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Ten rec­om­men­da­tions from Of­fice of the Cor­rec­tional In­ves­ti­ga­tor

Cape Breton Post - - Cape Breton -

The fol­low­ing are the 10 rec­om­men­da­tions from the Of­fice of the Cor­rec­tional In­ves­ti­ga­tor who ex­am­ined the death of 33-year-old Matthew Ryan Hines of Sydney at Dorch­ester Pen­i­ten­tiary in May 2015.

1. In­di­vid­ual Cor­rec­tional Ser­vices Canada man­agers at the in­sti­tu­tional, re­gional and na­tional lev­els should be held an­swer­able and ac­count­able for the de­fi­cien­cies iden­ti­fied in the in­ap­pro­pri­ate, un­nec­es­sary and mul­ti­ple uses of force that di­rectly con­trib­uted to Matthew’s med­i­cal emer­gency and en­su­ing death.

2. The case of Matthew Hines should be used as a na­tional teach­ing and train­ing tool for all ex­ist­ing and fu­ture CSC staff and man­age­ment. The case study would in­clude anal­y­sis and un­der­stand­ing of the gaps in the use of force and health-care re­sponses prox­i­mate to Matthew’s death in fed­eral cus­tody.

3. CSC should im­me­di­ately de­velop a sep­a­rate and dis­tinct in­ter­ven­tion and man­age­ment model to as­sist front-line staff in rec­og­niz­ing, re­spond­ing and ad­dress­ing sit­u­a­tions of med­i­cal emer­gency and/or acute men­tal health dis­tress.

4. CSC should re­view and re­vise the chan­nels, meth­ods and flow of in­for­ma­tion be­tween clin­i­cal and front-line staff to en­sure first-re­sponse staff mem­bers are ad­e­quately pre­pared to safely man­age med­i­cal and men­tal health needs.

5. A scope of prac­tice re­view should be un­der­taken to en­sure reg­is­tered nurs­ing staff is ad­e­quately trained, sup­ported and pre­pared to work in a cor­rec­tional en­vi­ron­ment and in­clude spe­cific in­struc­tion in use of force, in­flam­ma­tory agents and pro­vi­sion of emer­gency trauma care.

6. CSC should en­sure clar­ity in the lead­er­ship role of the of­fi­cer in charge in sit­u­a­tions where no cor­rec­tional man­ager is present.

7. CSC should re­view in­sti­tu­tional, re­gional and na­tional con­trols on the use of in­flam­ma­tory agents in fed­eral pen­i­ten­tiaries. Pol­icy di­rec­tion should be is­sued to pro­vide clear in­struc­tion that in­flam­ma­tory agents can only be used af­ter all other means of con­flict res­o­lu­tion have been ex­hausted and only when there is a clear and present risk of im­mi­nent harm.

8. CSC front-line staff mem­bers should re­ceive reg­u­lar re­fresher and up­graded train­ing in con­flict de-es­ca­la­tion. Train­ing should em­pha­size how to man­age op­po­si­tional/ de­fi­ant be­hav­iours in sit­u­a­tions where un­der­ly­ing men­tal health is­sues are present or pre­vi­ously iden­ti­fied.

9. CSC should im­me­di­ately de­velop mech­a­nisms to rec­on­cile Board of In­ves­ti­ga­tion find­ings with the staff dis­ci­plinary process.

10. Boards of in­ves­ti­ga­tion into deaths in cus­tody should be re­quired to ex­am­ine and clearly state whether and how the death in ques­tion could have been pre­vented.

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