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Mental health and substance use


Regarding lockdowns

Recommendation 9: We recommend that health care and Indigenous healing services be provided to prisoners independently of CSC, and that these professionals provide activities and counselling to prisoners during a lockdown, particularly for prisoners with pre-existing mental health disabilities.


Regarding isolation for medical or mental health reasons

Recommendation 10: We recommend that legislation require any placements in observation cells for the purpose of monitoring prisoners at risk of self-harm or suicide be authorized by independent registered mental health professionals, with reasons provided to the prisoner and their legal representative. Such placements must not exceed six hours and must be imposed only at treatment centres.


Regarding isolation for medical or mental health reasons

Recommendation 12: We recommend that individuals placed in isolation for medical or mental health reasons must be offered at least four hours of meaningful human contact per day. If a prisoner’s mental health is poor or deteriorating, they should be provided additional opportunities for meaningful human contact. Prisoners should be offered daily time out of their cell including outdoors if medically safe. They should have regular and no-cost access to telephone and video visitation with family, community supports and legal representatives. Within their cells, they should have access to televisions and increased access to canteen and free snacks.


Regarding isolation for medical or mental health reasons

Recommendation 13: We recommend prisoners with serious mental illnesses be transferred to community-based psychiatric hospitals under s 29 of the Corrections and Conditional Release Act, where they can receive appropriate mental health treatment in a therapeutic environment.


Regarding isolation for medical or mental health reasons

Recommendation 14: We recommend that specialized Therapeutic Units address the unique needs of prisoners with mental health disabilities, and that they be adequately funded and sufficiently staffed with independent professionals including nurses, social workers, Elders, counselors, psychologists and psychiatrists as appropriate to provide robust and culturally appropriate treatment and high levels of meaningful human contact.


Regarding isolation for medical or mental health reasons

Recommendation 15: We recommend that Canada and CSC amend their laws and policies related to medical professionals to be in full accordance with the Mandela Rules.


Regarding structured intervention units

Recommendation 29: We recommend that CSC invest in qualified, independent behavioural counsellors, occupational therapists and social workers to be available in all men’s and women’s SIUs to provide services to promote mental well being.


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