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Medical Assistance in Dying committee  That's a difficult question to answer, because we are still five months away, and the rate of activity to get ready continues to accelerate. We continue to see people engaging around this, and systems of care are beginning to evolve around it. That's where it's challenging to say

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  Was that directed to me?

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  That's a great question, and I think there is a lot of debate about that. First of all, I think if we were all living in a perfect health care system, we would assume that people have quick access to an assessment at the onset of suicidality and would ensure they have rapid acce

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  Thank you for that question. I'm just reflecting on it as an individual. I work in Ontario, which is a complicated province. There are lots of different health care systems there. I think there is still work to be done at a local level to ensure that the entire system has creat

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  Those are great examples, and a couple that I would have raised. The rTMS would be another one. These are active, new practices and innovative aspects of psychiatric treatment and care. There are a limited number of people who have expertise in them. The CPA becomes involved beca

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  The 33% who are in favour....

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  I think a number of different surveys have been done, and I don't think any survey had 100% of psychiatrists in favour of doing that. There could be all kinds of different reasons for that. It could be how the questionnaire was set up, or it could be people not having enough trai

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  I would say that we are continuing to try to provide opportunities for people to increase their understanding and awareness. We are making available a connectivity to the curriculum that has only just come out. I think there are an increasing number of places where psychiatrists

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  I think it's a really important question. It's something separate from this issue, but the CPA would advocate on the importance of access and on how we build it. I think the use of telepsychiatry is an important step in helping to improve access for people in rural and northern a

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  Again, where there are requirements for consultation with an expert, I believe psychiatrists are prepared to do that. It is part of their core business to provide expert consultation around key areas of diagnosis, review of treatment plans, capacity assessments, suicidal assessme

November 7th, 2023Committee meeting

Dr. Alison Freeland

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  No, I am not sure about that.

November 7th, 2023Committee meeting

Dr. Alison Freeland

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  Can I reframe that? We do have Quebec members who are part of the CPA and the AMPQ. My apologies.

November 7th, 2023Committee meeting

Dr. Alison Freeland

Medical Assistance in Dying committee  I would agree with that. There are a lot of examples, both in mental health and in medicine at large, where not everyone is part of a new thing that comes out. Not everyone is trained to do everything in all aspects of health care.

November 7th, 2023Committee meeting

Dr. Alison Freeland