Consent and Capacity Board

 

 

Annual Report 2008/2009

(Fiscal Period – April 1, 2008 to March 31, 2009)

 

 

 

 

 

 

 

 

 

Table of Contents

 

 

 

Overview and jurisdiction of the CCB

 

Organization of the CCB

 

Performance Measures

 

Progress

 

Administration and operations

 

Case-related statistics

 

Appeals

 

Board Members

 

Board Staff

 

Financial information

OVERVIEW AND JURISDICTION OF THE CONSENT AND CAPACITY BOARD

 

The Consent and Capacity Board (CCB) is an independent tribunal with a mandate to adjudicate on matters of capacity, consent, civil commital, substitute decision-making and other issues affecting citizens of Ontario, the health care community, the Ministry of Health and Long-Term Care, and other government agencies.

 

The Consent and Capacity Board is responsible for adjudicating on questions of paramount importance to the community, including:

 

• Public safety - mentally ill people who may be at risk to cause harm to self or other persons as a result of mental disorder, and
• Abuse - mentally ill people or others who may be subject to financial, physical or psychological abuse.

 

The Consent and Capacity Board meets its legislative obligations by:

• Adjudicating consistently and in a timely fashion;
• Issuing high-quality decisions and reasons of Decision, and

·         creating an environment of respect for the system and the tribunal and those who interact with it.

 

The work of Ontario’s Consent and Capacity Board is internationally recognized and respected, in part because of these factors.

 

Over 80 percent of applications to the Consent and Capacity Board involve a review under the Mental Health Act of a person's involuntary status in a psychiatric facility, or a review under the Health Care Consent Act of a person’s capacity to consent to or refuse treatment.

 

Jurisdiction of the Consent and Capacity Board

 

The Board is responsible for holding hearings and making decisions on matters in which four elements are paramount:

 

1. The safety of the individual - incapacitated or mentally ill people can be easily abused physically or psychologically, and can sometimes cause harm to themselves, intentionally or unintentionally;

 

2. The interests of the community - confinement and/or treatment are sometimes necessary for individuals who are likely at risk to cause harm to self or other persons as a result of mental disorder;

 

3. Dignity and autonomy of the individual - liberty and the right to choose where one will live, whether to take treatment and if so, the nature of such treatment, and how to manage one’s property and finances; and

 

4. The right of a person to have treatment when required.

 

 

The Board’s authority to hold hearings arises under the following legislation:

Health Care Consent Act

 

·               Review of capacity to consent to treatment, admission to a care facility or a personal assistance service;

 

·               Consideration of the appointment of a representative to make decisions for an incapable person with respect to treatment, admission to a care facility or a personal assistance service;

 

·               Consideration of a request to amend or terminate the appointment of a representative;

 

·               Review of a decision to admit an incapable person to a hospital, psychiatric facility, nursing home or home for the aged for the purpose of treatment;

 

·               Consideration of a request from a substitute decision-maker for authority to depart from prior capable wishes;

 

·               Review of a substitute decision-maker’s compliance with the rules for substitute decision-making, and

 

·               Giving directions to parties and substitute decision-makers on issues of treatment, admission to care facilities and personal assistance services.

 

 

Mental Health Act

 

·               Review of involuntary status (i.e., civil committal);

 

·               Review of a Community Treatment Order;

 

·               Review of whether a young person (aged 12 - 15) requires observation, care and treatment in a psychiatric facility, and

 

·               Review of a finding of incapacity to manage property.

 

Substitute Decisions Act

 

·               Review of a finding of incapacity to manage property.

 

 

 

 

Personal Health Information Protection Act

 

·               Review of a finding of incapacity to consent to the collection, use or disclosure of personal health information;

 

·               Consideration of the appointment of a representative for a person incapable to consent to the collection, use or disclosure of personal health information, and

 

·               Review of a substitute decision-maker’s compliance with the rules for substitute decision-making.

 

 

Mandatory Blood Testing Act

 

·                     If an individual has come into contact with another person’s bodily fluid, the individual can apply to the Medical Officer of Health to have a blood sample of the other person analyzed for HIV, Hepatitis B & C.

 

·                     If the Medical Officer of Health cannot obtain a voluntary blood sample or cannot locate the individual the Medical Officer of Health shall refer the application to the Board.

 

·                     The Board will decide whether the individual should be ordered to provide a blood sample.

 

 

ORGANIZATION OF THE CONSENT AND CAPACITY BOARD

 

The Board is an independent adjudicative tribunal created under the Health Care Consent Act and with jurisdiction under that Act, the Mental Health Act, the Substitute Decisions Act, the Personal Health Information Protection Act and the Mandatory Blood Testing Act.    

 

Members of the Consent and Capacity Board are appointed by Order-in-Council. In 2008/2009, the Board had 151 appointed members. In addition to the Chair, Board members include 51 Lawyers, 54 Psychiatrists, and 46 Public Members.  In 2008/09, there were 16 new appointees to the Board, and 34 re-appointments of existing Board members.  The Board has a staff complement of 16 public servants and a fee-for-service legal counsel who support the work of the Board members.

 

The Consent and Capacity Board is an expert tribunal.  A lawyer, a psychiatrist, and a public member sit on panels considering cases involving the deprivation of an individual’s liberty.  As a quasi-judicial body, the Board maintains an arm's length relationship with the Ministry of Health and Long-Term Care, and receives administrative services and support through the C orporate and Direct Services Division. The Board functions under statutory requirements and a Memorandum of Understanding between the Chair of the Consent and Capacity Board, and the Minister and Deputy Minister of Health.

 

 

PERFORMANCE MEASURES

 

The Health Care Consent Act, 1996, sets out three legislated performance measures for the CCB:

 

1. A hearing is to begin within seven (7) days from the receipt of an application by the Board;

 

2. The Board must issue its Decision within one day of the end of the hearing, and

 

3. Upon the request of a party, the Board must issue written Reasons for its Decision, within two business days of receiving such a request.   

 

The Board has consistently achieved these legislative requirements.  The Board holds hearings across the province.  Most hearings are held in psychiatric facilities, but hearings to review an individual’s capacity to make their own treatment decisions or to mange their assets, etc. may be held in long-term care facilities, private homes, or any other venue.  The seven–day deadline to schedule a hearing, which involves the assignment of a hearing panel, synchronizing the schedules of the applicant’s counsel, health care practitioner and other parties required at the hearing, presents a significant logistical challenge that is unique to the Consent and Capacity Board.

 

Also very challenging is the time requirement for delivery of Reasons for Decision (i.e., two business days).  To ensure that high-quality Reasons for Decision are delivered in a timely manner, the Board has implemented an electronic system for monitoring requests. This past year, the Board has also created a reasons writing template to assist presiding members.  This new template creates a guideline to help focus arguments, clarify the issues and streamline the process to ensure high-quality and timely Reasons for Decision. 

 

The Board also endeavours to ensure that Board members with a high number of requests for Reasons for Decision are relieved of their hearing work until the outstanding Reasons for Decision have been released.

                                               

The Board submits an Annual Business Plan to the Minister of Health and Long-Term Care as required under the Management Board of Cabinet Directive on Agency Establishment and Accountability. 

 

 

PROGRESS

 

STANDING COMMITTEES

 

Standing Committees established in February 2007 by the Strategic Planning Advisor Committee of the Board continue to enhance the operation of the Board in 2008-09 as noted in the following achievements.

 

Public Education Committee

 

1.                  Developed and implemented criteria and a process for delivering public education activities.  Standard power point presentations were created that focus on CCB related topics.  Any interested health-care provider can contact the Board to request an education session.  A roster of board members has been trained and is scheduled to provide the requested education session.

 

2.                  Developed a CCB Summary template for use by clinicians appearing before the Board.  The CCB Summary was designed for clinicians to help organize their evidence and present it to the panel so that the evidence and arguments are clear and the hearing is more efficient.  CCB summaries for involuntary status, treatment capacity and end-of-life issues have been created and are accessible on the Board’s website. 

 

3.                  Developed the curriculum and program for Regional Board Meetings and             the Annual General Meeting.

 

Training and Quality Assurance Committee

 

1.                  Delivered classroom training for new Board members.

 

2.                  Developed a Performance Evaluation Program for the assessment of the performance of Board members and to ensure the consistent application of Board Rules of Practice.   Program to be implemented in 2009-10 fiscal year.

 

3.                  Developed a complaints procedure  for  making  a  complaint  to  the  CCB about  the  conduct  of  a  member.  Will be implemented in the 2009-10 fiscal year. 

 

4.                  Implemented a pilot project to assess a procedural change regarding the introduction of an Inquiry model at hearings.  In December 2008 the Chair requested a number of lawyers in the GTA to participate in a pilot project to determine whether the Board should adopt this new procedure.   

 

Legislation Committee

 

1.         Developed a list of proposed amendments to the Board’s legislation

            and Rules of Practice.

 

Operations Committee

 

1.                  Developed single-point contacts and positive working relationships with hospitals and institutions throughout the province.

 

2.                  Improved the data collection and assessment process to reinforce

            the capacity of the Board to evaluate its performance.

 

3.                  Established video conferencing as a standard operating practice for

            Board hearings.  Received approval to purchase video conference equipment to convene hearings in cases where an in-person member cannot be confirmed.  Additionally the Board intends to use videoconferencing for member training and meetings and public education.  The Board will commence video conference hearings in 2009-2010.

 

Board and Bar Committee

 

1.                  Established and maintained on-going positive relationships with legal stakeholder groups to address issues of mutual interest by holding quarterly meetings at the Board’s office.

 

 

BOARD MEMBERS’ TRAINING AND PROFESSIONAL DEVELOPMENT

 

Board members must operate at the highest level of skill and training to ensure that errors do not occur. As such, member training is a priority for the Board.

 

The Board has an intensive in-house training program and training protocol whereby new members participate in a two-day classroom training program, taught by more experienced senior members.  New members also observe a series of hearings and participate in training panels before being allowed to sit on hearing panels.

 

The development of the Performance Evaluation Program will ensure the maintenance of the CCB’s standards and uniformity of its practices throughout the province, maintain public confidence in the performance of the CCB and its individual members and ensure that all CCB members have acquired and maintained the skills necessary for their role.

Regional Meetings

 

The Board held a series of cross sector Regional Meetings (i.e., sessions involving Lawyers, Psychiatrists, and Public members) to provide an opportunity for information exchange and learning. These Regional Meetings were planned by local Board members, and addressed a broad range of administrative, legislative, and operational learning objectives.  This year’s regional meetings focused on un-biased communication with diverse audiences.  Lawyer members were provided with a session that included tips for writing better reasons and psychiatrist and public members were provided with a workshop focused on questioning skills and weighing evidence. 

 

Annual General Meeting

 

The 2008 Annual General Meeting was designed to provide education and learning opportunities for Board members.  The theme of this year’s AGM was decision makers and social context.  Board member participated in small group exercises to reinforce their knowledge and skill base as adjudicators dealing with sensitive social issues.  The feedback obtained from Board members, guests, speakers and staff indicates that the 2008 Annual General Meeting was effective in achieving its learning objectives. 

 

Appointments/Reappointments

 

The CCB implemented a new process for recruiting/interviewing, tracking, and recommending the appointment and/or reappointment of Board members. All potential new board members are interviewed by the chair or an experienced board member.  Potential lawyer members are provided a case study to write and prepare reasons for decision.  Based on the interview process the Board may recommend an OIC appointment.  The new process ensures that the Board recruits and maintains a high-quality calibre of members.

 

 

Hearings and Scheduling

 

The Board received approval to purchase video conference equipment.  Initially video conference hearings will be conducted in cases where an in-person member cannot be confirmed or in cases where there is an outbreak in the facility or for administrative issues such as a party having difficulty obtaining a retainer.  Eventually the Board will conduct video conference hearings for mandatory hearing such as Community Treatment Order reviews or for contentious hearings under the Mandatory Blood Testing Act.  The Board anticipates convening Board member training and stakeholder outreach and training via video conference. 

 

ADMINISTRATION AND OPERATIONS

 

Budget

 

In 2008/2009, the Consent and Capacity Board received a budget allocation of $4,800,700. 

 

The Board will continue to review all aspects of its operations to enhance administrative efficiencies and to implement cost-savings or cost-avoidance strategies, as appropriate.  The Board anticipates realizing a financial savings due to reduced member travel costs as a result of video conference hearings.

 

The increase in per diem rates which was undertaken in September 2006, October 2007 and most recently in September 2008 has generated a budgetary pressure for the Board.

 

 

Case Management Database

 

The Board’s Case Management System was introduced in April 2006 and tracks the progress of all the applications before the Board.  The system has helped streamline the scheduling process and produces high-quality statistics and reports to assist with policy development, to create public outreach programs, and to manage and monitor workflow and financial trends.

 

At this time, the Case Management System has evolved to a degree which cannot be exceeded.  The Board has commenced its initial review of case management requirements and anticipates purchasing a new case management system by 2012.     

 

Caseload

 

Prior to April 2006, the Board reported its caseload based on hearings by application type.  This type of reporting slightly inflated the Board’s annual hearing count as some applications are heard in tandem, yet were being counted independently.  This caused a slight skewing of the Board’s caseload data.  Reliable hearing data was achieved with the April 2006 introduction of the Board’s case management system

 

 

Over the last 3 years the Board has experienced an average increase of 11% in hearings and 5% increase in applications. 

 

 

 

 

 

 

APPLICATION AND HEARING TOTALS

 

	2004/2005		2005/2006		2006/2007		2007/2008		2008/2009
	Apps	Hearing	Apps	Hearing	Apps	Hearing	Apps	Hearing	Apps	Hearing
	4282	unreliable data	4595	unreliable data	4476	1998	4504	2051	4705	2212
Increase per year			7.3%		-2.6%		0.6%	2.7%	4.5%	7.8%

 

 

 

The majority of the increase in applications arises from an increase in Mandatory Community Treatment Order (Form 48) applications and applications to Review the Compliance of a Substitute Decision Maker regarding treatment decisions (Form G).

 

The Board experienced a 102% increase in Form 48 applications and a 47% increase in Form G applications between the 2006 – 2009 fiscal years. 

 

Likely causes for the increase in Form 48 applications stems from the legislation being fairly recent (2000) and the medical community becoming more comfortable and familiar utilizing Community Treatment Orders. 

 

Factors that may contribute to the increase in Form G applications are an aging population, therefore advanced health care decisions are required and an increase in physicians’ confidence submitting an application and presenting a hearing. 

 

The Board anticipates a constant flow if not a steady increase in these two types of applications over the next few years.  In preparation the Board may need to focus on training and re-education for membership regarding the legislation.  The Board has already created a mock hearing video regarding a Form G Application.  Additionally the Board is working on creating a CCB summary focusing on presenting at a Form 48 hearing.  The Form 48 CCB summary is expected to be completed in March 2010.

 

The increase in these types of applications re-enforces the importance of the Board’s role in the health care community and re-iterates the high-profile nature of the Board’s cases.

 

 

 

 

 

 

 

 

 

 

Breakdown of Application Type

2008/2009 Fiscal Year

 

 

 

 

 

 

 

 

Regional Breakdown of Hearings Convened (%)

2008/2009 Fiscal Year

 

APPEALS

              

A party to a proceeding before the CCB may appeal the Board’s decision to Ontario’s Superior Court of Justice within seven days after receipt of the Board’s decision.  The Board is responsible for creating the record of appeal and ordering the transcripts for the hearing in question. These documents are then served on the parties and filed with the court. The following are the number of appeals and outcomes of the Board’s decision since April 2004.

 

Type of Court Dispositions of CCB Appeals  1 April 2008 - 31 March 2009			Total Appeals Received by Year until March 2009
*Abandoned	5		2004	43
Dismissed	5		2005	46
Allowed	0		2006	53
N/A (no info or case not disposed)	32		2007	52
			2008	42
Total	42		Total Appeals	236
*Abandoned includes: Discontinued/ Withdrawn/ no court file no.

 

 

 

CONSENT AND CAPACITY BOARD LIST OF MEMBERS (AS OF MARCH 31, 2009)   Prefix First Name Last Name Date First Appointed Date Current Term Expires           Chair                   Justice Edward Ormston   June 01, 2006 May 31, 2014           Lawyer                   Mr. Joseph Baker December 15, 2005 December 14, 2013 Ms. June Bell September 06, 2006 September 05, 2011 Ms. Rose-Gabrielle  Birba June 28, 2006 June 27, 2014 Ms. Mary Jane Campigotto May 02, 2007 May 01, 2012 Mr. Philippe Capelle May 17, 1999 May 16, 2013 Ms. Elsy  Chakkalakal April 04, 2007 April 03, 2012 Mr. Theodore  Charuk November 22, 2000 March 31, 2012 Mr. Philip Clay October 16, 2002 October 25, 2013 Mr.  Bernard Comiskey November 02, 2005 November 01, 2013 Mr. Douglas  Coo April 11, 2006 April 10, 2011 Mr. Paul  DeVillers March 29, 2006 March 28, 2014 Mr. Normand Forest December 12, 2001 December 12, 2012 Mr.  Brock  Grant March 23, 2005 April 15, 2010 Mr. Ms. Nathalie  Gregson June 20, 2007 June 19, 2011 Mr. Michael Hennessy August 21, 2003 August 20, 2014 Mr.  Albert Hubbard July 04, 2001 July 03, 2012 Ms. Judith Jacob April 03, 1995 April 02, 2012 Ms. Carolyn  Jones August 25, 2004 August 24, 2012 Ms. Shayne Kert March 24, 2004 March 23, 2012 Ms. Erin  Lainevool June 20, 2007 June 19, 2011 Mr. Roger  Leclaire February 21, 2007 February 20, 2012 Mr. Patrick LeSage March 21, 2007 March 20, 2010 Ms. Nina  Lester June 17, 2009 June 16, 2011 Ms. Susan Lightstone February 21, 2007 February 20, 2012 Ms. Karen  Lindsay-Skynner April 03, 2002 July 20, 2013 Mr.  Ian McTavish June 01, 1986 April 02, 2010 Ms. Sandra Meyrick March 26, 2003 March 25, 2010 Mr. Patrick Murphy October 26, 2005 October 25, 2013 Mr. Michael Newman October 21, 1998 April 01, 2010 Ms. Susan Opler November 21, 2001 November 20, 2012 Ms. Judith  Pascoe May 04, 2005 May 03, 2013 Ms. Judith Potter October 26, 2005 October 25, 2013 Ms. Jill  Presser March 29, 2006 March 28, 2014 Mr. David Ramsbottom May 17, 1999 May 16, 2010 Ms.  Holly  Rasky June 06, 2007 June 05, 2012 Mr. Roger  Rowe November 10, 2005 November 09, 2013 Mr.  Bernard  Starkman February 27, 2002 May 03, 2013 Mr.  Larry Steacy March 24, 2004 March 23, 2012 Ms. Colleen  Sylvester August 25, 2004 August 24, 2012 Mr.  Bradley  Teplitsky March 25, 2009 March 24, 2011 Ms. Shirley Wales March 23, 2005 March 22, 2013 Mr. Eugene Williams January 05, 2006 January 04, 2014           Psychiatrist         Dr. Nural  Alam January 13, 1999 January 12, 2013 Dr. Federico Allodi February 21, 2001 April 22, 2013 Dr. Rajiv Bhatla November 22, 2000 March 31, 2010 Dr. Dominique  Bourget June 22, 2006 June 21, 2014 Dr. Donald Braden October 06, 1999 October 17, 2013 Dr. John  Bradford June 06, 2007 June 05, 2012 Dr. Gary Chaimowitz July 04, 2001 July 03, 2012 Dr. Ranjith  Chandrasena June 01, 1986 April 02, 2014 Dr. Yoland  Charbonneau August 23, 1993 April 02, 2012 Dr. Peter Cook July 04, 2001 July 03, 2012 Dr. Andre Cote October 23, 1986 April 02, 2012 Dr. Isabelle  Cote June 30, 2000 June 29, 2014 Dr. Raymond  Denson January 03, 2003 January 02, 2013 Dr. Jack  Ellis August 10, 2006 August 09, 2014 Dr. Joseph Ferencz January 15, 2007 January 14, 2012 Dr. Russel Fleming June 05, 1996 June 04, 2014 Dr.  Alison  Freeland May 30, 2006 May 29, 2014 Dr. Donald Galbraith January 13, 1994 April 02, 2014 Dr. Rose  Geist February 27, 2008 February 26, 2010 Dr. Joseph Glaister May 17, 1999 June 21, 2013 Dr. Tom  Hastings December 06, 2006 December 05, 2011 Dr. John Johnson July 23, 1993 April 02, 2012 Dr. William Komer December 18, 2001 December 17, 2012 Dr. Stephen List May 03, 2006 May 02, 2014 Dr. Eric MacLeod June 06, 1968 April 02, 2012 Dr. William Maley February 06, 2002 February 05, 2013 Dr. Rahul Manchanda June 17, 1993 April 02, 2014 Dr. Dr. Paul  Max Max June 30, 2000 August 09, 2014 Dr. Helen Meier June 01, 1986 April 02, 2014 Dr. Derek  Pallandi November 15, 2006 November 14, 2011 Dr. John Pellettier October 02, 2002 November 01, 2013 Dr. Emmanuel  Persad March 24, 2004 March 23, 2012 Dr. Quentin Rae-Grant June 05, 1996 June 04, 2010 Dr. Vivian Rakoff August 25, 2004 August 24, 2012 Dr. Jonathan Rootenberg May 16, 2007 May 15, 2012 Dr. Edward  Rotstein June 06, 2007 June 05, 2012 Dr. Gerald  Shugar July 04, 2001 July 03, 2012 Dr. Marvin  Silverman July 11, 1990 April 02, 2012 Dr. Cameron Stevenson June 05, 1996 June 04, 2012 Dr. William Surphlis July 04, 2001 July 03, 2012 Dr. Michele Tremblay November 20, 1992 April 02, 2012 Dr. James Wilkes July 04, 2001 July 03, 2012 Dr. Si-Ann  Woods February 21, 2007 February 20, 2012 Dr. Leslie Wright July 04, 2001 July 03, 2012           Public Member         Mr. Richard  Aaronson August 01, 2003 July 31, 2014 Mr. Robert  Adams June 30, 2000 August 09, 2009 Ms. Susan  Agranove April 11, 2006 April 10, 2014 Mr. David  Boothby November 29, 2006 November 28, 2011 Mr. Earl  Campbell December 07, 2005 December 06, 2013 Ms. Lois  Champion August 12, 2008 August 11, 2010 Mr. Ram  Chopra August 25, 2004 August 24, 2012 Ms. Joanna  Cutaia-Beales February 10, 2006 February 09, 2014 Ms. Shirley Ann Dunn February 03, 2006 March 03, 2013 Ms. Dawn Eccles May 17, 2006 May 16, 2010 Mr. Scott Gale November 10, 2005 November 09, 2013 Ms. Beverley  Hodgson February 27, 2008 February 26, 2010 Ms. Connie  Holmes August 10, 2006 August 09, 2014 Ms. Janice Laking July 11, 2001 October 04, 2012 Ms. Heather Lareau April 26, 2006 April 25, 2014 Ms. Barbara  Laskin February 10, 2006 February 09, 2014 Ms. Sandra  LeBlanc October 26, 2005 October 25, 2013 Ms. Linda  Leong November 17, 2005 November 16, 2013 Mr. Pierre  Lessard May 28, 2003 May 01, 2014 Ms. Nechita  Lim-King March 07, 2007 March 06, 2012 Mr. Duncan  MacPhee April 11, 2007 April 10, 2012 Mr. George  Maroosis July 05, 2007 July 04, 2011 Ms. Joy Martin March 01, 2006 February 28, 2014 Mr. Donald McLeod February 27, 2008 February 26, 2010 Ms. Teresa Michienzi February 10, 2006 February 09, 2014 Ms. Patricia  Muldowney-Brooks February 03, 2006 February 02, 2014 Mr. Takis  Pappas October 02, 2002 October 25, 2013 Mr. Panos Petrides April 11, 2006 June 19, 2011 Mr. Paul Philion December 18, 2001 December 17, 2012 Ms. Judith  Pousette August 10, 2006 August 09, 2009 Ms. Lorraine  Steadman February 03, 2006 February 02, 2014 Ms. Jane  Stone March 07, 2007 March 06, 2012 Mr. Gary  Strang September 24, 2003 September 23, 2009 Ms. Elda Thomas March 23, 2005 March 22, 2013 Ms. Joanne Turner September 06, 2006 September 05, 2011 Ms. Debra  Waisglass-Bettel October 26, 2005 October 25, 2013 Ms. Joy  Wendling April 16, 2008 April 15, 2010
STAFF OF THE CONSENT AND CAPACITY BOARD
(AS OF MARCH 31, 2009)
Prefix	First Name	Last Name	Position
Justice	Edward	Ormston	Chair
Mr.	Joaquin	Zuckerberg	Board Counsel
Ms.	Lorissa	Sciarra	Registrar & Senior Manager
Ms.	Margaret	James	Administrative Officer
Ms.	Saskia	Mulders	Financial Assistant
Ms.	Manal	Hanna	Secretary
Mr.	Michael	Blakely	Case Coordinator
Ms.	Rosa	Cirillo	Case Coordinator
Ms.	Paula	Cabral	Case Coordinator
Mr.	Bryan	Browne	Case Coordinator
Ms.	Angela	Moore	Case Coordinator
Ms.	Ruth	Reynolds	Case Management Coordinator
Ms.	Vanessa	Knox	Intake/Inquiry Officer

 

 

 

 

 

 

 

 

Financial Expenditure Report (April 1, 2008 to March 31, 2009)
	Internal Allocation	Actual Expenditures	Surplus (Deficit)
DIRECT OPERATING EXPENSE
Salaries and Wages	627,300	846,831	($219,531)
Benefits	78,100	104,103	($26,003)
Subtotal	$705,400	$950,934	($245,534)
OTHER DIRECT OPERATING EXPENSES
Transportation and Communications	314,300	518,801	($204,501)
Services (Including Accommodation)	3,433,500	4,175,809	($742,308)
Supplies and Equipment	347,500	30,578	$316,922
Subtotal	$4,095,300	$4,725,188	($629,887)
TOTAL OPERATING EXPENSES	$4,800,700	$5,676,122	($875,421)