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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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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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