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Why does gender matter in mental health law and services?
Gender Equity, Oversight Malachite Goudie-Groat Gender Equity, Oversight Malachite Goudie-Groat

Why does gender matter in mental health law and services?

Binary ideas of gender, sex and sexuality have resulted in inequity for cis and trans women and girls; Two-Spirit, trans, and non-binary people; and other gender-diverse people. The health system, and mental health system in particular, has a long history of pathologizing people who do not conform to the current norms, social roles, and behaviours expected in relation to gender, or erasing and ignoring their health needs and concerns.

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Who is impacted by BC’s Mental Health Act?
Data, Unpacking Assumptions Malachite Goudie-Groat Data, Unpacking Assumptions Malachite Goudie-Groat

Who is impacted by BC’s Mental Health Act?

Collecting and having access to transparent data when considering who experiences involuntary treatment is not only useful in seeing the impacts and any potentially harmful trends in order to be able to address them, but also it is an incredibly important tool in combatting common misconceptions about those who are involuntarily treated. An absence of information can contribute to leaving space for people to perpetuate harmful stereotypes and hold damaging ideas of those who are being involuntarily treated. It can also create space for those in power to play off of people’s fears that are based in misconceptions instead of reality, leading to decisions being made without consulting people with lived experience expertise who are impacted by those decisions.

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Charter challenge to deemed consent in BC: What does this mean?
Announcements Malachite Goudie-Groat Announcements Malachite Goudie-Groat

Charter challenge to deemed consent in BC: What does this mean?

In May 2025, a trial to consider a Charter challenge to the deemed consent regime in the BC Mental Health Act will begin in BC Supreme Court. Health Justice has been granted leave to intervene to present our unique organizational perspective to assist the Court in considering the issues raised in the case. BC is the only province or territory in Canada that uses a deemed consent regime. So what is deemed consent and what is the Charter challenge about?

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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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Our Response to Chief Scientific Advisor’s memo on involuntary treatment and substance use
Announcements Malachite Goudie-Groat Announcements Malachite Goudie-Groat

Our Response to Chief Scientific Advisor’s memo on involuntary treatment and substance use

On March 12, 2025 the Office of the Chief Scientific Advisor for Psychiatry, Toxic Drugs, and Concurrent Disorders issued a guidance memo intended to improve health care for people who suffer from “overlapping mental-health and substance-use challenges, including brain injuries from toxic-drug poisonings.” While there is no doubt that BC needs to take urgent action to better support the needs of people experiencing mental health and/or substance use-related health issues, it is unclear why the province continues to focus a disproportionate amount of time and resources on involuntary approaches. In addition, we have a number of concerns about the memo and the process used to develop it.

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