Wednesday, May 25, 2011

New University of Victoria research shows that exercise can improve the brain function of people with Fetal Alcohol Spectrum Disorder. Good on the Saanich News for putting this story out there - the official statistic is that FASD affects about one per cent of the babies born in any given year in Canada, but an anonymous screening of newborns at a Toronto hospital a while back put that figure at three per cent.
It's a miserable brain injury at its worst, as it affects the child's ability to measure risk and learn from experience long into adulthood.
Those most affected by FASD do poorly in school, run into trouble with authority figures, are at higher risk of homelessness and addiction, and risk their own life and limbs on a regular basis due to poor decision-making. We saw a lot of people with FASD - some diagnosed, many we just suspected - during my time at PEERS among the most multi-barriered women working the outdoor stroll.
So it's a happy day to hear of a simple exercise regimen that helps people manage after the fact. But of course, FASD is completely preventable, so I hope we also do more to spread the word about the risks of drinking alcohol during pregnancy. Alcohol remains the most damaging of the recreational drugs to use while pregnant.

Thursday, May 19, 2011

B.C. criminal records now searchable on-line

I'm feeling very divided about a new B.C. government initiative that makes all criminal records searchable, on-line, for free.
The media person inside me is pretty damn excited about it, because it means I can plug in the name of anyone I'm writing about just to see if they might have a criminal record - and hey, that's kind of cool when you're in the business of scrounging up information on people. It also makes it a heck of a lot easier for people who have to do criminal-record checks on volunteers, as it ends that slow business of having to go to the police station and wait (not to mention pay money in some cases).
But the social-advocate side of me is thinking whoa, this is wild. Can't you see every employer in the city wanting to run every staff member's name to see if they have a criminal record? Is that good?
The initiative appears to have emerged with virtually no media attention - I found out only because a friend in the social-services sector sent me the link. It's being done in the name of transparency, but I just don't know if it's good to remove all transparency around someone's criminal record. Traffic violations are now public, too.
It's certainly going to make it more difficult to "put it all behind you." It could make it very difficult for people who commit comparably minor crimes to get a job, regardless of whether their crime has anything to do with the kind of work they were trying for.
***
Just found out this came about in the fall due to a series done by TC reporter Lindsay Kines. I'm a fan of Lindsay's work, but still not quite sure how to feel about this new freedom.



Monday, May 16, 2011

A response for Jay, who posted a comment on my piece last week about the Prince George specialized foster home owned  by Jordy Hoover, where an 11-year-old boy was Tasered by police last month.
Jay says somebody tried to get the Prince George media interested in this story last year but the newspaper said they couldn't write about MCFD unless an issue came up in the legislature. Jay was wondering whether this was true when it comes to what the media can or can't do.
While it certainly is easier for media to write about things once they become matters of public record, it's a load of hooey for anyone to suggest that media can't get into MCFD issues until they're raised in the legislature.
Yes, there are publication rules around identifying a child who is in foster care, so media can't name a child. But there's nothing stopping the media from looking into the way MCFD contracts, how much it pays people for those contracts, how it selects its contractors, etc.
I would assume that even the specifics of how a particular group home (or "specialized resource," as MCFD calls the kinds of homes where the Tasering occurred, as they house just one child) is fair game for a media query, as long as the individual children aren't identified by name.
That said, MCFD does make it really, really difficult to get information. Nothing in that piece of mine actually came from the Ministry. I did contact the Public Affairs Bureau, which is what you have to do if you're a media person looking for answers. But I knew from past experience that I would get nothing useful back from their communications people.
So media do need to be prepared to do some sleuthing when they do an MCFD story - but then again, that's the raison d'etre for even having media, isn't it?
 It's also much easier for me as a columnist than if I were a reporter - we're both required to have solid sources, be truthful and to be very careful to avoid libel and defamation, but a columnist has more freedom to voice an opinion and present information without saying specifically who the source was.
Fortunately, we are in the age of social media, and need not wait anymore for hometown media to decide whether to cover a story. On-line newspapers like the Tyee would be interested in stories like this one, and there are a number of savvy political bloggers in B.C. who might also do their own digging.
I'd suggest people shop out a wider variety of writers when looking to take a story public, and not just rely on the traditional media. However, all "public" writing is still subject to the libel laws and the Web is still very much the wild, wild west, so seek out proven writers who you trust to do a thorough, responsible piece.
Here's what I got back from MCFD's communications department when I asked them about how they contract for foster homes and what qualifications an operator has to have to get those contracts. Please note that while it may be true that most requests for proposals are posted on BC Bid, that does not appear to have been the case for Jordy Hoover's homes, or for the many other "one-offs" for vulnerable, high-risk children that the Ministry now funds all over the province:

The ministry does not specifically track the number of for-profit vs not-for-profit contractors for residential services; those contracts are held by the individual regions and would require a substantial amount of staff resources to calculate a specific breakdown.
 In most cases, requests for proposals to provide residential services are posted on BCBid.com. The specific requirements for each contract varies depending on the individual needs of the children involved. Children and youth living in staffed specialized homes may include children and youth with intellectual or physical disabilities, mental health issues or behavioural difficulties and who are unable to reside in either their own home or a foster home. The requirements for the facility would vary according to the specific challenges of the children it was meant to provide care for.
 As an example, there may be a requirement that the proponent possess a knowledge of aboriginal culture, have experience in dealing with physical disabilities,  or have expertise in caring for children with complex needs.
 For all proponents – new or existing – there are additional requirements for the staff working with clients that would again vary depending on the individual children involved. All staff would need to undergo a criminal record check and would need to be adequately trained and have access to ongoing training and supervision to meet the needs of their respective jobs.
 More information can be found in the ministry’s Standards for Staffed Children’s Residential Services at http://www.mcf.gov.bc.ca/child_protection/pdf/standards_residential_services.pdf

Insite can't be allowed to close

Writing a column means finding some quiet time to let yourself think.
Which is how a morning walk this week in brilliant sunshine turned into a long and dark reflection on my readiness for civil disobedience if Ottawa tries to shut down Vancouver’s supervised injection site.
A few of my activist acquaintances have pointed out that I’m not much for actually showing up at a protest, even when it’s an issue I feel strongly about. I suspect they take that as an indicator that I’m a bit of an armchair quarterback (even though the truth is that I just think writing is the more effective protest tool for me).
Still, ever since I heard a retired medical health officer vow years ago at a Vancouver harm-reduction forum to chain himself to the door of Insite if that’s what it took to prevent its closure, I knew I felt the same way. Count me in for a blockade if it comes to that.
I have great faith in our court system to get past the unthinking politics of the moment. So my first hope is that the Supreme Court of Canada - which heard arguments on this issue Thursday - makes mincemeat of the federal government’s attempts to close down the quiet little clinic in the Downtown Eastside.
But if worse comes to worse, this is an issue that’s well worth going to battle for. Denying life-saving health services to people solely because you don’t like their illness is morality-based health care. No democratic, civilized country should be setting foot on that slippery slope.
Back in its early days, Insite was a bold experiment for Canada. Supervised injection sites were old news elsewhere in the world by the time Insite opened in 2003, but still an untested and controversial concept for Canadians to get their heads around. People understandably had many concerns at the time about what it would mean to open such a site.
But that was then. Now, we know absolutely that Insite saves lives. We know that it doesn’t increase drug use or public disorder, and that it helps people connect to services that can get them out of their addiction entirely. More than 800 people now access Insite in a typical day.
The federal government of a decade ago was extremely wary about allowing an exemption to the Criminal Code so that people addicted to illicit drugs could use them under the watchful eye of nurses at the clinic. Insite has endured intense scrutiny for eight years as a condition of being allowed to open.
The facility has passed every test. 
Some 30 peer-reviewed scientific studies have examined the impact of Insite. They all found that the clinic prevents overdose deaths, reduces the transmission of potentially fatal diseases, and helps people connect to treatment for their addiction.
Other researchers were tasked with gauging the harms Insite might be inadvertently causing. They didn’t find any.
So what’s the problem? There isn’t one. The current federal government simply believes - against all scientific evidence - that harm-reduction strategies encourage people to use drugs.
Never mind that nothing about being addicted is easy, and no amount of supervised injection sites will ever change that. Never mind that everybody wins if we get our heads out of the sand and actually provide services for a terrible, debilitating illness.
Crime drops. Health-care costs fall. Productivity rises. Police are free to return to the important work of catching criminals rather than wasting time busting people with addictions. Why would any government fight against such positive developments?
Court rulings tend to be based on narrow legal arguments, so it’s hard to predict whether the Supreme Court will come down on the side of all that’s right in this particular case. The federal government is arguing there will be “chaos” if Insite is allowed to remain open and provinces start making their own decisions around access to illicit drugs.
That sounds like one of those sweeping statements a government trots out to dress up a specious argument. The time for chaos is if Ottawa tries to close the facility.



Tuesday, May 10, 2011

I'm not a regular Margaret Wente reader (she's such a contrarian), but I caught her column in the Globe today and it led me to this great piece in the Guardian by George Monbiot. It's a eyes-wide-open look at the difficulty of getting past the heartfelt intents and declarations of the environmental movement and actually doing something.