Consideration
59 The applicant submits that in representations to the delegate (seeking revocation of the cancellation decision) and to the Tribunal, the applicant consistently claimed that if he were returned to Turkey he faced a risk of mental health relapse and consequent harm comprising mistreatment in the course of his mental health treatment, to such an extent that he engaged Australia's non-refoulement obligations. The applicant submits that the Tribunal acknowledged evidence upon which the claim was based, but did not properly consider the claim in the relevant legal sense.
60 The applicant submits that he consistently made claims that:
(a) if he were to be returned to Turkey, he would suffer a serious relapse to his mental health; and
(b) if he were to suffer a mental health relapse, he would be mistreated or suffer harm in the course of his treatment in Turkey.
61 In his outline of submissions, the applicant refers, in particular, to [137] and [142] of the ASFIC, which have been set out above.
62 The applicant submits that, at [127] of the Tribunal's reasons, in the course of considering the extent of impediments on return, the Tribunal accepted the first premise of the applicant's mental health mistreatment claim, namely that there was a prospect that if he were to be returned to Turkey the applicant would experience a serious relapse in his mental health. The applicant submits that, having accepted the first premise, the Tribunal failed to address the balance of the claim that on relapse the applicant may be mistreated in the course of mental health treatment.
63 In my view, the applicant has not established that the Tribunal failed to consider, in the sense of a failure meaningfully to engage with, the applicant's mental health mistreatment claim.
64 First, in the section of the Tribunal's reasons concerning international non-refoulement obligations, the Tribunal set out, at [98], a detailed summary of the applicant's contentions that Australia's non-refoulement obligations were engaged and expressly considered, at [98(m)], the contention in the ASFIC at [142], which is the key paragraph relied on by the applicant in the present proceeding. Although [98(m)] of the Tribunal's reasons is the critical sub-paragraph for present purposes, I set out the whole of [98] to demonstrate the careful and comprehensive way in which the Tribunal summarised the applicant's contentions regarding international non-refoulement obligations. The Tribunal stated at [98]:
It is submitted by DGPZ's legal representatives that this consideration has 'determinative weight,' because as a person with a mental illness who is impecunious, and who is likely to fall foul of Turkey's criminal justice system, DGPZ is owed non-refoulement obligations. Submissions relating to non-refoulement can be summarised as follows:
(a) If returned to Turkey, DGPZ 'will be at risk of serious and significant harm as defined under s36(2)(a)-(aa) of the Act,' and 'non-refoulement obligations under international law also arise;'
(b) After the Tribunal's adverse 2018 decision, DGPZ's mental health deteriorated rapidly, requiring two involuntary admissions and ECT treatment. His vulnerability to acute deterioration may require maintenance ECT. The gravity of DGPZ's mental health episodes in 2018 was such that only the alertness and supervision of detention centre staff ensured he received the required treatment. Similar 'structure and support,' including family support in Australia, is needed to ensure DGPZ's current stability can be maintained;
(c) By virtue of his long history of substance abuse between the ages of 15 and 50, ongoing severe mental illness, injury from previous assaults, latent Tuberculosis, and Hepatitis C history, DGPZ 'will be at high risk of serious and significant harm in Turkey.' It is submitted that is particularly so given there was a 'real chance' he could relapse into drug abuse in Turkey and find himself imprisoned;
(d) There is a 'real chance' DGPZ will be:
'subjected to serious harm at the hands of the Turkish authorities in the form of withholding of basic services including psychiatric treatment which will threaten his capacity to subsist, as well as psychological harm, physical harm, physical assault, torture and death by reason of, either cumulatively or separately, his:
Membership of particular social groups, namely:
i. People with mental illness in Turkey who are impecunious;
ii. Offenders or detainees with mental illness and ill-health in Turkey.
The Applicant's status as a 'criminal deportee' and his previous substance abuse disorder increase his vulnerability to harm.
(e) Consultant psychiatrist Dr Nguyen submits 'there is a high risk…[DGPZ] …will not receive necessary mental health support treatment in Turkey, that his deterioration is unlikely to be detected without close supervision, and that he is at risk of death through self neglect if he re-lapses…;'
(f) Given DGPZ's history of drug use and deprived of the family and professional supports available to him in Australia, he 'might seek out drugs to alleviate his stress.' In that event, 'drug laws in Turkey are harsh…[and DGPZ]…may likely become involved with the criminal justice system there,' with country information confirming 'harsh and degrading treatment in Turkish prisons and places of detention, including torture and assaults. It is further submitted that 'current country information confirms the failure of Turkish authorities to provide health and mental health services in Turkish prisons and places of detention;'
(g) DGPZ's status as a 'criminal deportee' from Australia will only increase his risk profile with Turkish authorities;
(h) DGPZ is 'at risk of significant harm in the form of arbitrary deprivation of his life, torture and cruel, inhuman and degrading treatment of punishment at the hands of Turkish authorities;'
(i) DGPZ has 'no financial resources to draw on,…very limited if any access to welfare in order to subsist…nowhere to live in Turkey and…no source of income from employment.' It is submitted that 'Turkey's social security system appears to be primarily based on financial contributions made by a person during their working life in Turkey while employed or self-employed, and as DGPZ 'has negligible work history in Turkey, he does not appear to meet the qualifying requirements for any pension or benefit payments under this system;'
(j) DGPZ has no close family in Turkey to support him and 'will be devastated to be separated from his two children and his only sibling' and her children;
(k) DGPZ's 'Turkish language skills are limited and he is not accustomed to Turkish culture, having lived almost all of his life in Australia;'
(l) A March 2016 academic article refers to community mental health centres ("CMHC") not meeting minimum standards in service delivery, with high turnover of personnel impacting system sustainability;
(m) A July 2014 report by the 'Daily News' references a 2013 non-government organisation report on the provision of mental health services in Turkey between 2011 and 2013. The Tribunal notes this media report is over five years old and purports to describe provision of mental health services in Turkey between seven and nine years ago;
(n) If DGPZ was found to be owed non-refoulement obligations and could not be returned to Turkey, the 'only other logical option under law' is that he 'would be held in indefinite detention.'
(Footnotes omitted.)
65 In [98(m)] of the Tribunal's reasons, there is a footnote referring to [142] of the ASFIC. It is evident that the Tribunal considered, not only the contention at [142] of the ASFIC, but also the document referred to in that paragraph. The Tribunal referred in [98(m)] to a "July 2014 report by the 'Daily News'". The name of the newspaper and the month of the newspaper article were not mentioned in [142] of the ASFIC, but are apparent from the newspaper article itself (a copy of which appears at page B459 of the Court Book).
66 The Tribunal went on to state, at [98(m)], that it "notes this media report is over five years old and purports to describe provision of mental health services in Turkey between seven and nine years ago". Contrary to a submission advanced by the applicant in the present proceeding, this is not a case of the Tribunal merely "noting" a submission. Although the Tribunal used the word "notes" it was in fact providing a reason for discounting the weight to be attributed to the report prepared by the non-government organisation and thus was engaging with the submission.
67 Secondly, having summarised the applicant's submissions concerning international non-refoulement obligations, the Tribunal discussed the judgment of the Full Court in Omar, indicating the Tribunal's awareness that "[a] decision-maker must meaningfully consider any clearly-articulated claims of harm, including those that may enliven Australia's non-refoulement obligations" (Tribunal's reasons, [104]). While the question in the present case is whether or not the Tribunal satisfied this requirement, it is nevertheless relevant to note that the Tribunal correctly understood its task.
68 Thirdly, at [108], the Tribunal gave consideration to the applicant's contentions concerning his mental health issues and the treatment of such issues in Turkey. The Tribunal stated:
If repatriated to Turkey the Tribunal accepts DGPZ is likely to experience a very difficult transition and have a comparatively lesser entitlements to things like healthcare and income support. That being said, the Tribunal is unpersuaded by submissions that if DGPZ suffered a relapse in his mental health, or relapsed into drug use, or became homeless, there was a 'real chance' basic services would be withheld by Turkish authorities or that he may suffer serious harm if imprisoned. Those submissions are speculative and absent any corroborating evidence of why Turkish authorities would treat DGPZ differently to any other Turkish citizen. That is particularly so given the evidence that DGPZ was previously admitted as an inpatient in Turkey in 1993 due to mental health issues. In a similar vein, the submission about why someone with hearing loss, or latent Tuberculosis or Hepatitis C, or who has overcome a drug addiction, or who has been convicted of offences overseas, might be physically assaulted, tortured or killed, is similarly absent a persuasive linkage to the specific circumstances of DGPZ's case.
(Footnote omitted.)
69 It is true that, as the applicant points out, the second sentence refers only the applicant's submissions that services would be "withheld" and that he may suffer serious harm "if imprisoned", and does not refer to mistreatment in the course of mental health treatment. However, this needs to be read in the context of the Tribunal's earlier reasons, at [98(m)], which discounted the weight of the material concerning mistreatment.
70 Fourthly, at [110], the Tribunal expressed conclusions regarding the applicant's relevant contentions generally, including the claim that he would suffer mistreatment if his mental health relapsed. The Tribunal stated at [110]:
The Tribunal is not satisfied on the available evidence that DGPZ has a well-founded fear of being persecuted because of factors like race, religion, nationality, membership of a particular social group, or political opinion. Nor does the evidence reliably support the existence of a 'real risk' he would be subjected to significant harm within the meaning of s 36(2A) of the Act if repatriated, due to things like denial of treatment, or discrimination because of any medical condition, or past drug addiction, or convictions in Australia, or because of language or cultural impediments causing his circumstances to be misunderstood. That is not to say that some people in Turkey won't have a negative perception or lack of understanding about DGPZ's circumstances should he choose to reveal them, or who may make insensitive comments. That would not rise to a level of discriminatory or degrading treatment or punishment or extreme humiliation such as to constitute significant harm.
(Footnote omitted.)
71 In the context of the Tribunal's summary of the applicant's relevant contentions at [98], the Tribunal's conclusions at [110] are fairly read as being addressed to all of those contentions.
72 Fifthly, the Tribunal gave further consideration to the treatment of those with mental health issues in Turkey, in the section of its reasons concerning the extent of impediments if removed (at [120]-[131]). The Tribunal stated at [123]:
The Tribunal has considered the latest Department of Foreign Affairs and Trade ("DFAT") Country Report for Turkey dated 9 October 2018, which is considered an authoritative and unbiased source of information. It states that Turkey 'spends less on health care as a proportion of GDP than any other OECD member,' and while patients 'are no longer obliged to make contributory payments when visiting primary health providers, they are obliged to make flat rate out-of-pocket payments when receiving medications and outpatient services in public hospitals,' which 'inhibit access to health care by the poor.' The Tribunal also notes the following references in the report:
(a) The public policy changes implemented by the Turkish Government have increased the workload on physicians, resulting in 'dissatisfaction at perceived low levels of service;'
(b) As of October 2015, over four years ago, there were 86 CMHC operating nationwide in Turkey; and
(c) Complaints have been received about the provision of mental health services in Turkey, including that: 'Observers claim the CMHCs are inadequately funded, and that the number of psychiatrists and other mental health professionals per capita is well below European Union averages.'
(Footnotes omitted.)
73 In the above paragraph, the Tribunal relied on the DFAT Report as providing the most up-to-date and authoritative description of the treatment of those with mental health issues in Turkey. It was open to the Tribunal to rely on this report in preference to the non-government organisation report (of 2013) as described in the July 2014 Daily News article.
74 The Tribunal further considered the nature of the mental health services available in Turkey at [128], [129] and [130] of its reasons. Those paragraphs constitute further engagement with the issue of the treatment of those with mental health issues in Turkey.
75 Sixthly, it is relevant to have regard to the way in which the applicant's contentions were expressed in the ASFIC. While the applicant's submissions in the present proceeding focus on the claim at [142] of the AFSIC that the applicant would suffer mistreatment if his mental health relapsed in Turkey, this was just one of many contentions advanced on behalf of the applicant in the section of the AFSIC concerning international non-refoulement obligations. While the Tribunal was obliged to consider each substantial and clearly articulated contention, it is important to keep in mind that the Tribunal was dealing with all of the contentions set out in that section of the ASFIC, not only the mental health mistreatment claim.
76 In my view, having regard to the matters set out above, the Tribunal did meaningfully engage with the applicant's mental health mistreatment claim. For these reasons, the applicant's ground of judicial review is not made out.