Dear Mr. MacKay, I was surprised that when I spoke to you at the Canadian Alliance On Mental Illness and Mental Health Gala that you did not inquire into my access-ability requirements.

I feel terrible. The Honourable Minister of Justice Peter MacKay is leaving his post. He’s been urinating on the Charter for a while now and I was wondering how long he could keep it up. I guess he’s finally petered out which I’m sure is a relief. Maybe not to the prime minster who is nothing more than Reform without Peter.

If I thought Peter MacKay would resign I would have written to him sooner. I only wanted to invite him to my home but he has taken it as the gauntlet being thrown. I hate to say it but for someone so athletic looking I would have thought Peter had more game. I did admonish him which may have been unwelcoming but having no regard for a segment of society who are in conflict as a direct result of a mental illness is not a slight I can pretend to ignore.

I actually thought Peter may have visited me so he resigning is quite a shock. Does anyone know how long cucumber sandwiches last? I guess someone should step aside. We are allowing serious human rights violations to be inflicted on the mentally ill. When I looked into my crystal ball/stainless steel toilet sink combination I saw more orange than justice ministers resigning at my feet. I wasn’t even aware that it was an injustice to be psychotic in the confines of solitary confinement.

I did not mean to scare Peter MacKay into resigning. I only wanted to point out his mistake in the hope of pointing out more mistakes. It would have simply been tea with a detainee but in a way he has done the right thing by stepping down. I feel somewhat responsible but he made his own mistakes. I would have reasoned with him and found a way around all of this but some crown attorneys see only one scenario. It can be overlooked as a job description for a crown attorney but when you continue on that path as a Justice Minister you become a knob. Peter MacKay became a thing Stephen Harper turned to key up for election. When it comes to justice and sadly Peter MacKay this government always did what looked good and seldom what was good.

I’m not an optimist but I have dreams. I will be awake at night imagining the course of withdrawing my extended hand to the prime minister. Possibly he too will not see me coming. I certainly did not see this coming. I don’t know who to aim for next but this is sure a lot of fun. Good bye Peter.


May 12, 2015

Dear Mr. MacKay,

I was surprised that when I spoke to you at the Canadian Alliance On Mental Illness and Mental Health Gala that you did not inquire into my access-ability requirements. Some disabilities are invisible and I assumed at such an event you would have been more careful. I mentioned to you that I had lived in solitary confinement and that I was found Not Criminally Responsible on Account of a Mental Disorder. But you handed me a business card without asking if I had any requirements of assistance. It would have been most helpful to have you contact me.

As one of few who speak about the issue of Not Criminally Responsible having experienced it as living flesh I am dismayed that my voice has not been heard by this government. I submitted a Brief to this government regarding Bill C-54 which post prorogue became Bill C-14. I spoke with government employees and tried to access my own Member of Parliament but I was never asked if I had any accessibility requirements. I’m somewhat uncomfortable with sharing my medical information with a receptionist and I had to enlist assistance from individuals not employed by the government in attempting to communicate with the government.

I am pleased you are coming to London and will take you up on your offer to see me. I would like the opportunity to show you that solitary confinement can damage an individual. Mental illness in the correctional system is a complicated issue. I understand corrections is not your portfolio but in reading your statement on solitary confinement and thanks to your offer to speak with me I’m sure you could understand and convey to those better versed what you will learn.

Since language is no more than incomplete shorthand I will be able to convey more in person. As such I would like to invite you to my home. I am slightly agoraphobic and it would be helpful to have access to my writings to impart on you what I know. I have firsthand knowledge of corrections and the forensic system from the position of inmate and patient while living with serious and persistent mental illness. I know you believe that there are no adverse effects to Administrative Segregation but I have proof. Some of this evidence is within me, some of it is written and some of it is in how I live.

Please contact me at your earliest convenience to set up a meeting.

Kind regards,
Brett Charles Batten

I had a meeting with the Minister of Justice and Attorney General Peter MacKay

I was sitting at an elegant table in the elegant Shaw Centre in Ottawa. We were gathered for the Canadian Alliance on Mental Illness and Mental Health Champions of Mental Health Awards. The Parliament Buildings were to my right as was my beautiful wife and I was simply minding my own business. A senator who didn’t look anything like Mike Duffy came round the table and gave me his business card. I smiled and gave him mine.

I noticed the Minister of Justice Peter MacKay schmoozing and posing for photographs like some redundant rock star. He seemed pleased with himself. Without warning I rose to my feet and went and stood behind him as he was speaking to a groupie. I glanced back at my wife and she had the same worried look on her face as the day I proposed to her. I gave her a wink and she started shoving dinner rolls in her purse in case we were turfed before the taters.

“Hi Mr. MacKay, my name is Brett Batten and I’m an advocate. I don’t know if you’ve ever met anyone who has lived in solitary confinement but I have spent some time there.” “In fact I have” was his response. I wondered if they too were wearing a suit and tie at the time but my immediate thought was to recall ‘Bobby the Bullshitter’ who lived around the corner when I was seven. “We’re going to Disneyland.” “I’ve been to Disneyland twelve times.” I detoured the exasperation and mentioned that I would like to discuss the issue of solitary confinement with him sometime.

“Well, that’s the portfolio of Public Safety and my portfolio is Justice.” I wasn’t sure who thought who was stupid. “I understand that but as the Attorney General you have made statements regarding solitary confinement which are misleading.” “I don’t believe I have, what did I say?” I looked around for a second as I thought we were suddenly in the House of Commons. “You said Administrative Segregation was not similar to solitary confinement in other countries.” “Well, solitary confinement in Sarajevo is different from what we find in Canada.” “Well, we are not talking about dirt floors but the dimensions and more are quite the same sir. The United Nations defines solitary confinement as any incarceration that confines a person to a cell for 22 hours a day or more without human contact.” “Well I don’t always agree with the United Nations.” (Especially when it contradicts ‘the agenda’.) “Solitary confinement is used for sex offenders to ensure their safety.” “It is predominantly used for individuals with mental illness; it is a default response to a health issue.” For someone who didn’t say anything about solitary confinement Peter seemed to hit on all the points he made in his official statement.

I decided to give him the benefit of my doubt and asked who I could speak to about the issue. “You can talk to me” and he handed me his business card asking for mine. “Where are you from?” “London!” “I’m going to be in London in a week or two, maybe we can meet.”

“I was found Not Criminally Responsible and was the individual Champion of Mental Health here last year. Pretty much in that order.” He looked surprised and at the time I wasn’t sure at which. Maybe for a minute he thought ‘Wow, I could have actually spoken to someone found Not Criminally Responsible before I shoved the Not Criminally Responsible Reform Act through Parliament.’ Nothing may come of this but at least Peter MacKay can say he shook the hand of someone found Not Criminally Responsible. Good on him!

It all sounds hopeful with him coming to London for Tea and Crumpets but like the rest of the electorate I expect his political promise to be broken. It was a formal event and I’m sure he was trying to appease me but I did drive all night to get home and vacuum in case he visits. He has my business card so I hope he enjoys my Blog.

As a public service Peter MacKay’s phone number is (613) 992-4621. Just tell him Brett gave you his number.

P.S. Please don’t call me at home, I’m expecting an important call.

People line up to test their bodies but we flee the very thought of having to do so with our minds and emotions.

I came close to not being here a couple of times. The last and more serious time was before my since ten year struggle with justice. When I came to from my comma I was seeing perfectly clear double vision. My eyes cleared up within hours but I still keep a form of double vision.

Since I awoke that night I have survived solitary confinement, abuses, humiliations, abandonment, illness, betrayal, loss, terror, prejudice, stigma, hate, and poverty to degrees that would make them each significantly difficult on their own.

If I knew what I was going to be experiencing for over a decade I would have employed a method closer to a moving train. When I look at my experiences since my last suicide attempt I see great pain, untold sorrows and defeat after defeat. I also have the perspective to recognize the unique mixture of love and friendship that is woven into these experiences as well.

My best friend for a few years was a 330 pound forensic patient. Ed had been shot by the police in a fairly justified manner. Some people were afraid of Ed. He wasn’t pretty, sometimes smelled and had a huge voice.

Ed died about this time years ago. He was living in an apartment, practicing to get a new driver’s license and he drank coffee and smoked too much. I miss Ed but it doesn’t hurt much when I think of him these days. When I think and try to balance all the bad things that have happened with the good, I can’t. There is too much of each.

Maybe it’s like a marathon. People endure taxing the limits of their physical capabilities for a ribbon. People line up to test their bodies but we flee the very thought of having to do so with our minds and emotions. When I think of Ed he is so much more than a ribbon. I had to endure and struggle to subsequently meet many individuals. Ed was one and I am sharing the Eulogy I wrote about and for him at his memorial service:

His name is Ed and he’s my best friend. He’s been my best friend since he gave me his apple the first meal I had on the Fallen Angel Unit (Forensic Assessment Unit). At that time apples meant love and he gave me his. We didn’t say a word to each other as we ate our replica meals and I probably should have been afraid of his three hundred plus pounds but he gave me his apple. From that day on Ed has been nothing but generous to me. As I write this my belly is still full of the soup he made and shared with me in his apartment and my veins course with nicotine from the pack of cigarettes he gave me tonight. I visit Ed most days in the community. He has a small apartment and it is a great getaway for both of us. We are both weary of hospitals and nurses and cameras and crappy food and shared toilets and little or no privacy. Ed and I share more than meals, we share our experiences. We talk about what has happened to us sometimes, usually he more than me, but we share it in silence always. We sit together and know we have each been in Holes and siderooms and handcuffed and shackled, he more than me. Ed’s story spans twenty-five years; his last battle has been seven years. My whole experience with the law has only been seven years. Ed reminds me of how good I have it, literally at times.

When I was on the Fallen Angel Unit for my Assessment Ed and I would sit in the smoking room and rule. We were two that truly had our heads, or so it seemed to me, and we were both personable. Ed would give me his pouch of tobacco and let me roll cigarettes whenever I wanted. Every morning we would be the first two into the room. I would have a huge manic smile on my face waiting for him. We liked each other for some reason or maybe for no reason. I think because I don’t talk much and am fairly quiet Ed likes me. I am generous back to Ed. He has no wheels so I run the odd errand for him getting groceries or Thursday night fish and chips.

When I came to the Forensic Treatment Unit Ed would become one of my dorm mates. Ed would lie in his bed on his back and rock his head back and forth for about an hour. This was his stress reduction and I think he picked it up somewhere in his twenty odd years of incarceration. Ed was a good dorm mate; he always had food to share and a pair of shoes to sell.

I could write a whole book about Ed, he is full of stories. Ed spends his days smoking and drinking coffee and knows everything about everyone and if he doesn’t, he is not shy about asking. “Where are you going Brett?” “Where were you Brett?” What did you have for supper has to be one of his favourite questions. Sometimes I resent the invasion into my privacy as I don’t know how to be rude and say mind your own business. I also realize he doesn’t go anywhere or do anything so news is his only entertainment.

“Well you got out of here for the weekend, that’s the main thing, good for you.” Ed is always genuinely happy for me and any progress I make as far as privileges. He also gives me hell for not pushing for more. “When are you going to ask for ‘Live in the Community’ Brett?” “Soon” I answer. He says I should be out of here and we both know it is true but the system is what the system is. It is like a cold, there is no cure it just has to run its course.

Ed befriended me when I was most ill. When everyone else pulled away, Ed was my friend. I wasn’t aware of the fact that I needed anyone but I think he was. Ed didn’t look compassionate but he was. Ed lived in the present and appreciated things as simple as a cigarette, a coffee or a burger.

I have learned more about generosity from Ed than from any combination of people in my life. He really didn’t have anything but what he did have he shared. I was definitely on the receiving end of more meals and coffee’s than I was able to repay. I don’t think Ed kept track but I regret not being able to repay some of that generosity.

Ed used to call me every day. What did you have for supper Brett? Ed was a little preoccupied with food but it was one of his few pleasures. Food becomes a very important part of your life when you are incarcerated. Most days the high point of your day or a significant marker for time is a meal. To receive little or no satisfaction from that meal, undermines what little morale you can muster at times. I sometimes enjoyed telling Ed about my culinary habits when I shifted from eating out of a can to actually preparing meals. I think Ed’s cooking inspired me to do some myself. I’m glad Ed was able to eat what he liked in his final years.

Ed was an outgoing and friendly person. He knew many names and felt emotion for what he perceived were injustices in others circumstances. This is empathy. Ed was rich with friends and I was blessed to be one.

Ed seemed obstinate and defiant towards what he would deem as his oppressors, many who would say they were simply helping Ed but we don’t know exactly how Ed perceived things and it is his perception of events that coloured his actions. If a man feels truly wronged as Ed often did then it is in his right to pursue some means of remedy. Ed usually went within his rights and sought out legal avenues to remedy the wrongs he perceived. Some would argue he wasn’t always rational in these pursuits but imagine the emotion involved in defending your rights as a person. Ultimately Ed wanted autonomy, he didn’t want to be needled, literally, he wanted to be left in peace. I don’t find this to be anything but rational and it is unfortunate Ed is not here to enjoy the peace he now has. Ed has finally received his Absolute Discharge.

I have an apple for you Ed, somewhere, somehow I will get it to you.

RE: Vincent Li and Tim McLean. Compassion isn’t a dart we throw it is a net we cast.

I spent the weekend battling on Twitter. I don’t often Tweet but there was much ignorance I felt compelled to refute. Vincent Li who was found Not Criminally Responsible for a very disturbing and tragic incident is in the process of being granted a progression of freedoms in his treatment and rehabilitation. It needs to be clarified that these measures will themselves be measured and monitored. It is also important to understand that Mr. Li has been assessed by several psychiatrists who are in agreement as to the status of his mental health. Most importantly the individuals who contribute information and make decisions on that information have and always will ensure that public safety is paramount. Paramount.

I am not an expert in law or medicine. I have some information about each but my specialty is what it means and feels like to be caught between the two. If you want the definition of psychosis you can ask a doctor. If you want to know what the experience is like, you can ask me. If you want to know the intricacies of Not Criminally Responsible ask a lawyer who specializes in such. If you want to know how those processes affect an individual, you can ask me. I don’t consider myself an expert by any stretch but few know what I know. My journey is far removed from what most experience and I believe that is where my use is found.

Unfortunately, people with opinions often have no desire to hear from someone who actually knows something, as it interferes with their ignorance. Opinions have value but when their basis is ignorance they become water balloons without water; completely ineffective and they go nowhere.

I heard the voices that are incensed and incredulous over the appearance of the case. In my estimation most of these individuals are using headlines for a measure and as a basis of knowledge from which to form and progress their opinions. If a person looks only at the atrocity they can only make basic conclusions.

The severity of the offence is not the indicator of recidivism. If a person stabs another twice they are not twice as likely to re-offend as the person who stabs once. It is an asinine assumption and a distortion of logic. The brutality of the offence for which an individual is found Not Criminally Responsible has no bearing on their prognosis or recovery. The absence of blood in no way determines the effectiveness of medications and the presence of blood in no way determines the efficacy of treatment and rehabilitation.

Tim McLean who is the deceased in this case is clearly a victim. He was simply a passenger on a bus. However, there is more than one victim. We have to consider the families and friends connected to all involved. We have to consider witnesses and first responders. We have to consider communities. We also need to consider Vincent Li himself. Mr. Li is a victim of a mental disorder and a victim of public backlash, stigma and hatred. He no more asked for this event than anyone involved. To be a monster to a nation as a result of an illness is a weight that must also be measured. Mr. Li did not choose his illness and he is quite likely near the front of the line of individuals who would wish the event never occurred.

People confuse psychosis with psychopathy. They are two vastly different states and it is unfortunate they are phonetically similar. It is the same as confusing dentistry with dysentery. Psychosis and hallucinations are Axis 1 disorders while psychopathy is Axis 2. Twitter was awash with words like psycho and I would direct those people to the internet to actually find out the meanings and intricacies of mental disorders. Knowledge is power and slang is pathetic and painful.

I was disappointed to uncover the extent of hatred and intolerance that exists in Canada. People seem to embrace the biblical “eye for an eye” mentality all the while ignoring the New Testament and specifically the red letters attributed to Christ. I guess it is easier to cast stones. Possibly people gain a sense of self righteousness and can forget their own faults. An “eye for an eye” does not bring peace or restore the order of the universe. The universe is unfair and unjust. Just ask a child with a distended belly in a third world nation. People seem to believe the world is just and they become quite worked up trying to make it so through mental manoeuvrings. An “eye for an eye” leaves two people blind and it only expands suffering. It is rather imbecilic to think that suffering can relieve suffering. It is also a little sadistic to find peace in anyone’s pain.

Many individuals seem to think that Vincent Li may be better but Tim McLean is still dead. My sympathies go out to all involved but Tim McLean will be dead no matter what happens to Vincent Li. There is no logic in that argument or revelation and nothing that is done will alter what happened to those involved.

People were flying off the handle saying maybe Mr. Li’s psychiatrist who assessed him should have him as a neighbour. The fact is Mr. Li was assessed by several psychiatrists who came to the same conclusions. The general public and even Members of Parliament like Shelly Glover think they should be the ones assessing and that their opinions which originate from newspapers or less are the only assessment tool needed. We need to allow those who are trained and knowledgeable care for the community and Mr. Li. Despite the brutality of the offence Mr. Li is considered low risk and has been assessed and is being monitored. Few of us could say the same thing about our neighbours. No one is immune to mental illness and it does not discriminate. To an extent we are all capable of atrocity if we become ill to the point Mr. Li was. If you disagree please point me in the direction of the magic water you swallow to prevent mental illness.

I was called a douche, a jerk, a scumbag, a murderer advocate and was told to go hang myself. All were desperate and illogical attempts to overcome the disparity of being confronted by someone found Not Criminally Responsible and who is intelligent, logical and able to disseminate information, form relatively sound opinions and coherently craft them into Tweets. I got a little saucy myself but being the Not Criminally Responsible individual in these arguments I tempered my responses. I came to the somewhat biased opinion that I would rather have me as a neighbour than these scary and somewhat unstable twits. I have been tested and proven not to be a psychopath or sociopath but these individuals cannot claim the same. I don’t much care what they Tweet from their parent’s basement but I am concerned that they interact with others in person and that they are probably allowed to obtain firearms and most terrifying; can vote.

I came to the edge of being insulting and was uneasy with where I found myself. I am one of only a few who to a degree represent individuals who have been found Not Criminally Responsible. I do so not always out of desire but more so out of duty. There are many days I wish to be more ordinary and forget what is past. I realize though that my abilities, experiences and gifts are meant to be shared. I have near total recall of most of my psychosis and as much as it is a curse to remember all of that, it is somewhat rare and it would be a loss not to explain and share with others in an attempt for us all to understand each other. I don’t have fame or popularity to promote my causes. I am involved in the unsavory aspects of mental health: Not Criminally Responsible, the Canadian Criminal Code, Board of Review hearings, courts, police and corrections. Possibly I could let some of this slide if Clara Hughes jumped in but she’s busy on her bike.

I told one individual to “say Hi to everyone on his paper route.” I felt bad that I might be misinterpreted. I have every regard for individuals who support or supplement their income from delivering periodicals. Unfortunately, the 140 characters allocated by Twitter did not allow me to explain my meaning. When I was growing up teenagers delivered newspapers and I was implying that this individual was a child in his thoughts and arguments.

I think it is fair and acceptable that I get a little saucy. I don’t believe that since I was found Not Criminally Responsible that I need to portray something meek and gentle. I am and we all are many things. Part of my point is that I am no different from anyone and I posses characteristics that many and most humans posses. In a way being sarcastic and cheeky is an exercise in illustrating my ordinariness. I grew up with three brothers so I was born and bred to stand up for myself. For years I was unable to do this as I was in jail or hospital. If I had no voice I would be skinnier than I am. I traded barbs with my brothers as an exercise of intellect and debate and it was an ingrained and somewhat socially conditioned form of love. We did not hug each other though we do now. Instead we insulted each other as a form of attention and we found affection, comradery and even respect in its often humourous arms.

The one individual who seemed quite engaged in trying to enrage me gave up when I asked him his real name. He was calling me “champ” in some attempt to belittle me and I told him “my name is Brett and I do not hide.” My full name is attached to my Twitter account. This child was Tweeting from behind his mother’s skirt and when I said to “step up or shut up” he implied that I was threatening him. I reassured him and told him he couldn’t “hide and speak” and that I simply wanted to know if he “was a mouthpiece or a man.” He did not give his name which confirmed he was in fact just a mouthpiece. He was a noise originating from the area of the head but not the brain necessarily.

People were arguing that if Mr. Li misses a dose of his medications he will buy a bus ticket and repeat his actions in some form. Medications are important but only a fraction of the treatment and rehabilitation Not Criminally Responsible individuals receive. Further, these individuals are monitored and know themselves the importance of their medications and the other aspects of their treatment and recovery. In the case of Mr. Li there are a series of supports in place and extended that were not present at the time of the offence.

People think Mr. Li should be locked up forever and worse. Punitive measures do not alter the cause of the offence when the cause is mental illness. Treatment and rehabilitation of the individual with the illness is not only humane and progressive, it is the only successful and logical approach. Mr. Anonymity was trying to argue that all criminals should be medicated and why was Mr. Li so special? Firstly, Mr. Li is not a criminal and secondly they have not discovered medications for greed, stupidity and evil. As you might conclude it was draining attempting to inform such moronity. If I had to do it again I might just walk away as many of these individuals used their opinions as a shield to information. However, some of what I was saying was getting out there and their deflection did not mean I did not reach anyone. I am also pleased that there is a lasting public record of their stupidity. Maybe eventual embarrassment will guide them towards a book.

People were using the grief of those involved as a basis and argument for their hatred, ingrained ignorance and intolerance of people and circumstances they have little basis of knowledge in. People think they are being sensitive to victims and compassionate but compassion isn’t a dart we throw it is a net we cast.

You Say “Healthcare,” I Just Shake My Head and Cry

I have no “craving” to return to the issue of smoking on hospital properties and it seems a lost cause but I will. Let’s just consider it a “bad habit.”

I was on hospital property myself yesterday. When I left the architectural brilliance and heat of the building itself I noticed a gentleman in his 70’s hunched over in a wheelchair. He appeared to weigh something near his age and seemed somewhat compromised. I imagine his struggles are profound even within hospital but he was attempting to smoke in the wind and cold about 40 feet from the hospital entrance.

It has been minus “21 Forever” here in Ontario and yesterday was no exception. No exception seems to be part of the problem. This man was breaking hospital rules and even the old rule of not smoking within 60 feet of a hospital entrance. I don’t imagine he had a rebellious heart or complete disregard for rules, I think he may have been unable to make it off hospital grounds and the temperature itself may have been a further hurdle. If my ears nearly freezing are evidence of anything his wheelchair wheels may have been frozen.

There needs to be more communication between agencies in the region. When the Health Unit and police agencies issue a cold weather advisory and warn people to stay inside it may be prudent to apply this information to hospital staff and patients. It may even be important to ensure that 70 pound patients in wheelchairs have a safe and suitable place to smoke. Maybe the blankets were being laundered but this gentleman was under dressed for what I barely endured with half the exposure. This individual is unlikely to quit smoking in his 70’s or in his proximity to illness. It may be a bad habit or a long time pleasure.

We can all be proud of moving in the direction of a “Smoke Free Ontario” but my grandfather shouldn’t be run over in the process. He wasn’t my grandfather or I would have brought him home from the illusion of healthcare he was enduring. He is however someone’s grandfather, “bully for you.” I hope some idiot or at least the compassionate committees who have brought us this far find satisfaction in such an individual being tortured in the guise of health and healthcare. If you think smokers are going to hell it is no less sinful to expose them to anything similar here on earth. Perhaps we should pray on this.

I wanted to take a photo of this poor gentleman but I did not want to remove my gloves which he was without. I also respect patient confidentiality and it would have been a blurry shot as he was shaking so hard. Oh well, the rightless wretch will soon be dead and we will not be so uncomfortable in our conscienceless ideals. The grandchildren who attend his funeral will no doubt find peace that his last days were dignified and comfortable. They will hopefully find comfort that he was “exposed” to the most advanced and compassionate healthcare available.

I’m not saying hospitals are being heartless but providing a wheelchair becomes ironic and disingenuous when a 70 year old patient is allowed to suffer from exposure and near frostbite. I was in the same elements for a shorter duration and in an appropriate winter coat and I couldn’t wait until I reached my frozen car. This gentleman was under dressed and unable to access proper shelter or even stamp his feet to provide a sense of warmth.

I don’t know how we get around ridiculous rules but I would suggest those who are making them spend 6 minutes in a wheelchair, in a jacket, in minus 20 degree weather. It may provide enough exposure to uncover enough empathy to enable true compassion if not sense.

Ontario Provincial Police (OPP) Mental Health Strategy, Ect.

I don’t often advocate for the police. They have unions and each other so I don’t view them as disadvantaged or marginalized. They are not on my radar so to speak 🙂 I usually defend those who are unable to stand up for themselves or who do not have the opportunities and advantages that I do.

In my recent encounter with Ontario Provincial Police officers I have softened and expanded some of my views. Few of us have the honour or opportunity to share a meal with the police and their humanity is nourishment itself. I don’t want to disappoint those who find me a refreshing prick with a pen but I have a few points for us all to consider.

Most people do not know that since I was a child, I dreamed of being employed in law enforcement. I know of few better examples of irony. I also have several friends from my youth who are police officers. I can name at least seven who I played high school football with. I am fairly outspoken regarding tragedies that involve mental health but do not think I would not be as upset to hear of an officer falling in the line of duty.

Many of us have an uninformed sense of what the police are like. They are the brutes who give us speeding tickets. I agree that it is an annoying pastime of theirs but they are attempting to keep their families safe as well as yours. We do not blame the baker for making us fat.

Like everyone I am influenced by the media. With the media preoccupation with the sensational we are force fed and filled with any and many officer mistakes. To make an analogy it is no different than hearing that the Toronto Maple Leafs have actually won a game and concluding that they are having a great season.

I tried digging up some real numbers to provide some perspective and fairness. There are over 26 thousand police officers in Ontario. The few we hear about as having fallen short in their duties would be statistically minute and invisible on almost any graph.

I was aware that police officers are trained and informed that a person with a knife can be lethal at a range of 15 to 20 feet. I might be spatially disabled under such conditions. Officers are trained to use lethal force in these instances. I will still argue that a greater distance should be maintained where possible and appropriate but it is comprehensible that such situations do not always work out. I would imagine that any officer who had to make a lethal decision would be haunted by such and it is understandable why officers also suffer from Post Traumatic Stress Disorder.

I have argued against the use of Tasers on mentally ill individuals as they are often disabled and it is a health condition. We need to guard against Tasers being used too often but in speaking with an officer I see their value. An individual with a knife who charges at a distance of 20 feet will still reach the officer even when shot with a gun. This is a no win situation. The Taser if successful will stop that same individual in their tracks. I would rather have to deal with psychological and temporary agony than find myself and or someone trying to help me in a coffin. I have a family as do they. The consequences of the lethal use of a firearm are far reaching.

We can point out that 92% of officer fatalities are committed with a firearm or that police homicides occur 23% of the time involving robberies and 3% occur apprehending psychiatric patients but I’m not sure those numbers would make me feel better if I was faced with a knife and I am unlikely to call on statistics or probabilities when I see that knife waved in my proximity. Any weapon is problematic.

I could only find numbers from Vancouver but they may still be relevant. One third of all police calls involve people with mental health issues. Let’s assume that the Ontario Provincial Police are dealing with similar numbers. I think the police have been put in a place and are being called on to remedy issues that are not theirs to own. Mental health is increasingly involving agencies that were never meant to be mental health service providers; police and corrections.

We can scream and shout at them both but the solution doesn’t entirely lay with altering what they do. We need a number other than 911 to call and we need to prevent and protect individuals from entering the justice system as a result of their addictions and mental health issues. Thirty percent of individuals come into contact with the police in their first experience trying to access mental health care. We don’t change the diaper when an infant needs to be burped.

There are agencies better suited to serve the mental health needs of Ontarians. These organizations and agencies need to be better coordinated, better funded and more accessible. To keep things as they are is monumentally more expensive fiscally and socially. We will have less need to call 911 if mental health care can be obtained prior to crisis. The police will always have a place and we need to be grateful for that. It is an unenviable position and a difficult duty. It is unfair to the police and Ontarians to make police an automatic selection for mental health issues.

I am showing my support to the Ontario Provincial Police not because I now know several more outstanding officers but because I deeply desire better outcomes for Ontarians. I will still point out problems and they may be the target of my often sharp and ill timed sense of humour but in the case of the Ontario Provincial Police and specifically the Elgin County Detachment I see compassion, promise and an active engagement in improving the mental health outcomes of Ontarians. Is the Ontario Provincial Police Mental Health Strategy perfect? Possibly not but I am inspired and I believe community stakeholders can co-operate and implement something of an improvement.

The quarterback doesn’t throw the ball because he is incompetent or incapable of making headway; he knows the receiver stands the best chance of the most advancement. Community stakeholders are the wide receivers. We have been calling the police for help with mental health matters for decades. Community stakeholders are now being called on. I believe they can handle the pass.

Is it really community integration when we have ghettos?

As a citizen of London with severe and persistent mental illness I am alarmed by the death of David McPherson and the displacement of a group of individuals with mental health difficulties.

We are giving these individuals our best when they are in crisis but we care less when they are chronic. Many surgeries are discharged prior to what would be considered good health as are mental health patients. What would we think if 25 post surgeries were displaced from a dangerous and disgusting dwelling? We can be proud of how hospitalization for mental illness has been transformed here in London but when I share my mattress with mites before and after it will be like Alice falling through the rabbit hole. Hospitalization will be a bizarre episode in a stupor of squalor.

It needs to be asked why so many individuals with mental health concerns are housed together. Is it really community integration when we have ghettos? When affordability means shared toilets and prolonged periods where privacy is extinct these dwellings essentially become a third world hospital with fewer staff. It should also be asked how much longer these individuals would have been allowed to be unsafe, unsanitary and defiled of dignity had there not been a tragic fire? Solitude is a human need, safety, security and sanitation should be absolutes.

If we are astute enough to recognize that clean and pleasing environments facilitate healing in hospital, why do we not employ it for people who are healing in the community? It all becomes mute when individuals are endangered, denied dignity and are made to endure circumstances and confines that would lead many to mental health difficulties. Possibly we would not remove the revolving door of hospitalization but fewer would need hospitalization if basic human needs were met in the community.

Many fine people and agencies came into contact with this tragedy far before it never should have been. Individuals with severe and persistent mental illness do not ask to be in these circumstances they simply need our assistance. I’m fairly certain it is against the law to do otherwise.

Catherine Zeta Jones

An anti-stigma campaign I follow on Twitter sent me a message that “Actress Catherine Zeta Jones has been living with bipolar for several years and rejects any stigma attached to it.” Easy for her to say. It was further Tweeted that Catherine Zeta Jones says there is “no shame in seeking help.” For someone with fame and finances this might even be true.

For Catherine Zeta Jones, mental health stigma and treatment are vastly different from the experiences of many who also suffer from mental illness. For her being open about her diagnosis and experiences is at least unintentional personal publicity. As they say: There is no such thing as bad press. In the case of celebrities a personal persona and public appetite is created and nourished by being a news story. It would appear that Catherine Zeta Jones has thrown herself in front of an oncoming car for the benefit of many but I would argue that the car has already driven by. The lack of blood and guts, spell evidence.

Catherine Zeta Jones is portrayed as some patron saint of bipolar but what has she really risked? Stigma is at a point that it is rarely rolled out for the famous. I am not inferring that there is no such thing as stigma but little if any cuts through fame and favour. Call me cynical but these revelations don’t seem to affect these individuals beyond increasing their brand, public persona and popularity.

If I’m depressed in bed or manic at the mall, am I apt to seek help or find relief in Catherine’s revelations? The rubberneckers look but the rest of us are too busy trying to survive. These celebrities don’t give interviews in their underwear next to dust bunnies; they follow a loose script in their personal libraries in Bermuda. Speaking of which, what meds do I take to find myself in Bermuda with a maid?

I think “Catherine The Great” has been a source of conversation around mental illness but I would argue that her battle with stigma is similar to Don Quixote who mistakes windmills for giants and charges at full speed. My suspicion is that stigma is a word, for Catherine Zeta Jones. For many stigma is no windmill but a true giant. It affects self image, personal and family relationships, employment and status.

When I think about bipolar I don’t envision a person like Catherine Zeta Jones who uses overpriced shoes for bookends because they’re too cute for closets. In my world people with bipolar have their shoes taken away so they can’t asphyxiate themselves with the laces.

I imagine Catherine’s experience with mental illness has been challenging and difficult but in the scheme of things we are talking about First World problems in comparison to Third World problems. Did she have to wait six months to see a psychiatrist? Were the chairs in the waiting room plastic or leather? Did she have to wonder if she could afford her medication? Was she worried about missing work? Did she have to resort to disability assistance to feed herself?

I’m waiting for one of these famous sacrificial lambs to tell us about their hemorrhoids. That experience is the same for us all and if I knew Catherine Zeta Jones used “Preparation H” I could actually hold my head higher at the pharmacy. There’s little fame in swelling so I shall suffer in silence.

“It is a kind of cold and uncaring environment”

A 30 year old father has died at Elgin-Middlesex Detention Centre. On the surface it seems no correctional officer or administrator can be faulted because it was a suicide and because this particular inmate did not voice an intention or thoughts about suicide. Corrections sidestep the corpse and deny responsibility because protocol was followed. What if protocol in fact hastens or facilitates the death? Following the rules in this case could be considered the smoking gun.

According to London Lawyer Kevin Egan, who represents hundreds of London inmates “It is a kind of cold and uncaring environment.” I hope Kevin Egan didn’t have to research too many legal documents to come up with the understatement of the century.

Inmates are screened at admission about their mental health and suicidality. “Do you feel suicidal?” if answered in the affirmative will bring about a second strip search and the inmate is placed in solitary confinement or for those who like to justify its use, segregation. The inmate is given a tear proof gown and blanket to go with their toilet and 24 hour light.

For any inmate who is familiar with this system of sadism there is only one answer to the question. “No.” Inmates in solitary confinement because of suicidal ideation or behavior are checked on every 10 minutes. Interestingly, it takes about 5 minutes to die. In the case of this young man because he was segregated but not on suicide watch he would have only been checked every 20 minutes in comparison to the usual 30 minutes in the general population. This deviation points to the admission that solitary confinement creates a dangerous situation that needs increased supervision.

I realize Elgin-Middlesex Detention Center is understaffed and poorly designed but is it not possible for “cold and uncaring” correctional staff to ask an inmate if they are suicidal after intake? Surely, while under the arguably tortuous conditions of solitary confinement an inmate could be spoken to and asked if they are suicidal. Would any institution grind to a hault if such a protocol was implemented? It would require conscience and a degree of compassion but it may save a life.

To be placed in solitary confinement deteriorates mental wellness and exacerbates mental illness. This is where it becomes difficult for guards, administrators and healthcare staff to sidestep culpability. This particular inmate was taking prescribed psychiatric medication and was placed in an environment where whatever mental wellness he possessed was compromised. His mental health was compromised by the correctional system which did little proactive to prevent his eventual death.

There have been 16 coroner inquests into jail suicides since 2007 and the recommendations of better screening and monitoring of inmates has been ignored. This is not only a dereliction of duty but it is outwardly reckless and a foundation for legal culpability.

The Andrew Lawton Show = Stigma In Stereo

https://soundcloud.com/am980/andrew-lawton-show-september-15th-2014

Here in London, Ontario we have several radio stations one of which is AM 980. For most that are unfamiliar with this branch of CFPL AM, it is a species of FOX. Normally when I want to hear something stupid I watch the parliamentary question period but today I was informed of a program on Not Criminally Responsible. The host Andrew Lawton seems proud to boast that his is London’s most irreverent talk show.

I completely understand the meaning of irreverence but a lack of respect for individuals suffering from serious and persistent mental illness is beyond irreverence. It is shameful and worthy of listeners or any who are affected by mental illness to make a complaint to the Canadian Radio-television and Telecommunications Commission. As compassionate and informed citizens we need to take responsibility in not perpetuating stigma and for people with a public platform that responsibility is imperative if not implied. To vilify people with mental illness cannot be excused by claiming irreverence. If Londoners were subjected to this disrespect directed at any other marginalized and disadvantaged population we would be outraged. These individuals have no voice so it falls to those of us who can stand up to take a stand.

I call for a public apology from Mr. Lawton for the one in five affected by mental illness. This would be a significant and necessary step for Mr. Lawton to take in the discontinuation of mental health stigma. As citizens any apathy is a continuation of the destructive and irresponsible attitudes that have contributed to the suffering of all individuals with mental health difficulties. To see no harm is the foul.

The best part of The Andrew Lawton Show is the 40 second lead in where Andrew is mute. It is as the opening song states “the show that never ends” but if we care about mental illness it clearly should.

The forensic system is made up of highly trained and educated individuals who specialize in this often obscure area of mental health. I could call Andrew Lawton on not including a lawyer or psychiatrist but even I know these people would have to be further specialized to be of any significance to the exchange of proper and significant information.

Andrew Lawton is a liar. In a past show he tells us that a lot of work goes into preparing stories and lining up guests. Maybe for locksmiths but for the complexities of forensic mental health we have only the breath and brain of an ignorant broadcaster.

I’m not sure if it ironic or just sad that Andrew Lawton took the time to interview a locksmith who deals with door handles but found no reason to include anyone with forensic relevance to his so called show on Not Criminally Responsible (NCR). I don’t know whether to be angry or laugh at the fact that a show that involved the intricacies of the Canadian Criminal Code, The Mental Health Act and forensic psychiatry was sewn together with only Mr. Lawton’s delusions, while the segment that followed involving locksmiths actually involved a locksmith. I can in no way shine a brighter light on this man’s arrogance, stupidity and irresponsibility.

I do not believe irreverence or any other excuse precludes responsibility to the truth in airing publicly opinions or anything near information. Mr. Lawton begins his program in a mire or misinformation. He seems to want listeners to think that individuals found Not Criminally Responsible “never have to spend time in jail.” I spent 10 months in a detention centre or jail and was exposed to all the punishment and more because of my delusions. If Mr. Lawton wants to confirm my confinement he can ask the guard who refused me a shower and toothbrush for 7 days. He can look up in the records how long I spent in solitary confinement and he can even interview the other prisoners who took advantage of my illness. Mr. Lawton seems disappointed that I was sent to a mental health facility for treatment and not for punishment. Sorry.

To assist Mr. Lawton in his ignorance I would point out that guilt is not the act but the act of knowing. When someone is found Not Criminally Responsible on account of a mental disorder it is because experts have found that they could not appreciate the nature of the act or omission. They are not sentenced according to a code of punishment but are placed under forensic mental health care. Forensic mental health facilities are secure, humane, progressive and therapeutic. Interdisciplinary teams are used to progress patients through rehabilitation and treatment. These facilities are hospitals and not jails because Not Criminally Responsible offenders are not criminals they are patients. They require not our judgement or fear but rather our assistance.

It is not a chosen path so it makes no sense to punish the traveler for being where they are. It is difficult for many to reconcile illness with atrocity. It needs to be kept in mind that without the illness there may have been no crime. We recognize the defendant but we cannot see the culprit. The culprit is mental illness.

Not Criminally Responsible in my case was not a chosen defense. If I had my way I would have been a brilliant lawyer at my own trial. It was a defense of default for me. I was incapable of any other defense. The courts and medicine intervened to protect justice and my mental health. If we are to be merciful it is imperative we do not punish illness. It is pointless and cruel.

If it is an eye for an eye, Christ`s words were wasted.

Mr. Lawton seems to think treatment is a “mentality” and rehabilitation is an “argument.” I would suggest getting off your high horse as both are in fact science and medicine. They are both carried out by people with years of experience and expertise. I suggest that Mr. Lawton is in fact deflecting his own inadequacies. He is in no way qualified so he assumes the same of others. Unlike himself, these practitioners are universally recognized as experts. Were he to give them this credit he would be forced to submit his conservative worldview to information and science which we know is like oil and water.

Mr. Lawton simply states the obvious when he says he has “very little place in my heart for people like this.” People like what? People with serious and persistent mental illness? People caught up in circumstances they never imagined? People who are marginalized and disadvantaged? I can only state the obvious and point out that people like Mr. Lawton have no heart. Theirs is a world of retribution where answers are only found in anger and indifference.

Mr Lawton seems proud of the fact that he covers stories that “you won’t hear from mainstream media.” Could it be because they have scruples, integrity and a responsibility to the public to present researched information or at least investigate a story rather than jumping from the horse with a mouthful from the one in front? Just because a thought enters your cowboy hat does not abdicate you of being responsible with your platform. I find it ironic that a whole story devoted to the distaste of people being found not responsible is carried out by an individual who is nothing more than irresponsible himself. Canadians spend millions to combat stigma and a man with a microphone sweeps much of it away with his own personal ignorance which he disguises as opinion.
Andrew Lawton seems to think it is some sort of public service to illustrate an individual case and circumstance and call into question broad and pointless arguments. Calling into question rehabilitation and treatment in general because of a mentally ill individual’s personal oversight is irresponsible and imbecilic. It is as logical as asking if police should be allowed to carry handguns after a civilian shooting. Each officer is unique as are the civilians and circumstances that bring them together. In case the analogy escapes you Mr. Lawton each person who is found to be Not Criminally Responsible is unique as is their treatment and rehabilitation.

With regard to Thomas Brailsford I can only use my own experiences to dispel Mr. Lawton’s ignorance. I was held on a medium secure unit for roughly one year before I was allowed passes on the hospital grounds and it was well over a year before I entered the community on indirectly supervised passes. Extreme caution is exercised in the issuance of passes and privileges. If Mr. Brailsford was released on a pass the public’s safety was paramount. If he was considered a danger or even a threat to himself or others he would never have been granted a pass. This news story is basically about a non-dangerous individual breaking a curfew.

I am taking Mr. Lawton to task because these individuals in most cases are disabled. We cannot see the limp but the disadvantage is obvious if we look beyond our misconceptions. Mr. Lawton can be proud of the fact that he devoted half his show to spouting stigma and disrespecting people who struggle with day to day life. Again, I call on Londoners and others to voice their disapproval of this man and his show. Would we stand silent if it was homeless people in wheelchairs? I think not and that is the slippery slope of stigma.

Mr. Lawton asks if these offenders “should even have rights.” I hate to be the one to break it to this man but as Canadians we all have rights in all instances and they are protected in the Charter and the Constitution. Even free speech which Mr. Lawton seems to have swindled someone into paying him for is a right until it becomes hate. You sir are close to that edge.

I would never call Mr. Lawton a moron so I will let him say it himself. “Just because someone is deemed in a legal sense Not Criminally Responsible, to me, does not mean we can deem them not responsible for it all.” In case this stupidity seems some typographical error I will once again type it word for word. “Just because someone is deemed in a legal sense Not Criminally Responsible, to me, does not mean we can deem them not responsible for it all.” One can only wonder which parts Mr. Lawton wishes people to be responsible for. The temperature? The day of the week?

Andrew Lawton seems to think Not Criminally Responsible is “not of the criminal code but of the justice system.” I hate to point this man to a book but in fact Not Criminally Responsible has been part of the criminal code for over a century. There are no illustrations but even Mr. Lawton could read the print if he was willing to expend the energy or had the intellect.

For Mr. Lawton the designation of Not Criminally Responsible has “gotten people treatment the community would not like to see them receive.” Only the community that is totally callous and without compassion which clearly includes Mr. Lawton.

Another lie made by Mr. Lawton is his insistence that David Carmichael who killed his son “did not know what he was doing and was then released.” In fact he was held in the Brockville Psychiatric Hospital for 3 years if memory serves. Should people in public broadcasting be allowed to promote lies to perpetuate their opinions and mental health stigma? I think we could ask the Canadian Radio-television and Telecommunications Commission that one.

To further Mr. Lawton’s ignorance he calls on his listeners. Adam believes, “the general public doesn’t know what is best anymore.” They never have which is why we have legal and medical experts. It might be fun to stone people on a whim but we have come to the conclusion that justice is best served otherwise. Emotions are not logic or legal and justice remains blind so that evidence precludes emotion.

Blinded by his own belligerence Mr. Lawton turns to Mark who digresses into some story about Nazi’s, the Japanese of WW2 and further peppers his ignorance with words like bonkers and crazy as though he isn’t. Mark states that he doesn’t trust psychiatrists to see the difference between a murderous mindset and mental illness as though he can.

For any who are not intimately insulted as they have not been found NCR take heart as Mr. Lawton “completely recognizes that, by the way, if you are dealing with mental illness you are not operating at full capacity, you are not operating in a sense you are completely responsible for your actions.” He must mean people like Churchill, Lincoln, or Patton. “I completely recognize that, by the way, but that doesn’t excuse you from doing whatever you want.” Like anyone would want to kill their 78 year old mother or their child? Mr. Lawton believes NCR individuals are not being called to account for their actions. Those actions are usually a result of delusions and hallucinations which are not asked for or rationalized. No one wishes to be involved in any of these sad circumstances. A tragedy is sometimes simply a tragedy.

Andrew Lawton wants to bring our attention to Thomas Brailsford who he claims ran away. Mr. Lawton believes he was handed an unsupervised pass. In fact it was first decided by a judge, a lawyer, a crown, a psychiatrist, a psychologist, a member of the public and a health care team to grant this privilege and it would not have been issued outright but in incremental degrees as trust and health dictated. Mr. Lawton asks “what would have stopped him from hurting himself or others.” It is something that completely escapes Andrew Lawton; rehabilitation and treatment. Hundreds of NCR individuals are integrated back into communities without incident but thanks for shrouding one instance in stigma. It furthers your political agenda and perpetuates public misconceptions. There’s a media award for that right?

Dear John Kastner: Medicine Is Not Media and Therapy Is Not Theater

(http://www.theglobeandmail.com/globe-debate/forensic-psychiatric-patients-are-ill-not-evil—and-we-should-stop-hiding-them/article18205568/?utm_source=Shared+Article+Sent+to+User&utm_medium=E-mail:+Newsletters+/+E-Blasts+/+etc.&utm_campaign=Shared+Web+Article+Links)

Re: Forensic psychiatric patients are ill, not evil – and we should stop hiding them.

According to the great documentarian John Kastner, “it’s time for forensic psychiatric patients to stop hiding; stop the apologizing; stop begging for understanding and start demanding that people recognize they are called patients…”

I’m not sure whether to weep or wail at John Kastner’s ignorance. As a past forensic patient I have had a well followed blog for near three years. I have been nominated and chosen as a Champion of Mental Health at a regional and national level. I speak publicly at universities, hospitals and conferences. I have been on TV and radio as a past forensic patient. I’m not exactly famous but for a documentarian I’m basically hiding behind a toothpick. I can only guess Mr. Kastner’s blindness is a direct result of his myopic movies.

It seems incongruent that a national note to empower forensic patients included not a word from one. Thanks for the disrespect and disempowerment.

Even the title of Mr. Kastner’s “new documentary about “THEM”: Out of Mind, Out of Sight: inside the Brockville Psych.” Is an affront to forensic psychiatry and mental health care in general. Anyone with the internet can discover that it is not “Brockville Psych” but it is in fact called and known as The Brockville Mental Health Centre. I know nothing about documentary films but shouldn’t the title be the actual name of the facility? Leave the name out if you have no constructive way of wording it. Further, a truthful title would add to Mr. Kastner’s insistence that his craft is other than sensational like the media he accuses of the same.

As an individual who has lived as a forensic psychiatric patient and was found to be Not Criminally Responsible on Account of a Mental Disorder I take great offence at Mr. Kastner’s so called defence of individuals similar to me. Mr. Kastner’s article doesn’t even make it out of the first sentence without draping readers with the derogatory. Mr. Kastner mentions that these individuals were once referred to as “criminally insane” which is as offensive as reminding readers of how we used to refer to African-Americans.To further the insult it is not even correct. Criminally insane connotates psychopathy which is excluded from forensic interventions as these individuals are presently incurable. The insult is truly ignorant when we consider that in the past these individuals were in fact referred to as Not Guilty By Reason of Insanity.

The second sentence of Mr. Kastner’s so called salve to stigma is not offensive but revealing of the underlying ambition of self promotion which he reiterates twice more in an article of eleven paragraphs. Do Canadians a favour and take out an advertisement which can’t be confused with information or objectivity.

Mr. Kastner faults mental health professionals in Canada for keeping forensic patients hidden from public view as though cancer patients can be found in the flyers on my doorstep. It must be inconceivable for someone who puts anything on film to consider that privacy and peace are integral to healing. Privacy and peace are therapeutic, progressive and necessary. My physician does not have a projectAtron in the waiting room but apparently my psychiatrist should. The public needs to better understand the instances and individuals affected but Mr. Kastner’s tone would have me next to the bearded lady in a carnival. Most forensic patients, me included would rather return to the regular and have jobs, friends and families. I forgo the camouflage of the ordinary so people like Mr. Kastner can become informed and leave those I know and understand to the lives they choose. Medicine is not media and therapy is not theater. Filmmakers should focus on their own art and leave the art of healing to clinicians.

Upon first reading Mr. Kastner’s words I figured he had only fouled his first two sentences but he followed with a third. “Here’s how the hiding works: a person suffering from mental illness commits a horrific act of violence.” There are instances of horrific acts of violence but many are involved in forensic mental health care for less serious situations. If Mr. Kastner wove a story about prison we would only be familiar with murderers. There are no headlines or horrors in many instances so Kastner does not cast them. They do not fit into his worldview or preconceived notions. Whether it is a documentary or a newscast we see only bloodshed because it is about blockbusters. Even a documentarian wants to have people watch his film. We would be barely curious to the reality, so it is formed and fashioned into film and footnotes for consumption. The myriad of avenues for coming into conflict with the law are overlooked in the name of ratings and reviews.

Mr. Kastner in his one man battle against stigma refers to me and all other forensic patients as “glassy-eyed people in jail jump suits. Scary as hell.” Less than a paragraph later he describes himself as “a filmmaker who has helped de-stigmatize many of his subjects…” I would add, at the expense of all others. It all becomes documentarian doublespeak. Mr. Kastner is doing no more for forensic patients than Sun Media themselves.

Mr. Kastner thinks “the secrecy is a terrible idea. You cannot de-stigmatize people by hiding them away.” It makes for easy filmmaking and spectacular shots but few who struggle with mental illness are helped by promotion and publicity. Do you want to see anyone when you have a headache? As a filmmaker I can forgive Mr. Kastner for being ignorant to mental health but he obviously needs reminding of that ignorance.

Many of the advances that were made with me took place behind closed doors. I went to the mall, I went to the library and I went to the park. I sat in a psychiatrist’s office, I sat with a psychologist, I sat with a social worker, I sat with a nurse and I sat with an occupational therapist. I worked through my mental health challenges in privacy, not secrecy. If I took Mr. Kastner’s recommendation I would be on the front steps of the hospital with well wishers honking as they drove past my pain and struggle.

Mr. Kastner’s logic seems to be that practitioners are unhelpful and hide patients. The message they are sending is that “these people are such freaks we dare not show them to you.” I have been around enough mental health practitioners that I have diagnoses for Mr. Kastner. He suffers from projection. As a filmmaker he will be familiar with one of its meanings but it has nothing to do with documentaries. Mr. Kastner concisely and conclusively attributes his own ideas, feelings and attitudes to other people. Here follow his own words; “criminally insane, glassy-eyed, scary as hell, Vincent Li’s, literally raving lunatics, spouting gibberish, often potentially violent, and the Jekyll and Hyde transformation.” I may be spouting gibberish but I can only wonder how Mr. Kastner’s words can be extrapolated from stigma itself into any semblance of a “filmmaker who has helped de-stigmatize many of his subjects.” Mr. Kastner is stigma in action and voice.

I can’t imagine someone so completely blind to the workings of forensic psychiatry or the feelings of those who live and work in it. According to Mr. Kastner he spent 3 and half years in the forensic psychiatric system. Showing up on Tuesday with a TV clearly doesn’t make you informed. I am reminded several times in Mr. Kastner’s article that he has made two documentaries on forensic psychiatry. Mr. Kastner will likely never know what it means to be confined for father’s day without a card or call, family day without family or Christmas without either. I suggest Mr. Kastner has little to no insight into the patient experience which enables him to cast his wounding words. He similarly has no insight into clinician care, knowledge or expertise. Mr. Kastner is a filmmaker. If Canadians need to know about cartoons or colour filters we can call him but when it comes to being a voice for forensic psychiatry or forensic patients he should do us the favour of keeping his mouth shut.

Mr. Kastner believes that hospital staff, who he admits desire to protect their patients are in a “large part responsible for the stigmatization of their patients.” Please Sir, take some credit yourself. Have any of those hospital staff used a national newspaper to call their patients Hyde or lunatics? Save us the sanctimony.

Mr. Kastner has become familiar with some extreme cases and rolled them up into a story he considers complete and most ashamedly now the public considers the same. His focus, language and footage have in no way illuminated anything but a figment of his imagination and a projection of his paltry and pathetic brush with the forensic system and sadder yet forensic patients.

Mr. Kastner calls forensic patients out to “start demanding that people recognize they are called patients…” In approximately 10 paragraphs he did not call me or my friends a patient. I was “criminally insane, hidden, a resident of a psych, someone who has committed a horrific act of violence, glassy eyed, scary as hell, Vincent Li’s, monsters, freaks, raving lunatics often potentially violent and someone who spouts gibberish. If ever he reads this, gibberish may not be the first descriptor he uses.

Mr. Kastner offers me and my friends hope and allays the public’s fears by explaining how “after just two or three injections of anti-psychotic ‘drugs’…many literally returned to their senses.” What he calls the Jekyll and Hyde transformation. I have been a consumer of mental health services for over 35 years and not once have I been injected with a “medication.” I was found Not Criminally Responsible but before, during or after I have been no more Jekyll than Hyde.

I can only hope Mr. Kastner’s documentaries and words do something for himself for they are of little use to those he claims to champion. If a person wants to find fame by filming the forensic please leave your delusions at the door.

I am and we are so much more than Mr. Kastner has ever stopped to imagine.

“Let them drink Scotch”

I read with fascination about the prime minister’s visit to the arctic. I have read about John Franklin’s expedition that disappeared while searching for the Northwest Passage in 1845. I’m happy the prime minister has a history hobby but as a Canadian it raises some serious questions. One headline read “Scotch tumblers were raised last month on the bridge of HMCS Kingston to the search for Erebus and Terror.” Many Canadians are interested in Franklin’s ships but outside of the prime ministers personal obsession, I fail to see the national significance.

Stephen Harper and the conservatives should be paying attention to the terror of the 21st century not the ‘Terror’ of the 19th century. Someone should point the prime minister to a newspaper and highlight a few current concerns. We have a war in Syria, the Ukraine-Russia crisis, conflict in Israel and Palestine, the Islamic State of Iraq and Syria (ISIS), Ebola, global warming and closer to home the economy, murdered and missing indigenous women, prostitution laws, marijuana laws, the tar sands, the torture of mentally ill offenders and poverty, homelessness and hunger.

It is time the prime minister pulled himself away from the pages of history to take a glance at the misery faced by many Canadians and their children. I’m not sure I could raise a tumbler of Scotch to a dead explorer being the leader of one of the few developed countries without a national meal program for children. It is not liberal or in any way political to ensure all children have access to sufficient, safe and nutritious food.

Fifteen percent or almost 4 million Canadians are considered “food insecure.” While the prime minister is drunk on his hobby many Canadians are unsure of where their next meal is coming from. These people can be sure that next meal will not come from this prime minister. Stephen didn’t say it out loud but his actions and attentions scream, “Let them drink Scotch.”

The conservatives are drunk on perpetuating their power. Stephen Harper is politically shrewd and has clearly calculated a balanced budget is his only key to re-election. He has also calculated that 4 million hungry people don’t stand in line to vote because they are across town in a food line. The prime minister would rather drink Scotch on the bridge of a ship with his conscienceless cronies and imagine an explorer who risked it all for the benefit of a nation. “You sir are no John Franklin. Nice mittens by the way. Take them off and roll up your sleeves. Your nation needs a builder not a bookworm.”

It is not frivolous to feed people and it is fiscally responsible. Hungry children are sick more often and struggle academically. The medical and social costs are future expenses but you were elected to look ahead not look back. Children under 18 represent over 40% of food bank clients in Canada. If the prime minster wants to look back he should travel back to 1989 when Canada made an all-party resolution to end child poverty. I am not geographically gifted but the answers are not in the arctic.

The search for Franklin is a joint public-private partnership. I’m not sure what the unemployed or hungry think but I feel this historical hunt could and should be entirely privately funded. This government can’t find food for families but they dredge dimes from Canadians to find Franklin. With respect to the dead the man and his mission are beyond saving. The voices of the past are important but meaningless in comparison to the voices of hungry children. This prime minister needs to toss the tumbler and drink in some empathy and social responsibility.

We have two Canadian Coast Guard ships propelling past the permafrost on government gas. What exactly are we giving Canadians? I usually save my swear words for when I’m through the drive thru but Canadian school children don’t give a FROSTY about Franklin when they can’t find food.

Sucking back Scotch with the prime minister were Industry Minister James Moore, Environment Minister Leona Aqlukkaq, Aboriginal Affairs Minister Bernard Valcourt and billionaire and Blackberry profiteer Jim Balsille was there to represent common Canadians. The Inuit on shore who pay $8.99 for a head of lettuce and the rest of Canadians were too ashamed to participate, or, a shameful reminder. Billionare Balsille “was very proud. It was a nation-building moment.” Anyone familiar with Jim Balsille or Blackberry might question his perception of building.

There’s nothing wrong with being a geography geek, a history hound, a billionaire or a bureaucrat but when your interests are at the expense of taxpayers and citizens without work or food, you become a “figurehead” of folly. The ass end of a ship is the best place for such individuals. Presently we can’t do much about many of these idiots but when the conservative ship capsizes we won’t have to yell “man overboard” as there weren’t any to begin with.

Canadians will no doubt sleep better when we find splinters of these historic hulls. Too bad the prime minister and his cronies will be the few who have food in their teeth to make use of the toothpicks.

I’m Not Sure How You Screw Up 140 Characters But It Seems The Best Way Is To Elect Them

I’m trying to lose weight and have tried numerous diets as I am allergic to activity. Recently, I have been having some success by viewing various Conservative Party of Canada candidate, MP and ministerial communications. I can’t keep down most of what I eat as a result if and when I even have an appetite. Stupidity is for me at least mildly nauseating.

Today I had a hankering for a double cheeseburger and a milkshake so I visited Minister for Public Safety Steve Blaney’s Twitter account. Fighting what seems like the flu I will forward a few words.

If compassion had anything to do with conservatism minister Blaney would be all over the twitterverse with photo’s of himself towering over individuals with mental illness in a healthcare setting. Instead Minister Blaney allows individuals under his charge with serious and persistent mental illness to linger in solitary confinement. It seems with this government security and healthcare is like oil and water.

As contrast we have the Conservative Party of Canada tweeting “We are the only party who will protect gun owners. Retweet if you’re with us.” I was ignorant of the fact that gun owners were a marginalized and vulnerable population. Minister Blaney’s twisted tweet includes an image of a semi-automatic rifle and his own quote: “Owners of the CZ-858 and Swiss Arms rifles that were ‘impacted’ can now use their private property once again, as should have always been the case.” I don’t know about my readers but I feel safer knowing this government is protecting gun owners. Guns don’t kill, governments do. If gun ownership is proximal to safety or security we are a nation of idiots.

When the Royal Canadian Mounted Police (RCMP) issued the prohibition of these semi-automatic firearms, gun rights advocates were up in ‘arms.’ According to them 10 000 Canadians became criminals overnight because they now possessed prohibited firearms. Apparently they had difficulty looking up amnesty in the dictionary. Considering ammunition is the word preceding it I can see the problem. They may not even have come that close as they fixated on Americanize.

Firearms lawyer Ed Burlew filed class action suits against the federal government and RCMP. Burlew’s lawsuit was seeking $10 million in punitive damages and $20 000 for each owner of the firearms in question for mental distress and anxiety. While ignoring the mental distress and anxiety of people with serious and persistent mental illness the conservatives capitulated. The only time this government is capable with mathematics is in measuring votes. Gun owners are organized and vote, people with serious and persistent mental illness don’t. Polls trump human decency and social justice every time. I was aware of the fact that this government doesn’t give a damn about mental illness but when their compassion is placed on pistol possessors the double cheeseburger becomes a distant thought.

I know what you’re thinking. “Brett, you have no empathy or compassion for people who wield weapons. What about their distress and anxiety?”

In fact I may be the only citizen in this country who has experienced serious and persistent mental illness in solitary confinement and was once a gun owner. Following one of my hospitalizations I was advised to surrender my shotguns. Possibly it was too traumatic and I have blocked it out but I have no recollection of mental distress or anxiety from the experience. Burlew’s lawsuit was both superfluous and humourous. This government takes on legal battles which they should submit to but capitulate for 10 000 votes.

I wanted a sense of who these gun owners are. Google guided me to the Alberta Magazine Outdoorsmen, Alberta’s only hunting, fishing and trapping magazine. The forum I found was full of indignation. None of these outdoorsmen seemed to have names but are clearly nincompoops.

‘recce43’ said “do not turn anything in. laws only work if the public complies.” These words seem to fly in the oft repeated mantra that gun owners are law abiding citizens. ‘recce43’ did in fact know how to use capital letters as he explained at the bottom of the post “LIFE IS TOUGH…TOUGHER IF YOU’RE STUPID” He should know as he followed with “women have the right to work whenever they want, as long as they have the dinner ready when you get home” Minister Blaney and the prime minister must be proud to be able to accommodate and cooperate with such citizens.

‘Mistagin’ explains the reason the prohibition was repealed while solitary confinement remains a solution for mental illness. “I just sent off a letter to MP Blaney and PM Harper.” I can’t be the only one to get a chill thinking these individuals actually influence conservative policy. You are who votes for you.

I understand that a minister responsible for public safety would be involved in firearm policy but how is it that Canadians are kept safe by allowing more semi-automatic firearms? Children who don’t own BB guns are proportionately less likely to have their eye penetrated by a pellet. It’s not science, it’s sensibility and common sense but that revolution has died.

According to Canada’s National Firearms Association (NFA) prohibiting firearms has nothing to do with preventing bad behaviour. Possibly not but it minimizes the damage done in many of those instances. You can’t control the criminal but it’s tough to pull a trigger when the gun is with the government. The NFA is lobbying the government to eliminate prohibited categories of firearms, rescind clauses on barrel length and caliber that classify firearms and regulations affecting magazine capacity. They also want to eliminate ‘punitive’ safe storage and transport requirements, the Chief Firearms Officers and remove the administration of the Firearms Act from control of the RCMP.

Basically the NFA would like to see shotguns next to six-packs at convenience stores. We need to ask ourselves if we want ‘recce43’ running around with rifles without rules.

I complied with the recommendation to relinquish my rifles because as crazy as I was I was also insightful, responsible and conscientious.

It is criminals who carry out offences using firearms but many of these illegal weapons were and are obtained legally initially. Minister Blaney and Prime Minister Harper need to pull themselves from the polls and decide if the freedoms of gun owners should trump true public safety.

Just because you can lobby, write letters and make phone calls doesn’t make your influence or interests just. In this case it just makes for poor policy. I don’t believe I am the only Canadian who finds comfort in being different from America. Two important differences worth protecting are healthcare and gun control. This government is too busy aiming for votes to adjudicate ethically to either.

Dumb and Dumber

With the conservative government dragging their heels on anything proactive regarding the recommendations put forward by the inquest into the Ashley Smith homicide I must speak.

Sometimes surfing the internet is a vice but I have been fortuitous in stumbling on the Correctional Service of Canada (CSC) Commissioner’s Directive. The Commissioner’s Policy Objective Regarding Health Services is:

1. To ensure that inmates have access to essential medical, dental and mental health services in keeping with generally accepted community practices.

From personal experience and more radically from the circumstances of Ashley Smith’s death I feel obliged to point out to the commissioner or anyone else who doesn’t care, that community practices do not include solitary confinement as a default. It seems individuals in corrections feel solitary confinement is a panacea. We leave medicine up to people who are trained to turn keys and push food carts. I can’t believe we pay correctional officers $50 000 a year to call surnames, inspect anuses, turn a key and distribute diets. In Canada we need at least two guards and a lieutenant to orchestrate the ordinary.

Please don’t assume I am a disgruntled delinquent. The same stupidity can be found in many public services. Last month the London Fire Department was experiencing some form of inefficient insomnia or doing some sort of safety blitz. On three separate evenings a full size fire truck pulled in front of my house. I tend to self-isolate and have a degree of agoraphobia so I ignored them the first two times when they knocked on my door. I finally relented and decided my discomfort was less important than the tax dollars that were blowing down the street.

It took two “blueshirts” or regular firemen and one “whiteshirt” or supervisor to canvas me about having fire detectors on each floor and a carbon monoxide detector. It was costing Londoners about $153.00 per hour to have these bored but brave men go door to door and that doesn’t count whatever the hell it cost to fuel a fire truck at $1.39 a litre. Get a Smart car dumbass! I may be an idiot but wouldn’t it make more sense to have a 15 year old who needs volunteer hours to pull a Radio Flyer wagon full of batteries and smoke detectors through the same neighbourhoods to hand out to citizens without? We could save money as taxpayers and probably save more lives. I understand the dilemma. What would fire services have to bargain with if they did less than less?

I digress but it is an honest diversion. While I was in jail I also had “blueshirts” or guards come to my door with the odd “whiteshirt” in the background making sure my captors didn’t screw up simplicity.

According to the Correctional Service of Canada Commissioner and their Response to Medical Emergencies: the primary goal is the preservation of life.

• Non-health services staff arriving on the scene of a possible medical emergency (like a ligature around the neck) must immediately call for assistance, secure the area and initiate CPR/first aid without delay.
• Non-health services staff must continue to perform CPR/first aid until relieved by health services staff or the ambulance service.
• The decision to discontinue CPR/first aid can be made only by authorized health services staff or the ambulance service.

Here I can only wonder why “whiteshirts” were making decisions they were not authorized to make. “Blueshirts” overrode the commissioner’s directive as well. Insubordination and insanity.

Any poor “blueshirt” or guard who can read or remember must have been pacing frantically at watching Ashley choke when we consider the following directives.

• Initiation of CPR by non-health services staff is not required in the following situations:
• Decapitation (i.e. the complete severing of the head from the remainder of the body)

Correctional officers must be known to be overzealous in administering life saving measures if they have to be formally called off when a head is not attached to a body. The correctional officers outside Ashley’s cell must have been convulsing with compassion when they could see she was not dismembered. “But Boss, her head is still on.”

Another instance that does not necessitate CPR is:

• Decomposition (i.e. condition of decay, deterioration, disintegration of the body)

This directive has a place in a correctional setting considering the care many inmates receive. One would assume that an ordinary citizen wouldn’t require i.e. and an explanation of decapitation or decomposition but apparently correctional officers are so thorough in their first aid they need “too far gone” spelled out.
Only in a correctional setting where charges are checked every 20 minutes could one find a corpse in a state of decomposition. “But Boss, I counted him for the past three weeks.”

Considering these directives it seems incomprehensible that Ashley Smith was watched by corrections officers as she choked to death. How is it that when she fell unconscious with her head attached and in no way decomposing no one intervened? It seems ironic that inmates are in these facilities for not following written rules but those who are charged with assisting and encouraging offenders to become law-abiding citizens can pick and choose or even fabricate their own. In Ashley’s case the result was both sadistic and sad.

http://www.csc-scc.gc.ca/text/plcy/cdshtm/800-cde-eng.shtml

Commercials Don’t Cure

Times have been tough for many Canadians but thankfully we have Prime Minister Harper to keep us afloat or is it aloof? All I see is a scripted tight lipped dance of deception. The Prime Minister keeps his ministers on leash with such consistency they can only foul where they walk. Parliament is becoming putrid.

Minister of Veteran Affairs Julian Fantino according to Wikipedia was a security guard, serves with Criminal Intelligence and is currently preoccupied with ministerial moronity.

With one in six full-time members of the Canadian Forces experiencing symptoms of mental health or alcohol related disorders, propaganda has become a prescription. Veterans and their calls to Fantino are often not returned and even individuals who show up in person are sidestepped. Accountability In Action; all we need is a sign on the road. Fantino closed 8 regional Veteran Affairs offices and pumped it into propaganda. The conservatives have increased their advertising to veterans by about $4 million. TV therapy.

One would assume a minister responsible for veteran affairs would be slightly familiar with Post Traumatic Stress Disorder (PTSD) but what is the political gain in that? PTSD includes a disturbance of day-to-day activities and avoidance yet we have the conservatives dishing out information during the most expensive periods of Stanley Cup playoff hockey. Individuals with PTSD are unlikely to be dialed in to Don Cherry.

Many who are experiencing PTSD and other symptoms are uninterested in hockey let alone the commercials. It makes about as much sense as printing this propaganda on Cheerios cereal boxes. Not everyone eats Cheerios and fewer still read the box.

Canadians are not stupid. It is not difficult to see that this government is more interested in promoting itself than assisting veterans. Who benefits from increasing advertising by $4 million while cutting veterans programs themselves? It’s basically a going out of business advertisement without the bargains.

Fantino defended the spending increase in advertisements as an attempt to communicate directly with veterans. I’m not one to sidestep stupidity but that one seems best left as it was uttered.

I don’t know much about the military but from what I can glean from this government’s actions, veterans are issued TV’s for communication and are without telephones or mail service. I’m a simple man but when I want someone to know something I often use our precarious postal service or pick up the phone. But then Canadians wouldn’t see what a great job the conservatives are actually not doing. If this government was doing a fair job they wouldn’t have to figure out ways of confusing Canadians.

Spending $ 103,649.00 on promoting Tweets does little good to veterans who haven’t a Twitter account. This government is more interested in reaching out to those who haven’t yet been betrayed. You’re an idiot if you need 144 characters to message a hero. It is unfortunate for all Canadians that we are lead to believe by this government more than we are led.

We just passed a huge tribute to World War 1. The same heart that took Vimy, stormed Dieppe and battled Afghanistan. We mustn’t pay tribute only to one conflict or simply the fallen. It is a slap in the face to others who withstood and endured. The conservative answer to selflessness is self promotion and pitiful politics. We must support these brave men and women whenever and wherever they need a hand. We do not leave these men and women injured in the field of battle but we are doing just that at home. It is the epitome of disrespect and I am ashamed that the conservative government thinks more of self promotion than the sacrifices these individuals have made. The blind can see and they can also vote.

For further reading search my blog for “A Disservice To Common Sense.”

It’s A Plane Shame

“A plan by Correctional Service Canada to move female inmates who are mentally ill from prisons across the country into a new, specially equipped unit in Ontario’s Brockville Mental Health Centre is on hold because governments have yet to finalize a funding agreement.”

“Last May, Minister of Public Safety Steven Blaney held a large news conference in Brockville to announce a pilot project as part of the government’s response to the death of Ashley Smith. The 19-year old, who was mentally ill, choked to death in October 2007 in a Kitchener, Ont., federal institution after tying a piece of cloth around her neck. Guards stood outside her cell and watched — they had been ordered not to intervene.”

Forgive me for referring to Minister Blaney as Minister Baloney, it’s just easier for me to read.

“Federal corrections officials have acknowledged that between 20 and 30 female inmates are in need of psychiatric care that can’t be provided in prison. Baloney said at the time the two beds in Brockville were a first step in addressing those needs.”

Minister Baloney said, “The death of Ashley Smith was a terrible tragedy. This is why we need to take action, so such a thing never happens again.”

A news conference and announcement are not action, they are advertising. Thanks for the propaganda.

Am I off base to expect leadership and integrity from my government? I can deal with avenues I do not agree with but basic human needs should never be politicized. When a person or government clings to a tough on crime agenda to the point where citizens are tortured in solitary confinement I take issue.

The conservatives didn’t have a problem finding monies for Minister Tony Clement to purchase votes in his home riding. Minister Cement was at the time responsible for cutting excessive expenditures. Ha! This jackass moved a good portion of $50 million into his own riding. I’m sure most Canadians are pleased or complacent in the fact that much of this money went into parks, walkways and gazebos. I suspect that those who sleep in parks and under gazebos are less impressed.

Then we have the Teflon Toupee himself painting his colours of shame on his plane. Every prime minister who preceded him in the age of flight was fine with the drab military grey the military mandated. The new design in conservative colours cost an extra $50 000.

“Hey Tony, what should we do with this $50 000?” I suspect Minister Cement’s first suggestion was to paint the gazebo but clearly the prime minister had higher aspirations for vanity.

When paint on a plane precedes and precludes social justice, human dignity, healthcare and the humane treatment of any citizen in need of mental health services it not only illustrates incompetence but it highlights conservative callousness and their complete disregard for a disadvantaged and vulnerable population.

I don’t even know all the prime ministers but have we ever had one as colourless, stale and stiff? He is like a Pez dispenser. His friends hold out their hands while he coughs up partisan gems while the rest of us would do as well if the candies just spilled on the floor. In short, do we really need him?

When a government plans and pursues policy that produces votes at the expense of compassion, re-election is not a mandate as much as an accusation. History books will fill pages about Prime Minister Harper’s abilities as a strategist. Harper may even find majorities in the future but in the minds and hearts of Canadians he will be remembered for little else.

The prime minister and his ministers in their rush to be conservative have failed to read the definition of compassion that even in a lifeless dictionary precedes the other.

In ending I think we could find the funding by eliminating the Protective Policing Service provided to the prime minister by the Royal Canadian Mounted Police. Stephen Harper has no vital organs, so what’s the point.

Taser Use On Mental Illness

What is the specific need for a 370 percent increase in Tasers for the London Police Force? What exactly is happening or about to happen in London that there is call for an increase in the arsenal of officers?
An enforcement perspective may not provide the best response for the public. I mainly hear enforcement agencies calling for Taser use and proliferation and I am worried that such endeavors are more important to enforcement than public safety when it comes to mental health.
I attended a presentation by the Chief of Police at Regional Mental Health Care London. During the questions following, someone asked about the use of Tasers on mentally ill individuals. In answer, the chief insisted its use was preferable to other measures and rationalized its use as nothing to be alarmed at as officers themselves shoot each other. My question to that anecdotal argument is how many officers were at the time suffering from a serious mental illness? To assume it is harmless because officers themselves have tested it is short sighted and dangerous. What a healthy individual can endure and recover from can be an entirely different point for someone who is not healthy or specifically mentally ill.
In mental health matters sometimes a voice command is ineffective. Consider that behaviour creates the police response and symptoms are responsible for this impairment and may further hinder the individual from effecting a safe and healthy interaction with police. Warning someone who is unable to respond appropriately is seemingly productive but predominantly pointless.
The chief seemed pleased that 24 of the times the Taser was pulled individuals complied with voice commands. Possibly he needs to consider those who in fact hear other voices. Voice commands may not induce co-operation in a mentally ill individual. If the Taser is present and pulled in an instance of mental illness I would argue that the rate for its use will be higher. Symptoms create the non-compliance so they need to be reacted to as an illness rather than using only enforcement guidelines. This is a health concern and I doubt 12 weeks at Ontario Police College qualifies anyone to administer a potentially lethal voltage to mentally ill civilians.
Fifty thousand volts causing uncontrollable muscle contraction and pain I fear will become some sort of police prescription for people with mental illness who are better served with alternative means of communication and apprehension.
Exposing an individual who is displaying mental illness; a health issue or even disability to an electrified incapacitation has yet to be documented as safe or ethical. If we are applying volts to a medical condition what specifically is officer training in its application to mental health. They don’t let the custodian administer Electroconvulsive Therapy (ECT) in a hospital but we will have police trained mainly in enforcement doing something similar and without anesthetic.
There are no reports specifically addressing the mental health effects of Tasers. I can think of no better indicator of disregard for mental health than to market and procure a product which has not been proven safe as applied to individuals with mental illness. In a study of 184 Taser related deaths 19 percent were people with mental illness or as they say one in five. Why are the one in five overlooked regarding the safety and efficacy of Taser use?
Tasers may contribute to an already high level of arousal in agitated individuals and thus death. It should be brought to the chief’s attention that people taking prescribed anti-psychotic medications are already at increased risk of sudden cardiac death. I would like to know what protocol is in place to ensure the use of a Taser in the case of mental health matters is considered a potentially lethal intervention. There are individuals who should be considered dangerously susceptible to the adverse effects of Taser use and who are at risk of death.
There is no information on the long or short term effects of Taser use on individuals who have bi-polar disorder, schizophrenia or any mental health disorder. The Taser is a product being used on the public and as such should be conclusively proven to be of little to no risk to all individuals in society but specifically for those who are compromised by illness and vulnerable to police interaction. These individuals are disabled in many cases. Taser International should answer for the oversight but also Chief Brad Duncan. Having such a keen eye for mental health matters I am surprised he so readily embraces a means of enforcement that has no footing in science with respect to its application in mental health matters.
The effects of Taser use on the mentally ill will hopefully never be known as it would be unethical to discover and counterproductive to a civilized and compassionate society. To assume harmlessness on the basis of self use is being callous to the experiences and suffering of those who experience or are touched by mental illness. When the police are involved in a mental health call, enforcement needs to mesh with medicine. To not consider or study the traumatizing effects of Taser use on mental illness is stigma.
It needs to be considered that the use of Tasers is the worst intervention for those with mental health needs. We would assume as much if it were epilepsy or diabetes. The Taser has been attributed to deaths and increasing its availability will increase its use which in turn increases the likelihood of tragedy by a percentage similar to its proliferation.
I don’t see a request for funds to increase officer training and education in mental health but the chief needs 350 000 dollars for the purchase of a product which has not been studied let alone proven to be harmless to individuals suffering from mental illness. The chief himself has pointed out the ballooning mental health scenarios police are involved in. To increase the presence of Tasers on such contacts creates a health concern for some of London’s most vulnerable citizens.
The chief may not be unbiased in the implementation of Tasers as his perspective is enforcement rather than medical and he is charged with keeping his officers safe. Are we increasing officer safety while decreasing public safety or at least the safety of a vulnerable segment of our community? I can understand that the Taser is a means of gaining compliance and would possibly mean deploying fewer officers but should it be over someone’s dead body?
The chief also overlooks that the use of Tasers in mental health emergencies has a negative impact on subsequent engagement with mental healthcare. It increases the perception of coercion. Consider the likelihood of seeking assistance after being traumatized by a Taser. These are patients we are processing not criminals we are dissuading.
The use of police services can exacerbate the difficult life circumstances facing people with mental illness and their families. Do we sincerely wish to expose these individuals to Taser use? It becomes difficult to dismantle stigma when we are witness to law enforcement over involved in mental health care. When we use the police we expose those who suffer from mental illness to enforcement practices rather than best practices.
People with mental illness on average have three to five times more contacts per year with police. They are two to three times more likely to be charged and four to six times more likely to be arrested. Being charged and arrested at a rate that is disproportionate to the general population leads to a disproportionate susceptibility to Taser use. I’m sure the chief of police would agree that an increase of 370 percent of any weapon would make an impact on incidents of use.
If the police are going to apply 50 000 volts to mental illness it should be investigated to truly understand its dangers and effects both long term and short term. If the chief is as concerned about mental health as he claims he owes it to Londoners to do everything he can to have officers reaching for skills rather than weapons no matter how innocuous he claims they are.
Chief Brad Duncan used the words that need to be budgeted for: de-escalation, dialogue and communication. If we arm officers with these tools of enforcement we wouldn’t need more Tasers.
According to the chief, police respond to behaviour and agitation is used as an indicator for Taser use. People with mental illness have a higher probability of displaying behaviours which create an interaction with police. When these behaviours are symptoms of a health concern the police must be mindful of their actions worsening an individual’s health or contributing culpably or not in the death of an ill person. As police were it your brother hearing voices, confused, scared, agitated would you be as comfortable with applying those volts?
In reference to policing and mental health the chief said we are “spending a lot of dollars not well” $350 thousand to be precise.

 

“Ashley Smith inquest sparks federal project for mentally ill inmates.”

In response to Ashley Smith’s homicide at the hands of correctional staff the federal government has unveiled two beds for women in a provincial treatment centre as a pilot project.
Did we actually need an inquest to inform us that severe mental illness needs treatment beyond which corrections is presently able to provide?
I cringe at the image of Public Safety Minister Steven Blaney cutting a ribbon or standing beside some version of an action plan sign. It is a little like being informed that a number of the inmates need razors and giving them two. I failed Grade 9 mathematics but I have seen a variety of statistics for the prevalence of mental illness among female offenders and it appears the abacus that the government is using may need some recalibration.
If we were talking about diabetes would they order two syringes? The abilities of corrections have been proven to be deadly but we are evacuating two for now. I thought we learned the lesson with the sinking of the Titanic in 1912. Number of passengers equals number of lifeboats.
I guess for these mentally fit politicians, coming up with a game plan by December is progress. It is a shame and the negligence and indifference are almost equal to the stupidity.
For how long have we known that mental health care needs to be carried out by clinicians? I can’t think back to a time when correctional officers and correctional facilities were the model for mental health care.
This government is prancing around showing us their commitment to mental health services for inmates at the same time they are denying it. Men and women are housed in segregation as a response to mental health needs. We need to drain the pool and the government shows up with a rubber dinghy. The issue is serious enough that it requires action rather than a show of concern.
Two beds only for women confuses me. Severe mental illness is found in both men and women. To allocate resources to one sex is a failing at best and a discriminatory display of less than a basic understanding of mental illness.
People who have no mental illness to contend with would find segregation alarming in a matter of days if not hours but politicians grin with glee at announcing an action plan by December.
How many women and men will still be administered their mental health services by a correctional service.
Do you really need to consult with stakeholders to find a response and action plan? The stakeholders are in solitary confinement. This government already knows solitary confinement is torture. They need to recognize that mental health care is health care. It needs to be considered a health care issue as much as a security issue.
If I suffered a severe physical illness the image of correctional surgeons would seem alarming.
The use of solitary confinement on anyone can inflict permanent psychological injury. To use it on the mentally ill is probably more harmful, depending on their symptoms. Seclusion denies a person the psychological benefits of movement, and visual or auditory stimulation. The need for human contact and interaction is fractured at best. Seeing a hand or face through a food slot may worsen symptoms. I would also add that it is internally disorienting to be exposed to 24 hour light. The use of light in various forms can be used to torture an individual. To my knowledge there is no medical literature supporting the use of constant light to treat or rehabilitate mental illness of any sort or severity.
Prisoners with severe mental illness are subjected to correctional measures so why isn’t the correctional model used in hospitals? Would we use diluted chemotherapy on them? Something less?
As I write this, individuals with mental illness are in solitary confinement. We can punish them for their sins but should we torture them in their illness? The use of solitary confinement as an acceptable standard for the treatment of mental health is a form of torture, exacerbates mental illness and often causes deterioration of the mental health of a segment of society that is under the care of our government.
It is incumbent on government; a duty, to provide the necessities of life including mental health care, as prisoners are in conditions which make them incapable. The duty to provide the necessities of life is essential when a prisoner is further incapacitated by illness.
This government has not and is not performing their duty. Instead they are openly presenting a systemic institutionalization of stigma through laws and services. Under the Charter these are acts of discrimination.
I call on the government to provide the necessities of life; treatment, to any citizen who is in need of what we refer to as mental health services but which under the charter must be acted upon as though it is and can only be recognized as healthcare.
To continue with the use of solitary confinement and the denial of mental health care is negligence. We do not have to prove a government’s intent regarding negligence as by law it is enough that they have shown their indifference.

 

Irony

The troubles with regards to Corrections Canada and the political apathy that has hung like a cloud for decades over the conditions inmates with mental illness are exposed to has been put in perspective for me this morning. I feel a little foolish having for so long gone on about people like Ashley Smith and the recent coverage by the Canadian Broadcasting Corporation of inmates with mental illness kept in solitary confinement. The Canadian Broadcasting Corporation delivered to my plate a headline that almost makes me want to eat my words.

“Turkey farm video shows “gaping hole” in government animal welfare oversight”

“’The birds are not being properly monitored’ said Ian Duncan, an animal welfare expert with the University of Guelph.” I checked for a comparable expert somehow connected to Corrections Canada but he or she must be out to lunch.

Don’t get me wrong, the treatment of turkeys is important to me. Turkeys deserve dignity and respect if we are going to smother them with gravy. There can be no doubt that these are “disturbing images”, unlike a solitary cell with a mentally ill inmate shackled to his cot and his toilet full of urine and more.

“Mercy for Animals Canada has also filed a complaint with the Ontario Provincial Police, which has launched a criminal investigation. The Ontario Society for the Prevention of Cruelty to Animals (OSPCA) is also investigating.” My Turkey a la King will be much easier to swallow knowing we have these agencies and that they have powers and are so willing to act on behalf of turkeys.

“There’s not much being done right now and it’s a major concern” says Geoff Urton with the British Columbia Society for the Prevention of Cruelty to Animals. The turkeys themselves must be buoyed knowing something is being done and we have agencies and police forces in each province able to advocate and intervene.

“Ultimately, there should be some kind of proactive inspection and monitoring compliance system in Canada. Otherwise, how can anybody know how these animals are being treated?” Seemingly, words right out of my mouth.

“A 2009 Harris Decima poll commissioned by the Vancouver Humane Society (I forgot to mention that many cities have their own agencies in case the provincial ones drop the ball) found that 72 per cent of Canadians surveyed said they were willing to pay more for meat that was certified humane.” I wonder what the numbers would be regarding humans that are kept in cages. Human and humane seem to go together but we seem quite concerned when it is denied what is and always will be a bird.

Duncan says:”…the general public, I think if they see something like this, they’re going to be absolutely horrified. Horrified that this is how their food is being produced.”

I’ve been advocating for the humane treatment of inmates with mental illness for a while now. I guess the answer is to have those with mental illness fill their pockets with peas and pour gravy over themselves.

Enjoy your supper but be careful not to choke on the irony.

What I Learned In Jail

Corrections in General

What we pass onto prisoners through the justice and correctional system returns to the street.

Treatment in = treatment out

If we expose people in prison to unsafe conditions why would they care to contribute to a safe society on the outside? If we are inhumane or uncaring how can we expect them to be otherwise? If we allow them the opportunity to be brutal on the inside of a prison it should be no surprise to find them brutal when they are released.

We can agree jail should be a place of denial and punishment but to interject humanity or respect only makes one more mindful of their shortcomings regarding the same.

When we separate a prisoner from society normally what happens is they create their own society. There is a separate code, culture and hierarchy and this would often include” heavies” (inmates who would control what they could). This culture continues to exist in the mind of many released inmates.

While at the Ontario Correctional Institute (OCI) there was no real hierarchy and no heavies. Our behaviours mirrored more closely how people would carry themselves on the outside.

Hierarchies spawn violence. People fight for the top, or peck at those unfortunate enough to be on the bottom. I also believe it would diminish a portion of recidivism. I am not educated in the psychology of crime but for some prisoners they feel they have a higher significance and importance in jail. Anecdotally, the returning prisoners I was familiar with were those who thrived in jail, those who were above others in the hierarchy. For some, being in jail is a status boost.

If you can eliminate the hierarchy there is less social and psychological benefit to risking your freedom through criminal activity. For some, crime becomes a no-loss scenario.

1)      Chance of gain in the crime

2)      Social gain in returning to a situation where power and control (that would otherwise be unattainable) are obtained

The institutional hierarchy is mimicked by the inmates. One person walks around like they own the place and the rest fall in line according to loyalty, familiarity or criminal charge. Rather than years or service or specialty a prisoner leads by force and manipulation. We use what we are charged with as the only means of status. The pedophile could be strong and smart but never will they have status which renders them powerless. At OCI the pedophile could be democratically lifted from their position. A charge had no bearing on whether you were in charge of TV programming or janitorial duties. It allowed each prisoner a means to be something more. When someone is elected to a position a personal best must also be a communal best. When inmates depend on each other they respect each other. The more inmates manage themselves the more they value their surroundings and each other. With a concrete system with which to build a society and community within corrections, inmates can maintain a workable humane safe system.

The “heavies” on the units need to be the Correctional Officers (CO). The COs must set the tone and rules. There should be no difference between justice and prisoner justice. In my experience some are fine with the idea of prisoner’s doling out justice on each other but it is inhumane. I am reminded of the Romans throwing humans to lions. Each unit has a lion, a heavy. All prisoners are prone to being beaten (or eaten) when there is unsupervised leadership among the inmates. Cut the head off the lion. The institution should be the leader and any leadership among the inmates should be democratic and supervised.

If we want prisoners to return to society and follow rules… the best place to teach them is in jail. Prisoners need a reality in jail that better serves their reformation and society as a whole. Prisoners need simple tools to better themselves. We have to impart on them a degree of self-worth or they have nothing to lose. We need to refashion some of how they relate and what they believe. Once they are released they are vulnerable to financial stresses, relationship stresses, temptation and addiction. If they exit without learning new ways of relating re-entry to jail is more likely.

Higher penalties while incarcerated

There needs to be more consequence for misdeeds while incarcerated. It is pointless to hold offenders to justice in the first place if there is none while they are in jail. We double speed fines in construction zones so why not double the penalty for infractions while in jail? A crime on government property could have a harsher sentence?

Safety and Surveillance

When a guard or correctional officer (CO) is among prisoners it may potentially place the guard in danger but it offers a degree of safety and security otherwise unattainable. Guards are more likely to intercept contraband and weapons. They will be able to identify problem prisoners and can administer to that individual. Having guards in close proximity would enable the CO to maintain order and identify prisoners with special needs. A CO could become an assessment tool in classifying prisoners and diverting those in need of more security, health services, treatment, segregation etc.

Preventing a fight or beating by being present to de-escalate arguments is safer than rushing onto the unit to break one up already in progress. The units I spent most of my time in were in the Sarnia Detention Centre. They were basically cages. When trouble was finally detected COs had to open two doors to separate a fight or end a beating. Most of it would have been preventable by simply having a guard on the outside of the cage to watch us. Instead, they sat in a hallway with the door to noise and news closed. In my opinion some COs are responsible for the violence that can happen through complacency. They understand the prisoner code and many are covertly supportive of it.

If a CO was closer they could overhear conversations and be able to immediately intervene or alert more guards to help them with the situation. We need COs trained in de-escalating and diffusing violent situations.

If two guards are present a signal can go out for extra personnel at the first sign of trouble rather than in the midst of it.

Prior to placement if an offender is classed as violent through conviction or past record they may be more appropriately placed.

The x-ray machines I saw at Toronto South Detention Centre ensure that no weapons enter. If there is no contraband which is achievable through these x-ray chairs, the unit becomes safe to both inmate and guard. My experience with jails is that the response time for additional officers is between five and fifteen seconds. With a guard viewing the inmates at all times a fight or beating should only last as long. Two officers become six quickly. If they can interact they will prevent even that.

Surveillance in jails should be complete. In the forensic system I was viewable on camera except in private spaces.  Privacy can be suspended in the name of security. If we have the right to strip an inmate naked do we not have the right to watch them do almost everything else? Cameras don’t eliminate violence but they can prevent it.

Toronto South seemed ideal from a security standpoint; two officers on the actual unit with one guard in the tower watching over the area.

No one has time to consider their wrongs or take responsibility and work towards improvement when they must remain alert to their surroundings for safety.

At OCI, I had a desk and felt safe so I was able to learn about myself. I devoured self-help books as I struggled with my illness. The pages didn’t alter my symptoms but I have been altered. I wrote part of my book in the form of letters from jail. If a unit is in any way unsafe I would not sit with my focus on words home. If we can make units safe we have an environment where programming and prisoner improvement can take place.

Prisoner Violence

If we are complacent regarding violence and prisoner justice it detracts from taking offence at crime to begin with. If we subject prisoners to a lawless community our communities are subjected to the same when the same attitudes and behaviors are released.

Many crimes are rooted in not relating well with people. When an inmate is exposed to inappropriate interactions it reinforces existing deficiencies. If an answer to argument is a fist it will land you in jail where the fist is still the answer to argument. We are releasing people with experience in further lawlessness. It should be the opposite if we expect results from our investment in their lives.

It makes no sense to process prisoners with the same disregard we fault them for. People learn best by being shown. It can be with words or more active. If we demonstrate a degree of respect toward inmates they can learn what it is, use it amongst themselves and share it with the families and communities they return to.

At OCI a democratic and just community was built by the institution. Most adhered to it and those that didn’t were simply removed. If we build a community where inmates can practice living thoughtfully they can recognize the importance of the same on the outside.

News from the street enters the jail and news of the jail enters the street. Prisoners can reach people regardless of which side of the bars they are on. A fight or argument in jail doesn’t always end there. The prisoner culture spills into our communities.

We want prisoners to have respect. To allow brute force and manipulation to run a unit proves our disregard and furthers the cycle of disrespect.

Privileges, Programming and Responsibilities

I spent roughly a year at OCI in Brampton. I will share some of my perceptions.

It needs to be said that had I not experienced detention centres I would be unaware of the positives I experienced at OCI. For me, a toilet seat and a real knife and fork were worth behaving for. I’m not being flippant when I say if you offered me a cheeseburger for every month I behaved, I would have waxed the deputy superintendent’s car every frosty morning. It doesn’t have to be much to encourage positive behaviour and behaviour modification.

With privileges, good behaviour can be rewarded and anchored to the positive. With increased privileges on the horizon an inmate has cause to do well. A privilege provides two reasons to comply with conditions and commands. An inmate wants to do well so they are not demoted to a lower level of privilege and they are also compliant so they can advance to the next level.

With the deprivation of incarceration comes economical and simple means of reward: the TV could be left on an hour longer; thirty minutes more sleep on Sunday; a jug of watered down coffee for the unit.

In Sarnia an inmate would sweep and mop the guard’s walkway for a jug of coffee. I cleaned an entire unit and moved mattresses just for the sake of having something to do. For me it was quite an honour. Normally a guard would choose the “heavy” and blindly reinforce the hierarchy.

A person can learn healthier habits through positive reinforcement. At OCI I was the secretary for a spiritual program that we crowded for. I kept attendance and if three or more sessions of the 16-week program were missed a person would not receive their certificate. I was a stickler for details at the time and had several irate inmates on my heels when they did not receive their certificate. I saw it as an interesting piece of paper but some viewed it as an accomplishment. Those inmates didn’t come to each session but they came to enough hoping for a certificate.

An extra hour of TV can be viewed as a means to escape hardship. It not only motivates the inmate personally if he wants to watch TV but he also becomes responsible for his fellow inmates sharing the same pleasure. If you are the one who fails to ensure the TV time – you have to answer to your fellow inmates. Extra TV time at OCI was the reward for smooth unit operations. If we failed cleanliness we lost the privilege.

When I spoke at Elgin Middlesex Detention Centre (EMDC) it was in an unused gymnasium. With the purchase of a basketball well behaved inmates could gain five minutes to themselves in the gym. The supervised solitude will diffuse tensions and for those active some testosterone could be expended.

Access to freedom is a tool of reform. To deny it is punishment enough and to measure levels of relief provides the opportunity to create co-operation. If inmates co-operate they can witness their own importance and the importance of others.

Privileges provide some hope and in terms of treatment the optimism alone speeds progress. Jail is often hopeless having little to do or little to look forward to. If an inmate has hope they may be less prone to violence.

When each inmate has a duty for the unit they can learn responsibility, gain a sense of self efficacy and a sense of belonging.

When the lower inmate is able to advance it is a signal to those who think they are better that all have value. If everyone has value it dissolves the hierarchy.

The use of protective custody (PC) and general population (GP) creates safety through segregation but also animosity. Inmates are within reach of certain inmates through communication and connections so safety can be compromised. The GPs considered those in PC to be rats, thieves and sex offenders. As such all were looked down on and in situations where segregation fails those in protective custody are in danger. At OCI there was no PC or GP and as such the hierarchy it creates was non-existent. In some form it enhanced the safety of the institution.

I was in PC for much of my incarceration. I ended up in cells with GP, they saw me and many would know what unit I was on. We were transported together and would see each other as we accessed the yard. Any prisoner is reachable.

I saw several fights in PC and was a witness to a beating so in my estimation it is already failing to be what its name insinuates.

At OCI there was no PC. The only segregation was between new arrivals in the assessment area and the offenders already classified to units. When I was in regular jails the threat of violence coated most days. OCI was safe because non-violence was a condition of the privilege of inhabiting humane, respectful and progressive living conditions.

No one comes clean in dirty water.

We need to dismantle how inmates gain their self-esteem and replace it with socially acceptable measures. We want them to gain their esteem by behaving not by bullying and manipulating. We want them to gain their esteem by cooperating and contributing.

Portions of my mental health and corrections journey included the use of privileges. When medicine and the law intertwine privilege can be a level of security and is progressive. Inmates that are a risk can at any point be placed in the most secure setting and inmates who are doing well can be advanced.

OCI and the forensic hospital in St. Thomas (formally Regional Mental Health Care St. Thomas, now Southwest Centre for Forensic Mental Health Care) were the safest and most humane of the institutions I experienced. OCI had a zero tolerance policy regarding violence. OCI had many amenities worth behaving for. If a prisoner violated a certain rule they could be transferred back to a detention centre. Detention centres are the harshest to be in and have less comforts, opportunities and treatment.

Another rule at OCI was participation in programming and treatment. We had Alcoholics Anonymous, Narcotics Anonymous, General Addictions and an array of spiritual services administered by permanent staff and supported by volunteers. Participation in spiritual programming was widespread, though voluntary. It was a change of setting or a break to the monotony for some but for others seeds were planted. Personally, spirituality was one of the most important aspects of my rehabilitation and recovery, something that I didn’t have when I entered the system.

More importance could have been placed on programming. It is unlikely the rooms I saw at Toronto South for programs such as AA will work. There is no anonymity with windows into the room and the children’s chairs are humiliating in themselves. If programming can be mandatory after sentencing all sentenced inmates could begin with AA. Those without substance problems will learn about and appreciate the struggles of those who do. Participation in programming is an escape from the monotony and is often embraced for that alone.

Volunteers are a link to the “outside” and I found self-worth in the fact of their presence. Volunteers can be a link while incarcerated but connections can carry into the community providing continued supports when the prisoner is released. Most of the programs at OCI were maintained by volunteers.

A six week exposure to anger management will not benefit every inmate and others would resist but numerous others would benefit.

Spirituality

I would be little of what I am today were it not for being ministered to throughout my journey. I gained my faith within institutions and if I have nothing else this would be enough. If an inmate has faith they face and overcome what they might not otherwise. We should not push religion on this group but if we make access to spirituality attractive the nectar will stick to some and change lives.

 

 

Early Intervention

I am the million dollar man. I have spent three years in correctional facilities, two years hospitalized and five years monitored in the community. The five years I spent incarcerated amount to approximately $550,000 dollars and that gets added to the cost of my community treatment. In my estimation it would have been cheaper to have a worker follow me from a young age and it would have been advantageous for me and the system to have had intervention before I cost over $300/day. A mental health worker paid $60,000/year could have spent over 18 years seeing me for four hours a day. That same mental health worker could spend one hour a day with me for 70 years.

I think if there was one person who was assigned to my mental health journey I may have avoided the courts. I didn’t receive the intensive treatment I required until I was in my thirties and there were periods I was not in receipt of treatment or oversight.

I sometimes wonder if that time and money was spent when I was younger if I would have avoided everything.

Educational Supports

In my experience many inmates struggled with various degrees of illiteracy. I personally assisted a couple of inmates with reading and writing letters. It is sad to sit next to someone who hasn’t the ability to experience such an integral part of existence. I’m not sure how these adults navigated the educational system without procuring the ability to read.

When an inmate is incarcerated it presents the state with another opportunity to teach literacy. Possibly volunteers could be called on to assist in passing on this basic skill. Literacy could be conditional for those who need it and it could be encouraged and advanced through the issuance of simple privileges.

Inmates could be called on to assist each other in literacy creating cooperation and self-worth in both teacher and student. We can poke and prod this segment of society to become gainfully employed and contribute but illiteracy is a hindrance at best. These individuals are not stupid and could embrace society and normalcy more easily if they could navigate the written word. A criminal record is difficult to overcome but illiteracy is an obstacle that will only be moved by education.

Inmates need access to the raw materials for self-improvement. I took Bible correspondence courses during portions of my incarceration. I don’t see why these voluntary programs couldn’t include secular members of the community. One suggestion may be teacher colleges including marking inmate attempts at equivalencies. My exposure to schooling while incarcerated included a woman who came weekly to the Sarnia jail. I was quite psychotic and she assisted me beyond academics. While at OCI I mainly attempted to gain a typing credit with a teacher who worked half days. While we have prisoners in our grasp we may as well mold them. What if for those who have failed the public system we now take the time to instill knowledge and the ability to gain skills; skills that pay taxes and build communities. Lack of education and skills may not lead to criminality but they anchor most inmates to the cycle of crime.

If I am a better person I can’t help but be a better citizen. I was twice confined to Sarnia Detention Centre and I saw several familiar faces on my return. Many of the guards were familiar with about a third of the detainees. The repeat offender may hold less promise of participation and success but there are few beyond hope.

Better citizens add to public safety rather than perpetually compromising it. If we are paying to house these inmates we might as well do something with the housing and food we provide. There would be less educators teaching in other countries if they could safely do so within corrections. Make it a paid internship. They gain experience and the province economical labour. Obviously I’m just spitballing but there must be ways to institute inmate improvement in an economically feasible fashion. Even at an expense it might prove profitable in the long term. I understand fiscal responsibility but if a government doesn’t invest in the longer term they will balance a broken society.

Some inmates will not amount to much on the street. Corrections could incorporate measures to change this.

Uniforms

I can identify a guard as being similar to myself when they are out of uniform. Many inmates associate and resent the uniform regardless of who it is on. I can imagine a guard as having a life outside of the jail. If an inmate can view a correctional officer as more of a person they are better able to identify with them. Prisoners recognize that other prisoners have relationships and family but a guard is a guard to them. Just as the guard judges us as criminals we judge them as something even less. There is a barrier between guard and inmate which limits the amount of respect that passes between the two. If guards become caseworkers their assistance will be recognized as that. They will still be the ones with the keys but they will unlock the potential that lies within many inmates.

This places more value and respect on them in my opinion. When we see the uniform it is a reminder of where we are, when see clothes on a person, they are exactly that. Clothes on a person. If a correctional officer is also recognized as a person not just an authority figure the respect and cross identification between inmate and guard might create a more secure and safe environment for both guards and inmates. If a CO becomes someone I can know, they become someone who can set an example for me. I will not mimic that which I despise.

The majority of the justice system wears a uniform. If I was dealt harshly by someone in a robe or bruised by a badge, your uniform is part of the same and if I am looking for any revenge it might often do. You become part of why I may be suffering. The pain, stress or confusion involved with the system is taken out on uniforms. Without the uniform the officer becomes less a beacon of my plight. If most prisoners have no respect for the uniform why are they worn?

At OCI the COs often wore street clothes. It was the first time I fully recognized them as quite like me. I was wearing an orange uniform which offered enough of a distinction between us. They were as visible among us and in the same sense stood out in a different way. I saw each officer in both street clothes and uniforms and my respect did not differ.

At OCI we were encouraged and at times mandated to speak with our correctional offer/caseworker. The person with the most potential of being a positive influence is the correctional officer. In a regular correctional facility to be seen speaking too much with a correctional officer creates a dangerous situation. Other inmates can infer that they are being “ratted on”.

Keep in mind there is usually an underlying mistrust of most correctional officers.

Corrections and Mental Health

Mental illness is an illness

Mental health services in the community are not always accessible because of funding and or stigma. When an individual with diabetes enters the justice system he or she will have access to medicine. Their blood will be tested as required etc. When an individual with a mental illness enters the justice system they should have equal access to treatment for a medically identifiable illness.

When I was found Not Criminally Responsible (NCR) my treatment became law. Equal access is the right thing and would be a healthy blow to stigma. Not many people lose the ability to perceive reality and are found NCR. I do believe mental illness is enmeshed in many other crimes. We need only consider crimes to which alcohol or drugs were a contributing factor.

We can still punish the offender but it makes the most sense to treat them. I saw a fellow rearrested within several hours of his release. He was an addict. He was an intelligent upbeat and humourous person but he was a prisoner on both sides of the bars. If he entered a 30-day drug or alcohol treatment program as he served his sentence he may not stay sober but it might help. These are fallen citizens who may never vote but whose hand we must grasp because we will be called to account for knowing that hand was there.

We do not tell those with diabetes they must suffer because they are a criminal and we mustn’t say it to those with depression, schizophrenia or obsessive compulsive disorder. If there is any link between mental illness and the crime we have cause and duty to treat the illness.

Assessment and treatment of mental illness and addictions in jail

We don’t have to build hospitals to treat a significant number of citizens with mental health challenges. The correctional system provides an opportunity to assess and treat mental illnesses which are becoming too costly to ignore. Mandatory participation in treatment is easily enforced. Individuals are observable 24/7 to better assess and treat. They are being fed and housed already. OCI in Brampton would be suitable with minor modification to deal with mentally ill inmates. Mentally ill offenders should be treated regardless. To not treat them is costly, irresponsible and contributes to stigma. We can’t deny a prisoners access to therapeutic measures and proper mental health care.

Even a 30-day sentence would provide enough time to assess. Community supports and conditions could be incorporated through the probation system. Probation is often a three year duration which might provide the teeth to institute and carry on with treatment beyond the facility. While I was in the hospital forensic system I could be called on at any time to submit to drug and alcohol testing. If a dirty urine sample sends you back to jail it is reason to remain clean. If we conscript participation in community programs such as Alcoholics Anonymous and can keep an inmate clean for three years I suspect it would contribute to public safety and provide a sober person to incorporate back into the community.

If one in five probation officers is versed in mental health they could administer to community treatment adherence and be a regular assessment tool.

We owe it to our communities at least to ensure that when an inmate is released whether they suffer from schizophrenia or addiction that they have been treated.

If my mental illness was better assessed and treated while I was at OCI I may have not entered the forensic system. The year I was there would have been ample to get a better handle on my illness.

Accommodations can be minimal for any offender but the mentally ill offender requires the opportunity of solitude and a degree of mercy and compassion.

Segregation

Segregation should be a last resort – not an only option.

Segregation is used as punishment for misdeeds in jail – but an extension of a prisoner’s sentence would be more impactful. Even those who do well in jail look forward to and count on release. Many would not risk further time. Those that do are a problem prisoner and could be managed otherwise. Most do not experience segregation so its threat is obscure. To be given more time is comprehendible as a threat.

I often lament the use of segregation but my personal growth, in part, sprung from the deprivation I experienced. Deprivation gives rise to insights otherwise difficult to obtain. It is punishment and can be used as such where appropriate but the mentally ill offender is better served in a different setting. Seclusion can alleviate acute symptoms in the short term but is detrimental in the long term.

From a prisoner’s perspective justice and corrections is a maze no one in particular cares if you make it through. If I can see a correction officer’s purpose as that of assisting me it lessens animosity. An inmate may resent someone having authority over them but if the correctional officer is helping that too can be overcome.

Corrections should be an avenue of reform and rehabilitation.

 

 

Diversion and Community Supports

Mental Health Courts and Diversion are necessary but mainly tinsel if they do not bring about the services and treatment necessary to in fact divert the offender from further contact with the justice system. Had my diversion lead to something remotely like the hospital forensic system in terms of treatment and compliance I may have never entered the correctional system. The money spent could have been a better placed $30,000 hospital visit.

I believe it is in the public’s interest to administer more in community support to individuals on a mental health journey. If I was prescribed a worker to follow up on me I would have more likely been truly diverted from the justice system. It could have been a daily phone call. If it was a person I already had a therapeutic relationship with I would have trusted enough to convey what was happening to me and I would have a ready contact for how best to get help. If I could access supports through this individual it would coordinate care and supervision of that care. One person could have access to my complete history to best determine what was presently appropriate.

Portions of my incarceration were inappropriate and at times no one was aware of my challenges. People who are psychotic/deemed NCR, or otherwise acutely ill, should be in a hospital setting as they would be for an acute physical illness.

Hospital Forensic System

When I look back on my mental health experiences I see compassionate well trained professionals but some of it seemed haphazard. The forensic system was the best worst thing to happen to me. It was the exception. It has flaws but it was the first time I was exposed to intense and comprehensive treatment.

I can understand not wanting people occupying hospital beds but it makes no sense to provide the care when a person commits a crime – the care should take place before it happens.

Accessible and proper mental health care could reduce the numbers in the forensic system. If an illness is being monitored and managed it is less likely to result in some of the tragedies we hear about. Forensic patients are not punished so the fact that their recidivism rate is so low can mainly be linked to the fact that deterrence lies in treatment. If treatment can be used to deter future conflict it only makes sense to provide it as early as possible. For some it is far too late after the crime.

If we continue to do as budgets allow and be fiscally responsible, we will not progress. In the short term it appears as fiscally responsible but when I consider the repetitive nature of my mental health journey and of the many others I have witnessed it is only truly fiscally responsible to properly address the problems to begin with.

With the use of Assertive Community Treatment (ACT) teams, those at risk can be managed in their own homes with little call on the taxpayer. Community treatment is more therapeutic and it allows the client to remain enmeshed in their families and communities; both assist in immeasurable ways and further reduce leaning on the taxpayer.

If we could compare a typical mental health journey to a boat with a leak – what I experienced was like taping up the hole. When I was in crisis I had a piece of tape placed on my life and I was returned to sea. It is expensive to take the boat from the water and properly fix the damage but until that happens we will be buying tape and citizens will suffer individually and collectively. Tape doesn’t fix the hole.

NCR offenders will never be eliminated but they can be reduced if comprehensive treatment is applied to those most vulnerable. Most of the forensic patient stories I am familiar with included the application of mental health services before the offence. If these individuals are coming into conflict with the law after and or during the application of mental health services it points to a gap.

Early Education

In my youth psychiatrists were secrets. I was taught how mountains were formed but not how emotions are formed.

I believe we can convey to youth what stigma is, how it is perpetuated, its consequences and we can challenge them to be the generation to eradicate it.

In the 70s and 80s we had exposure to some health curriculum. We had dental hygienists come into the classroom to teach us how to brush our teeth but I don’t recall information about the mental side of my health. A mental health worker could stand in front of the same class to inform youth about mental health.

If we are exposed to the correct information at a young age we are able to filter future truths. Stigma is an attitude attached to distorted thoughts which are anchored in misinformation. If the proper information is presented much of the fear which feeds stigma will be eliminated. If the emotion of fear is challenged by knowledge it can be lessened so when we are exposed to mental illness in our neighbourhoods and communities we can be more rational about what we are witnessing and those experiencing it will be more apt to find help. If fear is eliminated it leaves room for respect, compassion and empathy.

We can teach youth mental hygiene.

If youth are exposed to various mental health professionals and other knowledgeable citizens they will know where to turn if they or a friend need assistance. With education they may recognize their own difficulties and seek early treatment. When mental health is talked about in the classroom it is talked about around dinner tables. Youth can carry information to people who may have passed by the pamphlets.

If a mental health worker is a regular visitor they become a familiar face for someone who may need mental health services in the community. The mental health worker can be the link between our schools and mental health services in the community.

Most of my exposure to mental health information has come from experience and self-education. Knowledge doesn’t alter symptoms but it relieves the stigma which is at times worse.

I do not think we would create a generation of mental health hypochondriacs any more than a Heart and Stroke Foundation presentation would lead to strokes.

I believe mental health education can be presented in a meaningful and interesting fashion. The more that is done to inform people about mental illness the more stigma is combated. If stigma is reduced it creates a more therapeutic environment for all mental health consumers. The results will spill from our classrooms into our homes and communities. If a gate is left open something will get through. Education is a gate that needs to be opened to mental health. When we educate our youth we educate society.

Lack of mental health education perpetuates stigma. If a government makes mental health education a priority it brings mental health itself to the forefront. It is a signal to all citizens that mental health is a priority and that your approach as a government is to expose mental illness for what it is. Making mental health education a priority fights stigma.

It is achievable to create a generation which spreads accurate information and the understanding, compassion and empathy that it enables.

To not educate our youth has costs as well. People resist seeking treatment because of the stigma. Illnesses progress untreated increasing social and economic costs. The cost in terms of suicide alone is incalculable. If we can get people to seek help early the chaos that springs from illness can be managed.

Mental health knowledge strengthens the fabric of communities by incorporating the legitimacy of mental illness. If my illness is understood and accepted I can contribute in a more meaningful way and find support in the community. Understanding undermines the isolation of mental illness.

Ashley Smith Homicide

Ashley Smith was a troubled young woman who was allowed to choke herself to death while Correctional Officers looked on with orders not to intervene. I use enough words so I will leave it to Google for the details. This note addresses those responsible for what a jury has now deemed a homicide. One of these people needs to relinquish their uniform for an orange jumpsuit.

It appears you are in a pickle. Those people you thought had no rights are still recognized as human by law. Those being detained are specifically mentioned in the wording of failing to provide the necessities of life. I think you all might want to duck on this one. It is a heartless concession to have those responsible transferred or even terminated but it is poetic justice if you find yourself asking for a request form from the other side of the bars. You will come to appreciate your influence on conditions within institutions. You will also have sense for the regard the justice system will give you. On your journey consider what those same experiences might be like for someone with a mental illness.

We see the Correctional Officers outside Ashley Smith’s cell but the orders come from faces quite hidden. If an officer follows such an order he is compliant in his own submission to hierarchy. That person is a mindless pawn and is sadly led by authority through the curtain of the inhumane. Their adherence to the chain of command even as it means the death of a fellow human is insanely sad. This game of crests, badges and colours is worse than childlike if it results in inhumanity. If you respect your boss to the point of letting someone die you deserve none yourself. And your wage is worthless as it will never buy a lawful excuse for doing so. There should be no chain of command when it comes to decency.

Here in Ontario we have a Humane Society to prevent and prosecute the mistreatment of animals. I could call them tomorrow and say my neighbour has a starving dog tied to a tree and they would send out an officer to investigate. In jail when an inmate is being mistreated they can obtain a “blue letter”. It requires no stamp and can be sealed to override the censor system of the jail. Ironically the guard you have an issue with could be the one who sees it into the mail. This letter goes to the Ombudsman in another city and at times action is taken. My dance with the Ombudsman was weeks in the works and would have been most pointless for someone like Ashley Smith. We need an effective way to ensure mentally ill offenders are dealt with the protections we gladly apply to animals. And we need to come to terms with the fact that an offender may be broken but they are not worthless. Furthermore, I would suggest that those involved trade their uniforms for underwear. It’s the best place for what you most resemble.

Dear Ed Holder, (Federal Member of Parliament for London West)

Dear Ed,

I received your Merry Christmas card in the mail today. I am humbled you remembered me. It was ages ago that your office gave me the runaround and it had slipped my mind. I was glad it hadn’t yours. The card has healed the wounds of your bureaucratic whip or should I say whipped. You haven’t had an unscripted word come out since the Prime minister stuck his hand in your back and made your mouth move. The Library of Parliament all done up in tinsel pales to the one of you on the back cover. To be honest I was hoping to forget the faces of several Conservatives this season but you rub my nose in it and symbolize those who thumb the same at democracy and fair government.

The back of the card I found to be a taunt. I can contact you in Ottawa, London or while on prorogue with email. Would it be helpful when I use these avenues of democracy to mention that you in fact sent me a Christmas card this year?

As one of your constituents who is literate and can therefore write, here we be. My good fortune is such that I have a roof and wall with a phone on it and can call you. I am shy to divulge my luxury but I even have a computer with which I can email you. In a few short words I would like you to know that you work not for the proroguing hairpiece but in fact me.

Using said computer I have a few calculations for you. There are roughly 40,000 households in London West; “Dear Neighbours” as you say. Possibly you have read my blog and singled me out with your sentimental salutations but considering the impersonal words I expect the other 39, 999 households received your blue box fodder as well. I don’t know how much the parliamentary printer charges us but with gloss and envelope let’s assume they cost a nickel each. Forty thousand X’s a nickel is $ 2000.00 dollars. As angry as that number makes me my mind catapults to the fact that the federal government is doing this across the entire nation. It is a magical season but the postal workers have not sprouted angel’s wings to move your boxes of parliamentary Christmas cards. They use gas and are paid wages to distribute the fabulous faces of many if not all members of parliament.

You smile from the back of these cards oblivious to your country. 30 000 Canadians are homeless every night and 833 000 are assisted by food banks each month.

There are 13 320 615 households in Canada X’s that nickel equals $ 666 030.75

I take comfort in the fact you used an envelope made from recycled paper to send a non recycled card. I might have thought you had no conscience with your recycled aspirations. That is why you sent the card isn’t it? To wiggle your toe in the direction of re-election? You and your pension prone pals should be ashamed. You would rather hold an elected seat than feed people? No cards went out to the homeless and the shame of it is; all that money should have gone their way.

I don’t believe in Santa but I believe $666 030.75 would find shelter for many or if we had a parliamentary baker we could see a loaf of bread for each dollar. I guess the difficulty lay in the fact that those with empty bellies and absent addresses tend not to vote.

This is nearsighted stupidity and parliamentary propaganda laced with sentimental bull. As my mind wanders to Ottawa I hope the lot of you are dethroned for your lack of vision regarding your less fortunate constituents.

Hristos se rodi

Will The Pharmacist Wag His Finger?

“A new study out of Ohio State University shows there is a cyclical relationship between casual sex and mental health – poor mental health contributes to more casual sex, which leads to more mental health problems.” This springs from The Christian Post dot com, Last Generation Network News Christian Edition, Baptist Ministries dot org. and Brazo Valley Ministries dot org.

If casual sex is linked to poor mental health what a sinner am I. Judging from my psychiatric history it would be a wonder I found time to eat being busy with the other. If we must extrapolate from a study it is worth looking at the findings with some common sense. If there is a link, please explain childhood mental illnesses. My first contact with the mental health system was at the age of ten. This I can now clearly link to me playing doctor with that girl from kindergarten. There is a long list of disorders which afflict children who are most unlikely to be sinners. To use one study to perpetuate perceptions of morality is irresponsible and possibly manipulative. What do you tell the virginal anorexic? What about the biblically sound schizophrenic?

I was under the impression that sin was no longer considered the cause of mental illness. We have long since ceased trying to cast out evil spirits and in fact the chastity belts that were used on psychiatric patients have proven ineffective. I guess it does offer some hope; if I can keep my knees together quite likely this cloud of depression will disappear.

I was seven years celibate while dancing with justice. I would like any of my readers who can relate to being thirty something to imagine a drought such as this. Maybe we should extrapolate that the worst years of my mental health were a result of not getting enough. If anecdotal evidence is worth anything I longed for touch when I was in jail and hospital. I’m not condoning casual sex but to link it to mental health only adds to the shame many experience as a result of their illnesses. When I walk into the school following my hospitalization what are the assumptions and attitudes of my classmates? When I walk into the pharmacy for my medication will the pharmacist wag his finger?

If Panda’s Could Talk

I don’t often indulge in silly news stories but a headline about a young Polar bear that underwent dental surgery in Winnipeg caught my eye. We should be responsible for what we keep in captivity but possibly the dental problem is a result of children throwing cookies instead of seal.

It all sounded fairly serious; root canal, extractions, anesthetic and X-rays. The Americans must think that health care is free even for Polar Bears in Canada. I’m sure the Assiniboine Park Zoo is covering the expense but I couldn’t help wondering about the children who can’t afford to go to the zoo. There must be one or two who also find it difficult to chew.

I Googled how much it would cost to perform a root canal on a Polar bear but was unsuccessful. The point is probably mute as dental care is included in the admission price.

I like Polar bears. They have been twisted into tobogganing cartoons in my head as well. My coca cola cranium finds them quite affable. Maybe that is why I feel I must come to their defence. It is not fun to have walls or wire instead of horizons. It is not fun to pace the same steps or find boredom in each of your senses. It is a measure of punishment to deny someone that which would make it thrive. There is no freedom if the choice is yours how far in a direction I can travel. Punishment is a term we use to illustrate the moral grounds we base our denial of freedom on.

It is nice to see animals but when they are in cages or concrete is their footing, it slips from a pleasant pastime to active participation in their punishment. To find amusement in witnessing this is not sinister but it might be a little stupid. If we can turn them into Teddy Bears in our minds we should be able to consider their majesty is intertwined with their wildness; their freedom. An Orca whale’s fin does not flop because it is thriving. You can give me a comfy couch or feed me bamboo from China but if I can’t leave the room, they are tasteless and hard.

Sorry to spoil the fun but I know a little what it is like minus the peanuts. If we want to be compassionate to Polar bears or any other animal it would be more effective to contribute to their true habitat and refrain from polluting it. Outside of that perspective, I’m sure there’s some twisted toothed youngster in Winnipeg who could use some dental assistance. If the Polar bear is majestic enough to grace our two dollar coin I don’t think they would be insulted if a few made it into caring for a child.

Am I the only one who can see the word asinine in Assiniboine Park Zoo?

“Jails top ombudsman’s concerns”

This headline is from an article I tore out of The Toronto Star on Tuesday, June 25, 2002. I would have used scissors but they were not part of our “kit” at the correctional facility I was incarcerated in.

The article by Richard Brennan begins with “A mentally ill, deaf woman was confined to a segregation cell in an Ontario jail for two months without regular access to a shower or fresh air the province’s ombudsman reported yesterday.”

Within two years I was in the process of being found Not Criminally Responsible on account of a mental disorder and faced the same. I guess I could be angry looking back on it and the fact that the ombudsman was powerless in her role. I could be angry society saw little need to address the issue. Instead I am saddened that eleven years later we are dealing with the same issue.

Is the problem systemic or societal? The system is seriously flawed if in 11 years we are unable to change. When a mentally ill woman in a jail is subjected to segregation rather than mental health services and society does not scream for answers it smells of stigma. These situations have persisted because our attitudes persist. We still do not perceive mental health as the pivot of overall health.

What is the benefit of making mental illness a joke or using it as a putdown or slang?  We stumble on our own stigma and twist uncomfortably in its shadow when we or a loved one is affected. We are careless with our attitudes and we become prisoners behind the stigma they create.

The ombudsman said the Tories’ hard-line, no frills approach to prisoner care has only exacerbated the problem. The then Public Safety and Security Minister Bob Runciman said jails are not meant to be fun places. These are not county club settings. We’re not the federal government…you do the crime, you do the time. Many of the complaints are frivolous.”

I guess at that time it was acceptable to wash your hands of individuals once they become involved with the justice system. I guess at that time if there were frivolous complaints all could be ignored. I guess back then mental health care was a frill.

Ombudsman Clare Lewis was a voice ignored but I will quote her anyway.

“I’m not asking that people be mollycoddled. But, by golly, if we are going to incarcerate people – and we do in large numbers – then we have an obligation to see that they are treated rationally, with dignity and with some degree of respect.”

 We continue to leave politicians with enough indifference that they do not act. Indifference is stigma in action.

Certain Rights

As a mental health advocate, I am pleased to see acknowledgement of the need for change in how mentally ill offenders are cared for. If the Correctional Service of Canada were setting broken bones the nation would scratch its head. When they administer to mental illness we seem not to be alarmed. Psychiatry is a specialization of medicine. People who are mentally ill need to see mental health professionals not Correctional Officers.

While severely mentally ill in jail I experienced the correctional response of solitary confinement. I was not prescribed this by a psychiatrist but summoned by a Deputy Superintendent. When prison officials are making decisions that exasperate mental illness we can only hope the reins are taken from them.

When a person looks at mental health statistics I would think polls would be positive for any government intervention that made mental health a priority. This government has the ability to fight stigma by taking action. Possibly they are already behind the blueprints of solution. A dragging of feet can only indicate this government does not take mental health seriously. Procrastination will be stigma itself.

When we reflect on mentally ill offenders it can only be fair to consider the mental illness as much as the offence. The line of the law is crossed by the sons and daughters of a nation. They are citizens without certain rights but they are still citizens with certain rights. The Charter of Rights and Freedoms tell me a government must not discriminate on the grounds of mental disability in its laws or programs. Providing prompt and proper healthcare to physical illnesses while providing solitary confinement to mental illness seems discriminatory.

Jell-O

I had the pleasure of taking part in a community meal here in London. Those with little are a community within a community out of necessity and survival.

I cut loaves into bread for the meal and to place in bags to be brought home. I also divvied up Jell-O for 180 people. There were four of us serving desserts so I ended up outside talking with some of the guests. I noticed one young woman coming in late. After I went back inside I was witness to three plates of food in her hands. I did not stare but she stood out because there were few others remaining while she ate. I assumed she didn’t like the whole experience and through repetition knew, seconds were only served late. It can be hard to comprehend when a person’s stomach and situation have such an agenda.

I’m not much of a police officer but people were walking out with three buns when they were only given one. Someone had the nerve to ask for a bag for their taking. Someone else was cheeky enough to place a loaf of bread in a backpack while walking away with another in hand. And in a church!

I had to marvel at the absurdity of trying to cut Jell-O into equal pieces with a balanced dollop of whipped cream. These guests are familiar with inequality. Fair for them is something that comes to town once a year delivering rides and candyfloss. Equal to them is a sugar substitute.

One of the gentlemen I spoke with was once a realtor with properties of his own at one point. Another does roofing after a local factory closure. I think not everyone fits our ideas of poverty. I also think we could be as they are. Many were what we are.

It is unfortunate there is not an App for empathy. We live in fear of not having enough all the while choking on more.

Mental Illness Is Next Semester

It was brought to my attention from a learned friend that the University here in London has run into some publicity. The University of Western Ontario newspaper, the gazette, published a cartoon with words to the effect “Why are you so happy?” “My brother was really depressed, but he finally hung himself.”

My neighbour hung himself as did his sister. I had a relative commit suicide. Two good friends from my hospital years killed themselves. There were more but I was less familiar with them. Therein lays the problem, familiarity.

I can recall coming out of my 30 hour coma and my brother saying quite the opposite.

One of my first thoughts to this was why this was not considered as offensive as the chants condoning non-consensual sex with a minor that we have come to know through other places of higher learning. Are there actually people on talk shows defending this cartoon and its publication?

The defense of or minimization of this cartoon is in fact stigma. We don’t condone sex with minors but we condone making fun of minors who commits suicide and therefore infer those who have similar thoughts are laughable at best.

I read a comment in response to the cartoon from someone claiming to have suffered from depression. They saw humour in it. It can be a blessing to have depression that does not involve suicidal ideation. It is also a blessing to be on the side of mental health that has you on a message board making opinions. We need to consider the student in her room. The one who although beautiful and bright is unable to see her place, success or happiness in this thing called university. To her friends seem to belong to others and her isolation is found in crowded hallways. This young woman needs our help not our laughter. When she sees a publication representing her peers and the university community in general making light of the very thoughts in her head, she can only hang it in shame. She keeps quite, she masks, she isolates and her wounds become infected by our very words.

Crazy, out of it, best let be, she internalizes our attitudes and they become fuel for an ever unfavourable opinion of self. She becomes slang, she becomes a put down, she becomes a joke.

For those who see no error; no foul, it may be constructive to self reflect. It is possible your attitude of indifference or acceptance is stigma itself. To not be offended about this cartoon raises more questions about the self than about any larger argument. A joke is not funny because someone calls it a joke. If it was a race, a sex or even a sexual orientation, students would have signs about the campus. Mental illness is next semester or an elective at best.

You can call me thin skinned but as likely we have grown thick in apathy. It was only a cartoon, there must be larger fights; maybe so but you have to stop the dog from digging before you can fill in the hole.

There was humour in the underage sex chants, no one meant any harm. A nation said no. An institution said no. If we are to combat one of the worst side effects of mental illness we must again say no.

We can be forgiving of all this. We are all learning, students more so. We need to impress on our students that the pages they write on are empty if not saturated by their humanity and the fine things they already know. To make grades is a worthy aim but if respect, love and compassion are left in lockers they are only ink on a page. We all make mistakes but if compassion, love and respect are woven into them, they can never be called failures.

I drive by the University of Western Ontario most days. Hope walks past my car when I wait at the light. The young men and women I see carry the cures, the solutions and they are being carved to make the decisions that will shape a future that I may reside in and surely my blood. We can be disappointed in what is instilled in a generation but the responsibility belongs to us all. How can we expect our children to have the discretion to not make light of the suffering of an illness when we laugh at the same jokes?

I suspect this news will not hit the funny bone of the roughly 4000 Canadian families who are affected by suicide each year. We can only hope they are too busy running fingers over old photographs to see this story.

It is not my place but it seems to me if resignations were in order at universities where chanting was heard, the same might be in order at a broader distribution of offensive utterances. As a solution to the very stigma they spread, those responsible should step aside. Your peers can only have respect at your active acknowledgement that mental health stigma is wrong; unacceptable.

Lend Me Your Ear

I was thinking about idioms. Fair game for an idiot. I thought maybe mental health stigma is a series of idioms. We all have little messages floating about in our heads. It could be “a dime a dozen” or “a picture paints a thousand words” but it is as likely to be “schizophrenia equals dangerousness” or “depression is anger turned inwards.”

It’s all nonsense if you shift your perspective. A dime a dozen means easy to get but scarcity can be just as costly. Ten cents for a dozen seeds would seem precious to a man feeding his family. Why do we cling to only the one meaning?

A picture paints a thousand words insinuates the visual is more descriptive than words. As a writer I am biased but I put forward the challenge for any artist to paint what I say with these 600 words. Take your time.

“Schizophrenia equals dangerousness” is statistically false.

And “depression is anger tuned inward” only makes: “happiness is anger turned outward” as true.

We assume the world is full of absolutes as our very bodies swim in flux upon a spinning object.

Impressions and ideas are filtered through knowledge, experience and emotion but we assume it drops cleanly in our laps. Many of our ideas are fouled by knowledge, experience and emotion. It is often only a version. I share my life with a Doberman Pincer. It is usually with me 24 hours a day. If anyone knows her, I do. My favourable opinion of her is clouded by my emotions such as love…I literally kiss the mess. Others see her differently. People sometimes cross the street and I had one couple following us stop in their tracks as she did her business. They could have passed but that would have lessened the distance. Their ideas of a Doberman were filtered through what? A photograph, a movie, TV show or headline? We can stand back and see who is more informed as to what a Doberman is. I have lived with her, taken food from her mouth and had her obey only a motion or noise I make. She is More Bark Than Bite.

Watch a film with a character suffering from schizophrenia next to a real person also afflicted and it all seems like a cartoon. I wonder what is worse, to live with the illness or have a world blind to your humanity and very feelings. You wonder about the idiom and why it is not called a contradiction.

There is a large difference between an idiom and mental health stigma. Only one hurts. Only one bestows suffering upon those who suffer, only one demeans and only one pushes people away. When we see someone with a limp, we notice. When we see someone with mental health symptoms we form opinions and ideas. Pity is replaced with prejudice. We rarely gossip about, point at, laugh at or discount the person with the limp. What slows us from learning that it is offensive to do so with a mental symptom? We must see more than consonants to make sense of a word as we need more than a word to make sense of an idiom. Schizophrenia, depression, bi-polar, OCD or ADHD are not idioms. We are not meant to take meaning from only these single words. They must be linked with descriptors such as son, daughter, aunt, father or sister. These illnesses are deserving of a shift in perspective, they are worthy of more consideration and expanding respect.

I apologize as this was written Against The Clock. It is probably All Greek and like Beating A Dead Horse but we’re All In The Same Boat and are equally vulnerable to having the same Axe To Grind. If I have offended, keep in mind there is a Method To My Madness.

Link

Solitary Confinement

Please read the included link regarding the use of solitary confinement in prisons.  I can’t speak about prisons as I have only been incarcerated in jails. Most were Detention Centers. They are basically holding facilities for people before the courts or awaiting sentencing. My experience was that there was little done to, for or about me. Both prisons and jails have areas for prisoner segregation. I have heard it referred to as solitary confinement, the hole, administrative segregation and the digger. When I raised my voice to one of the jail nurses at being denied a medication that my mental health hinged on I was asked if I wanted to go to the digger. “What’s the digger?” “The hole, you were in it your first night.” I understood the threat when it was referred to as the hole. I was quite sane on that first visit to the hole and had my fill of it in mere hours. My next visits were while I was psychotic. I can’t substantiate my length of stay as a whole but I have a couple of letters which refer to five day stays. I was moved between the medical cells and the three isolation cells. My sense of time during this period is basically nonexistent. While in the hole I was subjected to a 24 hour light. I would awaken at different times and be surprised to find it was night. I was for certain periods oblivious to the hour, day of the week or date. I do measure my exposure to this period of isolation as a season.

The medical cells were larger or the bars and their spaces included something beyond. The hole was near 5 feet by eight feet with all concrete minus the toilet in the corner and the solid steel door with a window smaller than a fist so it couldn’t be punched out. My view beyond that was a concrete wall as the hall turned leading to another steel door. The guards sat 15 feet beyond that point. Silence. The only noise was the industrial flush of your cold, hard, seatless toilet. You might catch a piece of a face but mainly you see hands as your meals are slid through a slot in the door. Faces are common until they become uncommon. To see eyes was an interesting phenomenon when my only reflection came from said toilet. Isolation made navigating simple requests next to impossible. It seemed the jail bureaucracy barely made it to the area. In a regular area you could call a guard. In isolation you could ask for a request form. I was unable to use a phone, had little access to a shower and my mattress was removed from my cell during the day.

 Corrections Canada’s response to my psychosis was isolation. My psychiatric care often consisted of taking my temperature and weight which though important are usually not correlated to psychosis. When I was isolated in the medical cells another inmate had a broken hand from a jail fight. He wore a cast which I surmised to be beyond the abilities of most guards. He was isolated with a bed, the ability to interact, an area telephone and an area shower. He also received the best modern medicine has to offer.  As a society most would be aghast had he been denied medical technology, treatment or emergency care. This is my question: why when an inmate has a “mental” condition do we prescribe administrative segregation with its 24 hour light and total deprivation outside of nourishment and sanitation. If only we could distill such treatment into a pill. Is this discrimination or is it merely stigma on its hind legs?

 A dog runs in circles after being left alone for a few hours. Are we not as social? I think it’s time to let mental illness out of isolation. It’s the least we can do. An easy solution shouldn’t be considered the only one when it is nowhere near best medical practices.

Realigious

I was looking over some jail letters I wrote years ago. My mother, an aunt and a family friend saved all the letters I wrote during my confinements. It’s interesting to read my observations and perspectives. I saw much more than bars when I was behind them. I learned lessons that the same time in school may never have yielded. I wrote the word “parity” and its definition on January 16, 2002. “A state of being equal and a theory in physics that any substance and its mirror image counterpart have the same physical properties.” I would like to argue against this theory as any mirror I stand in front of has less hair and more weight than I know I posses but I see its truth. A rock in front of a mirror is nothing more or less than itself. It has cracks and has no reason to deny them. It will not lose stature as a rock if it reflects flaws.

I am not always pleased with my receding hairline but it is mine. I can still smile with it, I can carry a conversation; it really doesn’t take away from who or what I am. When I can recognize myself as I am; full of warts but fine thanks just the same I can be who I am. It is more reflection and less deception when I can see myself as light and dark. When we see our true substance and the mirror image as the same it in fact creates “parity” itself. “The state of being equal.” If I see myself as I truly am there is no maneuvering into being better or worse than others. We are all the same.

There is little need to be anything in solitary confinement; the Hole. Whatever you are is all you live with. There is no need to say or do anything to alter your position as there is no one to posture for. I often crawled about my small space scratching notes on my papers and upon the walls and floor. My life had more importance than any time I was a free man. There was nothing to fear in nothingness. What would fester in your mind if it had nothing to occupy it? What if there was no phone, computer or company? Who and what do you connect with when you are the one and only for days, weeks or was it months? When it was just me most of my thoughts had spiritual significance. Realigious experiences and perspectives are often a symptom of mental illness. Maybe some are but wouldn’t that make God crazy?

Comments

I’m not sure how many of my followers actually read this blog but I would like to point all who do to look at the comments I received regarding Victim Impact Statements. I was saddened to learn that some of my followers have tragically been affected by crime. They have bravely stated the importance of Victim Impact Statements. For this I am thankful. I have never denied their importance but more people need to hear of their importance to victims. It is something only a victim can articulate. While being mindful of the pain I wanted my readers to see the Grace in these comments.

It may be an odd question but I would like to ask if the impact of a tragedy changes?

I know from my own tragedies that I have gained and lost. I would not have strength, compassion or patience to the degree I do were it not for my losses. I can tell simply from these comments that these individuals possess these qualities beyond most.

My tragedies have been different but often I would have traded all the pain for any of the gain there may have been. At times I think; take it all away and send me back to where there was less pain. But if I consider all the fine people in my life, if I consider what I have in my mind and heart, it would be an even greater loss. I would mourn more if my life was anything different from what it is.

Not Criminally Responsible Reform Act Brief

Brief submitted by

Brett Batten

London, Ontario

with regard to

BILL C-54

Act to Amend the Criminal Code and the National Defence Act (Mental Disorder)

“Not Criminally Responsible Reform Act”

 

Introduction. 3

Problems with Bill C-54. 3

‘Brutality’ as Problematic Concept 4

Likelihood to Re-Offend. 4

Victims’ rights. 5

Discouraging progress. 6

Likely Outcomes of Bill C-54. 6

Human Cost 7

Financial Cost 8

Conclusion: Rehabilitative vs. Retributive Justice. 8

Recommendations. 9

Studies Cited. 10

Introduction

“Criminal responsibility and punishment are appropriate only when the ‘actor is a discerning moral agent, capable of making choices between right and wrong.’”

  • Brett Batten
  • 2012 Mental Health Champion Award from St. Joseph’s Health Care Foundation and the Canadian Mental Health Association
  • Speaker at major conferences on mental health as well as universities and hospitals
  • Lived experience within the Forensic and Correctional Systems

Mentally disordered offenders present special challenges to the law, mental health care, and social service systems, as well as to the community. They remain the most disadvantaged and marginalized of populations. Many inmates in jails and prisons have mental health disorders, often untreated – this is an indictment of society’s values and understanding of mental health disorders.  When people with treatable mental health disorders fall into the criminal justice system, it serves neither society nor the individual.

When it comes to offenders who are found Not Criminally Responsible (NCR) by the courts, we need to reconsider the ‘tough on crime’ model and come to terms with the fact that these individuals are not deserving of punishment.  Their prolonged incarceration is neither effective nor compassionate, and if such treatment is seen to be suitable for those found NCR due to a mental health issue, we must also recognize that the same “just desserts” may fall at the feet of any of us.

Bill C-54 is flawed at the most fundamental level because it allows for arbitrary judicial action, subscribes to an incorrect understanding of risk, and would pave the way for abuses of the human rights of NCR offenders.  It disregards medical and psychiatric knowledge, basing its provisions on myths about mental illness rather than tangible evidence.  This government’s insistence on championing such a perception at the cost of effective and compassionate treatment for NCR individuals will have grave consequences for its most vulnerable citizens, and for the broader Canadian society.

Problems with Bill C-54

As written, Bill C-54 allows for a court to apply designations such as “high-risk” and “brutal” to an NCR accused and his or her crimes:

672.64 (1) On application made by the prosecutor before any disposition to discharge an accused absolutely, the court may, at the conclusion of a hearing, find the accused to be a high-risk accused if the accused has been found not criminally responsible on account of mental disorder for a serious personal injury offence, as defined in subsection 672.81(1.3), the accused was 18 years of age or more at the time of the commission of the offence and (a) the court is satisfied that there is a substantial likelihood that the accused will use violence that could endanger the life or safety of another person; or (b) the court is of the opinion that the acts that constitute the offence were of such a brutal nature as to indicate a risk of grave physical or psychological harm to another person

Given that a prosecutor is unlikely to apply for an absolute discharge in cases where a medical or psychiatric professional has determined there is any threat to public safety, this section essentially grants the court veto power based whenever a crime is deemed to be ‘brutal’.  There are three problems with this notion: first, the determination of ‘brutality’ is subjective; secondly, the perceived ‘brutality’ of a crime is not useful in determining if an NCR accused poses a threat to society; and thirdly, this determination allows little space for progress in treatment.

‘Brutality’ as Problematic Concept

The current Bill gives no definition of the term, which begs the question, where is the line that defines an act as brutal? The same accused may be deemed high risk by one court but not another, and thus ‘brutality’ cannot be fairly or accurately applied to individual patients.

A variety of factors affect the perception of ‘dangerousness’ or ‘brutality’ in an individual:

  • The age or sex of the accused
  • The age and sex of the victim
  • The location or duration of the offence
  • The age, sex, or number of witnesses

The subjective nature of determining ‘brutality’ has also been addressed in psychiatric studies:

[U]nless they are on guard, clinicians may unwittingly ‘construct dangerousness’ in the course of completing evaluations and that evaluations can also be subject to sex and other biases.

(Bloom, Webster, Hucker and DeFeitas 2005)

To interpret an act as ‘brutal’ – and to allow that interpretation to affect a disposition– assigns a degree of responsibility from which the accused has already been, by definition, excused.  Should we place such value judgements on acts wherein the accused had no capacity to understand the nature of the crime?  For an act to be considered ‘brutal’, does there need to be intent? Are we interested in rehabilitating the accused, or in assigning blame where it doesn’t belong?

If ‘brutality’ is to have any meaning at all, it must be defined and clearly articulated in this Bill. As written, Bill C-54 can and will be challenged, as it goes against the Charter of Rights and Freedoms.  The Charter guarantees that no one should be arbitrarily detained, and as written, this Bill provides for an arbitrary definition and enforcement of the notion of ‘brutality’.

Likelihood to Re-Offend

Secondly, the nature of the act already committed cannot predict future risk in the accused.  On the surface, brutality may suggest risk, but despite what Canadians are led to believe, the seriousness of the crime committed does not equate to the likelihood for the offender to reoffend – nor even to his or her ability to improve his or her mental health state and live a normal, healthy life. There is no credible evidence to suggest that the brutality of a crime correlates to future risk.

There is an unfounded public misconception that an association exists between mental illness and dangerousness, and this misconception can often shape how we treat individuals with mental health problems, particularly when a crime has been committed.  This understanding of NCR offenders as ‘dangerous’ and likely to reoffend has been refuted in a number of scientific studies and also in court:

Individuals who were identified as patients but who were not currently suffering from psychosis were at no greater risk for violence than the average community control population. They also cautioned that the risk for violence correlated to mental illness in their sample was less than the risk correlated to young age and male sex.

(Norko and Baranoski 2005)

Severe mental disorder did not predict the probability of arrest or the number of arrests for violent crime. These findings held even after controlling for prior violence and age. The findings do not support the stereotype that mentally ill criminals invariably commit violent crimes after they are released.

(Teplin, Abram and McClelland 1994)

A past offence committed while the NCR accused suffered from a mental illness is not, by itself, evidence that the NCR accused continues to pose a significant risk to the safety of the public.

(Winko v. British Columbia 1999)

Future risk should not be based on or subject to individual judgement, nor should it be predicted on a perceived risk.  It should be the result of consultation with medical and psychiatric professionals.  I find the fact that this government is disregarding the discretion and authority of psychiatrists, psychologists, and a list of other professionally-trained mental health practitioners and replacing it with court authority to be blatantly political.

Victims’ Rights

The current bill also makes reference to victims’ rights in a way that is not conducive to rehabilitation of NCR accused:

672.541 If a verdict of not criminally responsible on account of mental disorder has been rendered in respect of an accused, the court or Review Board shall (a) at a hearing held under section 672.45, 672.47,672.64, 672.81 or 672.82 or subsection 672.84(5), take into consideration any statement filed by a victim in accordance with subsection 672.5(14) in determining the appropriate disposition or conditions under section 672.54, to the extent that the statement is relevant to its consideration of the criteria set out in section 672.54

Allowing victims’ statements to take on undue influence in judicial and disposition procedures goes against the principles of our judicial system, which is founded on the acknowledged expertise of judges and the neutrality of juries.  In the case of NCR accused, there is no place for vengeance or retribution, and courts must guard against unjustifiable weight being given to victims’ accounts, regardless of the nature of the crime committed, as no guilt has been assigned (see Karen 2010).

Discouraging Progress

This Bill also places undue emphasis on determinations made at the time of a disposition, rather than at subsequent evaluations, and does not provide for regular re-assessments by trained and authoritative mental health professionals:

(1.32) The Review Board may, after making a disposition, extend the time for holding a subsequent hearing under this section to a maximum of 36 months […]

This provision goes against the notion that all penal sentences undertaken in Canada, and most especially those given to NCR accused, are meant to serve the rehabilitation and reintegration of individuals into society.

In forensic populations, patients can never shed their historical risk factors. Thus any approach to risk assessment that relies exclusively on these factors will deprive patients and their clinicians of hope for recovery.

(Norko and Baranoski 2005)

The court or Review Board may have recourse to a broad range of evidence as it seeks to determine whether the NCR accused poses a significant threat to the safety of the public.  Such evidence may include the past and expected course of the NCR accused’s treatment, if any, the present state of the NCR accused’s medical condition, the NCR accused’s own plans for the future, the support services existing for the NCR accused in the community, and the assessments provided by experts who have examined the NCR accused.  This list is not exhaustive.

(Winko v. British Columbia 1999)

It is widely accepted that recovery works best in the community, where an individual can receive the support of family and friends.  These studies show that determinations made at the time of a disposition have little influence on the individual’s actual mental state, future prospects, or likelihood to reoffend.  Bill C-54 places far too much importance on determinations made at the time of a disposition to allow for real progress or improvement in the course of an NCR accused’s treatment.  To incapacitate the accused while they are rehabilitated may be necessary, but to incapacitate them despite any progress they make is unconstitutional.

Likely Outcomes of Bill C-54

Bill C-54 will not lower crime rates, which have already been declining for the past 20 years:

Increased prison sentences do not decrease recidivism. This finding is demonstrated by two meta-analyses conducted in Canada. Gendreau, Goggin, and Cullen (1999) analysed 50 studies involving more than 300,000 offenders. The authors found that increased prison sentences were associated with increased recidivism.

(Alana and Roesch 2012)

The large financial and human cost to this Bill should also not be overlooked. Early intervention, prevention and rehabilitation are far more beneficial in reducing crime in the long term and more cost effective. Improvements in general mental health services are key to decreasing events leading to forensic mental health interventions.

Human Cost

Bill C-54 denies “high-risk accused” the conditions necessary for treatment, rehabilitation, and general well being.  The current system is rehabilitative rather than retributive; Bill C-54, on the other hand, is not and cannot be supported by an objective assessment:

(3) If the court finds the accused to be a high-risk accused, the court shall make a disposition under paragraph 672.54(c), but the accused’s detention must not be subject to any condition that would permit the accused to be absent from the hospital […] 

While waiting for my annual review, I was not to be absent from hospital for a year, and can assure you it was in no way therapeutic. I became suicidal and depressed. I was ordered to sit under a lamp when all I could see outside was sunshine. In part due to client-staff ratios, I was not walked around the hospital as was my right for a whole year. In a situation where 25 clients are cared for by 6 staff, access to humane conditions is often suspended. Most dogs are walked daily, I was not.

As noted above, the current Bill C-54 would also allow for dispositions of up to three years, without annual review hearings, and confine individuals exclusively to hospital.  This government has decided that incarceration of the severely mentally ill is preferable to rehabilitation. To deny the accused an annual hearing to determine the best outcome – for society and for the accused – is punitive and in no way rehabilitative, when an individual’s best chance of recovery is through reintegration into their communities and their social networks of family and friendship. Thirty-six months is not an opportunity for treatment, rehabilitation, and reintegration if one is limited solely to the confines of an institution.

Restrictions on his or her liberty can only be justified if, at the time of the hearing, the evidence before the court or Review Board shows that the NCR accused actually constitutes such a threat.

(Winko v. British Columbia, 1999).

In addition to the safeguards of the NCR accused’s liberty found in s. 672.54, Part XX.1 further protects his or her liberty by providing for, at minimum, annual consideration of the case by the Review Board.

(Winko v. British Columbia 1999)

The accused’s mental health a year or more after a hearing may not justify restrictions of the accused’s liberty, and thus three years without review of present conditions and the present state of the accused is not appropriate.  Patients are at risk of being confined more extensively than can be justified.

Financial Cost

“As correctional populations increase as forecasted, we are also reminded that corrections is complicated and expensive. Federal expenditures on corrections are growing annually, and CSC‘s budget can be expected to significantly increase as the full slate of criminal justice and sentencing reforms comes into effect. We may also have to build expensive new prisons to manage the expected population surge. The annual average cost of keeping a federal inmate now exceeds $100,000 per year (or just over $275.00 per day), up from $83,000 per year in 2003–04. It is even more costly to incarcerate women offenders, averaging over $180,000 per offender annually. By contrast, offenders supervised in the community cost considerably less—about one-eighth that of keeping them in prison. We need to think clearly about how best to safeguard the community and how to ensure the best return on this public investment.”

Office of the Correctional Investigator Canada. Annual report of the Office of the Correctional Investigator 2009-2010 [Internet]. Ottawa (ON): Office of the Correctional Investigator Canada; 2010 Available from: http ://www.oci-bec.gc.ca/ft/annft/annrpt2 009201 0-eng.aspx.

 

Conclusion: Rehabilitative vs. Retributive Justice

Rather than assessing their historically based risk, we should instead ask more often about the rehabilitative tasks to be undertaken.

(Norko and Baranoski 2005)

If an opinion of brutality alone is sufficient, then we have no need for psychiatry or its practices of evidence-based assessments. If opinion is given precedence, what need is there of science?  Risk should not be predicted on a perceived risk of violence.  The severity of the crime in the past does not imply a threat in the present, following treatment.  Contrary to public perception, NCR individuals are only released with a mental health aftercare plan involving substantial treatment in the community.  The public is made safe through treatment, not through opinions of risk.

It is imperative that this government uphold the existing reliance on decision-making by medical professionals.  Let us not forget that psychiatric treatment effectively reduces risk for violence associated with clinical symptoms.  With treatment, a person’s prognosis can change in a matter of weeks, particularly as psychiatric research advances, and should be addressed regularly.  Furthermore, a patient’s likelihood of progress is greatly increased when he or she is embedded in their community.  The disappearance of social networks from the life of the mental patient is seen as a major obstacle to reintegration. To be institutionalized for three years will dissolve families, friendships, and other essential supports.

We owe to these vulnerable individuals a defensible, professionally-sound judgment about risk that is relevant and based on well-established principles. The therapeutic needs of these mentally disordered offenders need to be addressed so as to mitigate risk and promote recovery, for themselves and for society at large.  To serve them and to serve Canadian society, we need to consider the need to protect the public from dangerous persons alongside and in conjunction with the mental condition of the accused, his or her reintegration into society, and his or her other needs.

The accused has a fundamental right to be considered as an individual, equally entitled to the concern, respect and consideration of the law.

(Winko v. British Columbia 1999)

[…] NCR accused are entitled to sensitive care, rehabilitation and meaningful attempts to foster their participation in the community, to the maximum extent compatible with the individual’s actual situation.

(Winko v. British Columbia 1999)

In a legal setting where we allow even those deemed to be dangerous offenders to receive hearings on a biannual basis (see Bonta, Zinger, Harris and Carriere 1998), a three-year exclusion from unbiased assessment for NCR individuals is nothing more than discrimination.  It is the prejudicial treatment of an individual based on their membership to a disability, and every individual is entitled to an equal share of the law’s concern and respect.  The denial of an up-to-date assessment and hearing is nothing more than a retributive sentence which flies in the face of the understanding, previously accepted by Parliament, that criminal sentencing principles should not be applied to NCR accused.

Our government re-writes laws in the guise of public safety, but in so doing disregards the evidence.  In supporting Bill C-54 as written, this government is subscribing to popular misconceptions about mental illness, pandering to public opinion and to the poorly-conceived ‘tough on crime’ mentality, in a way that is founded neither in the established record nor in informed medical opinion.

·       Recommendations

  1. Part of the solution is outside the justice system: incarceration would not be the only solution if prevention programs were available that tackle problems long before someone gets in trouble with the law.
  2. We need more mental health and substance abuse treatment in the community rather than in the criminal justice system. Improvements in general mental health services are key to decreasing events leading to Forensic Mental health.
  3. If brutality is to be a measure of risk it should be defined and clearly articulated in Bill C-54. A court’s opinion of brutality may prove incapable of making an adequate assessment of risk. There should be more reliance on empirical evidence to justify decisions regarding the lives of those found Not Criminally Responsible. If an opinion of brutality is sufficient we have no need for psychiatry or it`s practices of evidence based assessments.
  4. Patients can never shed their historical risk factors; as such we need the continued reliance on mental health professionals to advise the courts about how future risk considerations should figure into the rehabilitative and incapacitation aspects being imposed by the courts.
  5. The therapeutic needs of these mentally disordered offenders need to be addressed so as to mitigate risk and promote recovery. It is imperative that this government uphold the traditional reliance on decision-making by medical professionals. We owe it to these vulnerable individuals a defensible, professionally sound judgment about risk that is relevant and based on well-established principles.
  6. We need to uphold the use of an annual hearing to determine the best outcome for society and the accused. There are often significant changes in a patient’s prognosis within a year and medical advancements do not follow a thirty-six month schedule. To protect the liberty of the accused and to allow for progress in treatment a yearly review at minimum is absolute. Patients are at risk of being confined more extensively than can be justified with Bill C-54. Individuals found Not Criminally Responsible may be in need of maximum security for varying periods. In order to rehabilitate and reintegrate these individuals, permission to be absent from the hospital itself should be based on specific needs rather than on the basis of a finding of brutality. Restrictions on liberties should not be an absolute and we need to safeguard them with an annual hearing. There are limitations to any approaches to risk assessment; this being so, a gradual approach to the release of accused persons with mental disorders is usually the safest and supports their individual rights.

8.    There need to be safeguards put in place regarding victim impact statements.

9.   There needs to be a fuller inclusion of patients themselves as we continue to modify the kind of protocols that play such a large role in determining their fates.

Any government owes it to their citizens to make informed decisions based on evidence. The public may always be susceptible to headlines and the stigma that arises from them but it is incumbent on our leaders to remain apolitical and make ethical decisions whether they are popular or not.

Studies Cited

Alana, N. C. and Roesch, R. (2012) “‘Tough on Crime’ Reforms: What Psychology has to Say about the Recent and Proposed Justice Policy in Canada,” Canadian Psychology, 53(3), 217-225.

Arboleda-Flórez, J. (2008) “Social Inclusion of People with Mental Illness,” Canadian Journal of Psychiatry, 53(1), 70-71.

Bloom, H., Webster, C., Hucker, S., and De Freitas, K. (2005) “The Canadian Contribution to Violence Risk Assessment: History and Implications for Current Psychiatric Practice,” Canadian Journal of Psychiatry, 50(1), 3-11.

Bonta, J., Zinger, I., Harris, A., and Carriere, D. (1998) “The Dangerous Offender Provisions: Are They Targeting the Right Offenders?” Canadian Journal of Criminology, 40(4), 377-400.

Karen, M. K. (2010) “Opposing Scales of Justice: Victims’ Voices in the Sentencing Process,” Canadian Criminal Law Review, 14(2), 181-230.

MacDonald, N., Hucker, S. J., and Hébert, Paul C. (2010) “The Crime of Mental Illness,” Canadian Medical Association Journal, 182(13), 1399-1399.

Norko, M. A., and Baranoski, M. V. (2005) “The State of Contemporary Risk Assessment Research,” Canadian Journal of Psychiatry, 50(1), 18-26.

Rubin, Eugene H. and Zorumski, Charles F. (2003) “Psychiatric Education in an Era of Rapidly Occurring Scientific Advances”, Academic Medicine, 78(4), 351-354.

Teplin, Linda A., Abram, Karen M., and McClelland, Gary M. (1994) “Does Psychiatric Disorder Predict Violent Crime among Released Jail Detainees? A Six-Year Longitudinal Study,” American Psychologist, 49(4), 335-342.

Winko v. British Columbia (Forensic Psychiatric Institute), (1999) 2 S.C.R. 625.