"He has rejected the diagnosis of the doctors who have examined him and he has refused the medication prescribed for him by doctors. Having regard to what happened to him during his giving of evidence, it is clear that he finds difficulty in both understanding and accepting that he has a mental disorder which needs treatment. It is to be hoped that he will accept such treatment as might be available to him in prison."
19 While accepting that his Honour did not ignore the issue of mental health, it was submitted that his finding was not entirely correct, having regard to the fact that he had taken medication in the past, and having regard additionally to Doctor Wilcox's observation that he was gradually accepting the mental disorder.
20 Additionally it was submitted that his Honour, in not referring to the well recognised principle expressed in decisions such as Regina v Scognamiglio (1991) 51 A Crim R 81; Regina v Letteri NSWCCA 18 March 1992; and Regina v Engert (1995) 84 A Crim R 62, failed to appreciate that the need for personal and general deterrence, which he saw as relevant to the sentencing exercise, should be mitigated by the applicant's mental disorder.
21 Where an offender's ability to make a reasoned or ordered judgment is reduced by the presence of a mental disorder, then it is proper that specific consideration be given to that factor for the reasons explained by me in Regina v Henry [1999] 46 NSWLR 346 at para 254.
22 Moreover, as the decisions earlier cited demonstrate, both personal and general deterrence have less relevance, in the case of an offender who suffers from an on-going condition, since the community will understand both the reason for his behaviour, and the fact that the constraints of a sentence will have less impact upon a person who, through illness, has a compromised ability to moderate his behaviour.
23 However, this has to be balanced against the community interest, in the case of an offender such as the present applicant, who does not accept that he has a condition requiring treatment, particularly if the offender is accustomed to resorting to measures such as the use of illicit drugs to deal with it. The need for a proper balance was expressly recognised by this Court in its judgment in Regina v Engert at pages 68 and 71, and it is also implicit in a decision in Veen v The Queen (No 2) (1988) 164 CLR 465, so far as that decision recognises the community interest in relation to repetitive offenders who are unable to moderate their behaviour or who are unwilling to do so.
24 While it would have been preferable for his Honour to have made express reference to the decisions mentioned, when dealing with the applicant's mental health, and with the relevance of deterrence, his comments otherwise do need to be considered in the context of the particular case. Relevant in that regard was the lengthy criminal history of the applicant, which included some 88 convictions for offences in NSW, Queensland and Tasmania extending over 14 years, mostly involving dishonesty, particularly stealing, but also involving prohibited drugs and an offence of escape. The constraints of imprisonment, release on recognizance, probation and community service, appear to have had little impact upon him and the present offences were a repetition of similar conduct in recent years which had seen him imprisoned.
25 Also relevant was the applicant's assertions to Doctor Wilcox that he did not see himself as requiring any form of rehabilitation; that he did not like taking medication and that he had ceased using it previously when released; as well as his evidence that the principal reason for committing the present offences was the need to feed his drug habit.
26 I am not persuaded, in the circumstances outlined, that his Honour's assessment was inappropriate, or that the interests of deterrence, whether general or specific, were of significantly reduced relevance. On the contrary, balancing the relevant interests, I am unpersuaded of any error in this respect.