CONGRÈS ANNUEL VIRTUEL 2021 - 19 avril, 2021 - Programme - Canadian Academy of Psychiatry and ...
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CONGRÈS ANNUEL
VIRTUEL 2021
25e
19 avril, 2021 Édition
Programme
25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
ACCRÉDITATION :
La présente activité est une activité d'apprentissage collectif agréée (section 1), au sens que lui donne le
programme du Maintien du certificat du Collège royal des médecins et chirurgiens du Canada; elle a été
approuvée par l'Association des psychiatres du Canada. Les opinions et le contenu spécifiques de cette activité
ne sont pas nécessairement ceux de l'APC, et sont la responsabilité exclusive de l'organisateur ou des
organisateurs. Les participants peuvent recevoir 1 crédit par heure de présence aux sessions accréditées,
pour un maximum de 6 heures.
CONGRÈS ANNUEL :
En tant qu'organisation professionnelle concernée par l'avancement de la science et de la pratique en
psychiatrie légale, l'ACPD a mis sur pied un congrès annuel dans le but de promouvoir les normes de pratique
et de poursuivre le développement professionnel continu en psychiatrie légale. Le congrès annuel de l'ACPD
est une tradition depuis 1995. Tenu à chaque année au printemps, le programme principal se déroule
habituellement sur 4 jours avec le programme principal ainsi que des séminaires pré-conférence. Depuis
2015, des séminaires pré-conférence ont été développés afin de répondre au besoin des membres. Avec la
pandémie et l'annulation de notre conférence d'avril 2020, nous organisons une mini-conférence d'une
journée, qui promet d'être remplie de conférenciers dynamiques et de courtes mises à jour.
BUTS :
Ce congrès offre aux participants une excellente opportunité de rencontres virtuelles avec les collègues à
travers le pays et ainsi, d'échanger sur leurs intérêts cliniques, académiques ou en matière de recherche. Les
principaux objectifs de la conférence sont la diffusion des connaissances actuelles en psychiatrie médico-
légale ainsi que dans d'autres domaines apparentés de la psychiatrie, le rafraîchissement des compétences
dans les fondements de la discipline et le partage des progrès de la recherche pertinente.
À QUI S’ADRESSE LE CONGRÈS :
Les psychiatres travaillant en psychiatrie médico-légale, et tous les médecins et professionnels intéressés à
approfondir leurs connaissances dans ce domaine.
OBJECTIFS GÉNÉRAUX :
À la fin du congrès, les participants seront en mesure de :
• apprécier la diversité de la psychiatrie légale incluant les affaires pénales et civiles;
• discuter des cas cliniques complexes et de la jurisprudence récente;
• mettre en oeuvre des programmes de traitement;
• appliquer de nouvelles connaissances dans leur pratique.
COMITÉ ORGANISATEUR :
• Brad Booth, M.D.
• Alberto Choy, M.D.
• Roland Jones, M.D.
• Phil Klassen, M.D.
• Michelle Mathias, M.D.
• Victoria Roth, M.D.
• Chantal Goddard, planificatrice d’événements
Goddard Communications
25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
PROGRAMME
9:45-10:00 Mot de bienvenue et introduction
Modérateur : Phil Klassen
10:00-10:20 1. The Forensic Mental Health Services in Québec: An Overview and a
(15 m. + 5 m. Q&R) Comparison Study with Ontario
Presenter: Mathieu Dufour
10:20-10:40 2. Absconding by Forensic Patients- Clinical, Institutional and Legal
(15 m. + 5 m. Q&R) Responses
Presenters: Padraig Darby, Sandy Simpson, Michele Warner
10:40-11:00 3. Overview of Secure Treatment Programs for Youth in Canada- A Clinical
(15 m. + 5 m. Q&R) and Legal Perspective
Presenters: Marc Fadel, Naveen Hassan
11:00-11:20 Flash Talks
Each: 4. The Mental Health Needs of Women in Provincial Correctional
(3.5 m. + 1.5 m. Q&R)
Institutions
Presenter: Ipsita Ray
5. Update on the Validity of the Booth Evaluation of Absconding Tool (BEAT)
Presenter: Brad Booth
6. Criminal Justice Involvement and Mental Disorders: a Population-Based
Study
Presenter: Hygiea Casiano
7. Prediction of Violent Incidents among CAMH Inpatients Using Dynamic
Appraisal of Situational Aggression (DASA)
Presenter: Mario Moscovici
11:20-11:40 Pause
Modératrice : Victoria Roth
11:40-12:00 8. Ontario’s Ground-breaking Specialized High Intensity Forensic Psychiatric
(15 m. + 5 m. Q&R) Service for Adult Females
Presenter: Adedayo Alabi25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
12:00-12:20 Flash Talks
Each: 9. Phase 1 of Restraints and Seclusions Reduction in Psychiatric Patient:
(3.5 m. + 1.5 m. Q&R)
Development of Demographic and Behavioral Profile of a High Risk
Patient
Presenter: Khai Tran
10. Suicide Risk Assessment in an Individual With Known Firearm Access:
Challenges Present in an Acute Inpatient Setting and Limitations in
Treatment Strategies
Presenter: Samuel Rothman
11. On Queerness and Violence
Presenter: Juliette Dupré
12. Neurodevelopmental Disorders Among Adult Forensic Psychiatric
Patients in Northern Ontario
Presenter: Maryana Kravtsenyuk
12:20-13:20 13. Competence By Design (CBD) in Forensic Medical Education is Here…Now
(45 m. + 15 m. Q&R) What?
Presenters: Brad Booth, Sumeeta Chatterjee, Graham Glancy, Joel Watts
13:20-13:40 Pause
Modérateur : Alberto Choy
13:40-14:00 14. Hostile Attribution Bias Measured in Forensic Psychiatry: Could this be a
(15 m. + 5 m. Q&R) New Risk Factor to Consider?
Presenter: Sébastien Prat
14:00-14:20 15. Electronic Monitoring (GPS): Utility in Rehabilitation and Recovery of
(15 m. + 5 m. Q&R) Forensic Patients
Presenter: Santoch Rai
14:20-14:40 16. Imminent Risk Assessment Tools: What Does the Evidence Tell us?
(15 m. + 5 m. Q&R) Presenters: Paul Benassi, Laeticia Eid
14:40-15:00 17. What Constitutes a Restriction of Liberties and When to Report to the
(15 m. + 5 m. Q&R) Review Board? ONCA weighs in
Presenters: Michelle Mathias, Joel Watts
15:00-15:20 Flash Talks
Each: 18. Who is here? The Ontario Forensic Psychiatry System
(3.5 m. + 1.5 m. Q&R)
Presenter: Aamna Qureshi25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
19. Health Care Utilisation Prior to Index Forensic Hospitalisation: A Total
Population Cohort of 135,000 Patients in Ontario
Presenter: Roland Jones
20. Training Corrections Officers to Better Meet the Mental Health Needs of
Inmates
Presenters: Shaheen A. Darani, Kiran Patel
21. Serious Mental Illness and Sexual Offending in Forensic Psychiatric
Patients
Presenter: Austin A. Lam
15:20-15:40 Pause
Modératrice : Michelle Mathias
15:40-16:00 22. Advances in Risk Assessment: Evidence for Dynamic Risk Among Forensic
(15 m. + 5 m. Q&R) Inpatients
Presenter: Neil R. Hogan
16:00-16:20 23. Cross-Canada Update: Recent Noteworthy Appeals of Review Board
(15 m. + 5 m. Q&R) Dispositions
Presenter: Barbara Walker-Renshaw
16:20-16:40 24. Elopements from Forensic Psychiatry Programs: More Clues to Prediction
(15 m. + 5 m. Q&R) Presenter: Gary Chaimowitz
16:40-16:50 Flash Talks
Each: 25. The Use of the PCL-R in Ontario Forensic Psychiatry Program
(3.5 m. + 1.5 m. Q&R)
Presenters: Yuri Alatishe, Yedishtra Naidoo
26. Long-Acting Injectable Medication Use in a Forensic Psychiatry Program
Presenter: Luiza Paul Géa
16:50-17:00 Mot de la fin et remise de prix25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
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OBJECTIFS D’APPRENTISSAGE
1. The Forensic Mental Health Services in Québec: An Overview and a Comparison Study
with Ontario
a. Describe the Forensic Mental Health Services in the Province of Québec
b. Explain the differences of the Forensic Mental Health Services in Québec and in
Ontario
c. Evaluate how the differences in the Civil Mental Health System can impact the
Forensic Mental Health Services
2. Absconding by Forensic Patients- Clinical, Institutional and Legal Responses
a. Understand the literature on rates of absconding of forensic patients.
b. Recognise the complexities involved in responding to publicity about
absconsions of forensic patients.
c. Understand the institutional and legal implications of absconsions.
3. Overview of Secure Treatment Programs for Youth in Canada- A Clinical and Legal
Perspective
a. Understand the legal requirements for committing a child to a secure treatment
program
b. Identify which patients might benefit most from commitment to a secure
treatment program.
c. Know the common legal issues with applications for secure treatment
4. The Mental Health Needs of Women in Provincial Correctional Institutions
a. Identify specific treatment needs of mentally ill women in jail.
b. Understand the differences in their presentation suggests need for gender
specific services
c. Realize the need for access to psychological therapies.
5. Update on the Validity of the Booth Evaluation of Absconding Tool (BEAT)
a. Discuss risk assessment principles relevant to absconding.
b. Utilize literature on absconding in risk assessment
c. Cite the data supporting the BEAT for assessing risk of absconding.
6. Criminal Justice Involvement and Mental Disorders: a Population-Based Study
a. Review the data that reflect the complex relationship between accusations of
crime, victimization and mental disorders.25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
7. Prediction of Violent Incidents among CAMH Inpatients Using Dynamic Appraisal of
Situational Aggression (DASA)
a. Examine the utility of DASA as a tool to assess risk of inpatient violence
b. Learn different approaches to the assessment of risk of violence in different
inpatient settings (forensic and non-forensic)
c. Learn practical suggestions in using the DASA in routine clinical care
8. Ontario’s Ground-breaking Specialized High Intensity Forensic Psychiatric Service for
Adult Females
a. Understand Importance of Gender (female)-Specific Forensic Psychiatric Services
b. Identify Distinct characteristics of female within secure forensic services and who
are found not criminally responsible on account of mental disorder within
Canadian Criminal Code
c. Describe What Hummingbird Unit aim to achieve
9. Phase 1 of Restraints and Seclusions Reduction in Psychiatric Patient: Development of
Demographic and Behavioral Profile of a High Risk Patient
a. Participant can have a profile of a high risk for violent patient and be on the alert
for possible agitated event to prevent escalating harm
b. choose appropriate management protocol if such event occurs
c. develop a unique protocol to deescalate volatile even to reduce the number of
restraint episodes
10. Suicide Risk Assessment in an Individual With Known Firearm Access: Challenges
Present in an Acute Inpatient Setting and Limitations in Treatment Strategies
a. Review data about suicide risk assessment and how to optimize and personalize
b. Understand the limitations of firearm reporting and other options for mitigating
risk
c. Learn strategies for assessing and treating high risk suicidal patients with known
access to firearms
11. On Queerness and Violence
a. Reference the state of currently available literature on homosexuality in forensic
psychiatry
b. Characterize the interaction between notions of deviance - including
homosexuality and criminal violence
c. Appreciate the role of embodied knowledge and consideration of personal
positionality in complex areas of clinical, legal and moral intersection25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
12. Neurodevelopmental Disorders Among Adult Forensic Psychiatric Patients in Northern
Ontario
a. Understand the heterogeneity of developmental spectrum disorders in forensic
settings
b. Review the available data on risk stratification in forensic population with
developmental disabilities
c. Discuss the prevalence of developmental disorders among forensic patients in
Northern Ontario and solutions to improve currently available services and
supports
13. Competence By Design (CBD) in Forensic Medical Education is Here…Now What?
a. Describe the principles and key educational components of the Competence By
Design (CBD) medical education
b. Identify CBD elements specific to Forensic Psychiatry, including revised the
Objectives of Training, Competencies, and Entrustable Professional Activities (EPAs)
c. Understand how CBD, Competencies & EPAs will fit into the four phases of
forensic psychiatry training
14. Hostile Attribution Bias Measured in Forensic Psychiatry: Could this be a New Risk
Factor to Consider?
a. Understand the concept of hostile attribution bias
b. Know the correlation between psychotic symptoms and hostile attribution bias
c. Comment on how impulsivity influences risk through the concept of Theory of
the Mind
15. Electronic Monitoring (GPS): Utility in Rehabilitation and Recovery of Forensic Patients
a. Describe the technology/instruments used for electronic monitoring of offenders
b. Describe the arguments for and against the use of electronic monitoring in
clinical populations
c. Describe the feasibility of implementing electronic monitoring to promote the
rehabilitation and recovery of NCR patients in a Canadian context
16. Imminent Risk Assessment Tools: What Does the Evidence Tell us?
a. Review currently available SPJ tools that assess imminent risk of violence
b. Review the literature around the evidence of such tools in risk prediction and
management
c. Consider basic implementation strategies of such tools
17. What Constitutes a Restriction of Liberties and When to Report to the Review Board?
ONCA weighs in
a. Describe current reporting requirements of ROL to the Review Board.
b. Describe the ruling in Campbell and ONCA’s proposed method for assessing what
constitutes an ROL.
c. Discuss the potential implications on forensic practice of this decision across the
country given Campbell and other case law on this issue.25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
18. Who is here? The Ontario Forensic Psychiatry System
a. Understand the profile of individuals within the Ontario Forensic Psychiatry
System
b. Identify the trajectories and correlates of release for Ontario Forensic patients
c. Understand the risk management and risk assessment strategies used across
forensic facilities in Ontario
19. Health Care Utilisation Prior to Index Forensic Hospitalisation: A Total Population
Cohort of 135,000 Patients in Ontario
a. Understanding of application and utility of large administrative data sets
b. Describe patterns of health care use of forensic and non-forensic mental health
patients
c. Discuss patterns of health care utilization prior to index hospital admission
20. Training Corrections Officers to Better Meet the Mental Health Needs of Inmates
a. Identify the common learning needs of corrections officer in the area of mental
health
b. Summarize the evaluation results of an mental health education intervention for
correctional officers
c. Learn how to develop an effective education intervention for corrections officers
to improve the mental health needs of inmates
21. Serious Mental Illness and Sexual Offending in Forensic Psychiatric Patients
a. Describe the characteristics of forensic psychiatric patients with a sexual
offending history as compared to those without
b. Describe the patterns of age onset of illness and offending among forensic
patients with a history of sexual offending, and as compared to those without.
c. Identify the motivational typologies of sexual offending in forensic psychiatric
patients.
22. Advances in Risk Assessment: Evidence for Dynamic Risk Among Forensic Inpatients
a. Identify empirically supported approaches to the measurement of changes in
risk among forensic inpatients
b. Describe and apply an alternative approach to Relevance ratings as part of
Structured Professional Judgment (SPJ) tools
c. Describe independent support for the predictive validity of updated/revised
violence risk assessment tools (HCR-20V3 and VRAG-R)25e CONGRÈS ANNUEL DE L’ACPD • 19 AVRIL, 2021
23. Cross-Canada Update: Recent Noteworthy Ap peals of Review Board Dispositions
a. Understand the practical implications of recent appeal decisions on presenting
evidence related to significant threat at Review Board hearings.
b. Understand the legal distinctions between detention orders and conditional
discharges for the management of forensic outpatients.
c. Understand when a Review Board will likely order an independent assessment to
break a treatment impasse and what appellate courts have said about how the
assessment should proceed.
24. Elopements from Forensic Psychiatry Programs: More Clues to Prediction
a. Understand the characteristics of elopements from forensic facilities and the
implications for patients, forensic facilities and staff
b. Identify the frequency of elopement and aggressive behaviour related
parameters at an Ontario forensic psychiatry facility
c. Acknowledge whether incidents of elopement are preceded by aggressive
behavior, code whites or other risk factors.
25. The Use of the PCL-R in Ontario Forensic Psychiatry Program
a. Understand how often the PCL-R is used in Ontario Forensic Facilities, and
correlates related to its use
b. Understand the PCL-R profiles and scores of Ontario Forensic Psychiatry patients
c. Identify the association between PCL-R scores and forensic psychiatry
trajectories
26. Long-Acting Injectable Medication Use in a Forensic Psychiatry Program
a. Learn about LAIs and their applicability in treatment non-compliance
b. Understand the frequencies of LAIs and OPAs at a forensic psychiatry sample in
Ontario
c. Apply knowledge of the clinical trajectories of patients prescribed with LAIs and
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