GROUND OF APPEAL 1 - THE MENTAL HEALTH CONDITION CLAIM
35 As the Minister correctly pointed out in his contentions, the appellant's claim that his mental health condition was likely to deteriorate if he were to return to Sri Lanka was first articulated in two post-hearing submissions that his authorised agent provided to the Tribunal. I interpolate to record that, in these reasons, I will generally refer to this claim as the appellant's mental health condition claim. The first articulation appeared in a letter dated 15 June 2016. In that letter, the appellant's agent made the following submission:
We submit further that [the appellant's] mental health is highly relevant to the assessment of whether there is a real chance he would suffer serious harm requiring protection under the Refugees Convention; as well as to whether there is a substantial risk he would suffer significant harm engaging complementary protection obligations. We will explain this further below, alongside addressing other issues which were raised at the hearing.
36 The explanation for this submission was set out later in that letter under the heading "2.2 [The appellant's] mental health and particular vulnerability". It was as follows:
[The appellant] has been diagnosed as suffering from severe depression and PTSD. In our submission his mental health is relevant to the consideration of whether any harm he would face on his return to Sri Lanka amounts to 'serious harm' … A person's particular vulnerabilities must be taken into account in assessing the seriousness of harm.
37 In the next paragraph, the appellant's agent emphasised the importance of the appellant's particular vulnerabilities and quoted, in support, the first two sentences of [71] of WZAPN set out above (at [32]). She then submitted that the risk of the appellant suffering serious or significant harm arose out of the likely exacerbating effect on his mental health condition of the "monitoring and harassment" of Tamils and/or of illegal returnees in general. Specifically, she submitted:
… that even if the Tribunal takes the view that [the appellant] is not of particular adverse interest to the authorities, the treatment he would experience on return to Sri Lanka would nonetheless amount to serious harm in his personal circumstances. Country information, including that contained in our pre-hearing submission and the most recent DFAT Report, indicates that there continues to be monitoring and harassment of Tamils by the security forces in the Eastern and Northern Provinces. We refer also to the information about the process and treatment of returned asylum seekers, including questioning and monitoring following return. We acknowledge that such treatment would not generally of itself be considered to reach the level of serious harm. However, [the appellant] has clearly been significantly affected by the harm he has experienced from the authorities in the past, and the harm experienced by his family, in particular the abduction of his younger brother, and he is now suffering from PTSD and depression. In this context, further monitoring or harassment from the authorities is likely to have a greater effect on [the appellant] than it may on others who do not have the same vulnerabilities. We submit that the effect on his mental health, in a context where little medical or other support is likely to be available to him (and to the contrary, where the government continues to strenuously deny that human rights abuses have occurred), amounts to serious harm.
(Emphasis added)
38 The second post-hearing submission was contained in an email the appellant's authorised agent sent to the Tribunal on 29 July 2016. This email was sent in response to a request from the Tribunal that a letter be provided "from the psychiatrist in question to confirm the diagnosis and on what basis she arrived at that diagnosis". A report from Dr Hettiarachchi, a psychiatrist, was attached to the email. With respect to that report, the appellant's agent made the following submission:
The letter from Dr Hettiarachchi explains her diagnosis and the basis for her diagnosis. In our submission, the detail in this letter concerning [the appellant's] PTSD symptoms further corroborates his claims to have experienced significant trauma in Sri Lanka, and his genuine subjective fear of persecution if he is returned to Sri Lanka. We submit that this expert evidence about his significant mental health issues and need for ongoing treatment further supports the conclusion that he would suffer serious harm if returned to Sri Lanka, due to his particular vulnerability and the impact on his mental health, as explained in our post-hearing submission.
(Emphasis added)
39 Pertinent to ground 2, discussed below, in her report, Dr Hettiarachchi expressed the following opinions about the appellant, including his suicidal tendencies and the risk of self-harm:
Current Presentation:
He presented to me with poor sleep and poor concentration. He presents with depressive symptoms characterised by persistent low mood, feeling sad, low energy, feeling tired, amotivation, has lost interest in activities. He tends to isolate himself. He has fleeting suicidal thoughts and passive death wishes feeling better off dead stating that he does not like living anymore but denied intent at the moment. He also described physical symptoms such as burning pain and chest pain. He was investigated to exclude an organic cause, however pain is persistent. In addition to this, he described symptoms of PTSD characterised by repeated memories of trauma, flashbacks, nightmares and avoidant behaviour. He reported that his brother was kidnapped by Sri Lankan Army and also he was threatened to shoot as well and gone through trauma during the war. He continue to feel anxious that his life is at risk and he still feels that the CID is looking for him. Concerned about safety, he stated he came to Australia thinking that it is safe and felt happy initially, however it has been quite hard to adjust stating that he is unable to forget the memories and he misses family. He has had no treatment in the past. Described symptoms lasting for more than few months. No identified family history. No substance use or alcohol history.
…
Risks:
There are fleeting suicidal thoughts, but denied intent however if depressive symptoms remain unresolved and if his situation remains unresolved, the risk towards self can increase. Risk to others are low.
Diagnoses:
Axis I: Major depressive disorder, moderate severity with co-morbid PTSD symptoms. No personality disorder elicited. Grief and adjustment reaction is another co-morbid feature.
(Errors in original; emphasis added)
40 These two post-hearing submissions clearly articulated a particular claim (the present claim) concerning the appellant's mental health condition. Furthermore, that claim was duly placed before the Tribunal prior to it making its decision on the appellant's review application. Consistently with the principles outlined above, the Tribunal was therefore required to consider it, together with its component integers. Hence, the Minister's contentions that this claim only emerged late in the piece can be rejected as immaterial.
41 The present claim had three limbs, or integers, to it. The first was that the appellant had been diagnosed with PTSD, depression and anxiety. The second was that he was likely to be monitored and harassed on his return to Sri Lanka as a Tamil, or he was likely to be questioned and monitored as a returned asylum seeker, or both. And the third was that, because of his "particular vulnerabilities" (the first integer above), the harassment, monitoring or questioning to which he was likely to be subjected (the second integer above), combined with his likely inability to obtain appropriate treatment for his mental health condition in Sri Lanka, meant that that condition was likely to deteriorate such that he was likely to suffer serious harm.
42 The second leg of this claim, it should be noted, related to both the protection obligations under s 36(2)(a) above, that is as a Tamil, and the complementary protection obligations under s 36(2)(aa), that is as a returned asylum seeker.
43 As for the third integer of this claim, the Minister submitted that it was an assertion that was unsupported by any evidence. While it may be true to say it took that form, it still constituted an integer of the present claim and, as such, it required proper consideration by the Tribunal. This contention can also be rejected.
44 Having identified the appellant's articulated claim and its component integers, it is necessary to next examine how, or if, the Tribunal dealt with it. First, at [10] of its reasons, the Tribunal referred to the appellant's authorised agent's post-hearing submission of 15 June 2016 and noted that:
On 15 June 2016 the Tribunal received from the representative a letter from the [appellant's] GP dated 10 June 2016 who states that the [appellant] has been her patient since December 2012 and that he suffers from Major Depression and PTSD, diagnosed by a psychiatrist (Dr Dimuth Chamar Hettiarachchi) on 24 May 2016 after a mental health assessment. In her submission attached to the letter from the [appellant's] GP the representative submitted that [appellant] was diagnosed as suffering from PTSD in November 2013, but had been unable to access treatment from a psychologist; after the hearing he was referred by his GP for a mental health assessment on 24 May 2016 and those results were reported to his GP; due to cost constraints, the [appellant] was not able to obtain a written report by the psychiatrist; he has been prescribed medication and referred for ongoing counselling; and he is also on the waiting list for trauma counselling at Foundation House.
45 It will be noted that this passage is directed solely to the nature of the appellant's mental health condition. As noted above, this concerns the first integer of the present claim.
46 Secondly, at [12], the Tribunal set out the crux of the submissions the appellant's agent had made concerning his mental health condition, as follows:
The representative submitted that the [appellant's] mental health is relevant to his protection claims as follows (as addressed below in relation to the [appellant's] specific claims):
• His PTSD diagnosis is corroborative of his reported history of trauma in Sri Lanka (noting that at the hearing he said he was 'psychologically affected' and distressed while speaking about his past experiences and the situation of his family);
• With respect to assessing and evaluating his evidence given at hearing, especially past difficulties remembering dates and confusing events; and
• Whether any harm he may experience on return amounts to serious harm under s.91 R, taking into account his particular vulnerabilities. For instance, lesser forms of harm such as general monitoring and harassment might be serious harm because of his mental health.
47 Two things should be noted about this paragraph. First, the appellant does not raise any issue in this appeal about the Tribunal's treatment of the matters mentioned in the first two dot points above. Instead, his complaint concerns the matter raised in the last dot point. Secondly, while in that passage the Tribunal mentioned the first two integers of the present claim, namely his "particular vulnerabilities" and the "general monitoring and harassment" that may occur on his return to Sri Lanka, it did not mention the third integer.
48 Finally, at [83], the Tribunal recorded the following details of the present claim:
As mentioned, in her submission to the Tribunal the representative argues that the [appellant's] mental health is relevant to whether any harm he faces in Sri Lanka rises to the level of serious or significant harm in Sri Lanka. It was submitted that this is particularly relevant in the context of continued monitoring and harassment of Tamils by security forces in the eastern and northern provinces, and of returnees, and that monitoring and harassment in such circumstances constitutes serious harm. Given his particular vulnerabilities, any further monitoring or harassment from the authorities is likely to have greater effect on the [appellant] than it may on others. The Tribunal notes that in his oral and written evidence to the Tribunal the [appellant] indicated his fears in this respect. It was also submitted that this is particularly relevant in the context of information regarding the extent of militarisation in the North and East of Sri Lanka, and harassment of Tamils by the security forces. Reference is made to a statement by the UN High Commissioner for Human Rights at the end of his mission to Sri Lanka in February 2016 that the element of fear whilst diminished in Colombo and the South still exist in the north and east. Reference is also made to another recent Tribunal decision about a Tamil applicant with a history of trauma, whose brother-in-law had disappeared, and who had been diagnosed with PTSD and depression where the Tribunal found that his vulnerably would mean that any discrimination, harassment and monitoring he experienced would rise to the level of serious harm. It is submitted that the [appellant's] circumstances in this case justify a similar conclusion.
(Footnote omitted; emphasis added)
49 It will be noted that the emphasised part of this paragraph above closely follows the appellant's authorised agent's submission of 15 June 2016 set out at [37] above. Thus it mentions the appellant's "particular vulnerabilities", the monitoring and harassment (but not questioning) in both contexts (of Tamils and of returnees), and the "greater effect" those two factors were likely to have on the appellant were he to return to Sri Lanka. Significantly, however, it does not mention the potentially exacerbating factor mentioned in the third integer, namely his likely inability to obtain appropriate medical treatment for his mental health condition were he to return there. That fact is plainly significant because, as the appellant's authorised agent acknowledged in her post-hearing submission, without it operating on the appellant's personal circumstances, or "particular vulnerabilities", the monitoring and harassment concerned "would not generally of itself be considered to reach the level of serious harm" (see at [37] above).
50 To sum up, while it has clearly identified the first two integers of the present claim in these passages of its reasons where it identified the appellant's claims concerning his mental health condition, the Tribunal did not mention the third integer.
51 However, this conclusion does not exclude the possibility that the Tribunal, nonetheless, properly considered that integer of the present claim elsewhere in its reasons either specifically, or, as the Minister contended, at a "higher level of generality". For this reason, it is necessary, next, to consider those reasons in more detail.
52 The Tribunal's reasons were essentially divided into two parts. The first part at [16]-[86] dealt with the appellant's protection claims and was headed accordingly. The second part at [87]-[92] dealt with his complementary protection claims and was headed "Complementary protection assessment" (bolded in original).
53 Turning, first, to the former, the conclusions the Tribunal came to in respect of the appellant's mental health condition appeared in the last section of that part, under the heading "Psychological harm" (italicised in original). It followed immediately after the paragraph where the Tribunal recorded the details of the present claim (see at [48] above) and was in the following terms (at [84]):
As reasoned in earlier sections of this decision, the Tribunal does not accept that the [appellant] has been seriously harmed by the Sri Lankan authorities in the past as claimed, or that he has been singled out for adverse attention or mistreatment by the Sri Lankan authorities as he has claimed. The Tribunal accepts, however, that the [appellant] suffers from PTSD, depression and anxiety and that he will find returning to Sri Lanka and the processes he faces in connection with his illegal departure confronting. However, the Tribunal does not accept that he will be singled out for harm or mistreatment by the Sri Lankan authorities. The Tribunal is not satisfied, even in the context of what the Tribunal accepts of the [appellant's] vulnerabilities and mental health concerns that he faces a real chance of serious harm in Sri Lanka, as contemplated by the relevant law, for any of the reasons claimed or arising on the evidence.
(Emphasis added)
54 There were six "earlier sections" of that first part of the Tribunal's decision. They were: "Claims of past harm in Sri Lanka", "Fear of paramilitary groups", "Family of the disappeared", "Tamil ethnicity and origins from the east", "Failed asylum seekers" and "Illegal departure" (italicised in original). In those sections, the Tribunal rejected all of the appellant's protection claims because, based upon his evidence and submissions about his past history in Sri Lanka, it did not accept that he would face a real chance of serious harm on his return to Sri Lanka: either as a Tamil, or because of an imputed pro-LTTE political opinion, or because he originated from the east of Sri Lanka, or because he would be of interest to paramilitaries such as the Tamil Makkal Viduthalai Pulikal (aka the Tamil Peoples Liberation Tigers), or as a family member of the disappeared, or because of the time he had spent in Australia, or as a failed asylum seeker. This summary explains the first sentence of [84] of the Tribunal's reasons.
55 When considered in its proper context, the phrase in the second sentence of [84] - "the processes he faces in connection with his illegal departure" - appears to refer to the Tribunal's findings in the last two sections of the first part of its reasons headed: "Illegal departure" and "Failed asylum seekers" (italicised in original). Those processes were variously described in at least three paragraphs of those two sections in the following terms:
Failed asylum seekers
…
69. The Tribunal accepts that upon return to Sri Lanka the [appellant] is likely to face questioning at the airport as to his activities during the time he has been abroad and that given his Tamil ethnicity, he may also face questioning about any links he may have with the LTTE …
…
72. While the Tribunal accepts that the [appellant] as a Tamil failed asylum seeker returnee may be subjected to a process of questioning by the Sri Lankan authorities immediately on his return to Sri Lanka …
…
Illegal departure
…
81. The Tribunal accepts that prison conditions in Sri Lanka are generally poor and notes DFAT's assessment in their latest report is that in general prison conditions in Sri Lanka do not meet international standards because of lack of resources, overcrowding and poor sanitary conditions. However the Tribunal does not accept that the [appellant] faces a real chance of persecution for any reason (Convention or non-Convention related) during any short term period of being detained. The Tribunal is not satisfied that any problems the [appellant] may face as a result of questioning, charges, overcrowding and unsanitary conditions in remand are aimed at the [appellant] for any Convention reason, but are factors which apply to the general population. The Tribunal is not satisfied therefore, that questioning[,] arrest, detention and the poor conditions in remand amount to systematic and discriminatory conduct as required by s.91R(1)(c). Nor does the Tribunal accept that the [appellant] being detained for a short period in the prison conditions and fined constitutes serious harm.
(Footnote omitted)
56 As mentioned above, the second part of the Tribunal's reasons addressed the appellant's complementary protection claims. In its conclusions to that part, beginning at [88], the Tribunal commenced by reiterating its rejection of the appellant's protection claims, as summarised above (see at [54]). It then reiterated its rejection of the appellant's claims with respect to his mental health condition (see at [53]). That whole paragraph read as follows:
88. For reasons set out above, the Tribunal has not accepted there to be a real chance that the [appellant] will suffer serious harm at the hands of the authorities or paramilitaries if he returns to Sri Lanka now or in the foreseeable future on the basis of his actual or imputed political opinion, Tamil ethnicity, origins and residence in the east, membership of a particular social group of returned failed asylum seeker, or as a family member of a disappeared person. The Tribunal also has not accepted that the [appellant] faces a real chance of serious harm for any reasons when taking into account his vulnerabilities and mental health concerns. In MIAC v SZQRB, the Full Federal Court held that the 'real risk' test imposes the same standard as the 'real chance' test applicable to the assessment of 'well-founded fear' in the Refugee Convention definition. For the same reasons the Tribunal does not accept that there is a real risk the [appellant] will suffer significant harm for any of those reasons as a necessary and foreseeable consequence of the [appellant] being removed from Australia to Sri Lanka.
(Footnote omitted; emphasis added)
57 The Tribunal then turned to consider a number of other aspects of the claims the appellant had made concerning complementary protection. They included claims that he would be subjected to torture or suffer cruel or inhuman and degrading treatment on his return to Sri Lanka and that the prison conditions there and the processes that would be followed in dealing with him as an illegal departee would constitute significant harm. In rejecting those claims, the Tribunal did not return to the appellant's mental health condition, or any of the integers of the present claim. It did, however, mention the possibility that the appellant would be questioned at a number of points as follows (at [89]-[91]):
89. The representative has made a number of submissions (and referenced country information where relevant) about the real risk the [appellant] would be subject to torture or suffer cruel or inhuman and degrading treatment on return to Sri Lanka once detained for departing illegally and because of the extremely poor prison conditions, which the Tribunal has had regard to. In terms of real risk of significant harm on return to Sri Lanka on account of his illegal departure from the country, for the reasons set out above, the Tribunal has accepted that the [appellant] will be questioned at the airport upon his return to Sri Lanka, that he will likely be charged with departing Sri Lanka illegally and that he could be held on remand for a brief period while awaiting a bail hearing. The Tribunal does not accept on the information before it there to be a real risk that the [appellant] will face torture, or other types of significant harm as set out in s.36(2A) of the Act, either during his questioning at the airport or during any period he spends on remand. The Tribunal considers that the [appellant] will be granted bail on his own recognisance or with family members as guarantor and that if convicted of charges under Sri Lanka's I&E Act, he will likely face a fine. The Tribunal does not accept that the [appellant] will be unable to pay such a fine if it is imposed upon him, given he has family members in Sri Lanka. Nor does it accept on the evidence before it that there is a real risk the [appellant] would be subjected to treatment constituting significant harm as that term is exhaustively defined in section 36(2A), either during his questioning at the airport or during the short period that he may spend on remand awaiting a bail hearing.
90. The Tribunal accepts that prison conditions in Sri Lanka are generally poor and not up to international standards and notes the discussion of prison conditions in the relevant [Procedures Advice Manual 3] provisions, but the Tribunal does not accept that there is the necessary intention on the part of the Sri Lankan authorities to inflict pain, suffering or extreme humiliation. Further, given the country information suggests that any period of detention the [appellant] may face would be for a short term, the Tribunal does not accept that this would constitute significant harm. In regard to the penalty the [appellant] may face, based on the information cited above, the Tribunal does not accept that this will manifest itself in the mandatory imposition of a term of imprisonment or that the [appellant] would not be able to pay any fine that may be imposed on him as he would have the assistance of family members to meet such a financial penalty. As discussed with the [appellant] at [the] hearing, although sources indicate that prison conditions are poor, the information before the Tribunal does not tend to indicate that there is a real risk that a person, including a failed asylum seeker like the [appellant], would suffer significant harm in prison if they were only held for a few days or a couple of weeks.
91. The Tribunal does not accept that the process of questioning the [appellant] may be subjected to, the imposition of a fine as punishment and the [appellant's] charge and conviction under the I&E Act amounts to significant harm because there is no intention on the part of the Sri Lankan authorities to inflict pain, suffering or extreme humiliation in relation to these matters. Further, the Tribunal finds on the country information cited above, that any treatment the [appellant] may face upon return to Sri Lanka, including a fine and detention and poor prison conditions, would not amount to significant harm as this would apply to every person in Sri Lanka who breached the illegal departure law. As this is a real risk faced by the population generally and not the [appellant] personally, under s.36(2B)(c) there is taken not to be a real risk that the [appellant] will suffer significant harm.
(Emphasis added)
58 It can be seen from this review of the Tribunal's reasons that the third integer of the appellant's present claim was not mentioned in those paragraphs of the reasons where the Tribunal identified the claims he had made concerning his mental health condition (see at [48] above). Indeed, there is some indication from [83] of the Tribunal's reasons that it may have misconceived how the present claim was being put (see at [49] above). Nonetheless, when the Tribunal expressed its conclusions in respect of the appellant's mental health condition in the protection claims part of its reasons, it did make specific mention of the first and second integers of the present claim (see at [53] above). Furthermore, while it did not expressly mention the possibility that the appellant may not be able to access appropriate medical treatment in Sri Lanka, it did accept that the appellant "will find returning to Sri Lanka … confronting". And, in concluding that, in that context, he did not face "a real chance of serious harm in Sri Lanka", it added "for any of the reasons claimed or arising on the evidence". Then, at [88], in the "Complementary protection assessment" (bolded in original) part of its reasons (see at [56] above), the Tribunal referred to, and relied upon, the above reasoning and extended it to reject the "real risk" of him suffering significant harm "as a necessary and foreseeable consequence of [him] being removed from Australia to Sri Lanka".
59 Thus, on a fair reading and one not undertaken "minutely and finely with an eye keenly attuned to the perception of error" (see at [30] above), I consider the reference to "confronting" above generally described the situation that the appellant claimed may arise from a combination of the three integers of the present claim. Similarly, I consider the concluding words of the same paragraph set out above generally extended to cover this claim and all of its integers. Accordingly, I consider there is sufficient to conclude that the Tribunal did consider all of the integers of the present claim, including the third integer, when making its review decision. That is to say, I broadly accept the Minister's submissions that the third integer, in particular, was dealt with by the Tribunal at a "higher level of generality".
60 For these reasons, I do not consider the appellant has made out his first ground of appeal.