Thank you, Chair and committee members, for having us today. I'm here alone from the Canadian Mental Health Association, as the chief executive officer of our national office. Dr. Taylor Alexander is unable to make it today due to illness, so we apologize for that.
I am the co-author of the brief presented to you. Dr. Sid Frankel, associate professor at the faculty of social work at the University of Manitoba, is the other author of the brief.
Thank you for your audience this morning. I'm here today representing, as I said, the Canadian Mental Health Association. We are Canada’s only voluntary charitable organization that exists to promote the mental health of all people and support the resilience and recovery of persons experiencing mental illness. We do this through advocacy, research, education, and service. Our vision of mentally healthy people in a healthy society promotes both individual and collective health and a sense public accountability and provides a framework for the work we do.
We have submitted our brief to you detailing the recommendations we are putting forth for your consideration today. In the five minutes that I have to speak to you I will summarize those recommendations and explain why they focus on both creating a mentally healthy society through initiatives that focus on eliminating poverty for children and families, as well as examining the implications of mental illness and how it so often results in poverty.
In our brief we advocate that income support and other measures to prevent and reduce poverty can play several roles with regard to mental illness and mental health. We have attempted to mainstream our advocacy to cover three areas of importance to the configuring of the upcoming federal budget. These areas cover modifications to the national child benefit supplement, Canada's social transfer, and development of basic income support programs for persons living with mental illness and other disabilities. Of course there are many other areas to consider, but we'll have to leave those for another day.
First, let's focus on the promotion of mental health and the children of Canada. We believe the federal government should increase the national child benefit supplement to create a full child benefit for low-income families of $5,200 per year per child in 2009 dollars. In this, we join the Campaign 2000 movement to end child poverty, because of the psychological damage to children living in poverty, which often has lifelong effects. The Canadian child tax benefit and the supplement have been an important measure in decreasing the depth of poverty for many children. The recommended increase would render the benefit even more effective in preventing sometimes lifelong mental health problems. We've come a long way here, but there is much further to go.
The Canadian Mental Health Association is making this recommendation because of its interest in preventing mental illness and because of the overwhelming evidence that poverty is a determinant of health, especially mental health. Research has shown that growing up and living with persistent poverty is detrimental to one's psychological, physical, and educational health. Social causation studies also show that poverty contributes to the development of a wide range of child and adult psychopathology and has numerous other negative consequences to children, their families, and the community at large. A study undertaken by Campaign 2000 referred to in our brief demonstrates how increasing the national children’s benefit has reduced family poverty significantly and how its continued application could result in an enormous decline in the child poverty rate.
My focus now turns to the impact of mental illness. We also believe the federal government should take a leadership role in establishing a federal basic income benefit for persons who cannot reasonably be expected to earn an adequate income from employment. This has especially been recommended by the Caledon Institute of Social Policy. We support this, because this initiative would include many persons with mental health problems. Those with severe and prolonged disabilities would clearly be eligible, but a combination of limited training, advanced age, inconsistent labour market attachment, and psychiatric disability should also be considered for eligibility.
This benefit would be income-tested, with eligibility based on a demonstration of disability. However, eligibility criteria must be sensitive to the restrictions that flow from mental illness, which can be substantially different and more difficult to assess than those that flow from physical disability. Arbitrary and restrictive interpretation of disability related to mental illness has been a major barrier for many persons disabled by chronic mental problems. This has been demonstrated by difficulties in accessing both CPP disability benefits and the disability tax credit and has resulted in the systematic discrimination and exclusion of persons with mental illness.
One of the best outcomes of initiating a basic income benefit would be the removal of many persons with significant and persistent employment-related disabilities based on mental health problems from provincial and territorial social assistance programs.
The federal government should seek agreements with provincial and territorial governments that they use the resulting savings to deliver a more comprehensive range of disability supports. Its design could be similar to the old age security and the guaranteed income supplement program, with similar benefit levels. Income would therefore be much more adequate than that provided by provincial and territorial welfare programs, which perpetuate a cycle of poverty for thousands of Canadians. This initiative could also assist persons with episodic or short-term labour market attachment, who would greatly benefit from this income. Such involvement is often an important component of mental health treatment and recovery. Recovery from mental illness is completely possible.
Approximately 70% of unemployed individuals with a psychiatric disability are subsisting on social assistance payments and living in abject poverty. According to the National Council of Welfare, in the ten provinces the yearly income of an individual with a disability can be as low as $7,800, two-thirds below the low-income cut-off.
We believe that the federal government could work collaboratively with provinces and territories to establish conditions that are more equitable and humane, and set standards that require provinces and territories to establish programs that pay adequate benefits, that do not punish recipients for obtaining employment that allows the assembly of a reasonable level of assets, and does not increase stigmatization for persons with mental illness. In the meantime, we believe that income assistance payments in all provinces and territories should be increased to 80% of the low-income cut-off.
We believe that these recommendations are realistic and realizable, and that they have the potential to promote mental health and wellness and optimize psychological as well as economic functioning. Positive policy implementation, such as that connected to healthy families and early childhood intervention, can also contribute to the prevention of the original occurrence of mental illness and relapse, because income is a determinant of mental health.
Re-examining the Canada social transfer and redesigning basic income supports—