R. v. S.J., 2015 ONCA 97
[53] As mentioned, Naglik described the applicable standard for finding criminal liability under s. 215 of the Code. The Crown must establish beyond a reasonable doubt that the accused’s actions were a “marked departure” from what a reasonably prudent person would do: Naglik, at pp. 141-143, 148 and Peterson, at para. 35.
[54] Section 215 of the Code imposes an objective or community standard of conduct. The duty is not one of perfection. Similarly, mere negligence does not suffice. Rather, the question is whether there has been a “marked departure”. A parent is not required to run to a doctor or hospital whenever illness or the prospect of injury arises: Pertab, at paras. 35-37; R. v. Alexander, 2011 ONSC 980, at para. 61; and R. v. Boone, [2002] O.J. No. 2796, at paras. 27-34.
(c) Defence of Lawful Excuse
[55] As is evident from the language of s. 215(2) of the Code, a lawful excuse provides an accused with a defence and serves to prevent the punishment of the morally innocent: Peterson, at para. 37.[4]
(d) Necessitous Circumstances
[57] Early decisions such as R. v. Wilson (1933), 1933 CanLII 278 (AB CA), 3 W.W.R. 417 and R. v. McDonald, [1942] O.J. No. 319 dealt with the prosecutions of husbands for allegedly leaving their wives in destitute or necessitous circumstances by failing to provide support.
[58] Boone is a more recent example of a case addressing s. 215(2)(a)(i) of the Code. In that case, the court found a father guilty under s. 215(2)(a)(i) of the Code for failure to provide his two year old child with necessaries of life that consisted of the obtaining of appropriate, available medical attention in a timely fashion. The trial judge was uncertain that the child’s life was endangered or that his health was permanently endangered within the meaning of s. 215(2)(a)(ii) of the Code, but was satisfied by reason of his age and serious injuries that he was in necessitous circumstances.
H. Grounds of Appeal
(i) First Issue: Necessitous Circumstances
[59] The first issue turns on whether a failure to provide medical attention is captured by s. 215(2)(a)(i) of the Code.
[60] As mentioned, the appellants concede that medical attention is a necessary of life within the meaning of s. 215(1) of the Code. However, they submit that failure to provide medical attention does not amount to necessitous circumstances and therefore does not fall within s. 215(2)(a)(i) of the Code. They state that necessitous circumstances encompass natural needs such as food, shelter and clothing, not medical attention. Failure to provide medical attention may only constitute an offence if the conduct falls within s. 215(2)(a)(ii) of the Code. That is, the failure to provide medical attention must endanger the life of the person to whom the duty is owed, or causes or is likely to cause the health of that person to be endangered permanently.
[63] Statutory interpretation is governed by the approach described in Elmer Driedger, Construction of Statutes, 2nd ed. (Toronto: Butterworths, 1983), at p. 87, and adopted by the Supreme Court of Canada in Re Rizzo & Rizzo Shoes Ltd., 1998 CanLII 837 (SCC), [1998] 1 S.C.R. 27, at para. 21:
Today there is only one principle or approach, namely, the words of an Act are to be read in their entire context and in their grammatical and ordinary sense harmoniously with the scheme of the Act, the object of the Act, and the intention of Parliament.
[64] Section 215(2)(a) creates two offences both of which are predicated on a failure to perform the legal duties imposed by s. 215(1)(a) or (b). This case involves s. 215(1)(a) and specifically the duty owed by parents to a child. Section 215(2)(a)(i) addresses the situation in which the parents’ failure to perform their duties under s. 215(1)(a) puts the child to whom the duty is owed at risk of harm because of the child’s dire circumstances (destitute or necessitous). Section 215(2)(a)(ii) addresses the situation in which the parents’ failure to perform their duties under s. 215(1)(a) puts the child at risk by virtue of the consequence of the failure to perform the duty (endangers the life or causes or is likely to cause health to be endangered permanently). A failure to provide medical attention could well generate the risk of harm proscribed by either offence.
[65] The purpose of s. 215 of the Code is aimed at the protection of others. The subsections of s. 215 of the Code have a common object – the imposition of a defined legal duty of care on an individual in charge of another: Naglik, at pp. 141-143 and Peterson, at para. 35. Children under the age of 16, who are the subject matter of s. 215(1)(a) of the Code and owed such a duty of care, exemplify this protective objective.
[66] The terms “destitute” and “necessitous circumstances”, which are found in s. 215(2)(a)(i), are not defined in the Code. ”Necessitous” is defined in Oxford Dictionaries[5] as “lacking necessaries of life, needy”. As mentioned, in oral argument, the appellants conceded that medical attention is a necessary of life within the meaning of s. 215(1) of the Code. It follows that the failure to provide necessaries of life – in this case medical attention – may amount to necessitous circumstances.
[67] Neither the purpose of s. 215 of the Code read as a whole, nor its language, compels the interpretation advanced by the appellants. There is nothing that would suggest that liability for a failure to provide medical attention should be restricted to, and bound by, the requirements of s. 215(2)(a)(ii) of the Code. Failure to provide medical treatment can lead to criminal liability under either s. 215(2)(a)(i) or s. 215(2)(a)(ii) of the Code; the one does not preclude the other.
(ii) Second Issue: Causal Connection
[68] The appellants complain that including medical attention in the ambit of s. 215(2)(a)(i) of the Code results in criminalizing a failure to obtain treatment of no consequence. They argue that criminal liability for failure to provide necessaries of life follows only where the failure has resulted in permanent danger to the health or life of that person. They submit that there must be a causal connection between the appellant’s failure to provide necessaries of life and the child’s necessitous circumstances and here there was none.
[69] I disagree. Inclusion of medical attention in the ambit of s. 215(2)(a)(i) of the Code does not compel criminality for any failure to provide medical attention. In order for there to be criminal liability, the child must be in necessitous circumstances and the conduct must amount to a “marked departure” from what a reasonably prudent parent would have done in the circumstances: Naglik, at p. 143. This requirement imposes a limitation on actionable criminality. There was no need for the Crown to establish that the appellants’ failure to obtain medical treatment would have made any difference. That is a requirement of s. 215(2)(a)(ii) of the Code.