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Involuntary mental health care must be 㽶Ƶֱdignified and humane㽶Ƶֱ: B.C. premier

He says the 2012 closure of Riverview put vulnerable people on the streets without adequate supports
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Belongings are scattered on the street as city workers work to clear an encampment on East Hastings Street in the Downtown Eastside of Vancouver, B.C., April 5, 2023. Premier David Eby says mental health care in the province for those committed against their will needs to be 㽶Ƶֱdignified and humane㽶Ƶֱ to be effective in the wake of a deadly random stranger attack in downtown Vancouver this week. THE CANADIAN PRESS/Darryl Dyck

People struggling with brain injuries, addictions and mental health issues need 㽶Ƶֱdignified and humane㽶Ƶֱ support services if they㽶Ƶֱre committed against their will, and B.C. Premier David Eby says the government is putting its faith in a recently appointed adviser to make those services a reality.

Eby said Friday that his government is working on a strategy about involuntary care, speaking days after a deadly attack in downtown Vancouver that left one man dead.

Eby said the 2012 closure of Riverview mental health hospital in Coquitlam put vulnerable people on the streets without adequate supports, especially on Vancouver㽶Ƶֱs Downtown Eastside, where he used to work.

㽶ƵֱI watched them go downhill and die,㽶Ƶֱ he said. 㽶ƵֱIt㽶Ƶֱs horrific and tragic and I think we can do better and I think we can do it in a way that㽶Ƶֱs humane and respectful.㽶Ƶֱ

He said the work of Dr. Daniel Vigo, B.C.㽶Ƶֱs chief scientific adviser for psychiatry, toxic drugs and concurrent disorders, will inform upcoming plans to be revealed in the near future.

Eby said there㽶Ƶֱs still a place for involuntary care in B.C., but 㽶Ƶֱwarehousing people㽶Ƶֱ isn㽶Ƶֱt enough without adequate supports that 㽶Ƶֱhopefully helps them get back on their own feet.㽶Ƶֱ

㽶ƵֱI think all of us see that there are people in the community who are not able to look after themselves, who are either being exploited, or who in turn are injuring or threatening the safety of other people,㽶Ƶֱ he said.

Vancouver㽶Ƶֱs Chief Constable Adam Palmer said this week that police were looking into whether mental health was a factor in two attacks on Wednesday in downtown Vancouver that left 70-year-old Francis David Laporte dead and another man with a severed hand. Police said the attacks were random.

Brendan Colin McBride, 34, has been charged with second-degree murder and aggravated assault, and Palmer said the suspect was 㽶Ƶֱa very troubled man who has a lengthy history of mental-health related incidents.㽶Ƶֱ

Palmer said people with mental health and addiction issues need more government supports to deal with 㽶Ƶֱupstream drivers㽶Ƶֱ of problematic behaviours that result in clashes with police.

㽶ƵֱBut there are also people with mental health issues who are extremely dangerous that we need to be afraid of, and we need to have institutionalized, and this person, in my estimation, is going to fall into that category,㽶Ƶֱ Palmer said.

Speaking at an election campaign event in Vancouver on Friday, Eby said the province was working with Vigo on a system of care to address both community safety concerns and the needs of people in mental distress.

Eby said involuntary mental health care requires a 㽶Ƶֱfull solution,㽶Ƶֱ which entails having the mental health professionals who can provide care and supportive programs to allow them to deliver it.

He said it was up to Vigo to 㽶Ƶֱknit all these pieces together,㽶Ƶֱ and said more information about such a plan will come next week.

Other politicians in B.C. have weighed in on the closure of Riverview since last week㽶Ƶֱs attacks in Vancouver.

Port Coquitlam Mayor Brad West said online that 㽶Ƶֱclosing Riverview Hospital was a historically stupid decision.㽶Ƶֱ

㽶ƵֱThe evidence is all around us and, sadly, plays out through repeated tragedies,㽶Ƶֱ West said Thursday on X, formerly known as Twitter.

This report by The Canadian Press was first published Sept. 6, 2024.

Darryl Greer, The Canadian Press

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