Tuesday, February 18, 2020

There’s no rule on who can write assessments that ‘effectively decide’ if an Ontario parent loses their child. Experts say that must change.


2007: Nearly half of children in Crown care are medicated.

The researchers have found that not only were psychotropic drugs prescribed to a clear majority of the current and former wards interviewed, but most were diagnosed with mental-health disorders by a family doctor, never visited a child psychiatrist or another doctor for a second opinion, and doubted the accuracy of their diagnosis.

A disturbing number, the network's research director, Yolanda Lambe, added, have traded the child-welfare system for a life on the street.

"A lot of people are using drugs now," she said. "There's a lot of homeless young people who have been medicated quite heavily."

'whole range of disorders'

Nowhere is concern greater than in Ontario, where the provincial government recently appointed a panel of experts to develop standards of care for administering drugs to children in foster care, group homes and detention centres.

The move was made after the high-profile case last year of a now-13-year-old boy in a group home outside Toronto came to light. The boy was saddled with four serious psychiatric diagnoses, including oppositional defiant disorder and Tourette's syndrome, and doused daily with a cocktail of psychotropic drugs before his grandparents came to his rescue. Now living with his grandparents, he is free of diagnoses and drugs.

Marti McKay is the Toronto child psychologist who, when hired by the local CAS to assess the grandparents' capacity as guardians to the boy, discovered a child so chemically altered that his real character was clouded by the side effects of adult doses of drugs.

"There are lots of other kids like that," said Dr. McKay, one of the experts on the government panel. "If you look at the group homes, it's close to 100 per cent of the kids who are on not just one drug, but on drug cocktails with multiple diagnoses.

"There are too many kids being diagnosed with ... a whole range of disorders that are way out of proportion to the normal population. ... It's just not reasonable to think the children in care would have such overrepresentation in these rather obscure disorders."

https://www.theglobeandmail.com/news/national/nearly-half-of-children-in-crown-care-are-medicated/article687480/

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2014: Use of 'behaviour-altering' drugs widespread in foster, group homes.

In almost half of children and youth in foster and group home care aged 5 to 17 — 48.6 per cent — are on drugs, such as Ritalin, tranquilizers and anticonvulsants, according to a yearly survey conducted for the provincial government and the Ontario Association of Children’s Aid Societies (OACAS). At ages 16 and 17, fully 57 per cent are on these medications.

In group homes, the figure is even higher — an average of 64 per cent of children and youth are taking behaviour-altering drugs. For 10- to 15-year-olds, the number is a staggering 74 per cent.

“The medication problem is huge,” says Raymond Lemay, who retired this summer after 32 years as executive director of the Prescott-Russell children’s aid society. “It’s catastrophic.

“We should be doing other things than medicating these kids,” he says, adding his agency discourages the use of psychotropic drugs. “Medication is inappropriate in many circumstances and will do these kids long-term damage.”

MEET THE PUSHERS...

At the Brant CAS, drugs make up 52 per cent of expenditures on health insurance claims. The top five drugs prescribed and paid for by insurance are all used to treat attention deficit hyperactivity disorder (ADHD), including Concerta, Strattera and Adderall.

https://www.thestar.com/news/canada/2014/12/12/use_of_behaviouraltering_drugs_widespread_in_foster_group_homes.html

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2015: Ontario Foster Care System Overmedicates, Underdiagnoses Kids.

by Robert Franklin, Esq, Member, National Board of Directors, National Parents Organization

Before you read this article and the following blog post, you might want to go back to Sunday’s post about Molly McGrath Tierney’s excellent TEDx talk in Baltimore last year (Toronto Star, 12/12/14). Her talk is just 11 minutes long, but she pretty much demolishes the system of foster care that we foist on so many children. Tierney’s a veteran of the child welfare system and a successful manager in Baltimore. But she’s clear that the system harms kids and is driven by money. The federal government pays states for each kid taken into care where they are all too often less well off than they were with their parents. Studies show that to be the case and when we ask children their preferences, they say they want to go home to their parents.

The Star article is about the shocking overuse of psychotropic medication on children in foster care in Ontario. Mental health experts agree that kids are overmedicated, but that’s just the start of the problem.

Almost half of children and youth in foster and group home care aged 5 to 17 — 48.6 per cent — are on drugs, such as Ritalin, tranquilizers and anticonvulsants, according to a yearly survey conducted for the provincial government and the Ontario Association of Children’s Aid Societies (OACAS). At ages 16 and 17, fully 57 per cent are on these medications.

In group homes, the figure is even higher — an average of 64 per cent of children and youth are taking behaviour-altering drugs. For 10- to 15-year-olds, the number is a staggering 74 per cent.

The figures are found in “Looking After Children in Ontario,” a provincially mandated survey known as OnLAC. It collects data on the 7,000 children who have spent at least one year in care. After requests by the Star, the 2014 numbers were made public for the first time.

Top CAS officials describe the high number on “psychotropic or behaviour-altering medication” as a crisis.

“The medication problem is huge,” says Raymond Lemay, who retired this summer after 32 years as executive director of the Prescott-Russell children’s aid society. “It’s catastrophic.

“We should be doing other things than medicating these kids,” he says, adding his agency discourages the use of psychotropic drugs. “Medication is inappropriate in many circumstances and will do these kids long-term damage.”

Those percentages for kids in foster care dwarf those for kids in the general population.

For youths in care, the rate of psychotropic drug use is significantly higher than the general population. A 2005 study in the Canadian Journal of Psychiatry estimated that only 2.5 per cent of Canadians aged 15 to 19 were on psychotropic medication.

Of course it can be argued that kids in foster care are those with abusive family backgrounds, and are therefore more in need of medication. That’s probably true, but foster kids rarely receive proper mental health evaluations to determine whether they need medication. That means that kids who don’t need medication often get it anyway and those who do may be getting the wrong drugs or the wrong dosages.

Ontario’s highly decentralized child-protection model — 46 private agencies funded largely by tax dollars — seems to make matters worse.

Only half of children’s aid societies have a prescribed way of assessing the mental health needs of children, and barely 15 per cent of these use methods recommended by the provincial government, according to a 2009 survey sponsored by OACAS, the lobby group representing the agencies.

The lack of standardization “likely means that many children in need are not identified and referred for treatment,” concludes the survey report, co-authored by Elisa Romano, professor of psychology at the University of Ottawa.

The sheer number of kids in foster care and group homes, the lack of diagnostic resources and the need to maintain control of a population that’s experienced the worst of parental care inevitably leads to medicating children as a means of control. Unsurprisingly, the great majority of the medications given are for ADHD.

MEET THE PUSHERS:

At the Brant CAS, drugs make up 52 per cent of expenditures on health insurance claims. The top five drugs prescribed and paid for by insurance are all used to treat attention deficit hyperactivity disorder (ADHD), including Concerta, Strattera and Adderall.

Again, many kids are getting that medication whether they’ve been properly diagnosed or not.

A soon-to-be-published report by Klein, Taraba and other child-welfare experts also warns of children who have symptoms of attention deficit disorder being misdiagnosed and given “unhelpful medications” for long periods. “The big question is, what are we treating?” [Dr. Ben Klein, medical director at the Lansdowne Children’s Centre in Brantford] says.

Perhaps worse, the overmedication of the kids obscures real mental health issues many of them have. The drugs damp down and alter behaviors that could tip off a mental health professional as to the proper diagnosis for a child.

Drugs can ease disruptive behaviour. But doctors and CAS officials are concerned that mental-health issues caused by trauma aren’t being addressed..,.,

Medication might make them less likely to act out, Klein adds, but it doesn’t deal with the root cause of a child’s trauma. That requires “trauma-focused cognitive behaviour therapy,” which he says is almost impossible to access in Ontario.

This is all going on despite a relative lack of information on the long-term side-effects of many of the drugs being administered. For other drugs, the side-effects are known to be harmful.

A Star investigation in 2012 found 600 cases, reported to Health Canada during a 10-year period, of children and youth suffering serious side effects while on ADHD medication, including amnesia and suicide.

Finally, kids who’ve endured significant periods of abuse, particularly early on, produce high levels of the stress hormone cortisol that can have long-term deleterious effects on learning and impulse control. That’s not ADHD, but it can be mistaken for it, resulting in both a failure to diagnose the correct problem and the wrong medication.

As a sidelight, boys are more likely than girls to undergo that particular response to abuse early in life. As psychologist David Geary has written, “M. Davis and Emory..,., found that newborn boys showed an increase in cortisol levels after exposure to mild but prolonged stressors, but newborn girls showed no such increase..,., [A]n overall sex difference in cortisol responses..,., would make boys and men more susceptible to growth disorders and other diseases – through suppression of immune functions and growth hormones..,.,” That may explain the remarkable difference between the numbers of boys diagnosed and treated for ADHD as compared to girls.

Add to that the fact that parenting in foster care is, on average, markedly worse than it is in biological families, even somewhat abusive ones, and we have a “prescription” for lasting damage to the very children we’re supposed to be helping.

A recent study co-authored by researchers at the Child Welfare Institute of the Children’s Aid Society of Toronto found that poor parenting in foster homes partly accounts for higher levels of behaviour problems in some children.

Here’s the experience of one boy, Nick Woolridge, profiled by the Star:

Woolridge was taken into care a month before his eighth birthday. He was bounced from foster homes to group homes — a dizzying 22 different homes during 10 years in care.

“I had a lot of anger issues due to my past, and dealing with my family,” he says. “And, growing up in foster homes and group homes, my anger just kept getting worse.”

During visits with his grandmother, Woolridge noticed she patiently found ways to defuse his outbursts and calm him down. Foster parents rarely tried doing so, and Woolridge says the Brant CAS too easily acquiesced to bouncing him around.

“I don’t think it’s right for a kid growing up in CAS to be shipped from foster home to foster home,” he says.

Is it any wonder that, as Molly McGrath Tierney said of kids in foster care, “they just want to go home?”

https://nationalparentsorganization.org/blog/22448-ontario-foster-care-system-overmedicates-underdiagnoses-kids


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ONTARIO ASSOCIATION OF CHILDREN'S AID SOCIETIES.

According to OACAS “Reasonable grounds” refers to the information that an average person, using normal and honest judgment, would need in order to decide to report. This standard has been recognized by courts in Ontario as establishing a lower corporate threshold for reporting suspicions.

This threshold doesn't apply to the society or any of the society's employees, the ministry or any other stakeholders who all at the first sign of media exposure hide behind their rights and a wall of lawyers.

So should we to assume to the society's lower "standard" is somewhere between reasonable grounds and simple suspicion and can there really be two standards for reasonable grounds and still be reasonable?

http://www.oacas.org/childrens-aid-child-protection/duty-to-report/

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2015: Daycare worker eyes appeal after being sued for making an unreasonable report to the CAS. By Jenny Yuen, Toronto Sun.

In his ruling, Deputy Judge Lewis Richardson said Larabie’s call to the CAS was panicked, that the boy was in good health, nothing was found “to suggest that (the child) was in any danger” and there “were no reasonable grounds for the complaint.”

The Ontario Association of Children’s Aid Societies said the ruling is concerning because it could potentially inhibit their ability to meet their funding goals.. “We would urge people to make those calls (to CAS),” director of communications Caroline Newton said. “We rely absolutely on the public to meet our funding goals.”

WAS TAMMY SUCCESSFULLY SUED FOR BEING UNREASONABLE CONCERNED OR WAS TAMMY SUCCESSFULLY SUED BECAUSE THE CAS CHOOSE TO INVESTIGATE HER UNREASONABLE COMPLAINT?

https://torontosun.com/2015/03/26/daycare-worker-eyes-appeal-after-being-sued-for-contacting-cas/wcm/3a6b4394-ec4a-48b5-8536-677f7b37cfc5

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2015: Daycare operator successfully sued for making an unreasonable complaint to CAS.

It’s a ruling which children’s advocates say ignores child care providers’ duty to report suspected child abuse or neglect to the CAS, and it could dissuade them from doing so for fear of a lawsuit.

“It’s hard enough to get people to report (to the CAS) and this will have a silencing effect,” said Mary Birdsell, executive director of Justice for Children and Youth. “The legislation is supposed to protect people from being sued if their report was reasonable.” (with between 16 000 and 18 000 children in "care" at any one time I find that very hard to believe)

In a decision delivered last month, Superior Court judge Lewis Richardson ruled Tammy Larabie’s call to the CAS was “unreasonable” and there “was nothing to suggest that (the baby) was in any danger.”In a court transcript obtained by the Toronto Star, Richardson found the parents “to be competent, caring and capable” who “properly looked after the interests of their son.”

“There was no basis whatsoever to report them to the Children’s Aid,” he said. “(Larabie) acted selfishly and to protect her own interest, not for the benefit of the child.”

Larabie’s lawyer disagreed and is considering an appeal.

https://www.therecord.com/news-story/5528296-ontario-daycare-operator-sued-for-calling-children-s-aid-society/

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HOW MANY LOGICAL FALLACIES CAN YOU FIND IN THE ARTICLES ABOVE?

HERE ARE A FEW EXAMPLES.

Red Herring Fallacy: A “red herring fallacy” is a distraction from the argument typically with some sentiment that seems to be relevant but isn’t really on-topic. This tactic is common when someone doesn’t like the current topic and wants to detour into something else instead, something easier or safer to address. A red herring fallacy is typically related to the issue in question but isn’t quite relevant enough to be helpful. Instead of clarifying and focusing, it confuses and distracts.

The phrase “red herring” refers to a kippered herring (salted herring-fish) which was reddish brown in color and quite pungent. According to legend, this aroma was so strong and delectable to dogs that it served as a good training device for testing how well a hunting dog could track a scent without getting distracted. Dogs aren’t generally used for hunting fish so a red herring is a distraction from what he is supposed to be hunting.

A red herring fallacy can be difficult to identify because it’s not always clear how different topics relate. A “side” topic may be used in a relevant way, or in an irrelevant way. In the big meaty disagreements of our day, there are usually a lot of layers involved, with different subtopics weaving into them. We can guard against the red herring fallacy by clarifying how our part of the conversation is relevant to the core topic.
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Hasty Generalization: A hasty generalization is a general statement without sufficient evidence to support it. A hasty generalization is made out of a rush to have a conclusion, leading the arguer to commit some sort of illicit assumption, stereotyping, unwarranted conclusion, overstatement, or exaggeration.
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Slippery Slope Fallacy: The slippery slope fallacy works by moving from a seemingly benign premise or starting point and working through a number of small steps to an improbable extreme.

This fallacy is not just a long series of causes. Some causal chains are perfectly reasonable. There could be a complicated series of causes that are all related, and we have good reason for expecting the first cause to generate the last outcome. The slippery slope fallacy, however, suggests that unlikely or ridiculous outcomes are likely when there is just not enough evidence to think so.

It’s hard enough to prove one thing is happening or has happened; it’s even harder to prove a whole series of events will happen. That’s a claim about the future, and we haven’t arrived there yet. We, generally, don’t know the future with that kind of certainty. The slippery slope fallacy slides right over that difficulty by assuming that chain of future events without really proving their likelihood.
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Appeal to Pity: Argumentum ad misericordiam is Latin for “argument to compassion.” Like the ad hominem fallacy above, it is a fallacy of relevance. Personal attacks, and emotional appeals, aren’t strictly relevant to whether something is true or false. In this case, the fallacy appeals to the compassion and emotional sensitivity of others when these factors are not strictly relevant to the argument. Appeals to pity often appear as emotional manipulation.
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False Need Fallacy: Creating a false need is when the advertiser uses emotional proof to try to sell a product or service, making the viewers feel as though they must have the product or service in order to have a good life.
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Circular Argument: When a person’s argument is just repeating what they already assumed beforehand, it’s not arriving at any new conclusion. We call this a circular argument or circular reasoning.

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2019: Executive director Elaina Groves does say it's important for the public to know that child protection workers investigate differently than police.

Decisions are made on a "balance of probabilities" which often means there's not enough evidence for criminal charges let alone a conviction which is probably why child protection social workers in Ontario refused to comply with the social worker registration act claiming there are no practical benefits for them agreeing to register with the college.

The College of Social Work takes reports about concerns from the public and applies their own standard for investigating complaints as does the society and the same "balance of probabilities" making a ruling.

Groves says some may think that sounds "subjective" but she says rulings on abuse are based on the "impressions" of the unqualified unregistered social worker, the opinions of questionable medical professionals, as well as other evidence like the fraudulent Motherisk Test.

Balance of Probabilities Definition: Burden of proof in civil trials.

The common distinction is made with the burden of truth in a criminal trial, which is beyond a reasonable doubt. In a civil trial, one party's case need only be more probable than the other.

https://www.cbc.ca/news/canada/sudbury/cas-daycare-operator-dowling-sudbury-child-abuse-1.4826325

https://www.cbc.ca/news/canada/sudbury/home-daycare-lawsuit-cas-police-investigation-1.4537023

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2020: DID YOU KNOW that you have the RIGHT to request your COMPLETE FILE from your local CAS???

"As of January 1, 2020 FOR THE FIRST TIME EVER IN ONTARIO, if you or your family have BEEN DRAGGED THROUGH THE FAMILY COURTS AND NOT received help or support from a Children’s Aid Society, group home, or other child and family service provider in Ontario, you have the right to see and ask for corrections to your personal information in your file... ISN'T THAT NICE OF THEM?

...You can ask to see and get a copy of your personal information in your file. It includes information about your history, your health or notes from talks you’ve had with a social worker or other professional. Your service provider must help you get this information if you ask."

REQUEST YOUR FILE TODAY! Get informed, you have rights!


- Why weren't clients and suspected clients allowed to see their files?

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2010: Psychologist got degree from U.S. 'diploma mill'

A psychologist with the Durham Children’s Aid Society has pleaded guilty to professional misconduct for misrepresenting himself and for making multiple unqualified diagnoses of mental illness.

Gregory Carter, 63, appeared before the College of Psychologists of Ontario’s disciplinary committee on Tuesday. He and the college agreed on the terms of the penalty, which includes a three-month suspension, a recorded reprimand and one year of supervised practice under an approved practitioner.

In his practice with the Children’s Aid Society, Mr. Carter’s expertise was used to determine child custody cases.

https://nationalpost.com/posted-toronto/psychologist-got-degree-from-u-s-diploma-mill

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Experts All Over The World Excluding Canadian Experts Warn There's a Huge Problem With How Mental Health Problems Are Diagnosed.

(kiss child welfare's bread and butter good-bye, no more getting the results they want when they want them)

A new study, published in Psychiatry Research, has concluded that psychiatric diagnoses are scientifically worthless as tools to identify discrete mental health disorders.

The study, led by researchers from the University of Liverpool, involved a detailed analysis of five key chapters of the latest edition of the widely used Diagnostic and Statistical Manual (DSM), on 'schizophrenia', 'bipolar disorder', 'depressive disorders', 'anxiety disorders' and 'trauma-related disorders'.

Diagnostic manuals such as the DSM were created to provide a common diagnostic language for mental health professionals and attempt to provide a definitive list of mental health problems, including their symptoms.

The main findings of the research were:

Almost all diagnoses mask the role of trauma and adverse events.

Psychiatric diagnoses all use different decision-making rules...

There is a huge amount of overlap in symptoms between diagnoses.

Diagnoses tell us little about the individual patient and what treatment they need.

The authors conclude that diagnostic labelling represents 'a disingenuous categorical system'.

Lead researcher Dr Kate Allsopp, University of Liverpool, said: "Although diagnostic labels create the illusion of an explanation they are scientifically meaningless and can create stigma and prejudice. I hope these findings will encourage mental health professionals to think beyond diagnoses and consider other explanations of mental distress, such as trauma and other adverse life experiences."

Professor Peter Kinderman, University of Liverpool, said: "This study provides yet more evidence that the biomedical diagnostic approach in psychiatry is not fit for purpose. Diagnoses frequently and uncritically reported as 'real illnesses' are in fact made on the basis of internally inconsistent, confused and contradictory patterns of largely arbitrary criteria. The diagnostic system wrongly assumes that all distress results from disorder, and relies heavily on subjective judgments about what is normal."

Professor John Read, University of East London, said: "Perhaps it is time we stopped pretending that medical-sounding labels contribute anything to our understanding of the complex causes of human distress or of what kind of help we need when distressed."

https://www.eurekalert.org/pub_releases/2019-07/uol-sfp070819.php

https://www.sciencedaily.com/releases/2019/07/190708131152.htm

https://www.sciencedirect.com/science/article/pii/S0165178119309114?via%3Dihub

https://www.sciencealert.com/the-way-we-diagnose-psychiatric-conditions-is-scientifically-meaningless-researchers-argue

https://www.medicalnewstoday.com/articles/325723.php#1

https://www.thenewamerican.com/culture/item/32842-study-psychiatric-diagnoses-worthless-and-scientifically-meaningless

https://neurosciencenews.com/meaningless-psychiatric-diagnosis-14434/

https://repository.uel.ac.uk/item/86w8q

https://www.studyfinds.org/study-psychiatric-diagnoses-are-scientifically-meaningless/

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The full study, entitled 'Heterogeneity in psychiatric diagnostic classification', can be found here:

https://doi.org/10.1016/j.psychres.2019.07.005

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2019: There’s no rule on who can write assessments that ‘effectively decide’ if an Ontario parent loses their child. Experts say that must change.

https://www.thestar.com/news/gta/2019/08/02/theres-no-rule-on-who-can-write-assessments-that-effectively-decide-if-an-ontario-parent-loses-their-child-experts-say-that-must-change.html

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2019: Ontario psychologist used ‘obsolete’ tests in expert opinion calling for parents to lose their kids, judge says.

The Star is highlighting cases that reveal problems with parenting capacity assessments, expert reports that can be influential in causing Ontario parents to permanently lose their children to adoption.

https://www.thespec.com/news-story/9552213-ontario-psychologist-used-obsolete-tests-in-expert-opinion-calling-for-parents-to-lose-their-kids-judge-says/

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I WONDER WHAT ASSESSMENT TOOL WAS BEING USED?

2016: Nov 24, 2016 - Although the Ontario Risk Assessment was a “state of the art” clinical tool at the...

The purpose of the Child Protection Standards in Ontario (dated February 2007) is to promote consistently high quality service delivery to children, youth and their families receiving child protection services from Children’s Aid Societies across the province. The new standards are the mandatory framework within which these services will be delivered. They establish a minimum level of performance for child protection workers, supervisors and Children’s Aid Societies, and create a norm that reflects a desired level of achievement. The standards will provide the baseline for demonstrating the level of performance within the ministry’s overall accountability framework for child welfare.

http://www.children.gov.on.ca/htdocs/English/professionals/childwelfare/protection-standards-2007/childprotectionstandards.aspx

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2019: Expert who gave more than 100 assessments in Ontario child protection cases lied about credentials for years, judge finds.

https://www.thestar.com/news/gta/2019/07/31/expert-who-gave-more-than-100-assessments-in-ontario-child-protection-cases-lied-about-credentials-for-years-judge-finds.html

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2019: Province orders children’s aid societies to review credentials of experts used in child welfare cases

https://www.thestar.com/news/gta/2019/08/23/province-orders-childrens-aid-societies-to-review-credentials-of-experts-used-in-child-welfare-cases.html

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2017: Motherisk hair test evidence tossed out of Colorado court 2 decades before questions raised in Canada

A U.S. court laid out extensive problems with how hair-strand tests were being done at the Motherisk Drug Testing Lab at the Hospital for Sick Children in Toronto more than two decades before similar issues were uncovered in Canada.

But the lab's work continued to be used in Canadian courts and relied upon in thousands of child protection cases, including ones in which children were permanently removed from their parents.

From 1991 until 2015, Motherisk was performing what have now been determined to be unreliable and inadequate drug and alcohol tests on thousands of members of vulnerable families across Canada, with the results in some cases leading to child welfare decisions to separate children from their parents AND TENS OF THOUSANDS OF FILES BEENING LEFT OPEN OR REOPENNED AT WILL.

https://www.cbc.ca/news/canada/motherisk-colorado-court-case-1.4364862

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2017: Motherisk tests 'felt like junk science,' says lawyer in Colorado case

Colorado prosecutor Eva Wilson exposed flaws in Motherisk's testing methodology and analysis during a murder trial in 1993.

https://youtu.be/WIJqYz91ceU

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Confronting Motherisk co-founder Dr. Gideon Koren.

Fifth Estate co-host Mark Kelley confronts Dr. Gideon Koren, the founder and former director of Motherisk, at a medical conference in Windsor, England this month.

https://youtu.be/3POTUUN2tXU

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2018: What separation from parents does to children: ‘The effect is catastrophic’

This is what happens inside children when they are forcibly separated from their parents.

Their heart rate goes up. Their body releases a flood of stress hormones such as cortisol and adrenaline. Those stress hormones can start killing off dendrites — the little branches in brain cells that transmit mes­sages. In time, the stress can start killing off neurons and — especially in young children — wreaking dramatic and long-term damage, both psychologically and to the physical structure of the brain.

“The effect is catastrophic,” said Charles Nelson, a pediatrics professor at Harvard Medical School. “There’s so much research on this that if people paid attention at all to the science, they would never do this.”

Separating kids from parents a 'textbook strategy' of domestic abuse, experts say — and causes irreversible, lifelong damage even when there is no other choice.

“Being separated from parents or having inconsistent living conditions for long periods of time can create changes in thoughts and behavior patterns, and an increase in challenging behavior and stress-related physical symptoms,” such as sleep difficulty, nightmares, flashbacks, crying, and yelling says Amy van Schagen - California State University.

The Science Is Unequivocal: Separating Families Is Harmful to Children

In news stories and opinion pieces, psychological scientists are sharing evidence-based insight from decades of research demonstrating the harmful effects of separating parents and children.

In an op-ed in USA Today, Roberta Michnick Golinkoff (University of Delaware), Mary Dozier (University of Delaware), and Kathy Hirsh-Pasek (Temple University) write:

“Years of research are clear: Children need their parents to feel secure in the world, to explore and learn, and to grow strong emotionally.”

In a Washington Post op-ed, James Coan (University of Virginia) says:

“As a clinical psychologist and neuroscientist at the University of Virginia, I study how the brain transforms social connection into better mental and physical health. My research suggests that maintaining close ties to trusted loved ones is a vital buffer against the external stressors we all face. But not being an expert on how this affects children, I recently invited five internationally recognized developmental scientists to chat with me about the matter on a science podcast I host. As we discussed the border policy’s effect on the children ensnared by it, even I was surprised to learn just how damaging it is likely to be.”

Mia Smith-Bynum (University of Maryland) is quoted in The Cut:

“The science leads to the conclusion that the deprivation of caregiving produces a form of extreme suffering in children. Being separated from a parent isn’t just a trauma — it breaks the relationship that helps children cope with other traumas.

Forceful separation is particularly damaging, explains clinical psychologist Mia Smith-Bynum, a professor of family science at the University of Maryland, when parents feel there’s nothing in their power that can be done to get their child back.

For all the dislocation, strangeness and pain of being separated forcibly from parents, many children can and do recover, said Mary Dozier, a professor of child development at the University of Delaware. “Not all of them — some kids never recover,” Dr. Dozier said. “But I’ve been amazed at how well kids can do after institutionalization if they’re able to have responsive and nurturing care afterward.”

The effects of that harm may evolve over time, says Antonio Puente, a professor of psychology at the University of North Carolina, Wilmington who specializes in cultural neuropsychology. What may begin as acute emotional distress could reemerge later in life as PTSD, behavioral issues and other signs of lasting neuropsychological damage, he says.

“A parent is really in many ways an extension of the child’s biology as that child is developing,” Tottenham said. “That adult who’s routinely been there provides this enormous stress-buffering effect on a child’s brain at a time when we haven’t yet developed that for ourselves. They’re really one organism, in a way.” When the reliable buffering and guidance of a parent is suddenly withdrawn, the riot of learning that molds and shapes the brain can be short-circuited, she said.

In a story from the BBC, Jack Shonkoff (Harvard University) discusses evidence related to long-term impacts:

Jack P Shonkoff, director of the Harvard University Center on the Developing Child, says it is incorrect to assume that some of the youngest children removed from their parents’ care will be too young to remember and therefore relatively unharmed. “When that stress system stays activated for a significant period of time, it can have a wear and tear effect biologically.

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2019: These Are The Most Dangerous & Heavily Promoted Prescription Drugs.

What’s worse is that the number of children prescribed dangerous drugs is on the rise. Doctors seem to prescribe medication without being concerned with the side-effects.

Worldwide, 17 million children, some as young as five years old, are given a variety of different prescription drugs, including psychiatric drugs that are dangerous enough that regulatory agencies in Europe, Australia, and the US have issued warnings on the side effects that include suicidal thoughts and aggressive behavior.

According to Fight For Kids, an organization that “educates parents worldwide on the facts about today’s widespread practice of labeling children mentally ill and drugging them with heavy, mind-altering, psychiatric drugs,” says over 10 million children in the US are prescribed addictive stimulants, antidepressants and other psychotropic (mind-altering) drugs for alleged educational and behavioral problems.

In fact, according to Foundation for a Drug-Free World, every day, 2,500 youth (12 to 17) will abuse a prescription pain reliever for the first time (4). Even more frightening, prescription medications like depressants, opioids and antidepressants cause more overdose deaths (45 percent) than illicit drugs like cocaine, heroin, methamphetamines and amphetamines (39 percent) combined. Worldwide, prescription drugs are the 4th leading cause of death.

https://dailyhealthpost.com/common-prescription-drugs/

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2018:  What separation from parents does to children: ‘The effect is catastrophic’

This is what happens inside children when they are forcibly separated from their parents.

Their heart rate goes up. Their body releases a flood of stress hormones such as cortisol and adrenaline. Those stress hormones can start killing off dendrites — the little branches in brain cells that transmit mes­sages. In time, the stress can start killing off neurons and — especially in young children — wreaking dramatic and long-term damage, both psychologically and to the physical structure of the brain.

“The effect is catastrophic,” said Charles Nelson, a pediatrics professor at Harvard Medical School. “There’s so much research on this that if people paid attention at all to the science, they would never do this.”

Separating kids from parents a 'textbook strategy' of domestic abuse, experts say — and causes irreversible, lifelong damage even when there is no other choice.

 “Being separated from parents or having inconsistent living conditions for long periods of time can create changes in thoughts and behavior patterns, and an increase in challenging behavior and stress-related physical symptoms,” such as sleep difficulty, nightmares, flashbacks, crying, and yelling says Amy van Schagen - California State University.

The Science Is Unequivocal: Separating Families Is Harmful to Children

In news stories and opinion pieces, psychological scientists are sharing evidence-based insight from decades of research demonstrating the harmful effects of separating parents and children.

In an op-ed in USA Today, Roberta Michnick Golinkoff (University of Delaware), Mary Dozier (University of Delaware), and Kathy Hirsh-Pasek (Temple University) write:

“Years of research are clear: Children need their parents to feel secure in the world, to explore and learn, and to grow strong emotionally.”

In a Washington Post op-ed, James Coan (University of Virginia) says:

“As a clinical psychologist and neuroscientist at the University of Virginia, I study how the brain transforms social connection into better mental and physical health. My research suggests that maintaining close ties to trusted loved ones is a vital buffer against the external stressors we all face. But not being an expert on how this affects children, I recently invited five internationally recognized developmental scientists to chat with me about the matter on a science podcast I host. As we discussed the border policy’s effect on the children ensnared by it, even I was surprised to learn just how damaging it is likely to be.”

Mia Smith-Bynum (University of Maryland) is quoted in The Cut:

“The science leads to the conclusion that the deprivation of caregiving produces a form of extreme suffering in children. Being separated from a parent isn’t just a trauma — it breaks the relationship that helps children cope with other traumas.

Forceful separation is particularly damaging, explains clinical psychologist Mia Smith-Bynum, a professor of family science at the University of Maryland, when parents feel there’s nothing in their power that can be done to get their child back.

 For all the dislocation, strangeness and pain of being separated forcibly from parents, many children can and do recover, said Mary Dozier, a professor of child development at the University of Delaware. “Not all of them — some kids never recover,” Dr. Dozier said. “But I’ve been amazed at how well kids can do after institutionalization if they’re able to have responsive and nurturing care afterward.”

The effects of that harm may evolve over time, says Antonio Puente, a professor of psychology at the University of North Carolina, Wilmington who specializes in cultural neuropsychology. What may begin as acute emotional distress could reemerge later in life as PTSD, behavioral issues and other signs of lasting neuropsychological damage, he says.

“A parent is really in many ways an extension of the child’s biology as that child is developing,” Tottenham said. “That adult who’s routinely been there provides this enormous stress-buffering effect on a child’s brain at a time when we haven’t yet developed that for ourselves. They’re really one organism, in a way.” When the reliable buffering and guidance of a parent is suddenly withdrawn, the riot of learning that molds and shapes the brain can be short-circuited, she said.

In a story from the BBC, Jack Shonkoff (Harvard University) discusses evidence related to long-term impacts:

Jack P Shonkoff, director of the Harvard University Center on the Developing Child, says it is incorrect to assume that some of the youngest children removed from their parents’ care will be too young to remember and therefore relatively unharmed. “When that stress system stays activated for a significant period of time, it can have a wear and tear effect biologically.

2019: Court rules Ontario animal protection law enforcement regime unconstitutional.

"Animal protection laws are the only laws still enforced by private agencies, and the court ruled that private enforcement without transparency and accountability is unacceptable," said lawyer Camille Labchuk, executive director of Animal Justice, in a press release statement.

WHAT ABOUT ONTARIO'S SELF REGULATED FULLY GOVERNMENT FUNDED NON PROFIT MULTI-BILLION DOLLAR PRIVATE CORPORATION?

THE CHILDREN'S AID SOCIETY...

While Breder says she agrees that in most cases, private organizations shouldn’t possess government-like powers to enter a person’s property and seize their belongings, finding the OSPCA’s powers completely unconstitutional could lead to a slippery slope for other SPCAs nationwide.

The sections of the Canadian Charter of Rights and Freedoms in question are sections 7 and 8 (concerning individual autonomy and unreasonable search and seizure, respectively). While the decision states there is no direct charter violation of the distribution of legislative powers and “specific warrantless search and/or seizure powers” in the OSPCA Act, Justice Timothy Minnema wrote in his decision that assigning “police and other investigative powers to the OSPCA” violates s. 7.

(FUNNY HOW SECTION 7 AND 8 APPLIES TO PETS AND NOT CHILDREN)

Animal Shelters:

Like group and foster homes for apprehended children in Ontario not all animal shelters are the same. Fortunate homeless and unwanted animals end up in the hundreds of open-admission animal shelters that are staffed by professional, caring people.

At these facilities, frightened animals are reassured, sick and injured animals receive treatment or a peaceful end to their suffering, and the animals’ living quarters are kept clean and dry. Workers at these facilities never turn away needy animals and give careful consideration to each animal’s special emotional and physical needs unlike most group and foster homes who prefer to use prescription cocktails, police intervention and physical restraints on children at the first sign of a child in need.

Many less fortunate lost or abandoned animals end up in pitiful shelters that are nothing more than shacks without walls or other protection from the elements, where animals are often left to die from exposure, disease, or fights with other animals like apprehended children in Ontario's child welfare system.

https://www.peta.org/issues/animal-companion-issues/animal-shelters/

https://www.ctvnews.ca/mummified-cat-found-in-t-o-humane-society-ceiling-1.458967

https://www.cp24.com/official-calls-animal-shelter-house-of-horrors-reports-finding-mummified-cat-1.458960

https://www.thestar.com/news/gta/2009/11/28/humane_society_it_seems_like_house_of_horrors.html

https://thepetshopsite.wordpress.com/2010/03/16/animal-shelter-turned-into-a-%E2%80%98house-of-horrors%E2%80%99/

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2019: Court rules Ontario animal protection law enforcement regime unconstitutional.

The current animal protection law enforcement regime in Ontario has been ruled to be unconstitutional by the Superior Court of Justice.

The court struck down the province’s current regime Jan. 2 in a Kingston court in Bogaerts v. Attorney General of Ontario, declaring that it is unconstitutional for the Ontario Society for the Prevention of Cruelty to Animals, a private charity not subject to reasonable oversight measures, to enforce public animal protection laws.

Unlike the majority of SPCAs across Canada, the OSPCA is both government funded and also privately funded by donations. The OSPCA, a charity, holds law enforcement powers, without the same transparency and accountability a public or government agency has.

“There's a bit of a divide within the animal protection movement,” says Rebeka Breder, a Vancouver-based animal law lawyer at Breder Law. “I think the concern here is that if you're going to have someone's property being searched and someone's property, like animals, being taken away, then those powers should be [given to] the government and not a private organization that's not subject to freedom of information requests. There's very little transparency and arguably, perhaps even accountability, because it's a private non-profit organization.”

The sections of the Canadian Charter of Rights and Freedoms in question are sections 7 and 8 (concerning individual autonomy and unreasonable search and seizure, respectively). While the decision states there is no direct charter violation of the distribution of legislative powers and “specific warrantless search and/or seizure powers” in the OSPCA Act, Justice Timothy Minnema wrote in his decision that assigning “police and other investigative powers to the OSPCA” violates s. 7.

(FUNNY HOW SECTION 7 AND 8 APPLIES TO PETS AND NOT CHILDREN)

As a result, the court suspended the declaration of invalidity for 12 months to provide Ontario time for restructuring its animal protection regime to ensure the desired accountability needed to operate with having such a public function. Minnema wrote that it would be “an untenable result” to “compromise animal welfare for even a transitional period” of time as the province “considers its next step.”

The Canadian animal law organization, Animal Justice, intervened after the case’s hearing last May and argued that in order for animals to maximally benefit from legal protections, the enforcement agency needs to be transparent.

"Animal protection laws are the only laws still enforced by private agencies, and the court ruled that private enforcement without transparency and accountability is unacceptable," said lawyer Camille Labchuk, executive director of Animal Justice, in a press release statement.

While Breder says she agrees that in most cases, private organizations shouldn’t possess government-like powers to enter a person’s property and seize their belongings, finding the OSPCA’s powers completely unconstitutional could lead to a slippery slope for other SPCAs nation-wide.

“The SPCAs across the country should remain having the powers that they do to investigate animal welfare and cruelty concerns because [due to] a lack of financial and human resources it means they're in the best position to look into these issues and to deal with them,” she says. “If we just left it up to the government, I think we would be seeing significantly less animal welfare issues being investigated.”

Suzana Gartner, mediator and founder of Toronto-based Gartner & Associates Animal Law, says she agrees with Breder’s sentiment.

“This [decision] is like a win-win for everybody in my view because if they're given an opportunity to restructure their enforcement regime and to be accountable and transparent, I think that's going to help the province. It can help them mandate their policing powers,” Gartner says.

Legal Feeds contacted Daniel Huffaker, a lawyer representing the Attorney General of Ontario, in Bogaerts v. Attorney General of Ontario. A ministry media representative, Philip Klassen, declined comment, stating via email: “We are currently reviewing this decision. As this matter is in the appeal period, it would be inappropriate to comment further.”

On Jan. 4, OSPCA general counsel Brian Shiller sent an email statement to media outlets clarifying the role of the OSPCA in this case. “There was no allegation that the Ontario SPCA was at fault for anything regarding the subject matter of the application and the court did not criticize any conduct on the part of the Ontario SPCA in its administration of the Ontario SPCA Act,” he said. “Rather, the court created a new legal principle and used it to rule that it was unconstitutional for the Province of Ontario to enact legislation that permits a private charity to have policing powers in the absence of government oversight.”

https://www.canadianlawyermag.com/news/general/court-rules-ontario-animal-protection-law-enforcement-regime-unconstitutional/275753

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Standards of Care for the Administration of Psychotropic Medications to Children and Youth Living in Licensed Residential Settings.

Summary of Recommendations of the Ontario Expert Panel February 2009.

http://www.children.gov.on.ca/htdocs/English/documents/specialneeds/residential/summary_report.pdf

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Could Ontario's Pharmacies And Pharmacists Do Anything To Protect Children In Care Of The CAS?

A Rexall medication review provides the opportunity for you to sit down one on one with your Rexall Pharmacist to review your prescription and non-prescription medications. Unless your a child in Ontario's care this process will identify medication-related issues.

Why Rexall Medication Review?

The Rexall Medication Review was created specifically for people who are regularly taking multiple medications at a time.

You can rely on your pharmacist or healthcare provider to let you know if medications you take have any unsafe interactions unless your a child in Ontario's care. Not only do certain prescription medications interact dangerously with one another, but they can also interact with over-the-counter medications, vitamin and mineral supplements, or even certain foods.

In the US if the pharmacist doesn’t feel comfortable filling the prescription they can refuse to fill it.

There are many reasons, including ethical and religious beliefs, for why a pharmacist may not feel comfortable filling a prescription. We saw this recently when a pharmacist refused to fill a prescription for misoprostol, a medication used to end a pregnancy.

A pharmacist is technically allowed to decline filling your prescription based on their moral beliefs. If that happens, try seeing if there’s another pharmacist working at the pharmacy and speak with them. You can also try transferring your prescription to another pharmacy to be filled, although this can add some inconvenience.

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2009: Ninety children known to Ontario's child welfare system died in 2007, according to the latest report from the chief coroner's office – a number the province's new child advocate says is shocking and should trouble us all.

https://www.thestar.com/life/health_wellness/2009/02/23/why_did_90_children_die.html

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2010: Psychologist got degree from U.S. 'diploma mill'

A psychologist with the Durham Children’s Aid Society has pleaded guilty to professional misconduct for misrepresenting himself and for making multiple unqualified diagnoses of mental illness.

Gregory Carter, 63, appeared before the College of Psychologists of Ontario’s disciplinary committee on Tuesday. He and the college agreed on the terms of the penalty, which includes a three-month suspension, a recorded reprimand and one year of supervised practice under an approved practitioner.

In his practice with the Children’s Aid Society, Mr. Carter’s expertise was used to determine child custody cases.

https://nationalpost.com/posted-toronto/psychologist-got-degree-from-u-s-diploma-mill

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2011: Child Welfare and Children's Mental Health in Ontario.

In 2009–2010, spending on child welfare in Ontario represented approximately $1.4 billion. In many ways, the organization of child welfare in Ontario mirrors the organization of healthcare. Child welfare is delivered through 53 independently governed agencies who receive funding through transfer payments from the provincial government. In parallel to healthcare, where the largest proportion of spending is represented by the relatively small portion of patients who receive in-patient care, the largest proportion of spending in child welfare relates to services to children who are "in care" – foster care or group care. In Ontario child welfare, approximately 27,000 children and youth receive in-care services each year, accounting for approximately 40% of total expenditures. A much larger number of children and youth who have been maltreated or are at risk for maltreatment are supported in their homes with their families. The Ontario Association of Children's Aid Societies estimates that for every one child in care, another nine children are being supported by CASs at home with their families.

The 2009–2010 spending on core children's mental health services in Ontario was $384 million (excluding funding for complex special needs). Transfer-payment recipients include stand-alone agencies that provide child and youth mental health services, 17 hospital-based outpatient programs and First Nation and non-profit Aboriginal organizations and service agencies, including 27 friendship centres. The provincial government also funds the Provincial Centre of Excellence for Child and Youth Mental Health at the Children's Hospital of Eastern Ontario, and the Ontario Child and Youth Telepsychiatry Program. Beyond the formal mental health system, many children and youth receive mental health services through schools, private providers, CASs and other sources. As with child welfare services, the vast majority of children's mental health services are community-based, and children requiring intensive out-of-home treatment are the minority.

https://www.longwoods.com/content/22360//improving-mental-health-outcomes-for-children-and-youth-exposed-to-abuse-and-neglect

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2012: ADHD drugs suspected of hurting Canadian kids.

https://www.thestar.com/news/canada/2012/09/26/adhd_drugs_suspected_of_hurting_canadian_kids.html

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Between 2008/2012 natural causes was listed as the least likely way for a child in care to die at 7% of the total deaths reviewed while "undetermined cause" was listed as the leading cause of death of children in Ontario's child protection system at only 43% of the total deaths reviewed.

92 children equals 43% of the deaths reviewed by the PDRC. 92 mystery deaths and like every other year no further action was taken to determine the cause...

http://www.mcscs.jus.gov.on.ca/sites/default/files/content/mcscs/images/195633-19.jpg

http://www.mcscs.jus.gov.on.ca/english/DeathInvestigations/office_coroner/PublicationsandReports/PDRC/2013Report/PDRC_2013.html (REDACTED)

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2017: Ontario children and youth with ADHD often prescribed antipsychotics, study finds

Almost 12% of people aged 24 or younger with ADHD have been prescribed antipsychotics.

One in 20 Ontario children and youth have attention deficit hyperactivity disorder and many are prescribed antipsychotic drugs, despite having no other mental health diagnoses, researchers have found.

A study by the Institute for Clinical Evaluative Sciences found almost 12 per cent of kids and youth with attention deficit hyperactivity disorder, or ADHD, were prescribed antipsychotics like Risperdal, Zyprexa and Seroquel.

"When we looked at the information on the children and youth with ADHD who were prescribed antipsychotics, a very, very small number of them had a condition where you would expect the use of an antipsychotic — conditions such as bipolar disorder or schizophrenia," said senior author Dr. Paul Kurdyak, head of the mental health and addictions program at ICES.

Prescription of antipsychotics to kids with ADHD 'surprising'

They found about five per cent — or 536 — of the children and youth had a diagnosis of ADHD. Eight per cent of them were male and almost three per cent were female.

About 70 per cent of the young people with ADHD were being treated with drugs like Ritalin and Adderall, which are considered standard, first-line therapy for the common condition. About 20 per cent had also been prescribed antidepressants, "which isn't terribly surprising because depression and anxiety commonly co-occur with ADHD," Kurdyak said.

"But the surprising finding to us was the 12 per cent of kids with ADHD who were prescribed an antipsychotic," he said, explaining that the medications have a sedating effect, which could help reduce disruptive behaviour.

However, these drugs can have adverse effects, such as causing significant weight gain. One study found kids gained almost 19 pounds on average after 10 weeks on the drugs — and the risk of developing pre-diabetes or diabetes.

'Not a lot of evidence that they work for ADHD'

"We don't know why these children and youth with ADHD are on antipsychotics, but there is a risk associated with early antipsychotic exposure, so we need to know more about why they are being used, so that the benefits can be weighed against the risks."

Mark Henick, national director of strategic initiatives at the Canadian Mental Health Association, said it's known that some doctors prescribe antipsychotic medications for ADHD, and he's concerned about the high level of use in young people with the disorder.

"They're not indicated for ADHD and there's not a lot of evidence that they work for ADHD," he said Wednesday. "In fact, there's good evidence that they could be harmful."

The ICES study shows that people who go to a psychiatrist for treatment are more likely to be prescribed an antipsychotic, noted Henick, who was not involved in the research. "But it's often not appropriate in these kinds of cases, where we know psychotherapy is quite effective for ADHD."

https://www.cbc.ca/news/canada/toronto/ontario-children-and-youth-with-adhd-often-prescribed-antipsychotics-study-finds-1.3942049

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2017: Nearly a third of tests and treatments are unnecessary: CIHI.

The study also showed that doctors are increasingly and inappropriately prescribing antipsychotics to children and youth. Between 2005 and 2012, Manitoba, Saskatchewan and British Columbia saw a 300% increase in dispensing of quetiapine to young people aged five to 24, even though the drug is not recommended for use in children and youth.

https://www.cmaj.ca/content/189/16/E620

In our recent study published in the Canadian Journal of Psychiatry, we report that nearly 40 per cent of adults with developmental disabilities in Ontario were prescribed antipsychotics over a six-year period. Sixty per cent of the individuals prescribed these medications did not have the psychiatric diagnoses for which these drugs are generally studied and approved.

This kind of prescribing has costs — for all of us.

Antipsychotic medications are expensive and their use in this population cost the Ontario government over $117 million during the six-year study period. Scale this amount across the country and the price tag becomes even more significant. If any of that prescribing is potentially inappropriate, as our study suggests, that's a lot of public health dollars that could be better spent elsewhere to support these individuals.

https://www.huffingtonpost.ca/entry/no-one-is-talking-about-this-overmedicated-group-of-canadians_ca_5cd5147ce4b07bc729749505

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2017: New study suggests link between foster care system and youth homelessness.

OTTAWA -- A first-of-its-kind study in Canada has painted a national picture of homeless youth and drawn a link to the foster care system that researchers say could be playing a more active role in keeping young people off the streets.

The study found nearly three out of every five homeless youth were part of the child welfare system at some point in their lives, a rate almost 200 times greater than that of the general population.

Of those with a history in the child welfare system, almost two of every five respondents eventually "aged out" of provincial or territorial care, losing access to the sort of support that could have kept them from becoming homeless, the study found.

https://www.ctvnews.ca/canada/new-study-suggests-link-between-foster-care-system-and-youth-homelessness-1.3538232

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2017: Stop dumping kids in care onto the street: Editorial.

https://www.thestar.com/opinion/editorials/2017/08/09/stop-dumping-kids-in-care-onto-the-street-editorial.html

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2017: Study urges federal, provincial governments to revamp foster care system to help address youth homelessness.

 https://www.thestar.com/news/canada/2017/08/09/groundbreaking-study-suggests-link-between-canadian-foster-care-system-and-youth-homelessness.html

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2019: A new study, published in Psychiatry Research, has concluded that psychiatric diagnoses are scientifically worthless as tools to identify discrete mental health disorders. ... Psychiatric diagnoses all use different decision-making rules. There is a huge amount of overlap in symptoms between diagnoses.

The main findings of the research were:

Psychiatric diagnoses all use different decision-making rules

There is a huge amount of overlap in symptoms between diagnoses

Almost all diagnoses mask the role of trauma and adverse events

Diagnoses tell us little about the individual patient and what treatment they need

The authors conclude that diagnostic labelling represents 'a disingenuous categorical system'.

https://www.sciencedaily.com/releases/2019/07/190708131152.htm

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2019: Expert who gave more than 100 assessments in Ontario child protection cases lied about credentials for years, judge finds.

https://www.thestar.com/news/gta/2019/07/31/expert-who-gave-more-than-100-assessments-in-ontario-child-protection-cases-lied-about-credentials-for-years-judge-finds.html

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2019: Province orders children’s aid societies to review credentials of experts used in child welfare cases

https://www.thestar.com/news/gta/2019/08/23/province-orders-childrens-aid-societies-to-review-credentials-of-experts-used-in-child-welfare-cases.html

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2019: More Canadian teens using over-the-counter drugs to overdose, data show. ERIN ANDERSSEN

The number of intentional overdoses involving common over-the-counter and prescription drugs has increased steeply among young people in the last decade, according to new data provided to The Globe and Mail by the Canadian Institute for Health Information.

The number of cases roughly doubled for children and teenagers in Alberta and Ontario, the two provinces for which data were available, in two categories of drugs that include over-the-counter painkiller medications and prescriptions for drugs such as antidepressants and sedatives, according to the CIHI data, which tracked emergency-department visits.

https://www.theglobeandmail.com/canada/article-canadian-teens-overdoses-painkillers-antidepressants-data/

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2019: Ontario passes bill to join B.C.-led class action lawsuit against opioid manufacturers.

globalnews.ca/news/6288335/ontario-opioid-class-action-lawsuit-bc-led/

(Related: Ontario is using a new law to retroactively dismiss lawsuits it lost: lawyer 2019 - https://www.cbc.ca/radio/asithappens/as-it-happens-monday-edition-1.5389171/ontario-is-using-a-new-law-to-retroactively-dismiss-lawsuits-it-lost-lawyer-1.5389627)

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2019: Alberta to join B.C. in class action lawsuit against opioid manufacturers.

The lawsuit alleges that Purdue Pharma Inc., the makers of OxyContin, and more than 40 other companies knowingly marketed quantities of the drugs that went well beyond legitimate needs.

https://calgaryherald.com/news/politics/alberta-to-join-b-c-in-class-action-lawsuit-against-opioid-manufacturers

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2018: B.C. Government files class action lawsuit against opioid industry.

More than 40 manufacturers, wholesalers and distributors are listed as defendants. The province will argue the defendants "placed profits over the health and safety of the public."

https://vancouversun.com/health/local-health/b-c-to-announce-lawsuit-against-opioid-manufacturer-for-overdose-crisis-costs

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Mike Smyth: Eby swings the wrecking ball at Big Pharma in opioid crisis.

https://theprovince.com/news/bc-politics/mike-smyth-eby-swings-the-wrecking-ball-at-big-pharma-in-opioid-crisis

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