A One-Day Snapshot of Aboriginal Youth in Custody Across Canada

APPENDIX "A"

Census of Aboriginal Youth in Custody
Facility Information Form

(To be completed by each participating facility)

Instructions: Please complete this facility information form and return it with the data collection forms. Only one facility information form should be completed for each participating facility. Please print your answers in the boxes, or place a check , in the appropriate circle.

  • 1. Name of facility
  • 2. Location of facility
    1. City or Town
    2. Province (Please use a two letter abbreviation for your province)
  • 3. Description of facility: (check one box that best describes your facility)
    • checkbox Foster/Community home
    • checkbox Group home
    • checkbox Secure detention/custody centre
    • checkbox Community residential centre
    • checkbox Training centre
    • checkbox Treatment centre
    • checkbox Boot camp
    • checkbox Forest/Wilderness camp
    • checkbox Ranch
    • checkbox Culturally based camp
    • checkbox Child care institution
    • checkbox Other (specify)
  • 4. Types of custody provided (check all that apply)
    • checkbox Secure custody
    • checkbox Open custody
    • checkbox Remand
    • checkbox Other (specify)
  • 5. Youth in facility on day of census
    • checkbox Male only
    • checkbox Female only
    • checkbox Male and female (co-ed)
  • 6. If male and female (co-ed) , please specify number of units
    •  Number of separate male units 
    • Number of separate female units 
    • Number of co-correctional units 
  • 7. Capacity of Facility (number of permanent beds in facility)

Census of Aboriginal Youth in Custody
Data Collection Form

(To be completed for each Aboriginal youth in participating facilities)

Instructions: Please complete one data collection form for each Aboriginal youth in your facility. Please print your answers in the boxes, or place a check , in the appropriate circle.

Name of facility:

Province:

Background Information on Youth

  • 1. In which city, town or reserve did the youth spend the longest period of time during the two years preceding his or her current admission? (Please exclude time spent in custody)
    1. Name of place:
    2. Province (Please use a two letter abbreviation for the province):
    3. If possible, specify whether
      • checkbox Aboriginal reserve
      • checkbox Inuit community
      • checkbox Town
      • checkbox City
      • checkbox Other (specify)
      • checkbox Don't know
  • 2. In which city, town or reserve did the youth commit or allegedly commit the offence that led to the current admission? If the youth has more than one charge or conviction, please specify the location where the most serious charge or conviction took place (Please see attached Offence seriousness index).
    1. Name of place:
    2. Province (Please use a two letter abbreviation for the province):
    3. If possible, specify whether
      • checkbox Aboriginal reserve
      • checkbox Inuit community
      • checkbox Town
      • checkbox City
      • checkbox Other (specify)
      • checkbox Don't know
  • 3. In which city, town or reserve does the youth plan to locate upon release?
    1. Name of place:
    2. Province (Please use a two letter abbreviation for the province):
    3. If possible, specify whether
      • checkbox Aboriginal reserve
      • checkbox Inuit community
      • checkbox Town
      • checkbox City
      • checkbox Other (specify)
      • checkbox Don't know

Personal Information

  • 4. Age at time of census (indicate age on day of survey)
  • 5. Gender
    • checkbox Male
    • checkbox Female
  • 6. Aboriginal origin, if possible
    • checkbox First Nations / North American Aboriginal
    • checkbox Metis
    • checkbox Inuit
    • checkbox Innu]
    • checkbox Inuvialuit
    • checkbox Unknown
    • checkbox Other (specify)
  • 7. If First Nations, specify which nation if possible
  • 8. If First Nations, Aboriginal status, if possible
    • checkbox Non-status Indian
    • checkbox Status Indian
    • checkbox Unknown
  • 9. Languages spoken, if possible (check all that apply)
    • checkbox English
    • checkbox French
    • checkbox Aboriginal language
    • checkbox Other
    • checkbox Unknown
  • 10. If Aboriginal language , specify which language if possible
  • 11.Legal status (check more than one, if applicable)
    • checkbox Remand
    • checkbox Serving an open sentence
    • checkbox Serving a secure sentence
  • 12. Most serious charge and/or offence. Please consult attached seriousness index (appendix A) to determine the youth's most serious charge or offence. Please enter the three digit numerical code that relates to the youth's most serious charge or offence. For youth on remand please enter most serious charge. For youth serving a sentence please enter their most serious offence. If youth is on remand and serving a sentence, please enter their most serious charge and most serious offence.
    • Most serious charge (Remand)
    • Most serious offence (Serving a Sentence)
  • 13. Date of current admission
  • 14. Length of custody sentence, if applicable (number of days custody)

If you have any questions regarding the accurate completion of this survey, please call Tina Hattem (613) 941-4124 or Steven Bittle (613) 957-7093 at the Department of Justice Canada , Research and Statistics Division, between the hours of 9 a.m. to 8 p.m. , Ottawa time. Thank you for your time and consideration.

Appendix A - Seriousness Index

The following list is based on those used by the Canadian Centre for Justice Statistics for the Uniform Crime Reports (UCR) and the Alternative Measures Survey. The seriousness of an offence is ranked according to offence type and potential impact on the person. Offences are ordered from most to least serious.

Please select the most serious charge or offence (MSO) for each youth, for the current custody or remand admission. If there is only one offence, then that offence is the MSO. If there is more than one offence, then the MSO is determined by the following offence severity scale. For instance, if a youth committed 3 "break and enters" and 4 "thefts under," the MSO would be the break and enter. You would then enter numerical code 031 as the youth's most serious charge/offence.

Offences Against the Person

  • 001 - Murder, First degree
  • 002 - Murder, Second degree
  • 003 - Manslaughter
  • 004 - Criminal Negligence Causing Death
  • 005 - Other related offences causing death
  • 006 - Attempted Murder
  • 007 - Conspire to Commit Murder
  • 008 - Aggravated sexual assault
  • 009 - Kidnapping
  • 010 - Hostage Taking
  • 011 - Robbery
  • 012 - Extortion
  • 013 - Other Violent Violations
  • 014 - Sexual Assault with a Weapon
  • 015 - Aggravated Assault - Level 3
  • 016 - Discharge Firearm with intent
  • 017 - Sexual Assault
  • 018 - Assault with weapon or causing bodily harm - level 2
  • 019 - Unlawfully causing bodily harm
  • 020 - Criminal negligence causing bodily harm
  • 021 - Abduction under 14
  • 022 - Abduction contravening a custody order
  • 023 - Abduction - no custody order
  • 024 - Infanticide
  • 025 - Assault - level 1
  • 026 - Assault against peace-public officer
  • 027 - Abduction under 16
  • 028 - Other sexual crimes
  • 029 - Other assaults
  • 030 - Criminal harassment

Break and Enter

  • 031 - Break and Enter

Controlled Drug and Substance Act

  • 032 - Trafficking - Heroin
  • 033 - Trafficking - Cocaine
  • 034 - Trafficking - Other N.C.A
  • 035 - Trafficking - Cannabis
  • 036 - Importation - Heroin
  • 037 - Importation - Cocaine
  • 038 - Importation - Other N.C.A.
  • 039 - Importation - Cannabis
  • 040 - Trafficking - Controlled drugs
  • 041 - Trafficking - Restricted Drugs
  • 042 - Possession - Heroin
  • 043 - Possession - Cocaine
  • 044 - Possession - Other N.C.A.
  • 045 - Possession - Cannabis
  • 046 - Cultivation - Cannabis
  • 047 - Possession Restricted Drugs

Other Criminal Code Offences

  • 048 - Offensive Weapons - Explosives

Criminal Code Traffic Violations

  • 049 - Dangerous Operation Causing Death
  • 050 - Impaired Operation/Related Violations Causing Death

Offences Against Property

  • 051 - Arson

Other Criminal Code Offences

  • 052 - Counterfeiting Currency
  • 053 - Firearms and Other Offensive Weapons (Part III C.C.)
  • 054 - Offences Related to Currency (Part XII C.C.)

Criminal Code Traffic Violations

  • 055 - Dangerous Operation Causing Bodily Harm
  • 056 - Impaired Operation/Related Violations Causing bodily Harm

Offences Against Property

  • 057 - Theft over
  • 058 - Fraud
  • 059 - Possession of Stolen Goods
  • 060 - Mischief - Property Damage

Other Criminal Code Offences

  • 061 - Offence Against Public Order (Part II C.C.)
  • 062 - Prostitution - Procuring
  • 063 - Offences Against the Rights of Property (Part IX C.C.)

Other Criminal Code Offences

  • 064 - Offensive Weapons - Prohibited
  • 065 - Offensive Weapons - Restricted
  • 066 - Offensive Weapons - Firearms Transfer/Serial Numbers
  • 067 - Offensive Weapons - Other
  • 068 - Offences Against the Administration of Law and Justice (Part IV C.C.)
  • 069 - Fraudulent Transactions Relating to Contracts and Trade (Part X C.C.)
  • 070 - Willful and forbidden Acts in Respect of Certain Property (Part XI C.C.)
  • 071 - Attempts, Conspiracies, Accessories (Part XII C.C.)

Criminal Code Traffic Violations

  • 072 - Dangerous Operation of Motor Vehicle, Vessel or Aircraft
  • 073 - Impaired Operation of Motor Vehicle, Vessel or Aircraft over 80 MG
  • 074 - Failure to Provide a Breath Sample
  • 075 - Failure to Provide a Blood Sample
  • 076 - Other Criminal Code

Other Federal Statute Violations

  • 077 - Canada Shipping Act
  • 078 - Income Tax Act
  • 079 - Customs Act
  • 080 - Competition Act
  • 081 - Immigration Act
  • 082 - Bankruptcy Act

Other Criminal Code Offences

  • 083 - Prostitution - Bawdy House
  • 084 - Gaming and Betting - Other Gaming and Betting
  • 085 - Bail Violations
  • 086 - Escape Custody
  • 087 - Public Morals
  • 088 - Obstruct Public Peace Officer
  • 089 - Prisoner Unlawfully at large
  • 090 - Fail to appear
  • 091 - Sexual Offences, Public Morals and Disorderly conduct (Part V C.C.)
  • 092 - Invasion of Privacy (Part VI C.C.)
  • 093 - Offences against the person and reputation (Part VIII C.C.)

Criminal Code Traffic Violations

  • 094 - Failure to stop or remain
  • 095 - Driving while prohibited

Other Federal Statute Violations

  • 096 - Excise Act
  • 097 - Young Offenders Act

Other Criminal Code Offences

  • 098 - Prostitution - Other Prostitution
  • 099 - Gaming and Betting - Betting House
  • 100 - Gaming and Betting - Gaming house
  • 101 - Disturb the Peace
  • 102 - Indecent Acts
  • 103 - Trespass at Night
  • 104 - Breach of Probation
  • 105 - Threatening/Harassing Phone Calls
  • 106 - Disorderly Houses, Gaming and Betting (Part VII C.C.)
  • 107 - All other Criminal Code (includes Part XII.2 C.C.)

Other Federal Statutes

  • 108 - Other Federal Statutes

Provincial Statute Violations

  • 109 - Other provincial statute violations
  • 110 - Securities Act
  • 111 - Liquor Act
  • 112 - Highway Traffic Act (or equivalent)
  • 113 - Fail to Stop or Remain
  • 114 - Dangerous Driving without due care and attention
  • 115 - Driving while disqualified or license suspended
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