Needles are seen on the ground in Oppenheimer park in Vancouver’s downtown eastside on March 17, 2020. Indigenous and civil liberties groups say the British Columbia government failed to consult them before proposing legislation that would force youth under 19 to stay in hospital after an overdose. THE CANADIAN PRESS/Jonathan Hayward

Proposed B.C. legislation to detain youth who overdose could harm them: doctor

Minister Judy Darcy has said the proposed changes could help ensure the immediate safety of young people

Indigenous and civil liberties groups say the British Columbia government failed to consult them before proposing legislation that would force youth under 19 to stay in hospital after an overdose.

The province announced its plan to amend the Mental Health Act last month, saying youth could be kept in care for up to seven days in order to stabilize them and create a treatment plan that would involve parents.

However, the Union of B.C. Indian Chiefs and the B.C. Civil Liberties Association are among groups that say the government didn’t ask for their input on legislation that may stop youth from accessing care if they’re detained against their will.

READ MORE: B.C. to impose ‘stabilization care’ for youths after overdose

They’re demanding the proposed legislation be withdrawn, especially as fatal overdoses increase, with a monthly record of 175 deaths last month.

Judy Wilson, a spokeswoman for the Union of B.C. Indian Chiefs, said Indigenous youth would be most affected by the changes and instead need support services before they overdose and end up in an emergency department.

“If the province had talked to some of these families and advocates there could have been a lot more suggested, instead of unilateral changes,” Wilson said.

“More alternative programs than just hospitalization are needed,” she said, adding long wait lists for programs and treatment leave youth without hope as drug use becomes entrenched and families end up in crisis.

“There aren’t enough programs so it ends up being the only solution, to leave them in the psych ward, in an institutional setting,” Wilson said. “And of course youth rebel because they don’t want to be in a hospital.”

The Mental Health and Addictions Ministry did not immediately respond to requests for comment. Minister Judy Darcy has said the proposed changes could help ensure the immediate safety of young people and provide them with support after they’re discharged.

However, Dr. Keith Ahamad, an addictions specialist at St. Paul’s Hospital in Vancouver, said there aren’t enough treatment beds available for either youth or adults.

Ahamad was among the physicians and public health experts consulted about the proposed legislation but he said their concerns weren’t taken into consideration.

“Everyone was very surprised to see the proposed changes,” Ahamad said, adding youth fearing they could be detained in hospital will no longer trust doctors trying to treat them.

“I see this hugely, disproportionately affecting Indigenous youth and as they age. The therapeutic relationship and the potential for me to provide care for these youth is significantly impacted when they’re treated like this. The scientific evidence suggests that, as well as the clinical experience.”

Detaining youth for seven days would also lower their tolerance to street drugs, which is particularly problematic as substances have become more toxic during COVID-19, Ahamad said of disruptions to the normal supply due to border closures.

“A 17-year-old doesn’t want to be forced into doing anything that they don’t want to do. And if best evidence suggested that this would be effective and potentially lead to improved outcomes then of course we would advocate for it.”

He said rather than amending the law, there’s an urgent need for the province to provide a comprehensive system of support.

“Currently within British Columbia we don’t have a functioning system of care within the community. We have people admitted to withdrawal management centres within acute care settings and we discharge them to nothing,” he said.

“To me, as a parent and a scientist and a clinician, that is the crux of the issue. We’re not looking after patients when they leave hospitals and that’s the real downfall of the system.”

READ MORE: Mom of teen who fatally overdosed says B.C. needs treatment beds, not just involuntary holds

The BC Centre on Substance Use was also not consulted by the province, and neither were drug users’ groups or Moms Stop the Harm, a national support group of about 1,300 parents whose children are struggling through addiction or have died of an overdose.

Leslie McBain, a spokeswoman for the latter group’s chapter representing 650 members in British Columbia, said that while the intention behind the proposed legislation is good, it is “fundamentally flawed.”

“If a kid ever wanted to recover from drugs and ever had the idea there was something for them this might just dash their hopes,” McBain said.

“If the individual is scared or threatened and doesn’t want their parents to know and wants out it’s not conducive to healing,” she said.

“I think the government should step back, look at it again given the criticism and pushback they received and do some more consulting.”

Camille Bains, The Canadian Press


Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

B.C. overdosesoverdoseoverdose crisis

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

Staff member at Surrey long-term care facility diagnosed with COVID-19

Fraser Health said a rapid response team is on site

White Rock’s namesake spray-painted black

Vandalism occurred sometime between Friday and Saturday

South Surrey resident blames city after house floods

Marilyn Molter said debris from city-planted maple trees easily clogs street drains

Surrey’s Johnston Heights reporting COVID-19 exposure

Fraser Health has created a new webpage listing COVID-19 cases in schools

Senior White Rock election worker not concerned about safety at the polls

‘Casting your vote will be like getting a take out coffee,’ says Elections BC CEO

QUIZ: Do you know what’s on TV?

Fall is normally the time when new television shows are released

Canadian ski resorts wrestle with pandemic-vs.-profit dilemma as COVID-19 persists

Few are actually restricting the total number of skiers they allow on the hill

Victoria-area RCMP locate high-risk sex offender thanks to help of taxi cab driver

Scott Jones wanted on a Canada-wide warrant, ‘a risk to women and girls,’ police say

A (virtual) walk around the world by 88-year-old B.C. man

George Doi says it’s simple: ‘I like walking’

Join Black Press Media and Do Some Good

Pay it Forward program supports local businesses in their community giving

End of CERB means uncertainty for some, new system for others

As of a week ago, the CERB had paid out $79.3 billion to 8.8 million people

Horgan, Wilkinson trade barbs over MSP premiums, health care at campaign stops

Horgan called a snap election for Oct. 24 earlier this week

VIDEO: COVID won’t dampen Lower Mainland woman’s Halloween spirit

Langley’s Tanya Reid posted video offering suggestions of how trick-or-treating might look for her

Most Read