Section 9(3)(e): Any treatment or rehabilitation programs in which the offender has had an opportunity to participate, the willingness of the offender to participate in any such programs, and the level of the offender's participation in any such programs
24 Between August 1996 and June 1997, the defendant participated in structured individual sex offender sessions with a departmental psychologist, Mr Feelgood, at Kirkconnell Correctional Centre. In a report prepared by Mr Feelgood and Ms Young for the Probation and Parole Service, Mr Feelgood described the defendant as having made progress and that he appeared to be committed to pursuing a non-abusive lifestyle. At the same time, however, the report noted that the therapy was made difficult by the defendant's poor recall and by the fact that he was slow in grasping the concepts presented to him. Mr Feelgood expressed the view that the defendant would require strict supervision and counselling were he to be released on parole.
25 After he was released on parole, the defendant continued to receive individual counselling from Mr Greg Lee, a psychologist. He was assessed by a departmental psychologist, Ms Narci Sutton, for his suitability for participation in the Community Based After Care group (COBAC). In a report dated 11 May 1999, Ms Sutton noted that although the defendant demonstrated some positive changes, he nonetheless had a "very superficial understanding of the dynamics underlying his offences, and of the behaviours and situations that put him at risk of reoffending". She went on to say that "on a widely used actuarial scale of sex offender recidivism (RRASOR) he fell within the high risk category for sexual offending". Ms Sutton also expressed concerns about the defendant's need to help young men and how this had been a feature of the "grooming" process which had been apparent in his previous offences.
26 It appears that the defendant also received individual counselling on a weekly basis following his release on parole in 2001. His parole officer reported that the defendant did not instil confidence in her that he would not re-offend when his parole expired. She observed that it "would not be unlikely that Barry will re-offend again given his lack of emotional and physical peer support network".
27 As I have indicated, whilst the defendant has been serving his current sentence he has participated in the CUBIT program. The defendant commenced that program on 30 April 2008 and completed it on 4 December 2008. Ms Solomon was the defendant's treating therapist whilst he was doing the CUBIT program and after he completed it she prepared a report which is dated 19 December 2008.
28 In her report, Ms Solomon described CUBIT as a "prison based residential therapy programme for men who have sexually abused adults and/or children [which is] designed to help participants work on changing the thinking, attitudes and feelings which led to their offending behaviour."
29 Ms Solomon made the following observations of the defendant's participation in the program:
From the outset, Mr Mitchell appeared moptivated and engaged in treatment to address his offending behaviour. He was an active member of the group, and was supportive to other group members. From the beginning of treatment he was able to identify areas he needed to address in order to live a good life and took steps to make changes. Importantly, he saw the benefits of utilising the CUBIT community in order to practice implementing these changes. This included participating in a range of Education classes, which had the benefit of assisting him with improving his self esteem and developing more realistic expectations of himself. Thus, Mr Mitchell appeared to take responsibility for his own treatment and saw the value of being proactive in this process. At times, however, Mr Mitchell could become overwhelmed and flustered when presenting tasks in group. On these occasions he would make negative self-statements (eg "I did it wrong)" and could react defensively to feedback. Mr Mitchell recognised the need to manage this more appropriately and hence attempted to be better prepared for presentations. He also identified communication, assertiveness, problem solving and self esteem as areas that could assist him in these kinds of situations. Furthermore, while Mr Mitchell was able to provide insightful feedback to group members, he at times delivered it in a passive aggressive style…Mr Mitchell recognised that this was a pattern he engaged in throughout his life, and hence identified assertive communication as a treatment goal.
30 So far as the level of the defendant's understanding of his offending behaviour was concerned, Ms Solomon noted that the defendant had identified an "offence pathway" which began with his feeling unwanted and not having much regard for himself. She said that he reported feeling easily overwhelmed by problems which would lead him to "engage in a range of avoidant and emotion-focussed coping strategies, including drinking alcohol, masturbation, sex, denial of the problem, keeping secrets, isolating himself and engaging in self pity". Ms Solomon went on to say that:
[i]f his previous attempts to manage his difficult feelings are unsuccessful Mr Mitchell may become angry and blame others. This may lead to him engaging in sexual fantasies about adolescent males, and seeking opportunities to access and groom a potential victim. A sexual offence may occur at this point. Mr Mitchell may then pretend that everything is normal, but ultimately cycle back to feeling low about himself.
31 Ms Solomon then made an assessment of the defendant's "dynamic risk factors, [being] those factors that are related to sexual recidivism and [that] are amenable to change". She observed that:
[a]lthough Mr Mitchell reported that he had not used alcohol for several years prior to his current incarceration, he recognised that it had been a relevant factor in some of his earlier offences. Consequently, if Mr Mitchell were to again engage in the abuse of alcohol, this would be an indicator of his increased risk of reoffending. … In relation to emotional distress, Mr Mitchell has identified that this was a significant factor in the lead up to the 1999 sexual offence. Specifically, Mr Mitchell reported that due to community hostility and vigilante activity he believed that committing a sexual offence was the only way to escape the situation. Clearly, if Mr Mitchell is experiencing similar distress or feeling overwhelmed and engaging in self pity, this would again indicate that immediate intervention is required. In regard to collapse of social supports, Mr Mitchell identified that in the short time prior to committing the index offence, a close friend of his passed away, and he had difficulty coping with this loss. Mr Mitchell has identified two elderly friends as his current social supports. If either of these friends passed away Mr Mitchell may require increased support and assistance to manage his risk effectively. Finally, Mr Mitchell has a history of establishing access and ongoing contact with adolescent males through a range of situations. If he continued to try and create situations in which he could spend time with children or other vulnerable individuals (eg adult males with an intellectual disability), this would be a clear indicator of his increased risk of reoffending.
32 Ms Solomon referred to a range of techniques which the defendant had learnt and which he said that he proposed to utilise in order to manage his risk factors. She noted that he was able to demonstrate a satisfactory understanding of his self management plans, the content of which she described as being "relevant and insightful".
33 Although there can be no disputing that the CUBIT program has been of benefit to the defendant, some of the answers which he provided in response to questionnaires that he completed after the program finished, give rise to concerns about some of the attitudes which he apparently still continues to hold.
34 Since completing CUBIT, the defendant has been participating in the Custodial Maintenance Program. According to the progress notes of his first maintenance session on 14 January 2009 which were prepared by Ms Laura O'Neill, the psychologist who runs the group, the defendant identified knowledge of thoughts and feelings and victim empathy as "the most important things he got out of CUBIT". In her notes for the following two sessions, held on 28 January and 18 February 2009 respectively, Ms O'Neill described the defendant's reaction to the news that the plaintiff may make an application under the Act for an extended supervision order as positive. In her notes of the 18 February session, Ms O'Neill recorded that the defendant viewed the potential application under the Act as a positive development, and that he indicated that he had "few supports, but particularly none in Sydney".
35 In addition to the cognitive behavioural therapy offered in CUBIT, Mr McElhone noted in his initial report that the CFMHS had examined the defendant and had commenced him on a course of Selective Serotonin Reuptake Inhibitors (SSRls) which can have the effect of reducing a person's sex drive.
36 In a supplementary report dated 10 March 2009, Mr McElhone considered that the defendant's agreement to take SSRls medication could indicate that he was motivated to more effectively manage his risk in relation to sexual offending. Taking such medication could reasonably be expected to assist in the management of the defendant's negative mood states which have in the past been associated with his offending behaviour. Nevertheless it is axiomatic that even though the defendant has been taking his medication in custody, there is no guarantee that he will continue to do so upon his release into the community.