Tensions and choices
PDF | EPUB | Vol. 21, No. 2 (2025)
Involuntary treatment sits between healthcare and personal autonomy, between responsibilities to provide care and an individual’s right to choose (or decline) their own care. As involuntary treatment is increasingly promoted as political tool to solve perceptions of public disorder, it also raises important questions around the provision of voluntary treatment. As the number of people detained under the Mental Health Act increases, people continue to struggle to find voluntary, consensual care. Many people in BC do not have a family doctor, many people encounter long waitlists to access service providers, and gaps (such as wait times between leaving a detox program and entering a treatment program) disrupt people when they start to make progress. Health and well-being do not just sit in the healthcare system. They’re impacted by access to housing, income, culture, inclusive communities, and more, yet someone in crisis is viewed only as an individual exhibiting a behaviour or a symptom. This topic is nuanced and complex, and this issue of Visions aims to share many experiences and perspectives. You’ll find the experiences of people living through involuntary treatment as well as its impacts on loved ones and first responders. You’ll also see the conditions in which involuntary treatment takes place and the consequences of detainment on treatment and treatment outcomes.
The Big Picture
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Editor's Message
(Trudy Norman) -
"She Would Not Be Alive:" A critical lifeline for people living with severe mental illness
(Faydra Aldridge) -
At a Crossroads: BC's approach to involuntary treatment
(Health Justice) -
Time for change: Reform British Columbia's Mental Health Act
(Marina Morrow) -
No Home, No Hope? Involuntary treatment stops short of addressing the homelessness crisis
(Trevor Goodyear and Angela Russolillo) -
Not the Answer Many Hope For: Involuntary addiction treatment for drug dependence
(Kora DeBeck and Perry Kendall) -
Involuntary Care is a Symptom, Not a Solution
(Kiffer G. Card)
Stories + Strategies
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Safeguard Your Rights: BC's Independent Rights Advice Service for people in involuntary treatment
(Sophia Ciavarella) -
Involuntary Treatment: A system in need of transformation
(Tracy Windsor) -
Advocate, Advocate, Advocate: A family’s journey through the mental health system
(Caroline and Roy) -
Help When All Else Fails
(Jen) -
A Sister's Struggle: A Story of loss and systemic failure
(Mackenzie) -
When Help Harms
(Marianna) -
On the Front Lines: A first responder's plea for change
(Patrick W.)
Looking Ahead: Don't Erase Me—Why Culture Matters in Mental Health
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Going Beyond Prescription and Pills
(Hassan Nawaz) -
Vicious Cycle: Failed by involuntary and voluntary mental health care
(Zainab)