Good afternoon, Mr. Chair and committee members.
I am here today to ask for your consideration of my experiences in dealing first-hand with the mental health system in the province of Ontario, specifically related to “not criminally responsible” and its designation. The background I have to give you on this is a minute or so long.
I have a brother who is currently in the mental health system, having been determined to be not criminally responsible on two counts of second-degree murder. First-degree murder was not substantiated to the court's definition. He was withdrawn by nature, being a paranoid schizophrenic. It was, however, undisputed that the murder weapon used to kill the victims was taken from his house, some three-eighths of a mile from where the index offence occurred, on June 19, 1997.
The victims were my parents, Fred and Agnes Shreeve, who were in their mid-seventies at the time. The murders were extremely heinous in nature, both involving multiple stabbings causing death, with blunt force trauma, and post-death, strangulation and drowning in both of them. My brother's stay in the maximum secure unit at Oak Ridge, in Penetang, Ontario, began in the late 1990s. He has been in the medium secure unit at Ontario Shores in Whitby for the last six years.
My sister and I were in daily contact with the police as they investigated, with up to 24 officers involved in the investigation in the days after the index offence. We remained in contact with the police throughout their investigation and report prior to legal proceedings. I attended my brother's trial, his not criminally responsible hearing, and all but one of his review boards, both at Oak Ridge and at Ontario Shores.
I have yet to speak to my brother. However, I have been and continue to be his guardian regarding medication. Where options were provided to me, I have consciously made decisions along the way that resulted in medications that were more kind to his body. I have consistently offered to be available as a resource to provide some background history. I have consistently voiced my very deep concerns for my family's safety and also have reiterated my willingness to assist where it may be helpful.
I have a number of experiences that I would like to share with you.
Neither I nor the parents I represent have any standing at review board hearings. The crown attorney has respectfully asked for my thoughts and issues that I would like them to bring up on my family's behalf. I sit behind the crown attorney, as I am not afforded a seat at the table. I have been politely recognized for my attendance at past review boards. At past review boards, the crown has been spoken to strongly when they have restated my family's deep concern for our own safety, the chair indicating to the crown that the review board members were capable of reading and therefore did not need to be reminded of the family's concern for their safety.
I ask for status at the review board hearing to be available to the victim or the family of the victim, to be part of the discussion at their option.
Second, I observed over the time that my brother has been in the system a dilution of the briefs of the index offence and the background. There is no one on his treatment team who could locate or speak about any of the facts of the court proceedings. The trial brief and in-depth police report of some 2,500 pages, including, of course, many pages of photographs, had not even been read by one member of his treatment team. Further, when I inquired about this recently, I was informed that the court documentation and the police synopsis and briefs are not part of his file, as “this is a hospital”.
I ask that in index offences, particularly involving murder, the treatment team have a representative assigned to be knowledgeable on the facts and the documentation of the case, particularly the time around the index offence, as a point of reference, if for no other reason. As I indicated earlier, there were 24 police officers involved in the investigation. There was an awful lot of good work that went into this.
Third, I recently asked for the brief as it was presented last year so I could offer corrections to it. I was told that my brother's permission would be necessary for me to obtain a copy of it.
I ask that victims or their families have the right to pertinent documents without requiring notification of the accused.
Fourth, at the end of the proceedings that included both the trial and the not criminally responsible hearing, the court ordered that the local police service and the landowners of the properties related to the index offence were to be notified in the event that my brother was to be transferred or moved. I asked about this after my brother was moved from the maximum secure unit at Oak Ridge to the medium secure unit at Ontario Shores. These are both in Ontario. I distinctly remember being told something to the effect that “it was not their business”.
I remember this only because it was in direct contradiction to what the court requirement was, as I had input into what the crown requested and was granted at the end of the trial and the NCR hearing.
I ask that court orders be given strength so that someone is responsible, with real consequences. The court order was made as a result of the trial and the NCR hearing, backed up by 18 months of police and crown attorney work. It was not made without due consideration of the facts.
Fifth, my brother had the consistency of having the same lawyer as counsel for eight to ten years. His early clinical reports at Oak Ridge indicated that he did not attend any group events or participate in any activities. Over the years, he began to participate in group events and undertake very limited participation, listening to his lawyer's advice. Every year my brother's compliant behaviour was championed, even though there was very little psychiatric progress to understand how his mind worked.
I ask that good behaviour be recognized in its proper context, that it is, in fact, a small part of the formula to be cascaded down to the next level, particularly in index offences involving murder.
Sixth, last year his psychologist had no background information on my brother's behaviour prior to the index offence that he had committed at 40 years of age. She seemed unaware that he had no record of involvement with the local police, or that no physical altercations had occurred with my parents, while she very strongly advocated that he was not a management risk. My point here is that there was no prior activity or no prior violence.
It appears she was unaware that the psychiatrist at Oak Ridge in 2008 pointed out very clearly that my brother was a very unique individual, displaying none of the common symptoms of paranoid schizophrenia, of which he has been diagnosed. He also made it clear that, in his opinion, Mr. Shreeve will require a long period of living in a medium secure hospital unit. As a result, perhaps his model patient status, which the psychologist championed so highly, should have been discounted substantially or viewed with the background information to have a proper perspective.
I ask that a clear understanding that there is real progress on psychiatric understanding be recognized in its proper context, that it is in fact a proportional part of the formula to be cascaded to the next level, particularly in index offences involving murder.
Seventh, he was asked by one of his team members a few years ago if he had any interest in his siblings. There was a list of names found during the police investigation, brought up at trial. His response was no. I'm in disbelief that this has formed part of the basis for the psychologist's reasoning for strongly advocating that he be moved on to minimum secure. My name was on that list. The names of my siblings were on that list.
I ask that “least restrictive environment” be recognized proportionally to victims' rights, as well as the severity of the index offences, particularly index offences involving murder.
Eighth, in contemplating the move from Oak Ridge to Ontario Shores in 2007, no one in attendance could speak to how my brother's daily routine would be impacted. From what I gather, in many ways his daily routine is more restricted, not less. For example, now he has to be escorted off the unit to go to the cafeteria, as it is off the ward. At Oak Ridge he was free to go to the canteen on his own, as it and many other services and activities were all secure.
I ask that a member of the hospital team present at the review board hearing have a clear understanding of the setting that the patient may be moved into, and be available for the review board so that informed decisions can be made, rather than presuming, for example, that medium secure is less restrictive than maximum secure.
Ninth, the proposed legislation has discussion regarding the creation of a high-risk designation. It must be that the criteria for determining this designation be fairly designed, understanding that victims' rights also have a very significant place. This, considered with the risk to treatment teams, family members, and the general public, must also be given balanced consideration. Reliance on psychiatrists' professional opinions on the real rehabilitation progress of the accused must take precedence over good behaviour.
This process must also recognize that unique cases like those of my brother must have a different method of analysis—i.e., the above-noted reference to Oak Ridge diagnosis that my brother is a very unique individual, displaying none of the common symptoms of paranoid schizophrenia, of which he has been diagnosed. This is especially important when the standard testing scores are in the most acceptable range.
I ask that the development of criteria for determining a high-risk designation balance all of those affected both directly and indirectly, not just the accused, and accommodate properly unique circumstances.
Recently there has been press given to strengthening victims' rights. From my perspective, in the number of years that I have attended review board hearings, victims' rights have had precious little or no weight, while the term “least restrictive environment” has dominated every review board I have attended. Good behaviour has been recognized, while very little ground has been covered on the psychiatric side, resulting in constant pressure to cascade my brother along in the system.
I have been told to prepare for his eventual reintegration into society. The crown attorney has noted very clearly that my brother is an individual who just wants to be left alone.
Court orders regarding the whereabouts of my brother in order to notify the landowners and local police forces at the location of the index offence have been ignored, the implied recognition of my brother's rights deemed more important. There seems to be a real disconnect between the legal and policing systems and the health care system, whereas they should be working cooperatively.
In summary, I request your consideration of the above-noted things that I have observed in the mental health system. While they are specific to my experience, I expect that there are many commonalities. I would like to make it clear that the safety of my brother remains paramount, as well as the safety of our family, those who work in the health care system, and those who are in regular contact with him, as well as the public at large. While rehabilitation into society on some level is the goal for many of our citizens, it must be recognized when doing so will not be realistically attainable.
I thank you for the opportunity to be here today.