Thank you very much.
It's a great pleasure to be here today to talk to you about Bill C-54.
I'm speaking on behalf of the John Howard Society of Canada, which is a community-based charity committed to supporting effective, just, and humane responses to the causes and consequences of crime. The society has more than 60 front-line offices across the country, with programs and services that help to make communities safer.
You've already heard a number of witnesses who have parsed the content of Bill C-54 for you. I won't go into that in detail, except to say that the John Howard Society of Canada has no problems with the elements of the bill that are designed to assist victims, particularly in notification and providing no-contact orders. But as an evidence-based organization that is principally driven, we are unaware of any evidence suggesting that the existing review board procedures dealing with “not criminally responsible” are flawed. We would welcome seeing the basis for these proposed changes.
One of the key elements of a fair justice system is an ability to differentiate between the criminal and the medical dynamic in certain incidents. At the heart of fairness in the criminal law is that to be held responsible and liable to punishment, the perpetrator must not only do the act, but must also have criminal capacity, that is, to have understood the nature and consequences of the behaviour and to have appreciated that it was wrong. Factors such as mental illness, brain injury, and age can render a person incapable of having the necessary criminal intent, and therefore the person is not blameworthy or punishable for the act.
Many people, when they see a horrific act done by someone who is later found not to be criminally responsible, continue to refer to it as being a crime. It is a tragedy, but it doesn't hit the Criminal Code standard of being a crime because the perpetrator is not criminally responsible.
We are very concerned to make sure that those who have committed acts and are found NCR and no longer a danger to the public are not punished but are treated and reintegrated safely back into the community. The treatment and release regime in this area is delivered with much greater success than the treatment, release, and rehabilitation regime of the criminal justice system generally in terms of reduction in recidivism.
I had the benefit of reading the Canadian Bar Association's brief. We are very supportive of their charter jurisprudence dealing with the mentally ill accused and some of the issues that they raised. Our concerns are concentrated on two fronts. One is the adverse impact on the NCR regime. Our first concern is the high-risk designation under proposed paragraph 672.64(1)(b), which allows there to be a designation of high risk based on a single act. No matter how brutal, a single act is not an indicator of future risk. To impose additional restrictions on liberty based on this labelling is unfair and would likely violate section 7 of the charter and fail to meet a rational connection test under section 1.
Moreover, the high-risk designation and personal injury offence both could be based on psychological harm. To allow psychological harm as a trigger for a high-risk designation invites what the Supreme Court of Canada identified in Swain as “an irrational fear of the mentally ill” to influence the labelling and the treatment of the NCR.
The problem with the designation, and the regime that follows is it may be that people who can be quickly treated with psychotropic drugs and are able to be successfully and safely reintegrated into the community would have to wait an additional two years. Instead of the annual review, there would now be a three-year review. This would be an unfortunate and arbitrary detention of someone who does not need to be detained based on their mental health status.
Moreover, those designated as high risk who have permanent brain injuries and conditions that are not treatable, such as FASD and senile dementia, could be subject to indeterminate detention.
There are many community-based regimes which allow for people with certain brain injuries to function in a safe way in a community. It would avoid them taking up space in very expensive, highly limited forensic psychiatric institutions if there was some ability to look at their ability to be dealt with in the community in a safe way.
The regime really only has two categories: you're either in the regime or you're no longer designated high risk, and that presents another slight problem for us.
We also would prefer that the designation of high risk be done by the review board, rather than it being a judicial determination. The review boards are equipped with psychiatrists and the medical expertise to actually make a fair assessment as to whether or not someone constitutes a future risk. It would be beneficial to leave the expertise in the review board for that purpose.
The other concern of the John Howard Society is the adverse impact on the justice and correctional system and on scarce mental health resources. There is a legitimate concern that fewer mentally ill accused will raise an NCR defence. To get to the gate of a judge determining that you should be designated high risk, you would first have to be found to be NCR, which is usually a hearing which is kicked off by the accused or the accused's lawyer because they have identified certain psychiatric problems.
If they choose not to go with an NCR defence, it would be likely that they would be dealt with in the formal justice system, even though they may not have been capable of framing a criminal intent. The result would be that it would be unjust to punish them for an offence for which they lack the mens rea, but opted not to pursue an NCR defence because they did not want to be labelled with the high-risk designation and risk longer periods of confinement.
This could mean that more people with serious mental health conditions would end up in our corrections system, which is ill-equipped to address their needs. This is a high priority for many organizations, including the Correctional Service of Canada, to improve the capacity to deal with people who have serious mental illnesses and who are in the correctional system now. Adding to those numbers will make this challenge all the more difficult.
The other concern is with people who are designated as high risk and detained for longer periods in forensic psychiatric facilities. You're giving priority to people for scarce limited resources who may not pose the highest need or the most risk to the community, and most legitimately need that particular set of services.
In conclusion, the John Howard Society strongly supports the policy objective of limiting the harms caused by mental illness, both to the primary victims, those afflicted with the disease, and to others, including their family members.
Bill C-54, however, will not achieve that objective. It will impose labels inconsistent with therapeutic goals of treatment and public safety. It will remove therapeutic expertise by making the labelling and associated regime a judicial process or a judicial determination. It will require that limited psychiatric hospital space be allocated on the basis of the designation, and it will have the effect of compounding the serious challenges posed by those with mental health issues in the corrections system.
The real challenge for public safety is the number of inadequately treated prisoners with mental health issues who will be returning to communities. This is where as a society we need to marshal our efforts and our resources. The review board process for the NCR is working well and does not need, in our view, to be changed.
Thank you.