Social Exclusion in a Mental Health Court?


  • Sue-Ann Belle MacDonald Professeure adjointe
  • Audrey-Anne Dumais Michaud Université du Québec à Montréal



mental illness, accused, risk, otherness, judiciarization, self-governance


This article is based on a study, inspired by institutional ethnographic methods, of a mental health court (MHC) situated in Montréal, Canada. The focus of this article is on the qualitative results of the project, namely, the perceptions and experiences of accused (N=20) who were involved in the court as well as key actors (N=10) who make up the multidisciplinary team. In addition, findings from participant observation and a quantitative review of court files are drawn upon to flesh out the data. We argue that MHCs promote a special form of social exclusion based on othering that considers accused to be deviant, dangerous, or fragile. In an effort to control risk, MHCs target risky behaviours and reward individual mobilization efforts through their promotion of autonomy and self-regulation and their emphasis on psychiatric interventions. These new “socio-medico-juridical practices” bridge two systems of domination, psychiatry and the law, in an effort to “de-marginalize” mentally ill accused along three axes of intervention —juridical, therapeutic, and individualization and responsibilization efforts.

Author Biographies

Sue-Ann Belle MacDonald, Professeure adjointe

Assistant professor, School of social work, University of Montreal. Practised social work for over a decade in Ottawa with homeless youth.

Audrey-Anne Dumais Michaud, Université du Québec à Montréal

Doctoral candidate, Université du Québec à Montréal