Herschel Hardin is hatching a plan for Coquitlam's coveted Riverview lands, and he says it's unlike anything ever tried before.
Hardin, a mental health activist, wants to create an "intentional community" on the grounds of the old Riverview Hospital, a kind of planned commune where patients with severe mental illnesses would live side by side with non-patients.
He, along with other members of the Riverview Village Intentional Community Society, envision a kind of wellness utopia replete with art centres, coffee shops and — they hope — market-price rental units for non-patients.
Members of the society met with Ministry of Housing officials last week to pitch the idea, Hardin said.
The mixed community would benefit all its varied residents, providing "community integration and a real neighbourhood, a real village," he said.
Those with major depressive disorders or prone to psychotic episodes could rent subsidized units with doctors and nurses nearby, the society proposes, while non-patient residents would pay "whatever they can" to contribute to Riverview's upkeep.
The patients would get the support of a tight-knit community where they could work and spend time with friends and re-integrate with society.
Non-patients, meanwhile, would form bonds with neighbours they might not otherwise have met, Hardin says.
Current system 'doesn't engage' patients
Hardin's son was diagnosed with schizophrenia in the 1970s and had several long stays at Riverview Hospital.
But after he was treated and released into the general population, Hardin noticed a new set of hurdles.
"Psychotic symptoms can be treated fairly quickly," Hardin said. "We're talking about delusions, hallucinations, over-thought disorder, that kind of stuff. That can be taken care of by antipsychotics."
But once patients are discharged from hospital, "there's a whole set of other symptoms for which there isn't medication," Hardin said, suggesting social isolation, lack of motivation and cognitive difficulties all stem from a lack of community supports.
The village model, he suggests, could take care of a lingering gap in the health system by creating a third option between long-term hospitalization and "scattered site housing," like some facilities that exist in Vancouver's Downtown Eastside, by allowing patients to integrate with the community from the outset.
"Discharging them from a hospital and putting them in an apartment somewhere doesn't really engage them," Hardin said.
Hardin points to similar experiments around the world, including one in Geel, Belgium, where a care system dating back to the 13th century sees patients living with foster families and engaging with society as a whole.
Riverview's future still in the air
A new facility on the Riverview lands is slated to replace the aging Burnaby Centre for Mental Health and Addiction, which can treat 94 patients. Last year the NDP government promised a $101-million replacement by 2019, with the promise to add 11 extra beds.
A number of stakeholders besides the patients, including environmentalists, conservationists and mental health nurses, are all petitioning the province as it develops its "master plan" for the 244-acre Riverview site.
The ministry confirmed with CBC News that Housing Minister Selina Robinson has met with a number of stakeholders and groups concerned about Riverview's future, including a meeting last week with the village society.
'We don't need it,' says nurse
Psychiatric nurse Christina Gower says she's been lobbying for years to have Riverview expanded for what she says are pressing needs — and last on her list of priorities is market-rate rentals for the healthy.
"We don't need it," Gower said. "What we need is other things: the long-term care homes, the transition homes, the dementia village, the chronic pain research treatment, PTSD research and treatment."
But Hardin says the village society takes a holistic rather than clinical approach to mental wellness.
"This isn't just another community, another neighbourhood. It exists to welcome, integrate, support and help those with a particular disability," she said, making Riverview a place "where they can blossom."