Medical Assistance in Death (MAiD) in Canada: Mental Illness and Assisted Suicide

Oct 10, 2022

Medical Assistance in Death (MAiD) in Canada: Mental Illness and Assisted Suicide

Curt and Katie chat about assisted suicide related to an upcoming expansion of the MAiD laws in Canada to include mental illness. We discuss what these laws seems to say as well as how they might impact patients, medical providers, and therapists. We explore the moral and ethical questions as well as what other countries have done to put in further safeguards to protect patients and doctors.

Transcripts for this episode will be available at mtsgpodcast.com!

In this podcast episode we talk about the expansion of Medical Assistance in Death laws in Canada

We have been watching the MAiD laws in Canada that are soon going to include assistance in death for folks with mental illness. We talk about the law and the concerns we have related to the safeguards (or lack of safeguards).

What are the updates coming to the Medical Assistance in Death laws in Canada?

With the approval of 2 medical professionals and a 24-month waiting period (for psychological illness), individuals can get medication or an injection from a medical provider to end their lives
Requirements for application include chronic, “grievous and irremediable” conditions
Information on requirements are here: Final Report of the Expert Panel on MAiD and Mental Illness
The differences in laws in other countries that seem to have more safeguards in place

What are the moral and ethical questions facing medical and mental health providers?

“Do we have the right – the moral right – as therapists, mental health professionals of any sort of background or license, to tell clients that they must live or that it is okay for them to end their life?” – Curt Widhalm, LMFT

What responsibilities do mental health providers have to their clients related to end of life?
Who will be negatively impacted versus who will be positively impacted?
Who would qualify and who would seek out assistance in dying?

“I'm not worried that someone that's a little depressed is going to decide they want to die by suicide… I think it's more that there are going to be folks [diagnosed with serious mental illness who are receiving insufficient mental health care] … who really don't feel like they have options (and maybe they don't) and they choose to die by suicide versus advocating for stronger treatment.” – Katie Vernoy, LMFT

What is mental illness? Is it only what is in the ICD or DSM?
What are the impacts of these laws on physicians?
Concerns raised by First Nations groups in Canada

Our Generous Sponsors for this episode of the Modern Therapist’s Survival Guide:

Thrizer

Thrizer is a new modern billing platform for therapists that was built on the belief that therapy should be accessible AND clinicians should earn what they are worth. Their platform automatically gets clients reimbursed by their insurance after every session. Just by billing your clients through Thrizer, you can potentially save them hundreds every month, with no extra work on your end. Every time you bill a client through Thrizer, an insurance claim is automatically generated and sent directly to the client's insurance. From there, Thrizer provides concierge support to ensure clients get their reimbursement quickly, directly into their bank account. By eliminating reimbursement by check, confusion around benefits, and obscurity with reimbursement status, they allow your clients to focus on what actually matters rather than worrying about their money. It is very quick to get set up and it works great in completement with EHR systems. Their team is super helpful and responsive, and the founder is actually a long-time therapy client who grew frustrated with his reimbursement times The best part is you don't need to give up your rate. They charge a standard 3% payment processing fee!

Thrizer lets you become more accessible while remaining in complete control of your practice. A better experience for your clients during therapy means higher retention. Money won't be the reason they quit on therapy. Sign up using bit.ly/moderntherapists if you want to test Thrizer completely risk free! Sign up for Thrizer with code 'moderntherapists' for 1 month of no credit card fees or payment processing fees! That’s right - you will get one month of no payment processing fees, meaning you earn 100% of your cash rate during that time.

Simplified SEO Consulting

Have you spent countless hours trying to get your website just right and yet, it's not showing up on Google and it doesn't seem like anyone's able to find it? Simplified SEO Consulting has a unique solution. They've been training therapists to optimize their websites, so they show up better on Google for the past 4 years. But let's face it, with the busy schedules we all keep it can be hard to find the time to optimize your website even when you learn how. So, they are hosting a 16 day cruise in July 2023 going from LA to Hawaii and back. When you join them, you'll get intensive SEO education and coaching during the 10 days at sea. Most importantly, you'll have plenty of time to sit next to the pool and implement everything you've learned and then ask their team for feedback. Yes, it's the perfect excuse for a Hawaii vacation. But it's also a time to both learn about SEO and actually implement what you learn.

The upcoming cruise is a unique opportunity to learn to optimize your own website, have time to practice what you learn and the ability to get feedback from leading SEO professionals in our field.

To reserve your spot before it fills up, go to https://simplifiedseoconsulting.com/training-cruise-for-better-seo/

Resources for Modern Therapists mentioned in this Podcast Episode:

We’ve pulled together resources mentioned in this episode and put together some handy-dandy links. Please note that some of the links below may be affiliate links, so if you purchase after clicking below, we may get a little bit of cash in our pockets. We thank you in advance!

Final Report of the Expert Panel on MAiD and Mental Illness

NY Times: Is Choosing Death Too Easy in Canada?

Medical Assistance in Dying in Canada: Too Much, Too Fast?

Canadian and Dutch doctors’ roles in assistance in dying

Relevant Episodes of MTSG Podcast:

Part 1: Risk Factors for Suicide: What therapists should know when treating teens and adults

Part 2: What Therapists Should Actually Do for Suicidal Clients: Assessment, safety planning, and least intrusive intervention

What's new in the DSM 5-T-R? An interview with Dr. Michael B. First

When Clients Die: An interview with Debi Frankle, LMFT

Therapists Struggling with Darkness

Suicidal Therapists: An interview with Norine Vander Hooven, LCSW

Therapist Suicide

Who we are:

Curt Widhalm, LMFT

Curt Widhalm is in private practice in the Los Angeles area. He is the cofounder of the Therapy Reimagined conference, an Adjunct Professor at Pepperdine University and CSUN, a former Subject Matter Expert for the California Board of Behavioral Sciences, former CFO of the California Association of Marriage and Family Therapists, and a loving husband and father. He is 1/2 great person, 1/2 provocateur, and 1/2 geek, in that order. He dabbles in the dark art of making "dad jokes" and usually has a half-empty cup of coffee somewhere nearby. Learn more at: www.curtwidhalm.com

Katie Vernoy, LMFT

Katie Vernoy is a Licensed Marriage and Family Therapist, coach, and consultant supporting leaders, visionaries, executives, and helping professionals to create sustainable careers. Katie, with Curt, has developed workshops and a conference, Therapy Reimagined, to support therapists navigating through the modern challenges of this profession. Katie is also a former President of the California Association of Marriage and Family Therapists. In her spare time, Katie is secretly siphoning off Curt's youthful energy, so that she can take over the world. Learn more at: www.katievernoy.com

A Quick Note:

Our opinions are our own. We are only speaking for ourselves – except when we speak for each other, or over each other. We’re working on it.

Our guests are also only speaking for themselves and have their own opinions. We aren’t trying to take their voice, and no one speaks for us either. Mostly because they don’t want to, but hey.