Britney Spears Locked Away In A Mental Ward

It has been reported that Britney Spears is finally recieving much needed medical treatment the Mental Condition known as Bipolar. Spears Whom is now hospitalized after continuing her usually strange behavior and then going reportedly 3-5 days without sleep had long been speculated as having the disease. Bipolar is a very serious disease that can lead to massive mood swings, violence outbreaks, and tons of other very strange behavior.

Bipolar comes in two different stages and one stage in between the two known as Cyclothymia which is a milder form of Bipolar 2. Bipolar I disorder is a mood disorder that is characterized by at least one manic or mixed episode. There may be episodes of hypomania or major depression as well. It is a sub-diagnosis of bipolar disorder, and conforms to the classic concept of manic-depressive illness. To be clear however Britney might be experiencing many different variations of this disease.

Bipolar disorder is not a single disorder, but a category of mood disorders defined by the presence of one or more episodes of abnormally elevated mood, clinically referred to as mania. Individuals who experience manic episodes also commonly experience depressive episodes or symptoms, or mixed episodes which present with features of both mania and depression. These episodes are normally separated by periods of normal mood, but in some patients, depression and mania may rapidly alternate, known as rapid cycling. The disorder has been subdivided into bipolar I, bipolar II and cyclothymia based on the type and severity of mood episodes experienced.

Britney Spears shaved her head earlier last year before entering Rehab, after leaving Rehab she then went on a massive rant throughout hollywood which ended with her losing her kids, being taken forcefully from her home by Paramedics after a standoff with police while holding one of her two sons hostage, and then finally hooking up with a member of the Paparazzi, all the while continually dressing in strange garments including the supposed top half of her wedding dress. We are all hoping Britney Finally gets the help she so desperately needs.

Group B Strep Leaves Baby With Quadriplegia And Mental Retardation After Pediatrician Missed Signs

A Group B Strep infection can have severe consequences on a baby and can develop and cause injury suddenly and quickly doctors generally agree that antibiotics should be administered as soon as a baby shows signs of infection rather than wait for test results which can take 48-72 hours. If test results later come back negative, antibiotics can be stopped. Failure to recognize the signs of infection or to treat them immediately with antibiotics may result in medical malpractice.

Consider, for example, a reported case in which the baby’s mother had tested negative for Group B Strep during the pregnancy and neither the mother nor the baby showed any of the risk factors for neonatal sepsis (such as preterm delivery, rupture of the membranes lasting longer than 18 hours prior to delivery, and infection of the placental tissues and amniotic fluid).

The pediatrician was present in the delivery room. Within three hours of being born the baby started experiencing respiratory distress, had problems feeding, and his extremities started showing diminished perfusion (which can lead to decreased tissue oxygen delivery).

The pediatrician was called two times by the nurses about these developments. The pediatrician ordered pulse oximetry but did not examine the baby. Pulse oximetry is a noninvasive method of monitoring the oxygenation of the baby’s hemoglobin. The results were normal as were the results of the CBC and urine bacterial antigen tests ordered by the pediatrician after the baby’s birth. Over the course of the next 11 hours after the initial onset of symptoms, the baby’s respiratory and feeding problems seemed to resolve but the perfusion problems did not change.

The pediatrician claimed to have examined the baby 14 hours after birth. There was no record in the chart of the pediatrician conducting a full examination of the baby. There was only an entry indicating that the baby was normal in all respects, active, pink, alert and feeding well. The pediatrician then left the hospital.

Entries in the chart over the course of the next 12 hours documented that the baby’s perfusion problems continued. Then, 26 1/2 hours after being born the baby again developed respiratory and feeding problems. The staff called the pediatrician approximately 1 1/2 hours after these symptoms returned.

The pediatrician immediately returned to the hospital, diagnosed the baby with septic shock, and transferred him to the Intensive Care Unit. The baby required resuscitation. He was transferred five hours later to a medical center where he could receive more specialized care and remained there for an extended stay.

The baby had suffered from meningitis due to a Group B Strep infection. The meningitis, in turn, resulted in quadriplegia and mental retardation. Had the pediatrician administered antibiotics prior to leaving the hospital, the baby would not have developed meningitis and would not suffer from quadriplegia or mental retardation.

A lawsuit was filed on behalf of the baby and his parents. The case went to trial where the plaintiffs presented evidence that the pediatrician (1) should have conducted a full sepsis workup 3 hours after delivery, when the baby first started showing symptoms (2) should have immediately started the baby on antibiotics and (3) should have left clear instructions for the nurses to contact him immediately of any change in condition. The jury returned a verdict in favor of the plaintiffs and the law firm that represented them reported the case then settled for $1.0 Million, the policy limits.

This case illustrates the importance of reacting quickly to signs of infection in a newborn. While the pediatrician took the position that the initial respiratory and perfusion problems were explainable as side effects of issues other than infection, that the feeding problems had resolved before he left, and that the test results were negative, the fact remains that the baby did have a Group B Strep infection and that early administration of antibiotics, as most doctors would recommend, would have prevented his lifelong disabilities.

Residential Tenancies Mental Health Problems A duty to accommodate and a tenant’s right to remain

RESIDENTIAL TENANCIES: Mental Health Problems, a Duty to Accommodate, and a Tenant’s Right to Remain in their Home

By: Michael K.E. Thiele, B.A., LL.B., Plant Quinn Thiele LLP, Ottawa, Ontario Canada. Copyright 2007

The legislation governing most residential landlord and tenant relationships in Ontario is the Residential Tenancies Act S.O. 2006, c.17. (RTA). While the residential lease, written, oral, or implied, executed by the parties may inform the rights and responsibilities between the parties, the lease agreement may only establish those rights subject to the over-riding provisions of the RTA. In Ontario, the RTA applies to rental units in residential complexes despite any other Act and despite any agreement or waiver to the contrary. Further, where a provision in a tenancy agreement/ lease is inconsistent with the RTA or its regulations, that provision is void, and where the provision of another Act conflicts with the RTA the RTA takes precedence. In this regard, the freedom to contract is restricted; even prevented by the RTA, and appellate judicial pronoucement confirms that the RTA is effectively a complete code removing even the jurisdiction of the Superior Court in dealing with the relationship between landlord and tenant outside of the regime established by the RTA.

A recognized and statutorily mandated exception to the foregoing is the application of the Ontario Human Rights Code, the provisions of which take precedence over the provisions of the RTA. It is with respect to this exception that this paper is concerned, in the context of discussing recurring and difficult cases arising at the Landlord and Tenant Board, and how the Human Rights Code is helping tenants suffering from disabilities that cause behaviours which otherwise or normally would justify termination of their tenancies and eviction.

In practice before the Landlord and Tenant Board of Ontario, it has become increasingly apparent that a great number of tenants who are called upon to defend themselves and consequently their tenancies are suffering from some form of mental illness. In many instances, the mental illness is undiagnosed, but nevertheless is apparent to the observant onlooker. These tenants, but for the litigation support offered through Legal Aid Ontario, Community Legal Clinics, and generous lawyers, are left without the protections that one expects a Court to afford parties under disability. The Landlord and Tenant Board will allow proceedings to continue against a tenant, who by any reasonable measure would appear to be a party under disability, with the usual caveat being that they speak to duty counsel (who can not represent during the proceeding) prior to hearing.

Whether justice is wrought in these circumstances is a hard question; however, I believe it is fair to say that under these circumstances, the chance for injustice is greatly elevated. How then, and where, is the protection for parties under disability, for the mentally ill and infirm?

The starting point to deal with mental illness in residential landlord and tenant matters lies in the Ontario Human Rights Code R.S.O. 1990, c. H 19.. The code provides that -every person has a right to equal treatment with respect to the occupancy of accommodation, without discrimination because of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, age, marital status, family status, disability or the receipt of public assistance-. A disability is defined to include a condition of mental impairment or a mental disorder.

In the recent Supreme Court of Canada decision in Werbeski v. Ontario (Director of Disability Support Program, Ministry of Community & Social Services), 2006 SCC 14 (S.C.C.) , the Court held that a provincially created statutory tribunal was obligated to follow the provincial human rights legislation when rendering its decision. The Court stated that statutory tribunals, which were empowered to decide questions of law, are presumed to look beyond the enabling statute, to apply the whole law to a matter properly before them.

The OHRC is a fundamental law. The Ontario legislature affirmed the primacy of the OHRC in the law itself, which is applicable both to private citizens and public bodies. Further, the adjudication of OHRC issues is no longer confined to the exclusive domain of the Ontario Human Rights Commission: OHRC, Section 34. The legislature has clearly contemplated that this fundamental law could be applied by the Court and other administrative bodies and has amended the OHRC accordingly.

In Werbeski , supra, the Supreme Court of Canada found that an administrative tribunal should apply the provisions of the OHRC when interpreting statutes because:

(i) The Ontario Human Rights Code states that it has primacy over other legislative enactments;

(ii) The recent amendments to the OHRC have removed the exclusive jurisdiction over interpretation and the application of the Code, from the Human Rights Commission.

In addition, the provisions of Section 11(2) and Section 17(2) and (3) of the OHRC specifically state that “a Court, as well as the Tribunal or the Commission, could apply these provisions of the OHRC when deciding if the needs of a person with a disability can be accommodated without undue hardship.” Section 47(2) of the OHRC states that the OHRC is paramount over other legislation. The Supreme Court of Canada has also held that the Human Rights Code takes precedence over agreements and contracts: Syndicat Northcrest c. Amselem, [2004] 2 S.C.R. 551 (S.C.C.).

APPLICATION TO LANDLORD AND TENANT BOARD PROCEEDINGS

The Divisional Court in Walmer Developments v. Wolch, on a appeal from a decision of the Ontario Rental Housing Tribunal (predecessor to the Landlord and Tenant Board), dealt with a situation where the tenant was diagnosed with schizophrenia. As a consequence of this condition, the tenant exhibited behaviours that included frequent screaming, throwing garbage loose in the halls, shouting profanity in the elevator, putting her property, such as her TV, out in the hall, and leaving food cooking on the stove unattended and hence filling the hall with smoke.

The Ontario Rental Housing Tribunal did not apply the Ontario Human Rights Code, and failed to give consideration to the implications of section 2 of the OHRC to the eviction proceedings before it. This was ultimately held to be in error as Section 17 of the Code provides:

17(1) A right of a person under this Act is not infringed for the reason only that the person is incapable of performing or fulfilling the essential duties or requirements attending the exercise of the right because of disability.

(2) The Commission, the board of inquiry or a court shall not find a person incapable unless it is satisfied that the needs of the person cannot be accommodated without undue hardship on the person responsible for accommodating those needs, considering the cost, outside sources of funding, if any, and health and safety requirements, if any.

After some discussion of issues pertaining to the Ontario Rental Housing Tribunal’s ability to require accommodation (since ameliorated by statutory amendments), the Court held that a tenant suffering a disability has the protections of the OHRC, and most importantly that the question of accommodation shall be considered in the Tribunal’s/Board’s determination of whether to relieve from eviction under the discretionary provisions of the Tenant Protection Act/Residential Tenancies Act.

In Walmer, the appeal was allowed because it was ultimately demonstrated that the landlord could accommodate the tenant by notifying the tenant’s family of problems as they arose and that the tenant’s family could intervene. It was found that the tenant, when on her medication was controlled and her behaviour was then not objectionable.

Walmer, then, stands for the proposition that a landlord has a duty to accommodate a tenant who exhibits behaviours as a result of a disability, that otherwise would warrant termination and eviction, and where the accommodation does not amount to undue hardship, to actually take steps to assist the tenant in maintaining their tenancy by finding reasonable solutions to the problems alleged. Further, where a landlord fails to provide such accommodation, the Landlord and Tenant Board is directed to consider what may be a reasonable accommodation and where available, refuse termination and eviction to the landlord.

SINCE WALMER The Walmer decision has had the practical impact of sensitizing the Landlord and Tenant Board to the fact that many of the persons who appear before the Board are suffering from disabilities. While sensitized to the issue, it continues to be the case that the burden of establishing the existence of the disability; and further establishing what the reasonable accommodation may be; remains with the tenant. Where tenants do not have representation and/or do not have a support network the accommodation potential (and hence retention of the rental unit) offered by Walmer , is not pursued and hence is lost. Very clearly, in the Landlord and Tenant Board context, a human right is only a right if it is pursued and the Board will not, on an institutional basis assure that a mentally ill party is represented and that his/her human rights are asserted.

The Walmer decision has had a dramatic real life impact for many tenants. In particular, tenants suffering from schizophrenia, paranoid delusional disorder, dementia, alzheimers, hoarding instincts, and a host of other mental illnesses that from time to time cause behaviours that otherwise would warrant termination and eviction; now, are retaining their housing, with the landlord being required to take a little extra care for them. The Walmer development has been a positive change in that it has very clearly prevented homelessness of persons with mental illness who are able to be treated and who will function normally with the right support, understanding, and accommodation.

This is significant as the number of aging renters increases. Aging seniors, who haven’t had an issue with their landlords since the commencement of their tenancy are increasingly finding themselves before the Landlord and Tenant Board facing allegations of anti-social behaviours. Often these behaviours are age related as aging sometimes brings on mental illnesses or medical conditions that cause a person to exhibit anti-social behaviours. Often, these can be medically treated or ameliorated by additional care and support. These -mentally ill- tenants are often just regular folks whose entire life is subject to being turned upside down through eviction because they got sick. Through eviction they lose the stability that having a place to live gives, it robs them of peace, their routines, and likely exacerbates any medical condition or mental illness through the stress caused by the eviction.

While Walmer has been a tremendous help to many tenants by forcing the Landlord and Tenant Board to recognize -disabilities- and to impose accommodation of those disabilities where reasonable; the procedures of the Landlord and Tenant Board in adjudicating cases dealing with the mentally ill continue to disregard the fact that in many instances these tenants are not only mentally ill but incompetent as well. From the perspective of the Landlord and Tenant Board it never has a party before it that can be a -person under disability- as in the sense of the Rules of Civil Procedure. Query whether this is just.

CONCLUSION The issue that this paper started with remains unresolved. Persons suffering with mental illness still face procedural disadvantage at the Landlord and Tenant Board. The Landlord and Tenant Board can make a person homeless. Hopefully, the law will eventually recognize that the mentally ill and incompetent deserve procedural protection and it seems fair to suggest that one avenue to such protection is through the ideas expressed by the Court in Walmer.

Mind Training And Peak Performance – Mental Techniques For Peak Sports Performance

Many coaches spend all time focusing on physical training for their athletes, and physical training is important. However, for optimal sports performance, athletes need to train their mind, as well as their body. After all, the body is controlled by the mind. The brain regulates heart rate, breathing and the rest of the body’s functions. This means that mind training can make the difference between success and failure for athletes.

Yes, physical skill and talent definitely play a huge role in an athlete’s overall performance. However, many coaches underestimate the value of mind training and how it can be used to push an athlete towards their peak performance. As a coach, you must understand the power of the mind. Once you do understand how powerful the mind can be, you can start passing on that information to your athletes.

Once you realize the important of mind training, as well as how it can affect your athlete’s sports performance, you need to begin learning techniques that can be used to train the mind and improve mental toughness. The best way to learn these training techniques is to get your coaching certification. Taking the Mental Strength Coaching course allows you to become certified in these techniques. Just a few of the techniques you will learn include using imagery and visualization to help athletes reach peak performance, how to use routines to keep performance consistent and how to extend concentration duration.

Not only does the Mental Strength Coaching Certification teach you important mind training techniques, but it also helps you learn more about personal coaching and mental strength. Within the personal coaching section of the coach, you’ll learn the best methods of coaching your athletes effectively. The mind training section will offer you information on how your athletes think and training techniques that will help your athletes enjoy bigger, better achievements. The mental strength section will offer insight into some of the best mental strength tools and information on how you can pass those tools on to your athletes.

Getting your coaching certification and learning techniques for better sports performance will help you become a better coach. As you become a better coach, you’ll be able to pass on the information you’ve learned to your athletes, making them better athletes. When you begin integrating mind training into your coaching sessions, along with physical training, you’ll begin seeing a difference in your athletes. You’ll notice they have more confidence, you’ll find that their mental toughness improves their physical toughness and you’ll see them finally reach their peak performance.

Copyright (c) 2013 Gregg Swanson