Mental Health Rights
Written in plain language for general understanding. This is educational content, not legal advice. Based on Canadian federal statutes and official sources.
What is this right?
All 13 provinces and territories have their own mental health legislation. Involuntary commitment (also called certification) requires that:
- A mental disorder is present
- There is a risk of serious harm to the person or others
- The person cannot be assessed or treated voluntarily
Hold durations vary by province. In Ontario, an initial 72-hour assessment can lead to formal certification. In BC, the initial hold is 48 hours.
There is a critical difference between provinces on treatment consent: in Ontario, a capable patient can refuse treatment even while involuntarily detained. In BC, the facility director can override a patient's refusal.
Patients who are involuntarily committed have the right to a lawyer, a review board hearing, and periodic reviews of their status. Some provinces also allow Community Treatment Orders for supervised treatment outside the hospital.
When does it apply?
- Anyone subject to involuntary psychiatric assessment or admission in Canada.
- Anyone receiving mental health treatment, whether voluntary or involuntary.
What should you do?
- Know your rights — you must be informed of them upon involuntary admission.
- Contact a lawyer or legal aid immediately if you are involuntarily committed.
- Apply for a review board hearing — in Ontario, the Consent and Capacity Board must hear your case within 7 days.
- Designate a power of attorney for personal care in advance so your treatment wishes are respected if you become incapable.
- Family members can request a physician assessment if someone they care about is at risk of harming themselves or others.
What should you NOT do?
- Don't assume you lose all your rights when involuntarily committed — you retain your civil rights, the right to vote, and the right to a lawyer.
- Don't miss the review board deadline — filing quickly is important to challenge your detention.
- Don't assume all provinces handle consent the same way — the rules on refusing treatment vary significantly between provinces.
- Don't confuse police apprehension with a criminal charge — being brought to hospital by police for a mental health assessment is a health matter, not a criminal one.
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