Mr. Speaker, to resume, Bill C-6 proposes a number of offences. Some protect everyone affected by conversion therapy and others specifically protect children. Everyone would be protected by Bill C-6 offences that propose to criminalize profiting from conversion therapy, as well as advertising and offering to provide it. These offences would reduce the availability of conversion therapy, as well as its discriminatory public messaging. That is intended to prevent Canadians from being subjected to this heinous practice.
Critically, Bill C-6 takes a strong stance on protecting children from conversion therapy. It would criminalize causing minors to undergo conversion therapy and removing minors ordinarily resident in Canada from Canada to undergo conversion therapy abroad.
In short, Bill C-6's protections for children are comprehensive. They amount to a complete criminal law ban. This approach is directly responsive to the lasting damage that conversion therapy is known to cause children. Evidence shows that efforts to change an adolescent's sexual orientation are associated with multiple indicators of poor health and adjustment in young adulthood. Specifically, such attempts to change a fundamental part of who a young person is are associated with elevated young-adult depressive symptoms and suicidal behaviour, and with lower levels of young-adult life satisfaction, social support and socio-economic status.
We know that conversion therapy is associated with multiple domains of functioning that affect self-care, well-being and adjustment. We also know that youth are particularly vulnerable to being coerced or compelled to receive conversion therapy. The American Psychological Association noted, in its 2009 systemic review of peer-reviewed literature on conversion therapy, that coercive intervention and residential centres for youth pose serious concerns “due to their advocacy of treatments that have no scientific basis and [their] potential for harm due to coercion, stigmatization, inappropriateness of treatment level and type, and restriction of liberty.”
The association noted that such interventions:
...may pose serious risk of harm, are potentially in conflict with ethical imperatives to maximize autonomous decision making and client self-determination, and have no documented benefits.
We know that children are often subjected to the most invasive forms of conversion therapy, while at the same time being least likely to have the power or authority to oppose undergoing it. They are also the most vulnerable to conversion therapy harm. The research tells us that those formative years, when a youth develops and explores their identity, may be determinative of their future well-being. Messaging that their identity or sexuality is wrong, in efforts to seek to determine their identity for them, particularly at this early stage in life, may lead to serious psychological harm or even death by suicide.
Bill C-6 responds to this disturbing evidence with its proposed offences that would protect all children under the age of 18 from conversion therapy harms. Bill C-6 sends a clear message by carving out a protected space for children to grow and develop. It tells Canadians the truth: that dictating to children who they should be harms them. It should never be done. Significantly, Bill C-6 also ensures legitimate support for youth who express uncertainty about their sexual orientation or gender identity would not be unintentionally captured by criminal law. This is because legitimate therapies and interventions for children and others, for that matter, involve providing support and acceptance for the person's self-definition without dictating a particular result. Legitimate support is provided in an environment that accepts difference.
The American Psychological Association's 2009 report recommends that adolescents’ exploration of identity should be supported by:
accepting homosexuality and bisexuality as normal and positive variants of human sexual orientation,
accepting and supporting youths as they address the stigma and isolation of being a sexual minority,
using person-centered approaches as youths explore their identities and experience important developmental milestones (e.g., exploring sexual values, dating, and socializing openly),
reducing family and peer rejection and increasing family and peer support.
Perhaps even more helpful than describing legitimate therapies for youth and distinguishing them from the harms of conversion therapy is the American Academy of Child and Adolescent Psychiatry's statement on conversion therapy, which clarifies that:
Comprehensive assessment and treatment of youth that includes exploration of all aspects of identity, including sexual orientation, gender identity, and/or gender expression is not “conversion therapy”. This applies whether or not there are unwanted sexual attractions and when the gender role consistent with the youth’s assigned sex at birth is non-coercively explored as a means of helping the youth understand their authentic gender identity. In the presence of...distress related to incongruence between gender identity and sex assigned at birth, the standard of care may involve exploration of living in a different gender role.
I wholeheartedly agree, and nothing in Bill C-6 would capture the legitimate therapies and treatment that I have just described. This is because the Bill C-6 definition of conversion therapy only captures practices, treatments or services designed to effect a particular result. Changing a person's sexual orientation to heterosexual, or gender identity to cisgender, does not capture therapies or interventions for other purposes, such as to support a person in their own identity without requiring a particular result.
I am certain that Bill C-6 would make a significant contribution toward creating an environment that fosters the healthy development of all children who may be questioning, developing or exploring their sexual orientation or gender identity.