"I may be able to add something more from a practical perspective, your Honour, and that is that the acceptability could be seen as related to the manageability and the circumstances with Mr Williams as they are at present are that there are certain risk factors which are, as yet, unaddressed for various reasons which, in their current state of being unaddressed, may be not managed at present and, therefore, the risk is there. If those risk factors were managed, and I believe that they are manageable, then it's possible that the risk could be more acceptable if things were being done to manage the risk factors because then that would improve the chances that he would not reoffend.
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VELTMAN MS: If we turn now to the kind of treatment that you believe would assist Mr Williams - because it seems clear that you do believe treatment would assist Mr Williams, yes?---Just to draw a distinction between treatment being medical treatment or a therapeutic intervention as opposed to management of various factors in his life, I think the risk factors which need intervention are his tendency to use alcohol as a coping mechanism and also therefore his coping skills generally. His placement in the community would need to be such that it was not placing him in undue close contact with children but also that wasn't a stressful environment for Mr Williams. I know that has presented a problem because he has expressed a preference to live in a rural area, but that would of course result in difficulties with supervision, but a metropolitan setting may be stressful for him and impact on his ability to cope. The other major issue is, of course, the as yet unaddressed sexual deviancy, or at least not satisfactorily addressed at this stage. Other issues are that he is not a particularly resourceful person, in my experience with him. Having said that, I feel that the sort of approach that needs to be taken with Mr Williams is that it would be ideal before his release if he were able to undertake the indigenous sex offender treatment program. However, his fears about his safety are very difficult for him to overcome at the moment and he has found it very difficult to be reassured about that. It may be that there is something the Department of Corrective Services can offer or can help with him in terms of his concerns about that. The other thing is, due to what I find to be his lack of resourcefulness, I think that he requires the assistance of a case manager, a corrections officer, somebody that would be able to look at suitable accommodation for him, assist with liaising with family. I understand from Mr Williams that his own attempts to communicate with family have been difficult and of late they have not been accepting his phone calls. I also understand that he received a letter from Outcare that told him that as far as they were concerned he was still a remand prison and couldn't help him and he ran into a brick wall there and I think that Mr Williams wasn't quite sure how to overcome those hurdles. I think with the assistance of a case manager or corrections officer some of those practical barriers may be more negotiable. Case management might also make it more possible that he could be assigned a mentor in the community, somebody that would be a contact person, a support person, with preferably an indigenous background or somebody with a cultural awareness and sensitivity. Mr Williams has indicated his willingness to undertake whatever substance abuse rehabilitation program may be imposed and lastly Mr Williams did suggest that as an option in the event that he was unable to avail himself of a sex offender treatment program or was unable to be kept out of satisfactory range of children, then he would entertain on a voluntary basis undergoing some hormonal treatment to provide some degree of reassurance.
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And what are your feelings about a supervision order for Mr Williams?---It comes back to my original point and that is that his risk factors at the moment are not adequately managed and so I believe that that would set Mr Williams up for failure at the present time and further intervention should be achieved first.
Is there any way that you could see this intervention occurring in the community?---As with all sort of, if you like, discharge planning and planning for release into the community, the process of managing this wouldn't be able to begin once he was released into the community. It would need to begin prior to release into the community.
Have you got any idea of how long prior this would need to be?---Unfortunately, no, I can't offer any comment on that. That would depend entirely on the resources and processes within the Department of Corrective Services.
One of the things that Dr Tanney considered at the end of his evidence was provision of assistance through Mental Health Services. Is there anything that you think about that or you could add to that?---I don't believe that Mr Williams would qualify for treatment within the Mental Health Services at this stage.
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... Sure. My first suggestion is that any community supervision be highly structured. Unfortunately I'm not in a position to comment as to how often, how many times per week or where he should report and so forth. That's a matter for the Department of Corrective Services and the court. I believe that he will benefit from participation in a community based sex offender treatment program, whether group based or individual counselling. I don't have the depth of knowledge of the services within the Department of Corrective Services to know whether such a service exists or whether there's sufficient numbers for an intake at this time. He may benefit from referral to a community based anger management and substance program such as - I believe there may be one available through the offender services branch of the Department of Corrective services. The last comment relates really to his fear of entering an institutional sex offender treatment program and I have said here that there has been some acceptance of responsibility and an expression of remorse for his offences and that his refusal to enter a treatment program is based on the potential threat of harm and that in the event that a supervision order was considered, given the challenges that Mr Williams may face in meeting strict reporting conditions or avoiding proximity to children, he should be provided with the opportunity to receive (indistinct) consent - hormonal, anti-libidinal medications which is the point I was making earlier.
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... To answer your earlier question, if I may, additional conditions that should be considered - or not conditions but circumstances from a psychiatrist's point of view really relate to what I was talking about earlier, and that is that he should be assigned a case manager and he should be assisted with accommodation. He should be - he should have a mentor in the community, who is culturally sensitive and appropriate, who can assist him with stress management and be a contact person - assist him with avoiding alcohol to deal with stress and so forth.
Now, you heard what Dr Tanney had to say about naltrexone and urinalysis. What is your opinion on the value of urinalysis and/or naltrexone use for substance abuse - alcohol abuse, in particular?---I'm not an expert in substance abuse rehabilitation. So what I can offer the court is limited in that respect but I agree with what Dr Tanney said."