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Federal corrections must improve workplace for parole officers’ mental health: report

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OTTAWA — A new report calls on federal corrections to ease caseloads, improve workplace policies and give added resources to parole officers in order to mitigate current strains on their mental health.

The report, led by public safety expert Rosemary Ricciardelli and released by a union, says that federal parole officers are experiencing extremely high levels of workplace stress and compromised mental health.

These 1,600 parole officers across Canada feel overwhelmed by their caseloads, are exposed to violent and traumatic material in client files, and need mental health supports, the report said.

Working either in an institution or in the community, parole officers are tasked with preparing imprisoned people to reintegrate back into communities, and address issues that brought that person to jail, according to the report.

Ricciardelli, currently a research chair in safety, security and wellness at the school of maritime studies at Memorial University of Newfoundland, said she found the well-being of parole officers moved in tandem with the well-being of their clients.

“If they were worried or concerned about a client’s ability in re-entry, or if a client has specific needs, or anything, their mental health became more compromised,” said Ricciardelli, who has extensive experience in criminal justice system research.

Parole officers are grappling with wanting to do more but being unable to because of their caseload, Ricciardelli added.

When people are released from prison into the community, parole officers are supposed to understand any potential risks that person poses and how those can be managed, said David Neufeld, national president for the Union of Safety and Justice Employees.

“The fact is that parole officers, if they are not mentally or physically well, it makes it very difficult to do the work that they’re doing. Most Canadians don’t understand that every single day, parole officers encounter graphic files, working with files that document incidents of violence,” Neufeld said.

The high levels of stress parole officers face on the job makes their work more challenging, particularly from the accountability and responsibility that comes with assessing risks in determining whether someone is ready for release into the community, he said.

“They are first responders. They are the front line to ensure public safety. And in order to do that, they do compromise themselves,” added Ricciardelli.

“They’re protecting public safety in a way that we just don’t appreciate. And it’s going to take a toll.”

The correctional system has been under strain since 2014 when Stephen Harper’s Conservative government tasked departments with reducing spending in order to meet its savings targets, said Neufeld.

When it came to parole officers, the Correctional Service of Canada re-evaluated the work parole officers do and reduced the number of staff required to do the work, raising caseloads for staff, he said.

Prior to 2014, one parole officer was assigned to 25 imprisoned people in medium- and maximum-security prisons.

After the cuts, officers had to manage 28 to 30 cases in those same types of prisons. In minimum-security prisons, officers are assigned to 25 cases, said Neufeld.

Alongside the increased caseloads, the work has become more complex to appropriately manage cases for racialized Canadians and Indigenous Peoples, women and those with mental health needs, he added.

The study is based on in-depth interviews with parole officers employed by Correctional Service Canada across the country, conducted between August and September 2020.

Correctional Service Canada takes the issues raised by parole officers in the report very seriously, according to spokesperson Marie Pier Lécuyer in a statement Wednesday.

The agency is actively reviewing options to ensure resources and distribution of cases are “appropriate” and will continue to work with the union, said Lécuyer.

Staff have access to employee assistance, a stress management program and information sessions on mental health, she said.

All new parole officers are required to take mental health preparedness training, and the agency will resume mental health refresher training for all parole officers “once the COVID-19 pandemic is over,” Lécuyer said.

This report by The Canadian Press was first published May 18, 2022.

This story was produced with the financial assistance of the Meta and Canadian Press News Fellowship.

 

Erika Ibrahim, The Canadian Press

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

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