Mental Health Law and Legal Rights (14:IV)
A. Income Assistance
Mentally ill persons may be eligible for benefits under the Persons with Disabilities (PWD) or Persons with Persistent and Multiple Barriers to Employment (PPMB) designations. Qualification requirements are strict, but decisions concerning eligibility can be negotiated with the Ministry of Employment and Income Assistance or appealed. Disability Alliance BC assists with applications and appeals (for further details, see Chapter 21: Welfare Law). There may be strict deadlines for these applications so it is important to not delay in these cases.
B. Employment/Disability Income
In Fenton v Forensic Psychiatric Services Commission, (1991), 56 BCLR (2d) 170 (CA), the Court of Appeal overturned a BC Supreme Court decision that struck down provisions of the Employment Standards Act, RSBC 1996, c 113 that allowed employers to pay employees with mental health issues less than minimum wage while working under a work rehabilitation program. Leave to appeal to the Supreme Court of Canada was refused.
If a person cannot work because of mental health issues, the person may be entitled to employment insurance, disability benefits, or CPP disability benefits, or WCB benefits if the mental illness is work related. For information on CPP disability benefits, see Section IV.D: Canada Pension Plan, below. Be aware that there are strict time limits involved when applying for these benefits.
If a person is hospitalized in a psychiatric facility because of an injury at work, he or she may be eligible for WCB benefits. Please contact the Workers Advisory Group through CLAS for more information.
C. Employment Insurance
Individuals either voluntarily or involuntarily admitted to a psychiatric facility may still be eligible to collect Employment Insurance benefits. However, the Employment Insurance Act, SC 1996, c 23 is a very complicated piece of legislation, detailing numerous requirements to qualify for benefits (e.g. number of hours worked, previous claims, unemployment rate, etc.). If a client is denied benefits, it is best to consult the Act directly as a first step or to contact a lawyer knowledgeable in the issues (e.g. CLAS). Be aware that there may be strict timelines in applying for benefits or appealing a denial of benefits. Consult Chapter 8 for more information about Employment Insurance.
D. Canada Pension Plan
Long-term patients may apply for disability pensions. A claim takes four or five months to process. Hospitalization does not affect a person’s right to collect a pension and it is possible to receive CPP benefits for periods of time when an individual was hospitalized. The British Columbia Coalition of Persons with Disabilities assists people with these applications if they reside in the community. For people who are hospitalized, contact the hospital social worker to assist with these applications as strict time limits may apply.
E. Driving
A mental disorder does not automatically disqualify a person from driving. The Superintendent of Motor Vehicles or a person authorized by the Superintendent does have the discretion to deny a licence to those deemed “unfit” under s 92 of the Motor Vehicle Act, RSBC 1996, c 318. This decision is based on The 2010 BC Guide in Determining Fitness to Drive. Chapter 6 of that guide provides assessment policies and procedures. Assessments of cognitive function can be requested (see section 6.6 of the Guide). Chapter 19 of the Guide discusses Psychiatric Disorders while Chapter 27 discusses cognitive impairment (including dementia). Appeals can be made to the Superintendent, but only where medical reports were not properly interpreted, where proper allowances were not made for surgical procedures that the applicant was undergoing, or where the physician has not properly reported the patient’s medical condition. An appeal may also require that the appellant undergo examination and/or testing.