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Canada’s largest mental health hospital calls for removal of police from front lines for people in crisis

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Canada’s largest psychiatric facility is throwing its support behind mounting calls to remove officers from the front lines for people in mental health emergencies.

“It’s clear we need a new way forward,” the Centre for Addiction and Mental Health (CAMH) in Toronto said Tuesday.

The move follows a string of deaths involving people in crisis, including Ejaz Choudry — a 62-year-old father of four with schizophrenia killed by police in Mississauga, Ont., after his family called a non-emergency line.

Choudry was the third Canadian in crisis to be killed by police over the past month. On June 4, Chantel Moore, a 26-year-old Indigenous woman, was shot by police in Edmundston, N.B.

Eight days later, Rodney Levi, 48, was fatally shot by the RCMP in New Brunswick. The chief of his First Nation community later described him as troubled but not violent.

D’Andre Campbell, 26, was fatally shot in April in Brampton, Ont., after his family says he called 911 for help.

“For too long, the health-care system has relied on police to respond to mental health crises in the community,” CAMH said in its statement.

“Mental Health is health. This means that people experiencing a mental health crisis need health care.

“Police should not be first responders. Police are not trained in crisis care and should not be expected to lead this important work.”

Racism compounds crisis interactions, giving rise to the “tragic outcomes” Canada has seen recently, CAMH added.

In Toronto, mobile mental health teams consist of a registered nurse and police officer, but are mandated only to provide secondary responses. Police officers alone remain the first responders, particularly for calls involving a weapon.

WATCH | Ontario shooting death raises questions about sending armed officers to mental health calls:

Serious questions are being raised about sending armed police officers to respond to mental health crises after a Mississauga, Ont., man was shot to death over the weekend. The man’s family is now demanding a public inquiry, and the officer’s firing. 1:48

That was the case in the death of Regis Korchinski-Paquet, a 29-year old Black woman who fell to her death in Toronto after police were called to her home for reports of an assault involving a knife.

In the days afterward, police chief Mark Saunders said: “There’s no way I would send a nurse into a knife fight.”

Nearby Peel Region has a similar model: the Mobile Crisis Rapid Response Team, launched in January, deploys from 12 p.m. to 12 a.m. every day. But whether the teams serve as first responders or take a secondary role depends on the nature of the call, the force told CBC News.

John Sewell, former Toronto mayor and now the co-ordinator of the Toronto Police Accountability Coalition, says his organization has called on the Toronto Police Services Board to have a mental health nurse paired with a plainclothes officer respond to calls for people in crisis.

At every turn, he says, he’s been met with resistance.

‘The result is that people get killed’

“The board has consistently refused and said we’ve got to send the armed, uniformed officers first,” he told CBC News. “Well, the result is that people get killed.”

As for the argument that armed officers are needed because a situation might be violent, Sewell says trained mental health professionals handle such situations regularly and are trained in de-escalation — something that police aren’t primarily trained to do.

 

John Sewell, a former Toronto mayor and now the co-ordinator of the Toronto Police Accountability Coalition, has been at the forefront of a push to restructure the system responding to people in crisis. (CBC)

 

“When someone has had experiences with people in uniform that involved in some way being restrained or tackled… there might be a certain amount of scar tissue so to speak when they’re put into a similar situation,” said David Gratzer, staff psychiatrist at CAMH, emphasizing the vast majority of people with mental health issues are not violent.

“Mental health professionals deal with agitated patients frequently and they understand that certain techniques can be highly successful.”

Alok Mukherjee, the former chair of Toronto’s police board from 2005 to 2015, says he was encouraged to see more mobile crisis units added during his time there, but says the program falls short because they don’t operate around the clock and aren’t designated as first responders.

“That’s where we hit a road block,” he said.

Board ‘willing to explore’ other models

Of the nearly one million phone calls Toronto police receive every year, about 30,000 are mental health related, the force has said. Across Canada, from 2000 to 2017, a CBC News investigation previously found, 70 per cent of the people who died in police encounters struggled with mental health issues, substance abuse or both.

In an email to CBC News, Toronto Police Services Board Chair Jim Hart said the board remains “very supportive” of the existing mobile crisis team program, but that it is “committed to working to explore enhancements of and alternatives to this concept.

“The board is also willing to explore and consider other models that would provide better service to those in our community experiencing mental health or addiction issues; these models may include these services delivered by mental health experts without police,” Hart said.

 

Regis Korchinski-Paquet and Chantel Moore both died after police were called to do wellness checks on them. (Facebook)

 

All of the above cases are being investigated by the relevant police oversight agencies.

In a statement, the Peel Regional Police Board said while it couldn’t comment on individual cases, “these deaths are a tragic reminder that there is much work to be done,” adding that the incidents will inform the board’s work on key issues including community engagement, strategic planning and the upcoming budget.

As Ontario’s police watchdog has itself pointed out, however, officers at the centre of cases involving serious injury or death of civilians cannot be compelled to turn over their notes or participate in interviews with the Special Investigations Unit.

Some say that means the SIU itself lacks the teeth to fully investigate allegations of police wrongdoing.

Asked Tuesday if the province would consider amending the legislation, Jenessa Crognali, spokesperson for Ontario’s attorney general said the rules stem from “principles against self-incrimination.”

She said those rules will remain even after the current Police Services Act is replaced with the Comprehensive Ontario Police Services Act, passed earlier this year.

As for whether police services being funded through taxpayer money means officers should be compelled to answer to an oversight body, Crognali did not answer.

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Canucks winger Joshua to miss training camp following cancer diagnosis

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Vancouver Canucks winger Dakota Joshua has announced he’ll miss the start of training camp following surgery for testicular cancer.

Joshua said in a statement posted to social media by the team Tuesday that he felt a lump on one of his testicles this summer and later had surgery to successfully remove the tumour.

The 28-year-old from Dearborn, Mich., said he plans on returning to play “as soon as possible” and is “working hard every day” to rejoin his teammates.

Joshua said the last several weeks have been “extremely challenging” and encouraged men to get checked regularly for testicular cancer.

The six-foot-three, 206-pound forward had a career-high 18 goals and 14 assists in 63 games for the Canucks last season and signed a new four-year, US$13-million deal with Vancouver at the end of June.

The Canucks are set to open their training camp in Penticton, B.C., on Thursday.

This report by The Canadian Press was first published Sept. 17, 2024.

The Canadian Press. All rights reserved.



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Toronto FC faces tough challenge as defending MLS champion Columbus comes to town

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TORONTO – Coach John Herdman isn’t putting too much stock in the fact that Toronto FC, since losing 4-0 in Columbus on July 6, has posted a better league record than the defending MLS champion.

Toronto, which beat visiting Austin 2-1 on Saturday, has won four of six league outings (4-2-0) since that setback at Lower.com Field while the Crew are 3-2-2.

“I don’t put any credence (in that),” said Herdman. “I just look at their squad and I salivate.”

Its easy to see why.

Columbus provided a league-high five players to the MLS all-star game on its home field in July in defenders Rudy Camacho and Steven Moreira, midfielder/captain Darlington Nagbe and forwards Cucho Hernandez and Diego Rossi.

Herdman sees layers of talent behind those all-stars.

“You see the way that they’re able to almost carbon-copy players. One comes in, another goes out … and they feel like they have a very similar profile. So to be able to take (Christian) Ramirez out and then bring (Canadian forward Jacen) Russell-Rowe in as a power forward, you look and go ‘Whoa, that’s good to have.'”

Federico Bernardeschi was Toronto’s lone all-star.

Columbus (14-5-8) comes to BMO Field on Wednesday in third place in the Eastern Conference, five places and 14 points ahead of Toronto (11-15-3). A playoff position already clinched, the Crew are hoping to leapfrog Cincinnati into second spot.

Coach Wilfried Nancy is looking forward to matching wits against Herdman.

“John is going to cook (up) something,” the Frenchman said with a belly laugh. “I know John. When we played a game in (the) pre-season, it wasn’t a pre-season game. It was a real game. But this is John. That’s why I like him, because he’s intense all the time.”

“They’re going to try to go all-in. They’re going to try to press us, they’re going to try to match us,” he added. “They know exactly the way we want to play so we’ll have to be clever and creative also.”

Herdman, meanwhile, says TFC will have to play error-free football.

While the Crew have failed to score in their last two outings (a 4-0 loss to visiting Seattle and 0-0 draw at rival FC Cincinnati), Toronto is hurting in its backline.

Nicksoen Gomis and Henry Wingo both left the Austin game early with hamstring injuries with Herdman estimating that Gomis will be out three to four weeks and Wingo 10-12 days. Veteran Kevin Long missed the Austin game after tweaking his hamstring in training and will undergo a fitness test ahead of the game.

Shane O’Neill, meanwhile, is suspended for yellow-card accumulation.

“A tricky situation,” said Herdman.

The Crew are a formidable opponent.

Columbus is tied with Real Salt Lake for fifth in the league in averaging 1.93 goals a game. Only Inter Miami (2.32), Portland Timbers (2.00), Los Angeles Galaxy (1.97) and Colorado Rapids (1.96) score more.

And Columbus boasts the league’s stingiest defence, conceding 1.04 goals a game. In contrast, the Toronto defence is tied for 22nd at 1.76 goals a game.

Toronto has conceded 51 goals, 23 more than Columbus, which has collected more points (7-3-4, 25 points) on the road in league play this season than Toronto has at home (7-7-0, 21 points).

Columbus’ roster also includes Canadian wingback Mo Farsi, who scored in the July win over Toronto.

The Columbus game is the first of four in an 11-day stretch that will see TFC club visit Colorado on Saturday, Vancouver on Sept. 25 in the Canadian Championship final and Chicago on Sept. 28. Toronto will then close out the regular season at home to the New York Red Bulls on Oct. 2 and Inter Miami on Oct. 5.

If the playoffs were to start tomorrow, Toronto would face ninth-place D.C. United in a wild-card matchup with the winner advancing to take on the East’s top seed — currently Miami — in the best-of-three first round.

Herdman would like a different scenario, with his eyes set on overtaking seventh-place Charlotte, which has two points and a game in hand over Toronto. The seventh-place side takes on No. 2 — currently Cincinnati — in the first round.

“We’re looking up, not down at the moment,” said Herdman. “It’s a good motivation for the lads to see that next level on the table. And it has been raised. If we’re able to get to that point, it means you’re not headed down to Miami in the heat, which is a tough place to go.”

“We’ll take whatever comes,” he added. “But the critical part is to get into these playoffs. That’s the key mission at the moment.”

Toronto has not made the post-season since 2020 when, after finishing second overall in the Supporters’ Shield standings, it was upset by Nashville after extra time at the first hurdle.

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This report by The Canadian Press was first published Sept. 17, 2024

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Dolphins place Tua Tagovailoa on injured reserve after latest concussion

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MIAMI GARDENS, Fla. (AP) — The Miami Dolphins placed Tua Tagovailoa on injured reserve Tuesday after the quarterback was diagnosed with his third concussion in two years.

Tagovailoa will be sidelined for at least four games. He will be eligible to return in Week 8 when the Dolphins host Arizona, but has to complete a series of tests and assessments required by the NFL’s concussion protocol before he can return to the field.

Tagovailoa was hurt last Thursday night when he collided with Buffalo defensive back Damar Hamlin. He ran for a first down and then initiated the contact by lowering his shoulder into Hamlin instead of sliding.

Players from both teams immediately motioned that Tagovailoa was hurt, and as he lay on the turf the quarterback exhibited some signs typically associated with a traumatic brain injury. He remained down on the field for a couple of minutes, got to his feet and walked to the sideline. The Dolphins diagnosed him with a concussion a few minutes later.

Coach Mike McDaniel has since cautioned against speculation on the quarterback’s future, stressing that he’s more focused on Tagovailoa getting healthy than what this latest concussion means for the team or for his career. Tagovailoa this week began the process of consulting neurologists about his health amid reports that he has no plans to retire.

Others around the NFL have offered their opinions on Tagovailoa’s future, including Raiders coach Antonio Pierce, who suggested he should retire.

“As far as Tua’s career is concerned, I think it’s an utmost priority of mine for Tua to speak on Tua’s career,” McDaniel said Monday. “Reports are reports. As far as I’m concerned, I’m just worried about the human being and where that’s at day to day. I’ll let Tua be the champion of his own career.”

McDaniel said Tagovailoa was at the team’s practice facility on Monday, greeting teammates and working with trainers.

“He’s doing good, man. Talked to him, he’s in good spirits,” receiver Jaylen Waddle said Monday. “(He’s) got the team in good spirits and everybody praying for him and hoping (for his) health.”

Head injuries have become a familiar, scary occurrence throughout Tagovailoa’s career.

In a September 2022 game against the Bills, he took a hit from linebacker Matt Milano, which caused him to slam to the ground. He appeared disoriented afterward and stumbled as he tried to get to his feet. He was cleared to return to that game and later said it was a back injury that caused the stumble. He was not diagnosed with a concussion.

Four days later, he got hit again during a Thursday night game at Cincinnati in which he was briefly knocked unconscious and was taken off the field on a stretcher. As he lay on the turf, his fingers appeared to display the “fencing response,” an involuntary motion typically associated with a brain injury. That time, he was placed in the concussion protocol.

The NFL and the players’ union made changes to the concussion protocol after those two incidents with Tagovailoa. Players who have problems with balance or stability are now prohibited from returning to a game.

Tagovailoa briefly considered retirement, but instead returned and studied ways to better protect himself on the field, including taking jiu-jitsu classes ahead of the 2023 season.

Tagovailoa has said he spoke to numerous neurologists who told him they did not believe he would be more susceptible to head injuries than any other player moving forward, nor would he be at a higher risk for chronic traumatic encephalopathy (CTE), the brain disease associated with repeated blows to the head. He was also diagnosed with a concussion while in college at Alabama.

With Tagovailoa sidelined, the Dolphins will go with backup Skylar Thompson when play at Seattle on Sunday. Miami also signed Tyler Huntley off the Ravens’ practice squad.

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The Canadian Press. All rights reserved.



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