Relevant Provisions of the MHFP Act
28It will be necessary to say something concerning the legislative history of the provisions falling for consideration, before turning to the resolution of the matters in controversy in these proceedings. Before doing so, however, it is appropriate to set out some key provisions of the MHFP Act.
29Part 4 MHFP Act (ss.37-39) is entitled "Defence of mental illness". Part 4 relates to persons tried on indictment. Provision is made elsewhere in the MHFP Act (Part 3 - ss.31-36) concerning summary proceedings relating to persons affected by mental disorders. Sections 37-39 provide:
"37 Explanation to jury
If, on the trial of a person charged with an offence, a question is raised as to whether the person was, at the time of commission of the offence, mentally ill as referred to in section 38, the Court must explain to the jury the findings which may be made on the trial and the legal and practical consequences of those findings and must include in its explanation:
(a) a reference to the existence and composition of the Tribunal, and
(b) a reference to the relevant functions of the Tribunal with respect to forensic patients, including a reference to the requirements of this Act that the Tribunal may make an order for the release of a person detained in accordance with section 39 only if the Tribunal is satisfied, on the evidence available to it, that the safety of the person or any member of the public will not be seriously endangered by the person's release.
38 Special verdict
(1) If, in an indictment or information, an act or omission is charged against a person as an offence and it is given in evidence on the trial of the person for the offence that the person was mentally ill, so as not to be responsible, according to law, for his or her action at the time when the act was done or omission made, then, if it appears to the jury before which the person is tried that the person did the act or made the omission charged, but was mentally ill at the time when the person did or made the same, the jury must return a special verdict that the accused person is not guilty by reason of mental illness.
(2) If a special verdict of not guilty by reason of mental illness is returned at the trial of a person for an offence, the Court may remand the person in custody until the making of an order under section 39 in respect of the person.
39 Effect of finding and declaration of mental illness
(1) If, on the trial of a person charged with an offence, the jury returns a special verdict that the accused person is not guilty by reason of mental illness, the Court may order that the person be detained in such place and in such manner as the Court thinks fit until released by due process of law or may make such other order (including an order releasing the person from custody, either unconditionally or subject to conditions) as the Court considers appropriate.
(2) The Court is not to make an order under this section for the release of a person from custody unless it is satisfied, on the balance of probabilities, that the safety of the person or any member of the public will not be seriously endangered by the person's release.
(3) As soon as practicable after the making of an order under this section, the Registrar of the Court is to notify the Minister for Health and the Tribunal of the terms of the order."
30Where the defence of mental illness is raised, a special verdict of not guilty by reason of mental illness may be returned by the jury (or the Judge at a Judge-alone trial) under s.38(1). The Judge must direct the jury in accordance with s.37 at such a trial: R v Rodriguez [2010] NSWSC 198 at [56]-[57]. The Court may remand the person in custody under s.38(2) until the making of an order under s.39, but there is no power to grant bail during this period. The terms of s.39 arise directly for consideration in these proceedings.
31Part 5 MHFP Act (ss.40-76K) is entitled "Forensic patients and correctional patients". This part governs the powers, duties and functions of the Tribunal.
32The objects of Part 5, as contained in s.40, are important:
"40 Objects
The objects of this Part are as follows:
(a) to protect the safety of members of the public,
(b) to provide for the care, treatment and control of persons subject to criminal proceedings who are suffering from a mental illness or mental condition,
(c) to facilitate the care, treatment and control of any of those persons in correctional centres through community treatment orders,
(d) to facilitate the provision of hospital care or care in the community through community treatment orders for any of those persons who require involuntary treatment,
(e) to give an opportunity for those persons to have access to appropriate care.
Note. Section 68 of the Mental Health Act 2007 sets out general principles with respect to the treatment of all people with a mental illness or mental disorder."
33The functions of the Tribunal under the MHFP Act are to be exercised by the Forensic Division of the Tribunal, a specialist body constituted under s.73 MHFP Act. Section 74 specifies matters for consideration by the Tribunal when determining what order to make under Part 5:
"74 Matters for consideration
Without limiting any other matters the Tribunal may consider, the Tribunal must have regard to the following matters when determining what order to make about a person under this Part:
(a) whether the person is suffering from a mental illness or other mental condition,
(b) whether there are reasonable grounds for believing that care, treatment or control of the person is necessary for the person's own protection from serious harm or the protection of others from serious harm,
(c) the continuing condition of the person, including any likely deterioration in the person's condition, and the likely effects of any such deterioration,
(d) in the case of a proposed release, a report by a forensic psychiatrist or other person of a class prescribed by the regulations, who is not currently involved in treating the person, as to the condition of the person and whether the safety of the person or any member of the public will be seriously endangered by the person's release,
(e) in the case of the proposed release of a forensic patient subject to a limiting term, whether or not the patient has spent sufficient time in custody."
34Section 42 is in the following terms:
"42 Forensic patients
For the purposes of this Act, the following persons are forensic patients:
(a) a person who is detained in a mental health facility, correctional centre or other place, or released from custody subject to conditions, pursuant to an order under:
(i) section 14, 17 (3), 24, 25, 27 or 39, or
(ii) section 7 (4) of the Criminal Appeal Act 1912 (including that subsection as applied by section 5AA (5) of that Act),
(b) a person who is a member of a class of persons prescribed by the regulations for the purposes of this section."
35It will be seen that a person released unconditionally under s.39 does not become a forensic patient by operation of s.42. However, a person who is detained or released subject to conditions under s.39 does become a forensic patient.
36Once a person has become a forensic patient, the Tribunal is bound to conduct an initial review under s.44, which provides:
"44 Persons found not guilty by reason of mental illness - initial review
(1) The Tribunal must review a person's case as soon as practicable after the person is found not guilty of an offence by reason of mental illness, after a special hearing, a trial or on an appeal, and ordered to be detained in a mental health facility or other place or to be released from custody subject to conditions.
Note. Relevant orders may be made under this Act (including sections 25 and 39) and under section 7 (4) of the Criminal Appeal Act 1912 (including that subsection as applied by section 5AA (5) of that Act).
(2) The Tribunal must, after reviewing a person's case, make an order:
(a) as to the person's care, detention or treatment, or
(b) as to the person's release (either unconditionally or subject to conditions).
(3) This section does not apply if a person ceases to be a forensic patient."
37It will be observed from s.44(1) (and the note to that subsection) that the obligation of the Tribunal to conduct an initial review arises (relevantly, for present purposes) as soon as practicable after a person is found not guilty of an offence by reason of mental illness after a special hearing (under ss.19-24), after trial on indictment (under ss.37-39) or on appeal (where the Court of Criminal Appeal substitutes a verdict of not guilty by reason of mental illness and proceeds to make an order of detention or conditional release under s.7(4) Criminal Appeal Act 1912).
38Following the initial review, the Tribunal must make an order under s.44(2) MHFP Act.
39The criteria that must be considered by the Tribunal before releasing a forensic patient are contained in s.43:
"43 Criteria for release and matters to be considered by Tribunal
The Tribunal must not make an order for the release of a forensic patient unless it is satisfied, on the evidence available to it, that:
(a) the safety of the patient or any member of the public will not be seriously endangered by the patient's release, and
(b) other care of a less restrictive kind, that is consistent with safe and effective care, is appropriate and reasonably available to the patient or that the patient does not require care."
40Section 46 requires the Tribunal to carry out further reviews of forensic patients periodically. Section 46 states:
"46 Further reviews by Tribunal of forensic patients
(1) The Tribunal must review the case of each forensic patient every 6 months but may review the case of any forensic patient at any time.
(2) The Tribunal must review the case of a forensic patient if requested to do so by the Minister for Health, the Attorney General, the Minister for Justice, the Minister for Juvenile Justice, the Director-General or the medical superintendent of the mental health facility in which the patient is detained.
(3) The Tribunal must review the case of each forensic patient who is subject to a community treatment order, and who is detained in a correctional centre, every 3 months.
(4) The period within which a particular review under this section must be held may, on the motion of the Tribunal or on the application of the patient or the primary carer of the patient, be extended by the Tribunal to a maximum of 12 months.
(5) The Tribunal may grant an application to extend the review period if it is satisfied that:
(a) there are reasonable grounds to grant the application, or
(b) an earlier review is not required because:
(i) there has been no change since the last review in the patient's condition, and
(ii) there is no apparent need for any change in existing orders relating to the patient, and
(iii) an earlier review may be detrimental to the condition of the patient."
41After undertaking a s.46 review, the Tribunal may make orders and recommendations under s.47, which provides:
"47 Orders and recommendations on further Tribunal reviews
(1) The Tribunal may, after reviewing the case of a forensic patient under section 46, make an order as to:
(a) the patient's continued detention, care or treatment in a mental health facility, correctional centre or other place, or
(b) the patient's release (either unconditionally or subject to conditions).
(2) The Tribunal must not make an order as to the release of a forensic patient if the patient is a person who has been remanded in custody pending the person's return to court but may make a recommendation to the court as to the person's release.
(3) An order for release under this section may be made despite any other provision of this Act or any order of a court under this Act.
(4) On reviewing under section 46 the case of a forensic patient who is subject to a finding that the person is unfit to be tried for an offence, the Tribunal must make a recommendation as to the fitness of the patient to be tried for an offence.
(5) The Tribunal must notify the court that made the finding of unfitness and the Director of Public Prosecutions if, on a review, the Tribunal is of the opinion that the person:
(a) has become fit to be tried for an offence, or
(b) has not become fit to be tried for an offence and will not, during the period of 12 months after the finding of unfitness by the court, become fit to be tried for the offence."
42Sections 51 and 52 concern the circumstances in which classification as a forensic patient is terminated. The terms of s.51, in particular, were addressed in submissions and will require further consideration. Sections 51 and 52 provide:
"51 Termination of classification as forensic patient on unconditional release
(1) A forensic patient ceases to be a forensic patient if any of the following events occurs:
(a) the person is released unconditionally in accordance with an order by the Tribunal under this Part or by order of a court,
(b) if the person has been released in accordance with such an order subject to conditions - the time specified in the conditions as being a time during which those conditions, or any of them, are to be complied with expires.
(2) This section applies in addition to any other provision of this Subdivision.
52 Additional circumstances for termination of classification as forensic patient
(1) Verdict of not guilty or no limiting term after special hearing
A person who has been found to be unfit to be tried for an offence ceases to be a forensic patient if following a special hearing:
(a) the person is found not guilty of the offence concerned, or
(b) the person is found on the limited evidence available to have committed the offence but a limiting term is not imposed on the person.
(2) Detention after special hearing
A person who has been detained in a mental health facility, correctional centre or other place following a special hearing ceases to be a forensic patient if any of the following events occurs:
(a) the limiting term (where that term is less than life) imposed in respect of the person expires,
(b) the person is classified as an involuntary patient under section 53.
(3) Person found unfit to be tried by court
A person who has been found by a court to be unfit to be tried for an offence ceases to be a forensic patient if the Tribunal notifies the court and the Director of Public Prosecutions that it is of the opinion that the person has become fit to be tried for an offence (whether or not a special hearing has been conducted in respect of the offence) and a finding is made, at a further inquiry by the court as to the person's unfitness, that the person is fit to be tried for an offence.
Note. A person subject to a finding that the person is unfit to be tried for an offence, and who is released from detention under section 20 or 29, ceases to be a forensic patient by operation of section 51 (1).
(4) Dismissal of charges or no further proceedings
A person ceases to be a forensic patient if:
(a) the relevant charges against the person are dismissed, or
(b) the Director of Public Prosecutions notifies the court that the person will not be further proceeded against in respect of the relevant charges.
(5) Other circumstances
The regulations may make provision with respect to other circumstances in which the Tribunal may make an order terminating a person's status as a forensic patient."
43Elaborate provision is made in s.77A for appeal to the Supreme Court or the Court of Appeal from determinations of the Tribunal:
"77A Appeals against Tribunal decisions
(1) A forensic patient or correctional patient who is a party to a proceeding before the Tribunal under this Act may appeal to the Supreme Court from any determination of the Tribunal in that proceeding, by leave of the Supreme Court:
(a) on a question of law, or
(b) on any other question,
other than a determination referred to in subsection (4).
(2) The Minister for Health may appeal to the Supreme Court from any determination of the Tribunal in a proceeding before the Tribunal under this Act, as of right:
(a) on a question of law, or
(b) on any other question,
other than a determination referred to in subsection (5).
(3) A victim of a forensic patient who is a party to proceedings under section 76 may appeal to the Supreme Court from any determination of the Tribunal under that section in that proceeding, by leave of the Supreme Court:
(a) on a question of law, or
(b) on any other question.
(4) A person may appeal to the Court of Appeal from a determination of the Tribunal under this Act as to the release of the person, by leave of the Court of Appeal:
(a) on a question of law, or
(b) on any other question.
(5) The Minister for Health may appeal to the Court of Appeal from a determination of the Tribunal under this Act as to the release of a person, as of right:
(a) on a question of law, or
(b) on any other question.
(6) The Attorney General may appeal to the Court of Appeal from a determination of the Tribunal under this Act as to the release of a person, as of right, on a question of law.
(7) An appeal under this section must be made not later than 28 days:
(a) after the determination of proceedings by the Tribunal, or
(b) in the case of an appeal by the Minister for Health or the Attorney General, of notification to the Minister or Attorney General by the Tribunal of the determination of the proceedings,
unless the Court extends the period within which the appeal may be made.
(8) An appeal under this section is to be made subject to and in accordance with the rules of the Court.
(9) After deciding the question the subject of an appeal under this section, the Court may, unless it affirms the determination of the Tribunal on the question:
(a) make such order in relation to the proceedings in which the question arose as, in its opinion, should have been made by the Tribunal, or
(b) remit its decision on the question to the Tribunal and order a rehearing of the proceedings by the Tribunal.
(10) If such a rehearing is held, the Tribunal is not to proceed in a manner, or make an order or a decision, that is inconsistent with the decision of the Court remitted to the Tribunal.
(11) If a party has appealed under this section to the Court against a determination of the Tribunal, either the Tribunal or the Court may suspend, until the appeal is determined, the operation of any order or determination made in respect of the proceedings.
(12) If the Tribunal suspends the operation of an order or a determination, the Tribunal or the Court may terminate the suspension or, where the Court has suspended the operation of an order or a determination, the Court may terminate the suspension.
(13) If a rehearing is held, fresh evidence, or evidence in addition to or in substitution for the evidence on which the original determination was made, may be given on the rehearing.
(14) A reference in this section to a matter of law includes a reference to a matter relating to the jurisdiction of the Tribunal.
(15) The Tribunal or any member of the Tribunal is not liable for any costs relating to a determination of the Tribunal, or the failure or refusal of the Tribunal to make a determination, in respect of which an appeal is made under this Act, or of the appeal."