-I ,,. If you have issues viewing or accessing this file contact us at NCJRS.gov. " , I National Criminal Justice Reference Service i I li nCJrs II1 .. .1 I j This microfiche was produced from documents received for inclusion in the NCJRS data base. Since NCJRS cannot exercise i 1 ~birb ~nnuaI l\eport control over the physical condition of the documents submitted, I j-,- the individual frame quality will vary. The resolution chart on ! this frame may be used to evaluate the document quality. ('" I ---.:, 1979 2 5 1.0 :: ~III~ 11111 . I/, ~I~ I:.! u: ~ I:: 1Id± :.,1:£ ~ anb ~tati5tiral ~upplemertt l 111111.25 111111.4' 111111.6 I I I MICROCOPY RESOLUTION TEST CHART '''' NATIONAL BUREAU Of STANDARDS-1963-A I ;Jietr'opolitan tltoronto t, I - i. Microfilming procedures used to create this fiche comply with the standards set forth in 41CFR 101-11.504. $cteusir ~£rbitt , ~ Points of view or opinions stated in this document are those of the author(s) and do not represent the official ': position or policies of the U. S. Department of Justice. 'I r ,I ','oA TE, 'FT LMED \ :"# { 'TNai!oni!fJ';~ut!' :<t{iJii~ce]__ j_ "___ ,___ ----If " ,7/13/81: " 'I Clarke Institute Of Psychiatry j United States Department of Justice Washington, D. C. 20531 _._ '-c 1- I ...... j ~~~- .. _---.. -- --:: --- - --I, = ~TROPOLIT AN toRONTO FORENS i C SERVI CE THIRD ANNUAL REPORT - 1979 TABLE OF CONTENTS 1. METFORS Objectives 2. Chairman of the Board - Report to the Attorney General 3. Board of Di rectors of fvETFORS 4. Foreword: Dr. E. Kingstone 5. Report of the Director ••••••• 0 ••••••••••••• 1 I 6. Department Reports: ~ !I Ii 1) Brief Assessment Unit ••••••••••••••••••• 21 Ii METFORS 2) In-Patient Unit ••••••••••••••.•••••• 24 p ~ D " --....... I 3) Psychology •••••••••• ".. •••••••• 27 Ii r1ETROPOLITAN TORONTO FORENSIC SERVICE 4) Social Work ••••••••• ~........... 29 !lI! 1! 5) Nu rs i ng ••••••••••••". • • • • • •• . 31 : ! 999 QUEEN STREET WEST ~ 6) Recreational Therapy •••• 0.............. 35 ri 0 7) Consultation: Ministry of Correctional TORONTO} ONTARIO Services •••••.•••••• e............ 39 ru [I ~ 7. Financial Report .•••••••••••••••.•••••.••• 41 r'16J IH4 1 8. Appendices: (416) 535-8501 ~ JO i A. List of Staff ••••••••••••••••••.•. 43 B. METFORS Working Papers in Forensic Psychiatry 45 G' C. Articles published and in press •••••••. 48 1uf D. Scholarly addresses and media involvement 51 I Eo Education and research activities ••••.•• 56 F. Grants •••••••.•.•••••.•.•.•...• 59 ~ G. Honours ••••••••••••••••••••••••• 60 of U H. Vi s ; tors to METFORS ••••••••••••.•••••• 0. 64 9. Research Report \ 67 ~ ,D ............ Ii............ (, 10. Statistical Supplement .: ••••• oJl •••••••••••• 72 " 1 /? l\ ~ !i 0 ,:1. i NCJRS 1 " ~ n 1 NOV 7 1980 ! !I . m n ACQUIStTlO ~ - -"'--=~~=.=--- --=-="-". '-.~-~- rj ~--.. -.-~~~----- fl i ll\l1 E T FOR S metropolitan toronto forensic service METFORS OBJECTIVES II IlwrAri 89 queen street west, toronto, M6J' 1H4 537-2481 ,I \1 I To conduct psych; atric observat i on, exami nat ion, assessment and June 27th, 1980 appropriate treatment of persons who are before the Courts and are r'! Ij M referred to METFORS as a result of charges in the Judicial 11 District of York; also to provide services for other judicial or correctional institutions, '''eporting and advising as appropriate. 100 The Honourable R. Roy McMurtry, Q.C. Attorney General of Ontario 18 King Street East 2. To provide ather psychiatric consultative services for the Courts, Il II 00 Toronto, Ontario government agencies and independent groups in the area of forensic M5C 5Cl psychiatry. This is to include forensic psychiatric consultations to general psychi atric 'facil it i es. u 1\1 ~ l I Dear Mr. McMurtry: 3. To provide the means by which appropriate persons may obtain ~ [ I ~ education in forensic psychiatry, including part~cipation in the In accordance with the prOV1Slon of Section 5 of Order post-graduate training progra/T1l1e in the Department of Psychiat~.Y, in Council 1417/77, I am pleased to submit the Third University of Toronto, and in other profess'jonal and commun1ty ~ In Annual Report of the Metropolitan Toronto Forensic groups and agencies, and to undertake research in the .field of Service (METFORS) for the period April 1st, 1979 to forensic psychiatry. March 31st·, 1980. ~ u Ref.lecting on the past year, METFORS has continued in its obligation to provide the necessary service to the,courts" 4. To encourage the concept of a multi-disciplinary team approach in to pursue through research solutions to new and old problems all of the aforementioned areas. 10 and to communicate these solutions so that public policy decisions can be effected. Because of its striving for excellence, METFORS will continue to fulfil its obligation of being change agent, !~ synthesizer and disseminator of information in the area [ I of Psychiatry and law. Ii ~ !!l' 81 l J \j U J fj ~ l J.P. Rickaby 1 ' Chairman of the Board o ~1 n .. n'~ D n o J j' j l, FORB-lORD METROPOLITAN TORONTO E. KINGSTONE; M.D.) C.M.~ F.R.C,P.(C); F.A.P.A. FORENSIC SERVICE i 1 ~ jl Ii~~ 1) BOARD OF DIRECTORS It is indeed both ah honour and a pleasure to be writing a 1 (~ Foreword for this third annual report of Metfors, the Metropolitan Toronto ! 1 Ii Forensic Service. Although relatively young in age, the unit has fulfilled E !I so many long identified needs that in the perception of the community it Ii MR. J.P. RICKABY) Q.C.) CHAIRMAN) I; appears to have been established for a far longer time. My own informal )1 H)' CROWN ATTORNEY FOR THE JUDICIAL DISTRICT OF YORK j( Ii barometer has been. the repclrting by the press of suicides in detention "H I,J Ii ',0, j! units - I am convinced~ but have no statistics on this, that since the !.[ 'i founding of Metfol"s, these unfortunate events have practically disappeared MR. G.R. THOMPSON MR. W.C. JAPPY ) as would be expected from the implementation of knowledgeable and sophis­ j DEPUTY MI'NI STER DIRECTOR ! CORRECTIONAL SERVICES PSYCHIATRIC HOSPITALS BRANCH ticated psychiatric practices. '1, MINISTRY OF HEALTH The partnership of the health system, the criminal justice system MR. R.C. HANSEN and the University is clearly an advantageous one and perhaps even a typi­ EXECUTIVE DIR~CTOR DR. R.E. TURNER cally Canadian one - a complex arrangement that to the outsider appears CLARKE INSTITUTE OF PSYCHIATRY PROFESSOR OF FORENSIC PSYCHIATRY to work without major problems. DIRECTOR AND PSYCHIATRIST­ MR. M.S. PHILLIPS As might be expected, Metfors has begun to generate not only good IN-CHARGE SECRETARY METFORS service results (as attested to by the statistics concerning referl"'als and DEPUTY DIRECTOR - ADMINISTRATION results and the foreword of Chief Judge Hayes in the second annual report METFORS of Metfors), but also lTIultiple academic pursuits in the fonn of investigative research programmes and publications as even a brief perusal of this report wi 11 attest to. --- ~------ - -----.-- K • , ~:':::':;;:::;''':;::-~=--,",,",>,-,"'' \"1 1\ ill f \ THIRD ANNUAL REPORT • c ,I It , \ f ! I 1m i jl METROPOLITAN TORONTO FORENSIC SERVICE " In the current report, the conclusions which followed as a result j J of studies undertaken by Metfors and reported to the Ontario Council of I i l ~~ I I REPORT OF THE DIRECTOR AND PSYCHIATRIST-IN-CHARGE Health in its survey of the mental haalth system of Ontario, contain a number I II ~ of findings which are in total, fascinating, sobering and occasionally dis­ ! . R.E. TURNER 1 M.D.~ F.A.P.A'J F.R.C.P. (C)I FtR.C. PSYCH. heartening. One of these is the report that there is a lack of interest by 'j 00 f i 'j psychiatrists and/or psychiatric trainees in furthering their experience in I forensic psychiatry. [ 1 l~ This is regrettable for these are excellent educational facilities. It is a pleasure to present the Third Annual Report of the U l~j I Moreover, psychiatrists, by virtue of their involvement, potential or I Metropolitan Toronto Forensic Service for the twelve-month period - !I~ ( actu~l, in the civil liberties and rights of many patients and their IJ \ April 1, 1979 to March 31, 1980. relations are from early on in their training.~xposed to the issues Pt"O­ U l~ The Order-in-Council (1417/77) that established the Service was duced by the psychiatry-law interface, viz., certificatiqn~ ~ustOdY, etc. I pa·ssed on May 15, 1977. METFORS was designed to provide a new model As the paradoxes and problems of behaviour, illness and crimin­ n In. 'of a forensic psychiatric service to the criminal justice system. As I ality become the province of more and more professionals and the subject ; METFORS approaches the completion of its third year, it is appropriate of greater public debate the need for well trained professionals in n J~ to review briefly recent developments and implications of such psychiatry and in other disciplines grows as well. The professions and forensic services. II particularly those responsible for training programmes should accept the u ~ Such developments do not occur in isolation. They occur as a challenge to remedy this situation. u II ~ result of major policy decisions arising from determinations of new II I On behalf of the University and as a citizen I congratulate Metfors and increasing needs, and from certain events that occur that prompt a IiI ~. and its staff for its fine accomplishment and its pioneering endeavours. fi I .,: re-examination of current programmes. Some developments have been described in the literature previously by Turner (1) (2) (3). I ) !1 I~ We may also review other developments beginning with 1964. That 110 year saw the first of a series of three publications by the Canadian U Mental Health Association on liThe Law and Mental Disorder", (4) - A Vlce-P vost, ealth Sciences and report on legislation and psychiatric disorder in Canada.