Pre-trials: Production and Disclosure of Therapeutic Records in the Possession of Third Parties

Patrick Ducharme
Patrick Ducharme

Examples of Common Pre-Trial Applications

The following are examples of common pre-trial applications.


Production and Disclosure of Therapeutic Records in the Possession of Third Parties

A “record” that contains personal information for which there is a reasonable expectation of privacy and includes medical, psychiatric, therapeutic counseling, education, employment, child welfare, adoption and social services records, personal journals and diaries, and records containing personal information must be applied for pursuant to the regime set out in sections 278.1 to 278.91 of the Code.
Generally, a Judge asked to consider such an application, holds a hearing privately to determine whether to order the person who has possession or control of the record to produce it to the court for review. The person who has possession or control of the record, the complainant or witness, and any other person to whom the record relates may appear and make submissions, but they are not compellable. For counsel to come within the parameters of this statutory regime will often be as difficult as the proverbial biblical reference of fitting into the “eye of the needle.”

Consider the requirements of section 278.4:

278.4(1): The Judge may order the person who has possession or control of the record to produce the record or part of the record to the court for review by the Judge if, after the hearing referred to in subsection 278.4(1), the Judge is satisfied that
(a) the application was made in accordance with subsections 278.3(2) to (6);
(b) the accused has established that the record is likely relevant to an issue at trial or to the competence of a witness to testify; and
(c) the production of the record is necessary in the interests of justice.
(2) Factors to be considered — In determining whether to order the production of the record or part of the record for review pursuant to subsection (1), the Judge shall consider the salutary and deleterious effects of the determination on the accused’s right to make a full answer and defence and on the right to privacy and equality of the complainant or witness, as the case may be, and any other person to whom the record relates. In particular, the Judge shall take the following factors into account:

(a) the extent to which the record is necessary for the accused to make a full answer and defence;
(b) the probative value of the record;
(c) the nature and extent of the reasonable expectation of privacy with respect to the record;
(d) whether production of the record is based on a discriminatory belief or bias;
(e) the potential prejudice to the personal dignity and right to privacy of any person to whom the record relates;
(f) society’s interest in encouraging the reporting of sexual offences;
(g) society’s interest in encouraging the obtaining of treatment by complainants of sexual offences; and
(h) the effect of the determination on the integrity of the trial process.

Canadian Criminal Procedure by Patrick J Ducharme

The above is the an excerpt of Patrick J Ducharme's book, Canadian Criminal Procedure, available at Amazon or in bulk through MedicaLegal Publishing along with Criminal Trial Strategies.

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