Mental Health: Minister Carmant wants to examine Bill P-38 thoroughly

As for the application of this exceptional law, passed 25 years ago, The questions remainexplained on Wednesday Mr. Carmant, the minister responsible for social services in Quebec.

And to answer that he asksIQRDJ to carry out analytical work and subsequent advice. The Minister announced this on Wednesday accompanied by the PresidentIQRDJPierre Noreau, and the National Director of Mental Health and Forensic Psychiatry, Dr. Pierre Bleau.

We want to hear those who apply the law, but also those who live by it. »

A quote from Lionel Carmant, Quebec Minister for Social Services

Along with the Civil Code, Bill P-38 regulates the incarceration in a facility of individuals whose mental state poses a danger to themselves or others. The legal provisions also refer to the psychiatric examination required for the determination of custody.

At a news conference, MM Carmant said Bleau and Noreau were being questioned about recent dramas in Quebec involving people who appeared to be in crisis.

Special mention was made of the Louiseville tragedy that led to the death on March 27 of Maureen Breau, a police officer on duty with the Surete du Québec (SQ). I decline comment this case is in courtdeclared Minister Carmant the Mental Disorders Review Board (CETM) and Bill P-38 were two separate issues.

But it definitely affects ussaid Lionel Carmant of the Louiseville drama.

The man who was shot by police after stabbing Sergeant Breau was on probation at the time of the events. Before receiving parole, he had a history of serious and numerous violations of the law for which he was not criminally held responsible. In March 2022 the CETM had agreed to his release, claiming that he was representing him a significant risk to public safety.

But the analysis that theIQRDJ will refer to Bill P-38, Minister Carmant explained. At the same time the government of Quebec conducts work at the Mental Disorders Review Board level, but it’s something else. There CETMthat falls under the mechanisms provided for in the Criminal Code is subject to federal jurisdiction.

check the law a challenge

Examining the P-38 law and the context in which it falls represents a challengeaccording to Pierre Noreau, theIQRDJ. Researchers must keep in mind the provisions of the Charter of Rights and Freedoms, the Civil Code, and finally the P-38 Act itself.

Not to mention that there are glaring service accessibility issues in the background.

We can’t handle everything. »

A quote from Pierre Noreau, President of the Quebec Institute for Law and Justice Reform

Due to the complexity of the file, Pierre Noreau refuses to set a schedule. The Institute will first examine the abundant literature on the subject. Next comes the public consultations.

To the families who are somehow caring for a loved one struggling with mental health problems, Minister Carmant reiterates that the government of François Legault We are working on all sorts of other solutions to improve the services.

We promote access to psychiatric services throughout Quebec, we want to improve services in crisis situations, we run projects with the Réseau Avant de Crack to help families better supervise these affected membersassures the minister responsible for social services.

The revolving door syndrome

In the interview at lunch info At Wednesday’s ICI premiere, Lionel Carmant said he noticed more openness towards health and mental illness. according to him Quebecers are ready to have this discussion together.

Among the issues to be discussed is the support that families need to be given and how to involve them, continued Minister Carmant, a pediatrician by training. And also how to make sure patients are well represented in all of this.

Other issues raised by patients and their families include: the increasing use of the P-38 law and revolving door syndrome (Patients leaving a facility shortly after admission and returning due to lack of adequate care outside of that facility).

“We need to take stock of the current situation, both at home and elsewhere in North America and Europe,” the minister said. Then we will consult the stakeholders and then if there is something to do, we will do it.

Psychiatrists will work together

In a press release, the Association of Psychiatric Physicians of Quebec (AMPQ) welcomed this work and intends to participate in the consultations.

I’AMPQ will share its medical expertise and cumulative experience with patients, their families and the courts to lay the foundation for the modernization of legal systemswrites dr. Claire Gamache, President of this association, which brings together around 1,200 psychiatrists from the public system.

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