Other evidence
16The offender gave evidence on 7 February 2014. He said he had spoken to Dr Furst, a consultant forensic psychiatrist, and given him a frank and true history. He accepted responsibility for his crime and showed some empathy for his victim. He too expressed concern for the impact of his crime on the children. He accepts and recognises that at the end of the day his crime achieved nothing positive but caused considerable harm and,
"made things worse."
17In custody he said has been using his time well by working and studying. He said he would continue to attempt to better himself and make a contribution to the community on release. He is the third of four children from a large extended Aboriginal family from western Sydney. His father was very strict but he lived in the Philippines. The offender adopted a responsible role in the family while young. As a young adult he lived with his older sister on the mid north coast, helping with her children. He also spent some time with his father in the Philippines. He has had a number of responsible work positions with Australian Customs and in Media and Film. Until shortly before this offence, he was working with the disabled and elderly. At times he has battled with mental illness, and on occasions he has been hospitalised and medicated. His first manic episode was in 2001; the most recent in 2010.
18His relationship with EC started in 2010. He took a role in raising and caring for her three children. The stressors brought about by his illness and consequent concerns for the children led him to resign from a job where he cared for Down 's syndrome and profoundly autistic people.
19While regretting his crime and its consequences on all concerned he showed no real remorse or insight. He told me he still believes PC is a risk to his children, despite all the evidence to the contrary.
20The offender has been in custody on remand for two years. In that time has seen a psychiatrist only once. The offender has not been prescribed any medication for his mental illness. This is disturbing, given Dr Furst's diagnosis and recommendations. Lack of treatment and medication may account for his continuing false beliefs about PC.
21The offender accepts that he can never have contact with the C family again. He has not had gaol visits from them for many months. He has solid long term plans and strong family support: exhibit 2. He accepts he will have to take medication for the rest of his life and that this requirement should be reinforced by a formal Community Treatment Order as recommended by Dr Furst.
22His sister DC gave evidence. She is a woman of impressive achievements. I accept she will provide a home for her brother on his eventual release and will robustly encourage him to seek and maintain the treatment he needs.
23Dr Furst provided a comprehensive report to the court: exhibit 1. On 25 October 2013, via telephone link to Campbelltown District Court, he was examined and cross-examined. Dr Furst affirmed a diagnosis of bi-polar affective disorder. He said DS could, and did, function quite well between manic episodes, but his illness did impact on his capacity for executive functioning; matters such as judgment, planning, thinking clearly, and making sound decisions. His illness made him less able to process information and made his beliefs more intense. In Dr Furst's opinion it was more likely than not, his bi-polar affective disorder made him more worried, more emotional, and affected his capacity for sound reflection and decision making.
24Dr Furst believed that the offender acted in an excessive and criminal way because his judgment was disturbed:
"It is possible his bipolar disorder made him more likely to believe his partner's children were in danger and had been molested by the victim. ... The bipolar disorder...may have made him more intense in his belief, if you like, or added to the emotional intensity, but the beliefs were held more because of the events reported to him ...":
Transcript, 25 October 2103, pages 5 & 6.
25He noted that the offender's impairment appeared constant over the 12 hour period from when the plan was conceived and when it was acted on. He said the offender acted on what he observed and what he'd been told and on his concerns about lack of action to, as he saw it,
"protect the children".
He was aware of what he was doing, its seriousness, and the consequences. His illness impacted on him in that he thought at the time he had to act. The lack of medication and stress may have links to deficits in cognitive processes and reasoning. Dr Furst said that his problem was poor and disturbed judgment; a problem, which in his opinion was directly relevant to the offender's mental illness.
26While agreeing with the Crown suggestion this was 'not an impulsive crime', Dr Furst accepted the offender could exercise self control. He noted,
"the concern I have is that maybe he came to the conclusion this was the only action to take because his initial judgment was somewhat disturbed and the bipolar effective illness had an impact on that.":
at transcript page 10
27In terms of future risk, Dr Furst emphasised that the offender must continue to take his medication and said if he does he'll be less likely to re-offend. He needs to be monitored closely in gaol and in the community and if non-compliant with medication he may need to be subject to a Community Treatment Order.
28While he could not make a scientific prediction Dr Furst's opinion was,
"there was a low level of risk of re-offending if his mental illness was given assertive treatment":
exhibit 1 page 14. Absolute risk would be
"relatively low...given the safeguards and him now being in custody and the fact that this action is now known and he has expressed remorse, in my view":
Transcript pages 19 & 20.
29Dr Furst's report carefully addressed a series of important questions relating to the offender, his mental condition at the time, and his prognosis. He reviewed the available medical records noting in them a history of severe mood disturbance that required three admissions to hospital in 2001 and 2002 and a further admission in 2010. He said the Offender's history was consistent with him having experienced recurrent manic episodes, depression and psychotic symptoms when acutely unwell. This pattern and his family history of affective mental illness, is consistent with a diagnosis of bipolar affective disorder. Bipolar Affective Disorder is a mood disorder characterised by one or more episodes of abnormally elevated energy levels and mood, cognitive disturbance, and one or more depressive episodes.
30He noted that the available history suggests that at the time of the offence the Offender was highly stressed and anxious about the welfare of his partner's three children. In particular their being sexually abused or killed by PC. However, Dr Furst noted it is possible that his bi-polar disorder made him more likely to believe his partner's children were in danger and had been molested by PC but there was no evidence that the offender was acutely manic, severely depressed, or psychotic at the time of the commission of the alleged offences.
31He concluded that the Offender has a serious mental illness and that his underlying bi-polar affective disorder may well have affected his judgment and contributed to the high levels of anxiety he was apparently experiencing at the time of the offences. In the Doctor's opinion the offender is at risk of further relapses in the event that he stops his medication or experiences significant stress. He recommended a treatment plan involving:
- Care by a psychiatrist and mental health nurses
- Mood-stabilising and/or antipsychotic medication
- Referral to a clinical psychologist working for the Department of Corrective Services.
- Treatment under the care of specialist drug and alcohol services at Justice Health
- Vocational rehabilitation options should be explored
- Assertive community mental health treatment upon his release from custody.