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Servk:e Correc!Klnr* Ceneda Regional Centre Psychiatric Psychiatrique Centre Regional

Allllal•a 101111 - At-.. • lklftnllr cr s-.le'- ..,r ~,...... ••-d-.• ~- c:.n.cta dli .... II Pg. Pg. Introduction ...... 2 Psychiatric Services ...... 14 Message from the Board of Governors . . . . . 3 Social Work Services ...... 14 .. Message from the President, Psychology & Research Services ...... 14 University of Saskatchewan ...... 4 Adjunctive Therapies ...... 15 Message from the Executive Director ...... 4 I. Education ...... 15 Highlights of 1989 ...... 5 II. library ...... 15 Organization Chart ...... 6 Ill. Occupational Therapy ...... 15 Unit Programs ...... 7 IV. Recreation Therapy ...... 15 PAC (Prairies) Program Matrix - Diagram . . . 7 V. Visits and Correspondence ...... 15 Assiniboine Unit ...... 8 VI. Patient Work/Pay ...... 16 Churchill Unit ...... 8 VII. Tour/Public Education Coordination . 16 Clearwater Unit ...... 8 VIII. Volunteer Coordination...... 16 Bow Unit ...... 9 Chaplaincy ...... 16 McKenzie Unit ...... 9 Patient Care Division ...... 16 Table of Contents Research Activities ...... 9 Management Services Division ...... 17 The Sexual Offender ...... 9 Medical Records ...... 17 The Aggressive Inmate ...... 9 Finance ...... 17 The Criminal Psychopath ...... 10 Personnel ...... 17 The Native Offender ...... 10 Stores and Services ...... 17 Alcohol and Criminality ...... 10 Works and Engineering ...... 17 Forensic Issues ...... 10 Admissions and Discharge ...... 17 Publications and Professional Sentence Administration ...... 18 Presentations ...... 10 1989 Special Events and Visitors ...... 18 Major Committees- Diagram ...... 11 Public Education ...... ,...... 22 Board of Governors ...... 11 Tours ...... 22 University/Centre liaison Committee ...... 12 Presentations ...... 22 Coordinating Committee ...... 12 Mission Statement, Goals and Objectives . . . 23 Finance and Planning Committee ...... 12 Mission Statement ...... 23 Accreditation and Quality Assurance Goals ...... 23 Committee ...... 13 Objectives ...... 23 Advisory Committee on Ethics ...... 13 Table 1 ...... 27 Joint Conference Committee ...... 13 Table 2 ...... 27 Medical Staff Committee ...... 13 Table 3 ...... 28 Executive ...... 13 Table 4 ...... 28 Honorary Staff ...... 13 Table 5 ...... 29 Active Staff ...... 13 Table 6 ...... 29 Associate Staff ...... 13 Table 7 ...... 30 Consultant Staff ...... 13 Table 8 ...... 31 Citizens Advisory Committee ...... 14 Table 9 ...... 32 RPC Management Committee ...... 14 Table 10 ...... 32 Clinical Division ...... 14 Introduction

The Regional Psychiatric Centre (Prairies) is operated by the Correctional Service of Canada in affiliation with the University of Saskatchewan. The Centre was officially opened November 14, 1978. The Regional Psychiatric Centre is designated as an "in-patient facility" under the appropriate sections of the Mental Health Services Act (1986) of Saskatchewan. The Centre achieved accredita­ tion status from the Canadian Council on Health Facilities Accreditation in October, 1984 and has maintained accreditation status since that time. An Affiliation Agreement between the Government of Canada and the University of Saskatchewan is the foundation for cooperation between the Centre and the University of Saskatchewan. Teaching and research in the area of forensic psychiatric services is enhanced and encouraged. Senior professional staff of the Centre hold joint faculty appointments with the University. The Centre is situated on property leased from the University of Saskatchewan. The mandate for the Regional Psychiatric Centre is to establish assessment and treatment programs for: 1) inmates of the Correctional Service of Canada, primarily from the Prairie region; 2) inmates of the correctional system for the Province of Saskatchewan; 3) individuals remanded from the Courts of Saskatchewan; and 4) individuals in confinement under the authority of warrants of the Lieutenant Governor of Saskatchewan.

2 Message from the Board of Governors

Full membership of the Board was achieved in 1989 and it is with great pleasure that we welcome Dr. Jacques Roy, Director General, Health Care, from National Headquarters, and Dr. Robin Menzies, Clinical Director at the Regional Psych­ iatric Centre, and we look forward to a long and productive association with them both. It has been a year marked by steady consolida­ tion and progress, and the Regional Psychiatric Centre can be said to have embarked energeti­ cally and successfully upon its second decade. The concept of Unit Management is being introduced into the facility within a framework that fully accommodates the unique role that the Regional Psychiatric Centre plays within Federal Corrections and the Province of Saskatchewan. The year has also seen considerable physical changes to the building, notably at the front entrance and the visiting area. Nevertheless, it is the people within the Regional Psychiatric Centre that are its main strength and to them must go the credit for the success achieved during the past 12 years. We, as a Board, are therefore most pleased to ~ for1990 /! "-'-; J;J ~ ~t ))rJll(_ tv v-- Mr. M.J. Duggan, Chairman The Hon. Mary Batten, Vice-Chairman Mr. Robin Menzies, Member (non-voting) Regional Deputy Commissioner (Prairies) Chief Justice Clinical Director Correctional Service of Canada Court of Queen's Bench for Saskatchewan ClJ~L~~lhD Dr. Dave Keegan, Vice Chairman Head of Psychiatry Dr. Jaques Roy, Director General Faculty of Medicine Mr. Robert Gillies, Member (non-voting) Health Care Services University of Saskatchewan Executive Director Correctional Service of Canada

3 Message from the President, In turn, these kinds of partnerships encourage We enter the 1990s with confidence and hope. further collaboration, and joint programs with our The Centre has matured considerably over the University of Saskatchewan Sociology Department and College of Nursing are first 12 years of its existence, its programs are well currently in the planning stages. established, and its contribution to the Criminal I commend the Liaison Committee for the fine Justice System and to society has become work it has done and look forward to a continued significant. Increasingly society is expecting a happy and productive relationship between the return on its investment - it is demanding high Centre and the University. quality assessment and treatment services, and it is looking to us to make a major contribution in teaching and research. To meet this challenge requires a team effort at the Centre - from our staff, the Board of ?!~~j~ Governors, other agencies, volunteers -the many people who come together to "make it work". The Mission statements of both the Correctional Service of Canada and the Regional Psychiatric Dr. George lvany, B.Sc., M.A., PHD. Centre provide us with clear direction, and we are President pleased to be able to take up the challenge being University of Saskatchewan given us.

Message from the Executive Director ~· It is a pleasure for me, in this my first message to the Regional Psychiatric Centre, to acknowledge the close working relationship that Robert Gillies exists between the Centre and the University of Executive Director Saskatchewan. The involvement of staff members of the Centre in undergraduate and graduate teaching programs of the Departments of Psychology and Psychiatry, and the collaborative endeavours of staff of the University and the Centre in forensic psychiatry and research programs in neuro­ psychiatry, are examples of the kind of cooperation that produce mutual rewards tor both our institutions. As well, the first two jointly-sponsored symposia on violence and aggression, co-chaired by Doctors Keegan and Gordon, have been extremely successful.

4 Highlights of 1989

The links between the University of Saskatche­ Symposium on Aggression and Violence. The A new, free-standing greenhouse building is in wan and the Centre continue to be reinforced program has been established through the efforts the process of being developed so that an through the Joint Appointment process for of Dr. L. Presse of our Psychology/Research expanded horticultural program can be brought professional positions within the Centre. The Department, and Dr. P. Matthews, Clinical Director on stream. This program allows for the theories of expansion of clinical practice and research oppor­ of Child & Youth Psychiatry, University Hospital. nurturing and care for something outside the self tunities for interns and residents in medicine and This happening will take place in June 24-27, 1990. being fostered through the activities of plant psychiatry, as well as students in psychology and These two educational functions incorporate Core regeneration and cultivation. Therapists can nursing, help to cement this bond. Further liaison Value 4 which states: perform one-to-one counselling during the periods is achieved through joint research projects "We believe that the sharing of ideas, that are spent together on horticultural activities. between the University and the Centre. The knowledge, values and experience, These programs relate to Core Value 1 "We University/Centre Liaison Committee reviews the nationally and internationally, is essential to respect the dignity of individuals, the rights of all programs and activities on a regular basis. These the achievement of our Mission." members of society, and the potential for human endeavours are consistent with the values A project has been underway through most of growth and development", and Core Value 2 "We contained in the Mission Document of the Correc­ the year to expand and reconstruct the Principal recognize that the offender has the potential to live tional Service of Canada, especially Core Value Entrance. This reconstruction will provide for as a law-abiding citizen." 3 which states "We believe that our strength and better training facilities for correctional officer staff During 1989 a major organization change took our major resource in achieving our objectives is as well as provide better access, service and place through the integration of all nursing and our staff and that human relationships are the traffic flow for visitors and staff at the entrance. security staff into one division. A number of cornerstone of our endeavour", and Core Value We finally moved in to the new building December adjustments were required to accommodate this 5 which states " We believe in managing the 23, 1989. change, which was formally implemented Service with openness and integrity and we are A private family visits facility is well on its way December 18, 1989. A key feature of the change accountable to the Solicitor General." to completion. When it is in operation, appropriate is the creation of five Patient Care Manager Staff from all areas of the Institution continue patients will be able to visit with their significant positions who will each be responsible for one to perform their Departmental Quality Assurance others for extended periods in a homey unit, as well as being responsible for the overall functions in order to ensure high quality perform­ atmosphere. This visiting should assist in main­ operation of the Centre on the " off shifts" on a ance to meet patients' needs and help resolve taining the integrity of the family unit and friend­ rotating basis. The new organization chart is as patients' problems. In this manner we hope to ship network until the time of release. follows: maintain our level of organization, service and care at a high plane in order to be ready for our next accreditation survey, which will take place in the fall of 1990. In October 1989 the Centre and the College of Nursing at the University of Saskatchewan presented the first national conference on the nurse's role in the criminal justice system entitled " Custody and Caring." The conference was a great success with rave reviews from attendees. The only negative note was the loss of one of our long-time nurses through sudden death at the conference. Deirdre Johnson was loved and is missed. Planning is progressing well for the Third

5 The Mission Document for the Correctional Service of Canada was approved on February 15, 1989 by the Honourable Pierre Blais, Solicitor General of Canada. During the year we have spent considerable effort ensuring that all our activities are consistent with the Core Values and Guiding Principles of this document. We have also Organization Chart reviewed and updated the Mission Statement of the Centre to ensure its consistency with the Mission of the Correctional Service o Canada. EXECUTIVE DIRECTOR

I DIRECTOR OF CLINICAL DIRECTOR OF PATIENT DIRECTOR MANAGEMENT CARE SERVICES

I

ADPC .. ADPC (NURSING) (SECURITY) . ;

~ ' - .. ' •'

PATIENT PATIENT PATIENT PATIENT PATIENT CARE CARE CARE CARE CARE MANAGER MANAGER MANAGER MANAGER MANAGER

I I I l I 1 I I I l Head Head Head Head Head Nurse Correctional Nurse Correctional Nurse Correctional Nurse Correctional Nurse Correctional Assiniboine Officers Clearwater Officers Churchill Officers McKenzie Officers Bow Officers Unit Unit Unit ~it Unit

6 Unit Programs Regional Psychiatric Centre (Prairies) Program Matrix Clinical Many programs for patients are offered on a unit Director basis. Individual patient care plans are con­ structed by a multi-disciplinary unit team to meet patient needs. The accompanying matrix illustrates the interface between unit operation and Clinical Division service delivery. A brief description of each unit's program follows: Psychiatry Psychology Social Adjunctive Work Therapies

~ Assiniboine Unit

Churchill fo-o-l Unit

Director of Clearwater Patient Care Unit

McKenzie - Unit

Bow ~ Unit

7 Assiniboine Unit Churchill Unit Clearwater Unit

Patient Care Manager: Patient Care Manager: Patient Care Manager: Louis Lauziere Brian Bayda Heather Bergen

Head Nurse: Head Nurse: Head Nurse: Maxine Nydegger Marguerite Schneider Winnie Church

Clinical Team: Clinical Team: Clinical Team: Dr. S. Manohar, Psychiatrist Dr. Robin Menzies, Clinical Director Dr. Ray Denson Dr. Wagdy Botros, Psychiatrist Dr. Steve Parthev, Psychiatrist Dr. Art Gordon, Chief, Psychology/Research Dr. Ray Denson, Psychiatrist Tony Greenwood, Psychologist Linda Atkinson, Social Worker Dr. Cindy Presse, Psychologist Wilma Bourassa, Social Worker Wilma Bourassa, Social Worker This is a 24 bed unit with a program designed Churchill is considered our "acute" unit where to meet the needs of patients who have problems This is our admissions and assessment unit. acutely mentally ill and severely emotionally with their sexual adjustment. It is a voluntary The National Parole Board and Provincial Courts disturbed patients are treated. Its capacity is 12 program and patients may withdraw upon request. refer patients and ask for comprehensive assess­ beds, half the size of other units, and the ratio of The program is of six to nine months duration. ments to aid in decision making. Federal staff to patients is enhanced. This provides for Team members from the unit visit the various pen­ penitentiaries and provincial correctional institu­ more individ ualized care and control during times Itentiaries in the Prairies Region to assess and tions are also sources from which patients are of severe behavioural difficulty. select appropriate candidates for the program. referred. Patients are usually transferred to Churchill from Then the various institutions are notified when a During the past year there has been consider­ other units. However, they may be admitted bed becomes available for their candidates. able effort to expand the treatment component of directly to Churchill should their mental health or Referrals also come from other regions and from the unit, as well as focusing on its assessment behavrour require this intensive period of initial Provincial Corrections on occasion. responsibility. care. An integral part of the program is guiding Assessments are usually completed in three Treatment is based on a one-to-one staff-patient patients to become aware of the effects of their weeks with reports from Psychiatry, Psychology, relationship with the solving of specifically behaviour on others and helping them learn the Social Work and Nursing. If the unit team's opinion identified problems and meeting of individually most appropriate behaviour to use in particular is that the patient should be considered for indicated needs as the focus. If involuntary treat­ situations. admission for treatment, a case conference is held ment is considered necessary, then it is carried Therapy is on a multi-disciplinary basis. when the assessment is completed and a decision out under the provisions of Sections 24 and 25 Individual patient performance is assessed on a is made at that time. If it is considered that the of the Saskatchewan Mental Health Services Act regular basis throughout the program. Patient patient requires treatment but no beds are (1986), which provides the safeguards of an attitudes and behaviours are observed, assessed available, he is usually returned to his home independent review and appeal process. and evaluated regularly throughout the program institution to await an available space. Access to to detect and identify any changes that may occur. admission beds is made available to all referral Individual progress in the program is dependent sources. Accommodation is arranged for upon motivation to alter established behaviours emergency cases either on the unit or in another and attitudes. area of the hospital. The bed capacity of the unit is 22 beds.

8 Bow Unit McKenzie Unit Research Activities Patient Care Manager: Patient Care Manager: Steve Silburt Mel Auten In support of C.S.C.'s Mission Statement, research activity at the Regional Psychiatric Head Nurse: Head Nurse: Centre has been increasing substantially. Our Helen Buchinski Diane Neufeld 1989 Research Plan proposed 19 studies in six areas: the sexual offender, violence, criminal Clinical Team: Clinical Team: psychopathy, native issues, drug and alcohol Dr. Ray Denson, Psychiatrist Dr. Steve Parthev, Psychiatrist abuse, and general forensic issues. These studies Tony Greenwood, Psychologist Dr. Steve Wong, Psychologist have involved considerable collaboration with the Sid Byma, Chief of Social Work Tracy Pytlowany, Social Worker academic and C.S.C. communities, particularly Dr. Ken Pease (University of Manchester), Dr. Alan Bow unit treats individuals suffering from This unit also has a capacity of 24 beds. Its Boulton (University of Saskatchewan), the Region­ chronic mental illnesses. The unit contains 24 program is based on Maxwell Jones' Therapeutic al Treatment Centre (Kingston), and Joyceville beds. Average length of stay is nine months to a Community model. Large group therapy is the Institution. Highlights of our 1989 activities year. A main objective of the unit program is to primary treatment modality used in this program. include: improve the individual's functioning level to a Many of the patients have been diagnosed as plane on which they are able to handle the personality disordered, with primarily anti-social exigencies of living in a community or a regular characteristics. correctional setting. For patients at the end of their The primary focus of the program is a daily large The Sexual Offender: sentence or assessed as suitable for return to the group session that both patients and staff are community, programs are tailored for the required to attend. Discussion can cover any Studies in this area are focusing on predicting individual to fit into the system he will be entering. subject, but is usually focused on an individual's recidivism in treated sexual offenders, evaluating Various therapeutic approaches are utilized in behaviour and/or problems. There is confrontation sexual arousal patterns in pedophiles and incest the unit program such as cooking programs, by peers with respect to any behaviour that is offenders, developing a scale to measure attitudes nutrition programs, shopping skills programs, disruptive to the progress of other patients. toward sexual activity with children, and measur­ social skills, life skills, other aspects of activities Discussion of unit problems also occurs in the ing perceptions of dominance and control in of daily living, behaviour modification and group. rapists and pedophiles. We are also beginning individual, one-to-one therapy. Bow patients are The objective of the program is to encourage studies examining the relationship between highly involved in the work therapy program. They patients to accept responsibility for past behaviour psychopathy and sexual deviance. also utilize the services of the horticulture and and analyze the sources of their past difficulties. market garden programs to a high degree. The program is also designed to overcome some of the patients' anti-authoritarian attitudes and The Aggressive Inmate: behaviours by giving them some appreciation of the responsibility in the decision-making process A study examining patterns of suicide within through practice. These insights will better equip esc establishments is virtually complete, as is an the individual to handle the stresses of responsible investigation of the factors associated with violent functioning in the community. episodes at the R.P.C. We continue to study psychological and biochemical characteristics of the violent offender, and have begun a project to develop a program for offenders who have committed spousal abuse.

9 Manohar, S. (1989) Analysis of violent incidents at The Criminal Psychopath: Publications and the Regional Psychiatric Centre (Prairies). Professional Practices Working paper. Studies examining cognitive and moral Ogloff, J. & Wong, S. (in press) Electrodermal and development characteristics of the psychopath cardiovascular evidence of a coping response have been completed, as has a project determin­ Boulton, A.A., Davis, B., Yu, P., Green, C., Gordon, in psychopaths. Criminal Justice and Behavior. ing characteristics of psychopathic offenders who A., Durden, D. , Templeman, A. and Pease, K. Ogloff, J., Wong, S. & Greenwood, A. (in press) fail to complete formal treatment. Data collection A longitudinal study of selected biochemical Treating criminal psychopaths in a therapeutic on a study to formally evaluate long-term outcome and psychometric parameters in seven inmates community program. Behavioral Sciences and of a therapeutic community program is proceed­ of a psychiatric prison: Intra- and inter­ the Law. ing, as is a study investigating physiological individual differences and variability in selected Pease, K. & Barr, A. (in press) Crime displace- reactions of psychopaths to environmental biochemical parameters. Submitted for ment. Crime and Justice. stressors. publication. Pease, K., Burnham, R. & Harvey, L. Gender Davis, B.A., Durden, D., Boulton, A., Yu, P. , differences in criminal justice: An international Gordon, A., Green, C., Templeman, A. and comparison. Submitted to the British Journal The Native Offender: Pease, K. A longitudinal study of selected of Criminology. biochemical and psychometric parameters in Polvi, N., Looman, T., Humphries, C. & Pease, K. Two studies have begun to examine whether seven inmates of a psychiatric prison: Relation­ The time course of repeat burglary systematic demographic and psychometric ships between psychometric test scores, victimization. Submitted to the British Journal differences exist between native and non-native offense history and biochemical markers. of Criminology. offenders. These groups are also being compared Submitted for publication. Polvi, N., Looman, T., Kendall, K. & Pease, K. on a variety of biochemical markers. Several major Gordon, A. Evaluation of a treatment program for (1989) Hostage taking in CSC establishments. studies directed at identifying cultural and sexual offenders. Presented to the Canadian Working paper. environmental factors relevant to assessing and Criminal Justice Association's Congress '89, Polvi, N., Looman, T. , Pease, K. & Humphries, C. treating the native offender are also being Halifax, 1989. (in press) The time course of repeat break and designed. Gordon, A. Myths and realities of assessing and enter victimization: Time course and crime treating sexual offenders. Keynote address prevention opportunity. Journal of Police presented to the annual meeting of the Alberta Science and Administration. Alcohol and Criminality: Criminal Justice Association, Red Deer, 1989. Polvi, N. & Pease, K. (in press) Parole and its Gordon, A. and Bergen, H. (1988) Description and problems: A Canadian-English comparison. Two studies investigating differential evaluation of a comprehensive treatment Howard Journal of Criminal Justice. susceptibility of groups of offenders to the effects program for sexual offenders. Unpublished Polvi, N. & Looman, T. (in press) A strategy for of alcohol are currently underway. A third study manuscript. preventing domestic break and enters. RCMP is investigating relationships among co­ Gordon, A. and Bergen H. (in press) Evaluation of GazeHe. dependency, chemical abuse and dysfunctional the sexual offender program at the Regional Presse, L.D. (in press) Managing and treating family systems. Psychiatric Centre (Prairies). Proceedings of the psychopathic offender. Proceedings of the the First National Corrections Research Forum. First National Corrections Research Forum. Gordon, A., Bergen, H., Looman, J. & Templeman, Presse, L.D. Teaching social concepts to psycho­ Forensic Issues: A. Evaluating prison based sexual offender pathic offenders. Presented to the Ministry treatment programs. Presented to the annual Secretariat Symposium on the Criminal The major thrust in this area is a series of meeting of the Canadian Psychological Psychopath, Vancouver, 1989. studies that will link Province of Saskatchewan Association, Halifax, 1989. Presse, L.D. & Jordan, S. Psychopathic cognitions health, social service and corrections data bases Looman, J., Gordon, A. & Pease, K. Men who or merely criminal thinking? Presented to the to determine early precursors of criminal sexually assault both adults and children. Pre­ annual meeting of the Canadian Psychological behaviour. A study examining repeat burglary publication manuscript. Association, Halifax, 1989. victimization has been completed.

10 Williamson, S.E., Hare, A.D. & Wong, S. (1988) Violence: Criminal psychopaths and their victims. Canadian Journal of Behavioral Science, 19, 454-462. Wong, S. (1988) Is Hare's psychopathy checklist reliable without the interview? Psychological Reports, 62, 931-934. Wong, S. (in press) Treatment of psychopaths. Personality and Individual Differences. ~· Wong, S. Treatment of psychopaths in a thera­ ~~ peutic commumty program. Presented to the Ministry Secretariat Symposium on the ~411'~ Criminal Psychopath, Vancouver, 1989. Wong, S. & Elek, D. Treatment of psychopaths: A review of the literature. Presented to the annual meeting of the Canadian Psychological Association, Halifax, 1989.

Board of Governors

The Affiliation Agreement between the Govern­ ment of Canada and the University of Saskatche­ wan provided for the formation of a Board of Governors. The Board's mandate is to provide the overall direction and guidance for. the Centre. The Board's composition as of De~ember 31, 1989 was:

Mr. John Duggan, Cha1rman Deputy Commissioner (Prairies) Major Committees ,, Correctional Service of Canada ,, The Honourable Mary Batten, Vice-Chairman Several committees exist to ensure the mission, ,, Court of Queen's Bench for Saskatchewan goals and objectives of the Regional Psychiatric ,, Dr. Jacques Roy, Director General Centre are met. The accompanying diagram will Health Care Serv1ces reveal committee inter-relationships and their Correctional Service of Canada reporting structures. .-- rtz -. Dr. Dave Keegan, Head of Psychiatry Faculty of Medicine University of Saskatchewan Mr. Robert Gillies, Member (non-voting) Executive Director Mr. Robin Menzies, Member (non-voting) Clinical Director

11 University/Centre Coordinating Committee Mr. John Duggan Liaison Committee Deputy Commissioner, Prairies Region Correctional Service of Canada This Committee involves representation from The Committee provides a communication link the major agencies and departments that refer between the Board of Governors of the University patients to the Centre. This Committee was Ex-Officio Non-Voting Members: of Saskatchewan and the Centre's Board of established when the Centre was in its planning Governors. Plans and proposals are shared and stage, and continues to be active in advising on Mr. Robert Gillies encouragement is offered for the use of joint programs and policies. The membership as of Executive Director programs and resources for the mutual benefit of December 31, 1989 was: Reg1onal Psychiatric Centre (Prairies) both the Regional Psychiatric Centre and the University of Saskatchewan. Mr. Terry Thompson - Chairman Dr. Robin Menzies The membership of this committee as of Assistant Deputy Minister for Corrections & Justice Clinical Director December 31 , 1989 is the following: Saskatchewan Department of Justice Regional Psychiatric Centre (Prairies)

University: Mr. John Labatt Ms. Lois Kitts Dr. Jim Miller - Chairman Executive Director Director of Patient Care Ms. Yvonne Brown Mental Health Services Branch Regional Psychiatric Centre (Prairies) Saskatchewan Department of Health Centre: Justice Mary Batten Mr. Norm Fagnou Mr. Robert Gillies Regional Director, National Parole Board

Ms. Pat Lorje iFinance and City Councillor Ianning Committee Saskatoon City Council Dr. Dave Keegan This committee is composed of the members Head of Psychiatry of the Board of Governors, Mr. R. Untereiner, Faculty of Medicine Director of Management Services, and Mr. E. University of Saskatchewan Berg, Chief of Finance. The group reviews the financial operations of the Centre on a regular Dr. Jacques Roy basis with a view to efficient use of human and Director General, Health Care material resources. Ongoing construction National Headquarters programs, property development and renovation Correctional Service of Canada projects are examined by the committee. Mr. Bob Tuck Acting Regional Administrator, Health Care Prairies Regional Headquarters Correctional Service of Canada

12 Accreditation and Quality Dr. Savalai Manohar Dr. Dan Craigen President of the Medical Staff Advisor to the Commissioner of Corrections Assurance Committee Mr. Ron Untereiner Correctional Service of Canada Director of Management Services Active Staff This committee's mandate is to provide overall Ms. Lois Kitts Director of Patient Care Dr. Robin Menzies, Clinical Director guidance and leadership in the Quality Assurance Dr. Savalai Manohar, A/Director Outpatient process, which is designed to ensure a high level Mr. Richard Johnson Assistant Director of Patient Care (Nursing) Services of patient care. The committee has been busy Dr. Ray Denson, Staff Psychiatrist promoting the ongoing nature of Quality Mr. Garry Thompson Assistant Director of Patient Care (Security) Dr. Steve Parthev, Staff Psychiatrist Assurance through the measurement of identified Dr. Wagdy Botros, Staff Psychiatrist standards compliance with all departments. Ms. Deborah Mater A/Chief, Adjunctive Therapies Dr. Vijay Singh, Staff Psychiatrist The committee has reviewed its own terms of Dr. Stan Smith, Family Medicine reference in order to maintain its own currency. Mr. Sid Byma Chief, Social Work Dr. E. Korchinski, Family Medicine The program still remains the responsibility of Dr. Ernest Ambrose, Dentistry each department, but the committee provides Dr. Art Gordon Chief, Psychology and Research consistency across the hospital and promotes Associate Staff continuous improvement in quality of patient care. Mr. Wayne Mcinnis Quality Assurance Coordinator Dr. S. Yaren, Psychiatrist The membership of the committee is: Stony Mountain Institution Dr. J. Letts, Psychiatrist Mr. Robert Gillies, Executive Director, Chairman Drumheller and Bowden Institutions Dr. Robin Menzies, Clinical Director Medical Staff Committee Dr. M. Tweddle, Psychiatrist Dr. Savalai Manohar, President of the Medical Edmonton Institution Staff Dr. 0 . Cadsky, Psychiatrist Dr. Arthur Gordon, Chief, Psychology and The Regional Psychiatric Centre's By-Laws Grierson and Edmonton Institutions Research mandate the organization of medical and dental Dr. M. Hussain, Psychiatrist Ms. Lois Kitts, Director of Patient Care staff into a professional body. This body has the Saskatchewan Penitentiary Mr. Richard Johnson, Asst. Director of Patient responsibility to ensure the adequacy of medical Dr. N. Conacher Care (Nursing) and dental care provided to our patients, as well Regional Treatment Centre (Ontario) Mr. Ronald Untereiner, Director of Management as the ethical practices of its members. Dr. R. Rockstro Services The medical staff is composed of active, Dorchester Penitentiary Mr. Wayne Mcinnis, Quality Assurance honorary, associate, consultant, and temporary Coordinator members. The membershjp is as follows: Consultant Staff Dr. S. Houston, Head Medical Staff Executive Department of Medical Imaging Dr. Savalai Manohar, President University of Saskatchewan Joint Conference Committee Dr. Vijay Singh, Vice-President Dr. H. Emson, Head Dr. Wagdy Botros, Secretary Department of Pathology University of Saskatchewan This committee provides a forum for the inter­ Honorary Staff Dr. D. Keegan, Head change of information among the professional Dr. lan M. MacDonald Department of Psychiatry staff, the administration, and the Board of Dean of Medicine University of Saskatchewan Governors. This group meets in conjunction with University of Saskatchewan the regular Board of Governors meeting. In addition to the Board of Governors, its members include: 13 Citizens Advisory Committee Mr. Reg Brecknell, Chief of Personnel Social Work Services Mr. Brian Bayda, Patient Care Manager Ms. Heather Bergen, Patient Care Manager The members of this committee come from a Mr. Mel Auten, Patient Care Manager The Social Work Department provides clinical, variety of backgrounds within the community of Mr. Louis Lauziere, Patient Care Manager as well as case management functions at the Saskatoon. It has a mandate to meet with Centre Mr. Steve Silburt, Patient Care Manager Centre. Direct treatment responsibilities involve and Saskatoon Parole Office staff to advise on Mr. Wayne Mcinnis, Quality Assurance social work staff in group and individual counsell­ hospital and parole operations. Coordinator ing as part of a treatment team on each unit. The advice offered to Mr. R. Gillies, Executive Discharge planning, community and family Director of the Centre and Mr. G. Beatty, Area contacts, and coordination of transfers and Manager, CSC Parole, assists in the operation of temporary absences are included in the case both programs. The following is the composition Clinical Dlvls,on management role. of the membership of the committee: During the year, staff changes continued to Dr. Robin Menzies was appointed Clinical occur. Ms. Della Yaroshko accepted a position at Mr. K. Jodrey - Chairman Director in May 1989. The Clinical Director is the University Hospital, and was replaced by Mr. Ms. D. Kyplain -Vice-Chairman responsible for all clinical services including Sid Byma as Chief of Social Work. Ms. Linda Mr. A. Brooks Psychiatry, Psychology, Social Work and Adjunc­ Atkinson was employed in January 1989, joining Lily Stonehouse tive Therapies. His duties also include authoriza­ Ms. Wilma Bourassa and Ms. Tracy Pytlowany as Sister S. Doser, F.S.E. tion of all admissions and discharges to the social workers. Bev Jaffary, the Social Work Clerk, Mr. C. Everson hospital. He chairs the Clinical Advisory also resigned and was replaced by Ms. Brenda Ms. L. Jaine Committee and the Advisory Committee on Ethics Parkinson in mid 1989. Mr. I. Jones and is a member of the Board of Governors, the The Social Work Department continues to Capt. W. McDonough Coordinating Committee, the Joint Conference provide practicum field placements for social work Committee and the Accreditation and Quality students in the University of Regina B.S.W. Assurance Committee. program. The Social Work Department also has respon­ RPC-Management Committee Psychiatric Services sibility for coordinating programs for native patients, including administering a contract for the As of December 31, 1989, the department has services of a Native Elder. The committee provides administrative direction five staff psychiatrists, Drs. Wagdy Botros, Ray and leadership to the programs, staff and patients Denson, Savalai Manohar, Steve Parthev and Psychology and Research Services of the Centre within the policies established by the Vijay Singh. Dr. Singh has been on education This department remains under the direction of Board of Governors. leave at University Hospital and returns to the The committee membership includes: Dr. Art Gordon and is staffed by psychologists Tony Regional Psychiatric Centre (Prairies) in January Greenwood, Dr. Cindy Presse and Dr. Steve 1990. Wong. Our psychometrist, Dorothy Reid, has left Mr. Robert Gillies, Executive Director- Chairman During 1989 Drs. Botros and Manohar Dr. Robin Menzies, Clinical Director for a year of education leave and has been completed the requirements of the Royal College replaced by Ann Vernon. The department provides Ms. Lois Kitts, Director of Patient Care of Physicians and Surgeons of Canada and have Mr. Ron Untereiner, Director, Management assessment and treatment services throughout been awarded Fellowships in Psychiatry. the Centre and maintains an active research Services The Psychiatric Department has been increas­ Mr. Richard Johnson, Asst. Director of Patient program. Drs. Gordon, Presse and Wong continue ingly involved in postgraduate medical education to be actively involved in the Psychology Depart­ Care (Nursing) with both psychiatric and family practice residents Mr. Garry Thompson, Asst. Director of Patient ment of the University of Saskatchewan where, in from the University of Saskatchewan visiting on addition to their formal teaching duties, they Care (Security) a regular basis. This involvement is expected to Mr. Erwin Berg, Chief of Finance contribute to the clinical and research training of increase over the next year. graduate and undergraduate students.

14 Adjunctive Therapies Joanne Ure was the Library Technician and, from Kelsey Campus again provided instructors for the January to March, 1989, Sandra Johnson was the Pre-Release program with Jean Dudley and part-time Library Assistant. From April1, 1989 to Donna Phillips. Clinical supervision of the Adjunctive Therapies is comprised of a group present, the Library Assistant position was filled horticulture training programs (provided by of Clinical Division departments and programs by Carolyn Malokoff. A variety of materials and Yvonne Herbison under personal service contract that provide many rehabilitative services. The services (e.g . fiction and non-fiction books, in coordination with the Works & Engineering departments include Education, Library, Occupa­ magazines, journals, newspapers, filmstrips, Department) was provided by Occupational tional Therapy, Recreation Therapy and Visits and audiotapes, book and magazine purchases, Therapy staff. Correspondence. In addition, Adjunctive reference materials, inter-lfbrary loans) are Therapies is responsible for: tours and public available to supplement treatment programs. The IV. Recreation Therapy: Under the supervi­ education coordination, patient work and pay and Library Committee (including staff and patient sion of Laura Harris, Senior Recreation Therapist, volunteer coordination. The Chief of Adjunctive representatives) again provided advice on library and Gerald Reshetnyk, Recreation Therapist, a Therapies has been Wayne Bennett until operation and policy. variety of therapeutic, educational and recrea­ December 31 , 1989. Wayne accepted a position tional programs and activities (e.g. leisure as a psychologist at Edmonton Institution, effec­ counselling, wellness education, fitness training, tive January 1, 1990. Deborah Mater has accepted pet visitation) were provided. In addition, Recrea­ the responsibility of Acting Chief, Adjunctive tion Therapy staff worked closely with the Patient Therapies. Secretarial services are provided by Committee in the planning and organization of Yvonne Washington. patient social events, sports tournaments, and commercial clothing sales by local merchants. I. Education: The accredited education pro­ Some of the special events during the year were gram was again provided by two full-time staff concerts (some in association with Jeux Canada from Saskatchewan Institute of Applied Science Games cultural troupes), ball games with a and Technology, Kelsey Campus. The completely community team and a dog show. individualized instructional format was delivered by Betty Edwards, Beatrice St. Amand-Doepker and Sandra Froehlich. The educational program components are: adult basic education (grades 1-8); upgrading (grades 9-10); GED (grades 10-12 equivalency) preparation and testing; secondary correspondence (grades 10-12); university corres­ pondence; and an ungraded learning centre. Ill. Occupational Therapy: This department Education (up to the university undergraduate continues under the supervision of Malou Tan, level) is provided to those who qualify and are Senior Occupational Therapist. With the addition capable of completion. Those in the Adult Basic in 1989 of Twyla Woodcock, Occupational Education category receive extra attention as part Therapist, the department's assessment and of a national and international campaign for treatment program offerings have significantly literacy, and some are paired with volunteer tutors increased. By year end, about 85% of the Centre's from READ Saskatoon. Educational learning population was being served through experiential disability assessments were provided (on contract) learning in the areas of relationships, communica­ by Robert Brownbridge. tion , work, self-care and community-release preparation. Warren Albus, Woodwork Instructor, V. Visits and Correspondence: Under the II . Library: The combined patient/staff library and Maureen Tourino, contract Leisure Skills supervision of Dave Eichler, Supervisor, Visits and was open for 34.5 hours per week (Monday to Instructor, remained responsible for much of the Correspondence, and Steve Elliott, V & C Officer, Saturday), including two evenings each week. program delivery in work and leisure skills. SIAST- services were provided in handling and

15 supervising patient mail (incoming and outgoing), with an appreciation certificate and, as The Patient Care Management Team effective telephone calls, and socialization/personal and appropriate, a lapel pin in the correct length of December 18/89 was as follows: business visits. Construction of the new Private service denomination (one year, three years, or Family Visiting Unit began before year end and five years). Director of Patient Care renovations to the V & C area were completed. Lois Kitts Back-up service was again provided by trained Assistant Director of Patient Care (Nursing) Correctional Officers Susan Johnson, Mike Richard Johnson Mcleod, Shawna Boudreau and Brian McGowan. Chaplaincy Assistant Director of Patient Care (Security) Garry Thompson VI. Patient Work/Pay: The Patient Work Board Pastoral Care services for the Centre were lnservice Education Coordinator assigns patients who have been referred for provided by Rev. Arno Bablitz, Sister Liette Godin Isabel MacDonald therapeutic work placement in up to 55 positions and Rev. Marie Herrenschmidt. Patient Care Manager, Assiniboine Unit in the hospital. Monthly work performance reports Pastoral Care provides leadership in worship Louis Lauziere were provided by employers and were shared with services, personal spiritual growth and develop­ Head Nurse, Assiniboine Unit treatment units. The patients in grade 1-8 category ment, and volunteerism with a spiritual basis and Maxine Nydegger were required (unless exempted on clinical motivation. Patient Care Manager, Churchill Unit grounds) to attend school, at least on a part-time Brian Bayda basis. The flat rate allowance system for each Head Nurse, Churchill Unit resident patient continues to work well. Bow Unit Marguerite Schnieder has opted for a performance-based pay system Patient Care Division Patient Care Manager, Clearwater Unit which was associated with their token economy Heather Bergen program. Head Nurse, Clearwater Unit The reorganization mentioned earlier in the Winnie Church VII. Tour/Public Education Coordination: report has resulted in the creation of the Patient Patient Care Manager, McKenzie Unit This was again an active year in both of these Care Division, integrating Nursing and Security Mel Auten roles. Public education presentations and tours into one Division. Lois Kitts became the Director Head Nurse, McKenzie Unit were provided to many groups including University of Patient Care, Richard Johnson became the Diane Neufeld of Saskatchewan (administrators, academic staff, Assistant Director of Patient Care (Nursing) and Patient Care Manager, Bow Unit students); high schools (teachers, upper year Garry Thompson became the Assistant Director Steve Silburt students); church groups; and professional groups of Patient Care (Security). The five new Patient Head Nurse, Bow Unit (mental health, legal, health care). Care Managers reported for orientation October Helen Buchinski 30, 1989, and the new reporting structures took VIII. Volunteer Coordination: Clearance of all place effective December 18, 1989. volunteers through the Volunteer Clearance Board As a result of the reorganization, a number of worked well this year. Volunteers were used in: staff were reassigned or transferred. All staff are chaplaincy, chemical addictions, social work, commended for their professionalism during this occupational therapy, and recreation therapy. A transition period. successful Volunteer Recognition Barbecue was The Patient Care Division's teaching role held on April 30, 1989 in the central courtyard area expanded during 1989. In addition to receiving with approximately 220 people (patients, nursing student placements from the University volunteers, patients' family members and staff) of Saskatchewan, SIAST-Wascana Campus and present. Musical entertainment was provided by Brandon Hospital, we also accepted students from a local band (funded by the Patient Welfare the SIAST-Woodland Campus in the Correction­ Committee) and the event was catered by al Worker program and the Drug and Alcohol DOMCO Foods. Each volunteer was presented program.

16 Management service. Through additional training and job suppliers with whom we deal, giving the patients rotation, we hope to continue this high level of a much broader choice in their purchases. Services Division service. There has also been a significant increase in Personal Service Contracts largely stemming from R. Untereiner continued as the Director privatization initiatives and the expanded throughout the year, and, as of December 18/89, Personnel Research Plan. A total of 45 contracts were pro­ this Division became known as Management cessed in 1989. Personnel has had another extremely busy year Services. All the dayroom furniture has been re­ The responsibility areas now include Personnel, providing personnel services in the areas of upholstered with leatherette making maintenance Finance, Material Management, Maintenance, Staffing, Staff Relations, Compensation and easier. Central Registry, and the provision of contracted Benefits, Human Resource Planning and Class­ Andy Tomyn has been transferred from Main­ Food Services. ification advice to the Regional Psychiatric Centre tenance to the Driver's position in Stores. The staff and to Parole Offices in Sasktoon and Regina. In as of December 31, 1989 were Effie Harrison, addition to these services Personnel provides Chief, Services and Material Management, Medical Records Compensation and Benefits services to the Armand Jutras, Stores Foreman, Elaine Keil , Regional headquarters. Storeman/Cierk, and Andy Tomyn, Driver. Medical Records/Central Registry, under the For the first part of the year our new position direction of D. Morose, is responsible for the in Personnel was staffed by Kate Hopkins who left management of all administrative, patient and at the end of September, 1989 to take up a posi­ Works and Engineering medical files. This Department also serves as the tion in Regional Headquarters in Personnel. Kate mail room for the Centre. D. Kroeger, our records was replaced on an indeterminate basis with The Chief, Physical Plant, Morris Sackney, classifier, left on a leave of absence in September Veronica Zimmerman who comes to us from the along with Bob Brunen and Milo Dyrland, and the 1989 and has been replaced by Patricia Johnson. Department of Indian and Northern Affairs in Engineering Clerk Elsie Chrunik, maintain the North Battleford. property, grounds and equipment at the Centre. The Personnel staff, as at the end of 1989, This is accomplished through Standing Offers, Finance consisted of: Service and Personal Service contracts. In addi­ tion, a considerable amount of work is carried out Finance was pleased to obtain an additional Reg Brecknell, Chief of Personnel by Public Works Canada personnel through person-year effective April 1, 1989 and to have Carol Smith, Personnel Assistant contracts by projects for renovations, additions or Phyllis Taylor appointed as Finance Technician in Lucille McDonald, Supervisor of Compensation retrofits. this position. Phyllis joins Erwin Berg, Chief, Cathy & Benefits The staff carry out corrective maintenance on Rawlinson , Financial Control Officer, and Myriam Dolores Nicholson, Compensation and Benefits a two week standby duty cycle after hours with Wiebe, Finance Technician. Clerk scheduled Preventive Maintenance as applicable Finance continues to be actively involved in Veronica Zimmerman, Compensation and to crucial equipmenUareas to supplement the many of the committees throughout the institution. Benefits Clerk Service Contracts. As well, Cathy Rawlinson continues to provide support to our Electronic Data Processing area. Stores and Services Changing policies and procedures in CSC and Admissions and Discharge the Federal Government makes the Finance The Stores department continues to be very department a challenging area. The current team busy. The department employs four patients to Mr. A. Boulton continued to work as the works exceptionally well together and we perform such tasks as garbage pick-up, cleaning Admissions and Discharge Officer during 1989. appreciate the support and understanding from in the Stores area, canteen, receiving, laundry, This department works closely with the Clinical fellow employees during these changes. tailoring and any other jobs requiring attention. Director, Regional Headquarters representatives, As a service department we continue to strive There has been a significant increase in patient court and police officials to coordinate admissions towards a high level of effective and efficient purchasing. We have expanded the number of and discharge of patients. As of December 18,

17 1989, this position reports to the Assistant Director Special Events and VIsitors January 27, 1989 of Patient Care (Security). Leslie Samuelson -1989 Dept. of Sociology, University of Saskatchewan Sentence Administration Harley D. Dickinson Dept. of Sociology, Ms. L. Lazarescu continued throughout 1989 as January 4, 1989 University of Saskatchewan the Sentence Administrator for the Centre. Her Doug Richardson, Saskatoon Keith Soothill primary duties include the review of warrants, and January 10, 1989 University of Lancaster, England determination of release dates, monitoring of Dr. Tom Johnson February 1, 1989 earned remission, and arrangement for discharge Associate Dean, College of Human Medicine Father J. Dormans of patients on parole, mandatory supervision, or Michigan State University Holy Spirit Parish, Saskatoon full parole. In addition to regular duties, Ms. L. Mr. Greg Owen Father G. Sylvester Lazarescu is the staff person who coordinates the Assistant to Director of Corrections, St. Augustine's Parish, Saskatoon patient complaints and grievance system. This State of Michigan Dave Dormish, Holy Spirit Parish, position also reports to the Assistant Director of Ms. Lynn Green Saskatoon Patient Care (Security) effective December 18, Department of Corrections, February 3, 1989 1989. State of Michigan Judge Albert Lavoie Dr. Franklyn Giampa Provincial Court, Saskatoon Director of Mental Health Services for February 3, 1989 Corrections, State of Michigan Michael Spicer, Wardeii-Worme Law Firm, Dr. Donald William Saskatoon Michigan State University February 6, 1989 Dr. Thomas Gunnings Kirk Makin, Toronto Globe & Mail Michigan State University February 8, 1989 Mr. Joe Farrell Dave Babiuk Michigan State University Associate Deputy Minister of Health Dr. lan McDonald February 10, 1989 University of Saskatchewan Alan Beasley, John Howard Society, Dr. Art Clark Saskatoon University of Saskatchewan February 10, 1989 January 11, 1989 Dr. David A. Popkin, University Hospital, Jack Rankin Saskatoon Inspector General, Ottawa February 13, 1989 January 20, 1989 Edgar Epp, Saskatchewan Indian Federated Bill Paul College "Marketplace", CBC Toronto February 14, 1989 Jennifer Smyth Saskatchewan Health Care Association ''Marketplace'', CBC Toronto Board Members January 23, 1989 Arliss Wright Dr. Sigve Tonstad Wilma Pettit Lorna Linda, California Martin Arndt January 24, 1989 Isabel Colvin Brenda Miller, CSC RHO Chester Olson Marilyn Chow, CSC NHQ Ottawa Brian Kines

18 Keith Dalby February 27, 1989 April 6, 1989 Mike Kunz Doreen Bauer, Prison Arts Foundation Carla Dagnone, AIESEC, University of Wilt Veeler March 7, 1989 Saskatchewan Edgar Bartel Lorne Ehman, Saskatoon April 12, 1989 Janet Hunchak Vi Ehman, Saskatoon Marshall Hawthorne, City Councillor, Warren Wallin March 8, 1989 Saskatoon Loretta Fritz Kate Waygood, City Councillor, Saskatoon April 13, 1989 Deanne Neigel March 9, 1989 Dr. Henry Edwards, CPA Accreditor Walter Dupin Dr. Creedharry, Saskatchewan Hospital April 14, 1989 Dave Schappert March 10, 1989 Sgt. Scott Wenzil, RCMP Saskatoon Hewitt Helmsing Bev Dyck, City Councillor, Saskatoon April 19, 1989 Royce Gill March 14, 1989 Bev Dyck, City Councillor, Saskatoon Ken Clarke Peter Atting, Bernard & Associates, Toronto April 20, 1989 Mike Gormley March 14, 1989 Bill Doskoch, Regina Leader Post Glenda Yeats Pat Robertson, City Councillor, Saskatoon April 21, 1989 February 16, 1989 Harman P. Wouda, Police Officer, Corman Park Mike Levin, Regina Civic Employees from Saskatoon City Hall March 15, 1989 Lyle Garinger, Regina Janice Mann Annette Neustaedter, Director, April 24, 1989 Don Litz Pinegrove Correctional Centre, Prince Albert Paul Mostoway, City Councillor, Saskatoon Don Kelly March 17, 1989 April 25, 1989 Jay Lorman Saskatchewan Inter-Faith Pastoral Care Board Dean Peter McKinnon, Dean of Law, Larry Pankevich Father Ralph Kleiter University of Saskatchewan Bruce Richards Pastor Gil Killam Allison McDowell, Saskatoon Bernice Veltkamp Rev. Barclay Mayo Linda Jaine, Saskatoon Garland Nygaard Mrs. Mary Sutton April 26, 1989 Morris Hounsell Rev. Doug Richardson Gilles Depratto, National Parole Board, Ottawa Mike Mikytyshyn Rev. Brad Bodnarchuk April 27, 1989 Don Trail Rev. Karen Kuziej Blaine Holmlund, V-P Administration, Bob Prosser Rev. Alan Minarcik University of Saskatchewan AI Ross Mr. Brian Stevenson Helen Henderson, University of Saskatchewan Frank Garland Rev. Dennis Serfas Danielle Fortosky, University of Saskatchewan Deanna Derdall Sister Sarah Doser May 8, 1989 S. Gilman Rev. Don Misener Don Davis, CSC NHQ Ottawa February 16, 1989 March 20, 1989 May 15, 1989 Jahzi Haid Michael Boire, Correctional Investigator's Office, Clint Forster, Board of Governors, Mental Health Services, Regina Ottawa University of Saskatchewan John Labatt Jim Hayes, Correctional Investigator's Office, May 16, 1989 Mental Health Services, Regina Ottawa Bob Firnesz, Regina Mental Health Clinic February 21, 1989 March 21, 1989 Gary Bell, Regina Mental Health Clinic Steven Lewis Glen Penner, City Councillor, Saskatoon Peter and Marie Klamut, Saskatoon Saskatchewan Health Research Board April 5, 1989 May 17, 1989 February 24, 1989 Ann Duggan, Saskatoon Mark Thompson, City Councillor, Saskatoon Joe Remai, Saskatoon Dr. Ken Pease, Stockport, U.K. Peter Peters, Director CCHSE, Regina Len Meier, Saskatoon Judy Pease, Stockport, U.K. Gary Marvin, Saskatoon Katie Pease, Stockport, U.K.

19 May 18, 1989 June 5, 1989 July 24, 1989 Kerry Somerville, Official Representative, Stephanie Sorenson, Grant MacEwen College James Crane, Dept. of Solicitor General, Mental Health Act Dr. Edward Matti Province of Nova Scotia Tom W. Buglas, Official Representative, Dr. Jacques Roy, Director General Health Care, James C. Torbert, Wm . Nycum & Associates, Mental Health Act esc NHa Halifax, N.S. Anthony B. Gerein, Official Representative, June 8, 1989 Dr. S.N. Akhtar, Nova Scotia Hospital Mental Health Act Ted Turner, Chancellor, University of Kathleen Waters, Dept. of Solicitor General, May 18, 1989 Saskatchewan Nova Scotia Juanita Koczka, Regional Correctional Centre, Hughene Close, Board of Governors, July 24, 1989 Prince Albert University of Saskatchewan Joan Jorisson, Psychologist, Drumheller Avonda Hefferman, Regional Correctional June 9, 1989 Institution Centre, Prince Albert Father Maunce Peake, Edmonton John Weeks, Psychologist, Drumheller Gwen Kunard, Regional Correctional Centre, June 12, 1989 Institution Prince Albert Lloyd Younger, National Parole Board, Ottawa July 27, 1989 May 19, 1989 Roy Evans, National Parole Board, Ottawa Dr. Stan Yaren, Health Sciences Centre, Tom Mclellan, Board of Governors, Elmer Schwartz, Executive Director, Saskatoon Winnipeg University of Saskatchewan City Hospital Dr. Hugh Andrew, Selkirk Mental Health May 22, 1989 June 14, 1989 Centre, Selkirk Linda Epstein, Audio-Visual Dept., Yvonne Brown, Acting Dean of Nursing, Dr. Anwar Islam, Mental Health Division, University of Saskatchewan University of Saskatchewan Manitoba Dept. of Health May 24, 1989 Jeff Christian, CSC Parole, Edmonton Sean Drain, Manitoba Health Services Marie Dayton, Behavioral Systems, Australia June 19, 1989 Commission Nenda Pentold, Dept. of Corrections, N.S.W. David Brown, Saskatoon Dr. Gerald Pronyk, Selkirk Mental Health Australia June 20, 1989 Centre, Selkirk Diane Gossen, Saskatoon Don Purich, Native Law Centre, University of August 1. 1989 May 30, 1989 Saskatchewan Peter Kemper, AIESEC Student, West Germany John Weir, Edmonton June 21 , 1989 August 10, 1989 Henry Dayday, Mayor, City of Saskatoon Cliff Moore, Sask. Farm Institution, Prince Albert Don Behrns, Public Service Commission, Mike Hale, NHQ, Ottawa June 22, 1989 Regina May 31 , 1989 David Male, U of S "Issues and Options" August 22, 1989 Fred Mitchell, Board of Governors, John Thompson, U of S "Issues and Options" Dorothy Dinn, National Parole Board University of Saskatchewan June 25, 1989 Dorothy French, National Parole Board Steve Rush, President Students Union, Doug George, Saskatoon Chamber of August 23, 1989 University of Saskatchewan Commerce J.A. St. Aubin, Asst. CommiSSIOner, esc NHQ Andrew Thompson, Students Union, July 10, 1989 Paul Oleniuk, RHQ Prairies University of Saskatchewan Cassandra Meggitt, C.B.C. August 31, 1989 Murray Pearson, Students Union, July 10, 1989 Hank Neufeld, Ottawa University of Saskatchewan Mike Boire, Correctional Investigator's Dept., September 6, 1989 Greg Keller, Students Union, Ottawa Judge David Godfrey-Smith, Australia University of SasKatchewan July 17, 1989 AI Brooks, Saskatoon Mike Fisher, Students Union, Karen Zimlak, Regina Correctional Centre Gary Fox, Regina Correctional Centre University of Saskatchewan Linda Clements, Regina Correctional Centre Betty Owen, Regina Correctional Centre June 2, 1989 July 20, 1989 September 12, 1989 Judge Ronald Bell, Saskatoon Bram Deurloo, Health Care, NHQ Ottawa Dr. James K. Miller, University of Saskatchewan

20 September 13, 1989 Caroline B. Cramer, Manitoba Dr. George lvany, President, University of Leta Atkinson, Aberdeen Dr. Fred Shane, Manitoba Saskatchewan Graham Addley, Saskatoon Dr. Maralyn MacKay, Manitoba December 1, 1989 Chris Axworthy M.P., Saskatoon/Clarks Patricia Desjardins, Manitoba Dr. Bill Davis, McGill University, Montreal Crossing Marcia Ewatski, Manitoba December 14, 1989 Stan Hovdebo M.P., Saskatoon/Humboldt Gregg Lawlor, Manitoba Joe Couture, New York Nina Francis, Saskatoon Mr. Justice Thomas Calion, Ontario Dr. Arthur Bleu, Carberry, Manitoba Leanne Mikkelson, Saskatoon Jennifer Lea, Ontario December 18, 1989 September 14, 1989 Henry Tyrell, Ontario Thelma Howard, Division of Extension, Ron Schriml, Prince Albert, Sask. Laurette Champigny-Robillard, Quebec University of Saskatchewan October 2, 1989 D. Guy Parrot, Quebec December 27, 1989 Saskatchewan Commission for Health Care Paul E. Mcintyre, New Brunswick Randy Katzman, Dr. Bob Murray J. Walter Thompson, Nova Scotia Justine Batten, Walter Podiluk Dr. Sheilagh Hodgins Robert Goodman, Diane Koepke Dr. Christopher Webster Raymond Wiebe, Morris Anderson Ed Tollegson, Q.C. Dept. of Justice " Official Representative", Sask. Mental Ernie Moen Jean Lindsay Health Services Act. Bishop Blaise Morand October 26, 1989 December 28, 1989 Berva Farr Dr. Jim Cheeseman, Head of Psychology, Dr. Lillian Thorpe, Saskatoon Maureen Kurtz University of Saskatchewan Fred Turetski, Bowdon Institution October 3. 1989 October 30, 1989 Pat Mulgrew, Chief of Education, Drumheller Joe Dufour, School of Social Work, Institution University of Regina Dr. Haze Westcott, Drumheller Valley School Beverly Olineck, St. Paul's Hospital, Saskatoon Division Deborah Fortosky, St. Paul's Hospital, October 5, 1989 Saskatoon Carmel Barry, Australian Corrections October 31 , 1989 October 13, 1989 Ted Markus, RCMP, Saskatoon Richard O'Halloran Ron Roth, RCMP, Saskatoon Carolynne Darby, South Africa November 1, 1989 October 17, 1989 Ron Smith, CBC Regina L.G .W. Review Boards Howard McConnell, College of Law, Saskatoon Neil McDiarmid, B.C. November 3, 1989 Dr. Anthony Marcus, B.C. Dr. Gurchan S. Basran, College of Arts & T. Colgur, B.C. Science, U of Saskatchewan Dr. D.F. Lindsay, Alberta November 17, 1989 Dr. Donald Milliken, Alberta Ron Braun, Vancouver, B.C. Judy Burrows, Alberta November 20, 1989 M.G. Stevens-Guille, Alberta Dr. Chris Green, Norvic Clinic, Norwich, Mr. Justice G. Edward Noble, Saskatchewan England Serge Kujawa, Saskatchewan November 21, 1989 Dr. lan McDonald, Saskatchewan Kevin Long, Norwich Health Authority, England Betty Bray, Saskatchewan Graham Shelton, Norwich Health Authority, Dr. Colin Smith, Saskatchewan England

21 Public Education March 28, 1989 June 19, 1989 Robertson College, Legal Secretarial class City Park Collegiate students March 28, 1989 June 20, 1989 Tours and Presentations Robertson College, Legal Secretarial class Evan Hardy Collegiate "Law 30" class March 29, 1989 July 26, 1989 January 10, 1989 Social Services, Child Protection Catherine Fitzmaurice, U.K. Prison Psychologist Michigan State University Officials April 3, 1989 August 3, 1989 Department of Corrections, Michigan University of Regina, Human Justice Class University of Saskatchewan Sociology class January 13, 1989 April 6, 1989 August 18, 1989 Evan Hardy Collegiate " Law 30" class Salvation Army RPC contract staff January 16, 1989 April 8, 1989 Septembr 15, 1989 Nutana Collegiate " Law 30" class Church Youth Group Corrections Worker students January 17, 1989 April 17, 1989 September 27, 1989 Mount Royal Collegiate " Law 30" class Saskatoon Crisis Nursery staff University of Regina Human Justice students January 23, 1989 April 19, 1989 September 29, 1989 University of Saskatchewan students Mount Royal Collegiate " Law 30" class Saskatchewan Correctional Workers February 2, 1989 April 21 , 1989 October 2. 1989 SIAST Peer Counselling Group Mount Royal Collegiate " Law 30" class CORP Correctional Officer Recruits February 10, 1989 May 10, 1989 October 11 , 1989 Horticultural Group tour Parole Services staff SIAST "Psychology 12" class February 15. 1989 May 11, 1989 October 17, 1989 Saskatchewan Health Care Association E.D. Feehan High School " Law 30" class Mount Royal Collegiate " Law 30" class February 15, 1989 May 14, 1989 October 19, 1989 Saskatoon City Hall Department Heads Robertson College Secretarial class Mount Royal Collegiate " Law 30" class February 16, 1989 May 18, 1989 October 24, 1989 A.D. Williams School for the Deaf Provincial Corrections staff Mount Royal Collegiate "Law 30" class February 17, 1989 May 23, 1989 October 25, 1989 Saskatoon Teachers Association Nutana Collegiate "Psychology 30" class Mount Royal Collegiate " Law 30" class February 20, 1989 May 25, 1989 November 1, 1989 Health Care Administration Club Robertson College Secretarial class Provincial Corrections Workers February 21, 1989 May 28, 1989 November 3, 1989 U of S College of Nursing class Pinegrove Correctional Centre staff Marion Graham "Law 30" class February 24, 1989 May 30, 1989 November 6, 1989 U of S College of Education class Nutana Collegiate " Law 30" class Marion Graham "Law 30" class March 3, 1989 May 30, 1989 November 14, 1989 Meadow Lake Friendship Centre CORP Trainee Correctional Service Officers E.D. Feehan High School " Law 30" class March 8. 1989 May 31 , 1989 November 16, 1989 SIAST " Law 30" class Mount Royal Collegiate " Sociology/ E.D. Feehan High School " Law 30" class March 17, 1989 Psychology 30" class October 13, 1989 Saskatchewan Interfaith Pastoral Care Board June 6, 1989 Occupational Therapy and Physical Therapy March 21 , 1989 Saskatchewan Indian Federated College students University of Saskatchewan Sociology 212.3 "Human Justice 30" class October 16, 1989 class June 13. 1989 Prison Arts Foundation March 22, 1989 Nutana Collegiate, " Law 30" class October 17, 1989 University of Saskatchewan Sociology 214 class Lieutenant Governor Boards of Review

22 October 17, 1989 Mission Statement warrants of the Lieutenant Governor of University of Saskatchewan Human Saskatchewan; Geography students c) referred by the Saskatchewan Department November 21, 1989 "The mission of the Regional Psychiatric of Justice, Corrections Branch; and SIAST "Psychology 30" class Centre (Prairies) is to provide clinical d) on remand from Saskatchewan courts for November 29, 1989 assessment and treatment services for psychiatric assessment. University of Saskatchewan " Sociology 212" mentally disordered Individuals referred 2. That the Centre create and maintain a working class within the Criminal Justice System and to environment conducive to the personal growth December 18, 1989 assist them In optimizing their mental health; and professional development of all staff CORP Correctional Officer Recruits to provide learning opportunities for students, members. November 16, 1989 the public, and personnel associated with the 3. That the Centre provide educational opportun­ Health Care Administration Club health care and criminal justice systems; and ities for students of the University of November 25, 1989 to facilitate, promote and conduct research In Saskatchewan and such other educational University of Saskatchewan "Sociology 12" the area of understanding criminal behavior, institutions as deemed appropriate by the class the administration of forensic mental health Centre, personnel associated with the health services, treatment of individuals who come care and criminal justice systems, and to into conflict with the law, and the impact of members of the public. crime on society. 4. That the Centre facilitate, promote, and conduct research in the areas of understand­ ing criminal behavior, the administration of forensic mental health services, treatment of individuals who come into conflict with the law, and the impact of crime on society. 5. That the Centre maintain accreditation status from the Canadian Council on Health Facilities Accreditation.

Goals

1. That the Centre provide high quality clinical assessment and treatment services for mentally disordered individuals who are: a) inmates of federal penitentiaries; b) in confinement under the authority of

23 Objectives the CSC Mission Document and the RPC enhancement of positive family and com­ Mission Statement and act in accordance munity relationships between the patient, his with them. family and the community. In developing appropriate objectives for the Centre, the Core Values of the Correctional RPC Objective 1.7: RPC Objective 2.6: Service of Canada were reviewed, along with the To ensure that all RPC staff deal with other To promote the provision of effective institu­ goals of the Centre. Thus, the following objectives staff, patients, and the public in a courteous tional or community treatment follow-up are stated in reference to the Core Values: and respectful manner. services for all discharged patients, where appropriate. Core Value 1: RPC Objective 1.8: We respect the dignity of individuals, the To ensure all RPC staff become aware of Core Value 3: rights of all members of society, and the cultural and ethnic differences of minority We believe that our strength and our major potential for human growth and development. groups and be respectful of them. resource in achieving our objectives is our staff and that human relationships are the RPC Objective 1.1: Core Value 2: cornerstone of our endeavours. To provide appropriate assessment and We recognize that the offender has the treatment services within a safe and secure potential to live as a law-abiding citizen. RPC Objective 3.1: environment. To foster a team approach which will RPC Objective 2.1: integrate the goals and efforts of all staff, RPC Objective 1.2: To provide assessments to aid in decision­ volunteers and students, in order to achieve To provide an environment which enables all making: overall organizational goals. individuals to achieve their full potential as a) by the courts of Saskatchewan; responsible citizens. b) by the National Parole Board; RPC Objective 3.2: c) by the Lieutenant-Governor's Board of To create and utilize mechanisms whereby RPC Objective 1.3: Review; staff at all levels are involved in decision To ensure the Centre operates according to d) by correctional administrators to assist making and policy setting. the professional standards and codes of in the development of appropriate conduct of all professional groups programs for offenders. RPC Objective 3.3: represented at the Centre. To recognize each person's potential to RPC Objective 2.2: contribute to the overall goals and objectives RPC Objective 1.4: To promote high standards of mental health of the RPC, and to utilize that potential for To provide for full and informed consent for care within the Criminal Justice System. the benefit of the individual as well as the patients, to the extent possible, prior to Centre. RPC Objective 2.3: undertaking assessment, treatment or To ensure that the treatment programs are research. RPC Objective 3.4: provided in those areas necessary to assist To provide opportunities for staff to obtain patients to function as successful and law­ RPC Objective 1.5: training in areas designed to develop their abiding citizens. To provide patients the option to decline to work skills and individual potential. participate in assessment, treatment, or RPC Objective 2.4: research, except where otherwise provided RPC Objective 3.5: To address the special program and release by law. To provide assistance to staff who are requirements for persons placed under LGW experiencing difficulty in the workplace in status. RPC Objective 1.6: order to create a satisfying and rewarding To ensure all RPC staff become familiar with work environment. RPC Objective 2.5: To encourage the re-establishment or

24 Core Value 4: Core Value 5: We believe that the sharing of ideas, knowl­ We believe in managing the Service with edge, values and experience, nationally and openness and integrity and we are accountable internationally, is essential to the achievement to the Solicitor General. of our Mission. RPC Objective 5.1: RPC Objective 4.1: To promote open communication in order to To encourage all staff to share information foster positive relations among all Centre regarding the Centre, its mission and staff. programs, to individuals and groups in the community. RPC Objective 5.2: To develop and maintain effective lines of RPC Objective 4.2: communication with other components of To provide consultation as appropriate the Criminal Justice System and Mental regarding forensic mental health procedures Health Systems. and progams. RPC Objective 5.3: RPC Objective 4.3: To promote public understanding and To provide clinical and research experience support of our mission through formal and for students of the University of Saskatche­ informal contact with the community. wan and such other educational institutions as may be considered appropriate by the Centre.

RPC Objective 4.4: To promote, conduct and disseminate research in the field of forensic mental health.

RPC Objective 4.5: To maintain an active public education program.

RPC Objective 4.6: To encourage staff to obtain knowledge of other correctional and mental health facilities and programs.

RPC Objective 4.7: To encourage staff to initiate and maintain active professional memberships.

RPC Objective 4.8: To be actively involved as an institution in the community and community organizations.

25 ~ I Table 1 Total Admissions Per Year (1979-89)

Total Admissions 1979 95 1980 113 1981 146 Year 1982 237 1983 287 1984 315 1985 320 1986 307 1987 348 1988 277 1989 329

Source: L. Lazarescu Sentence Administration

Table 2 Average Length of Hos.pltallzatlon By Year of Admlsslo_n (1979-89)

Number of Days 1979 179.2 1980 160.8 1981 98.9 Year 1982 56.5 1983 42.5 1984 52.7 67.0 1985 The data only includes patients discharges by 1986 65.9 December 31 , 1988. 1987 69.6 1988 56.5 Source: E. Noz Psychology and Research 1989 62.8

27 Table 3 Number of Patients By Referral Type (1979-89)

Type of Referral Assessment Treatment 1979 51 9 1980 58 26 1981 88 42 1982 132 62 1983 131 112 1984 240 75 1985 160 122 1986 95 166 1987 108 230 1988 96 181 1989 98 231

Table 4 Number of Admissions by Source (1979~89)

1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989

Stony Mountain 5 7 16 20 29 31 26 23 29 24 22 Sask. Pen 55 48 44 72 96 129 110 97 116 77 90 Drumheller 11 14 21 18 20 28 41 25 31 32 48 Bowden 3 4 4 8 13 21 21 23 55 37 37 Edmonton 8 9 9 9 26 24 27 21 19 36 30 Other Federal Institutions 0 0 0 8 10 17 12 16 20 42 31 Correctional Centres 13 21 25 29 27 15 18 16 16 17 15 Provincial Courts 0 5 27 71 66 54 65 83 58 82 66 L.G.W. 0 5 0 2 0 3 0 3 04 02 03

Source: L. Lazarescu Sentence Administration

28 Table 5 Number of Admissions by Major Offense Type

Sexual Violent Property Property/ Offense Offense Offense Weapons Misc.

1979 19 28 1 10 5 1980 23 27 25 17 10 1981 24 39 37 26 11 1982 48 72 34 24 17 1983 57 95 49 33 35 1984 80 109 54 50 32 1985 72 107 42 54 22 1986 69 101 38 29 24 1987 102 115 21 58 42 1988 65 114 19 45 34 1989 88 120 30 53 38

Source: E. Noz Psychology and Research Table 6 Average Length of Hospitalization (In days) Per Major Offense Type By Year of Admission

Sexual Violent Property Property/ Misc. Overall Offense Offense Offense Weapons Offense Average 1979 222.2 193.9 145.5 171 .3 62.2 179.2 1980 179.3 137.5 153.3 160.4 192.8 160.8 1981 127.1 70.9 91 .8 134.4 64.9 98.9 1982 78.9 49.2 61.3 43.3 34.3 56.5 1983 51 .5 45.9 46.3 42.1 22.7 42.5 1984 69.5 50.9 43.7 51 .7 36.3 52.7 1985 77.2 61.9 65.9 83.2 42.8 67.0 1986 61 .5 70.1 72.6 69.7 39.8 65.9 1987 93.2 60.7 66.9 61 .0 58.6 69.6 1988 50.6 59.0 53.3 74.9 38.0 56.5 1989 89.2 45.2 60.4 74.1 46.4 62.8

Note: Data only includes patients discharged by December 31 , 1988.

Source: E. Noz Psychology and Research

29 Table 7 Frequency of Primary Discharge Psychiatric Diagnoses and Average Length of Hospitalization (in days) By Diagnosis for Patients Discharged Durlna 1989

Patients Average With Length Primary of Diagnosis Stay No diagnosis 5 34.2 Psychosis 54 144.4 Neurosis 27 74.5 Sexual Deviation 24 113.3 Alcohol/Drugs 57 114.8 Other/Retarded 7 345.1 Personality Disorder 98 138.8

Source: D. Morose Medical Records

30 18ble 8 Average Dally Occupancy and Bed Days Utilized by Category RPC Prairies Year: 1989

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

FEDERAL:

Avg. Daily Occupancy 80.84 79.82 80.97 83.73 83.16 81.63 85.13 85.87 84.66 84.84 88.10 85.67 Bed Days Utilized 2,506 2,235 2,510 2,512 2,578 2,449 2,639 2,662 2,540 2,630 2,643 2,656 PROVINCIAL:

Avg. Daily Occupancy 3.71 1.46 2.00 1.36 2.38 2.77 0.61 1.00 .57 1.39 0.80 1.94 Bed Days Utilized 115 41 62 41 74 83 19 31 17 43 24 60 REMAND:

Avg. Daily Occupancy 4.13 5.00 4.90 7.67 7.42 7.00 4.96 6.19 8.10 5.13 3.06 0.74 Bed Days Utilized 128 140 152 230 230 210 154 192 243 159 92 23 L.G.W.:

Avg. Daily Occupancy 7.45 8.00 8.00 8.00 7.10 7.00 6.90 7.68 8.00 8.00 8.00 8.00 Bed Days Utilized 231 224 248 240 220 21 0 214 238 240 248 240 248 TOTAL PROVINCIAL:

Avg. Daily Occupancy 15.29 14.46 14.90 17.03 16.90 16.77 12.47 14.87 16.67 14.51 11 .86 10.68 Bed Days Utilized 474 405 462 511 524 503 387 461 500 450 356 331 TOTAL FEDERAL & PROVINCIAL:

Avg. Daily Occupancy 96.13 94.28 95.87 100.76 100.06 98.40 97.60 100.74 101.33 99.35 99.96 96.35 Bed Days Utilized 2,980 2,640 2,972 3,023 3,102 2,952 3,026 3,123 3,040 3,080 2,999 2,987

Source: L. Lazarescu Sentence Administration

31 Table 9 Patient Population at Month End

JAN FEB MAR APR MAY JUN JUL AUG SEP ocr NOV DEC #Federal 81 81 78 85 81 83 87 88 84 87 89 84 # Provincial 02 01 02 01 04 01 01 01 02 00 01 03 # Remand 06 03 07 07 07 06 06 08 06 05 02 01 # L.G.W. 08 08 08 08 07 07 07 08 08 08 08 08 #Day Parole TOTAL PATIENT POPULATION 97 93 95 101 99 97 101 105 100 100 100 96 Source: L. Lazarescu Sentence Administration Table 10 1989 Admissions & Discharges

ADMISSIONS JAN FEB MAR APR MAY JUN JUL AUG SEP ocr NOV DEC TOTAL Federal 21 39 21 19 16 20 22 23 35 11 16 15 258 Provincial 00 00 01 01 04 01 01 01 02 00 02 02 15 Remand 05 03 07 05 05 07 04 09 08 09 03 01 66 L.G.W. 01 00 00 00 00 00 01 01 00 00 00 00 03 TOTAL 27 42 29 25 25 28 28 34 45 20 21 18 342

DISCHARGES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL Federal 20 40 24 12 20 18 18 22 39 08 14 20 255 Provincial 04 00 00 02 01 04 01 01 01 02 01 00 17 Remand 02 06 03 05 05 08 04 07 10 10 06 02 68 L.G.W. 00 00 00 00 01 00 01 00 00 00 00 00 02 TOTAL 26 46 27 19 27 30 24 30 50 20 21 22 342 Source: L. Lazarescu Sentence Administration

32