austlii:tas/TASCAT/2025/172
General information, not legal advice.
TASCAT
2025-09-10
Pearce J
Original judgment source is linked above.
Citation: OCW (Review of Supervision Order) [2025] TASCAT 172
Dr WK (the Forensic Consultant Psychiatrist - community)
Dr TT (the Forensic Consultant Psychiatrist - inpatient)
Hearing Location: Hobart (and via audio-visual link)
Orders Made: The Tribunal determines the Supervision Order should be revoked and recommends a Restriction Order should be made.
The Tribunal recommends to the Secretary of the responsible Department in relation to the Mental Health Act 2013 that they make an application under s 30 (1) for the revocation of the supervision order and the making of a restriction order.
Catchwords: Supervision order - Nature of mental impairment - Endanger another person - Adequate community resources for treatment and support - Revocation of Supervision Order and recommends a Restriction Order be made.
Mental Health Act 2013 (Tas); s 179;
Justices Act 1959 (Tas); s 106;
Cases Cited State of Tasmania v [OCW] 28 October 2016
OCW (Review of Supervision Order) [2024] TASCAT 93
Publication Restriction: The names in these proceedings have been altered to protect the identities of the parties.
The reasons for the determination are outlined below and incorporates the history of the making of the supervision order and breaches of the conditions of the order as outlined in OCW (Review of Supervision Order) [2024] TASCAT 93.
The defendant is aged 40. He has chronic serious psychotic mental illness. He has paranoid schizophrenia and likely co-morbid autism spectrum disorder. He has required, to use Dr [P'E's] words, assertive mental health treatment, commonly involuntary admissions to hospital, since he was a young adult. He required medication. Before going into custody he was treated by the Community Forensic Mental Health Service. When non-compliant the defendant is actively psychotic and experiences a broad range of paranoid and obsessional delusions and hallucinations. On occasions he has displayed aggressive behaviour which is unmanageable even in psychiatric wards. He attended school with the complainant in 1988 in northern Queensland although they have never been friends or in a relationship. However, from at least 1998 the defendant has developed an obsessive and delusional fixation with her. He told the authors of the reports that he stayed with her family at the time and fell in love with her. Since then he hears her voice in his head on a daily basis and fears that she has rejected his love for her. Over the subsequent 17 years he has repeatedly contacted her. She lives in Queensland where he also lived until he came to Tasmania in 2009. In the past he has turned up at her house although he disputes that. He has sent her hundreds of letters and emails. The communications not only contain expressions of his love and his desire for her to reciprocate his feelings but also threats of rape and murder and threats to kill himself. All this has been reported to the police. He has been asked many times to desist, without success. As far as I have been made aware, no proceedings were brought against him until 2014. On 19 December 2014, he pleaded guilty to stalking and seven counts of breach of bail. He was sentenced to imprisonment for five months, wholly suspended for three years. He quickly breached that sentence and on 25 May 2015 pleaded guilty to stalking the complainant again between February and March 2015. The suspended sentence was activated. He was sentenced to a further ten months imprisonment but that sentence was wholly suspended for three years. On 25 May 2015, a restraint order was made prohibiting any form of contact with the complainant. Regrettably neither the suspended sentence nor the restraint order had the desired effect. The conduct which led to the charges heard by the magistrate then took place. In January 2016, he sent the complainant a package. From fear she did not open it but it was later found by the police to contain cosmetics. Every day between 11 and 19 January 2016 the defendant sent emails to the complainant, 27 in total. Some were very lengthy. The substance of the emails were requests that the complainant contact him, asking her not to send him to prison, threats of suicide and threats of murder. The emails demonstrate a continuation of the defendant's delusion and obsessional conduct. The conduct constituted stalking and repeated breaches of the restraint order. He was arrested on 28 January 2016 and has been in custody since then. Because he was found not guilty, there is no breach of the suspended sentence.
The complainant's police and victim impact statements show the complainant continues to be terrified of the defendant. Her statements are corroborated by her sister, who confirms also the broader impact of the defendant's actions. The complainant has, for 17 years, lived in virtually constant fear of him. She has been vigilant to protect herself and has tried to hide, but without success. She believes, not without some justification, that nothing will stop him. I am well aware of the careful and considered statement made by the defendant's mother. She points to the need for therapy and medication and the desirability of family support if he were permitted to live with her. She believes that for him to be left in Tasmania with no family support is a recipe for failure. As understandable as her view may be, I think it is outweighed by the gravity of the risk that the defendant poses to the physical security and mental health of the complainant.
(a) is required to take medication and submit to the administration of medical treatment as determined by the Chief Forensic Psychiatrist;
(b) is required to comply with any direction as to supervision given by the Chief Forensic Psychiatrist;
(c) must not approach, contact or communicate with the complainant, directly or indirectly, by any means whatever;
(d) attend at the offices of the Community Forensic Health Unit by the close of business on Monday, 31 October 2016.
The history of Tribunal reviews of the supervision order inclusive of breaches of the order and detention in the secure mental health unit
[OCW] has chronic psychotic symptoms but ongoing preoccupation with the victim, and risk to breach restraining order and forensic order if released from WLC.
[OCW] was arrested on Monday 8 January after police compliance check found the [OCW] had sent 50+ emails to victim since July 2023. Since Christmas 2023 [OCW] engaged a private detective in an attempt to obtain brothers [sic] home address in order to gain third party attempts to contact victim. > > Escalated risk of stalking behaviour making it difficult to manage in the community. Ongoing residual symptoms. Nil insight that contacting victim via email was a breach of supervision order or breach of community protection order.
Does not believe schizophrenia accounts for his symptoms. Does not recognise delusions as symptoms. Does not believe he needs clozapine. Has been untruthful with community team re contact with victim. Requires period of assessment and stabilisation.
(a) OCW (the defendant);
(b) Dr TT (the treating forensic consultant psychiatrist on behalf of the Tasmanian Health Service);
(c) Dr WK (the treating community forensic consultant psychiatrist on behalf of the Tasmanian Health Service);
(d) Dr ST (the treating psychiatric registrar on behalf of the Tasmanian Health Service);
(e) Ms Rylee Olsson, Tasmania Legal Aid representing OCW.
37. Review of persons detained under forensic orders > > (1) A forensic order is to be reviewed under the Mental Health Act 2013 by the Tribunal within 12 months after the order was made and at least once in each period of 12 months afterwards. > > (2) In reviewing a forensic order, the Tribunal is to apply the principal in section 34 and have regards to the matters set out in section 35(1). > > (3) If the Tribunal, on review, determines that a forensic order is no longer warranted or that the conditions of the order are now inappropriate-
(a) the Tribunal must issue the defendant with a certificate to that effect; and
(b) the defendant may apply immediately, despite any other provisions of this Act, to the Supreme Court for discharge, revocation or variation of the forensic order.
(4) If the Tribunal issues a certificate in respect of the discharge of a restriction order, the certificate may include the recommendation of the Tribunal that, should the order be discharged-
(a) a supervision order or treatment order be made in respect of the defendant; or
(b) the defendant be released either unconditionally or on the conditions specified in the recommendation.
(5) If the Tribunal issues a certificate in respect of the revocations of a supervision order, the certificate may include the recommendation of the Tribunal that , should the order be revoked-
(a) a treatment order be made in respect of the defendant; or
(b) the defendant be released either unconditionally or on the conditions specified in the recommendation.
(6) If the Tribunal, on review, issues a certificate in respect of the variation of the conditions of a supervision order, the certificate may include the recommendations of the Tribunal as to what conditions should be included in the order.
(7) If the Tribunal, on review, determines that a supervision order should be revoked and that, instead, a restriction order should be made in respect of the defendant, the Tribunal is to-
(a) recommend to the Secretary of the responsible Department in relation to the Mental Health Act 2013 that he or she make an application under section 30(1) for the revocation of the supervision order and the making of the restriction order; and
(b) provide a copy of that recommendation to the defendant.
34. Principle on which courts are to act > > A court is to apply, where appropriate, the principle that restrictions on the defendant's freedom and personal autonomy should be kept to the minimum consistent with the safety of the community when determining -
(a) which order to make under section 18(2) or 21(1) or this Part; or
(b) whether to discharge or vary such an order; or
(c) the conditions of such an order.
35. Matters to which courts are to have regard > > (1) In determining proceedings under this Part, a court must, in addition to applying the principle in section 34, have regard to -
(a) the nature of the defendant's mental impairment or other condition or disability; and
(b) whether the defendant is, or would if released be, likely to endanger another person or other persons generally; and
(c) whether there are adequate resources available for the treatment and support of the defendant in the community; and
(d) whether the defendant is likely to comply with the conditions of a supervision order; and
(e) other matters that the court thinks relevant.
My experience with stalkers is that they share common attitudes, states and skill deficits that are fundamental to the development and perpetuation of staking behaviour. These constitute common targets for treatment. Three elements underline the development of a stalking episode. The first is that the instigator has a strong sense of entitlement to the victim, which outweighs all other concerns. This results in behaviour that appears entitled, exploitative, and even deceitful. The sense of entitlement fundamental to stalking behaviour may derive from a wider narcissistic personality, but more often is a circumscribed trait that only becomes problematic in a particular context. He clings to the conviction that he has a right to have his desires fulfilled, and he will act accordingly to ensure that they are. Intrinsic to this sense of entitlement is a belief that the individual is owed fidelity by the target, and that he deserves the target's attention simply because he demands it. > > So his strong sense of entitlement, his indifference to the impacts of his behaviour, and specific skill deficits converge in the context of his relationship with the victim and stalking behaviour arose. The primary target for intervention will depend on these predisposing factors which include antisocial attitudes, values and beliefs, lower self-inflated self-esteem, inadequate problem-solving skills, cognitive rigidity, problematic anger and isolation from pro-social peers.
The stalking risk profile indicates that he is at moderate risk of attempting to continue his stalking behaviour. This lack of empathy and other symptoms makes it more than likely that he will reoffend. Past or alternative mental health act [sic] or other institute legislative process approved [sic] inadequate in deterring [OCW] from further stalking behaviour.
[OCW] was under regular care of the Community Forensic Mental Health Service with full multidisciplinary team involvement, but that was not sufficient to keep him from offending. > > The community mental health services feel that the community management is not appropriate given the ongoing and unmitigated risk of recidivism inherent in his current presentation and recent history of allegedly offending when at liberty in the community.
I am in no doubt that at least a supervision order is required. Such an order will provide for control over the defendant's behaviour and movements. It will continue until revoked. As is pointed out by Dr Ball and Dr O'Donnell, management of the defendant's illness, and any breach or impending breach, may be addressed by his apprehension under s 31 and admission into a secure mental health unit. If the defendant becomes non-compliant or dangerous, then it would also be possible for an application to be made under the Act, s 30, for the supervision order to be revoked, and for its substitution by another order, including a restriction order. I do not think that the authorities should be slow to make such an application.
Throughout my tenure as [OCW]'s treating psychiatrist, he was dismissive of the need for CFMHS intervention and the Supervision Order (SO). When the subject of his restriction was raised during clinical reviews, he would present as reticent and irritable. He expressed passive acceptance of the conditions but showed negligible insight regarding the rationale for the order or its enduring nature, expressing intentions to travel to the UK when the SO is revoked. Even after processes were commenced to arrange his admission to the [secure mental health unit] following breach of the order, he did not appear to comprehend that his reported behaviour (i.e., persistent alleged stalking) would hinder his progress towards being made a voluntary patient. > > Establishing a therapeutic alliance with [OCW] was challenging from the psychiatric perspective and he often responded to enquiries made to assess his clinical and risk status with reticence and resentment, expressed largely though body language (e.g., sighing, eye rolling) and verbal dismissiveness (e.g., "all right then", so....?", "if you say so"). Endeavours to challenge [OCW's] expressions of impaired judgement were consistently met with resistance and he was candid about his lack of insight regarding symptoms of psychotic relapse.
When [OCW] attended CFMHS for review on 10 January 2024 to discuss the alleged breach of the SO Conditions, he engages in a surly and dismissive manner, acknowledging that he had deceived clinicians, expressing no regret for his behaviour, expressing no understanding or awareness, even when prompted, about the likely or possible detrimental impacts of his behaviour on the victim....and indicating his intentions to continue to endeavour to contact the victim. With respect to the latter, [OCW] said that he needed the victim to tell him "one more time" to stop, but that even if she did, he would not stop trying to contact her and would expect her to be "at [his] funeral". > > Regarding [OCW's] suitability for management as a community patient by CFMHS, the SO was not a sufficient deterrent to prevent [OCW] from engaging in behaviour in breach of his conditions. Prior to the current admission, [OCW] had breached the order on five occasions necessitating admission to the [secure mental health unit]. This occurred despite regular clinical contact, apparent compliance with medication and clinic attendance, and regular engagement psychological treatment with an experienced forensic psychologist focused on risk reduction. His likelihood of engaging in further stalking (harassment type offending) was considered high at the time of his admission and no further interventions to attenuate this risk could be practicably utilised in the community. > > [OCW's] risk of re-offending has not been attenuated and there are no less restrictive options currently available to manage him. > > It was my opinion and that of the CFMHS multidisciplinary team that [OCW] could not be safely managed in the community under the SO and required re-call to the [secure mental health unit] for ongoing care. > > I agree with [Dr TT's] opinion about [OCW's] clinical presentation, prognosis and management recommendations.
a strong deterrent because if the consequences come through the court there is some rigidity to them rather than being held at some psychiatrists whim. I am getting to the point where, yeah, I hate [the victim], I hate her and I think about what is it in the next life. Am I going to have a next life?
The nature of the defendant's mental impairment or other condition or disability
Whether the defendant is, or would if released be, likely to endanger another person or other persons generally
Whether there are adequate resources available for the treatment and support of the defendant in the community
[OCW] was under regular care of the Community Forensic Mental Health Services with full multidisciplinary team involvement, but that was not sufficient to keep him from offending. It was only by chance that the police discovered that he was continuing to stalk his victim. The community mental health services feel that the community management is not appropriate given the ongoing and unmitigated risk of recidivism inherent in his current presentation and recent history of allegedly offending when at liberty in the community. There is utility in change of disposition to a restriction order to mitigate risk of community harm. It remains premature at this stage to consider a transition to a less restrictive management in the community when there is ongoing work to do in addressing these factors impacting on [OCW's] future risk of stalking.
Whether the defendant is likely to comply with the conditions of a supervision order
Throughout my tenure as [OCW's] treating psychiatrist, he was dismissive of the need for CFMHS intervention and the supervision order (SO). When the subject of his restriction was raised during clinical reviews, he would present as reticent and irritable. He expressed passive acceptance of the conditions but showed negligible insight regarding the rationale for the order or its enduring nature, expressing intentions to travel to the UK when the SO is revoked. Even after the processes were commenced to arrange his admission to the [secure mental health unit] following breach of the order, he did not appear to comprehend that his reported behaviour (i.e., persistent alleged stalking) would hinder his progress towards being made a voluntary patient.
The supervision order has not been a sufficient deterrent to prevent further offending or breach of conditions and [OCW] has breached the order on five occasions necessitating this admission. This has occurred despite clinical contact, apparent compliance with medication, and clinical attendance and regular psychosocial treatment focused on risk reduction.
[OCW] continues to engage in harassments. He fails to acknowledge the problems associated with his behaviour. And he's only seeking treatment as he's legally mandated to do so. Right now when he, in his own words, "the gloves are off", so he's stating that he can swear on Allah that he will never contact her again. But we do not believe that will translate into action.
[OCW] exhibits cognitive distortions including excuses and justification for his behaviours, often minimising his conduct and blames the victim for his trouble. > > [OCW] has consistently demonstrated attitudes and behaviour that indicate lack of empathy and callous disregard for the feelings, rights and welfare of the victim.