Tuesday, 6 MAY 2003
R v JESSI O'BRIEN
Judgment
1 GILES JA: I agree with Dunford J.
2 DUNFORD J: This is an appeal against conviction and an application for leave to appeal against sentence by Jessi O'Brien for the manslaughter of her daughter Kudaratilaal O'Brien, known as Laali, who died of malnutrition on 8 February 2000 in Queensland, aged 14 months, following her conviction by a jury in the District Court at Port Macquarie and the sentence of imprisonment for 5 years with a non-parole period of 2 years imposed by his Honour Judge Garling.
3 The deceased was born to the appellant and her de facto husband, Peter O'Brien, on 10 December 1998. She had two older sisters, Levy who was born in 1996 and Andashair born in 1998, both of whom have always been healthy. Although the appellant gave birth to the deceased at home unassisted, as with her other births, she attended the surgery of Dr Paul Webster with the deceased briefly on 15 December 1998 as a formality for registration of the birth, and again on 26 February 1999 in relation to a swelling on the child's upper lip.
4 Narina Rawson-Harris, Peter O'Brien's daughter from a previous relationship, who had lived with her father and the appellant in Woolgoolga from 1993 to 1996 saw the appellant, her father and the three children in the main street of Bellingen in October 1999 when she noticed the deceased was quite still. She again saw them in Bellingen in December 1999 when she noticed that Laali was again very still and that her skin was saggy with quite a green colouring. She told the appellant and her father that she thought the child looked ill and that she needed some conventional help, to which the appellant replied, "Don't you think I know she looks ill".
5 Ms Rawson-Harris told them that there was talk around the town of the child's condition and that to her knowledge welfare was going to be called. She told them to get some help, i.e. to see a doctor, and asked them had they been doing enough.
6 On 18 January 2000 the Department of Community Services (DOCS) in Coffs Harbour received a notification regarding the physical welfare of the deceased and on 28 January, Richard Lewandowski, a district officer of DOCS stationed at Port Macquarie, went to the appellant's home at 1 Toorak Court, Port Macquarie. The door was answered by Peter O'Brien. Mr Lewandowski identified himself and asked to see the child. Mr O'Brien refused and threatened him, whereupon Mr Lewandowski telephoned the police for assistance and, accompanied by Detective David Richards and Constable Ozimek, returned to the premises.
7 After speaking with Detective Richards, Peter O'Brien called to the appellant to "bring the baby out". Mr Lewandowski said that the deceased appeared very jaundiced, very thin with no skin tone, pale and did not appear attentive. The police were of the same view. Mr Lewandowski asked a number of questions about the child and asked the O'Briens to take her to a doctor. Eventually the appellant went inside and returned a short time later saying that she had made an appointment to see Dr Webster the following day.
8 On Saturday, 29 January she attended Dr Webster's surgery with her eldest daughter Levy and the deceased, whilst Mr O'Brien waited nearby. Dr Webster did not fully examine the child, but his immediate impression was that she was severely malnourished, thin, her bones were visible on the parts that he could see, it was obvious that her body weight was very low for her age, she was jaundiced and weak, making relatively little movement for a baby of that age and was not inquisitive or active. Dr Webster took a history from the appellant and indicated to her that the deceased was very sick and should be taken to hospital for investigation and treatment.
9 The appellant said she did not want the deceased to have blood tests because it was against her and her partner's religious beliefs but she wanted to take her to a naturopath. Dr Webster advised against that course of action, as he did not believe that a naturopath would have the expertise to treat the child and said that she could suffer mental impairment if she was not appropriately treated.
10 Whilst the appellant was present Dr Webster telephoned the Accident & Emergency Department at Port Macquarie Base Hospital to inform them that the deceased would be brought there that day. Mr Lewandowski gave evidence that he was aware that Dr Webster had later made a follow-up call to the hospital and, on discovering that the appellant had not attended with the baby, had telephoned the DOCS after hours emergency line.
11 Upon leaving the doctor's surgery the appellant joined her husband, and that afternoon the family left Port Macquarie and travelled to Queensland. The following day, Sunday 30 January they attended Ms Claire Brassard, an unregistered naturopath, at Ormeau in Queensland. Ms Brassard examined the deceased and saw that she was jaundiced, her stomach was swollen and her liver enlarged. She was breathing with difficulty, was very lean with little muscle tone and her teeth had deteriorated.
12 Ms Brassard said that after examination of the child she discussed the question of hospitalisation with the appellant and offered to drive her to the hospital in order that the child might be rehydrated, but the appellant told her that she was opposed to treatment of that kind and as a consequence Ms Brassard proposed naturopathic treatment for two days, and suggested that failing any improvement the child would be hospitalised. The appellant denied that Ms Brassard had suggested hospitalisation or had offered to drive her there. Ms Brassard then provided naturopathic treatment to be administered orally and said she would see the child the following Tuesday, 1 February.
13 She then arranged for the appellant and her family to stay with a friend of hers, Bronwyn Mele, at a remote property where they arrived late that evening. The following morning (Monday) Mrs Mele saw that the child was thin with lose skin, a greyish colour and during the morning she asked, "Is it an option to go to hospital?", to which the appellant replied, "Not at the moment". Mrs Mele assisted the appellant in administering the naturopathic substances to the deceased over the following week.
14 Mrs Mele gave evidence that Mr O'Brien was adamant that the child was not be hospitalised, that he openly expressed his views on the subject on three or four occasions, that the appellant appeared subservient to his domination and nodded her agreement.
15 It appears the child rallied for a couple of days and when Ms Brassard saw her on Tuesday 1 February she noticed that the baby was more alert and her colour was better, but she was concerned that she had lost her ability to swallow and vomited what she had taken. She explained that in hospital the baby would be rehydrated with intravenous fluid, but the appellant shook her head and said "no".
16 The child then deteriorated and on Sunday 6 February Ms Brassard was called. She arrived at the Mele property at about 9pm when she observed the deceased was distressed, her breathing was really bad, and her skin was white.
17 On February 8 at about 1pm Ms Brassard saw the child again, she was yellow and her breathing was very short. She told the appellant, "She's on her way out, she's dying, there's nothing more that we can do". The appellant told her that she had stopped the treatment on Sunday 6 February. Ms Brassard said that she told her that "There could still be time to go to hospital for you if you don't want to get into trouble". The appellant denied that she said this although she conceded (T 154) that some reference was made to hospital that day. The child died shortly before midnight on 8 February.
18 Early the following day the appellant and the rest of the family headed back towards Port Macquarie, but were stopped near Coffs Harbour by police who had been alerted to their disappearance. They were taken to Coffs Harbour Police Station and interviewed separately.
19 In her interview the appellant said that she did not think that there was any need for the child to have medical attention although she was not as robust as her sisters, but had grown at the same rate until she was about 6 months old. She claimed that as a member of the Sikh religion it was her belief that her children should not be infused with fluids or have artificial substances injected into their bodies, and accordingly blood tests could not be done as that was sacrilegious.
20 She said they left Port Macquarie to seek a second opinion and it was a joint decision by her and her husband to do so, although they did not feel their child was at risk so long as she stayed with them. She said that while she was in Dr Webster's surgery she wanted to take the child to hospital, but after speaking to her husband her opinion changed because of the beliefs she held. She claimed that at no time did Ms Brassard say the child needed to go to hospital or obtain medical attention.
21 After separating from her husband on 31 March she arranged to take part in a further recorded interview on 13 April 2000 in the presence of her counsel and her solicitor.
22 In that interview she said that fear of her husband governed most of her actions and speech, that she had been subjected to extreme physical violence at times and there was also severe psychological and emotional abuse and restriction of personal liberties and freedoms. She had been isolated from friends and family, and it was fear of reprisal that prevented her from bringing this to the attention of the authorities. She said that when speaking to her husband after seeing Dr Webster, he said to her, "You're not taking her to hospital, I'll tell you that right now".
23 She agreed that it was no part of the Sikh religion not to take a child to hospital or have treatment, but that it was her husband's belief, and that Ms Brassard had voiced adamant opposition to hospitals. When she became aware that the child was dying she decided not to go to hospital because she did not want her to die away from her, but in her arms.
24 She said that she lied in the first interview at her husband's direction and that, whilst her husband did not physically threaten her after she had seen Dr Webster and reported his advice, she was nevertheless controlled by fear because violence and threats had occurred often enough for her to respond by submission. She maintained that her fear of him prevented her from doing what she knew was right. She suggested the naturopath as a second opinion and that Ms Brassard's phone number had been given to her by her brother some time earlier because her brother knew she was trying to find someone her husband might approve of taking the child to.
25 Dr Duflou, forensic pathologist, carried out the post mortem and concluded that the child had died of malnutrition. At the time of autopsy she weighed 5.44 kg, about 55% of what her weight should have been. It was his opinion that it would have taken a number of months for her to have become that thin, and her condition was treatable.
26 Dr Barry King, a forensic dentist, gave evidence that while the deceased's teeth had followed a normal path of ruption and were consistent with her age, they were deteriorated possibly from demand breast feeding, and feeding for prolonged periods of time.
27 It was the Crown case that the appellant was guilty of manslaughter of the deceased child by reason of her gross (criminal) negligence. The Crown alleged that she breached her duty of care to the child by a combination of acts and omissions, particularly failing to take the child to hospital when advised by Dr Webster that it needed urgent medical treatment, removing the child from New South Wales and the jurisdiction of DOCS who insisted that she be medically examined, failing to have regard to Dr Webster's advice that alternate treatment, such as from a naturopath, was not acceptable, not affording the child proper treatment when she got to Queensland by taking her to a hospital there, and when she knew the child was dying, even then omitting to take her to hospital.
28 The appellant gave evidence that since she became pregnant with their first child in 1989, Mr O'Brien had become controlling, irritable, verbally abusive and physically violent. He verbally belittled her on occasions when they lived at Woolgoolga, he pushed her against a wall holding onto her throat in front of his daughter Narina, on another occasion he punched her in the back of the head because she took too long to get out of the car, on other occasions hit her with a broom or kicked her on the ground, and once held an axe to her nose until it bled.
29 She said that when the deceased became ill she tried to reason with her husband but he would not allow her to seek help and she did not take the deceased to hospital herself out of fear. She said that after seeing Dr Webster she told her husband that if they did not take the deceased to hospital then DOCS would take her from them in the hope that this would convince him to take her to hospital, but he was insistent that the child not go to hospital, and that was why they went to Queensland.
30 After her arrest DOCS had become involved with her and the children and so at the end of March 2000 she felt able to leave, because she then had their protection and assistance, whereas previously she was afraid to leave because he told her that, although she could go, she could not take the children and he hardly ever let her out of his sight. She also said that on occasions over the previous years Peter O'Brien had threatened to kill her if she left him and took the children with her. Her evidence was consistent with her second recorded interview.
31 The other evidence called in the defence case was that of Dr Olaf Nielssen, forensic psychiatrist. He did not find the appellant suffered any kind of psychiatric disorder but his opinion was that her situation fitted what is called the "battered wife syndrome" which is a state in which women who are subjected to severe abuse, particularly within a domestic relationship, form a kind of helplessness and inability to initiate action to leave that situation. He thought that her responses around the time of the baby's illness were characteristic of the kind of behaviour one would expect to see in a person with battered wife syndrome in that she accepted the decisions made by her husband despite having reservations about them. She was under her husband's control.
32 There was no issue in the trial that the appellant had failed to take proper steps for the welfare of the child, that her failure to do so had materially contributed to the child's death and that such failure amounted to gross negligence. The only issue fought at the trial was the question of duress, that is, whether the Crown had negatived the suggestion that at the time she failed to take those steps she was acting under duress induced by fear of her husband.
33 In summing-up, his Honour gave general directions concerning the functions of the jury, their responsibilities and the onus of proof, and then turned to the elements of the crime of manslaughter (SU 7), which he explained (SU 7-11) and then he summarised the evidence relating to those elements, in particular of failure to take the child to hospital or provide proper medical treatment for her (SU 12-19).
34 He then (SU 20-24) gave appropriate directions on the law relating to duress referring to the objective and subjective elements of the test and how the Crown could negative duress and explained to the jury that they had to have regard to the effect of the threats at the time of the acts giving rise to the offence and this raised the issue whether the appellant had a reasonable opportunity of withdrawing from the scene or otherwise rendering the threats ineffective.
35 Following this, after a dissertation on the assessment of witnesses, his Honour went on (SU 27-37) to summarise the appellant's evidence in relation to that issue, particularly the way she had been treated over the years by Mr O'Brien which she said led her to fail to act in the manner she did and the reasons why she did not take opportunities that were apparently open to her to leave the relationship and seek hospital treatment for the deceased, and then he summarised parts of Dr Nielssen's evidence (SU 37-38). At SU 40 he briefly summarised the submissions of counsel as follows:
"The Crown say to you, look, those first lots of elements we have proved to you beyond reasonable doubt. And they say to you that you will not be satisfied about the duress, we have negatived that, because in short there were a number of different things she could have done to get help for her baby.