Upcoming Events

Film Screening: A Better Life

Saturday, October 15th, Canad Inns Polo Park, 5:30 PM

Do you celebrate Thanksgiving without thinking too much about who you’re thanking, now that you have left religion? Do you struggle to explain the holiday to children?

The very name of the holiday implies giving thanks, but if you no longer believe in a god – or never did – you might need to pause for a moment to think about who the recipient(s) of your thanks might be.

Humanists have just a much reason to be thankful as anyone else – and real people to thank. We can be thankful to each other for family and friendship, thankful to the people who grew and prepared the feast, and thankful to nature for all that it has provided.

If your family gathering includes a traditional Grace and you’d like to switch it out for something a little more inclusive without disrupting the peace, there are lots of options. Here’s one example:

Humanist Grace 

We are grateful to the men and women who planted the crops, cultivated the fields and who gathered in the harvest.
We thank those who prepared this fine meal and also those who will serve it to us.
Yet amid this plenty may we not forget the many of our brothers and sisters, and especially their children, in our own country and elsewhere, who do not share in our good fortune, who are hungry, cold, sick and troubled by the bitter burden of poverty, the curse of war, and the despair of hopelessness.
So may our enjoyment be graced by understanding and tempered by humility.
Let us be kind to one another and to all those with whom we share this brief existence.

-author unknown

There are a number of websites that offer secular ‘prayer’ suggestions. You can find some more good ones here and here.

Happy Thanksgiving!

Privacy Issues in Spiritual Care

Who gets access to patient information?

It has come to our attention that some hospital patients are still being subjected to prayer and proselytization without their consent. Much of this is informal, mainly in the form of well-intentioned but misguided remarks made by visitors and staff; but some of it falls under the guise of ‘spiritual care’. We wrote about this before in our November 2015 newsletter – and now need to correct/clarify that article. Strictly speaking, it’s not hospital chaplains who are no longer allowed to visit patients without their consent – it’s community clergy who are restricted.

Traditionally, community clergy have considered hospital visits a part of their ministry to the sick, and many churches hold weekly services for patients in their local hospital’s chapel. Up until a few years ago, a priest could just stop at the hospital’s information desk and get a printed list of all the patients who identify with his denomination, so that he could ‘pop in’ for a visit or invite them to the service. And that is what’s no longer allowed. Visiting clergy no longer get access to patient names unless the patients consent to have their names released – and so they are asked about this on admission. (The WRHA policy on this is here.) But this restriction applies only to community clergy – not ‘spiritual care’ employees (hospital chaplains). In practice, if patients don’t state a religion on admission, or say that they don’t want their name on the clergy list, spiritual care staff don’t usually visit. But because spiritual care workers are employees of the hospital, they are considered part of the health care team, so they can be consulted or gain access to patient charts in the same way as members of any other discipline (e.g. social workers or physiotherapists).

What’s a ‘Spiritual Care Provider’?

‘Spiritual Care Provider’, or ‘Spiritual Health Care Practitioner’, is the new name for ‘hospital chaplain’. The term is more inclusive than ‘chaplain’, because it encompasses multiple faith/belief systems, in some cases even Humanism and atheism. But let’s face it – ‘spiritual care providers’ in Manitoba – and across North America – are overwhelmingly Christian clergy. In cosmopolitan cities, it’s quite likely that there are staff who will serve people of various faiths and beliefs, including Humanism, but in a small rural community, or anywhere in a Bible Belt area – good luck with that.

The Role of PHIA in Spiritual Care

When Manitoba passed the Personal Health Information Act in 1997 (current version is here), the privileges of all these religious practitioners (both hospital chaplains and community clergy) became restricted. Community clergy were no longer allowed access to patient information without consent, but the role of hospital chaplains was a little less clear. Initially they were technically out of the loop, too – but a 2004 amendment added them back in.  According to a letter of explanation regarding that amendment, the term ‘health’ was redefined as being sound in ‘mind, body, and spirit’ – so spiritual care providers are back on the health care team, and health care ‘expressly includes spiritual care’. The letter goes on to state that since PHIA restricts the collection of personal health information to only that which is required to carry out care, patient information should be released to spiritual care providers only if the patient requests the service, or if a referral is made (emphasis ours).

What does this mean for Humanists?

It’s that last part (about referrals) that has some HAAM members concerned. The intent of the amendment to PHIA is that as with any other health care service offered by a health care facility, spiritual care will be provided pursuant to a referral or request. But often, referrals are made without asking or notifying the patient. Usually this is just routine. Most patients with fractures, for example, get a referral to physiotherapy, and the doctor may not even think to mention it. When the therapist shows up, the patient doesn’t question it, either – it’s an expected part of care. Likewise, a nurse who hears a patient expressing concerns over family, finances, or employment while in hospital may call the social worker to assist – again, perhaps forgetting or not even thinking to inform the patient ahead of time. But what happens when a patient expresses sadness, loss of hope for the future, or grief over a poor prognosis? Oftentimes, staff ask a spiritual care provider to come and offer support. That’s where, as stated in last November’s newsletter article, a certified mental health professional or counselor might be a better choice than a chaplain – but there are usually none available, because hospitals employ chaplains instead of counselors. So a well-meaning staff member refers the patient to the spiritual care department – again, sometimes without their knowledge or consent. Staff in a predominantly religious community, or who are religious themselves, may not even think of this as controversial – they believe that the referral is appropriate and that they are helping. And so a chaplain appears at the beside.

You may find the spiritual care provider helpful, or not, depending on his or her beliefs, preparation, and skills, and your needs and personal preferences. Most of these ‘chaplains’ are genuinely caring people, used to conversing with all kinds of different folks, and their mandate is to provide support to all patients who need or want their services, regardless of belief system. You can read a description of the ‘competencies’ required to be a spiritual care provider in Manitoba here. It’s a pretty broad field, and the document implies that almost any ‘spiritual practice’, including reiki, therapeutic touch, and other forms of woo, is legitimate.

What can I do?

The bottom line, of course, is that just like any other treatment or test, patients can refuse spiritual care – but they would have to know to do so, and in particular, they would have to know to tell staff that they don’t want chaplains to have access to their personal information. Or, alternatively, they would have to know enough to ask (or demand) a Humanist – or at least a person who is flexible enough to include Humanism as part of their repertoire of worldviews – as their spiritual care provider.

As with any other aspect of health care, it’s not always easy to request or decline a treatment when you’re ill – that’s what Advance Care Plans are for. So the same guidelines apply to spiritual care requests that apply to ACP’s. Put your requests in writing ahead of time, and the written document will speak for you if and when you can’t. Patients who are admitted acutely ill or unconscious are not asked on admission about their religion, so their family might answer for them, or the spiritual care worker may pop in at some point just to see if he can be of service. If you want to avoid this, here are some suggestions:

• Make sure your family knows your wishes about spiritual care (if they are willing to honor them).
• Make your health care proxy aware of your wishes about spiritual care as well as health care.
• Write your requests on a card and put it in your wallet along with your Manitoba Health card, Advance Care Plan, and Organ Donor cards (you do have those, right?). ID is one of the first things that emergency responders look for when they are called to a scene.
• Add a note about your spiritual care preferences to your Advance Care Plan and ERIK kit and have those readily available, stuck on your fridge with a magnet.

Charity of the Month

In October we’ll be raising funds for John Bogere’s annual tuition and the Kasese Humanist Primary School.

Book of the Month: One Heartbeat Away

This month’s featured book is a little different. For starters, it was a gift – from a very earnest, soft-spoken young woman who pressed it upon our volunteers at the Outreach table in Morden last month. No small gift from a total stranger; it sells for $15 on Amazon.ca. But she was very insistent, and so we accepted it to add to our library.

The book is One Heartbeat Away – Your Journey Into Eternity, by Mark Cahill. And why was our visitor so insistent that we accept it? Because to her, it’s a very special book. It’s the book that will guide us to the Truth. She agrees with the author’s assertion that “once you know the truth about the Bible, creation vs. evolution, heaven and hell, sin, and the cross, there is only one logical decision to make”. Cahill claims that he has evidence for biblical truth and that it will compel the lost to come to Jesus Christ for salvation.

This book answers the question “What do you think will happen to you when you die?” by describing the most often cited ‘evidence’ in favor of the Christian answer to that question. Cahill describes experiences recalled by people who have been resuscitated while dying, as well as those who experienced hell while dying, and he mourns the terrible loss that occurs every time that a soul is lost to God.

What qualifies Cahill to make such a claims? Is he a biblical scholar like Hector Avalos? A psychologist like Michael Shermer? A neuroscientist like Sam Harris? None of the above… Here’s an excerpt from the author’s biography on amazon.com: “Mark Cahill has a business degree from Auburn University, where he was an honorable mention Academic All-American in basketball. He has worked in the business world at IBM and in various management positions, and he taught high school for four years.”

If you have escaped a fundamentalist form of Christianity, you probably won’t want to read this book – and don’t need to. You already have a pretty good idea of what it says. But if you grew up secular, or in a liberal Christian denomination, and you’re looking for some insight into the fundamentalism, this book will be enlightening. Or hey – if you’re open-minded and willing to see if it convinces you, check it out! And if you find Jesus and convert, be sure to let us know.

You can borrow this book, or any of the others in our library, at the October meeting. Check here to see a complete list of the books in our library. If you find one you’d like to read, you can reserve it online and we’ll have it for you at our next meeting.

Harmonizing Humanists are Recruiting!