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The operating premise for a clubhouse like Fountain House follows a core belief in the wholeness of an individual, the humanity inherent in each person. No matter how ill or confused, hostile or delusional, the clubhouse ethos sees a well person, someone looking for the same things we all need: a home, a job, some friends. And maybe a hot meal once a day. It was a community strong and elastic enough to make room for a couple of filmmakers when we started showing up every day with a camera and a microphone. And we weren't just tolerated: these people, struggling with serious thought and mood disorders, enfolded us. They remembered my name and my birthday. They asked about my sick Mom and about our wedding plans. I ate with them, went on outings with them and shared my life with them as they shared theirs with me. I had no idea how unusual an experience this was. Two years into our filming, I learned about that. We'd been following Phil around for months. We knew him to be a handful lively, loud and profane. We also knew Phil as a person who carried some responsibility at Fountain House. He worked in the kitchen dining room, preparing food and waiting on tables at lunchtime. And his jokes made us laugh. One day, we arrived to learn that Phil had become louder and a little more confused than usual, and was staying temporarily on a psychiatric ward at a fine New York hospital, respected worldwide for its research and treatment of serious mental illness. I sort of suspected the psychiatric ward would look different from Fountain House, more institutional. I expected the locked doors and the antiseptic dcor. I didn't expect that they'd treat my friend Phil like half a person. And I really didn't expect that at lunchtime, we'd be escorted to a glass-enclosed cubicle to lunch with the staff, while the patients were fed at a table outside. The nurses and psychiatric aides were astonished and clearly a little appalled when Bill and I excused ourselves and went back outside to eat with Phil and the other patients. That day, all of the patients talked to us. Phil was happy to be back on camera. Other patients asked if they could be, too. Phil's psychiatrist, on the other hand, ducked whenever we pointed the camera at her. We eventually cut the whole scene, in part because audiences were confused by her disembodied voice off-camera. And his social worker carried on a completely bizarre discussion about whether Phil had chalked up enough brownie points to allow him to go to the dining hall with an escort. "Are you going to behave now, Phil? Keep taking your medication and sleeping through the night?" he asked, in exactly the same tone I use with my cranky three-yearold. I was so upset after that visit that I had dreams about breaking Phil out of the hospital. I asked everybody I knew who worked in mental health: Why do they talk to people like that? Does treating a person like a child improve their prognosis? And what about all the walls and doors and why, please, why won't the staff eat with the patients? Why, that's the way it's done everywhere, they told me, a little amused at my naivet. Didn't you know? And suddenly, I did know. Fountain House, and its special therapeutic mix of respect and responsibility, was an anomaly. No wonder so many people with mental illness around the country are terrified to seek treatment. Perhaps the most profound experience for me has been traveling with the film, seeing it through the eyes of a new audience every few weeks. The response has been the same, from Paris to Cleveland, to Vancouver. People with no experience of mental illness find the stories heart-warming, tragic and inspiring, and say it changes the way they see these disorders. Family members with a sick relative want to know how to find a place like Fountain House in their town. Psychiatrists and social workers say they're moved to reconsider the way they relate to their own patients. This is important, useful feedback because it means West 47th Street is having exactly the impact we hoped it would. It means that we're helping to break down barriers that keep people apart. But for me, all of that pales in comparison somehow to the people who come up to us the end of every screening. They hang back until everybody else has left the room. "I have a mental illness, " they whisper. "I know what it's like." "Thank you for telling my story.

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POLICE PENSIONERS ASSOCIATION OF ONTARIO The Vice-Chair: The Police Pensioners Association of Ontario is here. I imagine you know the procedure. You have 10 minutes. You can speak for the whole 10 minutes, or you can divide it by speaking and answering questions. Go ahead, sir. Mr. Paul Bailey: With me today in the audience is the president of the Metropolitan Toronto Police Pensioners Association, Bruce Priestman, and his colleague Bernie Kapalka. Committee members, my name is Paul Bailey and I'm president of the Police Pensioners Association of Ontario. We represent over 5, 000 police retirees from every area of the province: Ottawa; Sudbury; all through the GTA, including Toronto, Halton, York and Peel. We also have associate members out in Windsor, Sarnia, and places like that. I want to thank the committee for allowing the association the opportunity to provide comments on this extremely important piece of legislation. Given the time allotment, I will get right to the point. First, I believe it's important to know and acknowledge that this legislation will impact the most vulnerable members of our society: senior citizens and the disabled. It will also impact drug manufacturers, pharmacists and other stakeholders, and potentially all Ontario citizens. A significant number of our 5, 000 members are seniors over the age of 65, and many are disabled. Second, the baby boomers are presenting in the health care system, and a significant number of these will move onto the Ontario drug benefit program. The wave of seniors will put tremendous pressures and strains on all aspects of health care, including some equally important issues such as the chronic shortage of doctors. And recently a statement was made that by 2011 we'll have a shortage of nurses in the area of 100, 000. After careful review of the legislation, and having spoken to various stakeholders in this consultation process, a number of things need to be said in support of this legislation. The Police Pensioners Association of Ontario was very pleased to hear the minister say in his House statement of April 13, "With respect to coverage for Ontario drug program recipients, there will be no changes--not to copayments, not to deductibles, not to eligibility." Committee members, this statement by the minister is very reassuring to many of my senior members, people in their 70s, 80s and 90s who in most cases have only one source of income, their pensions. As you know, any increase in costs would have serious financial impacts on these individuals. We are supportive of legislation that will allow drugs to be approved for use in a more timely fashion. This is particularly important for patients with chronic illnesses. We also agree that we need better drug pricing and a more efficient and accountable drug system that utilizes tax dollars in an optimum fashion.
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57. Ho TW, Bristol LA, Coccia C, Li Y, Milbrandt J, Johnson E, Jin L, Bar-Peled O, Griffin JW, Rothstein JD. TGFbeta trophic factors differentially modulate motor axon outgrowth and protection from excitotoxicity. Exp Neurol 2000; 161: 664-75. Sawada H, Ibi M, Kihara T, Urushitani M, Nakanishi M, Akaike A, Shimohama S. Neuroprotective mechanism of glial cell linederived neurotrophic factor in mesencephalic neurons. J Neurochem 2000; 74: 1175-84. Hayashi H, Ichihara M, Iwashita T, Murakami H, Shimono Y, Kawai K, Kurokawa K, Murakumo Y, Imai T, Funahashi H, Nakao A, Takahashi M. Characterization of intracellular signals via tyrosine 1062 in RET activated by glial cell line-derived neurotrophic factor. Oncogene 2000; 19: 4469-75. Soltau JB, Zimmerman TJ. Changing paradigms in the medical treatment of glaucoma. Surv Ophthalmol 2002; 47 Suppl 1: S25. 61. Agarwal T, Gupta M. Treatment of hypertensive retinopathy. Surv Ophthalmol 2002; 47: 513. Vallee JN, Paques M, Aymard A, Massin P, Santiago PY, Adeleine P, Gaudric A, Merland JJ. Combined central retinal arterial and venous obstruction: emergency ophthalmic arterial fibrinolysis. Radiology 2002; 223: 351-9. There is more information about these medicines below. Some of these medicines that may lead to fluticasone and salmeterol interactions include: beta blockers, such as: atenolol tenormin ® bisoprolol zebeta ® metoprolol lopressor ® , toprol xl ® nadolol corgard ® propranolol inderal ® sotalol betapace ® timolol blocadren ® carvedilol coreg ® labetalol trandate ® certain antibiotics or antifungals, including: clarithromycin biaxin ® erythromycin ery-tab ® isoniazid nydrazid ® itraconazole sporanox ® ketoconazole nizoral ® miconazole telithromycin ketek ® certain diuretics, such as: bumetanide bumex ® chlorothiazide diuril ® chlorthalidone thalitone ® ethacrynic acid edecrin ® furosemide lasix ® hydrochlorothiazide esidrix ® , hydrodiuril ® , microzide ® , oretic ® metolazone zaroxolyn ® torsemide demadex ® digoxin digitek ® , lanoxin ® monoamine oxidase inhibitors maois ; , including: isocarboxazid marplan ® phenelzine nardil ® rasagiline azilect ® selegiline eldepryl ® , emsam ® , zelapar ® tranylcypromine parnate ® other long-acting beta agonists, such as salmeterol serevent ® and formoterol foradil ® protease inhibitors, such as: amprenavir agenerase ® atazanavir reyataz ® fosamprenavir lexiva ® indinavir crixivan ® nelfinavir viracept ® ritonavir norvir ® tricyclic antidepressants , including: amoxapine asendin ® clomipramine anafranil ® desipramine norpramin ® doxepin sinequan ® imipramine tofranil ® , tofranil ® maprotiline ludiomil ® nortriptyline pamelor ® protriptyline vivactil ® trimipramine surmontil ®.

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