77 search results for
Mental health and detention
Recommendation 1:
In order to ensure adequate and effective policing and law enforcement, the Ministry must have data to show how policing and law enforcement is performing related to mental health crises. If there is a crisis healthcare gap marked by police over-involvement in mental health crisis, it will appear as:
- High rates of police involvement in people accessing first-time mental health support
- High rates of arrest and/or incarceration of individuals with mental health challenges,
- High rates of police apprehending individuals for psychiatric evaluations in which the individual does not meet the criteria for hospital admission
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Recommendation 61:
Transfer prisoners with acute mental health needs or histories of serious and chronic selfharm to community psychiatric facilities
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Recommendation 14:
Transfer authority for interventions to address self-harm and suicidality, including restraints, observation cells and suicide smocks, to the Provincial Health Services Authority. Eliminate the use of the BOARD and WRAP, except where authorized by the Provincial Health Services Authority for medical purposes.
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Recommendation 8:
To ensure that the review reflects the current reality of both publicly subsidized and private-pay assisted living residences, the Seniors Advocate would begin by conducting three mini audits:
- To determine the proportion of residents currently living in assisted living residences who do not qualify for assisted living (as defined by the Bill 16 amendments) and identify the extent to which there are problems related to inappropriate prescribing and the lack of safeguards in medication storage;
- To determine the percentage of current residents in long-term care who do not require this level of support and who could be more appropriately supported in an assisted living residence (instead of relying on RAI-MDS data as is currently the case); and
- To determine the number of assisted living residents using emergency services, and the reason for and frequency of these visits and the costs to the system.
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Recommendation 78:
The sector has identified increased substance use and overdoses as a result of the pandemic. The Coalition recommends low-barrier services that are implemented through a harm reduction lens, providing youth with a safe supply, and increasing the number of youth-specific treatment programs. The lack of treatment supports for youth is compounded by the risks associated with Bill 22 without the appropriate services for youth to transition into after being detained.
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Recommendation 2:
The Ministry of Mental Health and Addictions and the Ministry of Health must improve the ability of BC hospitals to meet the needs of people living with the effects of substance use, mental illness, and/or homelessness by:
- auditing experiences in hospitals, beginning with an analysis of people’s experiences where they have been turned away from emergency rooms or discharged and where there have been negative health consequences;
- working with people with lived experience to audit provincial standards for effectively managing substance withdrawal in hospital settings;
- ensuring that all hospitals offer supervised consumption services to patients; and
- working with the Ministry of Municipal Affairs and Housing to create transitional housing options to ensuring that sick and injured people are not released from the hospital to the streets or to emergency shelter.
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Recommendation 12:
The Government of Canada must amend the Criminal Code to prevent the use and prosecution of discriminatory or destructive behavioural conditions of interim release and sentencing, specifically:
- legislate that conditions imposed on interim release be reasonable and proportionate to the nature and seriousness of the alleged offence and the circumstances of the accused;
- define “drug paraphernalia” as harm reduction medical equipment and prohibit the imposition of conditions that would interfere with the ability to access or possess harm reduction equipment;
- prior to imposing an abstinence condition, require that courts consider a person’s dependence on drugs or alcohol. Abstinence conditions shall not be imposed on people living with addictions, except where doing so is necessary to protect the safety of a victim, witness, or the public, and harm-reduction measures shall be preferred over abstinence;
- limit “red zone” conditions to situations where there is a substantial likelihood that, if released without a red zone, the accused will commit an offence involving violence or serious harm within the red zone and ensure that any red zone is tailored to the alleged offence, the principles of judicial interim release or probation, and circumstances of the individual;
- remove paragraph 504(2.1) (g), the power for police to impose “abstinence” conditions; and
- eliminate criminal sanctions for non-violent breaches of behavioural conditions.
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Recommendation 21:
The BC Human Rights Commission to prioritize stigma-auditing areas of law and policy that most directly impact highly stigmatized populations including sex workers in areas such as:
- Public space governance,
- Income assistance and disability policy,
- Housing policy and residential tenancy law,
- Child welfare law and policy,
- Policing law and policy,
- Health policy related to mental health and substance use,
- Privacy law as it relates to people who live in public spaces and people who are criminalized as a result of poverty and substance use.
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- Ableism ,
- Accessibility ,
- Accessible services and technology ,
- Discrimination and hate ,
- Economic inequality ,
- Gender-based violence ,
- Health ,
- Housing and homelessness ,
- Income insecurity and benefits ,
- Mental health and detention ,
- Other ,
- Policing ,
- Policing and the criminal justice system ,
- Poverty ,
- Poverty and economic inequality ,
- Privacy ,
- Public services ,
- Sexism ,
- Tenancy rights ,
- Workers’ rights
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Recommendation 1:
That the Ministry of Mental Health and Addictions work with the Ministry of Health and the Ministry of Children and Family Development to conduct a review, after consulting with health authorities, First Nations, Métis Nation and urban Indigenous communities and leadership and other appropriate bodies, into the use of involuntary mental health care for children and youth to identify the conditions that are contributing to its increased use, and identify immediate opportunities to provide voluntary interventions or improve practices that would reduce involuntary admissions. Review to be complete by Jan. 1, 2022.
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Recommendation 10:
That the Ministry of Health, in partnership with the Ministry of Mental Health and Addictions and the health authorities, undertake a comprehensive review of practices for:
- children under 16 who have been “voluntarily” admitted, and take all necessary legal and administrative measures to ensure that “mature minor” capacity assessments are carried out where treatment is proposed, that the results of those assessments are recorded, and that physicians understand their duty to comply with the views of a mature minor regarding treatment, subject only to the order of a court;
- children assessed as mature minors who have been involuntarily admitted, and take all necessary legal and administrative measures to ensure that (i) despite the deemed consent provisions, the views of the young person are obtained, recorded and carefully considered before treatment decisions are made, and (ii) treatment information is conveyed in a manner that children and youth may understand.
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