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Irwin Cotler

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Policy Should Not Mistake the Mentally Ill for Criminals

Posted: 03/01/2013 12:02 pm

Today the House began debating C-54, the Not Criminally Responsible Reform Act. From the Prime Minister's recent announcement of the legislation, one could easily get the impression that Canada is overrun with dangerous psychopaths and that Canadians should be fearful.

Yet, the available evidence indicates that very few mentally-ill people commit violent acts, even fewer are found not criminally responsible (NCR), and only a miniscule percentage of those found not criminally responsible (NCR) reoffend after treatment. Indeed, while high-profile cases of horrific acts have attracted much media attention, the reality is that these cases are exceptionally rare and these reforms have more to do with public perception than public safety.

We can all agree that the safety of the public -- and the well-being of victims and their families -- must be of primary importance in our justice system. For that reason, as Minister of Justice in 2005, I introduced reforms to the NCR regime which, among other measures, provided victims with the opportunity to give impact statements at review board hearings. These reforms were passed unanimously by Parliament, and we should remain open to further fine-tuning of the system if it is warranted, but such refinement must be based on the facts.

And the facts are as follows: According to a report prepared for Canada's Department of Justice, in 2004 -- the last year studied -- only 0.18 per cent of all criminal cases resulted in a finding that the accused was either NCR or unfit to stand trial for reasons of mental incapacity. Further, a Canadian study from 2003 puts the recidivism rate for people who have been found NCR, treated, and released, at just 7.5 per cent. In short, this bill focuses on less than 10 per cent of a group that is less than one per cent of those criminally accused. By contrast, those who are not NCR and serve in Federal prisons have a reconviction rate greater than 40 per cent.

Moreover, this bill misses the crux of the problem altogether. Rather than making largely unnecessary -- and potentially counter-productive -- changes to the way we deal with mentally-ill people who have committed violent acts, we would do far more to protect the public by intervening to prevent such violence in the first place.

It is in this respect that our system needs reform. According to the Schizophrenia Society of Canada, the most effective way of preventing violence by people with mental illness is early identification, intervention and treatment. To that end, we could take measures such as expanding the reach of First Episode Psychosis Clinics, institutions specifically designed to help young patients and their families deal with mental illness in its early stages. Regrettably, too many people wait years before receiving treatment, either because their symptoms go unrecognized, or because they fear the stigma associated with mental disease.

By overstating the problem of violence by the mentally ill -- and by understating or ignoring the potential effectiveness of treatment -- the Government contributes to that stigmatization. Far from protecting Canadians, this may make people with mental illnesses more reluctant to get help.

In addition, by tripling the time period between reviews -- among other measures -- the NCR reforms in bill C-54 may cause NCR inmates to remain in custody even after successful treatment. Apart from raising Charter concerns with respect to arbitrary detention, this could result in people with mental health problems being less likely to plead NCR, and more likely to end up in jail. When such people are returned untreated into society after serving a prison sentence, they will undoubtedly be a significant public safety risk.

The realities of public safety, however, appear far less important to the Government than those of public perception; indeed, Kerry-Lynne Findlay, the Parliamentary Secretary to the Minister of Justice, has all but admitted as much. Appearing on CBC, she said with respect to the recidivism rates of NCR accused, "I'm not aware that there are any particular statistics available on that; I'm not sure that's what this is about." Yet, if legislation is to protect the public against a particular threat, information regarding the extent of that threat is fundamental. Otherwise, we are legislating based on fear and gut instinct. For that reason, I have asked the Government for the most recent data in its possession about the treatment of people found NCR, and the way they are dealt with in our justice system.

Simply put, all the available statistics indicate that mental illnesses are treatable, review boards are thorough, and recidivism rates are low. As a matter of public safety, therefore, Bill C-54 would appear to be unnecessary, potentially counter-productive, and an open invitation to Charter challenges.

Rather than letting fear and stigma rule the day, let us seek evidence-based and effective legislation -- Canadians deserve no less.

Irwin Cotler is the Liberal Justice and Human Rights Critic and the former Minister of Justice and Attorney General of Canada. He is a Professor of Law (Emeritus) at McGill.

Loading Slideshow...
  • In any given year, one in five people in Canada has a mental health problem or illness.

  • Of the 6.7 million people who have a mental health problem, about one million are children and teenagers between nine and 19 years old.

  • Mental health problems cost at least $50 billion a year, or 2.8 per cent of gross domestic product, not including the costs to the criminal justice system or the child welfare system.

  • In 2011, about $42.3 billion was spent in Canada on treatment, care and support for people with mental health problems.

  • Mental health problems account for about 30 per cent of short- and long-term disability claims.

  • If just a small percentage of mental health problems in children could be prevented, the savings would be in the billions.


 
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08:09 AM on 03/05/2013
Some of the victims of these horrific crimes were used as props while C-54 will likely create more victims....government members cannot point to the evidence that supports the creation of this bill...this is why we need an unbiased senate or at least one with a conscience.
09:14 AM on 03/04/2013
It is shameful that in this day and age we have a government who will trash the mentally ill for political gain. The public is ignorant about the treatment of mentally ill perpetrators and is outraged if those who commit serious crimes ever see the light of day again. People who understand the system as it is, appreciate the fairness that it is based on. They go to a special custodial hospital and they are entitled to regular hearings wherein the question to be addressed is whether they are still a danger to the public. If they respond to treatment they can eventually regain freedom. The victims feel this is unfair and scream for tougher treatment. However the system is fair as any progress is based on the compliance and wellness of the perpetrator. It is the best argument for forced treatment of the mentally ill I can imagine as many many get better and reenter society. Harper wants a system that doesn't depend on their condition and progress. He wants to see them do time which is pure punishment. For being mentally ill. He is pandering to the victims who understandably are hurt and angry. But they should be educated rather than pandered to. His bill is nothing short of shameful. The right of the mentally ill to be treated decently if they commit a crime is your right and my right should we ever become victims of mental illness and commit an offense. These rights should be protected.
06:12 PM on 03/02/2013
Jailing the mentally ill has gone on for many decades. Progress with the treatment of the mentally ill seems to be expensive until you look at the costs of not treating them. They may need supervision to be sure they stay on their meds and continue to see a professional. If society doesn't demand this it wil contiue to pay the price for crimes committed by the insane and they can be gruesome and are not predictable and not compensatible. The costs are the price of police, of courts and of jails and prisons.
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HUFFPOST BLOGGER
DJ Jaffe
Founder, Mental Illness Policy Org.
09:38 AM on 03/02/2013
Mental illnesses may be treatable but only work if the patient accepts them.
http://mentalillnesspolicy.org
12:33 AM on 03/02/2013
Policy Should Not Mistake the Mentally Ill for Criminals

"The" mentally ill? What a curious assertion.
08:55 PM on 03/01/2013
Harper and evidence-based policy? That's a paradox if I ever heard one.
08:35 PM on 03/01/2013
Many thanks to Irwin Cotler for pointing out the need for expanding the number of early psychosis intervention programs. These evidence based treatment programs offer the best opportunities for young people to learn to manage their illnesses and create fulfilling lives. However, we need to remember other obstacles to connecting people to these programs. Canada lacks a public education program about psychotic illnesses; family and friends don't recognize the early signs of schizophrenia or bipolar disorder, and, if they do, they don't know what next steps to take to connect people to the best treatment. Also important to remember is the fact that many programs training mental health clinicians (e.g., social workers, counselling psychologists) don't offer science based curriculum on psychotic disorders; therefore, even these mental health professionals often don't understand what they are seeing or how best to respond. In recent years, there's been a growing movement to view all 'mental health problems' as arising from social adversity. This approach to normalizing mental illnesses just leads to people with psychotic brain disorders not getting the treatments that actually let them rejoin society.
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Diane Weber Bederman
05:03 PM on 03/01/2013
Pictures of mentally ill people tend to be of those who have committed heinous crimes. We are primed to fear.
I cannot understand the purpose of this legislation except to placate victims of these horrible events. But that won't stop future events. Seriously mentally ill people will not see incarceration as a deterrent to their acts because they are not thinking clearly. They lack control over themselves.
The money we would spend on incarceration would be better spent on preventive care. We need more therapists covered by insurance. We need to change the rules regarding age of majority.
We need more empathy.DWB
02:14 PM on 03/01/2013
evidence based legislation is anathema to this government ----it thrives on red meat for the base
06:01 PM on 03/02/2013
Therainisgone it needs raw red meat, prefferably with the fur on it and still twitching.
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arachne646
No more hurting people--Peace
03:35 PM on 03/03/2013
Why would you say that? trig made the point that Irwin Cotler pointed out lots of hard facts about serious psychotic mental illness and criminal law, but the CPC government's legislation seems to have nothing to do with science or fact: not an uncommon occurrence. It would seem that Conservative legislation is moulded more to appeal to the targets of fundraising or to cynically appeal to voters.
01:58 PM on 03/01/2013
What a surprise! The Harper government debating (and potentially passing) more policy that counters current evidence...and further undermine the dignity and rights of Canadian's with mental-illness.
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01:16 PM on 03/01/2013
"For that reason, as Minister of Justice in 2005, I introduced reforms to the NCR regime which, among other measures, provided victims with the opportunity to give impact statements at review board hearings."

You really took the bull by the horns there, didn't you?