change to improve the lives of people experiencing eating disorders and their loved ones.

Eating Disorders affect people of all genders, sexual orientations, ages, socioeconomic class, abilities, races, and ethnic backgrounds. Adults with eating disorders are whole and complex peoples who cannot be separated from their rich and varied spiritual, artistic, intellectual, and social lives, all of which collectively complement their own resilience.

Seeking these alternative internal resources is often exhausting and alienating. Adults with eating disorders have inherent capacity and can identify what support they need and when they need it. Rather than offering restrictive and highly rigid treatment options, services need to be creative and individual in focus; this requires collaborating with clients and remaining flexible to their unique needs.

When treatment doesn’t seem to be working, it’s important to ask questions, while remembering that it’s not a failure of the individual person; often it is a black-and-white treatment model that just doesn’t accommodate the individual person in the unique intersections of their lives. People do not fail treatment, but all too often treatment fails them; particularly if they exist with multiple intersecting, marginalized identities.

Treatment providers must recognise and mitigate the intersecting layers of oppression and the compounding rigidity of treatment structures provided through Western healthcare approaches, which frequently cannot meaningfully address the complex needs of diverse client groups, including 2SLGBTQIA+ folks, BIPOC & Indigenous peoples, older adults, neurodiverse individuals, gender non-conforming folks, concurrent physical and mental health diagnoses, trauma, substance use, as well as socioeconomic status, and food insecurity.

Services that neglect to accommodate treatment options that are supportive and holistic are alienating and unsafe for individuals who already face multiple barriers and a lack of safety in Western colonial society.

The inclusion of diverse people with lived and living experience of eating disorders is critical at every stage of designing, planning, implementing, and evaluating existing approaches to treatment within Western healthcare models and are key to building outside of it.

VIVED urges the government to take immediate action and commit to collaborating with people with lived and living experience to improve the lives and outcomes of adults struggling with eating disorders on Vancouver Island.


Eating Disorders Awareness Week (EDAW) 2024

Eating Disorders Awareness Week 2024

Join Vancouver Island Voices for Eating Disorders (VIVED) from Feb 1st to 7th for national Eating Disorder Awareness Week (EDAW).

You are invited. We are hosting a series of events to raise awareness, advocate for meaningful change, and to envision better lives for adults with eating disorders.

It is estimated that upwards of *16,000 people on Vancouver Island are struggling with an eating disorder and yet there is an alarmingly critical shortage of accessible, timely, and adequate services available - especially for adults and marginalized populations.

VIVED’s Event Schedule for EDAW 2024

VIVED has been calling for desperately needed change in our community for years! Every year, we get louder! Every year, we urge decision-makers to take action! Every year, very little changes for those who cannot afford to wait. It comes at the cost of people’s lives and quality of life.

This year, we are honouring our community first and foremost by celebrating our resilience and supporting each other as best as we can. We don’t have the energy to make our pleas for help more palatable and we are done asking politely. Please rise with us and amplify our voices!

We want access to healthcare that meets our diverse and unique needs. We want resources in our own community that allow us to participate meaningfully in our lives. And we want the voices of lived and living experience to be respected as experts of our own lives and how we define healing for ourselves.

* 1.5% of population based on 2006 statistic


Eating Disorders Awareness Week (EDAW) - our 2023 Statement

Vancouver Island Voices for Eating Disorders (VIVED) is calling on individuals, businesses, organizations, health authorities, and the government to take action on eating disorders.

Eating disorders are complex, serious illnesses

  • Multiple types of eating disorders exist.

  • Binge Eating Disorder is the most common kind of eating disorder, yet it is severely underserved.

  • As we understand it, eating disorders often occur when those who have multiple interacting vulnerabilities experience a period of malnutrition or stress. This stress triggers physiological and psychological changes that together culminate as an eating disorder.

  • Vulnerabilities can include biological, psychological, cultural, and structural factors. 

  • Eating disorders affect people of all genders, sexual orientations, skin colours, sizes, (dis)abilities, ages, cultures, and socioeconomic classes. Those who face higher levels of marginalization and oppression are at disproportionate risk. 

Not enough is being done to address eating disorders and support those struggling

  • There is a lack of accessible, timely, safe, effective services on Vancouver Island.

  • There is not enough education, research, funding, and coordinated leadership.

  • People with eating disorders are suffering and dying as a result of inaccessible, inadequate, sometimes harmful care. 

Addressing eating disorders is an issue of social justice and human rights

  • Access to healthcare is a human right; eating disorder care is healthcare. 

  • Marginalization and oppression increase vulnerability to eating disorders, create additional barriers to support, and increase the risk of experiencing harm in care settings. We must address marginalization and oppression in eating disorder work, and address eating disorders in social justice work. 

Change must occur

  • All adults must have access to accessible, timely, safe, effective services. These should include all levels of care - primary, outreach, outpatient, intensive outpatient, hospital, and residential. Care options should be multifaceted, including dietitian services, caregiver and family support, harm reduction supports, trauma and other kinds of therapy, meal support, and practical support (e.g., housing).

  • Care should be comprehensive, holistic, patient-led, longer-term, part of a continuum of services, culturally-relevant and sensitive, meaningfully trauma-informed, gender-affirming, weight-inclusive, and intersectional.

  • People with lived and living experience have expertise.

  • Provincial government, health authorities, community organizations, and people with lived and living experience of eating disorders must collaborate together.

Ways That We Can All Commit to Take Action:

  • Educating ourselves and our community about eating disorders and what we can do

  • Challenging assumptions and stereotypes we may hold about eating disorders.

  • Contacting our elected officials to call for improved support and care for people with eating disorders.

  • Raising awareness to our coworkers and community partners about the current lack of services and supports for adults with eating disorders.

  • Participating in online trainings such as Body Brave eating disorder training opportunities.

  • Collaborating with organizations, such as CMHA, VIVED, NIED, and NEDIC, to advocate for and improve services for people with eating disorders.

  • Offering specialized supports for people with eating disorders at our organization/business.

  • Ensuring our general services/supports are accessible and inclusive to people with eating disorders.

  • Challenging fatphobia, diet culture, and wellness culture in our space.

  • Shifting from number and size-centric measures of wellness (e.g., diagnostic criteria, weight, BMI, calories) to holistic, person-defined measures.

  • Ensuring an equitable, safe environment to people of often-marginalized identities (e.g., queer, racialized, gender diverse, Indigenous, and disabled clients).

  • Wearing purple and promoting EDAW.

  • Extending accommodations to employees and volunteers who disclose they have an eating disorder or are caring for a loved one with an eating disorder.

  • Removing barriers to accessing services wherever possible, including cost barriers, diagnostic criteria, age limits, geographic restrictions, and externally-defined requirements like “recovery oriented” or “stable.”

  • Recognizing we will encounter people with eating disorders knowingly and unknowingly in our work, and committing to approaching all in a supportive way. 

  • Including attention to eating disorders in our work on [mental health/fitness/wellness/food security/trauma/queer healthcare/caregiving support].


Eating Disorders Awareness Week (EDAW) 2023

It’s almost that time!

What is Eating Disorders Awareness Week?

Eating Disorders Awareness Week is a national event that takes place during the first week of February every year (1st-7th). This event is aimed at raising awareness and advocating for individuals and families struggling with eating disorders. This year’s theme is an important one - transforming the narrative: from asks to action.

The Impact of Eating Disorders - All That Goes Unseen

These illnesses are complex and biopsychosocial in nature. Despite the common stereotypes, eating disorders affect a wide range of individuals, many of whom experience other intersections of disadvantage and marginalization.

The majority of people with eating disorders do not appear underweight, their struggles go unseen, but these illnesses have deep impacts upon a person’s life, loved ones, and capacity to engage in the world around them.

This Year’s Theme is All About Action

This year’s campaign aims to help people understand the connection between eating disorders and other co-occurring conditions or intersections of disadvantage, and to help different stakeholders understand the different types of action we must take to support people affected by eating disorders.

This could be taking action to get help; taking action to speak to decision-makers; and taking action to support our patients/clients.

Why This Work is Important

We take this time at the beginning of each February to remind the public, government, healthcare executives, service providers, and medical professionals that people struggling with eating disorders deserve accessible, effective, meaningful, and timely support.

With the current healthcare crisis, the ongoing impact of the pandemic on our social support systems, and the changes occurring in the mental healthcare system, we cannot leave behind those with eating disorders and interrelated complex mental and physical health conditions. The loss of quality and quantity of life to preventable causes is unacceptable.

Take Action This Eating Disorders Awareness Week 2023

Please join us in taking action for Eating Disorders Awareness Week 2023. Follow along to see the different actions you can take to transform the narrative for those struggling.

If you’d like to learn more about eating disorders and how you can get involved, please contact us.

The time for talk is over - we need action now!

We have a lot planned for this year’s Eating Disorders Awareness Week including contests and a bingo card game to encourage taking action each day of the week. Follow along and join in for some fun and the chance to win prizes!


VIVED Virtual Town Hall - Summary & Next Steps

Reflections

Vancouver Island Voices for Eating Disorders (VIVED) held a virtual town hall on September 29th, 2022. The aim of the event was to create opportunities and inspiration for improved adult eating disorder care on Vancouver Island, as well as relevant tertiary services in B.C.

We at VIVED extend our deepest gratitude to all of our panelists, without whom we would not have been able to do this event. Your courage, authenticity, and strength is greatly appreciated. We also want to thank those who supported the event through planning, sharing, and attending. It is through conversations like these—ones that are often uncomfortable and challenging—that we truly grow.

This is certainly not the end of the conversation—it is only the beginning, and more opportunities are on the horizon.

The Current Situation

“We are in absolute crisis management”
- Tara F, person with lived and living experience (PWLLE)

At the town hall, panelists reported that services for adults with eating disorders on Vancouver Island are extremely limited. Services that do exist are often inadequate in terms of duration, intensity, and treatment modality - largely due to a lack of funding and resources.

In addition, adults face multiple barriers to accessing treatment. These include narrow eligibility criteria, long wait lists, geographical distance, and high costs (for any private services). Panelists also noted that their eating disorder diagnosis itself is a stigmatizing label which creates an added barrier to accessing care, and may be exacerbated by other social positions of marginalization. Panelists who identified as Indigenous, parents, diagnosed with co-morbid physical and mental health conditions, living in poverty, using substances, and/or older, described facing compounded barriers. They also acknowledged that those who are racialized, live in larger bodies, have a non-restrictive eating disorder diagnosis, and/or are gender diverse, also face more barriers.

In addition to inaccessibility, many adults described experiencing trauma in current systems of care, stemming from paternalistic, compliance-based, punitive, and “one-size-fits-all” models. Two panelists noted that outpatient services through the Ministry of Child and Family Development (MCFD) and inpatient care specific to eating disorders - which is presently only available in Vancouver in the form of 7 beds for all of B.C. and the Yukon, and takes place at the Catholic-based St. Paul’s hospital, both have harmful colonial legacies. Another panelist characterized many services as carceral, colonial, and/or fatphobic. 

“Things look good on paper. We talk about coming through a trauma-informed lens. But it’s not there. We’re using the language, but the actions of the system aren’t making allowances for that.” - Tara F., PWLLE

The inaccessibility, inadequacies, and the harms that exist in current care services - largely due to a lack of funding and resources - are having a significant, detrimental impact on adults with eating disorders, their families, and the healthcare system on Vancouver Island and the province of B.C.

"Why can’t I be treated as a whole person? I want to get better. And yet here I am sick and getting sicker. I’ve exhausted all publicly available eating disorder treatments in BC. And I’m watching my friends die because they waited for treatment that never came.” - Sara M, PWLLE

While many panelists with lived and living experience lauded clinicians and decision-makers they had worked with, who advocated strongly on their behalf, positive systemic change has not been forthcoming. Current, evidence-based, and relevant information regarding adults with eating disorders on Vancouver Island, in BC, and Canada is extremely limited. Layers of bureaucracy and the silo-ing of services make it challenging for those in leadership positions, within government, health authorities, the public, and other services to clearly understand the scope and reality of current services, what’s lacking, and what’s needed.

“It is just as messy as it appears… we are trying to repair the system as we fly.” - Adam Olsen, MLA for Saanich North and the Islands

Right now, people with lived and living experience - along with their support persons - are fighting for their lives. And as panelist Jonathan Morris noted, in a functional system, receiving care would not require “individual, heroic efforts.” 

“Tonight underscores the moral imperative for us to find ways to change" - Jonny Morris, CEO of CMHA BC

What is needed

Panelists had many tangible recommendations for change. 

Panelists called for more practitioners who have the skills to work with eating disorders. This would require:

  • Training that is co-created, delivered, and evaluated by those with lived and living experience, alongside professionals.

  • Enhanced continuity of care.

  • Greater integration and less silo-ing of services.

Panelists named many types of eating disorder care they have had or would benefit from, that are not currently publicly available and accessible. These included:

  • Timely, accessible, adequate access to acute services on the Island.

  • Increased availability and diversity of outpatient services for adults on the Island, including day programs (or “partial hospitalization”), outside the jurisdiction of the MCFD. This would require accountability if current funding specific to adult outpatient services for adults with eating disorders were to be absorbed by the regional health authority.

  • Multi-faceted care, including (for example) general practitioners with familiarity in treating eating disorders, occupational therapy, dietetic support, spiritual care, family therapy, trauma therapies, individual counselling, meal support, outreach, and alternative therapies (art therapy, etc.)

  • Incorporation of harm reduction, palliative, and/or quality of life focuses in care, highlighted as a viable and meaningful pathway to healing for adults with long-standing eating disorders, where other approaches have not been of benefit to the person.

Community-based, upstream, and stepped levels of care that support people in their communities and daily lives. This would help prevent individuals and families from needing to take time off work, leave their families, face financial challenges, and cycling through multiple rounds of treatment.

Panelists called for care that it is:

  • Comprehensive

  • Holistic

  • Patient-partnered or led

  • Longer-term, with a continuum of services

  • Culturally relevant and sensitive

  • Trauma-informed

  • Gender-affirming

  • Weight-inclusive

  • Intersectional 

Panelists noted these intentions sometimes exist on paper, but are rarely meaningfully defined and implemented.

"What bothers me so deeply is that very clearly people who are living with this terrible disorder have the solutions that our government needs to deploy in order to support you...I am committed to still asking questions, encouraging colleagues in government to get it right. Clearly there is enough information out there to develop services that serve the public and people who need them."

- Adam Olsen, MLA Saanich North & the Gulf Islands

How we get there

"We are in this together, all of us. We all want the same thing. Not a single person here who wants worse, or even — I would hazard — the status quo." - Kat P, PWLLE

Panelists had clear ideas of how their recommendations could be implemented:

  • Collaboration and communication among service providers, government, and others working to address service issues and limitations—not inappropriately restricted by privacy legislation.

  • Engaging people with lived and living experience in decision-making, planning, and implementation of services, education, etc.

  • Acknowledging adequate, accessible, and human-centered care for adults with eating disorders as a human rights issue.

“I do have the capacity to know what is best for me." - Sara M., PWLLE

VIVED’s next steps: Call for Collaboration

Based on what we heard, VIVED will be taking the following actions:

  1. Advocating for immediate implementation of publicly-funded and accessible interim services for adults with eating disorders on Vancouver Island, including dietitians, meal support, counselling, outpatient groups, outreach, and medical monitoring, as well as fast-tracked approvals to out-of-province and out-of-country care.

  2. Calling on partners to develop a planning committee that involves all relevant stakeholders to meet regularly to understand, plan, implement, and evaluate adult eating disorder supports.

  3. Continuing to collect information on the current eating disorder care system.

  4. Partnering with interested groups, including the Canadian Mental Health Association (B.C. Division), National Initiative for Eating Disorders (NIED), the National Eating Disorder Information Centre (NEDIC), and others with lived and living experience.

  5. Supporting each other, and ourselves, to survive and thrive in this challenging situation.

To be part of our next steps, email us at vanislevoicesforeds@gmail.com or contact us through social media.

Question Period & Presentation of VIVED’s Petition to Move Adult Outpatient Eating Disorder Services to the Jurisdiction of Island Health

On May 4th, 2022, members of VIVED were introduced during Question Period at the B.C. Legislature by Adam Olsen, MLA - Saanich North and the Islands. Mr. Olsen had responded to a letter written by a constituent during VIVED's letter-writing campaign and reached out to contact us.

A question from Mr. Olsen (viewable in the video (linked here or the full video viewable here, at the timestamp of 2:12:03 - 2:15:04) was addressed to the Minister for Child & Family Development (Hon. Mitzi Dean) regarding the recent program cuts to adult services delivered through the South Island Eating Disorder Program (SI EDP). These service cuts were initiated in November of 2021 and effectively halted adult intakes and the majority of services indefinitely. The reason offered for these cuts was a rising waitlist, limited funding, and staffing shortages.

Unlike every other area in the province of B.C., adult outpatient eating disorder services in the South Vancouver Island region are delivered by MCFD (a decision made in the mid-1990s) not Island Health (our regional health authority which receives funding from the Ministry of Health.) MCFD has a mandate to prioritize youth and having adult services under their jurisdiction is not appropriate. Minister Dean does not answer the initial question posed by Mr. Olsen regarding why this placement of services is still the case.

The funding that Minister Dean mentions in the second part of her response ($6.6 million) refers to funding that was announced in 2021, is meant to be delivered over 3 years ($2.2. million/year) through regional health authorities, and across the entirety of B.C. Because SI EDP is run by MCFD, none of those funds come to the program.

We are grateful to have had this issue presented - even in short form - as well as our petition to move adult outpatient ED services under the jurisdiction of Island Health, with oversight from the Ministry of Health on how to best utilize limited resources for adults. This is only a single step, we will continue to bring this issue forward to government and other relevant organizations/agencies until we are heard.

Photo by Shaely Ritchey


Letter Writing Campaign

via our Instagram (@vanislevoicesforeds).

Send a letter to your elected representative regarding the service cuts to the South Island Eating Disorders Program (SI EDP). We have created a fillable letter template that you can send to your local MLA in the South Island region, the Minister of Mental Health and Addictions (MoMHA), and the Minister of Child & Family Development (MCFD).

If you do not live in the South Island region, you can still write a letter to the Minister of Health, and Minister of Mental Health & Addictions as well as the Minister for Child & Family Development. The letter can be written regarding your concerns about eating disorder treatment for adults in B.C. and the service changes occurring in the South Island region.

Guidelines:

  • If you don’t know your constituency, you can look it up here: https://www.leg.bc.ca/learn-about-us/members

  • When contacting your MLA (if you are in the South Island region), it is important to introduce yourself as a constituent.

  • Leave a voicemail, send an email, write a letter.

  • Don’t be afraid to follow up! It takes persistence to create change.

Here is a sample letter:

  • There is a link to a .docx or .rtf file listed with the contact information for your MLA below. Click one of those links to download the sample letter.

  • In your download folder, open the file in Microsoft Word or your preferred word processing application. If you are using Microsoft Word:

    • By default, the .docx file will open in protected view because it was downloaded from the internet. Click the Enable Editing button at the top of the page.

    • Make sure to fill in the form fields with your information.

  • Please ensure to personalize the letter. An original letter by one passionate person is far more powerful than a pile of identical letters.

  • Print three extra signed copies for the Minister of Health, Minister of Mental Health and Minister of Children and Family Development

  • Copy and paste the letter into your email application to send an email.

South Island MLAs

Hon. Murray Rankin, QC
MLA for Oak Bay-Gordon Head

219-3930 Shelbourne Street,
Victoria, BC V8P 5P6
Ph: (250) 472-8528
E: murray.rankin.mla@leg.bc.ca
Download: .docx | .rtf

Ms. Grace Lore
MLA for Victoria-Beacon Hill

1084 Fort Street,
Victoria BC V8V 3K4
Ph: (250) 952-4211
E: grace.lore.mla@leg.bc.ca
Download: .docx | .rtf

Hon. Rob Fleming
MLA for Victoria-Swan Lake

1020 Hillside Avenue,
Victoria, BC V8T 2A3
Ph: (250) 356-5013
E: rob.fleming.mla@leg.bc.ca
Download: .docx | .rtf

Hon. Mitzi Dean
MLA for Esquimalt-Metchosin

104-1497 Admirals Road,
Victoria, BC V9A 2P8
Ph: (250) 952-5885
E: mitzi.dean.mla@leg.bc.ca
Download: .docx | .rtf

Prem. John Horgan
MLA for Langford-Juan de Fuca

122-2806 Jacklin Road,
Victoria, BC V9B 5A4
Ph: (250) 391-2801
E: john.horgan.mla@leg.bc.ca
Download: .docx | .rtf

Hon. Lana Popham
MLA for Saanich South

260-4243 Glanford Avenue,
Victoria, BC V8Z 4B9
Ph: (250) 479-4154
E: lana.popham.mla@leg.bc.ca
Download: .docx | .rtf

Mr. Adam Olsen
MLA for Saanich North and the Islands

9828 Fourth Street,
Sidney, BC V8L 4T9
Ph: (250) 655-5600
E: adam.olsen.mla@leg.bc.ca
Download: .docx | .rtf

Print Three Signed Copies of Your letter and mail to:

Hon. Adrian Dix
Minister of Health

Room 327 Parliament Buildings,
Victoria, BC V8V 1X4
Ph: (250) 953-3547
E: hlth.minister@gov.bc.ca

Hon. Sheila Malcolmson
Minister of Mental Health and Addictions

Room 247 Parliament Buildings,
Victoria, BC  V8V 1X4
Ph: (250) 952-7623
E: mh.minister@gov.bc.ca

Hon. Mitzi Dean
Minister of Children and Family Development
Room 134 Parliament Buildings,
Victoria, BC  V8V 1X4
Ph: (250) 387-1977
E: mcf.minister@gov.bc.ca


online petition to address the recent service cuts facing adults with eating disorders in the south island region.

Please sign and share!

“To the Honourable Legislative Assembly of the Province of British Columbia, in Legislature Assembled:

The petition of the undersigned, Vancouver Island Voices for Eating Disorders of Vancouver Island, B.C., states our request that the Honourable House take urgent action to support adults struggling with eating disorders in our community, who are facing devastating service cuts.

In November 2021, the South Island Eating Disorder Program (SI EDP) in Victoria, B.C. stopped accepting new referrals for adult clients and services were further limited for those patients currently on the clinic's caseload. Services are only being provided to current patients as long as they're involved with provincial services through Providence healthcare (St. Paul's inpatient program and the Discovery/Vista residence in Vancouver, B.C.)

The Eating Disorders Program has been gradually limiting access to individualized services over the past few years, but with the COVID-19 pandemic, the South Island program is experiencing a dramatic jump in demand for services with no ability to provide it. The program is severely under-funded, under-staffed, and their resources are stretched beyond capacity. As a result, what little resources exist have been prioritized for youth and adult patients are now being turned away.

Because adult outpatient services for eating disorders are provided through the Ministry of Child Development in the South Island region, the adult population will never be a priority. Youth and adults have different needs and capacities, but adults are not less capable of change or less deserving of support. These individuals are valuable members of our community, and they deserve support that allows them to participate in society.

Community-based/outpatient treatment has been proven to lead to improved health outcomes and cut long-term healthcare and social assistance costs. Allowing individuals to find the support they need in their own community is critical to sustain recovery and prevent treatment-cycling.

Without accessible community-based support, patients' only option is to seek support through the adult tertiary program at St. Paul’s hospital in Vancouver, B.C. A program which itself, has very limited resources to support an entire province of patients.

Eating disorders affect people of all ages, races, sexual orientations, genders, socioeconomic statuses, backgrounds, and frequently accompany other co-morbid mental illnesses. Given that eating disorders can lead to significant disability, have the highest death rate of any mental illness outside of the opioid crisis, and are the third most common mental illness in Canada, your willingness to act is a vital step towards change.

Your petitioners respectfully request that the Honourable House move adult outpatient eating disorder funding and services in the South Island region from the jurisdiction of the Ministry of Child and Family Development to the Ministry of Health (which would be delivered through Island Health).

Other critical ways we need to take action include:

  • Increasing education and training for healthcare professionals that focuses on eating disorders, weight stigma, cultural competence, harm reduction practices for eating disorders, and trauma-informed care.

  • Investment in provincial and community-based services for adults to provide stepped-levels of care to patients and families transitioning in their care needs to avoid cycles of relapse.

  • Investment in research for eating disorders to ensure treatment and support options are evidence-based.”


Collecting a Narrative - Gathering personal impact statements regarding recent changes to the South Island Eating Disorder Program.

via our Instagram (@vanislevoicesforeds)

In learning about the changes coming to the South Island Eating Disorder Program, we want to hear about how this impacts you as an individual as well as how it impacts your wider circle of loved ones.

Getting these more in-depth responses will help us piece together a broader narrative. Our hope is to bring this collection of personal statements together to present it to Go Public (an investigative segment run by CBC news.)

Please adhere to BEAT media guidelines when sharing - https://www.beateatingdisorders.org.uk/media-centre/media-guidelines/

The fillable form can be found here.


National Eating Disorders Awareness Week (Canada) - February 1-7, 2022

via our Instagram (@vanislevoicesforeds)

February 1-7 is National Eating Disorders Awareness Week (EDAW) in Canada. This year's campaign, "Everyone has a role to play," aims to recognize that we all have a role to play in eating disorder prevention and recovery.

Depending on who we are in a person's life, the specifics of our role as a supporter might differ. Still, whether we are a friend, family member, professional, or otherwise - learning about and supporting someone through their struggles can be pivotal in their recovery.

What are some of the ways we can support people in their recovery?

  1. By LEARNING about eating disorders

  2. By LEANING into discomfort

  3. By LISTENING closely

  4. By paying careful attention to LANGUAGE

  5. By letting the person LEAD where possible

Let’s explore each of these a bit further…

LEARNING ABOUT EATING DISORDERS:

There are a variety of professional resources and materials to explore further learning about eating disorders (see the resource and educational materials pages on our website). However, voices of lived experience are one of the most valuable forms of knowledge, and no list of resources is complete without them.

LEANING INTO DISCOMFORT:

To support those living with eating disorders, we need to lean into uncomfortable conversations: whether it is with ourselves, our loved ones, our patients, our practices, our healthcare systems, or our cultures. There is no healing without exploring the hard topics, doing the deeper, reflective work, dismantling oppressive systems, and unpacking our own biases.

LISTENING CLOSELY:

There is no greater gift we can give to those on their healing journey than that of listening closely. This may take practice, but truly hearing voices of lived experience, recognizing the struggles that individuals face (without simply reducing them to those struggles), and honouring that people are the experts of their own lives, is vital to healing.

PAYING CAREFUL ATTENTION TO LANGUAGE:

Language can be both empowering and disabling. Often times, it is the connotations around certain words and phrases that can be stigmatizing, hurtful, and disruptive to therapeutic connection. The language we use with ourselves and our own relationships to nourishment and our bodies can have a huge impact on those in our lives who are working on recovery from an eating disorder. Be mindful and attentive to what language you use and how it feels for each person.

LETTING THE INDIVIDUAL LEAD WHERE POSSIBLE:

Eating disorders are serious mental illnesses and balancing autonomy with safety can be challenging for loved ones and professionals to navigate. Sometimes there is seemingly not a lot of room for choice; however, offering even small choices where possible and doing our utmost to work collaboratively with a person is critical.


World Eating Disorders Action Day 2021 - #equity4eatingdisorders

June is just around the corner, and that means it is almost time for World Eating Disorder Action Day (WEDAD) on June 2nd!

Why is this day important? Because while awareness is critical, ACTION is what is desperately needed.

We have made a great deal of progress when it comes to our understanding and treatment of eating disorders and disordered eating, but there is much farther to go.

This year’s theme is #equity4eatingdisorders

This highlights a very important and present issue in the world today because it recognizes privilege, disadvantage, intersectionality, and ongoing disparities between different groups of people.

Eating disorders ARE a political and social justice issue; we cannot separate action for eating disorders from things like racism ✊🏿, disability activism ♿️, poverty, socioeconomic factors, justice, feminism 💪🏼, fat activism, LGBTQIA+ 🏳️‍🌈 ⚧ activism, and systemic inequalities ⚖️

Stay tuned and feel free to join the conversation on this important day highlighting activism. We will be sharing different content (ours and others) on our social media channels and encouraging conversation that we would love you to join in!

Of course, WEDAD is simply a focal point for the action that needs to be undertaken EVERY. SINGLE. DAY. 👏🏻 if we are to keep pushing for real and positive change!

Raise your voice and let’s get to work! 🎤


Langara Voice Interview

One of our volunteers (Shaely) speaks to reporter Meg McLachlan of the Langara Voice about eating disorders, COVID-19, diet culture, and the online world.


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Eating Disorders Awareness Week 2021 - What Happened While we Waited?

February 1-7 is Eating Disorders Awareness Week (EDAW) in Canada. This year’s theme is a particularly important one in light of the COVID-19 pandemic and the impact it has had upon those struggling with eating disorders, as well as access to services and supports.

This year our EDAW events were scaled back to social media where we focused on a week long awareness and advocacy campaign. Check out our Instagram (@vanislevoicesforeds) or our Facebook page and public Facebook group (Vancouver Island Voices for Eating Disorders) to see the full campaign.


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Recovery Advent Challenge 2020

We are very excited to announce an upcoming event for the month of December... That’s right! We are bringing back the Recovery Advent Challenge (2020 edition)!

We will be doing the challenge via Instagram and our Facebook page/groups.

  • IG: @vanislevoicesforeds

  • Facebook Page: Vancouver Island Voices for Eating Disorders

  • Our Recovery Advent Challenge 2020 private Facebook group can be found on our Facebook page. Anyone is welcome to request and join.

We have created a calendar with daily challenges people can take on whether they live in our community of Vancouver Island or want to participate from a distance. We will be posting the challenges daily and encourage anyone who wants to, to participate!

The challenges are designed to be flexible in order to respect that people are in different places in their journey and recovery/healing looks different on everyone.

The hope is for people to challenge themselves, but participate in a way that feels safe for them, create a sense of community and support over the holidays by sharing in each others challenges and achievements, and embrace the (sometimes challenging) holiday season. There’s no pressure to participate every day, it’s up to each person to decide what feels good for them.

Challenges have also been adjusted to ensure COVID-19 precautions are followed (though stay tuned to local government sources as these restrictions/precautions may shift over the coming months.)

We hope you’ll join us for the month of December.

Daily challenge posts will start on December1st. We will be using #recoveryadventchallenge2020 on Instagram.

A copy of the 2020 calendar can be downloaded here.


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Chek News Response letter RE: 05/08/20 commentary by ian haysom - “how covid-19 changes our summer holidays”

In light of the recent opinion piece written by Ian Haysom and published by Chek News on August 5, 2020, Vancouver Island Voices for Eating Disorders (VIVED) feel it is important to speak to the dehumanizing language used by Mr. Haysom concerning human beings in our community as well as the perpetuation of weight stigma, fatphobia, and diet culture.

As such we have written a letter (which can be read here) to Chek News and Mr. Haysom regarding our concerns.

Our deepest thanks to the individual who brought this story to our attention.


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Brave Letters (A Body Brave Campaign)

“The COVID-19 crisis has been devastating for people struggling with eating disorders. Isolation and fear has triggered dangerous eating disorders and has exacerbated them in those already struggling. Hospital resources have been diverted to address the pandemic, and many programs have closed or dramatically reduced their services. 

As a result, community-based treatment and support organizations across the country have experienced a dramatic jump in demand for services in the last few months. Resources are stretched. People have nowhere to turn. Many are dying on waitlists. 

With your help, we can change things. Send a letter to your local and federal politicians. Speak up for the people that can't advocate for themselves.”

To support this initiative, Vancouver Island Voices for Eating Disorders has drafted its own letter to be sent to provincial and federal representatives as well as other important targets. The basic letter (not yet individualized for each recipient) can be read here.

We have also drafted a contact list for Vancouver Island residents of MPs and MLAs as well as some other provincial and federal targets which can be read here. The list includes some tips and guidelines shared from the panelists who spoke at the launch of this campaign by Body Brave. A recording of that webinar can be watched here.


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Yoga For Healing Class - EDAW 2020

We are really excited to be able to share this Yoga for Healing Class (being offered by donation) through one of our VIVED members (the lovely Carley).

In support of VIVED, for Eating Disorders Awareness Week in Canada (February 1-7),
Carley will be offering a gentle 90 minute Yin/Yang style all levels class. This class will encourage you to listen to and take what feels good in your body while moving through stretching, gentle movement, breath work and a Metta meditation.

This is a by donation class, no need to regiater just show up! Proceeds will go to support VIVED Vancouver Island Voices for Eating Disorders. VIVED is a local non profit organization that is a developing collection of voices interested in eating disorder advocacy and awareness in our community. This class is open and welcoming to everyone.

Feb 6th 5:30-7PM

Yoga Den Lower Studio

Cash Donations


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Victoria City Council - EDAW 2020

The City of Victoria will be signing a proclamation officially recognizing the first week of February (1-7) as Eating Disorders Awareness Week 2020. In addition, our VIVED members will have the opportunity to speak with City Council (January 23 at 6:30 PM) about the importance of this awareness event and the changes needed in our community to support individuals and families struggling with eating disorders.

We want to thank the Victoria City Council for there support in raising awareness for eating disorders.


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Purple Up Friday 2020

It's that time of year again! The first week of February is Eating Disorders Awareness Week and we're back to bring you our annual Purple Up Friday event (on February 7!) All you have to do to participate is wear some purple on that Friday (the official NEDA colour for eating disorders awareness), snap a photo of yourself (if you want to), post it on our Purple Up Friday Facebook page, send us a private message (if you’re hesitant to share publicly), or tag us on Instagram (#purpleupfriday2020), and you'll be entered to win some great prizes! We've got a few more prizes to offer this year (although we’re unable to mail one of them - apologies for people participating from a distance!) so get your purple on and show your support!
If you’re interested in helping out with this event we have an informational pamphlet on eating disorders and why raising awareness is important as well as some @loveourbodies bracelets available that you can share with folks (family, friends, whoever you feel safe sharing with.)


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CBC Victoria Interview - Navigating the Holidays

The holidays can be a pleasant time for large family gatherings and festive feasts, but how might someone with an eating disorder perceive this time of year? To find out, guest host David Lennam spoke with Shaely Ritchey and Sally Chaster, co-founders of the non-profit Vancouver Island Voices for Eating Disorders.

Aired: Dec. 20, 2019


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Recovery Advent Challenge 2019

We are very excited to announce an upcoming event for the month of December - the Recovery Advent Challenge 2019!

We will be doing this challenge via Instagram and our Facebook page.

We have created a calendar with daily challenges people can take on whether they live in our community of Vancouver Island or want to participate from a distance. We will be posting the challenges daily (in an easier to read format) and encourage anyone who wants to, to participate!

The challenges are designed to be flexible in order to respect that people are in different places in their journey and recovery looks different on everyone.

The hope is for people to challenge themselves, but participate in a way that feels safe for them, create a sense of community and support over the holidays by sharing in each others challenges and achievements, and embrace the (sometimes challenging) holiday season. There’s no pressure to participate every day, it’s up to each person to decide what feels good for them.

We hope you’ll join us for the month of December. There will be the chance to win a holiday care package (details to come) so stay tuned for more details. We will be using the hashtag #recoveryadventchallenge2019. Daily challenge posts will start on December 1st.

If you have questions, see our contact page.

A copy of the calendar can be found here.


the honourable Judy Darcy

the honourable Judy Darcy

Meeting with the Minister of mental health & addictions

On December 12, 2018 our organization had the opportunity to sit down with Minister Judy Darcy and begin a conversation about the necessary changes needed for patients and families in B.C. struggling with eating disorders.


Documentary short - a message for supporters

In November 2018 we were given the opportunity to create a documentary short with Stacey Maria & Sarah Rzemieniak. Thank you to Robyn Unwin Media and Beacon Community Services for making this video possible.

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2018-2019 PATSEDP Education series

Run through St. Paul's hospital, this annual education series provides clinicians around the province a chance to teach, learn, and share research via webinar. VIVED is honoured to present as a part of the 2018-2019 education series on the topic of barriers to treatment and recovery.

Our presentation slides are available here.


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Rock the City - Advocacy and Awareness Through Art

Spreading hope, quotes to live by, and life lessons through art. Our members paint and place rocks around the city for community members to find. Check out our instagram for more.


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Feedback to the School of Nursing at the University of Victoria

Our current president (Shaely Ritchey), a graduate of the UVic baccalaureate of nursing program, provided feedback to the UVic nursing department in an effort to expand content on eating disorders for nursing students in the licensed practical nursing (LPN), registered nursing (RN), psychiatric nursing (PN), and nursing practitioner (NP) programs.


Purple Up Friday - an annual event started by the Victoria Eating Disorder Support Group

Purple Up Friday - an annual event started by the Victoria Eating Disorder Support Group

Eating Disorder Awareness Week (EDAW) 2019 Events

February 1-7 is Eating Disorders Awareness Week in Canada. In 2019 we took on several events in collaboration with other local groups and organizations.

  1. Purple Up Friday in collaboration with Victoria Eating Disorder Peer Support Group.

  2. Recovery and Hope - Peer to Peer Night in collaboration with Island Health

  3. Bolen Books EDAW 2019 Panel in collaboration with Victoria Eating Disorder Peer Support Group


Op-eds & Published Pieces by Members