A newly released fatality inquiry report suggests the death of a schizophrenic homeless man five years ago may have been prevented if Edmonton Police followed their own protocols.

Vincent Patrick Beaudry, 32, was arrested for aggressive panhandling outside a Jasper Avenue Money Mart on June 29, 2006. He was found dead in the arrest processing unit [APU] of the downtown police station later that day.

The fatality inquiry report from provincial court Judge P.G. Sully was released to Beaudry's family this week. His father, Bill Kipling, is angry with what it reveals about how police treated his son.

"I'd like to get justice done," Kipling said. "He was a young guy ... if protocol was followed, he'd be alive right now."

Vincent Beaudry is shown here in this undated photo. According to the report, Beaudry was intoxicated when he was arrested around 3:48 p.m. that day. Police were told by people who knew him that Beaudry had been behaving that day in a way that was out of character.

Beaudry told the officers he was on medication. He was even carrying a letter from a doctor stating that he suffered from schizophrenia.

However, the judge notes that "none of the officers responsible for the custody of Mr. Beaudry familiarized themselves with the contents of this letter."

Information about Beaudry's medical condition was not passed on to the officers at the holding cells where he was taken and the arrest booking report stated that he was not on any medication.

Beaudry's father Bill Kipling is angry at how police treated his son. CBC According to the inquiry report, an officer in the arrest processing unit also failed to ask Beaudry about whether he had any medical conditions.

Beaudry passed out after he was placed in the cell. Officers are supposed to rouse sleeping inmates once an hour but the video showed no one entered Beaudry's cell for three and a half hours.

Surveillance video showed he didn't move once between 7:09 p.m. and 9:31, when officers tried to wake him for his bail hearing. Efforts to revive Beaudry were not successful.

"Had the information available at the scene of the arrest as to the medical condition of Mr. Beaudry been documented and passed on to the officers in APU, it is possible that a medical examination may have been ordered for Mr. Beaudry," the judge states in the report.

"A medical examination may have resulted in the officers in APU providing closer attention to Mr. Beaudry. In turn, the closer attention may have prevented the death of Mr. Beaudry."

An autopsy found Beaudry had cocaine, tricylic anti-depressants, methadone and alcohol in his blood.

Medical examiner Dr. Graeme Dowling testified that levels of the drugs were at insufficient levels on their own to cause Beaudry's death, though they might have had a "combined toxic effect."

Police spokesman Dean Parthenis said no one from EPS will be able to comment until a review of the report is complete.