Showing posts with label Carol Tooton. Show all posts
Showing posts with label Carol Tooton. Show all posts

Saturday, August 15, 2009

System failing mentally ill in jails: experts


An article published in today's edition of The National Post:

Phase one of inquiry into Taser death ends

By Megan O'Toole

Phase one of an inquiry into the death of a Nova Scotia man who was Tasered while in police custody ended yesterday, and experts say the process has underscored a dire need for changes in the treatment of mentally-ill prisoners.

After five weeks of testimony and a number of controversial witnesses, including officers involved in the struggle to subdue Howard Hyde of Dartmouth, N. S., the inquiry has been adjourned for two months.

Testimony to date has shown a number of systemic flaws, observers say, including a severe lack of co-ordination between police and health-care services.

"There were a lot of balls dropped," said Stephen Ayer, executive director of the Schizophrenia Society of Nova Scotia, noting the case underscores the need for police to be better trained in how to handle mentally-ill prisoners. "Right from the get-go, police didn't give Howard a fair shake."

The paranoid schizophrenic, who reportedly harboured a deep fear of police, was initially arrested for assault after an argument with his girlfriend, who told authorities Mr. Hyde had not been taking his medication.

At that point, Mr. Hyde should have been taken to hospital for assessment and treatment, Mr. Ayer said, but instead he was taken to the Halifax police detachment. Rambling and in a psychotic state, Mr. Hyde apparently attempted to flee after a booking officer took out a knife to cut the drawstring off his shorts.

That prompted a violent struggle, captured on surveillance video and shown during the inquiry, in which a shirtless and frantic Mr. Hyde screams and struggles to escape. Police say they were concerned he would reach for a knife from a nearby drawer of weapons, and shocked him with the Taser to regain control. He collapsed and was taken to hospital.

The use of a Taser on a paranoid schizophrenic person, as an aggressive act, "could have a tendency to make things worse, to have the issue escalate out of control," noted University of Alberta psychiatrist Patrick White.

While hearing testimony from a couple of the officers involved in the scuffle, the inquiry learned -- contrary to earlier official reports -- that Mr. Hyde had not been asked to co-operate as officers struggled to handcuff him, nor was he warned the Taser would be deployed.

Chris Summerville of the Schizophrenia Society of Canada said a better technique would have been attempting to talk Mr. Hyde down from his psychotic state, then handcuffing him once he had calmed down. Police should be trained for such situations, Mr. Summerville said, but in many cases they are not.

Mr. Hyde's girlfriend, Karen Ellet, has said he "was treated as a prisoner, not as a mental-health patient."

After doctors cleared Mr. Hyde to leave the hospital, they requested he have a follow-up psychiatric examination after his morning court hearing, or that he be returned to the emergency room -- something the officers were not authorized to do.

Neither happened, and Mr. Hyde ended up back in his jail cell, where he died about 30 hours after receiving the initial Taser jolt. Nova Scotia's medical examiner pegged the cause of death as "excited delirium" linked to his mental illness.

Carol Tooton, executive director of the Canadian Mental Health Association's Nova Scotia division, says the case could have ended differently had Mr. Hyde received proper treatment for his schizophrenic condition. The inquiry, she noted, has underscored a staggering lack of co-ordination between police, mental-health workers, courts and hospital staff -- resulting in a failure to properly deal with a man travelling between those systems.

"We often talk about working in silos," Ms. Tooton said. "It seems that [those] systems really do operate independent of one another."

The inquiry resumes in October, with recommendations from Judge Anne Derrick expected next year.

Friday, May 22, 2009

Grit health plans welcomed


An article published in today's edition of the Chronicle Herald:
Agencies agree with party’s proposals on mental health issues, tobacco taxes

By John McPhee, Health Reporter

Health organizations applauded some of the proposals in the Liberal party’s election platform released Thursday.

The Liberals say they’ll create a commission that will report directly to the health minister on mental health issues. The commission would include academics, professionals, clients and family members.

That would be a good thing, said Carol Tooton [pictured], executive director of the Nova Scotia division of the Canadian Mental Health Association.

While there is a provincial mental health steering committee, it hasn’t met for a year, she said Thursday.

Ms. Tooton also agrees with the Liberals that the province falls short on mental health services.

"Absolutely," she said.

"The funding of mental health is less than four per cent of the total budget. And we have 20 per cent of our population who may be requiring those services."
To read the entire article, please click here.

Posting of this article does not imply endorsement of the Nova Scotia Liberal Party by the Schizophrenia Society of Nova Scotia.

Wednesday, May 6, 2009

Every citizen must be treated fairly

A letter to the editor published in today's edition of The Chronicle Herald:
By Carol Tooton and Stephen W. Ayer

The Canadian Mental Health Association-Nova Scotia Division (CMHA-NS) and the Schizophrenia Society of Nova Scotia (SSNS) need to be assured that the systems administered by our government will guarantee that every citizen of Nova Scotia, regardless of socioeconomic or health status, is treated in a fair and just manner. This principle is even more critical when applied to individuals who may not have the knowledge of how systems work, or who do not have the financial resources to engage the appropriate supports (e.g., lawyers). For people in these situations, well-functioning systems are particularly important.

The Nova Scotia Department of Justice is currently experiencing a breakdown in efficiency in relation to the Central Nova Scotia Correctional Facility in Burnside. Last week, the CBC reported on the case of an individual who remained incarcerated for two months beyond his release date, a case which was confirmed by the Nova Scotia Department of Justice. This can be viewed as just one more example of a justice system that appears to be operating in a very dysfunctional manner, particularly when the solution offered was: "… should this gentleman come into our custody again, then we would ask the courts to take into consideration that he had served extra time."

As reported by the CBC, the individual detained beyond his court-imposed sentence had previously been diagnosed with a mental illness; this causes both of our organizations significant concern. In fact, with one in five Nova Scotians at risk of experiencing a mental illness at some point in their lifetime, this is an issue that every citizen of Nova Scotia should be concerned about. Without knowing all of the details in this situation, one cannot help but question why we are continuing to hear of more and more cases of people who have a mental illness being inappropriately treated by the justice system, while, in the meantime, the opening of the new Mental Health Court in Dartmouth has been delayed from April 1 to Nov. 1, 2009.

We are of the opinion that finding appropriate solutions for rehabilitating mentally ill individuals who come into conflict with the law doesn’t rest solely with frontline workers who are administering programs, but also with policy decision-makers and ultimately with the ministers of Justice and Health. The issues of stigma and discrimination in relationship to mental illness remain prevalent and appear to be impacting decision-making at all levels.

All Nova Scotians deserve to be treated equally according to existing legislation. It’s time that government, particularly those responsible for the development of policy and operational procedures, ensure that every citizen of Nova Scotia receives the same fair and just consideration under the law.

An inquiry into the November 2007 death of Howard Hyde is currently underway. This inquiry will examine the facts, in detail, of the death of an individual at the Central Nova Scotia Correctional Facility who had a mental illness, in this case paranoid schizophrenia. As organizations with standing at the inquiry, the CMHA-NS and the SSNS will be doing our utmost to make sure that all of the facts are disclosed, and that appropriate and meaningful recommendations for changes to the justice and mental health systems in this province are made.

Carol Tooton is executive director, Canadian Mental Health Association-Nova Scotia Division. Stephen W. Ayer is executive director, Schizophrenia Society of Nova Scotia.

Wednesday, September 17, 2008

Mental health issues deserve an election voice: Coalition


An article published in yesterday's edition of Metro Halifax:
By Devin Stevens

The Mental Health Coalition of Nova Scotia held its third public forum yesterday, and is preparing to make noise during the federal election.

“Our voice isn’t enough,” said Carol Tooton, executive director of the Canadian Mental Health Association’s Nova Scotia branch.

“We need to bring others from the community in who are working on similar issues, people with the lived experience, who have been through the system. Family members, friends, businesses.”

About 50 people met at the Halifax Forum, breaking into discussion groups and brainstorming how to best represent the mentally ill.

By mid-afternoon, large sheets of paper were taped to the walls, outlining the Coalition’s ideas. Over the next few weeks they plan to pressure federal election candidates to do more.

Tooton said that even though they don’t provide services, the coalition will be after municipal candidates to address those issues as well.

“Guess what? If you have a mental issue and you’re homeless, and you’re panhandling on Spring Garden Road, then it’s an issue for the municipality,” Tooton said.

Tooton said that mental health funding accounts for just four per cent of Nova Scotia’s health care budget, and that number is slipping.

Keith Brumwell runs the Caring and Sharing Social Club, where adults with severe mental health problems can get together, play games, and relax.

Brumwell said he was worried by the lack of funding.

He recently contacted the authorities about a person he thought was suicidal. The doctors agreed, but told the patient to go home for three or four days until a bed became available.

“Home was part of the problem with her,” Brumwell said.

Wednesday, September 10, 2008

Critics: Don’t tie driver’s licence renewal to psychiatric history


From today's edition of The Chronicle Herald:
By Jeffrey Simpson, Staff Reporter

Mental health advocates think the province should steer clear of asking drivers about their psychiatric history.

"It’s all very strange," Carol Tooton, executive director of the Nova Scotia division of the Canadian Mental Health Association, said in an interview Tuesday. "It’s not the appropriate approach.

"I can’t think of any reason why they’d want to go this route."

Service Nova Scotia now requires people renewing their licences to indicate on an application form if they’ve had a "psychiatric or psychological condition."

People who indicate yes — even if it was something such as a bout of depression — are asked to provide more specific details and then must have a doctor complete a medical, sharing what’s usually confidential information with the government.

"The contents of the medical report will be reviewed by department staff and may be referred to a committee of medical specialists who make recommendations on clients’ medical fitness to safely drive," the province has advised affected people in writing.

The application form also asks those renewing their licences if they have had lung, heart, eye or neurological diseases, a stroke or dementia.

Doctors sometimes charge a fee for the medical and failure to comply with the request could result in drivers losing their licences.

Ms. Tooton wondered why the province would require such sensitive medical information that has little to do with somebody’s ability to operate a vehicle.

"I’ve never heard of this before. It certainly doesn’t help to eliminate the stigma around someone who may have a mental illness.
To read the entire article, click here.