2021 CAPL VIRTUAL ANNUAL CONFERENCE - April 19, 2021 - Program - Canadian ...
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2021 CAPL VIRTUAL
ANNUAL CONFERENCE
25th
April 19, 2021 Edition
Program
25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
ACCREDITATION:
This event is an accredited group learning activity (section 1) as defined by the Maintenance of
Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by
the Canadian Psychiatric Association (CPA). The specific opinions and content of this event are not
necessarily those of the CPA, and are the responsibility of the organizer(s) alone. Participants may
earn 1 credit per hour of attendance at the accredited sessions, for the maximum of 6 hours.
ANNUAL CONFERENCE:
As a professional organization concerned with advancement of the science and practice of medicine
in the specialty of forensic psychiatry, CAPL has established an annual conference devoted to
promote standards of practice and further the continuing education of practicing forensic
psychiatrists. The CAPL Annual Conference has now been a tradition since 1995. Held annually in
the spring, this conference usually features a 4-day core scientific program and pre-conference
seminars. With the pandemic and cancelling our April 2020 conference, we are doing one-day mini-
conference, which promises to be packed with dynamic speakers and short updates.
GOALS:
The conference provides attendees with an excellent opportunity to meet virtually with colleagues
across the country and discuss their respective clinical, academic and research interests as well as
standards governing the practice. The main goals of the conference are dissemination of current
knowledge in forensic psychiatry and the related parent field of psychiatry, refresh skills in the
fundamentals of the discipline and discuss advances in research relevant to the discipline.
TARGET AUDIENCE:
Psychiatrists working at the interface of law and psychiatry, and any physician and professional
interested in furthering their knowledge in this area.
GENERAL OBJECTIVES: For specific learning objectives: see last 5 pages of this document
At the end of this conference, participants will be able to:
• appreciate the diversity of forensic psychiatry including criminal and civil matters;
• discuss about complex clinical cases and recent case law;
• implement treatment programs for mentally disorders offenders;
• directly apply new knowledge into their own practice.
ORGANIZING COMMITTEE:
• Brad Booth, MD
• Alberto Choy, MD
• Roland Jones, MD
• Phil Klassen, MD
• Michelle Mathias, MD
• Victoria Roth, MD
• Chantal Goddard, Meeting planner
Goddard Communications
25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
PROGRAM
9:45-10:00 Welcome and introduction
Moderator: Phil Klassen
10:00-10:20 1. The Forensic Mental Health Services in Québec: An Overview and a
(15 m. + 5 m. Q&A) Comparison Study with Ontario
Presenter: Mathieu Dufour
10:20-10:40 2. Absconding by Forensic Patients- Clinical, Institutional and Legal Responses
(15 m. + 5 m. Q&A) 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&A) 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 Institutions
(3.5 m. + 1.5 m. Q&A)
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 Break
Moderator: Victoria Roth
11:40-12:00 8. Ontario’s Ground-breaking Specialized High Intensity Forensic Psychiatric
(15 m. + 5 m. Q&A) Service for Adult Females
Presenter: Adedayo Alabi
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&A)
Development of Demographic and Behavioral Profile of a High Risk Patient
Presenter: Khai Tran25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
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&A) What?
Presenters: Brad Booth, Sumeeta Chatterjee, Graham Glancy, Joel Watts
13:20-13:40 Break
Moderator: Alberto Choy
13:40-14:00 14. Hostile Attribution Bias Measured in Forensic Psychiatry: Could this be a
(15 m. + 5 m. Q&A) 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&A) 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&A) 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&A) 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&A)
Presenter: Aamna Qureshi
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 Patel25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
21. Serious Mental Illness and Sexual Offending in Forensic Psychiatric Patients
Presenter: Austin A. Lam
15:20-15:40 Break
Moderator: Michelle Mathias
15:40-16:00 22. Advances in Risk Assessment: Evidence for Dynamic Risk Among Forensic
(15 m. + 5 m. Q&A) Inpatients
Presenter: Neil R. Hogan
16:00-16:20 23. Cross-Canada Update: Recent Noteworthy Appeals of Review Board
(15 m. + 5 m. Q&A) Dispositions
Presenter: Barbara Walker-Renshaw
16:20-16:40 24. Elopements from Forensic Psychiatry Programs: More Clues to Prediction
(15 m. + 5 m. Q&A) 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&A)
Presenters: Yuri Alatishe, Yedishtra Naidoo
26. Long-Acting Injectable Medication Use in a Forensic Psychiatry Program
Presenter: Luiza Paul Géa
16:50-17:00 Closing remarks and awards25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
REGISTRATION
Full Name: ______________________________________________________
Profession: _____________________________________________________
Province of residence: ____________________________________________
Email: _________________________________________________________
Please
circle your
category Until April 12 After April 12
Before tax* Before tax*
MD - Member $ 350.00 $ 450.00
MD - Non-Member $ 420.00 $ 520.00
Non-MD - Member $ 250.00 $ 275.00
Non-MD - Non-Member $ 300.00 $ 350.00
Resident/Student/Fellow $ 75.00 $ 125.00
* NOTE: For virtual conference, tax is charged based on the province of the
person’s residence.
Refund Policy: Cancellation fee of 50 percent after April 12
Payment Options:
CREDIT CARD: Please complete next page and send both pages to
cgoddard@goddardcom.com or by fax at 1.450.373.7756
CHEQUE: Please add applicable tax, make cheque PAYABLE TO CAPL and mail
it with your registration form to:
Goddard Communications (CAPL 2021)
177, 43e avenue
Ste-Barbe, QC J0S 1P025th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
CREDIT CARD AUTHORIZATION
Canadian Academy of Psychiatry and the Law (CAPL)
Registration Fee: 2021 CAPL Annual Conference - April 19, 2021
Participant: ____________________________________________
Name on Credit Card: ____________________________________
(if different)
Type of Credit Card: Visa Master Card
Credit Card Number: ____________________________________
Expiration Date (MM/YY): ________________________________
CVV Number (3-digit number on the back of the card): _________
Amount (before tax): ____________
NOTE: For virtual conference, tax is charged based on the province of
the person’s residence. Therefore, tax will be added and charged to
your credit card.
Signature of Card Holder: _________________________________
Date: ______________25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
LEARNING OBJECTIVES
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.25th CAPL ANNUAL CONFERENCE • APRIL 19, 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. 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
supports25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
12. 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
13. 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
14. 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
15. 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
16. 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.
17. 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 Ontario25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
18. 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
19. 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
20. 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.
21. 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)
22. Cross-Canada Update: Recent Noteworthy Appeals 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.25th CAPL ANNUAL CONFERENCE • APRIL 19, 2021
23. 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.
24. 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
25. 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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