“PUTTING THE JUST BACK IN JUSTICE.” THE ETHICAL AND HUMANE CUSTODIAL TREATMENT OF MENTALLY DISORDERED ABORIGINAL FEMALE OFFENDERS By Julia D. Shuker Bachelor of Arts Criminal Justice, Minor in Political Science University of the Fraser Valley, 2017. MAJOR PAPER SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN CRIMINAL JUSTICE In the School of Criminology and Criminal Justice © Julia Dawn Shuker 2017 UNIVERSITY OF THE FRASER VALLEY Winter 2017 All rights reserved. This work may not be reproduced in whole or in part, by photocopy or other means, without permission of the author. Approval Name: Julia D. Shuker Degree: Master of Arts (Criminal Justice) Degree Title: “PUTTING THE JUST BACK IN JUSTICE.” THE ETHICAL AND HUMANE CUSTODIAL TREATMENT OF MENTALLY DISORDERED ABORIGINAL FEMALE OFFENDERS. Examining Committee Dr. Amy Prevost GPC Chair Director, School of Criminology and Criminal Justice Dr. Martin Silverstein Senior Supervisor School of Criminology and Criminal Justice Dr. Raymond Corrado External Examiner Associate Director: Research School of Criminology Simon Fraser University ______________________________________________________ Date Defended/Approved: ii University of the Fraser Valley Declaration of Partial Copyright Licence The author, whose copyright is declared on the title page of this work, has granted to the University of the Fraser Valley the right to lend this major paper or project, or graduate thesis to users of the University of the Fraser Valley Library, and to make partial or single copies only for such users or in response to a request from the library of any other university, or other educational institution, on its own behalf or for one of its users. The author has further granted permission to the University of the Fraser Valley to keep or make a digital copy for use in its circulating collection, and, without changing the content, to translate the major paper or project, or graduate thesis, if technically possible, to any medium or format for the purpose or preservation of the digital work. The author has further agreed that permission for multiple copying of this work for scholarly purposes may be granted by either the author or the Associate Vice-President, Research, Engagement and Graduate Studies. It is understood that copying or publication of this work for financial gain shall not be allowed without the author’s written permission. Permission for public performance, or limited permission for private scholarly use, of any multimedia materials forming part of this work, may have been granted by the author. This information may be found on the separately catalogued multimedia material and in the signed Partial Copyright Licence. The original Partial Copyright Licence attesting to these terms, and signed by this author, may be found at the University of the Fraser Valley Library. University of the Fraser Valley Abbotsford, B.C. iii Abstract Offenders with mental illnesses do not fair well in Canadian penitentiaries, and if they have an acute or chronic mental illness it is often exacerbated by placement in segregation or separate confinement. Despite calls from the Correctional Investigator and Coroner’s inquests, the Correctional Service of Canada remains non compliant and non transparent in its treatment of Aboriginal female offenders with mental health disorders. Specifically in the case of Ashley Smith, the coroner, Dr. John Carlisle ruled that Smith’s 2007 death was a homicide at the hands of the Canadian government and its agent, the Correctional Service of Canada. In order to address the poor treatment of Aboriginal female offenders with mental disorders, this paper proposes the removal of Aboriginal female offenders with substantive mental disorders from the Correctional Service of Canada and placement in trauma informed care programs in the community. iv Acknowledgements Thank you to the people of the Sto:Lo Nation where the University of the Fraser Valley resides. Most importantly, I want to thank my mother Gertrude A. Shuker for her constant love, support and guidance. Without you Mom, this would never have happened. To my brother Jaymon, his wife Tiffany and daughter Jocelyn (Beans), thank you for your love and support. Know that if I can do it, so can you. (LyMy). To my best friend, Amber, and her son Kota, and my goddaughter Natalie, thank you for the study space and never asking me to leave, even though I often over stayed my welcome. To the best sounding boards ever, Jillie Bean, and Mildred thank you! A big thanks to Marie and Super D the wrap text master, and all the four legged creatures! At the University of the Fraser Valley, there is a long and distinguished list of people for whom I am forever indebted. What started out as student/ UFV employee relationships, moved from advisor/mentor to friend. A huge thank you to Cherish Forster, advisor extraordinaire. Thank you for brining me along, Dr. Hayli Millar, my mentor and friend. Dr. Amanda McCormick, the best research boss ever. Dr. Edward Akuffo, thank you for expanding my political science world. Thank you Mr. Howard Sapers, from the Office of the Correctional Investigator, for inspiring me by your unrelenting quest for the just treatment of Aboriginal female offenders. Finally, Professor Emeritus, Dr. Martin Silverstein, words alone cannot express my gratitude for your patience, openness, friendship, guidance, support and mentoring. I wish to humbly express my gratitude and give thanks to the Creator for my Elders and all of the teaching moments that have and continue to be put in my path. Today, I stand on the shoulders of giants and hope for a better world for all marginalized people. v Aho, All My Relations, Julia D. Shuker Coyote Woman Who Builds the Fire. vi Dedication To: My father, Stuart Langley Shuker (1929-2015) Love you always Papa. vii Table of Contents Abstract ................................................................................................................................................... iv Acknowledgements ............................................................................................................................... v Introduction ............................................................................................................................................ 1 The Past .................................................................................................................................................... 7 The Present ........................................................................................................................................... 10 The Future ............................................................................................................................................. 16 Clinical Stability Plan ………………………………………………………………………………………………17 Dynamic Versus Static Security-Places to Grow and Strive ..…………………………………...19 Trauma Informed Care Programs (TCIP)………………………………………………………………..20 A Brighter Future for the Spirit Within: Potential for JUSTICE ........................................... 24 Conclusion ............................................................................................................................................. 25 References ............................................................................................................................................. 26 viii Introduction In the words of my Elders: “Are you doing what you know to be right? Are you conducting yourself in a in a morally right and fair way? When your life fades like the setting sun, will you be able to meet your Creator with clean hands and straight eyes?” This paper is an opportunity to speak my truth, having readers understand my path, journey, and quest. I hope to shed light on what for me has become an unconscionable set of circumstances for incarcerated Aboriginal women in Canada. What I am speaking of, is connected to, yet beyond the missing and murdered women on the Downtown East Side in Vancouver British Columbia. This paper focuses especially on those Aboriginal women with mental health and trauma issues who find themselves incarcerated. I was born in Prince Albert Saskatchewan. I worked in the correction service for 25 years, and I have pursued further education that has led me to understand the plight of Aboriginal women in Canada. Prince Albert is known for two things, the Saskatchewan Penitentiary and the Peter Ballantyne Cree Nation Reserve. The former is a well-known Correctional Service of Canada penal facility that opened in 1911. The Peter Ballantyne Cree Nation Reserve was literally across the street from my house in Prince Albert. As a result of my geographic placement, I was in regular contact with other children from the reserve, but this was all I knew. I became acquainted with the culture and it affected the way I saw things. There were no discussions in my home about the reserve, why it existed, what its purpose was, or why the fire alarms seemed to be going off at all hours of the day and night. In retrospect, I now realize, that I was raised, as many Canadians in a state of cultural amnesia regarding Aboriginal peoples in Canada. 1 In 1974 my family moved from Prince Albert Saskatchewan to Abbotsford British Columbia as my father had obtained a job with the Correctional Service of Canada at Matsqui Institution. After completing high school, I went to the University of the Fraser Valley and completed a diploma in criminal justice, with the full intention of following in my father’s footsteps and becoming a correctional officer. My father begged and pleaded with me to be like my mother and become a realtor, but I loved the law. I wanted to be a respectful, responsible rebel who pokes the status quo in the eye, makes a positive impact. I am an ally of the underdog and am dedicated to helping others. I am not an Aboriginal woman but I am a vocal ally for Indigenous Canadians. I elected to work for the British Columbia Government (instead of the federal government) and ended up at what was known formerly as the Willingdon Youth Detention Center in Burnaby British Columbia, now known as Burnaby Youth Custody Services Centre. Following my service in the provincial government, I worked for approximately one year for the Correctional Service for Canada at the Fraser Valley Institution for Women; however, as a result of cumulative stress, it became medically necessary for me to leave correctional work. I was 23 years old when I began working at Willingdon and worked in the prison system for 25 years. In many ways I grew up in the prison system, just like the offenders I cared for. As many correctional officers will tell you, this is a difficult business. At the time I entered corrections, women were still not fully accepted as workers. I quickly found I had to perform the job twice as well as my male counterparts to be half as accepted. The “business” will test your moral fiber, ethics and integrity on a daily basis. You will be presented with individuals and scenarios that will leave you completely debased one day and elated the next. Often times, these events have nothing at all to do with the inmate population and everything to do with the politics 2 and management of the facility. Make no mistake, I had an amazing and meaningful career, but my eyes have seen, my ears have heard, and my nose has smelled, things that I wish my brain could forget. There are stories and remaining friendships that I treasure today as a result of my work, but there are also events, both personal and professional, that leave me seriously at a loss to understand let alone explain or rationalize. While working at Willingdon, I came into contact with Chief Willard Cook of the Semiahmoo Nation, who was hired as a Native Court Liaison Worker. Willard conducted sweat lodges with the youth in custody, and generously offered me the opportunity to partake in a staff sweat lodge off the institutional grounds. I was genuinely interested and thought I should go to a sweat lodge to observe, and ended up having a life changing epiphany experience. As a result of my experiences with Chief Willard, I embraced native spirituality and in 2007 completed a Vision Quest and was gifted with the spirit name “Coyote Woman Who Builds the Fire.” This path has deepened and expanded me as an individual. Native spirituality and the Medicine Wheel teachings have taught me a completely different way to see the world, people, and events. I am humbly grateful for my Elders, path, and journey. It has also made me painfully aware of what we have done, and what needs to be done, to correct some of these injustices to Aboriginal people. I have worked with too many young Aboriginal women in custody, who ended up in awful and tragic circumstances and whose lives ended far too early and in reprehensible ways. It was at Willingdon where I first began to understand the effects of colonization and the residential schools on the Aboriginal female population I worked with. After leaving the correctional work, I returned to the University of the Fraser Valley to complete a Bachelor of Arts and subsequently a Master of Arts degree in Criminal Justice. Upon returning to school I 3 became more and more aware of the plight of Aboriginal women in custody, and soon discovered that I was not alone in my concern. Correctional investigators, Indigenous scholars and Elders, coroners, juries academics, poets, international bodies, non- governmental organizations, judges, staff members and inmates themselves have called on the Correctional Service of Canada to treat its Aboriginal inmates in a more just and humane way. As I progressed in my academic studies and personal growth, I have given more and more thought to my involvement and accountability in the criminal justice system. With Dr. Hayli Millar, I came to understand my own white privilege and as a result, the subsequent marginalization of “others” in our apparently democratic society. I began to wonder what I could do to make a difference, or at least shed light, on what I believe has been the absolutely reprehensible treatment of our most marginalized citizens - Aboriginal women. At the University of the Fraser Valley in political science classes with Dr. Edward Akuffo, I began to understand the importance politics plays in the justice system. During my career, I recall how different programs, monies, and opportunities were presented based on the political flavor of the time. When leftist parties were in power, there were money and resources for rehabilitation programs. Of late, with the shift to neo-conservative governments, I have observed a sharp decline in money and resources for rehabilitation programs and the introduction of mandatory minimum sentences and get tough on crime policies. Institutionally, research shows that there is a remarkable increase in the use of static security, which emphasizes an austere, cold, impersonal, hard relationships of “us and them,” and the overuse of administrative segregation. Coincidentally, there has been a decline in dynamic security, which emphasizes compassionate and empathetic working relationships. With inmate to officer ratios of 60:1, 4 correctional institutions may be leaving themselves open to a higher likelihood of prison disturbances (Office of the Correctional Investigator, 2017). This paper is an attempt at bringing together the many voices that are calling for change and to articulate the opposition they are getting from authorities that want to punish and not heal the most marginalized and victimized of our society. Following Aboriginal Medicine Wheel teachings of Elders Chief Willard Cook and Eddie Gardner, this paper will be comprised of four distinct components, representing the four spiritual directions. For the purposes of this paper we will examine the past, the present, the future and the importance of respecting and honoring the unique individual spirit within us. Following these teachings, it is important to be mindful of the need to be holistic in our approaches with others. We need to be mindful of the importance of the rule of law and ultimately what we deem to be justice. We must adopt a more “just” approach, based on behaving according to what is morally right and fair, to ensure we live in a just and democratic society. 5 “I was always in a baby doll, locked away, 24/7 either with a staff (member) sitting at my door, a nurse or a guard sitting at my door. With no mattress, with just a thin blanket on myon …concrete…with a slab of concrete and then the floor is concrete and I would get out for an hour a day for yard and shower.” Risky Business: An Investigation of the Treatment and Management of Chronic Self-Injury Among Federally Sentenced Women-Final Report. Office of the Correctional Investigator 2013 p. 5 6 The Past The Correctional Service of Canada is a long existing state institution dating back to the building of Kingston Penitentiary in 1835 (Correctional Service of Canada, 2014). It commands a great deal of control and power over the offenders in its care. By examining the Correctional Service of Canada through a variety of sources, we know that incarceration and subsequent segregation or solitary confinement of Mentally Disordered Offenders, has been an issue for a very long period of time and has been related more recently to the closure of psychiatric hospitals, a phenomenon known as Penrose Law (Hetil, 2009). As a result of deinstitutionalization from psychiatric hospitals during the 1960-1970’s, a disproportionate number have been housed in administrative segregation in penal institutions. Offenders with mental illnesses do not fair well in custodial facilities and if they have an acute or chronic mental illness it is often exacerbated by placement in segregation or separate confinement. The Office of the Correctional Investigator (2015) notes that female Aboriginal offenders are disproportionately represented in corrections at 35.5 % when the Aboriginal population in Canada is only 4%. The Office of the Correctional Investigator further notes that federally sentenced Aboriginal women with acute or chronic mental illness account for a disproportionately high number of self-injurious behaviour in the custody of Correctional Service of Canada especially if held in segregation. Despite recommendations, requests and reports from Correctional Investigator to change its approach with mentally disordered offenders in administrative segregation, the Correctional Service of Canada remains non-compliant and non-transparent. Further, the Correctional Service of Canada as an organization shows no sign of accessibility, accountability, or change in practice, despite the vast amount of evidence, knowledge, and best practices regarding the damage to Mentally Disordered Offenders (Sapers, 2013). Furthermore the Correctional Service 7 of Canada maintains its position despite massive ex gratis payments for wrongful death settlements and other organizational and administrative costs. Overall, the use of administrative segregation for mentally disordered offenders remains the expensive elephant in the room that garners very little political will for change. Increasingly negative publicity and the obvious lack of honesty, openness, transparency and accountability of the Correctional Service of Canada create an increasingly negative public perception of this arm of the Canadian justice system. In examining the use of segregation with mentally disordered offenders, there has been no lack of critics. On September 6, 2013, the Canadian Broadcasting Corporation reported that 8,221 federal inmates are in segregation across Canada, not as a form of punishment but as an administrative tool to facilitate safety, security and investigations into wrongdoing by inmates that may result in criminal charges or a serious disciplinary offense (Deeson, 2013). A few days later, the Canadian Broadcasting Corporation article dated September 9, 2013 noted that mentally ill inmates in Kingston had to be moved twice to accommodate the replacement of an old facility. It was suggested that moving of these inmates would increase double bunking, more incidents of violence and aggression resulting in increased segregation (Harris, 2013). On March 9, 2017 in a presentation at Simon Fraser University, the current Correctional Investigator noted the Correctional Service of Canada was making positive strides in 2015-2016, by having only 6,792 in segregation, down from 8,321 in 2014; however, Dr. Zinger (2017) notes that without continued focus and pressure, segregation number will continue to rise again. The Correctional Investigator found mismanagement of administrative segregation to be a serious issue in terms of financial costs for wrongful death settlements. He felt these incidents in administrative segregation were not random or isolated incidents, but ongoing and unresolved issues. 8 The use of segregation is also an issue for the staff and managers. The subsequent high rates of staff turnover and burnout coupled with the rising use and costs of benefits for employee injury and absenteeism (Workers Compensation Board- injury claims/stress/sick leave) are substantive financial and organizational health issues. The Correctional Service of Canada openly admits that it cannot attract and retain mental health professionals for sustainable periods of time. Families of inmates are affected as they are concerned for the safety and well being of their incarcerated family member and are often left with more questions than answers around the treatment or demise of their loved one in custody (West Coast Prison Justice Society 2016). Following Chin and Dandurand (2012), it could be argued that in regards to the use of administrative segregation, Canada may actually be in violation of its own Charter of Rights, domestic laws, international laws, United Nations agreements and conventions, as well as human and civil rights. For example, the Mandela Rules (2015) encourage prison administrators to use mediation or other alternative dispute resolution techniques to resolve conflicts and it also requires staff training on safety, including the concept of dynamic security. The Mandela Rules follow the 2007 Istanbul Statement, a product of a working group of 24 international experts who came together to address the increasing use of solitary confinement and its harmful effects. The Istanbul Statement requests states to limit the use of solitary confinement to very exceptional cases, for as short a time as possible. It also calls for serious efforts to be made to increase the amount of meaningful social contact for prisoners held in solitary confinement. The Istanbul Statement calls for the prohibition of the use of solitary confinement for mentally ill prisoners and for prisoners under the age of 18 (West Coast Prison Justice Society p. 60). In 2010, Canada ratified the Convention on the Rights of Persons with Disabilities. It defines persons who are disabled as those who have “long-term physical, mental, intellectual or 9 sensory impairments.” Its preamble recognizes “that discrimination against any person on the basis of disability is a violation of the inherent dignity and worth of the human person…” Article 15 requires states to “take all effective legislative, administrative, judicial or other measures to prevent persons with disabilities, on an equal basis with others, from being subjected to torture or cruel, inhuman or degrading treatment or punishment” (West Coast Prison Justice Society p. 60). Specifically, the United Nations Rules for the Treatment of Female Prisoners and NonCustodial Measures for Women Offenders, or the Bangkok Rules, adopted by the UN General Assembly in 2010, recognize that women prisoners are particularly vulnerable due to their victimization in the community and the potential for re-victimization within prison (West Coast Prison Justice Society p. 61). Overall, the manner in which the Canadian government deals with mentally disordered offenders within its criminal justice institutions has an extremely detrimental effect on the justice system and public security as it current conduct may not be lawful, ethical or morally correct. The Present To fully understand and grasp the severity of the issue at hand, it is important to examine the Management Model (SMM), or Least Restrictive Measures (LRM) policy. This policy applies to the segregation of acutely or chronically mentally ill Aboriginal female offenders while in the care, control, and custody of the Correctional Service of Canada. The Least Restrictive Measures policy requires correctional staff to quickly assess the individual risk and needs of the offender, and then formulate an appropriate response to the incident. Least Restrictive Measure principles require balancing the interests, or needs of the offender with the correctional purpose of the intervention. The Least Restrictive Measures require minimal 10 impairments to the offender and the correctional response must be proportionate to the level of risk presented by the offender’s behaviour. In this context, it should be noted that assaultive behaviour by the offender most often occurs only after correctional staff intervene and is most frequent during mandatory strip searches as apart of segregation or observation cell placement following a self-injury incident (Office of the Correctional Investigator 2013. P. 6). Chronic and acute self-injurious behaviour is defined by the Correctional Service of Canada as “the intentional, direct injuring of body tissue without suicidal intent ”(Correctional Service of Canada, 1990). Pursuant to section 86 of the Corrections and Conditional Release Act (CCRA) the Correctional Service of Canada is mandated by law to provide for the health care and mental health of all offenders in their custody. Offenders are not covered by either the federal or provincial government for health care and mental health care services (Sapers 2017). Section 87 of the Corrections and Conditional Release Act obligates Correctional Service of 11 Canada to consider an offender’s health and health care needs in all decisions affecting the offender. These decisions include placement, transfer, administrative segregation, and disciplinary matters. Section 88 of the Corrections and Conditional Release Act provides for informed, voluntary consent to treatment, including the right to withdraw and refuse said treatment (Corrections and Conditional Release Act 1992). From a statistical perspective, the Office of the Correctional Investigator (2012-2013) reports that a small number of federally sentenced women (37/264) disproportionately account for almost 36% of all reported self-injury incidents. Aboriginal women accounted for nearly 45% of all self-injury reports in the federal women population. Of the 264, seventeen offenders engaged in chronic (10 or more incidents) of self-harm. Of these, seventeen individuals accounted for 40% of self-injury incidents. Of the seventeen, six of the women were of Aboriginal descent (p.1). In the Annual Report on Deaths in Custody for 2013-2014, the Correctional Investigator notes “for over 20 years, the Correctional Service of Canada has had a policy in place regarding the management of suicidal behaviours” (P.9). The report notes that the policy is reviewed and revised based on lessons learned and best practices; in fact significant revisions were made to Commissioner’s Directive 843 in July of 2011 (p. 9). Arguably, these changes were likely the result of the 2007 death of inmate Ashley Smith and subsequent coroners inquest findings into her time and treatment while in the Correctional Service of Canada. For the majority of her time in custody, and as a result of her mental health and subsequent behavioural issues, Ashley Smith was confined under the static security based Least Restrictive Measures policy. In the case of Ashley Smith, Least Restrictive Measures were interpreted in a very different and inappropriate manner. The National Post (2010 p. 1) reported that under the Least Restrictive Measures policy 12 staff caring for Ashley Smith were directed “to sit outside Smith’s cell, ignore her, pretend to read, do not engage, do not show any therapeutic warmth, to be as cold as possible.” This required correctional office conduct is the exact opposite of dynamic security. This cold and inhumane treatment of Ashley Smith, a female Aboriginal inmate in administrative segregation, subsequently resulted in substantive disciplinary measures for taken against correctional staff, up to and including termination of employment (National Post p.4). The Coroner, Dr. John Carlisle, ruled that Smith’s death was a homicide, at the hands of the Canadian government, and its agent the Correctional Service of Canada. Dr. Carlisle recommended that Smith’s death be used as a case study demonstrating how the Correctional Service of Canada failed her as a young mentally ill Aboriginal female offender (Canadian Broadcasting Corporation p.1). Smith’s family subsequently sued the Canadian government for more than 10 million dollars for their daughter’s negligent homicide at the hands of the Canadian government. 13 Based on its present approach the Correctional Service of Canada and its policy for dealing with acute and chronically mentally ill Aboriginal female offenders is an expensive, and arguably illegal, immoral policy that has Canada in violation of not only its own laws, but also United Nations agreements and conventions. United Nations 45/11 Basic Principles for the Treatment of Prisoner’s notes that “Efforts addressed to the abolition of solitary confinement as a punishment, or to the restriction of its use, should be undertaken, and encouraged (#7). Canada, as a progressive country, should be leading the way in the abolition of this inhumane treatment of its most marginalized offenders, as it is a signatory to this agreement. The Correctional Service of Canada is not an open, accountable nor transparent organization as noted by Campbell (2012) quoting Justice Louise Arbour who stated, “There is a lack of accountability within the Correctional Service of Canada compared to other branches of the justice system that are subjected to regular, robust and adversarial examination” (p. 76). Campbell further asserts that in our present modern times, the public is far removed from the internal workings of the criminal justice system, affording power and secrecy to state agencies like the Correctional Service of Canada at the severe disadvantage of the voiceless inmate. (p. 74). The Correctional Service of Canada is slow to change and despite numerous findings, ongoing and similar recommendations from the advocacy focused Office of the Correctional Investigator and others, the Correctional Service of Canada practices, policies, and methods of dealing with chronic and mentally ill offenders continue to be expensive, ineffective, illegal, and problematic on several fronts. The Office of the Correctional Investigator (2013) reports in May of 2011, the Correctional Service of Canada rescinded the Sentence Management Model policy, using a Pinel Restraint System (PRS) and clinical seclusion in Intensive Psychiatric Care (IPC) or Restrictive 14 Psychiatric Interventions (RPI) (p.4). These forms of seclusion are now categorized and recorded differently than in the Least Restrictive Measures policy. Self-injury incidents are now noted as disciplinary problems, assaults on staff, cell extractions, or other incidents and are not subjected to the scrutiny or accountability of the previous Sentence Management Model and Least Restrictive Measures policies. (P.5.) According to the Office of the Correctional Investigator the Pinel Restraint System cannot be considered consensual or compliant as it lacks the express elements necessary for individual informed and voluntary consent (Office of the Correctional Investigator 2013 p. 4). The Office of the Correctional Investigator is of the view that all applications of physical restraint in a correctional context should be considered reportable and reviewable as use of force incidents (P. 12). The Correctional Service of Canada’s lack of transparency is further complicated as it perpetuates its own business by convicting offenders of additional criminal offenses, adding time to their sentences for assaults that occur during interventions related to self-injurious incidents and interventions (Office of the Correctional Investigator 2013 p. 10). In the case of Ashley Smith, Smith accrued a further five years of time for behaviour infractions (National Post, p.2). Arguably, this continued policy and practice is not a least restrictive measure at all, but that of a highly unjust and retributive government institution with a large degree of power and control over voiceless inmates, the most marginalized of our population. The fact that the Correctional Service of Canada simply changes the policy name and practice to circumvent the accountability structure and reporting mechanisms of such a policy is of great concern. Through these changes, the Correctional Service of Canada at present, creates smoke and mirrors to hide the fact that they continue to violate their own policies and directives, or change and rename current policies in an attempt to continue segregating and disciplining chronically and acutely mentally ill 15 offenders in their care, while avoiding accountability. It is noted that Aboriginal women are segregated at a disproportionally higher rate than any other demographic group in custody. As outlined by the Correctional Investigator (2017) “Since the death of Ashley Smith in 2007, Correctional Service of Canada initiatives have resulted in little substantive progress with respect to the management and treatment of chronically self-injurious women in federal custody. A number of key policy, capacity operational and infrastructure challenges remain.” Further, the Correctional Investigator notes that despite the Gladue ruling that speaks to alternatives to incarceration and specialized treatment programs for Aboriginal offenders, several Aboriginal women noted in his investigation revealed very little evidence that Gladue factors were considered, much less applied pursuant to Correctional Service of Canada policy (p. 12). The Future This paper will argue two future reform perspectives based in trauma informed care. One reform, as presented by the Correctional Investigator, suggests, at minimum, a clinical stability plan or unit for all mentally disordered offenders. As outlined by the Correctional Investigator, clinical stability prior to entry into general population would require; a thorough mental health assessment and diagnosis, a stable medication regime and offender compliance with the regime, lack of offender suicidal ideation, and behavioural plan developed in consultation with the offender allowing for changes in mental health status and behavioural issues (Sapers, 2016). The second reform, notes that after 40 years of Correctional Service of Canada mismanagement, the custody and control of mentally disordered Aboriginal women, who demand a lion’s share of the institutional resources and attention (and future similarly identified Aboriginal offenders) should have their custodial sentences facilitated through a Trauma Informed Care Program (TICP) or a clinical supervision unit, fully removed from Correctional 16 Service of Canada responsibility. For example, the Maine State maximum-security prison, identified in the documentary Frontline: Solitary Nation, (2014) describes the benefits of clinical supervision units. Trauma informed principles are concepts that are being applied to the just and ethical treatment of offenders who have had numerous traumatic incidents in their lives that contribute to their criminality or criminognic behaviour. Clinical Stability Plan As noted by the Correctional Investigator in his 2005-2006 Annual Report, “Over the years too much effort has been invested in bureaucratic process with little or no change in outcomes”(p.3). Again, in 2013, the Correctional Investigator states emphatically, “There should be an absolute prohibition on the practice of placing self-injurious offenders in conditions of long-term clinical seclusion, isolation, observation or segregation” (Sapers 2013, P. 14). To date, the Correctional Service of Canada continues to increase its bureaucratic response to this marginalized population with no change in outcomes for acutely chronically mentally ill female Aboriginal offenders (Sapers 2015). Speaking in Vancouver on Jan 19, 2017, the former Correctional Investigator, Mr. Howard Sapers noted that “Prisons are not therapeutic, they are harsh blunt instruments.” Then, on March 9, 2017 Ting Forum on Justice Policy, held at Simon Fraser University in Burnaby British Columbia, the new Correctional Investigator, Dr. Ivan Zinger, concurred and noted the following directions and repeated calls for specific reform in relation to mentally disordered offender and segregation: • Enactment of strict legislative federal laws and protections, involving a corresponding change to the culture of corrections, to prevent segregation abuses from emerging. 17 • Alternatives to incarceration for mentally disordered offenders, noting that some federal prisons across Canada have from time to time implemented informal mental health units. • The Correctional Service of Canada should be trying to attain the gold standard of no more than 2% of the offender population in separate confinement. • National older offender strategy development. • A patient advocate model for corrections in the five regional treatment centres. • Prohibit segregation for suicidal, self injurious, and significantly mentally ill inmates. • 24/7 on site nursing staff. • At the very least, move mentally disordered offenders into proper settings, like health care or clinical services units until the inmate is stabilized mentally. • Remove all ligature points or decommission cells where suicides occur (14/30 suicides occur in segregation cells under maximum supervision). • A national forum on deaths in custody. • Legislated legal limits on the use of segregation for mentally disordered offenders. • Investigate the increase in the past 10 years regarding increased violence, use of force, pepper spray, and confinement as a management tool. • Investigate why Indigenous offenders are the most segregated and why they are segregated for the longest period of time. • Links between Fetal Alcohol Spectrum Disorder (FASD) diagnosis and behaviour and problematic inmate behaviour. • Specifically segregation not be used for young offenders under the age of 18 • No offender segregated for more that 15 consecutive days. • An external group should independently adjudicate all separate confinement orders. 18 Arguably, it is time to construct an effective plan for the just, ethical, humane, and effective treatment of chronically and acutely mentally ill Aboriginal female offenders currently in Correctional Service of Canada custody. Dynamic Versus Static Security, Places to Grow and Strive According to the Ashley Smith Coroner Inquest jury recommendations, “a non-prisonlike mental health setting, including provision for community based out-patient supports must be made available for federally sentenced Aboriginal women with serious mental health issues,” and that “the focus of such facilities should be on treatment and/or preparation for treatment, as opposed to a security focused mode.” The jury recommended that mental health clinicians make management and intervention decisions with input from the prisoners, rather than by Correctional Service of Canada security staff. Dynamic security is aimed at creating an atmosphere of positive staff-prisoner relationships, rather than a static, or harsh and austere environment. It requires correctional officers to communicate professionally and respectfully with prisoners, and to treat them fairly. In 2001, a Correctional Service of Canada Task Force on Security was convened and produced a report aimed at improving staff and prisoner interactions, and promoting safe reintegration. The authors noted, that no one other isolated element, played such an important role in maintaining the safety and security of institutions, as dynamic security: “The review of security incidents has reflected repeatedly that problems in institutions occur when there is little positive interaction between staff and inmates” (West Coast Prison Justice Society p. 84). Some direct supervision prisons in the United States provide examples of institutions that have successfully employed enhanced dynamic security models with mentally disordered offenders. At the Maine State maximum state prison, there is a clinical supervision unit where 19 “ every moment, every word, every action, every interaction, every thought, every plan, every program is based in the pro social development of the offender.” (Frontline: Solitary Nation 2014). Such prisons are organized into small, decentralized living units, with staff working in direct contact with prisoners, rather than in control rooms or towers – comparative research has shown this kind of facility reduces levels of assaults and other serious incidents, which contributes to settings that are less stressful and more agreeable to counseling and rehabilitation programs (West Coast Prison Justice Society p. 85). To accomplish this model, Maine State type prisons have begun to enhance staff training on trauma, and include programs for prisoners to learn techniques to respond effectively to their trauma symptoms. Correctional officers are trained on ways to reduce triggers, and stabilize prisoners who are in distress, by using dynamic relationships to de-escalate situations and work toward avoiding measures that may repeat aspects of past abuse and trauma, such as isolation. These institutions are finding that this approach creates safer institutions and greater correctional officer job satisfaction (West Coast Prison Justice Society p. 88). It should be noted, that the Ashley Smith Coroner Inquest, the jury also recommended that Correctional Service of Canada staff be trained in trauma informed care and that women’s prisons should develop working partner relationships with academic health sciences centres. (West Coast Prison Justice Society p. 57). Trauma Informed Care Programs (TICP) “When a person’s escalated behaviour is understood as a result of trauma, it makes little sense to respond to that behaviour with an intervention that patients say is traumatic in and of itself, and which they perceive to be coercive, shameful, humiliating, punitive and alienating” 20 (British Columbia Ministry of Health, Secure Rooms and Seclusion Standards & Guidelines, West Coast Prison Justice Services p. 87). Trauma-informed treatment care and programs (TICP) focus on maintaining a patient’s dignity and safety through the recognition that people who experience trauma can react to its impact in various ways. In the context of prisoners, this includes actions that led to their criminality (West Coast Prison Justice Society p. 88). Trauma Informed Care Programs are described as “an organizational commitment to creating structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma” (Perry 2015). Trauma Informed Care Programs delineate a specific ideology as working at the client, staff, agency and system levels from the core principles of: trauma awareness, safety, trustworthiness, respect, choice and collaboration, as well as the continual building of the offenders strengths and skills. Included in the Trauma Informed Care Program discussion are the connections between trauma, mental-health, and substance-abuse (dual or multi diagnosis). The purpose of Trauma Informed Care Program is to identify trauma symptoms or adaptations, and offer support and ongoing strategies that increase safety and the continued supportive connection to necessary services (Allen et al, 2013, p. 4). Rivera’s (2010) report for the Correctional Service of Canada entitled “Segregation Is Our Prison Within The Prison” examined the use of long-term segregation and the placement of prisoners with mental health concerns in segregation. Rivera’s report indicates the practical ways in which the Correctional Service of Canada could dramatically reduce its reliance on solitary confinement and provide services to prisoners with mental health concerns that would prevent them from being placed in solitary confinement. Rivera’s interviews indicated staff felt that suicidal prisoners should not be housed in segregation units, but should be housed in health care 21 or clinical/treatment areas. Rivera concluded that “only well-trained and experienced staff are capable of meeting the challenge of offering compassionate and effective care and treatment to these complex individuals,” who require a “non-punitive” and “evidence-based treatment” approach. Rivera further recommended that women who suffer with severe psychological, emotional and behavioural issues, units with specialized services and highly trained staff at, or an additional institution as an alternative to long-term segregation (West Coast Prison Justice Services p. 61). Based on my review of the literature and my experience in corrections, I do not support the creation of additional Correctional Service of Canada institutions for high needs women. I instead, propose therapeutic placements to community-based mental health services under s. 29 of the Corrections and Conditional Release Act that are aligned with the Gladue principles. This non-Correctional Service of Canada involved approach, allows women to remain close to their home communities while receiving the psychological and psychiatric care they need in a nonpunitive, clinically therapeutic environment (West Coast Prison Justice Society p. 80-81). Ideally, external health providers following Trauma Informed Care Programs could re direct selfinjuring offenders by having Aboriginal women attend work, program, life skills, job placement or clinical therapy as a part of their daily routines. Following the Trauma Informed Care Program principles, staff would be selected and trained to focus on dynamic security, treating offenders as patients rather than having them inhumanely segregated. The West Coast Prison Justice Services and the Coroner’s inquest support this proposal. To effect this proposal, the federal government would have to make a change in legislation delineating the placement of acute and chronically mentally ill female Aboriginal offenders in a Trauma Informed Care Program mandated mental health facility. The federal 22 government would cost share the facilities with every province. Ideally offenders would be able to stay in a facility in their home province to allow for meaningful contact with family, culturally appropriate resources, traditions, Elders, and therapeutic treatment providers. This provincial setting will also allow for an easier and more effective transition to the community post release for the offenders. Simpson and Cohen (2013) note that Nova Scotia and Alberta are the only provinces that have arrangements with local hospitals to accept the transfer of acute and chronically mentally ill offenders for mental health interventions. The Correctional Service of Canada has acknowledged and recommended this practice with very limited follow through (p. 506-507). Simpson and Cohen (2013) view specialized psychiatric care units or residential treatment centres as a best practice for mentally ill offenders. These facilities allow for stabilization, as noted by Mr. Sapers, and then facilitate and assist with transition back to either general population within the institution or preferably back into the community. These Trauma Informed Care Program programs decrease institutional crises and behaviour related management problems and improves the inmate’s quality of life and are more fiscally responsible (p. 505). Further, residential treatment centres are crucial in assisting with comprehensive discharge planning, ensuring there is a community standard guaranteeing a supply of required medication, out patient psychiatric appointments, and a concrete plan for other required services. Currently offenders in the care and custody of the Correctional Service of Canada may not have this experience in terms of connection to family and community nor release planning. The Office of the Correctional Investigator (2013) notes that women who self-injure require “ongoing, coordinated and empathetic support” much like those elements described in the Trauma Informed Care Program. Effective clinical interventions are those that are informed by, and 23 address the underlying trauma and internal motivations for self-injurious behaviour, often a result of psychological, physical, or sexual abuse. Trauma Informed Care Programs are “preferable to the current Correctional Service of Canada interventions that try to stop the behaviour momentarily through segregation” (p. 12). A Brighter Future for the Spirit Within: Potential for JUSTICE By removing acute and chronically mentally ill Aboriginal female federally sentenced offenders from the Correctional Service of Canada population we would see the complete end of interventions, segregation/administrative isolation placements, a decrease in use of force incidents and subsequent assaults on staff warranting further charges and expensive legal issues involving this segment of the offender population. We would also be able to measure the enormous fiscal decrease in government accountability and cost for negligent and homicidal behaviour as noted in the Ashley Smith case. The Correctional Service of Canada would have money to allocate to enhancing staff training, the funding of other programs, resources and services for the remaining inmate population, all accomplished by the reassignment of this problematic portion of the offender population. The institutional environment would be less toxic for staff and managers, and the Canadian justice system would be operating in a more ethical, integral, just, transparent, and accountable format, in accordance with many agreements, regulations, and laws. Following the implementation of Trauma Informed Care Programs we could determine if there is a decrease in self injury and an increased compliance with parole conditions. Self-satisfaction surveys could be conducted with the Aboriginal women to measure their views about their placement, well being, treatment, resiliency, and the potential for success in returning to their communities and families. Similar self survey studies could be conducted 24 within the Correctional Service of Canada at the correctional officer level to determine if there is enhanced job improvement through the reassignment of this stressful and difficult portion of the offender population. Conclusion “It is said that no one truly knows a nation until one has been inside its jails, a nation should not be judged by how it treats its highest citizens, but how it treats its lowest ones.” Nelson Mandela (United Nations, 2015). In this paper, I have tried to bring together many voices, including my own, that call for a change in how we deal with our “lowest” citizens. In examining the past, present, and future treatment of female Aboriginal mentally disordered offenders, I am hoping that the Correctional Service of Canada will find a benevolent way to treat them justly and fairly. It is not acceptable that Ashley Smith was criminally charged and disciplined for her mental illness. I find it perplexing, that the Correctional Service of Canada has not found a better way to deal with mentally disordered Aboriginal women. Is it that the government does not want to spend the money? Do they lack the moral or political will to make substantive correct change? Are they saying there is really no point in trying to rehabilitate the “undesirables” in our society? One wonders then if all the talk about respect, diversity, multi-culturalism, and apologies to Aboriginal people is all just smoke and mirrors. We need to change the discourse and rage against the intransigent injustice. When the Office of the Correctional Investigator, Coroner’s Inquests, juries, correctional and mental health staff, academics, international bodies, non-governmental organizations, authors, poets and the staff and inmates themselves, all point out the same things, why then does the Correctional Service of Canada stand resolute and only make change at a glacial pace? 25 We need to partner with Aboriginal agencies and organizations, with Elders and supportive allies and change the discourse. We need to provide healthy, healing, trauma informed services that meet Aboriginal women where they are, without judgment or reproach. We need to establish healthy, healing, therapeutic environments. Then, and only then, will all the voices brought together in this paper be able to say that we have put the “just” back in justice. References Arboleda-Florez , Julio. Mental Patients in Prisons. World Psychiatry. 2009 October; 8(3): 187–189. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755284/. Anasseril E. Daniel. (2007). Care of the Mentally Ill in Prisons: Challenges and Solutions. http://www.jaapl.org/content/35/4/406.full Arthur, E. et al (2013). British Columbia Ministry of Health: Trauma Informed Practice Guide. British Columbia Government. www.bccewh.bc.ca Balfour, G. (2011). Prostituted Policed and Punished: Exploring the Victimization, Criminalization and Incarceration of Women in Canada. In B. Perry, Diversity, Crime and Justice in Canada (p. 212 & 219). Don Mills, Ontario: Oxford University Press. Barnao, M. (2013). The Good Lives Model tool kit for mentally disordered offenders. Journal of Forensic Practice, Vol. 15 Issue: 3, pp.157 – 170 http://www.emeraldinsight.com/journals.htm?articleid=17087830 Blatchford C. (2013). Management had Crushed Common Sense at Prison Where Ashley Smith Committed Suicide. National Post. http.//fullcomment,nationalpost.com Campbell, A. (2012). A Place Apart: The Harm of Solitary Confinement. University of Toronto.www.tspacelibrary.utoronto.ca/bitstream/1807/33351/7/Campbell_Alexa ndra_P_201211_LLM-thesis.pdf. Canadian Broadcasting Corporation News. (2013). Ashley Smith Coroners Jury Rules Prison Death a Homicide. www.cbc.ca Canadian Broadcasting Corporation: The Fifth Estate. (2012). Out of Control. Ottawa, Ontario, Canada. Chin, V. and Y. Dandurand - UNODC (2012). Introductory Handbook on the Prevention of Recidivism and the Social Reintegration of Offenders. New York: United Nations 26 http://www.unodc.org/documents/justice-and prisonreform/crimeprevention/Prevention_of_Recidivism_and_Social_Reintegra tion_12-55107_Ebook.pdf Correctional Service of Canada (2013.) Dynamic Security. www.csc-scc.gc.ca Correctional Service of Canada (2014.) History of Correctional Service of Canada. www.cscscc.gc.ca Correctional Service of Canada (1990.) Report on Self-Injurious Behavior in the Kingston Penitentiary for Women. Ottawa, ON: Correctional Service of Canada. Deeson, C. & Storey, B. (2013). Canadian Broadcasting Corporation, News. Solitary Confinement a Growing Issue in Canadian and US Prisons. www.cbcnews.ca Government of Canada (1992.) Corrections and Conditional Release Act. www.gov.gc.ca Harris, K. (2013). Canadian Broadcasting Corporation, News. Mentally Ill Kingston Inmates to be Moved Twice. www.cbcnews.ca Hetil, O. (2009). Penrose's Law: Reality or Fiction? U.S. A. National Library of Medicine. http://www.ncbi.nlm.nih.gov/pubmed/19581161 Canadian Broadcasting Corporation. The Fifth Estate. (2012). Out of Control. Ottawa, Ontario, Canada. Balfour, G. (2011). Prostituted Policed and Punished: Exploring the Victimization, Criminalization and Incarceration of Women in Canada. In B. Perry, Diversity, Crime and Justice in Canada (p. 212 & 219). Don Mills, Ontario: Oxford University Press. Hogeveen, B. (2011). Zombies in Bel Air: Class and Marginalization in Canada. In B. Perry, Diversity, Crime and Justice in Canada (p. p. 202). Don Mills, Ontario: Oxford University Press. Nacro (2011). Liaison and diversion for mentally disordered offenders. https://www.nacro.org.uk/data/files/liaisondiversion-for-mdos-may06-936.pdf Perry, Bruce. (2015). Trauma Informed Care. www.traumainformedcareproject.org. Sapers, H. (2011-2012). Annual Report from the Office of the Correctional Investigator http://www.oci-bec.gc.ca/rpt/annrpt/annrpt20112012-eng.aspx Sapers, H. (2006). Annual Report from the Office of the Correctional Investigator. Ottawa Canada. 27 Sapers, H. (2015). Mental Health Services and Mentally Ill Federal Prisoners. Justice Institute of British Columbia Conference. Sapers, H. (2013). Risky Business: An Investigation of the Treatment and Management of Chronic Self Injury Among Federally Sentenced Women-Final Report. Office of the Correctional Investigator. Ottawa: Government of Canada. Sapers, H. (2016). Uncovering the World of Correctional Investigations. A Discussion With Howard Sapers. YWCA Hotel, Vancouver, B.C. Simpson, A. I. F. & Cohen, S. N. (2013). "Challenges for Canada in Meeting the Needs of Persons with Serious Mental Illness in Prison." Journal of the American Academy of Psychiatry and the Law Online. Vol. 41(4), 501-509. United Nations General Assembly (1990). Basic Principles for the Treatment of Prisoner’s. www.un.org Vanderloo, Mindy J. & Butters, Robert P. (2012). Treating Offenders with `Mental Illness: A Review of the Literature. http://ucjc.utah.edu/wp-content/uploads/MIO-butters- 6-3012-FINAL.pdf West Coast Prison Justice Society. (2016). Solitary: A Case for Abolition. The Law Foundation of British Columbia. https://prisonjusticedotorg.files.wordpress.com/2016/11/solitaryconfinement-report.pdf Zinger, I. (2017). Issues in Federal Women’s Corrections: An Ombudsman’s Perspective. Ting Forum on Justice Policy. Simon Fraser University. Simon Fraser University. Burnaby B.C. 28