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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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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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Slowing down to move ahead: How we work is just as important as what we do
Announcements Malachite Goudie-Groat Announcements Malachite Goudie-Groat

Slowing down to move ahead: How we work is just as important as what we do

There are many well known and problematic dynamics in the non-profit sector that we did not want to replicate in the creation and continuation of Health Justice. This means ensuring both the leadership in Health Justice, and our work as a whole, centers those with lived experience and is modeled in a way that we advocate for our health care system to be modeled.

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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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