"The drug and alcohol hair-testing process at
the Hospital for Sick Children’s Motherisk laboratory was “inadequate
and unreliable,” concludes a damning report from an independent review
released Thursday, which calls for a second probe of criminal and child
protection proceedings that had relied on the test results over the past
decade. “In the circumstances, I have concluded that
the laboratory’s flawed hair-testing evidence had serious implications
for the fairness of child protection and criminal cases,” said
independent reviewer Susan Lang, a retired Court of Appeal judge. “A
further review is warranted.” Lang had been tasked by the provincial
government with reviewing hair testing done between 2005 and 2015 at the
now-shuttered hair testing lab. She found the lab did not meet
internationally recognized forensic standards, and that Sick Kids had
not provided “meaningful oversight.”........The independent review was sparked by a Star investigation into Motherisk’s hair testing practices. The investigation showed that prior to 2010,
Motherisk was testing hair using a methodology described by experts as
falling short of the “gold-standard test.” Lang said that while Motherisk’s hair tests
were “forensic in nature,” and the service it offered police and child
protection agencies was a forensic one, none of the lab’s leaders had
formal training or experience in forensic toxicology. “Perhaps this lack of training and experience
is why neither (Motherisk) nor the Hospital for Sick Children appears to
have appreciated that the laboratory was engaged in forensic work and
that it was required to meet forensic standards,” she wrote in her
344-page report. “The result was inevitable: (Motherisk)’s
testing and operations fell woefully short of internationally recognized
forensic standards.” Lang concluded that Motherisk “inadequately
communicated” its test results to customers, partly due to the lack of
forensic training. Her review brought back memories of disgraced
pathologist Dr. Charles Smith, who was the first director of the Ontario
Pediatric Forensic Pathology Unit at Sick Kids. Many of his autopsies, which led to
convictions in some cases, have since been called into question due to
various errors. That led to a public inquiry in 2007 headed by Justice
Stephen Goudge, whose report was released the following year. In her review of Motherisk, Lang found that
Sick Kids failed to apply several important lessons from the Goudge
inquiry, particularly around forensic training and oversight. “They should have fixed things (after the
Goudge inquiry), and they didn’t. So it’s very disappointing,” Mary
Ballantyne, executive director of the Ontario Association of Children’s
Aid Societies, told the Star. “I think there’s a huge disappointment in an
institution that we relied on, and I think that we will certainly be
much more guarded on a go-forward basis to ensure that we really are
getting the information that we need in the right way … It really is a
disappointing breach of trust, for sure.” The independent review follows an internal
Sick Kids probe that also found the Motherisk laboratory was operating
at times without appropriate oversight......... While critics generally applauded the
independent review’s findings on Thursday, it was a case of “too little,
too late” for Christine Rupert, whose two daughters were removed at
birth and later adopted out. They remained in foster care based, at least
partly, on Motherisk hair tests that showed Rupert was a heavy cocaine
user — a finding she has always fiercely denied and has gone to great
lengths to disprove. “The damage is done; it's changed my life,
it's changed the lives of my daughters,” she told the Star, adding she
intends to fully participate in the second review. Her lawyer, Julie Kirkpatrick, said the next
review must focus on the needs and concerns of those who have been
through child protection proceedings. “Unless the review is designed in such a way
that the people like Christine Rupert, her family, and her lost
children, are placed at the centre of the process, a further review will
likely be of little assistance or comfort to her,” she said. An important part missing from the report was
acknowledgement of the disproportionate impact the hair tests had on
aboriginal families, said Jonathan Rudin, program director of Aboriginal
Legal Services of Toronto, which made submissions to Lang’s review. “It is imperative that the new commissioner
that the minister has said she will appoint will take particular care to
ensure that any and all systems that are put in place take into account
the particular and unique circumstances of aboriginal people,” he told
the Star. While Motherisk hair tests have been relied
upon in thousands of child protection proceedings — hair samples from
more than 16,000 individuals were tested at the request of child
protection agencies between 2005 and 2015 — the review also found six
criminal cases that led to convictions where hair tests were used. One of those cases was that of Tamara
Broomfield, a Toronto woman whose cocaine convictions were overturned by
the Ontario Court of Appeal in October 2014, in a ruling that sparked
the Star’s investigation. Broomfield’s appeal lawyer, James Lockyer, a
founding director of the Association in Defence of the Wrongly
Convicted, said the association will immediately begin reviewing other
criminal cases that relied on Motherisk. “I find it very troubling that we’re back
right where we were with Dr. Charles Smith … (a lack) of any supervision
of what’s going on in the hospital,” he said. “And it’s all very well
that that the hospital will say it won’t happen again, when it’s already
happened. This is ‘again.’” Criminal defence lawyer Daniel Brown, who
tried to get the trial judge to re-open Broomfield’s case in 2010 to
re-examine the medical evidence, said: “This report is yet another
important reminder that the judiciary must be vigilant in scrutinizing
expert evidence in court to ensure a fair trial.” Brown, who co-authored the Criminal Lawyers’
Association’s submissions to Lang’s review, called for an immediate
public inquiry to examine all criminal cases involving Motherisk.