Public Safety committee  I will briefly address that. I'm not a clinician, so I couldn't tell you, based on a clinical view. The research supports integrated concurrent disorders treatment as a best practice and so supports dealing with both problems at the same time. I don't know sequentially how that

Public Safety committee  I'm sure there are, but they don't come to mind right now. The research generally recognizes the elevated risk among prisoners of suicide and self-harm—behaviours that have been covered in my report as well—and attempted suicides; however, the figures escape me currently.

Public Safety committee  The bodies of research from which I've mentioned that elevated risk are outlined in the report.

Public Safety committee  I'll talk just generally about that as well. This is also related to stigma, and health professionals feel the stigma. I work in the Forensic Psychiatric Services Commission in B.C., and the stigma inherent among forensic psychologists and forensic nurses dealing with this partic

Public Safety committee  I can't say specifically, but I can tell you that delivering treatment to people who want to be treated is easier than delivering treatment to people who don't want to be treated. That's certainly a factor as well.

Public Safety committee  Generally, the guidelines suggest that you don't isolate someone without contact with people when you're trying to prevent and manage suicide. So if you're talking specifically about suicide, the level of risk should indicate the level of supervision that somebody receives. The

Public Safety committee  No, it's not from direct experience; it's from the literature, which is very rich. There has been a lot of work done in developing minimum standards in this particular area and studying the effectiveness of what approaches work well. This has been identified in the research and i

Public Safety committee  Yes, they could be. My report just outlines them. They could be already applied. And it might be of interest to the committee that I'm aware that a recent federal-territorial-provincial committee on prisons and mental health has had a look at my report and has built it into a s

Public Safety committee  No. As I said, I'm a novice in terms of what's happening on the ground, and I'm not an expert. I'm an expert on very little, especially having to do with the operations of corrections.

Public Safety committee  Yes, and maybe I can provide you with a little bit of context around that statement. Like I said, I've been researching stigma for people who are legally mandated to attend treatment services in the community throughout B.C. and more specifically in Vancouver, including the downt

Public Safety committee  I follow two groups of people. One of them is in the general population. They are a civil mental health population who are on what some people call a community treatment order; in B.C., it's an extended leave. They are civilly committed to hospital and discharged to the community

Public Safety committee  I wouldn't say so specifically about my population, because once again, it's not an offender population, but is placing people in a correctional institution an alternative? Yes, it's an alternative. There are other alternatives as well. I don't think it's the only alternative.

Public Safety committee  It is, most definitely. Incarceration and a correctional system exist to protect the public, as well as to respect human rights and for general purposes of deterrence. There are a lot of sentencing principles in play here. One of them has to be that there is that sort of alternat

Public Safety committee  Thank you for the question. The problem that this particular “solution” addresses is a system-level problem with creating parallel correctional mental health services with other community-based services. Who pays for it? Who's responsible for it? This solution places the onus an

Public Safety committee  No.