Whitehorse Daily Star

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LESSONS FROM THE INQUEST – Simone Arnold, the justice manager for the Council of Yukon First Nations, speaks to reporters this morning in front of the Sarah Steele Building. The facility became part of the current election campaign Wednesday when the Yukon Party promised to demolish it and replace it with a new $5-million Alcohol and Drug Services treatment centre.

Man died of undetermined causes, jury rules

After hearing testimony of 22 witnesses over four days, the jury in the Robert Stone inquest is calling on the government to build an assisted sober living facility in Whitehorse.

By Ashley Joannou on September 23, 2011

After hearing testimony of 22 witnesses over four days, the jury in the Robert Stone inquest is calling on the government to build an assisted sober living facility in Whitehorse.

The recommendation is one of five made Thursday evening by the four women and two men after four hours of deliberation.

Stone died in his bed at the detox centre in the city's Sarah Steele Building on May 2, 2010.

The 34-year-old had been released from the Whitehorse Correctional Centre the day before his death.

He ended up in police custody after hitting ambulance personnel who had picked him up in the parking lot of the Petro Canada station on Fourth Avenue.

After he spent some time in cells, the RCMP called an ambulance when Stone complained of feeling unwell.

He was treated and released from Whitehorse General Hospital in the early hours of May 2. Shortly after 4 a.m., he checked himself into the Sarah Steele Building's detox centre.

At about 10:40 that morning, staff found him dead.

The jury determined Stone died at around 8:30 that morning of "undetermined natural causes.”

Pathologist Charles Lee testified to many possibilities for how Stone may have died. However, he said, there was nothing in any of the tests to make him certain of one cause.

Both detox centre staff as well as emergency personnel, who were all familiar with Stone, testified he appeared well when they saw him.

Some even went as far as saying he looked the best they'd ever seen him.

The jury recommended the detox centre staff be re-trained or re-familiarize every year regarding patient monitoring policies, particularly related to bed checks.

The inquest heard that staff checked on Stone through a window the morning he died but did not follow policy which requires they go in the room to confirm the patient is breathing.

On the final day of the inquest, Sandy Schmidt, the acting manager of alcohol and drug services branch, testified that staff were reminded of the policy following Stone's death, and the procedure is now followed.

Thirdly, the jury recommended the Whitehorse Correctional Centre (WCC) review its prescription labelling policy.

Stone, who had a seizure disorder, arrived at the detox centre with anti-seizure medication he received from the WCC.

Since the medication did not have a date nor doctor's name on it, staff are required to check with a pharmacy and get a correct label before the medication can be handed out.

Schmidt told the jury this policy has not changed in the year since Stone's death. Proper labelling is important to ensure clients are taking medication that is safe and meant for them.

The final recommendations were that the centre be equipped with a defibrillator and that all levels of government increase the resources available to the Fetal Alcohol Syndrome Society Yukon, where Stone was a client.

Pat Living, spokesperson for the Department of Health and Social Services, said this morning the department is "giving thoughtful consideration” to the recommendations but had yet to receive anything official in writing.

Chris Ross, a spokesperson for the Department of Justice, said his department "will not be commenting on any issues until after the election.”

Simone Arnold, the justice manager for the Council of Yukon First Nations, who was at the inquest from its beginning on Monday, said she hopes that care for people with substance abuse issues will become important during the current election campaign.

After multiple reports touching on this issue, Arnold said she hopes to see some action.

"I hope that it is an absolute priority with no further delays,” she said.

"I would like to take the 33 recommendations from the (Yukon) Police Review (Board), the recommendations from the Task force on Acutely Intoxicated Persons at Risk, the five from the Stone inquest. It's there, so let's do something about it.”

Arnold questioned coroner Sharon Hanley's decision to not call Stone's family doctor to testify.

During the inquest, the jury requested an opportunity to question the doctor about Stone's condition, diagnosis and prescription renewal process among other things.

After considering the request, Hanley said that she was "not satisfied that the family doctor is required.”

Hanley said the jury's questions had been answered by other witnesses including the emergency room doctor who was last to treat him.

"The jury was the ones who requested it, and I hope that those six citizens would get what they need in order to make proper recommendations,” she said.

Arnold also expressed disappointment that no official cause of death was found.

"I have questions. I feel that in the inquest, there were eight lawyers in the room and they presented what they wanted us to know,” she said.

"(Stone family lawyer) Ms. Roothman, bless her, didn't have a whole lot of funding and neither did the family in order to bring more experts or more people who might be pertinent to bring another spin to the story.

"Let's ask somebody else until we can find another possibility or an answer, because I think that is important, especially for his children.”

Arnold said she wanted to make sure Stone, whose wife died in the days prior to his incarceration, is remembered as a loving husband and father who was trying to get his life together.

"He was a father of two children, he hadn't been in the detox facility in the six months prior to that,” she said.

"Where was he? He was at home, with his wife and his kids, getting them ready for school .... Those are the type of things that were important to him.”

Comments (3)

Up 0 Down 0

Francias Pillman on Sep 26, 2011 at 2:40 pm

No David. Why should they get free housing? Why should my tax dollars pay for someone who refuses to take responsibility for their own life. Should they be helped? Yes. But for starters stop treating them like victims, because they are not. They got themselves into whatever situation they are in, no one else. If these people want my respect then they need to stand on their own 2 feet first and stop using the victim card.

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David Michael Dixon on Sep 26, 2011 at 1:01 am

First Raymond Silverfox and now Robert Stone. First the RCMP were blamed and now the Workers At the Detox Center. Condolences to both families. Both of these people died because they chose to NOT STOP DRINKING. Perhaps an assisted living center is the answer. Lets give them hope by providing cheap housing, counseling, and access to medical care. Always remember that all of the best support for Whitehorse's addicted population will fail miserably IF THOSE PEOPLE ADDICTED FAIL TO STOP TAKING THE ADDICTIVE SUBSTANCES THAT ARE HARMING THEIR HEALTH. Addiction enablers must be stopped. Does it make sense to give an alcoholic your shopping cart at Superstore when you know that the loonie they receive will be added to the others and will certainly go to buying more alcohol to feed their addiction.

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JC on Sep 23, 2011 at 10:27 am

Simone Arnold: I would like to see some action too - particularly from the First Nations. It's easy to make recommendations all the time, but not so easy to put action to words. None of these recommendations would have helped Mr. Stone. His problem stemmed from alcohol addiction acquired from within his own community. Many of us knew this man too.

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