Consideration
9The Mental Health (Forensic Provisions) Act 1990 provides as follows:
" 31 Application
(1) This Part applies to criminal proceedings in respect of summary offences or indictable offences triable summarily, being proceedings before a Magistrate, and includes any related proceedings under the Bail Act 1978, but does not apply to committal proceedings.
32 Persons suffering from mental illness or condition
(1) If, at the commencement or at any time during the course of the hearing of proceedings before a Magistrate, it appears to the Magistrate:
(a) that the defendant is (or was at the time of the alleged commission of the offence to which the proceedings relate):
(i) developmentally disabled, or
(ii) suffering from mental illness, or
(iii) suffering from a mental condition for which treatment is available in a mental health facility,
but is not a mentally ill person, and
(b) that, on an outline of the facts alleged in the proceedings or such other evidence as the Magistrate may consider relevant, it would be more appropriate to deal with the defendant in accordance with the provisions of this Part than otherwise in accordance with law,
the Magistrate may take the action set out in subsection (2) or (3).
..."
10In Director of Public Prosecutions v El Mawas [2006] NSWCA 154 at [71] the court held:
"Part 3 of the Act requires a Magistrate to balance the public interest in those charged with a criminal offence facing the full weight of the law against the public interest in treating, or regulating to the greatest extent practical, the conduct of individuals suffering from any of the mental conditions referred to in s 32(1) or mental illness (s 33) with the object of ensuring that the community is protected from the conduct of such persons...
the significance of mental illness of an offender in the sentencing exercise has long been accepted. Pt 3 is clearly intended to permit the Magistrate, if it is appropriate, to divert a defendant from being exposed to sentence, with his or her mental condition being taken into account at that comparatively late stage...
s 32...requires the Magistrate to make at least three decisions. The first is to determine, in accordance with s 32(1)(a), whether the defendant is eligible to be dealt with under that section. That question clearly involves a finding of fact and is properly described as the jurisdictional question...
The Magistrate must next determine whether, having regard to the facts alleged in the proceedings or such other evidence as the Magistrate may consider relevant (including presumably any information the Magistrate has garnered under s 36), 'it would be more appropriate to deal with the defendant in accordance with the provisions of this Part than otherwise in accordance with law. That decision clearly calls for the exercise of subjective or value judgments in which "...'no one [consideration] and no combination of [considerations] is necessarily determinative of the result' ... it involves a discretionary decision in which the Magistrate is permitted latitude as to the decision which might be made, a latitude confined only by the subject matter and object of the Act...
the discretionary judgment could not be exercised properly without due regard to the seriousness of the offending conduct.
Once a Magistrate has determined that it is more appropriate to deal with the defendant in accordance with s 32 the Magistrate must determine which of the actions set out in sub-s 2 or sub-s 3 should be taken.
No doubt a Magistrate considering [the availability of the diversionary remedy regime] will consider whether proceeding in accordance with s 32 will produce a better outcome both for the individual and the community..."
11The plaintiff relied upon a report of the psychiatrist, Dr Westmore, dated 2 August 2011. Critical portions of the report were as follows:
"He does not have a mental illness as suggested by the psychologist, but he does suffer from a mental condition (alcohol related organic brain damage) and because of that the court, if it felt it were appropriate, could consider him under s 32 of the Mental Health (Forensic Provisions) Act 1990...
At the time I saw him, I thought he was reasonably motivated however to seek further assistance for some of his difficulties and if his matter is dealt with under s 32, I would recommend the following treatment plan:
- That he attend Dr Andrew Fong, who has a surgery in the Blacktown General Practice, Westpoint, Blacktown. Dr Fong has cared for Mr Edwards for a number of years and is no doubt very familiar with his various medical problems.
- That he attend an alcohol rehabilitation programme at the Blacktown Hospital. He needs to enter into sobriety because any alcohol consumption will aggravate his existing brain injury and his subsequent memory and general cognition problems.
- He should be referred to the Blacktown Community Mental Health Service for continuing support. He remains a highly vulnerable man and he is currently under a great deal of stress following the sudden ending of a long-term relationship. He has probably experienced some periods of depression associated with that and depression will increase his risk of relapsing back to alcohol abuse.
His prognosis both from a psychiatric and forensic perspective will improve considerably if he can cease using all alcohol. As noted, he does not suffer from a mental condition and he is not developmentally disabled but he does have a mental condition."
12His Honour, when the proceedings were first mentioned, read Dr Westmore's report and commented:
"I wouldn't have thought, given that diagnosis, Mr Sutherland, that he really falls within the scope of 32.
SUTHERLAND: Well Dr Westmore, in his opinion, believes that he does have a mental condition.
HIS HONOUR: The difficulty alcohol and drugs don't normally fall into this category because parliament prescribed the consequences of intoxication in the Crimes Act and frankly they don't seem to have any role here. I'll leave the matter open, obviously you've only got into it very briefly so I don't want to..."
13Later his Honour refused the application. He gave his reasons, ex tempore, as follows:
"This is an application on behalf of George Edwards for the matter to be dealt with under s 32 of the Mental Health (Forensic Provisions)Act. The tests are fairly straightforward. Firstly, the court needs to be satisfied that the defendant is either developmental disabled, that is not suggested, suffering from a mental illness, Dr Westmore's report clearly says he is not or suffering from a mental condition for which treatment is available in a mental health facility.
Certainly the view expressed by Dr Westmore does not resolve that issue. He says on page 6 of his report 'He does not have a mental illness as suggested by the psychologist but he does suffer from a mental condition "alcohol related organic brain damage".' There is no reference to it being a condition to which treatment is available in a mental health facility and that of course is as much an essential ingredient of the court's jurisdiction to deal with the matter under s 32 as are any of the other tests.
I am not in a position and clearly have no expertise in the field to draw a conclusion whether that is an oversight that can be remedied or not or whether it is a deliberate choice of language on behalf of Dr Westmore but I assume as a senior forensic psychiatrist he chooses his words with care.
Prime facie then the first limb of s 32 is not satisfied. To complete the picture as far as the second limb, namely the provisions under s 32(1)(b) of the Mental Health (Forensics Provisions) Act are concerned there is the balancing exercise or the weighing exercise that Mr Sutherland has referred to. The court must consider whether it is more appropriate to deal with the defendant in accordance with the provisions of this part, that is essentially diversion into a treatment regime for his mental condition then otherwise in accordance with law.
As I have already noted the criminal law makes it own specific provisions with respect to criminal liability and alcohol or drug use at the time of offence commission. Certainly s 32 extends well beyond that timeframe and in fact relates to a situation as at the day of the application rather than the day of the events but nonetheless it can be related back to the day of the offence.
The situation that Mr Edwards faces is charges, neither of which is of the greatest seriousness, clearly involving again consumption of alcohol and Dr Westmore has observed that he suffers from alcohol related organic brain damage, self inflicted injury to his brain through the massive over consumption of alcohol over a long period.
Mr Edwards had his first PCA at Ryde Petty Sessions in 1972. He served a number of gaol sentences for drinking and driving the most recent of which, I think was in 2006. None of this, despite repeated bonds with conditions relating to drug and alcohol supervision substance abuse and home detention, which is of course an alcohol intolerant programme, has made any difference unfortunately to Mr Edwards' combination of drinking and driving. The most recent drinking and driving offence I think being that one in 2006.
The question ultimately is whether it is more appropriate to deal with it under s 32 than according to law. The seriousness of the offence is clearly a matter to take into account. The less serious and the more likely it would be one thing for a matter to be capable of being diverted successfully.
The real difficulty in the present situation, it seems to me, is that every means of court ordered treatment opportunities have been provided to Mr Edwards without success and diversion into a mental health facility when he does not appear, according to Dr Westmore, to have a mental condition that is able to be - I should choose the words exactly - for which treatment is available in the mental health facility simply means diverting him into a facility which is even less equipped to deal with his situation than the criminal justice system is.
Quite simply for the two reasons I have indicated, firstly that the lack of evidence that there is treatment available in the mental health facility for his condition but also on the issues of appropriateness, the application under s 32 is refused.
SUTHERLAND: If the court pleases.
HIS HONOUR: The matter is then to proceed to sentence Mr Sutherland?"