Systemic Review of Secure Isolation In Ontario Youth Justice Facilities
Transcription
Systemic Review of Secure Isolation In Ontario Youth Justice Facilities
MON 11:45 AM IT’S A MATTER OF TIME SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES Published by the Office of the Provincial Advocate for Children and Youth of Ontario ©2015 IT'S A MATTER OF TIME SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES Office of the Provincial Advocate for Children and Youth of Ontario Published in 2015 by Office of the Provincial Advocate for Children and Youth 401 Bay Street Suite 2200 Toronto Ontario M7A 0A6 CANADA www.provincialadvocate.on.ca advocacy@provincialadvocate.on.ca 10 9 8 7 6 5 4 3 2 1 First Edition Printed in Ontario Canada Library and Archives Canada Cataloguing in Publication It's a matter of time : systemic review of secure isolation in Ontario youth justice facilities. Issued also in French under title: C'est une question de temps. Includes bibliographical references and index. Issued in print and electronic formats. ISBN 978-1-987815-06-1 (paperback).--ISBN 978-1-987815-07-8 (pdf) 1. Juvenile detention homes--Ontario. 2. Solitary confinement--Ontario. I. Ontario. Office of the Provincial Advocate for Children and Youth, author, issuing body HV9109.O5I87 2015 365'.4209713 C2015-904883-4 C2015-904884-2 IT’S A MATTER OF TIME SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES MONDAY TUESDAY WEDNESDA THURSDAY FRIDAY SATURDAY 9 EXECUTIVE SUMMARY 10 OVERVIEW 14 LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE 20 ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA 38 EXPERIENCING SECURE ISOLATION: WHAT YOUTH SAY 49 SECURE ISOLATION UNIT LOGS 51 WHAT ARE THE RULES ABOUT SECURE ISOLATION? 58 CONCLUSIONS 61 RECOMMENDATIONS 62 APPENDIX I: RAW DATA 74 REFERENCES MONTHLY AVERAGE NUMBER OF YOUNG PEOPLE IN YOUTH JUSTICE FACILITIES IN ONTARIO, 2013 AND 2014 4 18 FORT SEVERN 3 NEAR NORTH 12 CECIL FACER 7 5 DONALD DOUCETTE KENORA FORT FRANCES 9 THUNDER BAY 6 GE-DA-GI BINEZ 11 BLUEWATER 15 12 [Closed prior to 2013] 10 3 RAY OF HOPE J RONALD LESTER 3 3 CRAIGWOOD 8 4 2 JJ KELSO 2 6 M GENEST PORTAGE 27 KEY 2013 2014 18 23 23 3 4 PINEGAR 78 SPRUCEDALE 23 19 SYL APPS 7 6 KENNEDY HOUSE TIMMINS WILLIAM HAY 3 4 SUNDANCE SAULT STE. MARIE 16 OTTAWA 12 KINGSTON TORONTO 11 BROOKSIDE 10 10 6 WINDSOR ARRELL PENINSULA ROY MCMURTRY 64 MON 9:37 PM “I NEVER KNOW HOW LONG I’LL BE IN HERE.” – ANONYMOUS YOUTH EXECUTIVE SUMMARY Solitary confinement, or secure isolation as it is known in Ontario’s youth justice system, has generated significant concern both in Canada and internationally. Questions about the practice have been the focus in two recent inquests into the deaths of young people in this province: Ashley Smith, a teenager who died in a federal penitentiary, and a young man who passed away in 2008 while incarcerated at a youth justice facility. The Provincial Advocate for Children and Youth conducted this review in order to understand more about the use of secure isolation in youth justice facilities in Ontario. To do this, we interviewed 141 youth, obtained statistical information and log data from the Ministry of Children and Youth Services (“MCYS”) for the periods 2009–2010; 2013 and 2014, and reviewed the 2012 Auditor General of Ontario Report on youth justice services in Ontario. This review points to concerns similar to those raised in the Auditor General’s Report in 2012. The Auditor General found that 90% of placements in secure isolation occurred in youth justice facilities directly operated by MCYS. Our analysis observed a decrease in use by directly operated facilities to 80% in 2013 and 63% in 2014 when compared to use by facilities operated by transfer payment agencies. The Auditor General, in their report, explored whether the higher use of secure isolation related to the placement of more young people with suspected gang involvement in MCYS direct operated facilities. Their review found no real difference in placement of young people with suspected gang ties in either directly operated or transfer payment agencies. While we have no data about the involvement of young people in gangs or their charges, we have no reason to believe that these young people would be any different than those described by the Auditor General. Youth justice facilities vary in size. In particular, one is very large. We explored the data to try to determine whether facility size relates to the use of secure isolation. We found no pattern that could account for the difference in use of secure isolation based on the size of the facility. The legislation in Ontario allows for use beyond 24 hours for youth ages 16 and over. This contradicts the opinions of international experts on the harmful effects from the use of solitary confinement (secure isolation). Indeed, the consensus is that solitary confinement should not be used at all with adolescents. 1. overall, there is a general trend towards less use of secure isolation across the province; 2. a pattern of high use is observed in some facilities; 3. the Advocate is concerned about the number of young people held in secure isolation beyond 24 hours and this finding suggests a need for enhanced safeguards; 4. there is an immediate need for vigilance and further examination of the conditions of confinement, particularly when youth are held for long periods of time. Young people themselves told us that this practice was harmful to them and difficult for them to endure. We conclude from our analysis that much more information is needed to understand the situations in which secure isolation is used, the profile of the youth placed in secure isolation, and the risks that present from prolonged use with an adolescent population. There is a disproportionate number of black and aboriginal youth in criminal justice settings as well as a higher rate of young people with mental health concerns. We do not have enough information to determine how often these populations are placed in secure isolation. Secondary findings include a wide variability of use across facilities, as well as, considerable variability in the length of time it is used. There are indications that serious mental health concerns emerge or are exacerbated during the use of secure isolation in Ontario. Together, these results suggest an urgent need for further safeguarding of young people in Ontario’s youth justice facilities. Clearly more study is needed and much more information must be gathered. Given the closed nature of youth criminal justice facilities, it is imperative that there be external scrutiny of intrusive measures, such as secure isolation, to prevent its overuse and harmful impacts. With our new understanding of the risks to the adolescent brain, the need for enhanced safeguards is crucial. There are four key findings in this report: OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 9 OVERVIEW “THEY KEPT LYING, THEY SAID IT WOULD BE TWO HOURSIT WAS TWO DAYS.” –ANONYMOUS YOUTH When children are placed in institutions, they enter a different world; for those who are not part of that world it is often a case of “out of sight, out of mind,” Because society does not see these children, it needs to ensure that others see them.1 If young people in youth justice facilities are “out of sight, out of mind,” then those who are sent to secure isolation cells within those facilities are almost invisible—statistical shadows on the margins of the youth justice system. WHAT IS SECURE ISOLATION? Secure isolation is classified under Ontario law as an “extraordinary measure” and refers to the locking of a young person in a specially designated room to isolate him or her from others. It is meant to be used only when a young person’s conduct indicates that he or she is likely to cause serious bodily harm or serious property damage to another person in the immediate future and no less restrictive manner of restraining the young person is practical.2 Secure isolation is expected to be the last resort of behaviour management, when all other less intrusive measures have been considered and used by staff.3 Once the threat has ended, the law requires the young person to be released from the secure isolation cell and returned to the living unit.4 In Ontario, there are laws and regulations about the maximum time a young person can spend in secure isolation. The Child and Family Services Act specifies that young people under the age of 16 years cannot be kept in secure isolation for more than 8 hours in any one day or 24 hours in any one week.5 The use of secure isolation for those 16 years of age and older is governed by the regulations in the Child and Family Services Act. These regulations stipulate that a young person cannot be held in secure iso- 10 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES OVERVIEW lation for more than 72 hours unless this is approved by a provincial director.6 While acknowledging that different jurisdictions use different names for the practice (e.g., segregation, isolation, separation, cellular, lockdown, Supermax, the hole, Secure Housing Unit), the United Nations Special Rapporteur on Torture has characterized the isolation of individuals in a cell for periods of 22 hours per day or longer as “solitary confinement.”7 WHY IS IT AN IMPORTANT ISSUE? In 2011, the Special Rapporteur called for an absolute prohibition on the use of solitary confinement for juveniles.8 Serious concerns about the use of solitary confinement have also been raised by a recent editorial in the Canadian Medical Association Journal.9 Some of these concerns include: • • • Substantial health effects that may develop within a few days (e.g., anxiety, depression, anger, worsening of pre-existing medical conditions, lethargy, insomnia, palpitations, and anorexia); Increased risk of self-harm and suicide; and An increasing body of literature shows that solitary confinement can change brain activity and result in symptomatology within seven days. WHAT IS THE OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH? The Office of the Provincial Advocate for Children and Youth (“Advocate’s Office”) is an independent voice for Ontario’s children and youth who are either “in care” or on the margins of government care. Reporting directly to the Legislature, the Provincial Advocate partners with children and youth, including those who are First Nations and those with special needs, to elevate their voices and promote action on their issues. The Provincial Advocate derives authority from the Provincial Advocate for Children and Youth Act, 2007. In response to a request, a complaint, or on its own initiative, the Provincial Advocate acts on behalf of concerns of individuals or groups of children or youth and can undertake reviews, make recommendations, and provide advice to governments, facilities, systems, agencies, or service providers. Guided by the principles of the United Nations Convention on the Rights of the Child, including the right to be heard, the Provincial Advocate strives to be a model of meaningful child and youth participation in every aspect of its work. WHY DID THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH WRITE A REPORT ABOUT SECURE ISOLATION? In 2009, the Advocate’s Office became concerned about the use of secure isolation in Ontario as the result of complaints from youth. The type of complaints received can be delineated into the following categories: (1) conditions of confinement (complaints about the general cleanliness of the cells, presence of bugs/insects, and the bodily fluids of previous occupants), (2) access to articles of religion while in secure isolation (only Bibles available, no prayer mats for Muslim youth despite the availability of prayer mats for inmates of adult facilities), (3) no opportunities for mental stimulation for those held in secure isolation for long periods of time (only Bibles available for reading), and (4) the placement of youth with severe mental health problems in secure isolation units. These concerns were raised with the Ministry of Children and Youth Services (MCYS) and they indicated that youth in secure isolation were now provided with prayer mats. The Advocate’s Office embarked upon a review of secure isolation in 2009–2010. This review involved interviewing young people in youth justice facilities across Ontario and obtaining data from the MCYS about the placement of youth in secure isolation. The interview process confirmed that young people continued to have concerns about the conditions of confinement, access to articles of religion, and access to mental stimulation. There was no information from the youth interviews to corroborate the concerns that young people with mental health issues were being held in secure isolation for long periods of time. Individual concerns of young people were raised with the appropriate youth justice authorities. But the Advocate’s Office felt that more information, over a longer period of time, was required to make fair and accurate comment about the use of secure isolation in youth justice facilities across Ontario. As a result, this report contains information gleaned from the youth interviews conducted in 2009 and the analysis of the data provided by the MCYS during that same time period. The report also contains information about the placement of youth in secure isolation during the calendar year 2013 and the year 2014. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 11 OVERVIEW WHAT ARE THE KEY FINDINGS OF THE REPORT? THE SPECIAL There are four key findings in this report: RAPPORTEUR 1. there is a steady trend of less secure isolation use across the province; 2. there is a clear pattern of a high use of secure isolation in some facilities; 3. the numbers of young people held beyond 24 and 72 hours is concerning and suggests a need for enhanced safeguards; 4. the conditions of confinement, especially when youth are placed in secure isolation cells for long periods of time, need further examination and immediate vigilance. Other findings include a wide variability of the use of secure isolation across facilities as well as a wide variability in regards to the number of admissions and the length of time used. There are indications that serious mental health concerns emerge or are exacerbated during use of secure isolation in Ontario. THIS REPORT In creating the report, the Advocate’s Office obtained data from the MCYS to explore the use of secure isolation over three discrete time periods: • • • April 1, 2009 to March 31, 2010 January 1 to December 31, 2013 January 1 to December 31, 2014 The data analysis was contextualized through interviews with 141 young people about their experiences in secure isolation. The four major components to this review are: 1. Literature review 2. Review of the statistical data on the use of secure isolation provided by the MCYS 3. Description of themes arising from interviews with 141 youth who had spent time in secure isolation in 21 provincial youth justice facilities 4. Review of secure isolation logs from one facility over a 30-day period in 2014 12 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES IN 2011 CALLED FOR AN ABSOLUTE PROHIBITION ON THE USE OF SOLITARY CONFINEMENT FOR JUVENILES. TUES 7:21 AM “ THERE’S NOTHING TO DO EXCEPT SIT ON THE COLD METAL BENCH AND STARE AT THE WALL.” – ANONYMOUS YOUTH SECTION 1. LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE “SIU IS FOR KIDS THAT ARE IN CRISIS — IF YOU’RE NOT REALLY IN A CRISIS AND MAYBE YOU WERE IN A FIGHT YOU SHOULD ONLY BE BROUGHT TO SIU FOR ONE HOUR.” –ANONYMOUS YOUTH WHAT DO WE KNOW ABOUT USING SECURE ISOLATION? SHOULD IT BE ABOLISHED? CAN IT BE USED WITH CAUTION? Secure isolation, also known as “segregation” or “solitary confinement,” generally refers to the practice of locking an inmate in a specially designated room or cell to isolate him or her from others. Secure isolation has existed as a part of correctional practice almost since the inception of prisons themselves and so too have the questions and concerns about its use and effects on prisoners.10 PERSISTENT QUESTIONS AND CONCERNS Questions and concerns have tended to centre on conditions of confinement—factors relating to the physical environment (e.g., size, light levels, cleanliness)—and the circumstances associated with confinement (e.g., restricted human contact, deprivation of stimulation, limited physical activity). In addition, questions have long been asked about why secure isolation is used (e.g., punish behaviour? manage a crisis?), its effectiveness (e.g., does it actually work?), length of time (e.g., how long should it be used for? an hour? days? weeks? months?), and the effects on the individual being held in secure isolation (e.g., is it safe? is it harmful?). Although there are challenges to answering these questions, it is important to understand as much as we can about what is known about secure isolation. First, the majority of research on secure isolation has been conducted on adult populations—there is less known about the use 14 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE and impact of secure isolation on young people. Second, the conditions of secure isolation vary, sometimes dramatically, from institution to institution making it very difficult to draw conclusions. In their 2007 review of the literature, Clements and colleagues indicate that research regarding the effects of segregation on offender functioning is inconclusive.11 Third, not only do the conditions vary from place to place, but other factors also interact with one another in conjunction with each individual’s previous experiences and current reactions to being placed in secure isolation. This means it is very difficult to untangle and isolate each factor to understand the role and impact of specific factors. Some researchers suggest that it is the complex interplay of many factors (e.g., sensory deprivation, perceived purpose of isolation, and individual personality) that produces the possible harmful effects. In terms of sensory deprivation, the availability of stimuli, amount and quality of light, and the general environment of the isolation cell are important influences. Isolation that is perceived as punitive, for example, produces greater potential for adverse effects.12 CONDITIONS OF CONFINEMENT: WHAT ARE THE CONDITIONS AND WHAT ARE THE EFFECTS? Secure isolation involves confining an inmate in a locked room or cell, separate from others, typically under the following conditions. Conditions of Confinement • • • • • • • Enclosed physical space: locked door and slot/ window for observation by guards; may or may not include bed or toilet; and size, lighting, cleanliness, and temperature vary Extensive confinement: inmate may spend up to 23 hours per day locked in the cell Lack of mental stimulation: inmate may be allowed little or no reading material Limited physical activity: enclosed space limits movement and physical activity Controlled access to fresh air : inmate may or may not be allowed to go outside Restricted human contact: inmate may only have contact with a guard through a slot in the door Controlled bodily functions/hygiene: guards control access to and/or use of toilet, toilet paper, flushing or removal of urine and feces, access to feminine hygiene products and access to showers Research on adults suggests that when inmates are subjected to the preceding kinds of confinement conditions and deprivations, most can be expected to report moderate to serious psychological symptoms after a period of time.13 Secure isolation may be particularly harmful to people with mental health disorders and/or trauma in their histories because they may be especially vulnerable to the detrimental effects of isolation.14 The complex interplay of factors that would affect any individual may be intensified in interaction with an individual’s particular mental health challenges (e.g., anxiety and depression are already symptoms associated with secure isolation). Furthermore, research suggests that these individuals are at greater risk of being placed in isolation than their institutional peers. Similarly, many institutionalized individuals suffering from undiagnosed mental illnesses are also at increased risk for being placed in secure isolation because they may be ill-equipped to control their behaviour and conform to institutional rules.15 Research suggests that individuals who have the most difficult time adjusting to institutional life are those with complex histories and the largest number of ongoing life problems.16 The personality types generally found in correctional institutions may also be more vulnerable to the adverse impact of isolation. Nevertheless, secure isolation can produce mental health and physical health disturbances in healthy individuals, even if the term of isolation is short in duration. Shalev identifies a range of possible symptoms that can emerge during or following solitary confinement: anxiety, depression, anger, cognitive disturbances, and perceptual distortions.17 Jackson notes the risk of inmates developing post-traumatic stress disorder from solitary confinement.18 Haney (2003) reports there is not a single published study of solitary confinement lasting for more than 10 days that failed to result in negative psychological effects ranging in severity from hypertension, uncontrollable anger, hallucinations, emotional breakdowns, chronic anger, chronic depression, and suicidal thoughts and behaviour.19 In their 2010 article summarizing their analysis of the effects of secure isolation published in the Journal of the American Academy of Psychiatry and the Law, Metzner and Fellner state: “Solitar y confinement is recognized as difficult to withstand; indeed, psychological stressors such as isolation can be as clinically distressing as physical torture”.20 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 15 LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE WHAT ARE THE ISSUES AND EFFECTS FOR YOUNG PEOPLE? Similar to adults, the way a young person experiences and adjusts to being in any type of custody is a reflection of who that young person was prior to being incarcerated in conjunction with the conditions of being held in such a facility. Researchers use the concepts of importation and deprivation to help explain the forces at work. Importation refers to what individuals bring to the experience of incarceration—their backgrounds and personal dispositions. Deprivation refers to the conditions of imprisonment and how the young person adapts once there. It is the product of this dynamic interaction that ultimately determines how a young person fares in a facility and influences the likelihood of being placed in secure isolation. Cesaroni and Peterson-Badali (2001) describe what a young person can expect to experience when admitted to a custody facility:21 • • • • • Separation from family, friends, and any other support groups or services; Exposure to peer-on-peer violence; Possible violence from staff; Challenges to proper health care and nutrition; and Questionable physical conditions within the living environment. Research shows that compared to adults, youth in custody are generally found to be involved in more disciplinary infractions, assaults on inmates, inmate-staff assaults, and conflicts with others.22 Youth who are placed in custody and have high degrees of emotional instability experience even higher degrees of anxiety which, in turn, interferes with their ability to adapt to the structure of the facility and affects their effective accommodation to the rehabilitation efforts that are offered.23 Historically, young people were generally protected from extended stays in isolation; however, some researchers have noted that alternative approaches have not necessarily shielded them from being exposed to the adverse effects. According to Cohen, youth are often “isolated under sterile, deprivational conditions in the name of Behavioural Management Plans or the euphemistic ‘time out’”.24 Although the practices may not be called “secure isolation,” they may in fact produce similar effects. Because of their younger age and stage of development, most youth placed in secure custody have limited 16 experience to help them deal with managing living in an institutional structure. They also have greater challenges with impulse control and they cope with trauma through externalizing means. Those with mental health concerns have higher rates of non-suicidal self-injury, all of which, either individually or in combination, increase the likelihood that their behaviour will bring them into conflict within the institution, thus increasing the probability of being placed in secure isolation. In addition, as summarized by Quinn and Shera, residents with increased volatility due to their mental health status create a sense of chaos in the facility and they are considered unpredictable: “While incarcerated, these behaviors receive consequences (i.e., solitary confinement) and, as a result, many residents miss out on opportunities such as school, recreational activities, peer relationships, and other rehabilitative services.” 25 There are also a number of issues unique to the use of secure isolation for adolescents, particularly from a developmental perspective. Experts assert that young people actually experience time differently than adults; for youth in secure isolation, “two weeks in isolation, it was speculated, would seem like years to an adolescent.26 The adolescent’s brain is still developing with significant changes occurring in the brain structure and with executive functioning and self-regulation. In fact, it is not fully developed until young people are in their mid-twenties.27 Adolescents are more inclined to take risks and to act impulsively. Adolescence is a vulnerable time and youth placed in secure isolation at this developmental stage increases the likelihood that youth will experience the harmful institutional effects documented for adults even more powerfully. WHY IS SECURE ISOLATION USED? Given the history of concerns and the documented associated risks, why do correctional facilities use secure isolation? The United Nations Special Rapporteur of the Human Rights Council states that the practice of using secure isolation began in the United States in the early 1800s when it was believed that isolating prisoners would aid in their rehabilitation28 It was intended to offer prisoners the time and space to reflect on their actions. Two centuries later, secure isolation is used extensively around the world. Although it is considered an extraordinary measure in some places and a routine measure in others, it is used most often to punish prisoners for disciplinary violations.29 In a recent review of its use in American prisons, Browne and colleagues noted a 40% increase in the overall use of solitary confinement in the United States during a five-year period from 2000–2005.30 They find that it is “most commonly [used] as IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE a form of punishment for rule violations, as a way to remove prisoners from the general prison population who are thought to pose a risk to security or safety, and as a way to provide safety to prisoners believed to be at risk in the general population”.31 Essentially, they describe solitary confinement, in many cases, “as a secondary sentence imposed by the correctional facility”.32 Kupers emphasizes that using secure isolation actually exacerbates the challenges for institutions: “correction[s] are relying too much on isolation as a solution to behaviour problems and assaults within the prisons. The remedy, in this case isolation, is making the problem worse to the extent the harsh conditions of isolation and idleness predictably make prisoners more disturbed and disruptive...”33 Cohen echoes this idea, stating: “The current uses of extended penal isolation are more often than not confessions of failure by corrections, a reflexive get-rid-of-the-person rather than an attempt to get-rid-of-the-problem.”34 TWO WEEKS IN ISOLATION, IT WAS SPECULATED, WOULD SEEM LIKE YEARS TO AN ADOLESCENT. All disciplinary measures constituting cruel, inhuman or degrading treatment shall be strictly prohibited, includ- ing corporal punishment, placement in a dark cell, closed or solitary confinement, or any other punishment that may compromise the physical or mental health of the juvenile concerned. The reduction of diet and the restriction or denial of contact with family members should be prohib- In an extensive review of the literature in 2006, Peter Scharff Smith of the Danish Institute for Human Rights catalogues a sizable body of research that demonstrates substantial adverse effects of solitary confinement.35 The review finds that conditions of solitary confinement can vary significantly in terms of degree of isolation and perceptual deprivation. Solitary confinement is seen as social isolation rather than primarily as sensory deprivation. Smith defines solitary confinement as “physical isolation of individuals in which they are confined in their cells for around 22 to 23 hours each day (typically 22 to 24 hours). The amount of contact with prison staff can vary and may constitute more than an hour each day, but only rarely will this contact be socially and psychologically meaningful.”36 SECURE ISOLATION: INTERNATIONAL CAUTIONS AND BANS Given the extensive concerns and widespread use, secure isolation practices involving both adults and young people around the world are scrutinized and monitored by international organizations such as Human Rights Watch, the World Health Organization (WHO), and the United Nations. ited for any purpose. Labour should always be viewed as an educational tool and a means of promoting the self- respect of the juvenile in preparing him or her for return to the community and should not be imposed as a disciplinary sanction. No juvenile should be sanctioned more than once for the same disciplinary infraction. Collective sanctions should be prohibited. In 1992, the Office of the High Commissioner for Human Rights issued a General Comment No. 2038 concerning prohibition of torture and cruel treatment or punishment that calls for additional safeguards for protections against acts prohibited under Article 7 of the International Covenant on Civil and Political Rights.39 The 1989 United Nations Convention on the Rights of the Child (UNCRC) defines a child as “every human being below the age of 18 years unless, under the law applicable to the child, majority is attained earlier.”40 In 2007, the Committee on the Rights of the Child (CRC) released a General Comment No. 10 that discussed the rights of children in juvenile justice. One stated objective of the General Comment was: …to promote the integration in a national and comprehensive juvenile justice policy of other international stan- dards, in particular the United Nations Standard Minimum The use of closed or solitary confinement of juveniles is prohibited under rule 67 of the 1990 United Nations Rules for the Protection of Juveniles Deprived of their Liberty.37 The rule states: Rules for the Administration of Juvenile Justice (The Beijing Rules), the United Nations Rules for the Protection of Juveniles Deprived of the Liberty (Havana Rules), and the United Nations Guidelines for the Prevention of Juvenile Delinquency (The Riyadh Guidelines).41 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 17 LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE The CRC was guided by the general principles contained in articles 2, 3, 6, and 12 of the UNCRC as well as the fundamental principles of juvenile justice enshrined in articles 37 and 40 of the UNCRC. Non-discrimination (article 2), best interests of the child (article 3), the right to life, survival and development (article 6), the right to be heard (article 12), and dignity of the child (article 40[1]) form the fundamental principles for the treatment of young people in conflict with the law. The CRC made clear that the principles and rules agreed to by States party direct that: THE CONSEQUENCES OF ANY USE WITH YOUNG PEOPLE IS NOT WELL UNDERSTOOD AND GIVEN THAT THIS IS A PERIOD OF CRITICAL BRAIN DEVELOPMENT, THE USE OF SECURE ISOLATION WITH ADOLESCENTS PRESENTS CONSIDERABLE RISK. Any disciplinary measure must be consistent with uphold- ing the inherent dignity of the juvenile and the fundamental objectives of institutional care; disciplinary measures in violation of article 37 [UN]CRC must be strictly forbidden, including corporal punishment, placement in a dark cell, closed or solitary confinement, or any other punishment that may compromise the physical and mental health or well-being of the child concerned.42 The CRC has recommended that solitary confinement not be used with children (see as an example comments (2013) CRC/C/LUX/CO/3–4). In December 2007, a task force of international experts in the area of solitary confinement, prisons, and torture produced The Istanbul Statement on the Use and Effects of Solitary Confinement (herein referred to as The Istanbul Statement) and this was adopted at the International Psychological Trauma Symposium held in Istanbul.43 The UN Commission on Human Rights, Special Rapporteur on torture and other cruel, inhuman, or degrading treatment or punishment, at the time Manfred Nowak, participated in the task force. In his 2008 Interim Report to the 63rd Session of the General Assembly of the United Nations, he strongly encouraged States to use The Istanbul Statement as a tool for protecting the rights of prisoners.44 The Istanbul Statement provides the following definition: “Solitary confinement is the physical isolation of individuals who are confined to their cells for 22 to 24 hours a day.”45 Furthermore, it urges that the use of solitary confinement for mentally ill prisoners and children under the age of 18 years be absolutely prohibited. In his Interim Report, Nowak calls for particular attention to be paid to the risks to disabled people when placed in solitary confinement.46 When dealing with disruptive prisoners, this sample typically presents with higher rates of psychiatric disorders.47 48 Concerns have been repeatedly 18 raised about the increased risk to those with pre-existing psychiatric diagnoses and the recognition that this population comprises a significant number of the population placed in isolation.49 Studies document higher levels of distress in isolated populations.50 Hodgins and Cote found that schizophrenia and mania were over-represented among Canadian prisoners in federal segregation.51 Numerous nongovernmental reports, expert panel recommendations, and international covenants and statements have been issued calling for safeguards surrounding the use of solitary confinement for incarcerated people who are vulnerable, have disabilities, developmental immaturity, or pre-existing psychiatric diagnoses.52 53 54 The Juvenile Justice Reform Committee of the American Academy of Child and Adolescent Psychiatry put forth a policy statement in April 2012 that opposes the use of solitary confinement with juveniles, considering such treatment cruel and unusual.55 In addition, suicides are disproportionately reported to occur in US secure isolation units.56 In 2011, the current Special Rapporteur on torture and other cruel, inhuman, or degrading treatment or punishment, Juan E. Méndez, focused his Interim Report to the 66th Session of the General Assembly on the use of solitary confinement.57 The Interim Report issues general guidance to States that highlights principles encouraging the abolishment of the practice of solitary confinement. Vulnerable individuals—identified as juveniles, persons with disabilities, and lesbian, gay, and transgendered people—are at particular risk of harm. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES LITERATURE REVIEW AND INTERNATIONAL PERSPECTIVE Méndez gives an opinion regarding circumstances that amount to acts prohibited by Article 7 of the International Covenant on Civil and Political Rights58 and torture as defined by articles 1 and 16 of the Convention against Torture or Cruel Inhuman or Degrading Punishment.59 He notes that an assessment must be made on a case-by-case basis that examines the purpose of use, the individual’s subjective experience, and unique vulnerabilities as well as the conditions and length of use of solitary confinement. He states that: Solitary confinement, when used for the purpose of punish- ment, cannot be justified for any reason, precisely because it imposes severe mental pain and suffering beyond any reasonable retribution for criminal behaviour...This ap- plies as well to situations in which solitary confinement is imposed as a result of breach of prison discipline, as long as the pain and suffering experienced by the victim reaches the necessary severity (para. 72).60 With respect to young people, “the Special Rapporteur holds the view that the imposition of solitar y confinement, of any duration, on juveniles is cruel, inhuman, or degrading treatment and violates Article 7 of the International Covenant on Civil and Political Rights and article 16 of the Convention against Torture.”61 In his Report to the Human Rights Council at the 22nd Session, the Special Rapporteur on torture and other cruel, inhuman, or degrading treatment or punishment focuses on rights abuses in health care settings,62 he reaffirms his earlier recommendations that:63 …addressed the issue of solitary confinement and stated …the Rules should explicitly prohibit the imposition of solitary confinement of any duration for juveniles, persons with psychosocial disabilities or other disabilities or health conditions, pregnant women, women with infants and breastfeeding mothers (see the United Nations Rules for the Treatment of Women Prisoners, rule 22, and the United Nations Rules for the Protection of Juveniles Deprived of their Liberty, rule 67).66 In February 2012, the Federal Court of Mississippi announced a Consent Decree effectively banning the use of solitary confinement for all male youth aged 17 and younger in Mississippi correctional facilities. In Mississippi, confinement in a cell for more than 20 hours a day, is now governed by strict rules that restricts the use for either emergency or disciplinary purposes. A few months later, the Juvenile Justice Initiative of Illinois urged Congress to ban the use of secure isolation calling for “regular inspection and monitoring” in youth justice facilities as “indispensable instruments of control to ensure humane treatment of youth…”67 Despite the United Nations call for a ban, many jurisdictions continue to use secure isolation with young people. Over the years, a number of recommendations have been developed, all aimed at reducing the potential negative impact: use secure isolation only in exceptional circumstances, for as short a period as possible, and “[prisoners] must be held in decent conditions and offered access to meaningful human contact and to purposeful activities. The deprivations inherent in solitary confinement should not be made worse by further restrictions on family visits and in-cell provisions such as books and magazines, craft and hobby materials, personal radios, and so on. These may help to mitigate the harmful aspects of solitary confinement.”68 that its imposition, of any duration, on persons with mental disabilities is cruel, inhuman or degrading treat- ban on all coercive and non-consensual measures, including In addition, because secure isolation units are “closed units within closed establishments, shut off not only to the outside world, but also to other sections of the prison and to the prison society at large,”69 recommendations also commonly include improving safeguards and oversight practices: logical or intellectual disabilities, should apply in all Once society places children in institutions, it seems social care institutions.64 responsibility to look after them…Where parental ment. Moreover, any restraint on people with mental disabilities for even a short period of time may constitute torture and ill-treatment. It is essential that an absolute restraint and solitary confinement of people with psycho- places of deprivation of liberty, including psychiatric and Méndez restates the call for an absolute ban on the use of restraints and seclusion on people with psychiatric disorders. In his 2013 Interim Report to the UN General Assembly 68th Session, he focuses on the need for procedural standards and safeguards for the prohibition against torture and other ill-treatment.65 He argues that: largely content to assume that this is the end of its direct responsibility is replaced by institutional care, external vigilance is essential…70 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 19 SECTION 2. ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH * SERVICES DATA When a young person is placed in secure isolation, Ontario’s secure custody and detention facilities are required to follow procedures and complete forms as prescribed in the Youth Justice Services Manual.71 Through its Information Sharing Protocol with the MCYS, the Provincial Advocate requested and received data regarding the use of secure isolation with young people in Ontario’s youth justice facilities. In order to answer key questions and help form a picture of overall use, data were sought for the following time periods: April 1, 2009 to March 31, 2010 January 1, 2013 to December 31, 2013 January 1, 2014 to December 31, 2014 Our analysis of the information provided by MCYS sought to answer the following questions: 7. How many times is secure isolation used for more than 24 hours? 8. How many times is secure isolation used for periods between 24 and 71 hours? 9. How many times is secure isolation used for periods of 72 hours or longer? 10. Are there any discernible patterns between facilities regarding (a) high use number of placements, (b) medium use number of placements, (c) low use number of placements, (d) high use average time, (e) medium use average time, and (f) low use average time? 11. What can we observe from the “reasons for placement” information that accompanied the MCYS data? Generally, the length of time in our analyses are noted in minutes. For ease of reference, we have created a chart that converts minutes into hours for set time periods: 1. How often is secure isolation used by secure youth justice detention/custody facilities in Ontario? 2. What is the average length of time young people are held in secure isolation? What is the range? What is the longest time a person has been held in secure isolation? 3. Does the “count” or number of young people in the facility make a difference in how often secure isolation is used? What is the average monthly count at each facility? 4. What are the ages of the young people in secure isolation? 5. Are facilities following the rules for young people under age 16 years? 6. What can we say about the use of secure isolation for those under age 16 years? * 20 Minutes Hours/Days 480 08 hours 1440 24 hours 2160 36 hours 2880 48 hours 3600 60 hours 4320 72 hours 7200 05 days 14,440 10 days Dr. Kim Snow – quantitative analysis IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES 2009 2009 1021 1021 PLACEMENTS PLACEMENTS Over the three-year period, all facilities reported some use of secure isolation. There was a general trend toward lower use except at two facilities. In 2014, three facilities reported no use and Bluewater Youth Centre closed before 2013. There was a very clear pattern of “high,” “medium,” and “low” usage, which is discussed subsequently. HOW OFTEN IS SECURE ISOLATION USED AT EACH FACILITY? ROY MCMURTRY 1 267 ROY MCMURTRY 1 267 FIG 1. NUMBER OF PLACEMENTS IN SECURE ISOLATION PER FACILITY SPRUCEDALE 115 SPRUCEDALE 115 2014 2014 701 701 PLACEMENTS PLACEMENTS 2013 2013 592 592 PLACEMENTS HIGH HIGH 78.3% 78.3% PLACEMENTS 1 CECIL FACER 183 CECIL FACER 183 HIGH HIGH 1 242 ROY MCMURTRY 40.9% 1 ROY MCMURTRY 242 40.9% WILLIAM HAY 50 WILLIAM HAY 50 SPRUCEDALE 48 SPRUCEDALE 48 WILLIAM HAY 43 WILLIAM HAY 43 MED MED CECIL FACER 37 35.4% CECIL FACER 37 35.4% LOW LOW 6.6% 6.6% DONALD DOUCETTE 10 DONALD DOUCETTE 10 SUNDANCE 7 SUNDANCE 7 NEAR NORTH 5 NEAR NORTHHOUSE 5 KENNEDY 4 KENNEDY HOUSE 4 J RONALD LESTER 3 J PINEGAR RONALD LESTER 3 3 PINEGAR ARRELL32 ARRELL 2 JJ KELSO 2 JJPORTAGE KELSO 22 PORTAGE 2 PENINSULA 1 PENINSULA 1 CRAIGWOOD 0 CRAIGWOOD 0 GE-DA-GI BINEZ 0 GE-DA-GI BINEZ 0 M GENEST 0 M RAY GENEST 0 OF HOPE 0 RAY OF HOPE 0 SUNDANCE 47 SUNDANCE 47 LOW LOW 9.6% 9.6% KEY KEY HIGH USE: > 100 HIGH USE: > 100 LOW USE FACILITIES BROOKSIDE 70 BROOKSIDE 70 Data in this visual representation can be found in Appendix I: Raw Data. BROOKSIDE 73 BROOKSIDE 73 CECIL FACER 51 CECIL FACER 51 LOW USE FACILITIES LOW USE FACILITIES MED MED 52.5% 52.5% SPRUCEDALE 97 SPRUCEDALE 97 LOW USE FACILITIES KENNEDY HOUSE 14 KENNEDY 14 7 DONALDHOUSE DOUCETTE DONALD DOUCETTE RAY OF HOPE 6 7 RAY OF HOPE56 M GENEST M ARRELL GENEST 3 5 ARRELL 3 GE-DA-GI BINEZ 3 GE-DA-GI BINEZ 3 JJ KELSO 2 JJNEAR KELSO 2 NORTH 2 NEAR NORTH22 PORTAGE PORTAGE 2 CRAIGWOOD 1 CRAIGWOOD 1 0 PENINSULA PENINSULA 0 PINEGAR 0 PINEGAR 0 LOW USE FACILITIES LOW LOW 4.4% 4.4% WILLIAM HAY 39 WILLIAM HAY 39 J. RONALD LESTER 30 J. RONALD LESTER 30 SUNDANCE 33 SUNDANCE 33 BLUEWATER 2 35 BLUEWATER 2 35 SYL APPS 43 SYL APPS 43 LOW USE FACILITIES MED MED 17.3% 17.3% 278 ROY MCMURTRY 1 ROY MCMURTRY 278 SYL APPS 108 SYL APPS 108 BROOKSIDE 234 BROOKSIDE 234 SYL APPS 40 SYL APPS 40 HIGH HIGH 55.1% 55.1% It is important to note that these data only illustrate how many times the secure isolation cells were used at each facility. It is unclear whether each placement related to a different youth or whether there were youth who were placed in secure isolation on multiple occasions. KENNEDY HOUSE 27 KENNEDY 27 ARRELLHOUSE 12 ARRELL 12 NEAR NORTH 11 NEAR NORTH611 PINEGAR PINEGAR DONALD6DOUCETTE 4 DONALD DOUCETTE 4 M GENEST 2 M RAY GENEST 2 OF HOPE 2 RAY OF HOPE 1 2 CRAIGWOOD CRAIGWOOD GE-DA-GI1BINEZ 1 GE-DA-GI BINEZ 1 1 J RONALD LESTER J JJ RONALD LESTER 1 KELSO 0 JJPENINSULA KELSO 0 0 PENINSULA 0 PORTAGE 0 PORTAGE 0 MEDIUM USE: 30-99 MEDIUM USE: 30-99 LOW USE: 0-29 LOW USE: 0-29 NOTES NOTES PERCENTAGES MAY NOT ADD TO 100% PERCENTAGES ROUNDING MAYDUE NOTTOADD TO 100% DUE TO ROUNDING 1 ROY MCMURTRY FOR 2009 IS 1 ROYDATA MCMURTRY 9 MONTHS ONLY DATA FOR 2009 IS BLUEWATER 92 MONTHS ONLYCLOSED PRIOR TO 2013 2 BLUEWATER CLOSED PRIOR TO 2013 WHAT IS THE AVERAGE LENGTH OF TIME YOUNG PEOPLE ARE HELD IN SECURE ISOLATION? 2009 2013 2014 PENINSULA 2009 2013 2014 GE-DA-GI BINEZ 2009 2013 2014 MGENEST 2009 2013 2014 KENNEDY HOUSE 2009 2013 2014 DONALD DOUCETTE 2009 2013 2014 SUNDANCE 2009 2013 2014 PINEGAR 2009 2013 2014 NEAR NORTH 2009 2013 2014 JJ KELSO PORTAGE CRAIGWOOD 2009 2013 2014 2009 2013 2014 BLUEWATER1 20,160 2009 2013 2014 FIG 2. AVERAGE (RANGE OF USE) MINUTES OF SECURE ISOLATION USE BY FACILITY. 20 DAYS 18,498 10,080 1 WEEK 4,270 2,411 2,087 1,440 1,253 1 DAY 778 147 60 43 22 1 HOUR 122 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA Data in this visual representation can be found in Appendix I: Raw Data. SYL APPS SPRUCEDALE 23,655 2009 2013 2014 24,170 ROY MCMURTRY2 2009 2013 2014 WILLIAM HAY CECIL FACER 2009 2013 2014 2009 2013 2014 BROOKSIDE RAY OF HOPE 2009 2013 2014 2009 2013 2014 JUSTICE RONALD LESTER 20,160 ARRELL 2009 2013 2014 Each year, there was considerable variability in the actual length of time secure isolation was used by each facility. For example, in 2009, the use of secure isolation ranged from a low of two minutes (at Kennedy House Youth Services) to a high of 24,170 minutes (17 days) at Sprucedale Youth Centre. In 2013, the actual length of use ranged from three minutes (William Hay Youth Centre) to 23,655 minutes (16 days) at Sprucedale Youth Centre. In 2014, the length of use ranged from one minute (Kennedy House Youth Services) to 15,671 (11 days) at Roy McMurtry Youth Centre. 2009 2013 2014 In terms of the overall average length of time spent in secure isolation, there was nominal variability year over year with a low average of 7 hours and 3 minutes in 2013 and a high average of 9 hours and 37 minutes in 2009. 20 DAYS KEY 21,622 MAX TIME 18,540 AVG TIME 15,093 MIN TIME 15,671 TIME IS EXPRESSED IN MINUTES 10,080 1 WEEK TIME CONVERSION 1 1 1 1 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY 1,894 2,162 1,476 2,547 1,440 = 60 MIN = 1440 MIN = 10,080 MIN = 43,200 MIN NOTES 2,114 3,353 HOUR DAY WEEK MONTH 1 DAY 65 13 60 5 43 7 10 1 HOUR OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 23 3 3 AVERAGE NUMBER OF YOUTH JJ KELSO PER MONTH AT EACH FACILITY 2 2 0 0 1 2 0 4 24 34 23 33 34 43 4 2 2 5 0 0 3 1 6 2 7 0 11 47 7 4 5 3 4 5 10 11 3 7 34 4 6 6 8 3 7 0 4 6 2 27 9 7 0 10 56 1 4 10 7 1 4 66 0 11 8 10 6 02 2 12 27 47 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES 9 0 6 1 10 1 0 2013 2013 2014 2013 2014 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 2013 2014 2014 2013 6 2014 ARRELL PENINSULA GE-DA-GI BINEZ M GENEST ARRELL KENNEDY HOUSE PENINSULA DONALD DOUCETTE GE-DA-GI BINEZ SUNDANCE M GENEST PINEGAR KENNEDY HOUSE NEAR NORTH DONALD DOUCETTE JJ KELSO SUNDANCE CRAIGWOOD PINEGAR PORTAGE NEAR NORTH 2014 2013 2 NUMBER OF PLACEMENTS IN SECURE ISOLATION FACILITY 2013 2014 3 CRAIGWOOD 2013 2014 DOES THE NUMBER OF YOUTH AT THE FACILITY MAKE ANY DIFFERENCE TO THE USE OF SECURE ISOLATION? FIG 3. AVERAGE NUMBER OF YOUTH PER MONTH AT EACH FACILITY 11 10 2 12 3 1 0 10 27 19 18 12 2013 ROY MCMURTRY 23 2014 2014 2013 SYL APPS 2013 2014 SPRUCEDALE 2013 2014 2014 CECIL FACER 12 WILLIAM HAY 2013 2013 16 23 64 23 2 37 51 70 50 43 AVERAGE NUMBER OF YOUTH PER MONTH AT EACH FACILITY 12 15 18 78 NUMBER OF PLACEMENTS IN SECURE ISOLATION FACILITY 11 2014 BROOKSIDE 2013 2014 2014 JUSTICE RONALD LESTER RAY OF HOPE 2013 ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA 43 48 73 97 108 It is unclear if the average resident count influenced the pattern of use. For example, in 2013 Roy McMurtry Youth Centre had a count of 78 and reported 242 placements in secure isolation, whereas, in 2014 Roy McMurtry Youth Centre reported 278 placements in secure isolation with an average resident count of 64. In 2014, Cecil Facer Youth Centre and Brookside Youth Centre both had an average count of 12, whereas Cecil Facer Youth Centre reported only half as many placements in secure isolation as Brookside Youth Centre. In 2013, Sundance Youth Centre reported seven placements in secure isolation with an average resident count of three; in 2014, they reported 47 placements with an average resident count of four. In addition, Syl Apps Youth Centre had a consistent average count in 2013 and 2014 of 23, yet they reported 43 placements in 2013 and 108 in 2014. More information is needed to understand the interaction between resident count and secure isolation. Data in this visual representation can be found in Appendix I: Raw Data. 242 278 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 25 WHAT IS THE AGE OF THE YOUNG PEOPLE IN SECURE ISOLATION? FIG. 4. NUMBER OF YOUTH AGED 12 TO 21 YEARS IN SECURE ISOLATION IN 2013 AND 2014* 12 13 YEARS YEARS 14 YEARS 15 YEARS 16 YEARS 17 YEARS 18 YEARS 19 YEARS 20 YEARS 21 YEARS 241 232 KEY 2013 2014 200 NOTES * ONE AGE UNKNOWN 150 126 111 109 121 112 100 50 49 52 56 22 23 21 14 0 1 1 We obtained age-related data for the years 2013 and 2014. For one instance in 2013, the age was unknown. The ages of young people who experienced secure isolation ranged from 12 to 21 years. In both 2013 and 2014, youth aged 17 years were held in secure isolation more frequently than any other age group. Those aged 17 years accounted for 41% of those held in secure isolation in 2013 and 33% of those held in 2014. 26 0 0 1 The second highest use of secure isolation was with youth aged 18 years (19%) in 2013 and 16 years (18%) in 2014. Those aged 16 years were the third most frequently held age in 2013 (18%). In fact, those aged 16 and 17 years accounted for more than half of the uses of secure isolation in both 2013 (59%) and 2014 (51%). Data in this visual representation can be found in Appendix I: Raw Data. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES ARE FACILITIES FOLLOWING THE RULES FOR YOUNG PEOPLE UNDER AGE 16 YEARS? FIG. 5. USE OF SECURE ISOLATION FOR MORE THAN EIGHT HOURS FOR YOUTH YOUNGER THAN 16 YEARS OF AGE IN 2014 FACILITY YOUTH, # TIME, MINUTES (HOURS) PINEGAR 1 650 (11) ROY MCMURTRY 1 1191 (20) All facilities seemed to be observing the laws regarding a maximum use of eight hours per day for young people under the age of 16 years. Two exceptions were observed in 2014: Pinegar Youth Centre reported one instance of 11 hours in secure isolation and Roy McMurty Youth Centre reported one instance of 20 hours in secure isolation for individuals under the age of 16 years. Data in this visual representation can be found in Appendix I: Raw Data. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 27 WHAT CAN WE SAY ABOUT THE USE OF SECURE ISOLATION FOR THOSE UNDER 16 YEARS OF AGE? FIG 6. USE OF SECURE ISOLATION FOR YOUTH UNDER 16 YEARS IN 2013 & 2014 # OF PLACEMENTS (12-15 YRS) 2013 2014 4 8 2013 2014 2 1 2013 2014 2013 2014 2 43 5 1 2013 2014 2013 9600% ARRELL GE-DA-GI BINEZ KENNEDY HOUSE SUNDANCE DONALD DOUCETTE e200% 92150% e500% 91200% 9100% PINEGAR FACILITY NEAR NORTH 9200% 2014 1 12 0 1 2013 2014 2 12 12 % BY AGE 13 12 13 14 15 12 13 14 15 1 HOUR 650 1,440 28 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 NO PLACEMENTS IN 2013 MINIMUM, MAXIMUM, AND AVERAGE LENGTH OF PLACEMENT 60 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 14 1 DAY IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA From 2013 to 2014, we see a trend toward increased use of secure isolation for youth under the age of 16 years. In 2013, there were 106 reported placements of youth between the ages of 12 and 15 years; in 2014, this number increased to 186. Centre, and Roy McMurtry Youth Centre reported the most frequent use of secure isolation for this age group. Data in this visual representation can be found in Appendix I: Raw Data. Sundance Youth Centre, Syl Apps Youth Centre, Sprucedale Youth 2013 2014 2013 2014 2013 2014 2013 SYL APPS 9458% 2014 2013 2014 0% ROY MCMURTRY 9125% WILLIAM HAY SPRUCEDALE e1050% e173% CECIL FACER BROOKSIDE 0% 2013 2014 1 1 21 2 19 11 8 10 12 55 29 29 12 13 14 KEY 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 12 13 14 15 15 MIN TIME 10 AVG TIME 110 MAX TIME 60 208 223 TIME IS EXPRESSED IN MINUTES 479 TIME CONVERSION 1 1 1 1 1191 HOUR DAY WEEK MONTH = 60 MIN = 1440 MIN = 10,080 MIN = 43,200 MIN 1,440 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 29 HOW OFTEN IS SECURE ISOLATION USED FOR 24 HOURS AND OVER AND 72 HOURS AND OVER? 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 2009 2013 2014 FIG 7. SECURE ISOLATION USE FOR 24–71 HOURS AND 72 HOURS AND OVER BY FACILITY 85 0 0 0 0 1 0 0 1 2 0 0 19 22 14 45 6 3 0 0 1 81 47 29 83 79 115 32 35 13 27 23 83 70 56 54 50 9 9 38 36 0 As noted earlier, international standards suggest that use of solitary confinement beyond 24 hours is harmful to juveniles. In 2009, secure isolation was used for more than 24 hours on 415 occasions (31%). In 2013, it was used for more than 24 hours 26% of the time. In 2014, secure isolation was used beyond 24 hours on 164 occasions—23% of all usage. 30 1 5 0 3 0 0 1 These data suggest a general reduction in use from 2009 to 2014. There is one exception, Roy McMurtry Youth Centre, which reported increased use from 2013 to 2014. Data in this visual representation can be found in Appendix I: Raw Data. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES ROY MCMURTRY2 0 12 CECIL FACER 0 2 14 BROOKSIDE 0 2 J RONALD LESTER 0 1 DONALD DOUCETTE NA PINEGAR BLUEWATER 1 NA 1 25 SPRUCEDALE 17 8 WILLIAM HAY 2 4 KEY 72 HOURS + 24 – 71 HOURS NOTES 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA 2014 1 2013 4 2009 8 5 9 12 ROY MCMURTRY* 2014 0 2013 0 2009 2 SPRUCEDALE 2014 0 2013 7 2009 2 CECIL FACER 2014 NA 2013 2014 NA 2009 2013 8 BROOKSIDE 2009 BLUEWATER* FIG 8. NUMBER OF PLACEMENTS WITHIN SECURE ISOLATION LASTING LONGER THAN 5 DAYS BY FACILITY KEY ONE PLACEMENT OVER 15 DAYS ONE PLACEMENT 10–14 DAYS ONE PLACEMENT 5–9 DAYS 15+ DAYS NOTES 5–9 DAYS 10-14 DAYS 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY Very long use is defined as five days or longer. There was some reduction in the overall use of very long placements in secure isolation between 2009 and 2014. Roy McMurtry Youth Centre continued high use with more than 10 placements lasting between five and nine days and two placements between 10 and 14 days in 2014. Although there were three instances of use beyond 15 days in 2009 and 2013, none were reported in 2014. Data in this visual representation can be found in Appendix I: Raw Data. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 31 ARE THERE ANY DISCERNIBLE PATTERNS BETWEEN FACILITIES? 2013 2014 2014 2009 2013 0 1 GE-DA-GI-BINEZ 2013 2009 2014 2014 2009 GE-DA-GI-BINEZ 2013 M GENEST 2013 2009 2014 2014 2009 M GENEST 2013 KENNEDY HOUSE KENNEDY HOUSE 2013 2009 2014 2014 2009 2013 DONALD DOUCETTE DONALD DOUCETTE 2013 2009 2014 2014 2009 2013 SUNDANCE 2013 2009 2014 2014 2009 SUNDANCE PINEGAR 2013 2009 2014 2013 2014 2009 PINEGAR 2013 NEAR NORTH 2013 2009 2014 2014 2009 NEAR NORTH 2013 JJ KELSO JJ KELSO 2013 2009 2014 2014 2009 2013 2014 2009 2013 2009 2014 CRAIGWOOD N A CRAIGWOOD N A PORTAGE 2013 2013 2009 2014 2014 2009 N A BLUEWATER1 BLUEWATER1 N A PORTAGE 2013 2009 FIG 9a. HIGH, MEDIUM, AND LOW USE FACILITIES IN 2009, 2013, 2014 HIGH USE HIGH USE 47 MEDIUM MEDIUM USE USE35 35 LOW USELOW USE 33 2 2 02 2 10 0 11 0 21 2 02 2 20 5 11 2 5 11 0 3 6 0 3 6 7 There is a clear pattern of high, medium, and low use by facilities with respect to the total number of placements in secure isolation. A similar pattern with respect to the average length of time in secure isolation was found. There was also an association between the low use of secure isolation and low average length of placement in secure isolation. KEY HIGH USE: > 100 MEDIUM USE: 30-99 LOW USE: 0-29 NOTES PERCENTAGES MAY NOT ADD TO 100% DUE TO ROUNDING 47 33 27 7 7 10 4 7 10 14 14 4 4 2014 2013 2009 ROY MCMURTRY 2 2014 2013 2009 SYL APPS 2014 2013 2014 2009 WILLIAM HAY 2013 2009 2014 SPRUCEDALE 2013 2009 CECIL FACER 278 267 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES 242 4 5 0 25 03 2 0 13 The 2012 Report of the Auditor General noted that in 2011, 90% of the placements in secure isolation occurred in MCYS-operated facilities. In our analysis, the proportion of secure isolation placements in MCYS directly operated facilities decreased to 80% in 2013 and to 63% in 2014. 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY 32 27 NOTES ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA PERCENTAGES MAY NOT ADD TO 100% DUE TO ROUNDING ROY MCMURTRY2 2014 2013 2009 2014 2013 2009 2014 SYL APPS 2013 2009 2014 WILLIAM HAY 2013 2009 SPRUCEDALE 2014 2013 CECIL FACER 2009 2014 2013 2009 2014 2013 2009 BROOKSIDE JUSTICE RONALD LESTER RAY OF HOPE 2014 2013 2009 2014 2013 2009 2014 PENINSULA ARRELL 2013 2009 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY 278 267 234 242 183 115 108 97 70 73 51 48 50 39 43 30 0 1 0 3 12 2 3 1 6 0 Roy McMurtry Youth Centre consistently ranked as a high use facility, reporting almost double the use of all other facilities in 2013 and 2014. Syl Apps Youth Centre reported in 2014 a high use rate double that of the two previous reporting periods. Brookside Youth Centre reported high use in 2009, but cut their use of secure isolation by almost two-thirds in 2013 and 2014. Similarly, Cecil Facer Youth Centre reported high use in 2009 and a reduction in use by almost two-thirds by 2014. 40 43 MEDIUM USE LOW USE 2 We defined “high use” in our analysis as more than 100 placements. HIGH USE “Medium use” is defined as 30–99 placements in secure isolation. Sprucedale originally appeared in 2009 as a high use facility, but dropped by more than half in 2014. William Hay Youth Centre consistently reported medium use. Sundance Youth Centre reported medium use of secure isolation in 2009 and 2014, but low use of secure isolation in 2013. In our analysis, we defined “low use” as 0–29 placements. Kennedy House Youth Services stood out in the low use grouping as having double the rate of placements in secure isolation in 2014 as they did in 2009. Data in this visual representation can be found in Appendix I: Raw Data. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 33 ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 FIG 9b. FACILITIES WITH HIGH, MEDIUM, AND LOW AVERAGE MINUTES PER USE IN 2009, 2013, 2014 1 WEEK NOTES KEY 1 BLUEWATER CLOSED PRIOR TO 2013 2 ROY MCMURTRY DATA FOR 2009 IS 9 MONTHS ONLY HIGH AVERAGE MINUTES: ≥ 1000 MEDIUM AVERAGE MINUTES: 100–999 HIGH LOW AVERAGE MINUTES: ≤ 99 MEDIUM 1 DAY 34 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES PENINSULA GE-DA-GI BINEZ M GENEST KENNEDY HOUSE DONALD DOUCETTE SUNDANCE PINEGAR NEAR NORTH JJ KELSO N A CRAIGWOOD BLUEWATER1 N A PORTAGE LOW 1 HOUR 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 2014 2013 2009 ANALYSIS OF MINISTRY OF CHILDREN AND YOUTH SERVICES DATA 1 WEEK In our analysis, we defined “high use average minutes” as more than 1000 minutes in a single placement. Note that 1000 minutes converts to 16 hours and 40 minutes. Two facilities consistently reported the highest average minutes per use: Roy McMurtry Youth Centre and Sprucedale. Cecil Facer Youth Centre reported a reduction in length with a reduction in use by total number of placements. We defined “medium use average minutes” as an average placement of 100–999 minutes. There was little change in average length of use in medium use facilities year over year. 1 DAY ROY MCMURTRY2 SYL APPS WILLIAM HAY SPRUCEDALE CECIL FACER BROOKSIDE RAY OF HOPE J RONALD LESTER ARRELL 1 HOUR We defined “low use average minutes” as a placement in secure isolation lasting, on average, 99 minutes or less. There was little change in the use of low average placements year over year. Data in this visual representation can be found in Appendix I: Raw Data. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 35 WHAT CAN WE OBSERVE FROM THE “REASONS FOR PLACEMENT” INFORMATION THAT ACCOMPANIED THE MINISTRY OF CHILDREN AND YOUTH SERVICES DATA? We also asked MCYS to include the “reason for placement in secure isolation” with the data. For each placement, a short statement, generally of one or two sentences but sometimes longer, was provided for each occurrence of use. Although there was wide variability in the phrases used, in most cases the reason given for a placement in secure isolation appeared to meet the legislated criteria for risk of harm to others, or property (e.g., “irrational and aggressive behaviour toward staff and property,” “cause bodily harm,” “imminent threat to cause bodily harm,” “aggression to others”). In some cases, the descriptors suggested serious mental health concerns including “spitting on staff and covering self with urine and feces,” a youth threatening and attempting suicide and other aggressive acts after returning from an involuntary committal in the mental health ward of a hospital, and a number of other examples of “threat to self” or “self-harm.” Given the high incidence of mental health concerns with the general population of youthful offenders, the use of secure isolation in these situations appears contraindicated. 36 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES THURS 9:50 PM “YOU FEEL LIKE YOU ARE IN A MENTAL INSTITUTION – IT FEELS LIKE YOU ARE NOT YOU.” – ANONYMOUS YOUTH SECTION 3. EXPERIENCING SECURE ISOLATION: WHAT YOUTH SAY • • • • Youth reported that when they asked specifically to call the Advocate’s Office they were refused Many youth reported lack of fresh air and poor access to showers Many youth reported food was often late, provided in small portions, or not provided at all Most youth described the room as dirty73 In 2015, the Advocate’s Office continues to receive similar complaints from youth about the physical conditions of secure isolation cells and access to the Advocate’s Office. “What is it like to be in secure isolation?” This question was asked of 141 youth during the interviews. The information we learned from speaking with youth who had experienced at least one placement in secure isolation can be summarized into the following themes: • • • • • • “Too much time” in secure isolation Youth-reported reasons for placement Dehumanizing aspect of secure isolation Access to lawyer and/or advocate Secure isolation “does things to your head” Poor living conditions (e.g., food, fresh air, showers, temperature, bedding, toilet procedures, cell cleanliness, and mental stimulation) Much of what the youth had to say was disturbing to hear. Even when used within the boundaries of the Child and Family Services Act and the Youth Justice Services Manual, there was no doubt that it is a difficult experience for many youth. Youth described that the physical conditions in secure isolation can be cold and dirty and that they do not always receive enough to eat. Some said they were denied fresh air and they reported being denied access to any kind of mental stimulation, including books or schoolwork. Although the interviews were conducted in 2009, the concerns raised by youth in this section are consistent with the findings in the Provincial Advocate for Children and Youth Report “It Depends Who’s Working.” The Youth Reality at the Roy McMurtry Youth Centre and with the findings reported previously.72 In the spring and summer of 2012, the advocates conducted interviews with 38 youth at the Roy McMurtry Youth Centre. The majority of youth reported that they were not advised of their right to call the Advocate’s Office. The results of these interviews were as follows: 38 PRESENTATION OF YOUTH RESPONSES During the review, we asked youth who had been placed in secure isolation a series of questions. Their responses were analyzed and organized into a number of categories in a way that highlights both what we learned through the interviews and what the corresponding legislation (Child and Family Services Act) and Ministry policies (Youth Justice Services Manual) say concerning the use of secure isolation in Ontario. METHODOLOGY Advocates in teams of two visited every secure detention/ custody facility in Ontario and talked to every young person in the facility on the day(s) of the visit. Four facilities were visited in the Eastern Region, eight facilities in the Northern Region, seven facilities in the Western Region, and two facilities in the Central Region. Interviews began on October 29, 2009, at William E. Hay Centre and were completed on November 30, 2010, at the Roy McMurtry Youth Centre. Photographs of the secure isolation unit were taken by the advocates or provided to the advocates by the facility. Advocates met on a voluntary basis with each young person at each facility. Youth were asked whether they had any experience in secure isolation at the facility in which they were currently detained. If the answer was “yes,” the young people were invited to participate in an interview process based on a questionnaire that had been developed for the purpose of the review. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES EXPERIENCING SECURE ISOLATION: WHAT YOUTH SAY FIG 10. NUMBER OF YOUTH CONTACTED AND REPORTING PLACEMENT IN SECURE ISOLATION PER FACILITY 20 BLUEWATER YOUTH CENTRE* 42 NUMBER OF YOUTH REPORTING PLACEMENT IN SECURE ISOLATION 0 PORTAGE YOUTH CENTRE 3 0 CRAIGWOOD YOUTH SERVICES (WOODVIEW UNIT) 6 * These facilities are directly operated by the Ministry of Children and Youth Services. JJ KELSO CENTRE 0 8 0 NEAR NORTH 6 1 PINEGAR 6 1 SUNDANCE 3 0 DONALD DOUCET YOUTH CENTRE* 12 From a possible 397 youth that were in detention or custody on the day(s) the advocates visited the facility, 142 youth reported that they had experience in secure isolation. All agreed to an interview. One youth who was interviewed later noted that he was basing his answers upon being locked in his room rather than being in secure isolation; therefore, his answers are excluded from the data analysis leaving 141 youth who were interviewed. Of all the youth in these facilities, more than one-third (35%) had been placed in secure isolation. In five of the 21 facilities, no youth reported being sent to secure isolation. KENNEDY HOUSE 2 8 5 M GENEST DETENTION CENTRE FOR YOUTH 10 1 GE-DA-GI BINEZ 12 2 PENINSULA YOUTH CENTRE 19 1 ARRELL YOUTH CENTRE 12 5 JUSTICE RONALD LESTER YOUTH CENTRE* 9 2 RAY OF HOPE (HOPE MANOR) 9 19 NUMBER OF YOUTH IN FACILITY BROOKSIDE YOUTH CENTRE* Data in this visual representation can be found in Appendix I: Raw Data. 40 CECIL FACER YOUTH CENTRE* 17 21 7 18 10 31 WILLIAM E. HAY CENTRE SPRUCEDALE YOUTH CENTRE* SYL APPS YOUTH CENTRE 28 29 29 ROY MCMURTRY YOUTH CENTRE* 85 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 39 FINDINGS ROW OF SECURE ISOLATION CELLS COMMONLY REFERRED TO AS THE ‘RANGE’ “TOO MUCH TIME” IN SECURE ISOLATION They kept lying, they said it would be two hours—it was two days. SIU is for kids who are in crisis—if you’re not really in a crisis and maybe you were in a fight you should only be brought to SIU for one hour. On average, youth under the age of 16 years (n=5) reported spending seven hours in secure isolation. Youth 16 years and older (n=126) reported an average of 42.7 hours in secure isolation. As seen in the data provided by MCYS in Appendix 1: Raw Data, the data from 2009 show that youth spent as little as two minutes in secure isolation and as long as 17 days. In 2013, the times ranged from three minutes to 16.5 days and in 2014 the time spent in secure isolation ranged from two minutes to almost 11 days. Of the times that secure isolation was used, it was used for more than 24 hours 22.4% of the time in 2009, 19% of the time in 2013, and almost 18% of the time in 2014. REASONS FOR PLACEMENT [Secure isolation] is not [to be used] for small reasons, but for big reasons. Almost all youth who spent more than a few hours in secure isolation questioned the length of time they spent there and the lack of communication or information given to them about how long they would be there. Youth commented on a lack of standard time period and expressed concerns that staff resorted immediately to the use of secure isolation rather than employing de-escalation techniques. 40 [Secure isolation] not always for the reason they put on paper. During the review, we asked the youth why they had been placed in secure isolation. Almost half of the youth (46%) indicated that they were placed in secure isolation for IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES YOUTH ALSO REPORTED BEING CALLED NAMES OR BEING HUMILIATED BY STAFF FOR REQUESTING ACCESS TO THE ADVOCATE’S OFFICE. THEY WERE TAUNTED AND CALLED "SISSIES." OUTSIDE LOCKED DOORS TO SECURE ISOLATION CELLS fighting or for being aggressive with staff. Less aggressive behaviours, such as refusing to follow staff direction or “not interacting well” or disrespecting staff, were given by 15% of youth. Some youth (10%) spoke about staff “power tripping” and “control issues” that they felt could be dealt with in better ways than secure isolation. In all, 5% of youth described “freaking out” and 4% cited physical damage to property as the reason for placement in secure isolation; 25% of youth either did not know why they were placed in secure isolation or did not answer the question. We asked, “Do you think placing you in secure isolation was the right thing for you at that time?” More than half of the youth at two facilities agreed it was the right thing to do. Youth made comments such as “Yeah, a little bit” and “Yes, but if they would have talked to me I would have calmed down.” The majority of youth at six facilities indicated that placement in secure isolation was not the right thing to do: “After a fight you should go for an hour, not a night;” “I found it unjust and unfair, putting me in my room would have helped;” “It just makes me more mad;” “I’m not violent, just loud, talk to me and send me to my room.” Although youth accepted that there were appropriate reasons for using secure isolation, they objected to its use based on “trivial reasons” or just “bad behaviour” (versus behaviour that posed a safety risk). Many young people spoke about staff power tripping and control issues that they felt could be dealt with in better ways than using secure isolation. Youth reported that sometimes going to secure isolation was dependent simply on which staff were working at the time. Approximately 70% of the youth indicated they were told the reasons why they were placed in secure isolation once they were released, not at the time that they were placed there. Others reported things such as “they don’t tell you why, they’re not very helpful, in fact they are rude” and “they said they would but they didn’t show up to talk to me.” MCYS policy requires that staff debrief the young person within 24 hours of the young person’s release from secure isolation. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 41 FINDINGS INSIDE A SECURE ISOLATION CELL WITH BUILT IN BED AND TOILET/SINK COMBINATION DEHUMANIZING ASPECTS OF SECURE ISOLATION Take a shit and they won’t flush the toilet, it stinks in there. Feels like shit. Don’t give you food. They told me to clean the cell before I leave and if I don’t do a good job I won’t get out of here. It wasn’t clean when I came in. How did the last guy get out of here? PHYSICAL STRUCTURE OF SECURE ISOLATION UNITS PORTABLE TELEPHONE THAT CAN BE WHEELED TO THE DOOR OF A SECURE ISOLATION CELL AND YOUTH CAN TALK TO LAWYER OR ADVOCATE THROUGH THE FOOD SLOT IN THE DOOR OF THE CELL 42 The appearance of secure isolation varies across facilities. Some are in secure units in a separate part of the facility with several cells with doors and a small window in the door for observation, a food slot in the door, and a bed, sink, and toilet in the cell. Others are one or two rooms within the facility either on the receiving and assessment area or close to that area with a single bed or no bed at all. There are also secure isolation rooms that are a separate room on the living unit. Many of the youth described their experience in secure isolation as “inhumane.” They talked about having to wait— IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES sometimes for hours—for staff to flush the toilet and feeling humiliated by relying on staff to get sufficient toilet paper. Secure isolation units that contain a stainless steel sink/ toilet combination do not have running water in the toilet or the sink and do not have toilet paper in the cell. Young people are required to ask staff to provide toilet paper when needed and then must request that staff flush the toilet using the switch outside the cell. Youth said it was a “humiliating and degrading” experience and “part of the power trip” to be required to ask staff to flush the toilet. Youth also reported feeling dehumanized by mealtime slot procedures, stating things such as “They don’t even open the door to feed you; they put it through the slot.” Referring to the policy that youth are to be served finger foods only (they are not given utensils), one youth commented, “They call them finger foods but you can’t eat scrambled eggs with your fingers.” LAWYER AND/OR ADVOCATE DIFFICULT TO ACCESS Enshrined in the Child and Family Services Act (“CFSA”),74 the Youth Justice Services Manual, and the procedures of individual facilities, youth in secure isolation have the right to speak to a lawyer and/or an advocate. Despite this right, approximately half of the youth who reported placement in secure isolation also reported not being given access to a lawyer or advocate. STAINLESS STEEL TOILET/SINK COMBINATION IN A SECURE ISOLATION CELL Youth were asked, “Did you have access to a lawyer, advocate, ombudsman, or probation officer?” In six of the facilities, more than half of the youth complained that they did not have access to a lawyer or to the Advocate’s Office while in secure isolation. Youth made complaints about all of the facilities except for three. Youth also reported being called names or being humiliated by staff for requesting access to the Advocate’s Office. They were taunted and called “sissies.” SECURE ISOLATION “DOES THINGS TO YOUR HEAD” Mind boggling, kind of making you drive yourself insane. I feel like going crazy in a way; you get no communica- tion, staff don’t talk to you or nothing; you feel like you are in a mental institution…I know people started to talk BUTTON OUTSIDE OF LOCKED SECURE ISOLATION CELL FOR CUSTODY STAFF TO FLUSH THE TOILET INSIDE THE CELL to themselves. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 43 FINDINGS It’s horrible. It feels like you’re not you. I don’t know why you would place anyone there…I would just place them [youth] in their room. When we asked youth what it was like to be placed in secure isolation, they gave us a keen sense of the mental and emotional effects of being deprived of all social contact for hours at a time. Many youth believed that being in secure isolation led to the deterioration of their emotional health and their sense of self-worth: “[Secure isolation] turns you into crazy, mad angry people. People [staff] don’t listen to you in there.” One youth said, “[It] makes us go crazy in here. I have heard kids go crazy—yelling, punching walls until their knuckles bleed cause they can’t take it anymore.” Another stated, “Twenty-four hours feels like five days.” CONDITIONS OF CONFINEMENT: POOR LIVING CONDITIONS CONCRETE HALLWAY WITH FENCED ROOF FOR FRESH AIR Conditions of confinement in secure isolation, including food, fresh air, showers, cell temperature, bedding, toilet procedures, cell cleanliness, and access to culture/religion, were all rated by youth during our review. A. FOOD The amount of food, the quality of food, and the timeliness of receiving food in secure isolation were all concerns for the majority of youth at four facilities. At one facility, a youth stated, “You get less than everyone else and they wait until everyone else is eating and say after an hour they give you your food. I don’t know if that is part of the punishment.” Other youth at the same facility also reported concerns making comments such as “[food is] garbage,” “unsanitary,” “not the same as everyone else gets,” and “asked to get a drink of water but that depends on if staff like you.” At four facilities, less than half the youth made complaints about food. A number of youth expressed concerns that the staff did not open the door to give them their food, but instead gave them food through the slot in the door. They referred to this practice as “degrading,” “humiliating,” and “inhumane.” 44 LOCKED DOOR TO CAGED AREA FOR YOUTH TO BE TAKEN FOR FRESH AIR IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES SECURE ISOLATION MAY BE PARTICULARLY HARMFUL TO PEOPLE WITH MENTAL HEALTH DISORDERS AND/ OR TRAUMA IN THEIR HISTORIES BECAUSE THEY MAY BE ESPECIALLY VULNERABLE TO THE DETRIMENTAL EFFECTS OF ISOLATION. INSIDE OF A CELL DOOR WITH THE FOOD SLOT SHOWER IN THE SECURE ISOLATION UNIT — YOUTH ARE TAKEN TO THE SHOWER ON THE UNIT USUALLY BY 2 STAFF AND MAY BE HANDCUFFED AND/OR SHACKLED OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 45 FINDINGS "CONCERNS HAVE BEEN REPEATEDLY RAISED ABOUT THE INCREASED RISK TO THOSE WITH PRE-EXISTING PSYCHIATRIC DIAGNOSES AND THE RECOGNITION THAT THIS POPULATION COMPRISES A SIGNIFICANT NUMBER OF THE POPULATION PLACED IN ISOLATION." (ARRIGO & BULLOCK, 2008) INSIDE DOOR OF A SECURE ISOLATION CELL B. INCONSISTENT ACCESS TO FRESH AIR Almost half of the youth interviewed (41%) reported concerns about access to fresh air while in secure isolation. C. ACCESS TO SHOWERS Youth reported serious concerns about access to a shower and about extreme fluctuations between hot and cold shower temperatures at five facilities. D. EXTREME FLUCTUATIONS IN CELL TEMPERATURE At six facilities, more than half of the youth interviewed described the air temperature in the secure isolation cells as fluctuating with extreme heat and cold, reporting mainly cold. There were no substantive concerns raised about the temperatures in the secure isolation units reported in the other facilities. E. BEDDING TAKEN AWAY DURING THE DAY Access to bedding and toilet paper was only applicable in nine secure detention/custody facilities where secure isola46 tion cells included beds and stainless steel sinks and toilets. The majority of young people reported that they were given some type of bedding at night: mattresses, pillows in some cases and in other cases the pillow was built into the bed, and sometimes they were given blankets (but not always). Many reported that all bedding was taken away during the day regardless of the temperature of the cell. F. TOILET PROCEDURES HUMILIATE YOUTH It can take several hours before staff flush the toilet. The secure isolation units that contain a sink-toilet combination do not have running water in the toilet or sink and do not have toilet paper in the cell. Young people are required to ask staff to provide toilet paper when needed and then must ask staff to flush the toilet using a switch outside of the cell. Youth expressed significant concerns about this practice. Many youth found it degrading and humiliating when staff were not timely and respectful in disposing of their waste. Young people acknowledged that they did get toilet paper, IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES SECURE ISOLATION ROOM THAT DOES NOT HAVE A BED OR TOILET/ SINK COMBINATION — AN EMPTY ROOM but not always when they requested it, often waiting hours. When they did get toilet paper, it was only a couple of sheets. G. NO MENTAL STIMULATION PROVIDED Time goes by slowly with nothing to do. I’m not thinking of productive things. Don’t see how it could help you. Sitting all day looking at the wall just makes you angry and you’re sitting on a concrete slab. OBSERVATION WINDOW IN SECURE ISOLATION CELL — CAN BE COMPLETELY CLOSED FROM OUTSIDE THE CELL In nine facilities, the majority of the youth reported no access to mental stimulation while in secure isolation. Youth at two facilities reported having access to some books and magazines. H. RELIGIOUS RIGHTS The youth were asked, “Were you allowed a prayer mat or Bible if you wanted one?” In total, 80 youth reported “no.” OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 47 FRI 8:31 PM “I DON’T KNOW WHY YOU WOULD PUT ANYONE IN THERE.” – ANONYMOUS YOUTH SECTION 4. SECURE ISOLATION UNIT LOGS We obtained secure isolation logs from one facility for a 30day period. Based on the information contained in these logs, two rights concerns were noted. One was the ability to practice religion. Recorded in the notes was a circumstance where a young person was denied his request for a prayer mat and Quran on the basis of his refusal to hand in a pair of “flip flops.” The second involved medical care. In one situation, the logs noted that a young person requested medical attention because he required insulin. The logs stated that he refused to follow staff direction and was, therefore, deemed to be refusing medical attention. It is unclear from the logs, which spanned 24 hours per day for a 30-day period, if or when the insulin was administered to the young person. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 49 SAT 4:02 PM “YOU ARE ALL ALONE IT JUST MAKES ME FEEL MAD.” – ANONYMOUS YOUTH SECTION 5. WHAT ARE THE RULES ABOUT SECURE ISOLATION? RECORDED IN THE NOTES There are presently 20 secure custody and detention facilities with secure isolation units in Ontario: WAS A CIRCUMSTANCE • WHERE A YOUNG PERSON WAS DENIED HIS REQUEST FOR A PRAYER MAT AND QURAN ON THE BASIS OF HIS REFUSAL TO HAND IN A • • • • PAIR OF “FLIP FLOPS“. • • • Six are directly operated by the Ministry of Children and Youth Services Fourteen are operated by transfer payment agencies (non-profit organizations) Secure isolation units vary by size and fixtures across facilities75 The size of individual secure isolation cells varies All cells are required to have a door with a window or slot through which staff can observe the young person and deliver meals Ten facilities contain secure isolation cells that are empty (no beds, toilets, or sinks), necessitating that a young person must inform staff if he or she needs to use a toilet and/or sink Three facilities contain cells with a bed but no toilet or sink Nine facilities contain cells with beds, sinks, and toilets; water flow and toilet flushing are controlled by staff outside the cell USING SECURE ISOLATION: WHAT THE RULES SAY In Canada, the Youth Criminal Justice Act (YCJA)76 emphasizes meaningful consequences, rehabilitation, and reintegration for children and youth convicted of criminal offences and sets the direction for how the provinces and territories carry out their mandates. The YCJA recognizes and protects young people’s rights and freedoms. Youth who are in secure isolation are equally entitled to these rights. Canada OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 51 WHAT ARE THE RULES ABOUT SECURE ISOLATION? RESEARCH ON ADULTS SUGGESTS THAT WHEN INMATES ARE SUBJECTED TO THE KINDS OF CONFINEMENT CONDITIONS AND DEPRIVATIONS DESCRIBED ABOVE, THE MAJORITY CAN BE EXPECTED TO REPORT MODERATE TO SERIOUS PSYCHOLOGICAL SYMPTOMS AFTER A PERIOD OF TIME is also a signatory to the United Nations Convention on the Rights of the Child, which articulates the rights of young people under the age of 18 years. The Canadian Charter of Rights and Freedoms77 protects all members of Canadian society. Both are referenced in the Preamble to the Youth Criminal Justice Act. In Ontario, the Child and Family Services Act (CFSA) governs the use of secure isolation in the province’s secure custody/detention youth justice facilities. What the CFSA does and does not include in its legislation regarding secure isolation is detailed subsequently. Although the CFSA and its regulations govern the use of secure isolation, the Ontario Youth Justice Services Manual “is the source of minimum mandatory expectations for all direct-operated and transfer payment service providers and, as such, is the basis for monitoring performance and compliance.”78 Essentially, youth justice facility staff used the manual to implement the CFSA.79 Although the manual stipulates that certain standards must be adhered to across all facilities, it also allows for some procedures to be defined and documented at the individual facility level. This may result in some variation in how facilities carry out their duties, which means individual youth experiences of secure isolation could vary from one facility to another. YOUNG PEOPLE IN SECURE ISOLATION HAVE BEEN DENIED ACCESS TO THE ADVOCATE’S OFFICE THE POLICY CONTEXT IN ONTARIO The varying practices in the use of secure isolation may be a reflection of the historical evolution of youth justice services in Ontario. The Juvenile Delinquents Act80 (1908– 1984) set the age at seven to 15 years or up to 17 years by Order of the Governor in Council as the age of youth criminal accountability. The Ministry of Community and Social Services provided service exclusively to youthful offenders during this time. In 1984, the Young Offenders Act (YOA)81 replaced the Juvenile Delinquents Act and raised the age of criminal responsibility to 12 years to a maximum of 17 years of age at the time of the offence. Prior to the YOA, youth aged 16 and 17 years in Ontario were considered to be adults and dealt with in the adult system by the Ministry of Correctional Services. Ontario implemented the YOA in two phases. Policies and procedures for youth aged 12 to 15 years were implemented in 1984 in a system called “Phase 1” which was overseen by the Ministry of Community and Social Services. In 1985, the YOA required all provinces and territories to enforce a 52 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES WHAT ARE THE RULES ABOUT SECURE ISOLATION? uniform age range of 12 to 17 years for all youth in Canada’s youth criminal justice system. Thus, youth aged 16 and 17 years remained under the jurisdiction of the Ministry of Correctional Services, which in 1985 created a “Phase 2” system for young offenders. Phase 2 youth were served within the correctional system, legislated by the Ministry of Correctional Services Act (MCSA)82 , whereas youth aged 12 to 15 years were served by the children’s services system governed by the CFSA. The CFSA (s 127) allows for young persons to be placed in a secure isolation room in cases where the service provider believes that the child is likely to cause serious property damage or cause another person serious bodily harm. Any child placed in a secure isolation room must be continuously observed by a responsible person and must be released in one hour unless the person in charge of the premises authorizes a longer period of isolation and documents the reason a less restrictive course of action is inappropriate. In any case, a child may not be placed in secure isolation for more than eight hours in any 24-hour period or for an aggregate of 24 hours in any given week. The CFSA requires that all service providers, including detention and custody facilities, be licensed. The licensing framework requires full compliance to all of the provisions of the CFSA including secure isolation. The direct operated facilities that were formerly with the Ministry of Correctional Services were not required to be licensed for secure isolation under the CFSA. In order to provide time to transition the direct operated facilities to the Ministry of Children and Youth Services on April 1, 2004, an Order in Council granted the Ministry of Children and Youth Services Ontario Regulation 87/06 Exemption: Licensing, Locking-Up and Secure Isolation for all former Ministry of Correctional Services secure detention/custody facilities. The exemptions regarding locking-up and secure isolation were as follows:84 2. A facility operated pursuant to Part (V) of the Minis- try of Correctional Services Act, is exempt, until April 1, 2009, from, (a) the restriction preventing a service provider from detaining a child in locked premises in the course of the provision of services to the child as set out in section 100 of the Child and Family Services Act; and The regulations to the MCSA (s 34) allow a superintendent of an institution to place an inmate in segregation for any of the following reasons: the inmate is in need of protection, the inmate needs to be protected for the safety of others, the inmate is alleged to have committed serious misconduct of a serious nature, or the inmate his/herself requests to be placed in segregation.83 The superintendent is required to review the person’s admission to segregation within 24 hours and then once in every five-day period to ascertain whether continued placement in segregation is warranted. All admissions to segregation lasting more than 30 continuous days are to be reported to the Minister and the reasons for the continued placement must be communicated. Segregated inmates retain the same “privileges and benefits” as those of the general population. The MCSA (Part V) was silent on the use of secure isolation or segregation with respect to young people. The differences in use of secure isolation in the Phase 1 and Phase 2 systems may be attributable to the differences in legislative mandate at the time. (b) the restrictions preventing a service provider from isolating a child in a locked place as set out in section 127 of the Child and Family Services Act. This exempted these facilities from the mandatory requirements that limited the length of time a young person could remain in secure isolation. All facilities formerly operated by the Ministry of Correctional Services have beds and toilets in their secure isolation room. Very few of the children’s services–operated facilities have a bed or toilet in their secure isolation rooms. Prior to the expiration of the exemption (in April 2009), the Ontario government passed the following amendments to the section of the Child and Family Services Act that governs secure isolation: EXCEPTION A service provider is not required to comply with subsections (5) and (8) with respect to a young person who is aged 16 years or older and who is held in a place of secure The current YCJA came into force on April 1, 2003. On August 1, 2003, all youthful offenders and services were integrated together, governed by the MCSA. In November 2003, it was announced that all youthful offenders and all services would be transferred to the new Ministry of Children and Youth Services effective April 1, 2004. Thereafter, all youth criminal justice services would be regulated by the CFSA. custody or secure temporary detention, but a service provider shall comply with the prescribed standards and procedures in respect of such young persons who are held in such places. This amendment meant that service providers were no longer required to continuously observe youth who were 16 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 53 WHAT ARE THE RULES ABOUT SECURE ISOLATION? years of age or older while they were in secure isolation. The amount of continuous time youth aged 16 years and older could be detained was increased to 72 hours or longer with the approval of the provincial director. This amendment resulted in two levels of rights and two levels of protection for youth in secure detention or custody based on age. WHAT ONTARIO LEGISLATION CURRENTLY SAYS ABOUT SECURE ISOLATION EXTRAORDINARY MEASURE Along with other measures that restrict the liberties of children and youth, such as secure treatment, emergency admissions, intrusive procedures, and use of psychotropic drugs, secure isolation is included as an “extraordinary measure.” Although the meaning of “extraordinary measures” is not defined anywhere in the CFSA, a consultation paper circulated by the Ontario government Ministry then responsible for children’s services in 1982 explained the intention behind the section as follows: This part of the legislation would deal with three types of extreme measures entailing certain risks to the child: (a) intrusive procedures, (b) secure isolation, and (c) secure treatment. Although these measures are clearly intended to help the child, they may be harmful if not carefully controlled and used only as a last resort.85 SEPARATE AND SECURE SPACE The authority for the use of secure isolation comes from sections 126–128 and regulation 70 of the CFSA. In order for a youth to be placed in secure isolation, the youth justice facility must have separate secure isolation cells or units that are licensed under the licensing provisions in Part IV86 of the CFSA only for the use of secure isolation.87 CRITERIA FOR USE “A service provider can place a young person in secure isolation if, in the service provider’s opinion: • • 54 the child or young person’s conduct indicates that he or she is likely, in the immediate future, to cause serious damage or to cause another person serious bodily harm; AND no less restrictive method is practicable."88 ONE-HOUR LIMIT “A child or young person who is placed in a secure isolation room shall be released within one hour unless the person in charge of the premises approves the child’s or young person’s longer isolation in writing and records the reasons for not restraining the child or young person by a less restrictive method.”89 MAXIMUM TIME Young people under age 16 years cannot be kept in secure isolation any longer than an aggregate of eight hours in a given 24-hour period or a maximum of 24 hours in a given week. Youth 16 years and older can be kept longer: 72 continuous hours or a cumulative period of up to 72 hours within a seven-day period. An extension beyond 72 hours may be approved by the provincial director if there are reasonable and probable grounds to believe that the young person’s continued placement in secure isolation is necessary for the safety of staff or young persons in the facility. OBSERVATION Young people under age 16 years must be continuously observed by a responsible person. Youth 16 years and older are exempt from being continuously observed, but must be observed at regular intervals taking into consideration the needs of the young person. At a minimum, youth 16 years and older must be observed every 15 minutes and the observations must be recorded. REVIEW “Where a child or young person is kept in a secure isolation room for more than one hour, the person in charge of the premises shall review the child’s or young person’s isolation at prescribed intervals.”90 For children under age 16 years who are kept in secure isolation for more than one hour, the continued need for secure isolation must be reviewed at least every 30 minutes by the person in charge of the premises. For youth 16 years and older who are kept in secure isolation for more than one hour, the continued need for secure isolation must be reviewed at least every two hours by the person in charge of the premises. RELEASE FOR YOUTH UNDER 16 YEARS: “A child or young person who is placed in a secure isolation room shall be released as soon as the person in charge is IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES WHAT ARE THE RULES ABOUT SECURE ISOLATION? satisfied that the child or young person is not likely to cause serious property damage or serious bodily harm in the immediate future.”91 WHAT ONTARIO LEGISLATION DOES NOT SAY Apart from prohibiting the use of secure isolation unless it occurs in secure treatment programs or within designated secure custody/secure temporary detention premises and specifying “criteria for use” (see preceding discussion), the CFSA does not actually define secure isolation. Although this lack of detail may seem unimportant, it actually epitomizes the CFSA’s overall lack of clarity. For example, previous 1997 policy (when the YOA was implemented by Ontario’s Ministry of the Solicitor General and Correctional Services), defined secure isolation as a “crisis management” tool and stated that it could only be used as a “last resort.” The CFSA today does not contain this defining context or language. The CFSA does state the kinds of behaviour that could warrant secure isolation, but by not clarifying its purpose, it does not specifically prohibit using secure isolation as a punishment. It does say that no service provider shall allow the use of harsh or degrading measures to humiliate residents or undermine their self-respect.92 What are those measures? Would secure isolation, especially when used for extended periods or in demeaning ways, be considered harsh and humiliating? The CFSA is silent on this. HOW ARE YOUTH SAFEGUARDED IN ONTARIO’S SECURE ISOLATION UNITS? When it comes to secure isolation, the CFSA articulates criteria for use, maximum time periods, and observation and review requirements. As well, the Youth Justice Services Manual specifies that a series of forms must be completed by “the person in charge” when a youth is placed in secure isolation. Importantly, time extensions must be approved in writing along with the reasons for not using a less restrictive method by increasing levels of management up to “facility director/youth centre administrator” with final approval coming from the Regional Director. Additionally, the Youth Justice Services Manual directs that procedures must be established to ensure a parent or guardian (including a Children’s Aid Society if appropriate) is notified if a youth is placed in secure isolation. Taken together, these standards and corresponding procedures are intended to safeguard the rights and well-being of young people because they prescribe what youth justice facilities can and cannot do when it comes to holding youth in secure isolation. The CFSA also specifies that young people have a right to be informed of procedures to express their own concerns or complaints about their care in general: Concerns or Complaints (CFSA Reg 70, s 83) Upon admission, young persons in care have the right to be informed of the procedures that exist to express concerns At the same time, although the CFSA specifies the rights of children and youth while in care (as well as prohibiting the deprivation of a resident’s basic needs including food, shelter, clothing, or bedding), it does not specifically reiterate those rights under its section on secure isolation. This means that there could be confusion about whether all or some of a child’s rights extend to their placements in secure isolation. or complaints, including Internal Complaint and Review Procedures (CFSA s 109–110); the Custody Review Board (CFSA s 96); the Ombudsman; and the Office of the Provincial Advocate for Children and Youth. According to the manual, the options available to youth split across two general avenues: Internal Complaints Processes (Section 4.3) Furthermore, although stating that individual youth justice facilities are required to produce a set of policies and procedures for the use of secure isolation, the CFSA does not require individual facility policies to reflect a consistent provincially regulated approach. It states only that: “Every service provider shall develop and maintain written policies and procedures with respect to the use of a secure isolation room in premises of the provider where it is proposed to place children or young persons in secure isolation.”93 This too may lead to variations in policies and procedures among individual facilities, resulting in young people’s experiences of secure isolation varying from one facility to the next. A young person shall have access to an internal complaint mechanism if they have a problem, concern, or believe their rights may have been violated. A young person must not experience reprisals or duress as a result of a decision to access an internal complaint mechanism. External Complaints Processes (Section 4.4) A young person, or the young person’s parent/guardian, has a number of external complaint mechanisms available if OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 55 WHAT ARE THE RULES ABOUT SECURE ISOLATION? they have a problem, concern, or believe their rights may have been violated. To make a complaint with respect to the alleged violation of their rights or a service difficulty at the secure custody/detention facility, a young person or the young person’s parent/guardian can access the following: • Office of the Provincial Advocate for Children • Office of the Ombudsman Ontario • • • • and Youth a lawyer the Minister of Children and Youth Services THE CFSA ALSO SPECIFIES THAT YOUNG PEOPLE HAVE A RIGHT TO BE INFORMED OF PROCEDURES TO EXPRESS THEIR OWN CONCERNS OR COMPLAINTS ABOUT THEIR CARE the Ontario Human Rights Commission any member of a federal or provincial parliament or any government minister. A young person has the right to receive visits from and speak in private with any of the above parties.94 Along with another external process (4.6):95 The Custody Review Board, as described under the Child and Family Services Act (CFSA) s. 96 has a specific mandate to hear applications from young people on the following issues: • the particular place where the young person is held, or • a Provincial Director’s refusal to authorize a • has been transferred to reintegration leave a young person’s transfer from a place of open custody to a place of secure custody pursuant to the Young Offenders Act, s 24.2(9), in accordance with the • Youth Criminal Justice Act, s88 At present, the Custody Review Board has no authority to review the placement of a young person in secure isolation. Furthermore, although the CFSA contemplates the creation of a Professional Advisory Board composed of physicians and other professionals who are not employed by MCYS to, among other things, “review the practices and procedures of service providers with respect to…secure isolation…”96 This type of professional and external oversight body has never been established by MCYS. Although it would appear that the CFSA provides young people in the care of government services with a number of means to express concerns or make complaints about their care, it is not clear to what extent these means are available to young people placed in secure isolation.97 The Youth Justice Services Manual does specify that as soon as “practicable” young people placed in secure isolation are 56 to be advised of their right to “contact the Provincial Advocate for Children and Youth” and “express views respecting secure isolation including complaints and concerns,” yet reports that young people in secure isolation have been denied access to the Advocate’s Office have been noted earlier in this report. When a young person resides in foster care, attends school, or is involved in community activities, that young person has a number of ways (e.g., phone, email, in-person) to reach out for help and access a number of people (e.g., community professionals, family, friends) who can provide that help. When a young person is being held in detention, that list shrinks dramatically and when that same young person is placed in secure isolation, that list is reduced to one—the guard on the other side of the door. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES MON 2:16 PM “THEY TOLD ME I WOULD BE HERE FOR AN HOUR BUT I WAS THERE FOR ALMOST 5 DAYS.” – ANONYMOUS YOUTH SECTION 6. CONCLUSIONS Largely, this report documents the functions and conditions of the room that is secure isolation. We understand now how often it is used in Ontario and for how long. We have some understanding from young people that they find the experience in secure isolation to be degrading, dehumanizing, and punishing. The Advocate’s Office has previously documented similar findings in a review of one of the facilities in this study. What we do not know from these data is about the young people themselves, their individual reactions to secure isolation, or the factors that led to them being placed there. Although most of the descriptors provided for the reason for use are consistent with the legislation, the use of stock phrases and vague statements shed little light on the antecedents for the youth of such an intrusive measure. There are many limitations to the data used in this study. The data are redacted and, as a result, this made the secure isolation log data less reliable in terms of the ability to track situations over specific time periods. The secure isolation data about age, date, length, and reason for placement provides the most confidence for a complete data set. However, we have no way of determining beyond professional trust of the source if this is a full accounting of how often secure isolation is used. We have no way of tracking from these data, whether the same youth is repeatedly placed, or if each entry represents a different youth. In fact, we have been told that young people can be recorded as being discharged from secure isolation for the purpose of going to court and then re-admitted as a separate placement upon return from court. Therefore, we still have insufficient understanding of the frequency or actual length of use in situations of repeated placements. This indicates a need for more robust and accessible data to be confident about the extent of prolonged use. 58 Youth interview data provided temporal, first person witness to current practices. Reviews previously published by the Advocate’s Office serve as a mechanism to validate their voices. There is a disproportionate number of black and aboriginal youth in criminal justice settings as well as a higher rate of young people with mental health concerns.98 We do not have enough information to determine how often these populations are placed in secure isolation. Clearly more study is needed and much more information must be gathered. This review points to concerns similar to those raised in the Auditor General’s Report in 2012.99 The Auditor General found that 90% of placements in secure isolation occurred in youth justice facilities directly operated by MCYS. Our analysis observed a decrease in use by directly operated facilities to 80% in 2013 and 63% in 2014 when compared to use by facilities operated by transfer payment agencies. The Auditor General, in their report, explored whether the higher use of secure isolation related to the placement of more young people with suspected gang involvement in MCYS operated facilities. Their review found no real difference in placement of young people with suspected gang ties in either directly operated or transfer payment agencies. While we have no data about the involvement of young people in gangs or their charges, we have no reason to believe that these young people would be any different than those described by the Auditor General. The strength of this study is the triangulation of several sources: secure isolation counts, unit logs, interviews, and findings from existing research. This provides a “face validity” that gives us confidence about the reliability of the data sources we used in this report. The descriptive statistics IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES CONCLUSIONS "DON’T SEE HOW IT COULD HELP YOU. SITTING ALL DAY LOOKING AT THE WALL JUST MAKES YOU ANGRY AND YOU’RE SITTING ON A CONCRETE SLAB." –ANONYMOUS YOUTH from data obtained from the Ministry provide an official record of the length and frequency of use of secure isolation in Ontario during these time periods. These data provide sufficient evidence to raise concern over the practices of secure isolation of youth within Ontario institutions. The evidence also raises more questions than answers. We have no data to shed light on the cumulative risk to young people due to repeated use. Although there are suggestions of mental health deterioration, we do not know how often such crises occurred during placement. It is recognized that young people’s brains continue to develop into their mid-twenties. Indeed, the protections of a youth criminal justice system reflect an international acceptance of the immature brain of the adolescent. Considered a critical time period for mental health, adolescence is a stage marked by vulnerability. Substantial evidence from the research on the use of secure isolation with adults documents the harmful effects of prolonged isolation. The consequences of any use of secure isolation with young people is not well understood and, given that this is a period of critical brain development, the use of secure isolation with adolescents presents considerable risk. Such an intrusive and risky intervention must only be used with heightened safeguards. Although the data demonstrate a steady trend toward less use across the province, we note that a few facilities demonstrated high use and, in one case, use increased year over year. There is also a noticeable decrease in the use of secure isolation by the Ministry-operated secure custody/detention facilities in the two-year period following the report of the Auditor General’s findings in 2012. Finally, it is encouraging to note that in more than 75% of the instances in which secure isolation was used in Ontario’s youth justice facilities, it was used for periods of less than 24 hours. It is the role of the Advocate, however, to speak to the rights and needs of young people in vulnerable situations and to point out situations where rights and needs are not met. The data we reviewed documents the prolonged use of secure isolation for some youth. In fact, in 2014 there were 164 placements in secure isolation that lasted beyond 24 hours. Of these, 38 placements lasted beyond 72 hours and 13 placements lasted more than five days. We note with concern a trend toward use of secure isolation with youth at younger ages from 2013 to 2014. We found that in 2013 youth aged 12 to 15 years accounted for 18% of use, whereas 27% of the secure isolation placements were for youth aged 15 years and younger in 2014. There is inconsistent practice across facilities and wide variability in the frequency and length of use among facilities. There is a clear pattern whereby some facilities frequently use secure isolation at high rates for long periods of time, whereas others use it infrequently and for much shorter periods. The review of the “reason for placement” data raised concerns about the mental health needs of young people placed in secure isolation. This is a finding that was echoed by youth when recounting their own experiences during the interviews with the advocates. Youth made comments such as “I felt like going crazy,” “It feels like you are not you,” and “It turns you into crazy, mad, angry people.” It is clear from the information we have gathered that there is a need for greater vigilance regarding secure isolation in Ontario. In particular, more attention must be paid to the environmental conditions and the subjective experiences of young people when this type of intrusive measure is employed. The existing review mechanisms and the absence of appeal processes result in inadequate oversight of this practice. Given the known risks of solitary confinement, the need for enhanced safeguards is apparent. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 59 MON 8:48 PM “NOBODY EVER TALKS TO YOU. THEY DON’T TELL YOU ANYTHING, YOU JUST SIT THERE.” – ANONYMOUS YOUTH SECTION 7. RECOMMENDATIONS RECOMMENDATION 1 RECOMMENDATION 4 The Ontario Government should amend the Child and Family Services Act to prohibit the placement of a young person in secure isolation for a period that exceeds 24 hours without exception. The Provincial Advocate for Children and Youth should be notified anytime a young person is placed in secure isolation for reasons related to mental health. RECOMMENDATION 2 RECOMMENDATION 5 At a minimum, the Provincial Advocate for Children and Youth should be notified by the Ministry of Children and Youth Services of any young person placed in secure isolation for a period beyond 24 hours and the name of the facility. The Ministry of Children and Youth Services should review the conditions of confinement in each youth justice facility and develop consistent standards. RECOMMENDATION 3 The Custody Review Board should be empowered to hear appeals from any young person whose placement in secure isolation extends beyond 24 hours and be given the authority to order the release of a young person from secure isolation. RECOMMENDATION 6 The Ministry of Children and Youth Services should put a process in place that tracks the use of secure isolation in youth justice facilities by: frequency of use; actual length of time in isolation; repeated placements by the same youth; gender; race; and culture. Annual benchmarks should be developed and the results reported annually on the Ministry’s website. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 61 APPENDIX I: RAW DATA 1. NUMBER OF PLACEMENTS IN SECURE ISOLATION PER FACILITY FACILITY ARRELL 2009 2013 2014 NOTES 3 2 BLUEWATER 35 — BROOKSIDE 234 70 73 — CECIL FACER 183 51 37 — CRAIGWOOD 1 0 1 — DONALD DOUCETTE 7 10 4 — GE-DA-GI BINEZ 3 0 1 — JJ KELSO 2 2 0 — J. RONALD LESTER 30 3 1 — KENNEDY HOUSE 14 4 27 — M GENEST 5 0 2 — NEAR NORTH 2 5 11 — PENINSULA 0 1 0 — PINEGAR 0 3 6 — PORTAGE 2 2 0 — RAY OF HOPE 6 0 2 — 267* 242 115 97 48 — SUNDANCE 33 7 47 — SYL APPS 40 43 108 — WILLIAM HAY 39 50 43 — 1021 592 701 — ROY MCMURTRY* SPRUCEDALE TOTAL 62 12 — — CLOSED BEFORE 2013 278 DATA FOR A 9-MONTH PERIOD IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 2. AVERAGE (RANGE OF USE) MINUTES OF SECURE ISOLATION USE BY FACILITY 2009 FACILITY ARRELL AVERAGE 2013 LOWEST HIGHEST AVERAGE 2014 LOWEST HIGHEST AVERAGE LOWEST HIGHEST 33 15 65 35 25 45 31 10 62 BLUEWATER* 2411 43 18498 — — — — — — BROOKSIDE 560 48 10130 2162 5 18540 1073 6 5760 1253 15 7240 642 15 5315 873 50 3855 28 28 28 0 0 0 175 175 175 416 49 987 228 69 386 1253 122 4270 GE-DA-GIBINEZ 34 4 101 0 0 0 25 25 25 JJKELSO 80 11 150 100 95 105 0 0 0 J. RONALD LESTER 359 22 1578 82 10 135 97 97 97 KENNEDY HOUSE 116 2 242 37 7 59 23 1 81 M GENEST 194 17 545 0 0 0 155 127 182 NEAR NORTH 80 75 85 115 83 160 114 47 240 PENINSULA 0 0 0 143 143 143 0 0 0 PINEGAR 0 0 0 135 34 310 778 147 2087 PORTAGE 40 39 40 53 20 86 0 0 0 RAY OF HOPE 70 27 145 0 0 0 455 245 665 ROY MCMURTRY 1476 7 15093 1894 13 21622 2114 10 15671 SPRUCEDALE 3353 65 24170 2547 43 23655 2214 100 7535 SUNDANCE 85 20 270 103 17 285 86 2 198 SYLAPPS 115 3 546 77 6 337 74 4 325 52 7 170 101 3 650 128 2 1750 577 — — 423 — — 483 — — 9:37 — — 7:03 — — 8:03 — — CECIL FACER CRAIGWOOD DONALD DOUCETTE WILLIAM HAY AVERAGE(MINUTES) AVERAGE(HOURS) * BLUEWATER CLOSED BEFORE 2013 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 63 APPENDIX I: RAW DATA 3. AVERAGE NUMBER OF YOUTH PER MONTH AT EACH FACILITY FACILITY 2013 ARRELL 2014 11 10 BLUEWATER* 0 0 BROOKSIDE 16 12 CECIL FACER 18 12 CRAIGWOOD 3 3 DONALD DOUCETTE 7 5 GE-DA-GI BINEZ 9 6 JJ KELSO 4 2 11 12 KENNEDY HOUSE 7 6 M GENEST 8 6 NEAR NORTH 4 3 PENINSULA 10 6 PINEGAR 3 4 PORTAGE 3 2 RAY OF HOPE 15 10 ROY MCMURTRY 78 64 SPRUCEDALE 27 18 SUNDANCE 3 4 SYL APPS 23 23 WILLIAM HAY 23 19 JUSTICE RONALD LESTER * BLUEWATER CLOSED BEFORE 2013 64 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 4. NUMBER OF YOUTH AGED 12 TO 21 YEARS IN SECURE ISOLATION IN 2013 AND 2014 AGE (YEARS) 12 2013 0 13 22 56 111 241 232 49 16 109 18 112 17 19 1 1 14 15 2014 52 126 121 23 20 14 0 21 21 0 TOTAL 1 592* 701 *ONE AGE WAS UNKNOWN 5. USE OF SECURE ISOLATION FOR MORE THAN EIGHT HOURS FOR YOUTH YOUNGER THAN 16 YEARS OF AGE IN 2014 FACILITY PINEGAR ROY MCMURTRY YOUTH, # 1 1 MINUTES TIME 650 1191 HOURS 11 20 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 65 APPENDIX I: RAW DATA 6. USE OF SECURE ISOLATION FOR YOUTH UNDER 16 YEARS IN 2013 AND 2014 2013, AGE 12 YEARS FACILITY AVERAGE MINUTES NUMBER LOWEST MINUTES 2013 AGE 13 YEARS HIGHEST MINUTES AVERAGE MINUTES NUMBER LOWEST MINUTES HIGHEST MINUTES ARRELL 0 0 0 0 0 0 0 0 BROOKSIDE 0 0 0 0 0 0 0 0 CECIL FACER 0 0 0 0 0 0 0 0 DONALD DOUCETTE 0 0 0 0 0 0 0 0 GE-DA-GI BINEZ 0 0 0 0 0 0 0 0 KENNEDY HOUSE 0 0 0 0 0 0 0 0 NEAR NORTH 0 0 0 0 0 0 0 0 PINEGAR 0 0 0 0 0 0 0 0 ROY MCMURTRY 0 0 0 0 0 0 0 0 SPRUCEDALE 0 0 0 0 1 58 58 58 SUNDANCE 0 0 0 0 0 0 0 0 SYL APPS 0 0 0 0 0 0 0 0 WILLIAM HAY 0 0 0 0 0 0 0 0 TOTAL 0 — — — 1 — — — 2014, AGE 12 YEARS FACILITY AVERAGE MINUTES NUMBER LOWEST MINUTES 2014, AGE 13 YEARS HIGHEST MINUTES AVERAGE MINUTES NUMBER LOWEST MINUTES HIGHEST MINUTES ARRELL 1 22 22 22 11 32 10 61 BROOKSIDE 0 0 0 0 0 0 0 0 CECIL FACER 0 0 0 0 0 0 0 0 DONALD DOUCETTE 0 0 0 0 0 0 0 0 GE-DA-GI BINEZ 0 0 0 0 0 0 0 0 KENNEDY HOUSE 0 0 0 0 0 0 0 0 NEAR NORTH 0 0 0 0 1 54 54 54 PINEGAR 0 0 0 0 0 0 0 0 ROY MCMURTRY 0 0 0 0 1 42 42 42 SPRUCEDALE 0 0 0 0 0 0 0 0 SUNDANCE 0 0 0 0 0 0 0 0 SYL APPS 0 0 0 0 8 36 12 81 WILLIAM HAY 0 0 0 0 1 40 40 40 TOTAL 1 — — — 22 — — — 66 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 2013 AGE 14 YEARS 2013 AGE 15 YEARS AVERAGE MINUTES NUMBER LOWEST MINUTES HIGHEST MINUTES AVERAGE MINUTES NUMBER LOWEST MINUTES HIGHEST MINUTES FACILITY 0 0 0 0 2 35 25 0 0 0 0 1 215 215 1 145 145 145 20 206 45 3 340 300 386 2 230 149 0 0 0 0 0 0 0 0 GE-DA-GI BINEZ 1 7 7 7 0 0 0 0 KENNEDY HOUSE 4 117 83 160 — — — — NEAR NORTH 1 310 310 310 1 34 34 17 208 110 479 12 231 70 10 257 43 440 8 251 147 395 SPRUCEDALE 0 0 0 0 2 49 17 81 SUNDANCE 10 46 10 83 2 96 45 147 SYL APPS 2 109 96 122 6 87 35 252 WILLIAM HAY 49 — — — 56 — — 2014, AGE 14 YEARS AVERAGE MINUTES NUMBER LOWEST MINUTES 45 ARRELL 215 BROOKSIDE 320 CECIL FACER 311 DONALD DOUCETTE 34 PINEGAR 467 ROY MCMURTRY — TOTAL 2014, AGE 15 YEARS HIGHEST MINUTES AVERAGE MINUTES NUMBER LOWEST MINUTES HIGHEST MINUTES FACILITY 0 0 0 0 0 0 0 0 ARRELL 1 46 46 46 0 0 0 0 BROOKSIDE 0 0 0 0 2 130 85 175 CECIL FACER 0 0 0 0 1 146 146 1 25 25 25 0 0 0 1 2 2 2 11 17 1 1 100 100 100 6 115 58 0 0 0 0 1 650 650 3 140 86 188 25 223 10 1191 ROY MCMURTRY 3 412 315 468 8 295 100 405 SPRUCEDALE 28 69 2 198 15 99 53 190 SUNDANCE 8 73 20 149 39 62 4 215 SYL APPS 6 88 2 175 3 49 26 52 — — — 111 — — 146 DONALD DOUCETTE 0 GE-DA-GI BINEZ 45 KENNEDY HOUSE 240 NEAR NORTH 650 PINEGAR 90 WILLIAM HAY — TOTAL OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 67 APPENDIX I: RAW DATA 7. SECURE ISOLATION USE FOR MORE THAN 24 HOURS BY FACILITY FACILITY 2009 BLUEWATER 2013 2014 NOTES 85 — — CLOSED BEFORE 2013 PINEGAR 0 0 1 — DONALD DOUCETTE 0 0 1 — JUSTICE RONALD LESTER 2 0 0 — BROOKSIDE 19 22 14 — CECIL FACER 45 6 3 — WILLIAM HAY 0 0 1 — SPRUCEDALE 81 47 29 — ROY MCMURTRY 83* 79 TOTAL 315 154 115 *DATA FOR A 9-MONTH PERIOD 164 — 8. SECURE ISOLATION USE BETWEEN 24 AND 71 HOURS BY FACILITY FACILITY BLUEWATER 2009 2013 2014 NOTES 50 — — CLOSED BEFORE 2013 PINEGAR 0 0 1 — DONALD DOUCETTE 0 0 1 — JUSTICE RONALD LESTER 2 0 0 — BROOKSIDE 17 14 12 — CECIL FACER 36 5 3 — WILLIAM HAY 0 0 1 — SPRUCEDALE 54 38 25 — ROY MCMURTRY 70* 56 83 *DATA FOR A 9-MONTH PERIOD TOTAL 229 113 68 126 — IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 9A. NUMBER OF PLACEMENTS WITHIN SECURE ISOLATION LASTING LONGER THAN 72 HOURS BY FACILITY FACILITY 2009 2013 2014 NOTES BLUEWATER 35 — — CLOSED BEFORE 2013 BROOKSIDE 2 8 2 — CECIL FACER 9 1 0 — SPRUCEDALE 27 9 4 — 13* 23 32 *DATA FOR A 9-MONTH PERIOD 86 41 38 — ROY MCMURTRY TOTAL 9. NUMBER OF PLACEMENTS IN SECURE ISOLATION LASTING FIVE DAYS OR LONGER BY FACILITY IN 2009 2013 2014 2009 FACILITY 5–9 DAYS 2013 10–14 DAYS 15+ DAYS 5–9 DAYS 2014 10–14 DAYS 15+ DAYS 5–9 DAYS 10–14 DAYS 15+ DAYS BLUEWATER 5 3 0 — — — — — — BROOKSIDE 2 0 0 5 2 0 0 0 0 CECIL FACER 2 0 0 0 0 0 0 0 0 SPRUCEDALE 7 0 1 2 1 1 1 0 0 ROY MCMURTRY 4* 1* 0* 6 2 1 10 2 0 TOTAL 20 4 1 13 5 2 11 2 0 *DATA FOR A 9-MONTH PERIOD OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 69 APPENDIX I: RAW DATA 10A-C. HIGH USE FACILITIES (≥100 PLACEMENTS IN SECURE ISOLATION) 2009 2013 2014 FACILITY 2009 2013 2014 NOTES BROOKSIDE 234 — — — CECIL FACER 183 — — — SPRUCEDALE 115 — — — — — 108 — 267* 242 SYL APPS ROY MCMURTRY 278 *DATA FOR A 9-MONTH PERIOD 10D-F. MEDIUM USE FACILITIES (30 TO 99 PLACEMENTS IN SECURE ISOLATION) IN 2009 2013 2014 FACILITY 2009 2013 2014 NOTES BLUEWATER 35 — SUNDANCE 33 — 47 — JUSTICE RONALD LESTER 30 — — — BROOKSIDE — 70 73 — CECIL FACER — 51 37 — WILLIAM HAY 39 50 43 — SPRUCEDALE — 97 48 — 40 43 — — SYL APPS 70 — CLOSED BEFORE 2013 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 10G-I. LOW USE FACILITIES (0–29 PLACEMENTS IN SECURE ISOLATION) IN 2009 2013 2014 FACILITY 2009 2013 2014 PORTAGE 2 2 0 CRAIGWOOD 1 0 1 JJ KELSO 2 2 0 NEAR NORTH 2 5 11 PINEGAR 0 3 6 SUNDANCE — 7 — DONALD DOUCETTE 7 10 4 14 4 27 M GENEST 5 0 2 GE-DA-GI BINEZ 3 0 1 PENINSULA 0 1 0 ARRELL 3 2 12 3 1 0 2 KENNEDY HOUSE JUSTICE RONALD LESTER RAY OF HOPE 6 10J-L FACILITIES WITH HIGH AVERAGE MINUTES PER USE (≥1000 MINUTES_≥16 HOURS) IN 2009 2013 2014 2009 FACILITY BLUEWATER 2009 MINUTES 2013 2009 HOURS 2013 MINUTES 2014 2013 HOURS 2014 MINUTES NOTES 2014 HOURS 2411 40 — — — DONALD DOUCETTE — — — — 1253 21 — BROOKSIDE — — 2162 36 1073 18 — CECIL FACER 1253 21 — — — — — SPRUCEDALE 3353 56 2547 42 2214 37 — 1476* 25* 1894 32 2114 35 *DATA FOR A 9-MONTH PERIOD ROY MCMURTRY — CLOSED BEFORE 2013 OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 71 APPENDIX I: RAW DATA 10M-O. FACILITIES WITH MEDIUM AVERAGE MINUTES PER USE (100–999 MINUTES) IN 2009 2013 2014 2009 FACILITY 2009 MINUTES 2013 2009 HOURS 2013 MINUTES 2014 2013 HOURS 2014 MINUTES 2014 HOURS CRAIGWOOD — — — — 175 3 JJ KELSO — — 100 1.5 — — NEAR NORTH — — 115 2 114 2 PINEGAR — — 135 2 778 13 SUNDANCE — — 103 1.5 — — DONALD DOUCETTE 416 7 228 4 — — KENNEDY HOUSE 116 2 — — — — M GENEST 194 3 — — 155 2.5 — — 143 2 — — 359 6 — — — — — — — — 455 8 560 9 — — — — CECIL FACER — — 642 11 873 15 WILLIAM HAY — — 101 1.5 128 2 115 2 — — — — PENINSULA JUSTICE RONALD LESTER RAY OF HOPE BROOKSIDE SYL APPS 10P-R. FACILITIES WITH LOW AVERAGE MINUTES PER USE (_99 MINUTES) IN 2009 2013 2014 FACILITY 2009 MINUTES 2013 MINUTES 2014 MINUTES PORTAGE 40 53 — CRAIGWOOD 28 — — JJ KELSO 80 — — NEAR NORTH 80 — — SUNDANCE 85 — 86 KENNEDY HOUSE — 37 23 GE-DA-GI BINEZ 34 — 25 ARRELL 33 35 31 — 82 97 RAY OF HOPE 70 — — WILLIAM HAY 52 — — — 77 74 JUSTICE RONALD LESTER SYL APPS 72 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES APPENDIX I: RAW DATA 11. NUMBER OF YOUTH CONTACTED AND REPORTING PLACEMENT IN SECURE ISOLATION PER FACILITY FACILITY BLUEWATER YOUTH CENTRE* NUMBER OF YOUTH CONTACTED AT FACILITY NUMBER OF YOUTH REPORTING PLACEMENT IN SECURE ISOLATION AND COMPLETING INTERVIEW NOTES 42 20 — PORTAGE YOUTH CENTRE 3 0 — CRAIGWOOD YOUTH SERVICES (WOODVIEW UNIT) 6 0 — JJ KELSO CENTRE 8 0 — NEAR NORTH 6 0 — PINEGAR 6 1 — SUNDANCE 3 1 — DONALD DOUCET YOUTH CENTRE* 12 0 — KENNEDY HOUSE YOUTH SERVICES 8 2 — MAURICE H. GENEST DETENTION CENTRE FOR YOUTH 10 5 — GE-DA-GI BINEZ 12 1 — PENINSULA YOUTH CENTRE 19 2 — ARRELL YOUTH CENTRE 12 1 — JUSTICE RONALD LESTER YOUTH CENTRE* 9 5 — RAY OF HOPE (HOPE MANOR) 9 2 — BROOKSIDE YOUTH CENTRE* 40 19 — CECIL FACER YOUTH CENTRE* 21 17 — WILLIAM E. HAY CENTRE 28 7 — SPRUCEDALE YOUTH CENTRE* 29 18 — SYL APPS YOUTH CENTRE 29 10 — ROY MCMURTRY YOUTH CENTRE* 85 31 — STERLING B. CAMPBELL HOUSE — — CLOSED SEPTEMBER 2009 YORK DETENTION CENTRE — — CLOSED SEPTEMBER 2009 TOTAL 397 142 — *THESE FACILITIES ARE DIRECTLY OPERATED BY THE MINISTRY OF CHILDREN AND YOUTH SERVICES. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 73 REFERENCES 1 Law Commission of Canada. Restoring Dignity: Responding to Child Abuse in Canadian Institutions. Ottawa (ON): Minister of Public Works and Government Services; 2000. units. International Journal of Offender Therapy and Comparative Criminology. Dec 2008;52(6):622-640. 13 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156. 14 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156 2 Ministry of Children and Youth Services, Ontario. Subject 9.1: Requirements for use of a secure isolation room. In: Youth Justice Services Manual-Custody/ Detention Facilities. Place (ON): April 1, 2009. 15 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156 3 Child and Family Services Act, RSO 1990, c C-11, s 126(3)(a)(ii). 16 Adams K. Adjusting to prison life. Crime and Justice. 1992;16:275-239. 4 Child and Family Services Act, RSO 1990, c C-11, s 127(7). 17 Shalev S. A Sourcebook on Solitary Confinement. London: Mannheim Centre for Criminology; 2008. 5 Child and Family Services Act, RSO 1990, c C-11, s 126(8). 18 Jackson M. The psychological effects of administrative segregation. Canadian Journal of Criminology and Criminal Justice. 2001;43(1):109-116. 6 Child and Family Services Act, RRO 1990, Reg 70, s 48.1 7 Nowak, Manfred. Torture and Other Cruel Inhuman Treatment or Punishment Submitted to the UN General Assembly 63rd Session A/63/175 8 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268. 9 Kelsall D. Cruel and unusual punishment: solitary confinement in Canadian prisons. Canadian Medical Association Journal. December 9, 2014; 186(18):1345. 10 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156 11 Clements C, Althouse R, Ax R, Magaletta P, Fagan T, Wormith J. Systemic issues and correctional outcomes. Criminal Justice and Behavior. 2007;34 (7):919-932 12 Arrigo B, Bullock J. The psychological effects of solitary confinement on prisoners in supermax 74 19 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156 20 Metzner JL, Fellner J. Solitary confinement and mental illness in US prisons: a challenge for medical ethics. Journal of the American Academy for Psychiatry and Law. 2010;38:104-8 21 Cesaroni C, Peterson-Badali M. Understanding the adjustment of incarcerated young offenders: a Canadian example. Youth Justice. 2010;10(2):251-277 22 McShane, M.D. and Williams, F.P. The Prison adjustment of juvenile offenders. Crime and Delinquency. 1989; 35 (2); 254-269 23 Gover AR, MacKenzie KL, Armstrong CS. Importation and deprivation explanations of juveniles’ adjustment to correctional facilities. International Journal of Offender Therapy and Comparative Criminology. 2000;44:450-467. 24 Cohen F. Penal isolation: beyond the seriously mentally ill. Criminal Justice and Behavior. 2008;35(8):1017-1047. IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES REFERENCES 25 Quinn A, Shera W. Evidence-based practice in group work with incarcerated youth. International Journal of Law and Psychiatry. 2009;32(5):288-293 26 Cohen F. Penal isolation: beyond the seriously mentally ill. Criminal Justice and Behavior. 2008;35(8):1017-1047. 27 Arnett, J. Emerging adulthood: The winding road from late teens through the twenties. Oxford University Press. 2004 28 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268. 29 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268. 37 31. United Nations Rules for the Protection of Juveniles Deprived of their Liberty. Vienna: United Nations; December 14, 1990. Item No.: 45/113 of 68th plenary meeting of United Nations General Assembly. Report No.: A/RES/45/113. 38 Office of the High Commissioner for Human Rights. General Comment 20: Replaces general comment 7 concerning prohibition of torture and cruel treatment or punishment. Geneva: Office of the United Nations High Commissioner for Human Rights; 1992. 39 International Covenant on Civil and Political Rights 1966 A/63/16 40 United Nations Convention on the Rights of the Child (1989) A/44/49 41 United Nations Convention on the Rights of the Child Committee on the Rights of the Child. Concluding observations on the combined third and fourth periodic reports of Luxembourg, adopted by the Committee at its sixty-fourth session (16 September–4 October 2013). Vienna: United Nations; October 29, 2013. Report No.: CRC/C/LUX/CO/3-4. 30 Browne A, Cambier A, Agha S. Prisons within prisons: the use of segregation in the United States. Federal Sentencing Reporter. October 2011;24(1):46-49. 42 United Nations Convention on the Rights of the Child (1989) A/44/49 31 Browne A, Cambier A, Agha S. Prisons within prisons: the use of segregation in the United States. Federal Sentencing Reporter. October 2011;24(1):46-49. 43 The Istanbul statement on the use and effects of solitary confinement. http://solitaryconfinement.org/ uploads/Istanbul_expert_statement_on_sc.pdf 32 Browne A, Cambier A, Agha S. Prisons within prisons: the use of segregation in the United States. Federal Sentencing Reporter. October 2011;24(1):46-49. 44 U N General Assembly, Torture and other cruel, inhuman or degrading treatment or punishment : note / by the Secretary-General; 28 July 2008. Report No.: A/63/175. 33 Kupers T. What to do with the survivors? Criminal Justice and Behavior. 2008; 35(8):1005-1016. 34 Cohen F. Penal isolation: beyond the seriously mentally ill. Criminal Justice and Behavior. 2008;35(8):1017-1047. 45 The Istanbul statement on the use and effects of solitary confinement. http://solitaryconfinement.org/ uploads/Istanbul_expert_statement_on_sc.pdf 35 Smith PS. The effects of solitary confinement on prison inmates: a brief history and review of the literature. Crime and Justice. 2006;34:441. 46 U N General Assembly, Torture and other cruel, inhuman or degrading treatment or punishment : note / by the Secretary-General; 28 July 2008. Report No.: A/63/175. 36 Smith PS. The effects of solitary confinement on prison inmates: a brief history and review of the literature. Crime and Justice. 2006;34:441. 47 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 75 REFERENCES 48 Smith PS. The effects of solitary confinement on prison inmates: a brief history and review of the literature. Crime and Justice. 2006;34:441 49 Arrigo B, Bullock J. The psychological effects of solitary confinement on prisoners in supermax units. International Journal of Offender Therapy and Comparative Criminology. Dec 2008;52(6):622-640. 50 Grassian S, Friedman N. Effects of sensory deprivation in psychiatric seclusion and solitary confinement. International Journal of Law and Psychiatry. 1986;8(1):49-65. 51 Hodgins S, Cote G. The mental health of penitentiary offenders in isolation. Canadian Journal of Criminology. 1991;33:175-182. 52 Simkins S, Beyer M, Geis LM, The harmful use of isolation in juvenile facilities: the need for postdisposition representation. Washington University Journal of Law and Policy. 2012;38:241. 53 Haney C. Mental health issues in long-term segregation and “supermax” confinement. Crime and Delinquency. January 2003;49(1):124-156 54 Human Rights Watch 2012. Growing up locked down: Youth in solitary confinement in jails and prisons across the United States. American Civil Liberties Union. ISBN 1-56432-949-6. 55 Juvenile Justice Reform Committee of the American Academy of Child and Adolescent Psychiatry policy statement. April 2012 56 Metzner JL, Fellner J. Solitary confinement and mental illness in US prisons: a challenge for medical ethics. Journal of the American Academy for Psychiatry and Law. 2010;38:104-8. 59 Convention against Torture and Other Cruel, Inhuman or Degrading Punishment 1984 A/Res/39/46. 60 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268. 61 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268 62 Statement of High Commissioner for Human Rights to the 22nd session of Human Rights Council, 25 February 2013 63 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268 64 Statement of High Commissioner for Human Rights to the 22nd session of Human Rights Council, 25 February 2013 65 Mendez J. Torture and other cruel, inhuman or degrading treatment or punishment: note by the Secretary-General. Vienna: United Nations; Aug 2013. Item No.: 69(a) of 68th session of United Nations General Assembly. Report No.: A/68/295. 66 Mendez J. Torture and other cruel, inhuman or degrading treatment or punishment: note by the Secretary-General. Vienna: United Nations; Aug 2013. Item No.: 69(a) of 68th session of United Nations General Assembly. Report No.: A/68/295. 57 Mendez J. Interim Report of the Special Rapporteur of the Human Rights Council on Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment. Vienna: United Nations; Aug 2011. Item No.: 69(b) of 66th session of United Nations General Assembly. Report No.: A/66/268 67 JJI urges congress to ban solitary confinement of juveniles. Models for Change. Available at: http://www. modelsforchange.net/newsroom/259 58 International Covenant on Civil and Political Rights 1966 A/63/16 68 Shalev S. A Sourcebook on Solitary Confinement. London: Mannheim Centre for Criminology; 2008. 76 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES REFERENCES 69 Shalev S. A Sourcebook on Solitary Confinement. London: Mannheim Centre for Criminology; 2008. 80 Juvenile Delinquents Act, S C 1908 c. 40 81 Young Offenders Act, R S C 1985 c. Y-1 70 Shalev S. A Sourcebook on Solitary Confinement. London: Mannheim Centre for Criminology; 2008. 71 Ministry of Children and Youth Services, Ontario. Youth Justice Services Manual-Custody/Detention Facilities. (ON): April 1, 2009. 72 Provincial Advocate for Children and Youth. “It Depends Who’s Working.” The Youth Reality at the Roy McMurtry Youth Centre. Toronto (ON): Office of the Provincial Advocate for Children and Youth; 2013. 73 Provincial Advocate for Children and Youth. “It Depends Who’s Working.” The Youth Reality at the Roy McMurtry Youth Centre. Toronto (ON): Office of the Provincial Advocate for Children and Youth; 2013 74 Child and Family Services Act, R S O 1990 c. C.11 75 Some of the physical differences relate back to the previous mandate of the facility—the secure isolation cells in the former Phase 2 direct-operated facilities were originally intended for adults and have beds and toilets; very few of the transfer payment facilities originally intended for youth have a bed and/or toilet in the space. 82 Ministry of Correctional Services Act, RSO 1990 c-M22 83 Ministry of Correctional Services Act. RRO 1990, Reg. 778: General 84 Child and Family Services Act. RSO 1990, c C-11, s 126128 and Regulation 70 85 Ministry of Community and Social Services, The Children’s Act”, Toronto: Queen’s Printer (1982) p 133 86 Child and Family Services Act. RSO 1990, c C-11, s 126128 and Regulation 70. 87 This pertains specifically to youth justice facilities. Elsewhere the CFSA states in C-11, s 127: (1): No service provider or foster parent shall isolate in a locked place a child or young person who is in his or her care or permit the child or young person to be isolated in a locked place, except in accordance with this section and the regulations. 2009, c. 2, s. 12 (1). It then qualifies the above in s 127(2): Subsection (1) does not prohibit the routine locking at night of rooms in the premises of secure treatment programs or in places of secure custody and places of secure temporary detention under Part IV (Youth Justice). 76 Youth Criminal Justice Act, S C 2002 c.1 77 Canadian Charter of Rights and Freedoms, Part I of the Constitution Act, 1982, being Schedule B to the Canada Act 1982 (UK), 1982 c 11. 78 Ministry of Children and Youth Services, Ontario. Youth Justice Services Manual-Custody/Detention Facilities. (ON): April 1, 2009. 79 There are separate manuals for direct-operated facilities (i.e., managed directly by MCYS) and transfer payment facilities (i.e., managed by independent third-party agencies). The direct-operated manual specifically lists youth rights and devotes a section to the use of secure isolation. Except for mention of a few rights, the transfer payment manual takes a more general approach, referring mostly to the CFSA and YCJA and making no mention of any policies regarding secure isolation. 88 Child and Family Services Act, R S O 1990 c. C.11 s 127 (3) 89 Child and Family Services Act. RSO 1990, c C-11, Secure Isolation, s 127. 90 Child and Family Services Act. RSO 1990, c C-11, Secure Isolation, s 127(6). 91 Child and Family Services Act. RSO 1990, c C-11, Secure Isolation, s 127(4). 92 Under Part IX, Discipline, Punishment and Isolation, the CFSA states: “No licensee shall, (a) use or permit the use of deliberate harsh or degrading measures to humiliate a resident or undermine a resident’s selfrespect; or (b) deprive or permit a person to deprive a resident of basic needs including food, shelter, clothing or bedding. OFFICE OF THE PROVINCIAL ADVOCATE FOR CHILDREN AND YOUTH 77 REFERENCES 93 Child and Family Services Act. RSO 1990, c C-11, Part VI, Extraordinary Measures – Secure Isolation, RRO 1990, Reg 70, s 45(1); O Reg 122/09, s 4(2). 94 Ministry of Children and Youth Services, Ontario. Youth Justice Services Manual-Custody/Detention Facilities. (ON): April 1, 2009. 95 Ministry of Children and Youth Services, Ontario. Youth Justice Services Manual-Custody/Detention Facilities. (ON): April 1, 2009. 96 Child and Family Services Act. RSO 1990, s134 (3). 97 The CFSA specifies one additional source for external oversight regarding the use of secure isolation in Section 134: the Professional Advisory Board. The Minister may establish such a board to advise and or make recommendations specifically regarding intrusive procedures, including secure isolation. 98 Rankin J, Winsa P. Unequal Justice: Aboriginal and Black Inmates Disproportionately fill Ontario jails. Toronto Star. March 1, 2013. 99 Office of the Auditor General of Ontario. 2012 Annual Report. Toronto (ON): Queen’s Printer for Ontario;2013 78 IT’S A MATTER OF TIME: SYSTEMIC REVIEW OF SECURE ISOLATION IN ONTARIO YOUTH JUSTICE FACILITIES Office of the Provincial Advocate for Children and Youth 401 Bay Street, Suite 2200 Toronto ON M7A 0A6 Canada provincialadvocate.on.ca advocacy@provincialadvocate.on.ca WINDOW INSIDE A SECURE ISOLATION CELL