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Medical Assistance in Dying committee  I think that's a critical concern. Obviously, doing a thorough assessment is not a short process. It's a fairly detailed process. That can be expensive for someone who is looking to have a psychological assessment for determination of eligibility. Unless it occurs within a hospital setting or through Veterans Affairs, I think a large majority of people wouldn't be able to proceed.

November 28th, 2023Committee meeting

Dr. Sam Mikail

Medical Assistance in Dying committee  I think one of the points Dr. Gittens made in her opening remarks is that it's really critical to look at a thorough and expansive way of assessing someone's request for MAID, whether it's someone with a mental disorder or another track two request. To do that simply based on an interview, I think, is short-sighted and inadequate.

November 28th, 2023Committee meeting

Dr. Sam Mikail

Medical Assistance in Dying committee  My view would be no. I don't think we're quite there yet. Again, if we are to take the issue of assessment seriously, expand it beyond simply having a conversation or a clinical interview with the individual, record reviews and so on and so forth, and then include more objective measures, I don't think that training is there, at least not as it currently stands.

November 28th, 2023Committee meeting

Dr. Sam Mikail

Medical Assistance in Dying committee  No. I don't think there will ever be consensus. I think there will always be people in a segment of the health care community as well as society who don't feel this is something that should occur, and a segment, obviously, that supports it. I think one of the issues around mental disorders is that we're saying, “mental disorders as the sole underlying medical condition”.

November 28th, 2023Committee meeting

Dr. Sam Mikail

Medical Assistance in Dying committee  I think the issue of readiness involves looking at several components. The first is legislation. Is it in place? Yes, it is. Second, are regulations in place? I would argue that regulations are incomplete because they have not been looked at by the broader mental health community.

November 28th, 2023Committee meeting

Dr. Sam Mikail