“Prison can exacerbate mental health problems, which has a long-term impact on the individual concerned and the community into which he or she may be released.”
Her Majesty’s Chief Inspector of Prisons, Britain, 1996
I’ve got a new mantra for the provincial Tories as they head into a fall election: “Closed. Covert. Irresponsible.”
That’s about the only way to describe a government that pays lip service to being open, transparent and accountable and then acts in the completely opposite manner.
I’m talking about the kind of government that pretends to support citizens’ rights to access information and avail of the services of an ombudsman, then does its best to thwart those rights.
A government that sometimes has to be threatened with court action before it will turn over records that should be available to the public, or before it will concede that the citizens’ representative has the right to investigate when he receives complaints from people who say they’ve been treated unfairly.
A government that, for years, has expected inmates to put up with a rigid form of medical care that other people wouldn’t tolerate.
In rejecting citizens’ representative Barry Fleming’s report about psychiatric care at Her Majesty’s Penitentiary this week, Kathy Dunderdale’s administration was basically saying that there are citizens, and then there are second-class citizens.
Yes, there are those who would argue that the people down at The Pen are scumbags who should just put up and shut up.
Those people are ignoring the facts.
People who end up in prison often have mental health issues that are compounded and aggravated by incarceration. It is in the best interests of public safety and the public purse to see that convicts are provided the medical treatment they need to get well and reintegrate successfully back into the community once their time is served.
Ignore their mental health issues and take away their medications willy-nilly and you might as well go ahead and install a revolving door at HMP.
As one inmate noted in his complaint to the citizens’ representative after his meds were cut off in prison:
“I feel like I’m going crazy the way I’m feeling without my meds. I would not want to be released into society. There’s no point. I don’t feel normal anymore. … I’ve seen three suicide attempts in the last month. So far this year there have been two deaths and it’s getting worse. I ask you to please help me before it’s too late.”
Complaints swirling for years
Fleming’s office investigated several complaints like that one, and consulted with other psychiatrists and medical personnel.
HMP psychiatrist Dr. David Craig has long had a reputation for being conservative in his prescribing practices, and he has suggested that some inmates rely on drugs not necessarily because they are medically required, but because it helps them avoid dealing with their real problems.
While Craig’s approach may work for some, Fleming advocates that inmates be given access to the same level of health care available to members of the public, such as the right to seek a second opinion.
“Given the fact that the inmates had been prescribed these drugs prior to incarceration by physicians and psychiatrists, and then were having them reduced upon incarceration, the Department of Justice — in maintaining this policy — was not treating inmates fairly,” Fleming said.
In 1998, an editorial in the British medical journal The Lancet noted: “The principle that prisoners are entitled to the same level of health care as that provided in the wider community is accepted in enlightened societies and prison systems.”
It’s time provincial Justice Minister Felix Collins joined an enlightened society.
In rejecting Fleming’s report, Collins said, “Mr. Fleming, in our estimation, does not have the expertise or the jurisdiction to comment on the professional judgment or prescription practices of a physician.”
That’s not the tune his government was singing when Fleming was appointed in October 2006.
Back then, Danny Williams said Fleming’s “professional credentials and work experience … make him an excellent candidate for this extremely important position.”
That work experience includes extensive expertise in human rights law. Surely that qualifies Fleming to investigate whether or not a group of citizens’ human rights are being infringed upon.
It was Roger Grimes’ Liberal government, in 2001, that reinstated the ombudsman’s office, saying it wanted to “create a greater level of trust, openness and accountability.”
“The reinstated citizens’ representative will be totally independent of government and is free to make any recommendations necessary,” Justice Minister Kelvin Parsons said then.
No one said anything about the government being free to ignore those recommendations.
Why fund an office that isn’t allowed to carry out its work? Why even pretend to be accountable?
Why did Collins ignore the ombudsman but then bend to public opinion and order a review of Craig’s work? Too many votes at stake, perhaps?
And what was the real reason Fleming’s report was rejected? Is it that the government saves money if there are fewer prescriptions issued at HMP?
Who will be responsible if inmates die or commit suicide because they’ve been denied their medications?
Would the provincial government rather save money on pills or legal bills?
The problems down at HMP are the worst-kept secrets in town. The prescribing practices were raised as an issue in the 2008 report Decades of Darkness, Moving Towards the Light.
When the justice minister said on Wednesday that he would order a peer review of Craig’s work, he would not commit to making those findings public.
Why not make them public? Because they might support Fleming’s recommendations?
It seems this provincial government is content to operate in the dark.
Pam Frampton is The Telegram’s
story editor. She can be reached by email at firstname.lastname@example.org.