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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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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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What should oversight and accountability look like in a mental health system?
Oversight Malachite Goudie-Groat Oversight Malachite Goudie-Groat

What should oversight and accountability look like in a mental health system?

Regardless of what your opinion is on the effectiveness and ethics of involuntary treatment, any law that authorizes serious powers over people must be accompanied by accountability and oversight of those powers. When someone experiences detention and involuntary treatment, we need ways to be sure they will be treated with respect and dignity and that there are ways to address improper use of power.

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Regarding recent announcements on involuntary treatment in BC
Announcements, Media Malachite Goudie-Groat Announcements, Media Malachite Goudie-Groat

Regarding recent announcements on involuntary treatment in BC

Regarding the recent announcements on involuntary treatment in BC, people with disabilities and mental health and substance use health issues are being used for political football. These recent debates on involuntary treatment have been intensely political, partisan, and rely on old tactics: ramping up public fear, dehumanizing some members of the public, and doubling down on stereotypes.

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What to Know about the Mental Health Review Board’s 2023/24 Annual Report
Access to Justice, Updates Malachite Goudie-Groat Access to Justice, Updates Malachite Goudie-Groat

What to Know about the Mental Health Review Board’s 2023/24 Annual Report

The Mental Health Review Board recently released its 2023/24 Annual Report, which provides us with some insights into how people detained under the Mental Health Act are accessing detention reviews. Last year we highlighted that applications and review panel hearings unfortunately went down, but the good news was that fewer patients were conducting hearings without legal representation. Let’s look at how the latest numbers compare.

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