House of Commons Hansard #184 of the 44th Parliament, 1st Session. (The original version is on Parliament's site.) The word of the day was services.
Stephen Ellis Conservative Cumberland—Colchester, NS
Mr. Speaker, I think that it is important to find a way to address the problem. We can find proper titles for professions such as psychotherapist and mental health counsellor. I think that it is possible, then, to group together all professions offering the same services even if they have different names.
I think that this is a way to find the process that will be best for all Canadians.
Claude DeBellefeuille Bloc Salaberry—Suroît, QC
Mr. Speaker, can my colleague tell us whether each province has its own criteria for officially recognizing the profession of psychotherapy? Are the criteria consistent? I would like him to tell me more about this subject.
Stephen Ellis Conservative Cumberland—Colchester, NS
Mr. Speaker, I think I have used up all my French today, and I apologize to my colleagues. It is hard to speak and think at the same time in a different language, so maybe I used it all up.
As I said previously, there are some different definitions, but if we look at this as a broad definition in a different basket to be able to say that these are the types of services that are provided by these individuals, then I think we have a pathway forward to begin to say that we need to provide help for these services. The other way to look at it is from the opposite point of view. The mental health counselling services that are required to charge GST or HST are the folks we want to be exempted from this.
I do not think the nomenclature needs to allow us to not be able to move forward and cause us to have paralysis on this. We need to move forward for the betterment of all Canadians.
Gord Johns NDP Courtenay—Alberni, BC
Mr. Speaker, first, I want to thank my colleague for Cumberland—Colchester, because he did draw pretty high in the order of precedence to move forward with a bill that is going to remove barriers for people to get access to mental health care and psychotherapy, which is very important. My colleague from London—Fanshawe had a bill that was very similar, as he is well aware.
We believe, as New Democrats, that there should not be tax on health care, and I think most of us agree. We need to do better to make sure there is access. Does my colleague agree that we need to go much further, that there needs to be true parity between physical and mental health in our country, that it should be universal and everybody should have access?
We know this will increase access, but many are still going to have to pay out of pocket in a two-tiered mental health care system, and they cannot afford it. Does my colleague agree that we need to create a pathway to get to a truly universal mental health care system in this country?
Stephen Ellis Conservative Cumberland—Colchester, NS
Mr. Speaker, one of the things we often find here in the chamber and in the federal government, or at least I have found since I have been here in the last 18 to 20 months, is that sometimes we try to swing for a home run, but we strike out. I think this is something we can start with and actually make a difference in the lives of many Canadians in an area of health care that we know is in significant crisis. If we start saying, “Hey, we're going to do this, or let's add that, or something else,” then we are not actually going to accomplish anything, which is my fear in saying, “Yes, we should aspire to greatness.”
Of course, everyone in their own life should aspire to greatness, but I think we should aspire to things that we can actually do so that we can make a difference in the lives of Canadians, and then we are moving things forward here. Again, when the Conservatives have the ability to form government, we will attempt to do great things, hopefully with the support of all of our colleagues, and then we can see Canada move forward as a greater country.
Élisabeth Brière LiberalParliamentary Secretary to the Minister of Mental Health and Addictions and Associate Minister of Health
Mr. Speaker, I am pleased to be able to take part in today's debate on Bill C‑323, an act to amend the Excise Tax Act with regard to mental health services.
I want to thank the member for Cumberland—Colchester for bringing forward this important subject. The MP for London—Fanshawe also introduced a bill on this subject.
The bill would exempt psychotherapy and mental health counselling services from the goods and services tax and the harmonized sales tax.
I would begin by pointing out that our government has been taking meaningful action to support mental health care services for Canadians since 2015.
These investments include $5 billion over 10 years to provinces and territories starting in 2017 to improve and increase the availability of mental health and addiction services.
The toxic drug and overdose crisis claims the lives of 20 Canadians a day, on average. Many of them are homeless and have mental health problems. That has a major impact on our communities, our health care systems and our social services.
To address this crisis and save lives, we have invested more than $800 million since 2017. We have restored harm reduction as an essential pillar of our strategy and work to support a compassionate and evidence-based response to the overdose crisis and the stigma associated with it.
Since 2020, we have also invested over $270 million in the Wellness Together Canada portal, which gives Canadians free tools and support for their health and well-being.
Starting in 2021, we began delivering $100 million over three years to support projects for innovative mental health interventions for populations disproportionately impacted by COVID, including health care workers, frontline workers, youth, seniors, persons with disabilities, indigenous people and racialized communities.
Since last year, we have begun investing $1.5 billion over six years to support trauma-informed, culturally appropriate, indigenous-led services to improve mental wellness, including over $825 million through budget 2021 and budget 2022 to support distinctions-based mental health and wellness strategies with first nations, Inuit, and Métis peoples.
Building on these historic investments, budget 2023 proposes significant new funding to build upon and complement the substantial existing investments for mental health and substance use supports for Canadians.
On February 7, we announced an investment of nearly $200 billion over 10 years to improve health care services for Canadians, including mental health care services. This commitment includes billions of dollars in additional federal funding transferred to the provinces and territories to improve health and mental health care over the coming years through a combination of an increase in the Canada health transfer and an additional $25 billion over 10 years to support bilateral agreements with the provinces and territories.
The new FPT bilateral agreements include an integrated inclusive approach to mental health in family health services, the health workforce, as well as data and digital tools. These investments will support the health and mental health needs of Canadians and will require provinces and territories to produce detailed action plans.
This approach is the most effective way to integrate mental health and substance use services into the health care system, including primary care, and to ensure transparency and accountability on the part of the provinces and territories as to how this funding is spent and where it is spent.
In addition, budget 2023 proposes to provide a total of $359.2 million over five years starting in 2023-24 to support a renewed Canadian drugs and substances strategy.
Budget 2023 also proposes providing $158.4 million over three years, starting in 2023‑24, to support the implementation and operation of the new national suicide prevention line, 988.
We have partnered with CAMH to oversee the implementation of this new crisis line and we are working closely with our U.S. counterparts to learn from their four-year implementation process for the similar service they launched last year.
We know that the fundamental principle of Bill C‑323 is to make mental health services more accessible and that is a principle we support.
However, our government also appreciates that tax changes, like those proposed in Bill C-323, should ideally be undertaken through the budget process, extensive debate and in discussion with provinces and territories. This enables us to fully consider trade-offs, balance priorities, close potential loopholes and undertake new fiscal commitments only to the extent that they are fair and affordable.
In short, this approach ensures consistency with the tax framework and the uniformity of the entire tax system. Making a tax exemption through the ad hoc passage of a private member's bill such as Bill C-323 has the potential to undermine this process.
Viewed through this lens, this bill raises a number of issues.
Because health care is essentially a provincial responsibility, the federal government uses provincial funding and regulatory practices as criteria to determine which services should be considered basic health care services for taxation purposes.
In this regard, if a service is covered by the health care plan of two or more provinces, it may be considered basic health care and exempted from the GST/HST in all provinces. Likewise, if a profession is regulated as a health care profession by at least five provinces, the services of that profession may be exempted from the GST/HST in all provinces.
However, psychotherapy and mental health counselling are not currently covered by the public health system in any province and are not regulated in at least five provinces.
This means that exempting the GST/HST on psychotherapy and mental health counselling services as proposed by Bill C-323 could undermine the long-standing criteria established for determining the GST/HST status of health care services.
Consequently, this could make it more difficult to make objective decisions about any possible future efforts to exempt other services.
While psychotherapy and mental health counselling services do not currently meet any of the long-standing criteria that were established to determine which health care services supplied by health care practitioners should be exempt, psychotherapy services provided by a psychologist or other regulated health professional such as a physician, nurse or social worker do meet the criteria and are already exempt if the services are within the scope of practice of their profession.
We look forward to exploring these issues through the legislative process. In particular, whether the bill would apply in the same way in each province is an important issue to be explored through debate. This is a basic question of fairness for Canadians.
We look forward to exploring these issues through the legislative process and, in particular, whether the bill would apply in the same way in each province. That is an important issue that should be discussed in this debate.
Canadians deserve to have access to the mental health services they need.
Canadians deserve to have access to the mental health services they need. That is why our government is committed to ensuring that mental health care is treated as an equal and integral part of Canada's universal health care system.
While we do support removing barriers to Canadians' access to mental health support, it is my hope that the considerations that I noted earlier will be addressed through parliamentary debate and review.
Claude DeBellefeuille Bloc Salaberry—Suroît, QC
Mr. Speaker, I am very pleased to rise in the House this evening to speak to Bill C-323, which was introduced by the member for Cumberland—Colchester. I know that my Conservative colleague is a physician and, quite honestly, he is to be commended for introducing this bill. Sometimes we wonder whether we can really make a difference in people's lives as members of Parliament. This evening, I get the feeling that, yes, by supporting this bill, the Bloc Québécois will be helping improve the lives of people who need it.
First of all, it is important to point out that, right now, only physicians and psychologists have the right to GST exemptions. That does not make any sense, because we know that psychotherapy is now carefully regulated in Quebec and that there are professional bodies that have the right to regulate the professional service of psychotherapy using very strict criteria.
When a person in Quebec has a problem, their first instinct is not necessarily to call the federal mental health help line. If a person needs help in Quebec, they will first turn to their local community service centre, or CLSC, which helps people with anxiety, or they will turn to a support group. I am lucky because there are three great mental health support groups in my riding, namely Psycohésion, Ancres et Ailes and Le Dahlia. These groups help people every day and welcome them into their organizations to give them support and foster a feeling of solidarity with others in the group. These services are provided by community groups specializing in mental health, which, by the way, are not funded by Ottawa. They are entirely funded by Quebec.
As far as psychotherapy services are concerned, it may be worth repeating that Quebec passed legislation in 2009 that very clearly regulates psychotherapy. First, psychotherapists are required to be members of a professional association. Having spoken to osteopaths in Quebec, I can say that obtaining a professional designation is an exceedingly long and demanding process. Osteopaths are required to charge GST because their services are not considered psychotherapy. What is more, since they are not yet members of a professional body, they cannot make representations or participate in negotiations. It is very hard to become a member of a professional body. Professional designations are very strictly regulated.
Furthermore, to practise psychotherapy, a person needs to have a master's degree. That means doing an undergraduate degree first and then a master's in a very specific field related to psychotherapy. The person also needs to have 765 hours of training in psychotherapy at the university level. That is a lot, because added to that is 600 hours of a work placement, where the student provides psychotherapy consultation services under the supervision of a psychologist or a member of another professional body that is eligible to provide psychotherapy. In Quebec, it is very strictly regulated. The member introducing this bill is right to introduce it, because the current situation is unfair. It is not right.
As I often mention, I am a social worker and a member of my professional association. If I were to take all the required courses and complete a work placement, I could become a psychotherapist, but my clients would pay the GST. However, if they go see the psychologist in the office next door, they would not pay the GST. That is completely unfair and unjust.
I have a great deal of respect for my colleague, because, as a physician, he has the humility to say that other professionals besides doctors and psychologists have the ability, the intelligence, the competence and the knowledge required to support people through psychotherapy, and he agrees that these people should have the same privilege as he does of not having to charge the GST.
It is very difficult to access mental health services. If these services were provided only by psychologists and doctors, many people in Quebec would not get help. That is why it is a shared responsibility.
Social workers and psychologists may take different therapeutic approaches, but both are equally effective for supporting someone who has a problem or who wants to be supported in a certain decision in his or her life plan, someone who is experiencing upheaval, shock or trauma and who wants to be supported and treated by professionals. The bill recognizes that this professional association has the right to provide psychotherapy based on the criteria I mentioned earlier.
We hear a lot about mental health. I heard the member for Sherbrooke praising her government, but one thing is certain. Our support for this bill is meant as a concrete gesture to make a difference for people who seek help from various professionals who are able to support them in their psychotherapy. It is also our way of telling people that if they need help, there are many professions that can help them and that are all equally professional.
Mental health is a professional field, an action, that belongs to the provinces. Local community service centres and community groups are in the best position to lend support to people in distress. Having a federal crisis line that competes with the Quebec crisis line will not provide better support. It is just confusing.
Go to our ridings and ask anyone who is depressed and thinking about ending their life who they will call first. If they need help, their thoughts will turn to crisis lines like Tel-Aide, Kids Help Phone, or other community agencies in their riding. They will think about the social worker they visited at the local community service centre or the psychoeducator at their community support group who talked to them and treated them like someone who is different, but who has problems.
If a person is really in a bind and really in distress, they would never think to call a federal help line. I have looked at the federal portal that my colleague from Sherbrooke was talking about. It is true that there is a lot of information available there, but Quebec already has a help line. I do not know whether the other provinces do or not, but we have many different help lines for all sorts of people.
I am sure members will understand that I am not thrilled to see the federal government infringing on Quebec's jurisdiction when it comes to mental health, because all that is going to do is cause confusion in Quebec. When someone is not doing well, they do not need a whole bunch of telephone numbers and a big directory to know who to call. They really need to be connected to their community. The best place to be and the best support a person can get in their community is from their family, friends, local community service centre and community groups. Those are the people who will help the individual move forward and get through difficult times.
The Bloc Québécois is really pleased to support Bill C‑323 to make a real difference in the lives of those who need help and to offer them a GST exemption.
Gord Johns NDP Courtenay—Alberni, BC
Mr. Speaker, before I get started, I want to spend a minute thanking my colleague from Cumberland—Colchester for tabling this important bill, Bill C-323, an act to amend the Excise Tax Act for mental health services. As we know, this bill would expand the category of health care services exempt from point-of-sale taxes to include psychotherapy and mental health services. As I stated earlier, my colleague from London—Fanshawe tabled a very similar bill a while ago, and I was glad to see that my Conservative colleague stepped forward and moved forward with this bill, because he is much higher in the order of precedence.
We know that physical health services such as optometric, chiropractic and physiotherapy services are already exempt from federal sales taxes. Eliminating federal sales taxes from psychotherapy and mental health services would be a step forward, but, really and truly, there should be no taxes on any health care in this country. A tax exemption would reduce the cost of these services directly, by increasing access to them, but it is not the complete solution, as I stated earlier. Taxes are certainly a barrier, and it would help with that, but many Canadians still cannot afford these services, which are critical, especially in the crisis that we are seeing right now with mental health. In terms of increasing the availabilityof these services, it does not do that, but it does reduce barriers for those who can afford, or barely afford, to access these services.
As we know, right now in Canada, provinces are spending about 5% to 7% of their budget on mental health. Actually, some are even lower. Ontario is at 3%, under its Conservative government. OECD countries are at 12% to 14%. The U.K. is at the higher end of that.
We know we have to do more to create parity between mental and physical health in this country. We have a two-tiered health care system when it comes to mental health in this country; we truly do. We know that Conservatives believe that we should have a two-tiered health care system when it comes to our physical health in this country. As New Democrats, we believe that everybody should have access to mental health supports, including psychotherapy, and we believe that everybody deserves timely access to a full range of a mental health treatments and services regardless of their ability to pay. We talked about the need for parity between physical and mental health in our country and the importance of that.
Like I said, my colleague from London—Fanshawe tabled Bill C-218 to take a step forward and to remove barriers. According to a report by the Mental Health Commission of Canada, almost 35% of respondents report moderate to severe mental health concerns. Fewer than one in three people with current mental health concerns are accessing mental health services. A key barrier to accessing services includes financial constraints and long wait-lists, so this does move a few people along. It is really important that we move forward. We know that counselling and psychotherapy are the most unmet needs of Canadians seeking help with mental health care. We are very appreciative of this bill.
My colleague highlighted earlier, and I really appreciate his doing this, that Canadians' mental health concerns have worsened throughout the pandemic. We have seen that. Again, Canadians are experiencing more and more difficulty making ends meet as they deal with increased inflation, a cost of living crisis and stagnating wages, so reducing the cost of access to services and, of course, treatment is important. Increasing the access to treatment for all Canadians who need it, by reducing financial barriers, is critical. We just want to highlight that one in four Canadians cannot pay right now for a $500 emergency. Mental health treatment can easily far exceed this cost.
I want to talk a bit about our party's history on this. A 2017 NDP-sponsored bill would have removed GST from psychotherapy services. Bill C-218, sponsored by my colleague from London—Fanshawe, would also have removed GST from psychotherapy services. It is currently out of the order of precedence, so, again, we commend our colleague for moving this forward. The same colleague from London—Fanshawe presented a petition to the House of Commons to remove GST from counselling therapy and psychotherapy services. That petition received over 14,000 signatures.
When the Conservatives' order of precedence comes forward, we do like it when they take NDP bills. This is something we are just starting to get used to.
Members will recall that Scott Duvall, my friend from Hamilton, a former MP for Hamilton Mountain, brought forward a bill on pension theft to protect pensioners and their pensions from corporations that were going after their pensions. We were glad to see that a Conservative colleague took his bill and advanced it. The Conservatives had voted against a very similar bill when they were in government before the current Liberal government.
Also the small business transfer really started with the late Jack Layton. He brought that idea forward. It was carried by Guy Caron. We were glad to see the Conservatives advance another NDP bill.
These are important bills. I really think that is the spirit of Private Members' Business, members working collectively together trying to find pathways to support Canadians. This is another example of that.
A 2023 finance committee report included the following recommendation:
Recommendation 32
Exempt counselling therapy and psychotherapy from the application of GST/HST.
This is something that was supported at finance committee and now is being advanced here in the House. This is great news.
We hear from stakeholders who are concerned about the lack of access to mental health services and the lack of availability. As New Democrats, we want to increase both. I stated that this bill might not increase availability, but it will certainly increase access to services by reducing costs.
Almost all Canadians support publicly funding mental health care, making it the same as physical health care, creating parity. Ninety-four per cent of Canadians think that provincial and territorial government health plans should cover mental health care. This was according to a study done as recently as 2019.
My colleague talked about New Democrats always going for the home run. If we want to talk in baseball terms, I would say this is a bunt. It is getting some people to first base. We actually could go for the home run. As New Democrats, we have proven that with our dental care plan to make sure that children under 12 get access to dental care. We hit second base this year with seniors and people living with disabilities. Next year we hit third base with all families that earn $90,000 or less.
We are going to hit a home run. Some day I hope that everybody in this country has access to dental care. If we brought forward a bill saying that we were going to remove GST from teeth cleaning, I do not think many kids would get their teeth cleaned. I will be really honest, it might be a step forward, and maybe a few might get their teeth cleaned, but we believe, as New Democrats, that we actually can hit some home runs in here.
I want to work with my colleague, and I hope he wants to work with me too, to hit a home run when it comes to mental health and making sure that people get access to treatment. I believe we can do it. I think we can do better than a bunt. We can get to first base, second base, third base and a home run, if we set out a plan and if we work together, which is really important.
One thing I was really disappointed about, and I have heard this from my colleagues on this side, is that the Liberal government is trying to find barriers to supporting this bill on a definition, on terms of what identifies psychotherapy and mental health. We have some really well-paid public servants who I am sure could make some recommendations at committee. Let us get the bill to committee. Let us do the right thing and work collectively.
This is a step. I support the bunt all the way. Let us get to first base. Let us get this to committee. Let us move this forward. However, the government has to get behind this. It always tries to find a barrier. I do not know what it is about Private Members' Business. Maybe the government feels like it is not going to get credit for it and it just wants to go out and oppose it. There are a lot of really smart people in this House. I want to thank my colleague, because he is one of them. He is a physician. He has experience in this, and he is trying to move things forward.
I want to support him. My team wants to support him. This is supported by a tax-free therapy campaign. This is really important. It is supported by mental health providers.
Also, when it comes to gender parity, women and gender-diverse people are disproportionately impacted by the costs of and barriers to health care. They would benefit from this bill. It is really important that we support the bill.
In closing, I want to thank my colleague. I hope all members in this House will get behind this bill, a bill that we clearly support. We tabled a bill almost identical to it earlier in this Parliament. Let us start removing more barriers from people getting access to mental health care in this country.
The Deputy Speaker Conservative Chris d'Entremont
Do not forget that on a bunt one can get an infield home run as well, so it can actually happen.
Michelle Ferreri Conservative Peterborough—Kawartha, ON
Mr. Speaker, it is always an honour and privilege to stand in the House of Commons on behalf of my community of Peterborough—Kawartha. It is an even bigger honour when I am able to speak to the issue which I believe is the biggest crisis facing our nation: mental health.
There is not a person in this House or watching at home who has not been impacted by mental health. According to a 2020 UNICEF report, Canada ranks 31 out of 38 in children's mental health and happiness and 35 out of 38 in teen suicide. Approximately 12 people die every single day by suicide. That is 4,500 deaths a year that we know about. Suicide rates are approximately three times higher among men compared to women. Suicide is the second-leading cause of death among youth aged 15 to 34 years.
I should have put a trigger warning at the beginning of this speech in the event this bothers anyone watching, as we are talking about mental health and suicide.
Self-reported suicidal thoughts, and I would make note of the language “self-reported”, and attempts are higher for people earning lower incomes. As we know, in this cost of living crisis, financial anxiety is impacting more and more people. What used to be considered good money is barely enough today. I am not going to get into the debate on carbon tax and the Liberals' failure on cost of living. I really want to focus on what we can do today.
I have some stats that put this crisis into perspective. Incidences of suicide are higher in rural settings. Adults with mental disorders, such as major depressive disorder, generalized anxiety disorder and PTSD were more likely to report suicidal ideation. Adults who experienced pandemic-related impacts of isolation and loneliness were more at risk of suicidal thoughts.
In fact, today I met with the Retired Teachers of Ontario, who shared with me that mental health among its 83,000 members is a major concern. Many seniors do not have access to a doctor, and it is deeply impacting their mental and physical health.
Almost every single day I hear from a parent or caregiver who shares their despair, their fear, about the mental health of their child. One gentleman started to talk to me one day and he broke down in tears because his teenage son would not come out of his room. He said, “The son I had before the pandemic and the son I have now is not the same, and I am so worried for his future and his health.” One parent shared with me that she waited eight hours in an emergency room with her teenage daughter because she was having a mental health crisis.
We have not even begun to understand the impact of the pandemic on our children. Their developing brains were exposed to trauma and isolation, and it will take years to get the data to understand the full magnitude of how our children have been impacted.
I sit on the Standing Committee on the Status of Women, and we recently completed a study. The report is titled “A Step-by-Step Approach to Supporting the Mental Health of Young Women and Girls in Canada". The study brought forth many witnesses and a list of recommendations tabled with this House, some of which included education in schools, including self-regulation and empathy; mental health first aid; supports in rural and remote communities, including clinical and virtual care; access to housing; access to virtual mental health care; providing transitional services for individuals who are discharged from addictions and mental health-related hospital programs; youth who are aging out of foster care and individuals who are leaving emergency situations such as violence.
Another recommendation that came out included increased resources for health care practitioners. The reality is our frontline health care workers are suffering from compassion fatigue and burnout. As the old saying goes, the caretaker must first put on their oxygen mask if they are to help those who need it.
Dr. Rakesh Jetly was one of many witnesses who testified in the study. It was this quote that jumped out at me: “It's a year and a half wait for a psychiatrist for a teenager.... A year and a half is a lifetime at that age.”
All that information I just provided seems overwhelming and a huge task to try to change the course we are on, but we cannot give up. How does one climb a mountain? One step at a time.
For many people watching from home, this place of debate can be extremely frustrating and painfully slow. Trust me, I know how they feel.
If the member from Kingston wants to continue to talk while I do my speech, I would ask that he respectfully leave. It is rude.
Mr. Speaker, would you please address that?
The Deputy Speaker Conservative Chris d'Entremont
I would ask members to hold conversations outside so we can get through the debate.
The hon. member for Peterborough—Kawartha.
Michelle Ferreri Conservative Peterborough—Kawartha, ON
Thank you, Mr. Speaker. This topic is extremely serious. If he did not intend it to be rude, I do take that back, but this is really serious for his constituents and my constituents.
Today feels somewhat exciting—
The Deputy Speaker Conservative Chris d'Entremont
We have a point of order from the hon. member for Kingston and the Islands.
Mark Gerretsen Liberal Kingston and the Islands, ON
Mr. Speaker, the member for Winnipeg North and I respect the conversation. I apologize if there was some mistake. We were having a private conversation among ourselves and perhaps we were too loud. I apologize to the member for that. We certainly were not commenting on the content of her speech.
The Deputy Speaker Conservative Chris d'Entremont
I thank the member for that clarification.
The hon. member for Peterborough—Kawartha.
Michelle Ferreri Conservative Peterborough—Kawartha, ON
Thank you, Mr. Speaker.
Today feels somewhat exciting because what my colleague has put forth is a simple, tangible action item that will move the needle in opening access to mental health supports. The member for Cumberland—Colchester, who also happens to be a doctor, has put forth a private member's bill, Bill C-323, An Act to amend the Excise Tax Act (mental health services).
Currently, many health services, including optometry, chiropractic, physiotherapy, foot care, acupuncture and many other services, are exempt from charging goods and services taxes. That means GST or HST depending on which province someone lives in.
However, psychotherapy and mental health counselling are not exempt, meaning the service provider must charge tax. If we remove the tax, that would work out to about every eighth appointment being free. The reality is many Canadians do not have coverage for psychotherapy and mental health counselling. This would make a difference.
This would also help alleviate the administrative stress on the providers. As I outlined earlier, these professionals are already managing an incredible workload to meet the demand. This would be a small but important step in making things more manageable.
According to the Centre for Addiction and Mental Health, or CAMH, psychotherapy is a general term used to describe a form of treatment that is based on talking work done with a therapist. The aim is to relieve distress by discussing and expressing feelings; to help change attitudes, behaviours and habits that may be unhelpful; and to promote a more constructive and adaptive way of coping. Successful psychotherapy depends on a supportive, comfortable relationship with a trusted therapist.
Psychotherapy can be life changing for many people. It can be maintenance of one's mental health, like visiting the gym to keep one's body healthy. One of my favourite sayings is by Fred Rogers, that anything mentionable is manageable. That is exactly what psychotherapy provides: the ability to identify and name behaviours and feelings so people can better manage them.
I would love to see everyone have access to psychotherapy. This bill is a great stepping stone to making that happen, by making it more affordable and also highlighting how important and valuable this service is.
One of the biggest hurdles in accessing support is asking for help. We have come a long way in how we talk about mental health, but we have a lot farther to go. Acknowledging access to mental health counselling and psychotherapy is a healthy and credible way to take care of oneself and it is wonderful, but now we must ensure people have access when they ask for it and ensure those services are affordable.
The president of the Canadian Paediatric Society said that behavioural and psychosocial problems “serious enough to disrupt functioning and development affect approximately 1.2 million youth in Canada” and “fewer than 20%...receive appropriate treatment.” Furthermore, he told the committee that support services can be very difficult to access and that sometimes this lack of access to specialized services results in a doctor prescribing medications. We have an addiction crisis. We should not discount how much this is connected.
I want to leave everyone with a message from Dr. Stuart Shanker, another witness from the status of women committee. Dr. Shanker studies neuroscience and is a leader in teaching thousands of people about self-regulation. In his testimony, he said, “You can change every single kid's trajectory”. This goes for adults too.
The science shows it takes a lot of different ingredients, but when someone is able to access them, the results can be wonderful and life changing.
I would say to everyone at home that wherever they are in their mental health journey, it is not permanent. There are amazing resources and people to help. Their life matters and they matter.
Today, I ask every member in this House to support Bill C-323, a private member's bill which says to Canadians that this House cares about mental health, that this House recognizes the value of psychotherapy and mental health counselling, and that this House is making it a priority to make it easier to access and to make it more affordable.
The Deputy Speaker Conservative Chris d'Entremont
The time provided for the consideration of Private Members' Business has now expired, and the order is dropped to the bottom of the order of precedence on the Order Paper.
[For continuation of proceedings, see part B]