Psychiatry in the federal correctional system in Canada
- PMID: 34287397
- PMCID: PMC8274403
- DOI: 10.1192/bji.2020.56
Psychiatry in the federal correctional system in Canada
Abstract
The unique challenges of the correctional healthcare environment are well-documented. Access to community-equivalent care, voluntary informed consent of offenders with mental disorder, violence risk, suicide risk, medication misuse, and clinical seclusion, confinement and segregation are just a few of the challenges faced by correctional psychiatric services. This paper shares experiences for dealing with the ongoing challenges for psychiatrists working in the field. It provides an overview of the current state of mental healthcare in the federal correctional system in Canada, the legislative framework and initiatives aimed at addressing the healthcare needs of federal inmates.
Keywords: Canada; Corrections; mental health; prison; psychiatry.
© The Author(s) 2020.
Conflict of interest statement
C.C., N.K. and A.B. are employed by Correctional Service Canada. Supplementary materialFor supplementary material accompanying this paper visit http://dx.doi.org/10.1192/bji.2020.56. click here to view supplementary material
References
- 
    - Konrad N, Welke J, Opitz-Welke A. Prison psychiatry. Curr Opin Psychiatry 2012; 25: 375–80. - PubMed
 
- 
    - American Academy of Psychiatry and the Law. AAPL practice resource for prescribing in corrections. J Am Acad Psychiatry Law 2018; 46(suppl 2): S2–50. - PubMed
 
- 
    - Corporation of the Canadian Civil Liberties Association v Her Majesty the Queen. 2017 ONSC 7491 (https://ccla.org/cclanewsite/wp-content/uploads/2017/12/Corp-of-the-Cana...).
 
- 
    - British Columbia Civil Liberties Association v Canada (Attorney General). 2018 BCSC 62 (https://www.bccourts.ca/jdb-txt/sc/18/00/2018BCSC0062.htm).
 
- 
    - Department of Justice Research and Statistics Division. 2 Statistical overview on the overrepresentation of indigenous persons in the Canadian correctional system and legislative reforms to address the problem. In Spotlight on Gladue: Challenges, Experiences, and Possibilities in Canada's Criminal Justice System (date modified: 4 Dec 2019). Department of Justice, 2017. (https://www.justice.gc.ca/eng/rp-pr/jr/gladue/p2.html).
 
Publication types
LinkOut - more resources
- Full Text Sources
 
        