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Regional Treatment Centre (Ontario)

Located in Kingston Penitentiary, the Regional Treatment Centre (Ontario) is a 90-bed mental health facility under Schedule I of the Mental Health Act of Ontario. There are managers of nursing (with a staff of 51), psychiatry (4), psychology (13), adjunct therapy (11), and security (31).

The following programs are offered:

1. Sex Offender Program

With 25 in-patients, the 18- to 20-week program consists of assessment, group therapy and individual counselling. The approach is cognitive-behavioural therapy.

An out-patient sexual offender program is provided at Kingston Penitentiary. Focusing on long-term offenders, the 16-week program uses cognitive-behavioural therapy.

2. Acute Psychiatric Unit

The program provides medication and psychotherapy for up to 16 patients. The focus is on stabilizing psychotic episodes and monitoring suicidal inmates in order to permit return to the institution or entry to another Regional Treatment Centre program. The average stay is two months. On a long-term basis, the unit also manages a few mental disorder cases with continuing risk of violence.

3. Subacute and Assessment Unit

This program provides psychiatric assessment and treatment of subacute mental disorders for up to 16 patients.

4. Rehabilitation Unit

The program provides maintenance and skill development for up to 16 patients. The average stay is 180 to 365 days. However, there is a bimodal distribution of shorter-term cases, who are discharged to other institutions at an improved level of functioning, and long-term cases, who are unable to function in a normal prison.

5. Adjunct Therapies

Provided by a central group to all programs, these include occupational therapy, recreation, education, leisure activities, life skills, Alcoholics Anonymous, case management and problem solving.

6. Ambulatory Care

This program provides psychiatric services (assessment, medication and psychotherapy) to other institutions, psychiatric nursing follow-up to discharged patients in other institutions, and community liaison for released patients.



Table 1
Breakdown of discharges by diagnosis (April 1989 to March 1990)
Diagnosis # of discharges Average length of
stay in days
 
Psychosis 68 (19%) 113
Neurosis 4 (1%) 90
Personality disorder 51 (15%) 109
Other mental disorder 43 (12%) 51
Alcohol / Drug abuse 9 (4%) 79
Sexual deviation 158 (46%) 51
No psychiatric diagnosis 5 (1.5%) 22
Malingering 5 (1.5%) 6
Total 343 (100%)  

Research and Evaluation

In the past year, Regional Treatment Centre staff presented five papers at two conferences. Topics included empathy training for sex offenders, recidivism studies and medication treatment of aggression. There is no formal research position. The future role of research and program evaluation is currently under review.