The national trajectory project of individuals found not criminally responsible on account of mental disorder in Canada. Part 3: trajectories and outcomes through the forensic system.

TitleThe national trajectory project of individuals found not criminally responsible on account of mental disorder in Canada. Part 3: trajectories and outcomes through the forensic system.
Publication TypeJournal Article
Year of Publication2015
AuthorsCrocker AG, Charette Y, Seto MC, Nicholls TL, Côté G, Caulet M
JournalCan J Psychiatry
Volume60
Issue3
Pagination117-26
Date Published2015 Mar
ISSN0706-7437
KeywordsAdult, British Columbia, Criminals, Female, Hospitalization, Humans, Male, Mental Competency, Mental Disorders, Mentally Ill Persons, Ontario, Quebec
Abstract

OBJECTIVE: To examine the processing and Review Board (RB) disposition outcomes of people found not criminally responsible on account of mental disorder (NCRMD) across the 3 most populous provinces in Canada. Although the Criminal Code is federally legislated, criminal justice is administered by provinces and territories. It follows that a person with mental illness who comes into conflict with the law and subsequently comes under the management of a legally mandated RB may experience different trajectories across jurisdictions.METHOD: The National Trajectory Project examined 1800 men and women found NCRMD in British Columbia (n = 222), Quebec (n = 1094), and Ontario (n = 484) between May 2000 and April 2005, followed until December 2008.RESULTS: We found significant interprovincial differences in the trajectories of people found NCRMD, including time detained in hospital and time under the supervision of an RB. The odds of being conditionally or absolutely discharged by the RB varied across provinces, even after number of past offences, diagnosis at verdict, and most severe index offence (all covariates decreased likelihood of discharge) were considered.CONCLUSIONS: Considerable discrepancies in the application of NCRMD legislation and the processing of NCRMD cases through the forensic system across the provinces suggests that fair and equitable treatment under the law could be enhanced by increased national integration and collaboration.

Alternate JournalCan J Psychiatry
PubMed ID25886687
PubMed Central IDPMC4394711
Grant List / / Canadian Institutes of Health Research / Canada

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