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Choice over coercion: A call for voluntary care
Substance Use, In the News, Treatment Conditions Malachite Goudie-Groat Substance Use, In the News, Treatment Conditions Malachite Goudie-Groat

Choice over coercion: A call for voluntary care

Despite what many may think due to the recent spotlight on the expansion of involuntary treatment in British Columbia, involuntary treatment for substance use already happens in B.C. Given these discussions about expanding involuntary treatment in B.C. and in other parts of Canada, it is crucial to examine the human rights violations within the existing involuntary treatment system, the lack of evidence to support its effectiveness and the potential harms and ethical concerns.

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Seclusion and Restraints in BC:  What we know and what we don’t
Oversight, Treatment Conditions Malachite Goudie-Groat Oversight, Treatment Conditions Malachite Goudie-Groat

Seclusion and Restraints in BC: What we know and what we don’t

The use of seclusion and restraints is normalized in BC’s mental health system. BC’s Mental Health Act does not place any limits on when, how, or why someone can be subject to seclusion or restraints. Lived Experience Experts have shared that seclusion is often used in situations well outside those that could be considered a short-term emergency measure. We have gotten access to data on seclusion and restraint use through a Freedom of Information (FOI) request submitted in 2023. Part of acknowledging systemic harm is making it visible. Data collection and transparency is one of the most basic ways to bring the use of seclusion and restraints into the light. It is a necessary first step towards evaluating a system with few limitations and safeguards.

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Expand choice-based and non-coercive services, not involuntary treatment
Treatment Conditions, Guiding Principles Malachite Goudie-Groat Treatment Conditions, Guiding Principles Malachite Goudie-Groat

Expand choice-based and non-coercive services, not involuntary treatment

Conversations about involuntary treatment must address its consequences: people are afraid and discouraged from seeking help from the system because of the harm it can cause. To build trust in the system, we must take a holistic approach and offer choice so that people can choose interventions that work for them. Involuntary treatment should be a last resort.

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The Realities of Involuntary Treatment with Brain Injury
Treatment Conditions, Brain Injury Malachite Goudie-Groat Treatment Conditions, Brain Injury Malachite Goudie-Groat

The Realities of Involuntary Treatment with Brain Injury

The lack of awareness and focus on brain injuries while in involuntary treatment by medical practitioners, including those in mental health, and by policy makers and legislative decision makers undermines the care that people with brain injuries need by jeopardizing their health further and violating human rights. The information graciously shared here is from a Lived Experience Expert that has been actively involved in brain injury awareness, research, community care, advocacy in BC, and navigation of their own medical journey. Learn more about what is missing in the care of someone with a brain injury, its impacts, and what is needed to improve care.

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