TITLE: The Care of Substance Use Disorders in Correctional Services: Pressing, Rational and Essential
A significant percentage of the people incarcerated suffer from Substance Use Disorders or Addiction, yet access to services and their efficacy is highly variable. This session will explore practical approaches to the management of alcohol, opioid and stimulant use disorders in correctional services within a broader continuum of care. Harm Reduction initiatives, substance specific withdrawal management and initiation of pharmacotherapy will be explored, in addition to release planning and transfer of care.
Speaker Bio: Dr. Peter Butt is a graduate of McMaster University and a Certificant and Fellow with the College of Family Physicians of Canada. He is an Associate Professor in the Department of Family Medicine at the University of Saskatchewan and serves as a consultant in Addiction Medicine in the Saskatchewan Health Authority. In addition to his research, teaching and clinical work he has served on the National Alcohol Strategy Advisory Committee, chaired the Canadian Alcohol Low Risk Drinking Guidelines Expert Advisory Group, co-chaired the Standard Drink Label Working Group, and is a member of the National Recovery Advisory Committee for the Canadian Centre on Substance Use and Addiction, as well as, physician lead on the Alcohol Screening, Brief Intervention and Referral project for the College of Family Physicians of Canada. Provincially he was the physician lead on the Saskatchewan provincial "Take Home Naloxone" project, and serves on the provincial opioid and methamphetamine task forces.
TITLE: Social Justice and Health in the Context of the Criminal Justice System: A Call to Action for Providers
Most people who work in the criminal justice system, especially those in healthcare, see the massive disparities that exist for the individuals and communities they seek to serve. To effectively address those disparities, and to move towards the greater goal of health equity, social justice must be more than an abstract idea, debated in conversations but never fully integrated into practice. Nurses and other healthcare providers are in a unique position to leverage their knowledge and expertise to seek better services and outcomes to their clients who are involved in the criminal justice system. By approaching that care with a social justice frame—one that pays close attention to the allocation of resources, opportunities, and privileges to those most in need—healthcare providers can influence, lead, and create substantive change.
This presentation will focus on specific ways that providers can operationalize social justice in the care of people involved with the criminal justice system, and provide a framework for action. We will discuss the movement from disparity, which is about the data related to difference, to more actionable items related to addressing "fairness" and equity, wherein we address and remove barriers such as discrimination and poverty and the resultant consequences. Moreover, I will argue that we must be advocating for more than equity in access, care, and service, but equity in health itself and that providers must continually center the idea that health care is not the only thing required to improve health.
Speaker Bio: Dr. Alison Colbert is an Associate Professor at the Duquesne University School of Nursing in Pittsburgh, PA, USA. A forensic nurse and a Clinical Nurse Specialist in Public/Community Health, Dr. Colbert has focused her work on care for those involved with the criminal justice system, including incarcerated women and those recently released from jail or prison. As a Robert Woods Johnson Nurse Faculty Scholar, she conducted a series of studies related to intensive nurse-led case management intervention with recently incarcerated women. She is currently an Associate Editor for the Journal of Forensic Nursing and recently was a guest editor of a special issue focused on social justice. Her policy work has included state-level policy efforts aimed at improving the lives of incarcerated pregnant women, specifically related to access to care, education of providers, and anti-shackling legislation. Dr. Colbert received her BA (in Journalism) from the University of Arizona, her MSN from the University of Texas at Austin, and PhD from the University of Pittsburgh.
TITLE: Hard Lessons Learned: A Father's Journey Through America's Mental Health Madness
Former Washington Post reporter, Pete Earley, will use his struggle to get his adult son help after he suffered a breakdown to illustrate barriers to treatment that often lead to inappropriate incarceration. His story will be mixed with ten months of research that Earley did inside a major American jail where he followed persons with serious mental illnesses out onto the streets to see what actually happened to them after they were released. Earley ends on a hopeful note, citing best practice programs that eventually led to his son's recovery and work today as a mental health peer counselor.
Speaker Bio: A former Washington Post reporter, Pete Earley is the author of 11 nonfiction books, including four New York Times bestsellers, and six novels. He is best known for his nonfiction book, CRAZY: A Father's Search Through America's Mental Health Madness, which was one of two finalists for the 2007 Pulitzer Prize. (The word CRAZY in the title refers to our current mental health system.)
CRAZY describes Earley's struggle to get his adult son help after he develops a severe mental illness and is arrested. As part of his research, Earley spent ten months inside the Miami Dade County jail where he followed persons with mental disorders through the criminal justice system and out onto the streets to see what happened to them. His book has won awards from the American Psychiatric Association, the National Alliance on Mental Illness, Mental Health America, and prompted CNN to name him one of nation's top "Mental Wellness Warriors."
He serves as the lone parent member of the Department of Health and Human Service's Interdepartmental Serious Mental Illness Coordinating Committee, composed of 14 public members who advise Congress about mental health reform.
Earley has testified five times before the U.S. Congress about the need for mental health reform and has lectured in four foreign countries. He serves on the board of the Corporation for Supportive Housing, which finances projects to eliminate homelessness. The Chief Justice of the Va. Supreme Court appointed him to a task force that recommended changes to the state's involuntary commitment laws after a horrific shooting on the campus of Virginia Tech University.
He writes regularly for USA TODAY and the Washington Post about mental health issues and also writes a weekly blog at www.peteearley.com about mental health issues that often is quoted by the media.
In a Washingtonian Magazine cover story entitled, Top Journalists: Washington's Media Elite, he was described as one of a handful of journalists in America who "have the power to introduce new ideas and give them currency."
TITLE: The Edge of Compassion: Staying Well while working in High Stress, Trauma-Exposed Environments
Chronic Stress and heavy workloads can have an enormous impact on the health of an organization. When the added element of secondary trauma exposure is present, ensuring workplace wellness becomes far more complicated, and research shows, even more critical. How can we ensure the delivery of high quality care while working in intensely pressured, complex work environments?
This presentation will review current research findings by experts in high stress, trauma exposed environments and offer concrete tools to understand, assess and map out strategies to stay healthy while working in challenging settings.
Participants will learn:
• Key Factors that increase risks of compassion fatigue, burnout and secondary trauma
• Workplace friction - why does it occur more often in our fields of work and what to do about it.
• Reactivity in the workplace: understanding strong emotional reactions to change and uncertainty among your team.
• Current recommendations from the Secondary Traumatic Stress think tank
Speaker Bio: Françoise is co-executive director of TEND, whose aim is to offer consulting and training to professionals on topics related to secondary trauma, compassion fatigue, burnout, self-care, wellness and organizational health. Françoise is a Registered Psychotherapist and a subject matter expert on topics related to compassion fatigue and secondary trauma. Her experience stems from over 20+ years as a mental health professional, working as a crisis counsellor and trauma specialist in university counselling, military, law enforcement and other community mental health environments. Since 2001, Françoise has given hundreds of seminars on compassion fatigue and secondary trauma across North America to thousands of professionals in the fields of health care, mental health, law enforcement, the criminal justice system, military, human trafficking, child welfare and other similar high-stress, trauma-exposed professions. Françoise is one of the founding members of the Secondary Traumatic Stress Consortium. Françoise is the author of "The Compassion Fatigue Workbook" which was published by Routledge in 2012 as well as several articles and publications.
TITLE: Dignity in the Care and Custody of Older Offenders
Prisons were never meant to house sick, palliative, or terminally ill patients, but they are increasingly being required to perform such functions. One-quarter of the inmate population is now aged 50 or older, and far too many older terminally ill individuals are dying behind bars. Many older individuals have spent decades in custody, are institutionalized, some are now palliative, and their sentences are no longer being properly managed. Moreover, this is a vulnerable population that poses little risk to public safety. While the Office of the Correctional Investigator continues to call for better, safer, and more cost-effective options for managing elderly inmates, health care professionals are challenged with upholding their professional and ethical standards of patient care behind prison walls. This presentation will highlight how reallocation of resources and community alternatives could address many of the challenges faced by federal Corrections by a growing aging incarcerated population.
Speaker Bio: Dr. Ivan Zinger received his degree in Common Law from the University of Ottawa in 1992, and completed his articles of clerkship at the Federal Court of Canada. In 1999, he obtained his Ph.D. at Carleton University (Ottawa) in Psychology of Criminal Conduct. He is an Adjunct Professor with the Law Department at Carleton University.
Dr. Zinger joined the Public Service of Canada in 1996. He held a variety of senior managerial, policy and research positions in public safety-related federal departments and agencies. In 2004, he joined his current employer, the Office of the Correctional Investigator (Federal Prison Ombudsman), and in 2009 he became the Executive Director and General Counsel. As of January 1, 2017, Dr. Zinger was appointed as Correctional Investigator of Canada pursuant to section 161 of the Corrections and Conditional Release Act, and was reappointed for a 5-year term on January 2018.
Over the years, Dr. Zinger has developed expertise in domestic and international human rights law in prison settings. His academic publications are significant and include articles on a variety of subjects, including prison oversight, ethics, dangerous offenders, correctional treatment, the diagnosis of psychopathy, conditional release, penal segregation and the impact of tough on crime measures on corrections.
Dr. Zinger is the recipient of the 2014 APEX Partnership Award for "making communities safer by building strong and effective partnerships across the country and abroad, contributing to the development of more effective correctional practices in Canada." This prestigious award is one of six presented annually by the Association of Professional Executives in the Public Service of Canada (APEX).
TITLE: Medical Assistance in Dying: A new role for healthcare providers in supporting end of life processes
Nurse practitioners and physicians are the two professional groups permitted to assess for and provide Medical Assistance in Dying (MAiD) in Canada, where this has been legally available since June 2016. This presentation will briefly summarize the Canadian legal context for MAiD and then review clinical experiences and approaches to MAiD assessment and provision in Saskatchewan. Development of clinical processes since 2016 will be discussed by two active MAiD providers and assessors (Drs. Weiler and Thorpe), using experiential patient narratives to illustrate concepts and challenges. Implications for health care providers working with incarcerated persons at the end of life will also be discussed.
Speaker Bio: Dr. Lilian Thorpe is a psychiatrist with dual academic appointments as Professor of Psychiatry and Community Health and Epidemiology at the University of Saskatchewan. She obtained her M.D. at the University of Toronto, completed her residency in psychiatry at the University of Saskatchewan, and obtained her Ph.D. in Community Health and Epidemiology at the University of Saskatchewan. Dr. Thorpe provides clinical services and education in inpatient settings, the Geriatric Assessment Program, nursing homes, and in the MAiD program. She was a member of the Saskatoon Health Region committee which developed the MAiD policy, and has now been involved with over 200 assessments and over 80 clinical MAiD provisions throughout the province. Dr. Thorpe has provided MAiD related teaching at multiple University and Health Authority levels and is actively involved in MAiD related research.
Speaker Bio: Dr. Rob Weiler obtained his medical degree from the University of Saskatchewan, College of Medicine and holds certification and fellowship from the Royal College of Physicians and Surgeons of Canada in anesthesiology. He also completed a Master of Public Health at the University of Saskatchewan in 2013. Dr. Weiler provided service at the St. Paul's Hospital intensive care unit over 20 years and continues to work part time in anesthesia. Dr. Weiler was a member of the Saskatoon Health Region committee which developed the MAID policy, and has now been involved with over 200 assessments and over 80 clinical MAiD provisions throughout the province. Dr. Weiler has provided MAiD related teaching at multiple University and Health Authority levels and is actively involved in developing and supporting the new provincial MAiD program as the Medical Advisor for the Provincial MAiD Program.
TITLE: Personal and System Journeys Through Addiction and Recovery
In this workshop, addiction and recovery is illustrated through the lived experience of Dr. Gore-Hickman, a Saskatoon physician. Health care providers, despite their education in health sciences, experience the same risk of developing an addiction as the general population. Like other professionals, such as airline pilots, lawyers, dentists, and nurses, the ethical and legal implications are profound. Yet, admitting to an addiction, may jeopardizes one's reputation, accreditation, and employment. The philosophy and operations of the Saskatchewan Medical Association's Physician Health Program, which assists physicians (and their families) who struggle with addiction throughout the spectrum of their careers, underpins this presentation, and demonstrates the importance of ongoing support in clinical management and relapse prevention.
Speaker Bio: Dr. Gore-Hickman was born and raised in Cabri, a small farming town in southern Saskatchewan. She attended University of Saskatchewan, graduating with an M.D. in 1985. She then completed 5 years of post graduate training, and achieved her F.R.C.P.C (Fellowship in Anesthesiolgy) in 1990. Dr. Gore-Hickman has practiced anesthesiology in the Saskatoon Health Region for 26 years.
She is married, and has 3 grown sons. Her interests include golf and fitness in many forms.
She is a person in long term recovery from an alcohol misuse disorder, and has a passion for sharing her experience, strength and hope with others that are still struggling from addictions.
Speaker Bio: Brenda Senger has worked as a Registered Psychiatric Nurse for the last 38 years. Her experience includes forensic psychiatry, adolescent psychiatry, adult psychiatry in the community, geriatric nursing, residential addiction treatment, and community addiction treatment as the counsellor in the Methadone Assisted Recovery Program. For the last 15 years she has worked as the Director of the Physician Support Programs at the Saskatchewan Medical Association.
More importantly, she is an MMOT – married mother of 2 boys!