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Medical Assistance in Dying committee I am here.
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee Thank you for the opportunity to provide my perspective. I'm a physician with 14 years of tertiary experience in emergency psychiatry involving suicidality, and I'm a researcher, teacher and expert in suicide and suicidology. It's really important to note that what most peopl
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee Absolutely. I think it's a big problem. When we test the limits of psychiatric science, we have to do that on the positive and negative. If we can't say 100% for certain what's going to happen, we also can't say that treatments will be 100% effective. This is why we put the patie
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee In a previous meeting, Dr. Derryck Smith emphasized the importance of not focusing so much on a diagnosis but on the patient. The patient's experience could very much be untreatable and incurable, and many of the treatments we offer them may or may not work. Our ability to cure e
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee Just to follow up on that point, I think neurostimulation and older medications are all things that.... I've practised ECT and I've seen some pretty incredible responses. That being said, ECT is a daunting prospect for a patient. It has a number of benefits and side effects. So
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee I'd simply answer yes, and unequivocally yes. This is the core part of psychiatric training. I understand the need for good scientific analysis, but there are many reasons why the science in this area is difficult to conduct. All the best science we have points towards a very cle
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee Yes. I have done these analyses. I've actually submitted the evidence to the committee. There is no evidence to support the notion that suicide rates have increased in countries that have adopted MAID, nor in states that have adopted MAID. I have submitted that evidence to the co
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee Thank you for the question. I provided that evidence in my brief to the committee. There has been no significant change to suicide rates since the implementation of MAID, despite many proclamations that it would increase, by supposed experts, prior to the passing of MAID. It rem
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee There are so many factors that go into a nation's global rate. Whenever we look at a large population rate like the Canadian average, we're including a number of people with a number of different experiences. I'm always careful to not make a positive claim where one doesn't exist
May 26th, 2022Committee meeting
Dr. Tyler Black
Medical Assistance in Dying committee I think the report was excellent. I read it and I find that I agreed with most of it. I found it was a pretty good summary of the expertise we currently have on the issue.
May 26th, 2022Committee meeting
Dr. Tyler Black
Health committee I thank the chair and the members of the committee for the honour of the invitation and this opportunity. As an introduction, I'm a clinical assistant professor and subspecialist child and adolescent psychiatrist. I've been in practice for 14 years. I was a medical director for
November 3rd, 2022Committee meeting
Dr. Tyler R. Black
Health committee Thank you for the question. I'll start. Contrary to that sort of feeling, we're not seeing increases in youth addiction. In fact, kids are using less substances over time. It has been going down. When you do a survey of kids, the number of kids who use certain substances goes do
November 3rd, 2022Committee meeting
Dr. Tyler R. Black
Health committee We have lots of dedicated and hard-working people, and I think it would be fair to say that we need more. I work in a tertiary hospital where there are a certain number of hospital beds, but there's a group of children who aren't sick enough to require full hospitalization. They
November 3rd, 2022Committee meeting
Dr. Tyler R. Black
Health committee I think when we're working with children, especially in the teenaged years, we often have to recognize how important it is at that stage of their life to figure out who they are, what they're doing and to have autonomy and responsibility. That means, as a parent, when you have th
November 3rd, 2022Committee meeting
Dr. Tyler R. Black
Health committee Absolutely. I think that psychiatry and medicine and, generally, colonizing society has to come to grips with the fact that there's been significant trauma and mistreatment delivered to indigenous families on the basis of care. Indigenous families need a voice at the table. It's
November 3rd, 2022Committee meeting
Dr. Tyler R. Black