Hygiea Casiano, MD, FRCPC

Dr. Casiano is an Assistant Professor of Psychiatry at the University of Manitoba and Associate Medical Director for Adult Forensic Services. She completed her residency in Psychiatry at the University of Manitoba in 2009. She is certified through the Royal College of Physicians and Surgeons in both Child and Adolescent Psychiatry as well as Forensic Psychiatry. Dr. Casiano is a past recipient of the Canadian Academy of Psychiatry and the Law (CAPL) Fellowship as well as the Rappaport Fellowship, provided by the American Academy of Psychiatry and the Law (AAPL).


 Clinical Services


Dr. Casiano provides clinical support to a number of programs, including Adult Forensic Services, Youth Forensic Services, The Knowles Centre, Youth Centralized Intake, and the StreetReach Program.

Research Interests


Impact of media on youth
Self-harm behaviour in incarcerated youth
Criminal responsibility and fitness to stand trial research
Behavioural management in detained individuals
Crossover youth navigating between child welfare and criminal justice systems


Selected Publications

Casiano H, Hensel JM, Chartier MJ, Ekuma O, Bolton JM. The Intersection between Criminal Accusations, Victimization and Mental Disorders: A Canadian Population-Based Study (accepted March 2020, Canadian Journal of Psychiatry)

Casiano H, Demetrioff S. Forensic Mental Health Assessments: Optimizing Input to the Courts (accepted April 2020, Manitoba Law Journal)

Hensel JM, Casiano H, Chartier MJ, Ekuma O, MacWilliam L, Mota N, McDougall C, Bolton JM. Prevalence of Mental Disorders Among the Justice Involved: a Population-Level Study in Manitoba. International Journal of Law and Psychiatry (2020), 68: https://doi.org/10.1016/j.ijlp.2019.101523

Casiano H, Bolton SL, Katz LY, Bolton JM, Sareen J. Evaluation of a Suicide Risk Assessment Tool in a Large Sample of Detained Youth. Journal of the Canadian Academy of Child and Adolescent Psychiatry (2019), 28(3): 105.

Casiano H, Bolton S-L, Hildahl K, Katz LY, Bolton J, Sareen J. A Population-Based Study of the Prevalence and Correlates of Self-Harm in Juvenile Detention. PLoS ONE (2016), 11(1): e0146918. doi:10.1371/journal.pone.0146918

Casiano H, Katz LY, Globerman D, Sareen J. Suicide and Deliberate Self-Injurious Behavior in Juvenile Correctional Facilities: A Review.  Journal of the Canadian Academy of Child and Adolescent Psychiatry, (2013), 22(2): 118-124.

Casiano H, Kinley DJ, Katz LY, Chartier MJ, Sareen J. Media Use and Health Outcomes in Adolescents: Findings from a Nationally Representative Survey. Journal of the Canadian Academy of Child and Adolescent Psychiatry, (2012), 21(4): 296-301.

Casiano H, Mota N, Afifi T, Enns MW, Sareen J. Childhood Adversity and Threats Made with Weapons in a Nationally Representative Sample. Journal of Nervous and Mental Disease (2009), 197(11):856-861.

Casiano H & Sareen J. Proposed Legislation Adversely Affects Mentally Ill. Journal of the American Academy of Psychiatry and the Law (2008), 36 (3): 427-428.

Casiano H, Belik SL, Cox B, Waldman J, Sareen J. Mental Disorder and Threats Made by Non Institutionalized People with Weapons in the National Comorbidity Survey Replication. Journal of Nervous and Mental Disease (2008), 196 (6): 437-445.

Casiano H, Globerman D, Enns MW. Recurrent Priapism During Treatment with Clozapine, Quetiapine, and Haloperidol. Journal of Psychopharmacology (2007), 21 (8): 898-899.

University Rank: Assistant Professor

Clinical/Academic/Administrative Responsibilities

Associate Medical Director for Adult Forensic Services
Child and Adolescent Psychiatrist
Forensic Psychiatrist

Contact Information
Manitoba Adolescent Treatment Centre
120 Tecumseh St
Winnipeg, Manitoba
R3E 2A9
(Phone) 204-958-9660
Email: hcasiano@matc.ca