The First Application
20 The circumstances of the first application for a hearing in respect of Mr Tier's fitness to stand trial have already been described. On Monday 9 August 1999, as the Crown case was nearing its close, Mr Tier failed to appear, he then being on bail. He had been admitted the day before to the psychiatric unit of the Royal Prince Alfred Hospital. The psychiatric registrar of that unit, Dr Simpson, provided a report. The report included a brief history, which was in these terms:
"He was admitted to the Missenden Psychiatric Unit on 8 August 1999, with a provisional diagnosis of major depression, partially treated by his private psychiatrist, over the last two months."
21 Dr Simpson concluded his report with these words:
"It is difficult to comment on his prognosis at this point, without a further period of observation. It is however, likely that he will remain an in-patient for the remainder of this week for further assessment and as such will be unable to attend court."
22 The jury was told that Mr Tier had been admitted to hospital, and the matter could not proceed that day. They were asked to come back the following day.
23 That afternoon Mr Tier's counsel, Mr Rasmussen, attended the Royal Prince Alfred Hospital. He saw Mr Tier. He provided the following description of his client to the trial Judge the following day (Tuesday 10 August 1999), when the matter resumed: (T1454)
"… it was rather difficult to communicate with him. His ability to communicate with me was I think much affected. He spoke very slowly and very torturedly and if I'm permitted to say so he looked very frail."
24 Arrangements were made for the psychiatrist who had been treating Mr Tier to see him at the hospital, and furnish a report.
25 The Crown in these circumstances suggested, sensibly, that the jury should be sent away until the following Monday. However, there was a complication. Counsel for Mr Tier had foreshadowed the need to call, and possibly interpose, an expert witness. The witness was only available until the end of the week. He would then be overseas until 31 August 1999, a date well beyond the projected conclusion of the evidence. After discussion, the matter was adjourned until the next day, Wednesday 11 August 1999. The possible need for a bench warrant was discussed.
26 On Wednesday 11 August 1999, counsel for Mr Tier tendered a report from the treating psychiatrist, Dr Mary Jurek (dated 10 August 1999). The report provided a detailed history. Mr Tier had been referred to Dr Jurek in May 1999 because his solicitors were concerned about him. He appeared depressed, and unable to provide them with instructions. Dr Jurek first saw Mr Tier on 21 May 1999. She then saw him a month later, on 21 June 1999.
27 Dr Jurek had not seen Mr Tier since 21 June 1999. Her report, however, included a description of the events leading to his admission to the Royal Prince Alfred Hospital. He had been found by a friend, crying and depressed. He had neglected his personal hygiene. He was taken to a doctor at Balmain. That doctor arranged for Mr Tier's admission to the Royal Prince Alfred Hospital on Sunday 8 August 1999. Dr Jurek offered the following opinion: (p7)
"Because of his severely depressed state, Mr Tier requires specialised psychiatric treatment. Treatment with antidepressant medication is usually recommended for about 6 months for the first episode of depression and may need to be given for a year or more for subsequent episodes.
Currently he is unfit to undergo the rigours of a trial. He will remain unfit whilst depressed due to his low mood, cognitive impairment and suicidal risk.
The prognosis with appropriate treatment is reasonably good."
28 It was not clear to the trial Judge whether Dr Jurek's conclusion was based upon her consultation with Mr Tier in June 1999, or more recent discussions with the psychiatric staff of the Royal Prince Alfred Hospital. Counsel sought to clear the matter up by calling his instructing solicitor, Ms Spooner. Ms Spooner, before entering the law, had been a nurse. Her qualifications include psychiatric nursing. She had spoken to Dr Jurek. She was in a position to confirm that Dr Jurek had conferred with Dr Simpson and Associate Professor Buhrich of the Royal Prince Alfred Hospital. Ms Spooner had also made her own observations of Mr Tier. She said that she was simply unable to communicate with him. She formed the view that he was not able to instruct her. She had known him since 1995, and he was not the same person.
29 Counsel for Mr Tier, upon this basis, applied for a discharge of the jury. The application was refused. Counsel then sought an adjournment until the following day, Thursday 12 August 1999. He wished to explore calling the defence's expert, perhaps in the absence of Mr Tier. He needed to obtain instructions.
30 A discussion then took place as to whether the trial could proceed in Mr Tier's absence. Ultimately his Honour issued a bench warrant to secure Mr Tier's presence. His Honour directed, however, that the warrant should lie in the Sheriff's office until further order, since the solicitor for Mr Tier expressed confidence that she could secure his presence without the need of a warrant. She was concerned that a warrant may exacerbate his depression.
31 The following day, Thursday 12 August 1999, Mr Tier did not appear. His counsel withdrew his application to interpose the defence expert. Instead, an application was made under the Mental Health (Criminal Procedure) Act, 1990, for a hearing as to whether Mr Tier was unfit to stand trial.
32 After argument, his Honour rejected that application. He did not believe it had been made in good faith (s10(2)). It is convenient to postpone an examination of his Honour's reasons, and to deal with them in the context of an examination of the Act.
33 Having rejected the application, his Honour then adjourned the hearing until the following day (Friday 13 August 1999). He directed the execution of the bench warrant to secure Mr Tier's presence.
34 Mr Tier was brought to court on Friday 13 August 1999. An application was made for bail, and was refused. Notwithstanding the trial Judge's finding of an absence of good faith, he made the following recommendation, directed to the gaol authorities: (T1580a)
"I strongly recommend that Mr Tier, who was, I presume, brought from Royal Prince Alfred Hospital to the Court today, be held in the hospital complex of the Community Corrections Centre in Sydney.
I make recommendations that Royal Prince Alfred Hospital make available to appropriate persons acting on behalf of Mr Tier his prescribed medication and copies of any documents appropriate to either accompany him or follow him to his place of custody and in the alternative, that he be given appropriate medication by the authorities of the Community Correction Service."
35 The following Monday, 14 August 1999, arrangements were made for Dr Jurek to see Mr Tier. Counsel foreshadowed a further application for a hearing in respect of Mr Tier's fitness to stand trial. Mr Tier was available for a psychiatric examination by any expert retained by the Crown, if it wished. The Crown, however, did not take up that offer.
36 The trial then continued, the Crown calling the remainder of its evidence, and closing its case.