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Court as a health intervention to advance Canada's achievement of the sustainable development goals : a multi-pronged analysis of Vancouver's Downtown Community Court.
Globalization and Health ( IF 10.8 ) Pub Date : 2019-12-18 , DOI: 10.1186/s12992-019-0511-9
Regiane A Garcia 1 , Kristi Heather Kenyon 2 , Claire E Brolan 3 , Juliana Coughlin 4 , Daniel D Guedes 1
Affiliation  

BACKGROUND The increase in problematic substance use is a major problem in Canada and elsewhere, placing a heavy burden on health and justice system resources given a spike in drug-related offences. Thus, achievement of Sustainable Development Goal (SDG) Target 3.5 to 'Strengthen the prevention and treatment of substance abuse' is important for Canada's overall realization of the SDGs, including SDG 3 (Good Health and Wellbeing). Since 2008, Vancouver's Downtown Community Court (DCC) has pioneered an innovative partnership among the justice, health and social service systems to address individuals' needs and circumstances leading to criminal behaviour. While researchers have examined the DCC's impact on reducing recidivism, with Canada's SDG health commitments in mind, we set out to examine the ways health and the social determinants of health (SDH) are engaged and framed externally with regard to DCC functioning, as well as internally by DCC actors. We employed a multi-pronged approach analyzing (1) publicly available DCC documents, (2) print media coverage, and (3) health-related discourse and references in DCC hearings. RESULTS The documentary analysis showed that health and the SDH are framed by the DCC as instrumental for reducing drug-related offences and improving public safety. The observation data indicate that judges use health and SDH in providing context, understanding triggers for offences and offering rationale for sentencing and management plans that connect individuals to healthcare, social and cultural services. CONCLUSIONS Our study contributes new insights on the effectiveness of the DCC as a means to integrate justice, health and social services for improved health and community safety. The development of such community court interventions, and their impact on health and the SDH, should be reported on by Canada and other countries as a key contribution to SDG 3 achievement, as well as the fulfillment of other targets under the SDG framework that contain the SDH. Consideration should be given by Canada as to how to capture and integrate the important data generated by the DCC and other problem-solving courts into SDG reporting metrics. Certainly, the DCC advances the SDGs' underlying Leave No One Behind principle in a high-income country context.

中文翻译:

法院作为健康干预措施,以促进加拿大实现可持续发展目标:对温哥华市中心社区法院的多方面分析。

背景技术有问题的物质使用的增加是加拿大和其他地方的主要问题,由于与毒品有关的犯罪激增,对卫生和司法系统资源造成沉重负担。因此,实现加拿大可持续发展目标(SDG)目标3.5的“加强预防和治疗药物滥用”对于加拿大整体实现SDG至关重要,包括SDG 3(良好健康和福祉)。自2008年以来,温哥华的市区社区法院(DCC)在司法,卫生和社会服务系统之间开创了创新的合作伙伴关系,以解决个人的需求和导致犯罪行为的情况。尽管研究人员在考虑了加拿大的可持续发展目标(SDG)健康承诺的情况下研究了DCC对减少再犯的影响,我们着手研究DCC职能的外部和外部DCC参与者内部如何参与健康和社会健康决定因素(SDH)的框架。我们采用多管齐下的方法来分析(1)DCC可公开获得的文档,(2)印刷媒体报道以及(3)DCC听证会中与健康相关的论述和参考。结果文献分析表明,DCC将健康和SDH视为减少毒品相关犯罪和改善公共安全的工具。观察数据表明,法官在提供背景信息,理解犯罪的诱因以及为将个人与医疗保健,社会和文化服务联系起来的量刑和管理计划提供依据时使用健康和SDH。结论我们的研究为DCC的有效性提供了新的见解,作为将司法,健康和社会服务相结合以改善健康和社区安全的一种手段。加拿大和其他国家应报告此类社区法院干预措施的发展及其对健康和SDH的影响,这是对实现SDG 3的主要贡献,以及对实现SDG 3框架下其他目标的重要贡献。 SDH。加拿大应考虑如何捕获DCC和其他解决问题法院生成的重要数据并将其整合到SDG报告指标中。当然,DCC在高收入国家的背景下推进了可持续发展目标的基本原则。加拿大和其他国家应报告此类社区法院干预措施的发展及其对健康和SDH的影响,作为对实现SDG 3的主要贡献,以及对实现SDG 3框架下其他目标的重要贡献。 SDH。加拿大应考虑如何捕获DCC和其他解决问题法院生成的重要数据并将其整合到SDG报告指标中。当然,DCC在高收入国家的背景下推进了可持续发展目标的基本原则。加拿大和其他国家应报告此类社区法院干预措施的发展及其对健康和SDH的影响,作为对实现SDG 3的主要贡献,以及对实现SDG 3框架下其他目标的重要贡献。 SDH。加拿大应考虑如何捕获DCC和其他解决问题法院生成的重要数据并将其整合到SDG报告指标中。当然,DCC在高收入国家的背景下推进了可持续发展目标的基本原则。加拿大应考虑如何捕获DCC和其他解决问题法院生成的重要数据并将其整合到SDG报告指标中。当然,DCC在高收入国家的背景下推进了可持续发展目标的基本原则。加拿大应考虑如何捕获DCC和其他解决问题法院生成的重要数据并将其整合到SDG报告指标中。当然,DCC在高收入国家的背景下推进了可持续发展目标的基本原则。
更新日期:2020-04-22
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