British Columbia is set to open its first involuntary treatment facility for non-criminals, marking a significant advancement in addressing the province’s mental health crisis. The 18-bed facility, located at Alouette Homes in Maple Ridge, will offer individualized treatment and psychosocial support in a home-like environment for individuals with severe and persistent mental health disorders, including those with addictions or brain injuries.
Key Details
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Involuntary Treatment Criteria: According to the Ministry of Health, patients must meet the criteria for involuntary treatment under the Mental Health Act. Health Minister Josie Osborne emphasized the importance of ensuring that individuals receive appropriate care, especially when they are unable to make decisions for themselves. She stated, "These beds are a vital part of government’s work to build a continuum of care that works for everyone."
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Partnership: The facility is operated in partnership between Vancouver Coastal Health (VCH) and the non-profit organization Connective Support Society (CSS). It is expected to be transferred from its current location at Riverview Hospital by late summer or fall.
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Innovative Service: Dr. Daniel Vigo, B.C.’s chief scientific advisor for psychiatry, toxic drugs, and concurrent disorders, described the facility as "a first-of-its-kind" service in B.C. He noted that such options were previously unavailable due to the complex needs of individuals.
Benefits of the Facility
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Humane Treatment: Dr. Vigo highlighted that before the establishment of these homes, individuals with complex mental substance-use disorders were often confined to high-security hospital units indefinitely. The new facility allows them to live in a humane manner and receive one-on-one treatment, with the goal of eventually transitioning to less intensive care.
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Target Population: The facility is designed for individuals who have undergone long-term treatments in hospitals but still require a higher level of support than what supportive housing can provide, yet less intensive care than acute psychiatric wards. The aim is to help these individuals progress towards community-based services, such as supported living or independent living.
Future Plans
In April of this year, British Columbia announced plans to create an involuntary center inside the South Fraser Pretrial Centre, focusing solely on individuals already involved with the criminal justice system. This initiative will continue alongside efforts to increase the number of mental health beds available in hospitals across the province, which could accept patients involuntarily under the Mental Health Act, although the exact timeline for these developments remains unclear.

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