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Adults with developmental disabilities inappropriately housed in hospitals

Media release, "Ombudsman to investigate cases of people with developmental disabilities who are inappropriately housed in hospitals " (March 27, 2023)   Case Update (Annual Report 2023-2024) Case Update (Annual Report 2022-2023) Investigation into the plight of adults with developmental …

Traditional medicines

An Indigenous inmate told us he had not been able to smudge regularly at his facility, and he wasn’t allowed traditional medicines such as cedar, sage, sweetgrass and tobacco. RESULT: After we intervened, he met with a Native Inmate Liaison Officer and was provided with smudge spray, sage medicine, …
An Indigenous inmate told us he had not been able to smudge regularly at his facility, and he wasn’t allowed traditional medicines such as cedar, sage, sweetgrass and tobacco.

Indigenous healing lodge

An Indigenous inmate complained of repeated delays in response to her requests to see a social worker, so she could apply to an Indigenous healing lodge. RESULT: We spoke with facility officials, who said staffing shortages had resulted in delays. We kept in touch with the inmate, who confirmed she …
An Indigenous inmate complained of repeated delays in response to her requests to see a social worker, so she could apply to an Indigenous healing lodge.

Oversight 911

O N T A R I O n n O N TA R I O ’ S WATC H D O G OVERSIGHT 911 Investigation into how the Ministry of Health oversees patient complaints and incident reports about ambulance services OMBUDSMAN REPORT PAUL DUBÉ, OMBUDSMAN OF ONTARIO MAY 2021 911 1-800-263-1830 www.ombudsman.on.ca O N TA R I O ’ S …
Investigation into how the Ministry of Health oversees patient complaints and incident reports about ambulance services

Missed Messages

O N T A R I O REPORT OF THE FRENCH LANGUAGE SERVICES COMMISSIONER Carl Bouchard July 2024 Missed Messages Investigation into unilingual out-of-home government advertising regarding health services between April 1, 2020 and March 31, 2023 O N T A R I O Missed Messages DIRECTOR, FRENCH LANGUAGE …
During the COVID-19 pandemic, Ontarians turned to the provincial government for important information on protecting their health and that of their families and communities.

Service for a smile

A woman whose daughter had to have an emergency root canal procedure – at a cost of $700 – sought our help in obtaining coverage through Healthy Smiles Ontario, a provincial program that covers dental care for eligible children and youth who are 17 and under. The child’s dentist had not enrolled …
A woman whose daughter had to have an emergency root canal procedure – at a cost of $700 – sought our help in obtaining coverage through Healthy Smiles Ontario, a provincial program that covers dental care for eligible children and youth who are 17 and under.

Action reaction

A woman reached out to us after contacting the Ministry of Long-Term Care’s Action Line with concerns about her mother’s death in a long-term care home. She felt the Ministry had failed to respond to her concerns about the medical care given to her mother, who suffered an infection and dehydration …
A woman reached out to us after contacting the Ministry of Long-Term Care’s Action Line with concerns about her mother’s death in a long-term care home.

Report as required

We received complaints from two inmates at the same facility, alleging they had been sexually assaulted. One inmate complained that they were sexually assaulted by another inmate, and the other complained that they were sexually assaulted by staff. When we inquired with facility staff, we found …
We received complaints from two inmates at the same facility, alleging they had been sexually assaulted.

Privacy protections

We received complaints from a group of 10 inmates, all women, that they were strip searched by correctional officers in their unit, in view of one another. We flagged this case to senior staff at the facility. RESULT: After our intervention, the facility purchased privacy screens to prevent similar …
We received complaints from a group of 10 inmates, all women, that they were strip searched by correctional officers in their unit, in view of one another.

Mistaken identity

A transgender inmate contacted our Office after she was involved in an altercation with correctional officers. When we made inquiries, we learned that the facility’s computer system had not been updated with the correct information regarding the inmate’s gender identity, even though she had …
A transgender inmate contacted our Office after she was involved in an altercation with correctional officers.

Submission to the Ministry of the Solicitor General’s consultation regarding training for peace officers and use of force by police services

Submission to the Ministry of the Solicitor General’s consultation regarding training for peace officers and use of force by police services Paul Dubé Ombudsman of Ontario October 2023 1 Submission to the Ministry of the Solicitor General regarding training and use of force October 2023 Overview …
The Ministry of the Solicitor General has requested public and stakeholder input on various proposed regulations made under the Community Safety and Policing Act, 2019.

Positive test result

A pregnant woman who had tested positive for an infection contacted us when she received the results from Public Health Ontario and realized that the wrong follow-up test had been done. We made inquiries with staff at the Public Health Laboratory, who determined that the woman’s doctor hadn’t …
A pregnant woman who had tested positive for an infection contacted us when she received the results from Public Health Ontario and realized that the wrong follow-up test had been done.

Permanent solution

A man was trying to renew a health card on behalf of his son, who has a disability and does not have a driver’s licence. The only way his card could be renewed was to visit ServiceOntario in person, or have a family doctor fill out a form exempting him from the photo and signature requirement. He …
A man was trying to renew a health card on behalf of his son, who has a disability and does not have a driver’s licence.

Added grief

A woman whose common-law spouse had died while they were living in a homeless shelter complained to us that the Chief Coroner’s Office had buried him even though she had requested to claim the body. When we spoke to the Coroner’s Office, we were told that the woman hadn’t taken the appropriate …
A woman whose common-law spouse had died while they were living in a homeless shelter complained to us that the Chief Coroner’s Office had buried him even though she had requested to claim the body.

Issues overlooked

An inmate told us a correctional officer threw him to the ground and started punching and kneeing him – leaving the inmate with swollen arms and a broken hand. We confirmed that the inmate had received medical treatment, including medication and multiple x-rays. However, we discovered that although …
An inmate told us a correctional officer threw him to the ground and started punching and kneeing him – leaving the inmate with swollen arms and a broken hand.

Dangerously close

An inmate sought our help because he was housed on the same range with another inmate who was facing charges for stabbing him – and, he told us, was now extorting him for access to the canteen, food and phone calls. We alerted senior staff at the facility, and the two inmates were separated shortly …
An inmate sought our help because he was housed on the same range with another inmate who was facing charges for stabbing him – and, he told us, was now extorting him for access to the canteen, food and phone calls.

Lessons for the Long Term

O N T A R I O Lessons for the Long Term Investigation into the Ministry of Long-Term Care’s oversight of long-term care homes through inspection and enforcement during the COVID-19 pandemic OMBUDSMAN REPORT PAUL DUBÉ, OMBUDSMAN OF ONTARIO SEPTEMBER 2023 Lessons for the Long Term DIRECTOR, SPECIAL …
Investigation into the Ministry of Long-Term Care’s oversight of long-term care homes through inspection and enforcement during the COVID-19 pandemic.

Submission to the Ministry of the Solicitor General’s consultation regarding equipment and use of force by police services

Submission to the Ministry of the Solicitor General’s consultation regarding equipment and use of force by police services Paul Dubé Ombudsman of Ontario October 2022 1 Submission to the Ministry of the Solicitor General regarding equipment and use of force by police services October 2022 Overview …
The Ministry of the Solicitor General has requested public and stakeholder input on proposed amendments to Ontario Regulation 926/90 concerning equipment and the use of force by police services.

Submission in response to the Ministry’s consultation on proposed changes to Regulation 778

Submission in response to the Ministry of the Solicitor General’s consultation on proposed changes to Regulation 778 Paul Dubé Ombudsman of Ontario May 2021 2 Submission on Ministry of the Solicitor General’s consultation on Regulation 778 May 2021 Introduction 1 Thank you for the opportunity to …
Thank you for the opportunity to comment on the Ministry of the Solicitor General’s proposed amendments to Regulation 778 related to segregation, inmate discipline and misconduct, and mandatory training for correctional officers.

Submission in response to the Ministry’s consultation on proposed changes to Regulation 778, regarding segregation reviews

“Ensuring Truly Independent Segregation Reviews” Submission in response to the Ministry of the Solicitor General’s consultation on proposed changes to Regulation 778, regarding segregation reviews Paul Dubé Ombudsman of Ontario September 23, 2019 3 “Ensuring Truly Independent Segregation Reviews” …
My team and I appreciate the opportunity to comment on the Ministry of the Solicitor General’s three proposed changes to Ontario Regulation 778.