Improving health outcomes and health care within the provincial correctional system
Dear Minister Hoskins,
The Registered Nurses' Association of Ontario (RNAO) recently had the privilege of meeting with the Hon. David Orazietti, Minister of Community Safety and Correctional Services, about ways to improve health outcomes and improve human rights within correctional facilities. Minister Orazietti suggested we speak to you about these ideas to address the severe health inequities affecting some of Ontario's most marginalized people.
Minister Hoskins, as you know from your clinical and public health expertise, the health status of Ontarians who are incarcerated is significantly worse than the general population. Controlling for age, people who were detained within the provincial system between 2000 and 2012 were four times more likely to die than the general population. In 2000, the life expectancy for those in provincial custody was shown to be 4.2 years less than in the general population for men, and 10.6 years less for women.
Findings from multiple inquests, law suits, human rights challenges, media reports, ombudsman reports, people with lived experience of being in custody, and those who work within correctional services (including registered nurses and nurse practitioners) all point to a provincial correctional system that is not meeting its fundamental responsibilities for safety, health, and equitable access to health care equivalent to the community standard. The status quo is eroding population health outcomes and increasing health inequities
To help the province address the goals of Ontario's Action Plan for Health Care and the Excellent Care for All Act, RNAO urges you to explore how health outcomes can be improved within the provincial correctional system. Other international and Canadian jurisdictions are addressing these challenges by transferring governance of health-care services from correctional to health ministries. The attached one-pager from the Ontario Correctional Nurses' Interest Group newsletter provides additional context and benefits of a health governance model for corrections which are consistent with recommendations from the World Health Organization and the John Howard Society of Ontario.
Minister Hoskins, thank you for your ongoing commitment to improve health for all Ontarians. We look forward to your support on this critical work within the provincial correctional context.
Doris Grinspun, RN, MSN, PhD, LLD(hon), O.ONT
Chief Executive Officer, RNAO
CC: Hon. Kathleen Wynne, Premier of Ontario
Hon. David Orazietti, Minister of Community Safety and Correctional Services