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Public Safety committee  You're asking a lot, but thanks for the compliment at the beginning. What I would be advocating for is that there are facilities where...and there's one in Ontario, the Secure Treatment Unit. It's a provincial psychiatric hospital within a correctional facility. Now, one of the

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Some do, but we don't.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Here in Ottawa. We deliberately don't, because in my opinion, when you're dealing with a psychiatric issue you can deal with that person by chemically and physically restraining them and one-on-one supervision without shutting them in a room by themselves. We have been able to m

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  You need to be able to use the provisions under the Substitute Decisions Act or emergency provisions that allow you, as the person's treating physician, to act in their best interest. You need things available to you as a hospital facility to do that legally.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  That is a hospital, yes. It's the St. Lawrence Valley Secure Treatment Unit in Brockville. It's a provincial facility, but our organization runs it, runs the psychiatric piece of it within Corrections. It is actually a psychiatric facility.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Yes, and they run it similarly, except that it's one big conglomerate with small pieces with various types of offenders within it. But yes, it's a very interesting model.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  They're pretty much equivalent. I've been to both. They're similar. It depends. In Saskatoon, you want economies of scale by putting everything together. Here we don't necessarily need that, because we have larger populations.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Do you want me to comment on cognitive delay impairments and mental health?

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Okay, you mean mental health and addictions. I won't comment then... Well, actually, I will comment. We often have people we would like to see be part of a drug treatment program, but we don't think, with their mental health issues, they can manage to handle that program. We end

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  In mental health court it's very different. It depends on the court. We will take all comers, pretty much. Drug treatments are different because they're dealing with the federal funder.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  I might actually have to ask Mr. Moffat to comment. I think ultimately the way most of these courts are set up, in the end, the crown is going to be the one that agrees or that pilots the diversion piece or the favourable legal outcome. In mental health court, we don't have a lot

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Right, and I apologize; I don't know what material you were given. I didn't see it. There are two different issues. One is the person's mental state at the time of the offence, and that is related to criminal responsibility. The second is their fitness to stand trial, which is

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  The short story is that there isn't one, the main difference being that the Controlled Drugs and Substances Act is federal, so it makes it much easier, whereas none of the mental health stuff comes in there. It's quite ad hoc, although I'm starting to see signs at a provincial le

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  Yes, and it's the whole cross-ministry thing at the provincial level. There are so many ministries involved, and it makes it very difficult for anyone to step up to the plate.

December 8th, 2009Committee meeting

Dr. Helen Ward

Public Safety committee  I think it's important to get behind anti-stigma measures. I would also be looking at curriculums in various training programs for social workers, for criminologists, etc., and what they have to offer. You might want to be looking at supporting more co-op placements. We do co-op

December 8th, 2009Committee meeting

Dr. Helen Ward